HomeMy WebLinkAbout1053 Valley Rd - 239133401005 - 0163ISF EAGLE ('LINTY DEPARTMENT OF ENVIRON!C"TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT Nv 163 (this does not constitute a building or use permit) Owner Michael A. Taddeo/Nicholas Lampiris System Location Lot 3, Tepee Leeling Subdivision Licensed Contractor . Same * Conditional Construction approval is hereby granted for a 1, 000 gallon XX Septic Tank or Aerated treatment unit. PLEASE CALL FOR FINAL INSPECTION Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 40 minutes 800 absorption area per bedroom PERMIT MUST BE POSTED ON PROPERTY sq. ft. # of bedrooms 3 x sq. ft. minimum requirement May we suggest 800 sq. ft. of drainage field c i 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. 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 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 3 4 8 Name of Owner: �G _ ��✓�bj�arr�Phone: �d 6 6o,_ Address of Owner: �ok a S A, �y Is facility within boundaries of a city/town or sanitation district? fie' Distance to nearest sewer system: _ Location of Proposed System: Legal Discription: `�;Iel /f% c�v 1"' ©mow Type of Structure: Single Family Dwellin )Other: No. Bedrooms Water Supply: Private Well ( Location: Vi.st nce From leach field: Size of Lot: 'A, r ens Pubtilic Water Su.pP Y� I 1� �.-.. An appropriate Est fAgui must accompany site inspection for this!,;app'lication'`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 C?unty,) and shgl) 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. r t 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 SFi ,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 the application or subsequent permit. 69 SIGNATURE OF APPLICANT: r Date: Ll 7 (This application becomes i valid 6 months from above date.) Percolation Information: Tank Capacity: Absorption Area: REMARKS: HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( ) DENIED Permit No. Fee Receipt: %5 ve ooy/7 File: C%'�- /e4/,? 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: 4 -ems-7 ate Refered EAGLL\COUNTY ENVIRONMENTAL HEAL "! INDIVIDUAL SEWAGE DISPOSAL SY,STEIJ PERMIT ROUTE FORM 3. NAME (!d. f 73' 99/1 -Y-41--7i- et �f 114.0 Permit Number LOCATION Please review the attached application and return it and this completed form to the Environmental Health Office within G working days. PLANNING: File No. Yes No Reviewed by Date Complies with: Subdivision Regulations Zoning Regulations K Recommend Approval _ZZ Comments: COUNTY ENGINEER: Roads Grading Drainage Recommend Approval Comments: BUILDING DEPARTMENT: Setbacks Site Access Other Recommend Approval Comments: ISDS Permit #: 163 BUILDING DIVISION INSPECTION REQUEST P.O. Box 179 PHONE: 328-7311 EAGLE COUNT Y DATE 12/9/80 JOBNAME Michael A. Taddeo/Nicholas Lampiris TIME RECEIVED AM PM CALLER M OTHER Final? ❑ PARTIAL. LOCATION Lot 3, Teepee Leeling Subdivision READY FOR INSPECTION MON TUE WED THUR FRI AM PM COMMENTS: Original permit issued 4-27-77, for minimum 1,000 gallon tank and 800 sq. ft. leach ieId. No record of finalinspection. Please check out. ❑ APPROVED ❑ DISAPPROVED ❑ REINSPECT ❑ UPON THE FOLLOWING CORRECTIONS: CORRECTIONS t G Z s /YJ 6! l/ DATE /1aGh; �i�ivtWe�y �- r: t TIr i 1 W i 5Sorn�'.i� � G� r-I 0 rn r-I O � H ::I E h ' M r•-i A t7) a) a) a a) H M 4-) O a d z 0 E w -r-I ra a fd x r—i td O .I.) U N ri O r> Cd N c w O 00 H wW 4 � 3 4 x to a) > ro Is to 4-) 3 H L) CO Rl (d U U) ::I .H A O 5 O r•i -r-I b) r-i -ri a) m o a) 0 +� ro 0 4-I 10 O •r � •r1 � ° o � Hey •r ri ryi (IS rd 4J }4 Co a) 44 o 0 o ro >4 � � � M 4-) ro (dr- o r- o •u r- a) 4J �4 N •H U) a r-I 4-4ro O •4 .� U N -ri a) 4-I 4J 4a) toO LH .H 44 •r-i N r EQ a) 4J 3 0 m (n 0 5 U) � 0 ro rt a) (n 4-1 • 4 !n O -r lZ rg H -H a)) a 'd a ro 4-3 �i ro a) A r-I rd x M r-I 0 r•I rt0000� �� aIo O N o ri � 0 a°Q O Z M 'S.,U H Unwaww 9 0163-Lot 3 Teepee Leeling Subdvsn Basalt) - — 1053 Valley Rd "ALL — a{! L 4 ����- �`-JOB NO. FJOB NAME JOB LOCATION , To � BILL TO Finalized: date: 4/27/77 Y 'FOLDER Printed in U.S.A.