HomeMy WebLinkAboutBlk 27, Lot 2 - 219723417002� "�HEALTH
EAGLE"—'JNTY DEPARTMENT OF ENVIRON� tAL
Box 811 6th & Broadway
Eagle, Colorado 81631
(this does not constitute
PERMIT No 201 a building or use permit)
Owner Eugene, Lo, i
System Location Lot 2 2 Block 27 Fialford
Licensed Contractor Owner
PERMIT FOR SEALED VAULT allon
* Conditional Construction approvai is JIULUUY granite or a - g
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate . inches inches in _--- minutes sq. ft.
absorption area per bedroom
# of bedrooms x _ sq- ft. minimum requirement
we suggest PERMIT MUST BE POSTED ON PROPERTY & PLEASE CALL FOR FINAL
May gg INSPECTION
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. 12/10/80: Eugene
sealed vault was
Adequate absorption (or dispersal) area. Summer 1979. No
Adequate compliance with permit requirements.
given.
Adequate compliance with County and State regulations/requirements.
Date Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
Lorig advised
installed
final inspect
* CONDITIONS:
1. All installation must comply with all requirements
of the County1973 Individual
25S1 Dispos
gaRegulations,
adopted pursuant to authority granted in 25 10
2- This permit is valid only for connection to structures dwelling or structurech have fully snotapproved by he building
building requirements. Connection to or use ing and
with y g
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
in a manner which involves a knowina Class It Petty Offense ($500 00 fineterms and maerial variation from the - 6 months or in con -
system injail or
twined in the application of permit commits
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25,00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 4 O 6 .
Name of Owner: = G 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 Disc
Type of Structure: Single Family Dwelling (K) Other:
No. Bedrooms Z
Water Supply: a oc ion: 42 2!l ff. if Distance From leach field:
Size of Lot: Zr 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: `G,-�-'�-^
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit. .
SIGNATURE OF APPLICANT: Date: zZ
(This ap ication becomes invalid 6 m nths from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information:
Tank Capacity: gal. (minimum)
Absorption Area: Sq. ft. (minimum)
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED
Permit No.
Fee Receipt: 47,5 Of"?4q
File: gl,��70 .1,& mo
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:
a�P
7U0'
TV � N.[ I RO (/� 19
EAGL� COUNT ENVI Rd:erMEN AL IJEAX.('
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
�62
N NE
ate Refered Permit Number
LOCATION
Please revieD the attached application and return it and this completed form to
the Environmental Health Office within 6 working days.
PLANNING: File No. Yes No Reviewed by Date
Complies with:
Subdivision Regulations _
Zoning Regulations
Recommend Approval iCJ
7,1626`
Comments:
COUNTY ENGINEER: Roads-..
Grading
Drainage
Recommend Approval
Comments:
BUILDING DEPARTMENT:
Set backs
Site
Access
Other
Recommend Approval
Comments:
s
Please advise this office as to the date of installation of the sealed vault for the
above subject property. The permit was issued July 25, 1977 by the Environmental
Health Office.
You can reach my office at 328-7311, 949-5257, 949-5631, or 927-3831 or you may write
to Box 850, Eagle, Colorado 81631.
/ 5;; 7 -;;; - " � ?
p
it
0201-Lot 2 Block 27 Fulford i "qN
JOB NAME LORIGOMpIQ���JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
ev 0
(J
ku�ess
-Zj
JOB COST SUMMARY
TOTAL SELLING PRICE
PERMIT #201
OWNER:
LOCATION: Lot 2 BI 27 Fulford
VAULT
INSTALLER: Owner lObedroomD
SIZE OF TANK: PERMITDWELLING: Cabin -
Sealed vault installed summer of 1970 no final
inspection was made.
LA — on
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOi Printed in U.S.A.
