HomeMy WebLinkAboutBlk 31, Lot 1,2,3 - 219723415006x EAGLE CC TY DEPARTMENT OF ENVIRONM k,, L HEALTH
` Box 811 6th & Broadway
'2'gRMIT �T, -ST BE POSTED ON PROPERTY Eagle, Colorado 81631 `CALL FOR FINAL INSPECTION
PERMIT 284 (this does not constitute
NO
• a building or use permit)
Owner DAVID WOLFE
System Location FULFORD3
Licensed Contractor
SAME AS OWNER
* Conditional Construction approval is hereby granted for a 500 gallon
%X Septic Tank or Aerated treatment unit.
.... .... .... .... .... ....
Absorption area (or dispersal area) computed as follows: SEALED 'VAULT PRIVY
Perc rate N/A inches in N/A minutes N/A sq. ft. REQUIRED
absorption area per bedroom N/A
# of bedrooms 1 x N/A sq. ft. minimum requirement
May we suggest N/A QIQ)
s J�.
Date � � Inspector � C C�` '�-�'�..
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.
Date
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
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.
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION �1�1FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0
Name of Owner: y/� /� (�ci L= / �� Phone: -- yy l� -�
Address of Owner:
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system: `ni /&-S
Location of Proposed System: /71�91p
Legal Discription:
Type of Structure: Single Family Dwelling (✓) Other:-)' YY/' /,,/9� No. Bedrooms
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: %.f5- X / Z 5 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:
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT
Percolation Information:
Tank Capacity:
Absorption Area:
REMARKS:
Date: 7
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
gal. (minimum)
Sq. ft. (minimum)
!/"i/' &-mac
APPLICATION IS: APPROVED ( DENIED ( )
Permit No.
Fee Recei t:
File:
6=6
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:
BUILDING DIVISION
P.O. Box 179
PHONE: 328-7311
DATE
TIME RECEIVED —
JOB NAME
AM PM CALLER
ISDS Permit #280
IiNSPECTION REQUEST
EAGLE COUNTY
David Wolfe
BUILDING
FOOTING
FOUNDATION
FRAMING
FINAL
PARTIAL
LOCATION:
COVER
INSULATION
SHEETROCK
VENEER
ROOF
PARTIAL
LOCATION:
PLUMBING
ROUGH
STANDPIPE
FINAL W D C S
PARTIAL
LOCATION:
MECHANICAL
ELECTRICAL
VENTILATION
HEATING
HOODS
TEMPORARY
ROUGH
FINAL
SMOKE DETECTOR
PARTIAL
LOCATION:
PARTIAL
LOCATION:
❑)OTHER Septic Final ❑ PARTIAL. LOCATION Lots 1. 2, 3 - Fulford
Installation??
READY FOR INSPECTION
MON TUE WED THUR FRI
AM PM
COMMENTS: Permit originally issued July 5, 1978. No final given. See if
vault privy ever installed. The letters come back with "Return to Sender,
Not dleiv(-;� rable as addressed Hnab1e to Ferw,ard. "
❑APPROVED ❑DISAPPROVED ❑REINSPECT
❑ UPON THE FOLLOWING CORRECTIONS:
CORRECTIONS l�
DATE
0280-Lot 1,2, & 3 Block 31 Fulford
JOB NAME WOLFE
JOB NO. ?
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
ccx Gar, ' s )
T - 1 oc 3
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
sCave4 Td
PERMIT # 280
OWNER: David Wolfe
LOCATION: Lots 1, 2 & 3 - Fulford
*75' x 125')
ice`°`,,,,,,
INSTALLER: Owner
SIZE OF TANK: 500 gallon Sealed Vault
DWELLING: Summer Cabin - 1 bedroom
PERC RATE: N/A
finalized: - no date
/ 2 _�
y r
•�+ '`I
'
Privy
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
OF SELLING PRICE
NET PROFIT
ALDER
Printed in U.S.A.
IUNTY
Health - Box 850
81631
RV:: T1.1VtN 1 t) 4 �GyED
V V...E AS fll:}17t :T::.::y ::. .
{�fT 1:7EL..:•L:VV:�V�tf�''V... TO FORWARD
r. David Wolfe Please forward if necessary
234 Columbine
enver, Colorado 80206
