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HomeMy WebLinkAbout16 W Lake Creek Rd - 210518102015EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMITS 86 (this does not constitute a building or use permit) Owner Ed Bennett System Location Lot 9 Blk . 2 Lake Creek Meadows Licensed Contractor Jim Kemp * Conditional Construction approval is hereby granted fora 1000 gallon X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 25 absorption area per bedroom minutes 750 8 250 s q. ft. # of bedrooms 3 .. 250 sq. ft. minimum requirement May we suggest Date ,�Inspector 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. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. X 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 require ments. 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 ap plication of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or both. ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: Phone: Address of Owner: 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:_ Water Supply: Private Well ( ) Location: Size of Lot: No. Bedrooms Distance From leach field: 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 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: The undersigned acknowledges that the above information is true and that false information will invalidate application or subsequent permit. SIGNATURE OF APPLICANT: Percolation Information: Tank Capacity: Absorption Area:. REMARKS: Date: (This application becomes invalid 6 months from above date HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( ) DENIED ( ) Permit No._ Fee Receipt: File: 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: ,ISLE %.COL ' T "TION TES Fe(,,: $50.00 jpnlic.-tion No. Permit No. O,x,- a e r Legal Description:. Type of Dwellin4=1 �*)-: No. of Bedrooms: -- Date of Test: Denth of Holes: Diameter: Tyne of Soil: Locv.tion of Tes-'t Holes: Test hole was nresoaked from: J/ a-" � "t—akel fj Time Dote To: Time - Date TIME WATER DEPTH # INCHES OF FALL—. RATE 1 2-- 3 1 2 3 1 2 S 1 2 3' 2S 2c 211 ItC) Y,3 Percolation Rate: MPI Site 11 as been reviewed and tested for per col. ation. r2 te. We recommend: I P P13-0 V P L DIS,PPROVM, D T E: 2— t r6, r��7 lfrik IV. Edeen,, PI.P.S. Enviroamentol. He2lth' Ea ;lc Count 135 Y 7— dal L� 7i) z� ��� z� C � � ��7.3 ° c U,,GLE COUNTY FNV1RQNMED1T,,.\L 'JEtLT11 - JIVIDUAL SEWAGE DISPOSAL SYSTE, 2E,.?"\IIT ROUTE SLIP Name Date R'ete-rj�ed -1 PZT-,Trr Location Please review the attached application and return it and this completed form to the Environmental Health office within 6 working days. Planning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval Comments: /7C County Engineer: Roads Grading: Drainage Recommend Approval Comments: 7� Building Department: Set Backs Site Access Other Recommend Approval Go-,m.ie-,l LF. : Z( Comments: 7� Building Department: Set Backs Site Access Other Recommend Approval Go-,m.ie-,l LF. : Z( Go-,m.ie-,l LF. : Z( JOB NAME 00/ (v LC Le W 1 .5 l kI o ;? alto JOB NO. Inn 1 n!`ATInkl BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY ' ,u 4 y am PERMIT # 86 OWNER: -E-d Bennett LOCATION: Lot 9 - Block 2 - Lake Creek Meadows (5 acres) (� U o I INSTALLER: Jim Kemp SIZE OF TANK: 1,000 gallons DWELLING: single family - 3 bedrooms x 250 sq.ft. PERC RATE: one inch/25 minutes (750 sq.ft.) FINALIZED: 9-13-76 By: Erik Edeen I - TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS Rio OF SELLING PRICE NET PROFIT JOB FOLDER Product 277 ®e NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A. 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