HomeMy WebLinkAboutBlk 15, Lot 5,6,7,8 - 219723419001EAGL[/--,,RUNTY DEPARTMENT OF ENVIRO? ~!NTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N? 35 (this does not constitute
a building or use permit)
Owner Milt J. Stuart
System Location Lots 5 - 6 - 7 - 8 - Block 15 - Fulford, Colorado (cabin)
Licensed Contractor Self
* Conditional Construction approval is hereby granted for a 1000 gallon vault.
xxx Septic Tank or Aerated treatment unit. Note: Existing system.
Absorption area (or dispersal area) computed as follows: No fee required.
Perc rate N/A inches in minutes sq. ft.
absorption area per bedroom N/A
# of bedrooms x sq. ft. minimum requirement
May we suggest a minimum 1000 gallon sealed vault.
Date August 7, 1975 Inspector1Ih�
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.
Date
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
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.
ENVIRONMENTAL HEALTh.
P.O. Box e 11
> PERMIT NO, EAGLE, COLORADO 81631 1 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
204
Name of Owner: Phone:
Address of Owner. (.� � X J 1'� r �! Y Grf� Y i':1" ` 1.
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system: `, C 3`�-
Location of Proposed System: i
Legal Discription: 1�f,c, :. <, 3 u i Lc) C
Type of Structure: Single Family Dwelling ( ?c) Other: a• is Y\ No. Bedrooms
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: 0 f X ! r ` ti Public Water Supply: -
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 sha11 c6mply 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«,oiffice,:
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:—`=� G ��
The undersigned acknowledges that the abo a informationois true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: •r LL-•1/2 Date: ! ,�[.C,.
0 (This application becomes iny'alid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
f
Percolation Inforr
Tank Capacity: —
Absorption Area:
REMARKS:
gal. (minimum)
Sq. ft. (minimum)
Permit No.�
Fee Receipt: N
i
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 COUNTY HEALTH DEPT.
Dater Sanitarian:
i
0035-Lots 5-6-7-8 Block 15 Fulford
JOB NAME Stuart
JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
cep
PERMIT # 35`
x
VAa�� O ►�
OWNER: *i1t J. Stuart
LOCATION: is 5, 6, 7, 8 - Block 15 - Fulford (100'
INSTALLER: Owner
SIZE OF TANK: 1,000 gallon vault
DWELLING: Cabin
PERC RATE: N/A
(suggest a minimum 1,000 gallon sealed vault)
,ll�?,Ii�
TOTAL LABOR.
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
Finalized: not listed PnntedInUS.A.
JOB FOU Application 8-07-75
� On 1�- k1� -- 0 0 L
