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Home My WebLink About766 Eagle Crest Rd - 210518301006 - 0276ISr t \ EAGLE UNTY DEPARTMENT OF ENVIRONCaAL HEALTH Box 811 6th & Broadway .... .... .... .... .... ... .... PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR`FINAL INSPECTION PERMIT N® 26 (this does not constitute • a building or use permit) Owner _Rnhari- Arnnl fl System Location Lot 24, Lake Creek Meadows Licensed Contractor Jim Kemp * Conditional Construction approval is hereby granted for a 1,000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20 minutes see belowsq. ft. absorption area per bedroom # of bedrooms x sq. ft. minimum requirement May we suggest Minimum of 200 sq. ft. trench and two 7X7X5 �deedry wells. G 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 approvedpriorto covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. y P . per materials and assembly. 5equa/ te Auate absorption (or dispersal) area. compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date 0 —7 � 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 NO 520 Name of Owner: L� �� L_ AR &)nL o Phone: u� 7 6-�1 / �Z y 7 Address of Owner: I . 0, So y E? h Z . t Ai t, cp t-42 Is facility within boundaries of a city/town or sanitatian district? Distance to nearest sewer system: 2, K4 IL��r� , + / Location of Proposed System: Loa- � _I //�-Ot. Legal Discription: LOT / L-Dc.K LAKE Type of Structure: Single Family Dwelling ( X) Other: No. Bedrooms Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: Public Water Supply: L-d KE CIF L /C G DAYS , ��nTZ' Df5T2/G7r 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: . ) 1 0 KE, tj F The undersigned acknowledges that the above inform :ions true nd that false information will invalidate the application or subsequent permiSIGNATURE OF APPLICANT: /tDate: Cl AJF- d , M9 8 (This application becomes invalid 6 mot the from above date.) Percolation Information: Tank Capacity: Absorption Area: REMARKS: HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( ) DENIED ( ) Permit No. Fee Receipt: File: r Ph 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: / �Z=z4�-- Sanitarian:. 0 I- �?`�-� . z'r1ICOL TI OP T...31. F c(;: $11-10. 00 IPi)Iicn Lion A, Owner:: - w'� Description: Tyne of Dwelling: - cz•m' t No. No. Of Bedrooms � Date of Test: �20— Denth of Holes Diameter Tyne of Soil: ; Locvtion of Test Holes: Test hole was nresoai,,ed from: To: • . `fiime Date Time ' Date �D t TZME WITE,!� DEPTH j ULTCHE� O EAI;L TIl+TE l 2 3 1 2 S -�!` l 2 3 1 2 3DfN r _ _� . kexcolv..ior. late: „IPx •• .. :. Site I1as bee:1 TCVIIested for %:ercoIation. Y,.Ite. Ile 'z•eco:turend: 111-PROVIL _ DSSIPPROVAL ._ DETE: 1Sl)v] 1'O(1tilC?6 k:'1 IIO::3.th E',-I 0 CO u u L 31 d`�l EAGLr COUNTY ENVIRONMENTAL IIEAL..a ROUTE FORM NAIAE it e R e i�d�'�-� `` —_ Perm-Lt Plumber LOCATION :'lease review the attached application and return it and this completed for,. -,I .- the Environmental Health Office within 6 working; days. 3LANNING: File No. Yes No Complies with: Subdivision Regulations Zoning Regulations Recommend Approval :omments: �OUNTY ENGINEER: Roads Grading Drainage —� Recommend Approval �J omments: 3UILDING DEPARTMENT: Set backs )then :omments: Site Access Recommend Approval Reviewed by Date 0276-Lot 24 Block 6 Lake Crk Meadows JOB NAME —0766 Eagle Crest Rd ARIN0,LD JOB NO. 2( JOB LnrnTinN BILL TO DATE STARTED DATE COMPLETED DATE BILLED �•1��:�� r � it � �� `]-� _� �./1 � � lj�jl �. JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL > i � Sc��n�c� T�- �r,�; Coy,' ��j� PERMIT # 276 I I F) � OWNER: Ro - LOCATION: Lot 24 - Lake Creek Meadows (Block 6) (2 acres) J 0 Dilo(o �u� Cs 1, INSTALLER; Jim Kemp SIZE OF TANK: 1,000 gallons DWELLINGS: Residential - 3 bedrooms PERC RATE: one inch/20 minutes May we suggest minimum of 200 sq.ft. of trench -and two 7X7X5 deep dry wells. TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT LO/ Finalized: 10-16-78 By: Erik Edee\n L )LDER Printed in U.S.A.