HomeMy WebLinkAbout32532 Hwy 6 - 210506225001 - 0180ISEAGLE \LINTY DEPARTMENT OF ENVIRONS `'TAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT NO 180 (this does not constitute
• a building or use permit)
Owner Frank Propernick
System Location 32530 Hwy 6
Licensed Contractor . Ken Jenkins
* Conditional Construction approval is hereby granted for a 1, 000 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 20-25 minutes 700 sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest 700 sq.
ft. drainage field
Date '-2�`� / 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.
Adequate compliance with County and State regulations/requirements.
Date �-*-) -2 Inspector &emu
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
PERMIT NO. BOX 811
EAGLE, , COBOX
81631 PERMIT FEE $25.00
�APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT j� N0 400
Name of Owner: �
/ �Z ��� �%'(� 1� e /1!G=/ Phone: ` 46 33&/
Address of Owner: 3 U /✓L
Is facility within boundaries of a city/town or sanitation district? �cL
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription:
Type of Structure: Single Family Dwelling Other: No. Bedrooms
Water Supply: Private Well ( ocation: Distance From leach field:
Size of Lot: Z 333 Public Water Supply: 4!V,
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 tel hone 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 p, mit.
SIGNATURE OF APPLICANT:'
ate:
-�3-7-
(TRs application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: zU Z,� ',"7 /1:' Z Permit No. y0""d
Tank Capacity: l®o n gal. (minimum) Fee Receipt:_
Absorption Area: O o Sq. ft. (minimum) File:
REMARKS: c C o r 2 ./ 6 0Cis'�41� �iE�/1
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: �de—e
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2299� ,
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RUTH COLLETI
A Part of the
NW 1/4
of Section 6, T5S, R82W,
of the 6th. P.M.
County of Eagle,
State of Colorado
BUILDING DIVISION INSPECTION REQUEST
P. O. BOX 789
PHONE: 328-6339 EAGLE COUNTY
DATE JOB NAME
TIME RECEIVED- AM PM CALLER
FHER
L_J PARTIAL.
READY FOR INSPECTION
MON TUE WED THUR FRI L." -Aivf, Pm
❑APPROVED ❑DISAPPROVED ❑REINSPECT
E]UPON THE FOLLOWING CORRECTIONS:
CORRECTIONS
DATE
INSPECTOR
V-JOB NAME
JOB LOCATION
le -
JOB NO.
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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PERMIT # 180
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OWNER: Frank Pr-o>ernick
LOCATION: 32530 - Highway 6 - Edwards
(1 .3 acres)
INSTALLER: Ken Jenkins
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms
PERC RATE: one inch/20-25- minutes (700 sq.ft.)
Suggest 700 sq.ft. of drainage field.
Finalized: 8/29/77 V: Erik Edeen
77
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 �@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.
