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HomeMy WebLinkAbout126 Pinon Rd - 239127301011 - 0209ISEAGLE ( )NTY DEPARTMENT OF ENVIRONM'"'TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PLEASE CALL FOR FINAL INSPECTION — PERMIT MUST BE POST�Ris0AJ49T WtXtute PERMIT N9 209 a building or use permit) Owner Ben _Little System Location Lot 45, Aspen Mesa Estates Licensed Contractor . Clivus Multrum System SHOWER NDRY FACILITIES * Conditional Construction approval is hereby granted for a 0 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20-30 minutes sq. ft. absorption area per bedroom # of bedrooms 4 x sq. ft. minimum requirement May we suggest 10x1Ox10 dry -well or 12' x 401 drain field 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. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. I/ Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date �d-1I & Inspector �/ / rL ed� 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 PERMIT NO. Name of Owner: ENVIRONMENTAL HEALTH P.O. BOX 811 EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION, FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO - P s-b o r4, Lf t l e, +-�� o,_nplt :!a l l � � Pfi"one: j 65 X3 J 5 Address of Owner: fc r4 Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: n" MIA " Ike Location of Proposed System: Legal Discription: U Type of Structure: Single Family Dwelling (,< ) Other: '"' No. Bedrooms q Water Supply: Private Well ( ) Location: Distance From leach field: J Size of Lot: .fira M Public Water Supply: t► -e--7 Arqu., 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: C—E IV M u1 T�- vi, -� The undersigned acknowledges that the application or subsequent permit. SIGNATURE OF APPLICANT: formation, is true and that false information will invalidate the 0 is application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: L0 --3 G Permit No. Tank Capacity: ?fin gal. (minimum) Fee Receipt- Absorption Area: T1ijsi0xto Sq. ft. (minimurjp,`5 ��� File: 91S17-7 �� ��-7 REMARKS: /2 X 7 u 4 kca'., eL� 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: f Sanitarian: L � "'`� BUILDING DIVISION' P. O. BOX 789 PHONE: 328-6339 DATE JOB NAME TIME RECEIVED M)Pm CALLER El"OTHER El PARTIAL. INSPECTION REQUEST EAGLE COUNTY READY FOR INSPECTION MON f WED THUR COMMENTS: /,7 LOCATION FRI A M��/,., _P . M/ ,E]"Ap P R 0 V E D [-I D I S A P P R 0 V E D ❑ REINSPECT El UPON THE FOLLOWING CORRECTIONS: CORRECTIONS DATE INSPECTOR EAGL! BOUNTY ENVIRONMENTAL HEAL' INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM &L17.7 NAME �D ate Refered _ p� �S � G�5Permit .Number LOCATION Please review 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 �2 Comments: COUNTY ENGINEER. Comments: Roads Grading Drainage Recommend Approval BUILDING DEPARTMENT: Set backs Site Access Other Recommend Approval Comments: — 4-12-')!/ 0209-Lot 45 Aspen Mesa Estates n G VJOB NAME. -0126 Pinon L TLE '� �o e ��:' JOB NO. GQ '001,0JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED P i JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL AL LABOR PERMIT: #209 T Z 111 �SURANCE t Vr• j2.. (. A.4 SALES TAX OWNER: Beni ttl e ,�� "� I"� �G.;��C% � p SC. COSTS LOCATION: Lot 45 - Aspen Mesa Estates O �a,lo Y : �tnu� (2.7 acres) INSTALLER: Clivus Multrum System SIZE OF TANK: 750 gallons (shower & laundry) TOTAL JOB COST DWELLING: Single family - 4 bedrooms Per Rate: one inch/20-30 minutes GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE Suggest 10 x 10 x 10 dry well or 12' x 40' drain field NET PROFIT JOB FOLDER'Product 278 ®p NEW Et Printed In U.S.A. Finalized 9-n13 77 / By: Les Douglas