HomeMy WebLinkAbout568 Eagle Crest Dr - 210518203001 - 0252IS/ ;
EAGLET1 ,LINTY DEPARTMENT OF ENVIRONN. jTAL HEALTH
Box 81 1 6th & Broadway
PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR FINAL INSPECTION
PERMIT N9 252 (this does not constitute
a building or use permit)
Owner LOY E . AND RUTH P . VAN VLEET
System Location LOT 30 LAKE CREEK MEADOWS
Licensed Contractor . LOY VAN VLEET
* Conditional Construction approval is hereby granted for a ]000 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 40 minutes 900 sq. ft.
absorption area per bedroom 300
# of bedrooms 3 x 300 sq. ft. minimum requirement
May we suggest 900 sq. ft of drainage field.
Date �s = 76 Inspectorcl� �role
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.
Se tic Tank cleanout to within 12" of final grade or aerated access ports above grade.
roper materials and assembly.
Ade sate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date / / 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
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0 p
Name of Owner: Lay E. and Ruth p• Van Vleet Phone: 926-3906 O
Address of Owner: Lot 30,Block 6 — Lake Creek Meadows) ,Box 343, Edwards, Colorado
Is facility within boundaries of a city/town or sanitation district? NO
Distance to nearest sewer system: 10 m:Lles
Location of Proposed System: Lot 30
Legal Discription: Lot 30, Block 6 — Lake Creek Meadows
Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms 3
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: 1 ,82. acre. Public Water Supply: Lake Creek Meadows Community
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: Lay' E. Van: Vlep ., �eS�
Box.343, Edwards, Colorado 81632 phone 926-3906
The undersigned acknowledges that the ve inform ion is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: Date: March 31,1978
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Inform Lion: f ` Permit No.
Tank Capacity: gal. (minimum) Fee Re eipt: c% / 0
Absorption Area: Sq. ft. (minimum)
Y 3
REMARKS:
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:
IPnlicP 'Lion h'o°
A e� uixt No.
Owner:
Le�a,l Description:
Tyne of Mvellinr:
--�"l No. Of
Bedrooms:
• Date of Test: � `�
• '
�!
p
fit^ Derth of Holes:
Diameter:
Tyne of Soil:`Y
Loc-.t o
c. z n of Test Holes:
.'
Test hole Nvas presoaked
from:
To:
•
Cime Date
Time ' Date
TIME
17PTER DEPTH
� INCHES OF FALL
RATE
1
2
3
2
3`
IL 'l
2
3
1
2
3'
_
2;
Percolation Rate:
Site :has been xev:Lcx ecI• and .test fox percolation. z'ate,
Itie 'xecommend: fP1',' OWL DISr1'PROVCL WT'E: �s�v
Envia•onme6t:,l Ile,-:l.th '
CounLy
1620C2
��0
0252-Lot 30 Lake Creek Meadows
JOB NAME 0563 Eagle Crest Rd VAN VLEET
g, -"'I
JOB NO. 2-
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
}7LL,6/i% L
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
PERMIT #252 f 2-72 3 - `Z
OWNER: Loy E and Ruth P. Van Vleet
LOCATION: Lot 30 - Lake Creek Meadows (Block 6)
(1.82 acres)
INSTALLER: Loy VanVl eet
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x 300 sq.ft.
PERC RATE: one inch/40 minutes (900 sq.ft.)
Suggest 900 sq.ft. of drainage field.
OB COST
S PROFIT
(HEAD COSTS
ELLINC, PRICE
IT PROFIT
JOB FOLDER'Product 278 L p NEW ENGLAND BUSINESS SERVI( Finalized: 4-5-78
By: Erik Edeen
Printed in U.S.A.
