HomeMy WebLinkAbout11 mi Red Cliff Hwy 24 - 000000000000EAGLE (0, UNTY DEPARTMENT OF ENVIRONM"TAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N®0 (this does not constitute
a building or use permit)
Owner Mr. John A. Magnuson Box 541 Leadville, Colorado
System Location
Licensed Contractor
* Conditional Construction approval is hereby granted for a
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate inches in minutes sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest
Date Inspector
FINAL APPROVAL OF SYSTEM:
gallon
No fee. Remodeling
existing 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.
er materials and assembly.
luate absorption (or dispersal) area.
[uate compliance with permit requirements.
nuu,ruate compliance with County and State regulations/requirements.
�7 7
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
L_aL
(ram r. No fee. Remodeling
ENVIRONMENTAL HEALTh�:
.. exist�.��g systema_ T 70 P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
��
John A. Magnuson ��6 _ � 3J
Name of Owner: Phone:
Address of Owner: Box 541 Leadville Colorado 8C461
Is facility within boundaries of a city/town or sanitation district? No
Distance to nearest sewer system: l�`!I/ Ies g
Location of Proposed Systo"i�AI;,fe's. hv�tillleA
Legal Discription:.
Type of Structure:
Water Supply: Pr
Size of Lodi Act
P ersoN 3 CahIN-c "VCr ocepi e d
Single Fes -Dwelling .O Other: _j5oa /D VP_Aps_ No. Bedrooms
eWell ( ) Locati .(,Volip-P&%rrhacrs e- ij-'re 4611 Distance From leach fieldf¢�ou
y 9 e swa$""V GSM �" 0te
ublic*'OVateruppl;a�✓A✓ S�fh/N!o
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 mustrbe 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 desi n of system: K0%7 G-{ wr ag1V %ISO/
c �d✓lf�, �ol�� {;a��rh��, - o� a f
The undersigned acknowledges that the above information /itrue and that false -information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICAN Date: a. r e'
(T i application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information:
Area: � . � ,.,� � gal. (minimum)
Absorption-
Tank Ca acit '� r r
Sq. ft. (minimum)
Permit No.
Fee Receipt:
File:
REMARKS: Remodeling existing system. Ydo fee required.
r:
APPLICATION IS: APPROVED ( dam`)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:
y. JOB NAME
0070-11 Mi From Red Cliff on Hwy 24
Magnuson
JOB NO,
,00'J-013 LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
1
JOB COST SUMMARY
TOTAL SELLING PRICE
PERMIT # 70
OWNER: John A. Magnuson
LOCATION: 11 miles from Red Cliff on Hwy 24 between Old Camp
Hale and Tennessee Pass (82 acres)
i
INSTALLATION: existing system - remodel
i
FiW ized: 2-27-76 By: Erik Edeen
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 1 Pdrited in U.S.A.
