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Home My WebLink About2288 Lake Creek Rd - 210518103002 - 0207ISEAGLE(iUNTY DEPARTMENT OF ENVIRONF,iTAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT Nq 207 (this does not constitute • a building or use permit) Owner David Minick System Location Lot 2, Block 7, Lake Creek Meadows Licensed Contractor . Owner * Conditional Construction approval is hereby granted fora 11000 gallon PLEASE CALL FOR FINAL INSPECTION XX Septic Tank or Aerated treatment unit. PERMIT MUST BE POSTED ON PROPERTY Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 7 minutes 600 sq. ft. absorption area per bedroom 200 sq. ft. # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest 600 sq. ft. of drainage field — 12' X 50' ---ems � Date � I� ` 7 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. 10-1� Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. G""' Adequate absorption (or dispersal) area. A-11 Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date Z� Inspector disc- 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. `tea EAGLE, COLORADO 81631 PERMIT FEE $25,00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 405 Name of Owner: I G Phone:`�� Address of Owner: Is facility within boundaries of a city/town or sanitation district? %L Distance to nearest sewer system: Location of Proposed System: G6� cs�- ��f/ --� 6—ryk /22a, Legal Discription: Type of Structure: Single Family Dwelling ( i_—J' Other: No. Bedrooms 13 Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: ��5 Public Water Supply: 4ge4 r""If"5rc,% '''7 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:aliAls—ie, The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. 7 SIGNATURE OF APPLICANT: Date: y (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: / �� , Permit No. Tank Capacity: 0 Q gal. (minimum) Fee Receipt?7S A 8(;�3 � Absorption Area: Sq. ft. (minimum) File: /a 71 ck.# 04- REMARKS: %/ZPC"C/ X APPLICATION IS: APPROVED ( X ) 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: f/100/ /-7 1-7Sanitarian: �� PERCOLATION TEST FEE: $50 Application No. ' 1105' Permit No. Legal Description: c2 ZAZe i .cct�euJ.Q/ Type of Dwelling: V No. of Bedrooms: 3 Date of Test: gZaY4,4 /0, i97,7 61 Diameter: Location of Test Holes: Depth of Holes: Type of Soil: 10 l--j Test Holes Presoaked: Yes: Aq .�17No: TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 l 2 3 1 2 3 % i .•+� s' /6 °/�S ®`tics �� l,� I 1Z., 2 PERCOLATION RATE: 2 MPI APPROVED: �� DISAPPROVED: DATE: ` I MGLE COUNTY ENVIWNMENTAL 11E, LTII INDIVIDUAL. SL14AGE DISPOSAL SYSTI:N PERMIT ROUTE SLIP Name Date .c errc 17 Location lease review the attached application and return it and this completed form to the ,nvironmental -Health office within'6 working days. Tanning: file Number Yes No Reviewed By Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval onu'n en t s ounty Engineer: Roads Grading: Drainage Recommend Approval omments: uilding Department: Set Backs Site Access Oth6r Recommend Approval �. 17 p - loo \ \\ Q \ 97 Lasd7loN oP FIELD' VERIFY \V r%G+CL6 GoUNry Ned.-�H �RCaVEL rRvF- AaKjEL,,-- �XIS?IN� i1L plry K-147 95 32, / ty�C N7Y vEb lr RECIPIENT KEEP'THIS C-OP*,R.ETURN,'WHITE COPYTO SENOER'C- VJO0207-Lot 2 Block 17 Lake Creek Meadows TO JOB NO. B NAME t(D2288 Lake Creek Rd MINICK ,o00"JOB LOCATION BILL TO DATE STARTED j DATE COMPLETED DATE BILLED a)AC-�, ,a KAiCk Y W, JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL IE30R scrw4 w 'Fne&j I --AN PERMIT #207 -q1(!%- CE - TAX OWNER: David Minick Lewi—, i 5STS LOCATION: Lot 2 - B1 7 - Lake Creek Meadows (2 acres) INSTALLER:Owner SIZE OF TANK: 1,000 gallons DWELLING: Single family - 3 bedrooms x 200 sq.ft. TAL JOB COST PERC RATE: one inch/7 minutes (600 sq. ft.) �I �GROSS PROFIT suggest 600 sq.ft. of drainage field - 12' x 50' OVERHEAD COSTS IV OF SELLING PRICE NET PROFIT 4 Rv- Fri Edeen A 0 1077 —000/ JOB FOLDER Product 278 ®e NEW ENGLAND BUS I Printed in U.S.A.