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HomeMy WebLinkAbout482 Sierra Vista - 239127301001 - 0256ISEAGLEC. `NTY DEPARTMENT OF ENVIRONK -AL HEALTH k Box 811 6th & Broadway PERMIT MUST BE POSTED ON PROPERTYEagle, Colorado 81631 CALL FOR FINAL INSPECTION PERMIT N� 256 (this does not constitute a building or use permit) Owner ANNE WELLS BRANSCOMB System Location LOT 37 ASPEN MESA ESTATES Licensed Contractor rTTRTTs D. T,Fy A 1 * Conditional Construction approval is hereby granted fora 1, 000 gallon Xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 30 minutes Rnn sq. ft. absorption area per bedroom 299 # of bedrooms � x 2 9 9 sq. ft. minimum requirement May we suggest 800 sq. ft. of drainage 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 pr' r to covering any part. ptic Tank cleanout to within 12" of final grade or aerated access ports above grade. roper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. L 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 both, h a PERMIT NO. Name of Owner: — Address of Owner: r ENVIRONMENTAL HEALTH P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Is facility within boundaries of a city/town or sanitation district? /y Distance to nearest sewer system: �! � e- 5 Location of Proposed System: / 3;�? ,2.e 4 AleX.1 Legal Discription: Type of Structure: Single Family Dwelling (ts) Other: PERMIT FEE $25.00 N9 596 No. Bedrooms 3 Water Supply: Private Well ( ) Location: Distance From leach field: $�116 --'3>f �-I Size of Lot: — 9"b4c 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 erson rgsponsible for design of system; �?G3- The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. / SIGNATURE OF APPLICANT:— D t : fE (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: =3 0 Permit No._ Tank Capacity: /. COO gal. (minimum) Fee Receipt: Absorption Area: �� Sq. ft. (minimum) File: REMARKS: APPLICATION IS: APPROVED ( P- ) 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: F— PJ3 C, 01.,: ,111orz •�'.a z� �� FCc: 10.00 . Epnlicp ti.on 1140. Permit /No. Owner: ca - Le-nl Description: Tyre of Dwelling: No, of I3ecixoort;: Date of Test: 7 V Acnth of Boles: Di. -meter. Tyne of Soil: Loc,ztion of Test Holes: --2 Test hole was nresoaiced fron To: 'Izir e M to Time ' D�:te TIME iUTr,tc DEPTH j XNICHL'S 'O,` FALL RATE 2 3 1 2 3 (JZ- ,roe ��,��� �"-�_ l/; 0 7 v.'o /1 n /4I r Pexc:olation Rate: ` ��✓ lkZ .. Site has been revielce:l and .testk,-� for , ez•colatioa. x:�tc, We recommend: E1v-11JROV>1L DISIPPROVAL WTD: /�J7 o I:uvx�•c�r�mei�t:,l. llc;t:�.th . • r1a.-Jo Cc�uciLy ei1?77 tte Refered E" r` , GVE COUNTY ENVIRONMENTAL I-IEALI,. APR 18 1978 Sur i3 u Dept. Of P S1� C` � `�r �--• fanning & Deve. ROUTE FORM (Eagle County, Colo. � nne �J db 5CAD comh NAME lYl'eSa Permit Number LOCATION Dlease review the attached application and return it and this completed form to the Environmental Health Office within 6 working days. 3LANNING: File No. Complies with: Subdivision Regulations Zoning Regulations Recommend Approval :omments: �IOUNTY ENGINEER: Recommend Approval -omments: BUILDING DEPARTMENT: Set backs Dther Comments: Site Access Recommend Approval Reviewed by Date *001�.�5`-� d 013 0256-Lot 37 Aspe tares __ JOB NAME. ° g xnN oMs ��S;eCa SC(;�,�\Cc� to ��(� V JOB NO., s JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED myvd 12'=Scalk pr-' 4,k s i �� S(C' �f�a JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL zC� UAEG,/ 2 PERMIT #256 �.� - VIC, OWNER: Branscomb LOCATION: Lot 37 - Aspen Mesa Estates (2+ acres) INSTALLER: Curtis Cleveland SIZE OF TANK: 1,000 gallons DWELLING: Residential - 3 bedrooms x 299 sq.ft. PERC RATE: one inch/30 minutes (800 sq.ft.) Suggest 800 sq.ft. of drainage field. Finalized: 7-78 B.y: Erik Edeen TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT M r� LDER Printed in U.S.A.