HomeMy WebLinkAbout34019 Hwy 6 - 210505119006 - 0229ISREM?A�L TO EXISTING SYSTEM EAGLE COL.. Y DEPARTMENT OF ENVIRONMENT, HEALTH Box 81 I 6th & Broadway Eagle, Colorado 81631 ?ERMIT MUST BE POSTED ON PROPERTY PLEASE CALL FOR FINAL INSPECTION PERMIT N9 229 (this does not constitute a building or use permit) Owner HAVENER MOBILE HOME PARK — BDB HAVENER System Location Edwards, Colorado Licensed Contractor . Owner * Conditional Construction approval is hereby granted for a Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate inches in minutes sq. ft. absorption area per bedroom gallon See info on site plan # of bedrooms x sq. ft. minimum requirement May we suggest Date QCtnbPr 31, 1977 Inspector Erik W. Edeen, R.P.S. FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system. is approved poor to covering any part. L// eptic Tank cleanout to within 12" of final grade or aerated access ports above grade. roper materials and assembly. !:��equate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date �� l( � 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. X e l ENVIRONMENTAL HEALTH -� P.O. BOX 811 PERMIT NO. 9 EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 464 Name of Owner: R ij E C IZ V f o ri .k-fA, (- 1,A A, A AA/ 6 k) c _. Phone: -A4. , Address of Owner: `I O f `� � � IN � �l© . Q K 3 C' !-12 'iU A e t-, S d Q Q � 0 1, 0 c 3 :L Is facility within boundaries of a city/town or sanitation district? Al �Z Distance to nearest sewer system: Location of Proposed System: r-- D C/J A i;eL Q U 'C" J.JGJ Y b 1,qo 1�3 Legal Discription: i R fA CI- to.) d6:t Aj W T dC' L � , s -r w N s H t� Type of Structure: Single Family Dwelling ( ) Other: M 06 (�-C- t4o,,Vk� C' No. Bedrooms Water Supply: Private Well ( ) Location: 66 r— tJ E e Pfe0?C&I'stance From leach field: Size of Lot: 3, -5- A 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: go a C- e.-r e ► r 1 d E • ) E 2 The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Date:7 / �O (This application becomes invalid 6 months from above date.) Percolation Information: G- Tank Capacity: Absorption Area: ., g HEALTH DEPARTMENT USE ONLY e---7 ,0�� gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED (� ) DENIED Permit No._c;��V Fee Receipt: File: 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: 11/��/ ,71 Sanitarian: ed&441 —" EAGLI OUNTY ENVIRONMENTAL HEALT� 7, INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM NAME tte Refered Permit Number LOCATION )lease review the attached application and return it and this completed form to :he Environmental Health Office within 6 working days. )LANNING: File No. Complies with: Subdivision Regulations Zoning Regulations Recommend Approval :omments: :OUNTY ENGINEER: Roads - Grading Drainage Recommend Approval 'omments: 3UILDING DEPARTMENT: Set backs ether Comments: Site Access 171 I Recommend Approval Reviewed by Date 171 0229-SE1 NWJ Sec 5 T5S R82W Edwards ��(� ,JOB NAME 34019 Hwy 6 HAVENER ;�I�,^ TO ,JOB NO. `� sc ' JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 2012 RC � au\�r ; L - r 0xSty,4�Z, l I JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL -� t? Scs�, keA is rC �✓ .a PERMIT: #22c,9� yy-- ;;�� Lal �AT,3 \ .� h1 4"��I�ts �'� U ' � OWNER: Bob `Id-vener LOCATION: Edwards - 034019 Highway 6 Tract in SE4, NW4, Sec. 5 - T5 - R82 Edwards Trailer Court (3.5 acres) INSTALLER: OWNER. PERC RATE: one inch/20 minutes SIZE OF TANK: Spaces 11,12 - 500 gallons 13. 14. 15 - 1,000 gallons 11 " " - 500 gallons 16,17 - 500 gallons 5, 8, 9,10 - 1,000 gallons 6, 7 - 750 gallons 18, 19 - 750 gallons TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOWER'Produc 20, 21, 22,23 — 1,000 ga i I ons Printed in U.S.A. By: Erik Edeen Finalized: 11-11-77 _ o j r7 /) g'U0 6, A I. _ S p A c C S; tl 12 5 5 E uJG- r l "G ,l) S O o