HomeMy WebLinkAbout14668 Colorado River Rd - 186113100003EAGF COUNTY DEPARTMENT OF ENVIRQ''"MENTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT (� 2 (this does not constitute
a building or use permit)
Owner
System Location See. 13, T. 3 S, , R. 86 W. 6th P. M.
Licensed Contractor Schultz Construction
* Conditional Construction approval is hereby granted for a 1000 gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
NOTE: Steep Slopes.
Post on Property.
Call for Final Inspecti<
Perc rate 1 inches in 10 minutes 600 sq. ft.
absorption area per bedroom 200 sq. f t .
# of bedrooms 3 x 200 sq. ft. minimum requirement
May we suggest a minimum of 1000 sq. ft. leach field
Date June 4, 1975 Inspector
Erik W. Edeen
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.' .}
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Adequate absorption (or dispersal) area.
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ir
Adequate compliance with permit requirements.
i` d
Adequate compliance with County an
Date
RETAIN WITH RECEIPT
Late regulations/requiremen
t
s.
ector
DS AT CONSTRUCTION SITE
* CONDITIONS:
1. All installation must comply with all requireme is of the County Individual Se age Disposal Regulations,
adopted pursuant to authority granted in 25-10— 4, CRS 1973 amended 25 —614, CRS 1973
2. This permit is valid only for connection to structu which have fully c plied with County Zoning and
building requirements. Connection to or use with any fling or tures 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 -
twined in the application of permit commits a Class I, Petty Offense ($500.00 fine • 6 months in jail or
hnth _
ENVIRONMENTAL HEALI
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25_00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Name of Owner: s -- Phone
}
Address of Owner.
-
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System: = g
Legal Discription: - `` ' ''
Type of Structure: Single Family Dwelling ( ) Other: No. Bedrooms
Water Supply: Private Well ('` ) Location:
Distance From leach field:
Size of Lot: _' Public Water Supply:
PP Y:
An appropriate plat plan 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 shall comply with House Bill 1553 CRS
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be`
obtained at the Eagle County sanitarian's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection.
Name, address, and telephone of person responsible for design of system s
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT. ;- jr Date 'L' 'r_
(This -application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY A,
Percolation Information: / 4— Permit No
I r
Tank Capacity: gal. (minimum) Fee Receipt: 6'
Absorption Area: _ Sq. ft. (minimum) File:
REMARKS:
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 COUNTY HEALTH DEPT.
Date: Sanitarian:
PE?3-.IT NO.
;._:COT T10- TEST AND SITE Ic;"P%CTIOd
O NE "'
f
.E��;50n
Street Address or Legal
Description;
T Y=--' e o :' Dwee l l i n' .
J
DO ITOT 112ITT" BELU.
TiTIS LINE
Date of Test:
Dept-h of Tole:
Diameter: % Type of soil-
Location of Test Hole:
Test hole was Presoaked
from:
To:
(Tine) (Date)
(Time) Date:
FALL-
1 2 3
1,... 2
3
1' 2 3
1 2 3
7
11;sl
17/
i
-
� -FT
l'F2-Ixz
/0
7
1Z-1 cam"
1�.
,..
r
31,7
Percolation Rates
Site has been reviewed and tested for Percolation rate.
We recorr�end: _ APPROVAL ( DISAPPROVAL ( ) Date: 5 — 2, 7 7\
NOTE: Plot Plan shoc:in�; boundary lines, location of Proposed bui Idi.n g or buildinr
and design of septic system must be sub-mittcul with APPiication for Per?rit t0 Construct.
The back of this form may be used to show Plot Plan and de siGn of system.
Sanitarian
P. 0. Bo;: 811
Telephone (303) 32-8-7718 Eagle, Colorado 81631
-Sec 13 T3S R86W of 6th PM
14668 Colorado River Rd --g-ukaltz
JOB NAME JOB NO.
JOB LOCATION
BILL TO U
'L' DATE STARTED DATE COMPLETED
PERMIT # 12
NAME: David Shultz - Box 846
Gyp,sum,.CO 81637
LOCATION: Sec 13, T3S, R 86W of 6th P.M. - Colorado River
(approx. I-,- acres) Road
14668 CoZoAado Rive/t Road
INSTALLER: Shultz Construction
SIZE OF TANK: 1,000 gallons
DWELLING: single family 3 bedrooms x 200 sq. ft. = 600 sq.ft
PERC RATE: one inch /10 minute (600 sq. ft.)
(suggest a minimum of 1,000 sq. ft. of leach field)
Finalized: 7-02-75 By: Erik Edeen
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