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Home My WebLink About34190 Hwy 6 - Edwards Baptist Church - 0005EAGLE f` '')NTY DEPARTMENT OF ENVIRONM 'TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT ® (this does not constitute ® a building or use permit) System Location SEJ of Section 5, Township 5, s, Range 82W. of the 6th P.M. Licensed Contractor Hughes Plumbing - 2558 State Hwy 82 - Glenwood Springs - 945-56 * Conditional Construction approval is hereby granted for a 1500 gallon X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20 minutes 1000 sq. ft. absorption area pewilmuftzom NONE # of bedrooms x sq. ft. minimum requirement May we suggest minimum 1000 sq. ft. of leach field Date May 20., 1975 Inspector FINAL APPROVAL OF SYSTEM: Erik W. Edeen No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved p for to covering any part. Septic Tank cleanout to within 12 of final grade or aerated access ports above grade. Proper materials and assembly. 7 Adequate absorption (or dispersal) area. f / Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date �'` Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 2. This permit is valid only for connection to structures which have fully complied with County Zoning and building requirements. Connection to or use with any dwelling or structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or both. '��U��0 ��U ��( \ � ~~~.~...~...^~.~~...~.� ..�.~~~. ~. ~ P.O. BOX 817 PERMIT NO.—,,, EAGLE COLORADO 81631 PERMIT FEE!$2MN APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT M�. ��4�. �~~ ��m Name ofOwner: Phone: none Address of Owner.- P.O.B. 14 Edwards, Colorado 81632 Is facility within boundaries of o dty/fovvn or ooni^ofion4ia1rict? no Distance to nearest sewer system: 350 yards Location of Proposed System: North side of highway in Edwards Legal Discripiion: Type of Structure: Single Family Dwelling ( ) Other:No. Bedrooms YVoher Supply: Private Well ( ^u ) Location: NE corner Of 101 Distance From leach field: �L\Jt.�' Size of Lot: 2.066 Acres - Public Water supply: No An appropriate plat pion must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and uho|> comply with House Bill 1553 [R3 66-14' 1973. Payment oho|[ be made to the Eagle County Treasurer. Permit upon approval of this application, may be obtained at the Eagle County soni|orion's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phorfl Name, address, and telephone of person responsible for design of system: Hughes Plumbimg 2558 State Hwy 82 Glenwood Springs 945-5652 The undersigned acknowledges that the above information in true and that false information will invalidate the application or subsequent permit�--`, SIGNATURE OF APPLICANT: vi' Date:_-', s application becomes in id 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Permit No._/z Tank Capacity: gal. (minimum) Fee Receipt: L`L '7 Absorption Area:— /-:i Sq. ft. (minimum) File: APPLICATION IS: APPROVED ( DENIED ( The above individual sewage disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUVITY HEALTH DEP-T, [Olate: Sanitarian: )Li ^ r� - PWQOLATIOIT TEST AND SITE iNSPECTION L / � n Pi':'i1T 1,10 ._ Z O;IPi.F._ " � < � Sp . p•. f Street Aderess or LegalDescription: - T ; ` e 017 D-,Tc 1 L i nib DO THIS LINE Date of Test: Depth of hole: Diameter: Type of soil: % (' Location of Test Hole: Test hole was; presoaked from: To: (Tine) {gate) (Time) Date: TRIP .. � r.T�, T� :� g ;P Ei � T dC ""c tar E<� 7: � `1 RAT 1 2 3 `%> ' 1 , 2 3 2 3 1 € 2 3 -41 t r— -- s i f g �1 YN �f L ' 9 Percolation Hate: AIPI Site has been reviewed and tested for percolation rate. We recorr e:ld: , 'iPP20VAL DISAP.c;.;OVAL ( ) Date: ME: Plot plan s mt-,,ing boundary lines, IOCc tinn of l�i.n;; proposed bui ) n x Or blli.ldiil^S and design of septic system must be submitted with Application for Permit to Construct. The back of this form may be used to shoe plot plan and design of system. By: ~L Sanitarian P. 0. So„ 811 Telephone (303). 328-7718 Fatale, Colorado 81631 I I � 42 iv 'j cb C2� tf co, VI 775 0005-SEi Sec 5 T5S R82W 6th PM JOB NAME —34190 Hwy 6 Lake Crk Baptist Church LOCATION DATE s DATE BILLED a ' c, PERMIT # 05 4 "T NAME: LAKE CREEK BAPTIST CHURCH 4 (2.066 acres) LOCATION: SE,, of Section 5, Township 5, s Range 82W of 6th PM r INSTALLER: Hughes Plumbing (Glenwood Springs) % o SIZE OF TANK: 1,500 gallons` DWELLING• Non-residential PERC RATE: one inch/20 minutes (1,000 sq. ft.) (suggest minimum 1,000 sq. ft. of leach field) Finalized: 09-76 By: Erik Edeen j JOB F t €� r%�,,