HomeMy WebLinkAboutBlk 7, Lot 1,2,3,4 - 219724308001EAGLE! UNTY DEPARTMENT OF ENVIRONC ITAL HEALTH
Box 81 1 6th & Broadway
Eagle, Colorado 81631
PERMIT NO 58 (this does not constitute
• a building or use permit)
Owner Adolph and Edith Diemoz
System Location- Lots 1, 2, 3, d - Block 7 - Fulford, Colorado
Licensed Contractor . Floyd Diemoz
* Conditional Construction approval is hereby granted fora 1000 gallon fiberglass sealed
vault.
N A Septic Tank or N/A Aerated treatment unit. NOTE: For one bedroom cabin
Absorption area (or dispersal area) computed as follows:
Perc rate NIA inches in minutes sq. ft.
absorption area per bedroom N/A.
# of bedrooms N/A x sq. ft. minimum requirement
Call for final in-
spection.
May we suggest a minimum of 1000 gallon fiberglass sealed vault.
Date October 7, 1975
Inspector
rik W. Edeen, E.P.S.
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 HEALT,
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT `r
Name of Owner. E,01 " - K01-Z- Phone: .5
Address of Owner: l ���/� fN 1 � T_F/A/F cS, F t, LE&)U10Cl l K-
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription:�
Type of Structure: Single Family Dwelling ( ) Other: RL- Al No. Bedrooms —
Water Supply: Private Well ( ) Location: Distance From leach field: A /�"
Size of Lot: ' 2< Public Water Supply:
An appropriate plat plan 'must accompany site inspection for this ap
plication 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 ;shal,l 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 fqr design of system:'
The undersigned acknow edges that the a ove information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT- ., A Date:
(Thi plication becomes inv Fid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: Permit No.
Tank Capacity: gal. (minimum) ' Fee Receipt:
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:
rJOB
0058-Lots 1,2,3,4 Block 7 Fulford
[NAME Diemoz
�9`L? 7/_C1?q,509_0C1(
JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
le�
cc,Yvt p t 0 916/C 9
PERMIT # 58
OWNER: Adolph and Edith Diemoz
LOCATION: Lots 1, 2, 3, 4 - Block 7 - Fulford
(loo' x 100')
INSTALLER: Floyd Diemoz F
SIZE OF TANK: 1,000 gallon fiberglass sealed vault.
DWELLING: one bedroom cabin
PERC RATE: N/A
Application date: October 7, 1975 --Erik Edeen
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 277 ne S NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER
Printed in US.A.
