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HomeMy WebLinkAbout1629 Lake Creek Rd - 210507400003EAGLE UNTY DEPARTMENT OF ENVIRONN 'TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT( 161 (this does not constitute • a building or use permit) Owner Vic Gallina (Jerry Morgan Propert System Location East Lake Creek Licensed Contractor * Conditional Construction approval is hereby granted for a 1250 gallon XX Septic Tank or Aerated treatment unit. PLEASE CALL FOR FINAL INSP. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 10 minutes 500 sq. ft. absorption area per bedroom # of bedrooms x. sq. ft. minimum requirement May we suggest 500 sq. ft. of drainage field gg !�J Date �_.L 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. 1-11 Adequate compliance with County and State regulations/requirements. Date -%% Inspector/'mac gd_e_"� 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 /Ali 6, ENVIRONMENTALA4EALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: Vic Gallina(/14c,�,I,, Phone: Address of Owner: P. Oa Box D, 1629Lake Creek, Edwards, Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: 20miles PERMIT FEE $25.00 N° 381 926- 34 54 Colorado 81632 Location of Proposed System: East Lake Creek, Jerry Morgan Property Legal Discription: Type of Structure: Single Family Dwelling ( XX) Other: No. Bedrooms 4 Water Supply: Private Well ( XX) Location: Distance From leach field: Size of Lot: 40 acres Public Water Supply: No 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. C C� V • G O ' T Name, address, and telephone of person responsible for design of system: Vic Gallina and Jim Kemp The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit SIGNATURE OF APPLICANT: : Date: 4 -11- 77 (This application becomes invalid 6 months from above date.) Percolation Informa Tank Capacity: Absorption Area:_ HEALTH DEPARTMENT USE ONLY /0 Apr gal. (minimum) Sq. ft. (minimum) Permit No. /�-/ Fee Receipt�� B9 File: 1.-2. c.Fc,� APPLICATION IS: APPROVED ( ) DENIED ( ) �P %�q04 The above individual sewage disposal system was installed by 'zodF F� �Z -/ AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date Sanitarian: P. s«GOL: TI ON TEST FCC: $51U. UU , lPnlcp Lion No. Permit No. Owner: Le-nl Description: Tyne of Dn•ellinv: No. of Bedrooms: -Date of Test: Denth of Holes: _ Diameter: Tyne of Soil: Loc`..tion of Test Holes: Test hole was nresoaked front To: Tiine Dzte Time ' Date ISLE TIME• 9 2 3 i�PT.�.ti DEPTH L 1 2 3 I7z- i INCHES Or FALL L 1 2 3 JUTE 1 3 1 Percolation Rate: Site''lias been reviewed and tested for rexcolatxo:i rate. We reco-mmend: IPPROWL DISIPPROVAL DFTE: Ell vironnicnt,'J fie::lth Ea;;le County d1 . -Ti fi (D Q m Z m 0- CD C) cn —4 r o m 2: �q z o g 70 M C-) r m � � m r y --i or P-+ Az-nr- o M m z m 70 .. Z C 70 7c m �. (D O cF Li Ci J rt. Qj J. (D y r J O N J Al J (-) Ci• Ul %r N J. . =r ON (D' J J (D ('7, rTD (D CJ J. 77 (D f V) 0- a 3 I : O O 0 — O cc Ul E Q Q) O N N O N O —h O (D c-F • v (� cG � rD N v m 3 HI hd 0161-East Lake Creek Edwards JOB NAME GAL-t�"% JOB NO. )Cl 5cA,)A ed -ro Ei- L ov i� JOB LOCATION �� �\ BILL TO DATE STARTED DATE COMPLETED DATE BILLED e�� i` �� G {_ ► sr�1 Z 012 16 t Lod e C-etiJ Lary-) P PERMIT # 161 �1 SGI i`1�'�, 1 6Mp54n OWNER: Vi LOCATION: East Lake` c - yyEdwards^,'(40 acres) d0l62-9 Ldke CNv-ek INSTALLER: Not listed SIZE OF TANK: 1,250 DWELLING: Residential - 4 bedrooms PERC RATE: one inch/10 minutes (500 sq.ft.) (suggest 500 sq.ft. of drainage field) Finalized: 5-77 ii By: Erik Edeen 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 278 Z�® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.