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142 Polar Star Rd - 210518201011
4- EAGLE(, :UNTY DEPARTMENT OF ENVIRONI( TAL HEALTH .... -... .... Box 811 6th & Broadway .... PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR FINAL INSPECTION PERMIT 281 (this does not constitute NO • a building or use permit) Owner PETER SHEROWSKT System Location LOT 6, LAKE CREEK MEADOWS Licensed Contractor BILL YEIK * 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 i inches in 15 minutes Rnn sq. ft. absorption area per bedroom 266 # of bedrooms 3 x 266 sq. ft. minimum requirement May we suggest 800 sq. ft. of dxainage field. v 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 prior to covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. j Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date (P-q _ Inspector RETAIN WITH RECEIPT RECORDS A ONSTRUCTION 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. PERMIT NO, ENVIRONMENTAL HEALTH P.O. BOX 81 1 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: /� Address of Owner: q PERMIT FEE $25,00 N° 339 Phone:14;- `l-,3/61 Is facility within boundaries of a city/town or sanitation district?� Distance to nearest sewer system: Location of Proposed System: Legal Discription: /" �l Type of Structure: Single Family Dwelling Other: No. Bedrooms Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: /V Y GL4A..4. Public Water Supply: ! j An appropriat%,p at-:laa-ma&t-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:X i -c- `ICE I K C o! G.1 a64y&0, g12-iF,z OeEt=Q IRLV AV'nt,) The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: zJ4. Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: �/-- Permit No. Tank Capacity:�� (� C'7 gal. (minimum) Fee Receip Absorption Area: Q Sq. ft. (minimum) File: /,2 41,2 pry- REMARKS: �^ � -2b 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: PMICOL Tz(M Poo: %51U 00 ,d71 j l��nli CP tion .No. Permit INTO. 6 O v., n e r . /6' �i�� .S` ou-lls Lc a:l Description: Type of Dwelling: /�(I� �- No,, of 13eclrooris: Date of Test:—Q5 12-7D Denth o Doles: Di�:nieter Tyne of Soil: Loc::tion of Test Holes: Test hole was nreso3ked from: To . -\ _ _. to Time ' ' mate • TI2dE 17PTE.R DEPTH t j INCHES 'OE FALL RATE l 2 3 l 2 3 l 2 3 _� � � zs � t� z � - � - • Percolation ante: ,,IPx' :. Sitc. 'has been rcV)-e\ e;l• and teste for rercolation. x'ZItc, ; ltie 'reco:nmend: I -PI PI`tOWL DISC PPROVAL Df TE: . 1 � �p L'nvi.�•c�t�mei�L:,]. llr:::�.th • J I.a;;7.c Counl.y d;;l EAGLE COUNTY ENVIRONMENTAL HEAL1'H 83 ate Refered ROUTE FORM `Pr# r SIB-e�-©tA-s NAME Permit Number ?lease review the attached application and return it and this completed form to the Environmental Health Office within 6 working days. ,LANNING: File No. Yes No Reviewed by Date Complies with: Subdivision Regulations Zoning Regulations .00 Recommend Approval ;omments: ,OUNTY ENGINEER: ;omments: Roads Grading Drainage Recommend Approval Ll BUILDING DEPARTMENT: Set backs Site Access )ther i Recommend Approval Comments: f kP-ZZ-(-P 7 -/ ---Af E�z EAGLE COUNTY ENVIRONMENTAL HEALTH P.O. BOX 850 EAGLE, COLORADO 81631 BOARD OF COUNTY COMMISSIONERS 328-6809 Mr. Peter Sherowski ADMINISTRATION Box 1513 328-6674 ANIMAL SHELTER Vail, Colorado 81657 949-4292 ASSESSOR Re: Application for Septic Permit in 328.6593 Eagle County Lot 6, Lake Creek BUILDING Meadows INSPECTION ' 328-6339 CLERK & The Eagle County Environmental Health Department requires RECORDER that all applications for septic permits in Eagle County Eagle 328-6377 Basalt 927-3244 be routed to the Eagle County Planning, Engineering, and COUNTY Building Departments for their comments prior to issuance ATTORNEY 328.6674 of the permits. Your application for Lot 6, Lake Creek Meadows was routed on May 15, 1978. ENGINEER 328.6337 ENVIRONMENTAL Listed below are the comments and recommendation which HEALTH were made by the above Departments during the routing 328.7718 procedures. If you have amy questions or wish to get EXTENSION AGENT a further explanation, lease contact the appropriate xP � P PP riate P 328.6370 departments. The telephone numbers and addresses of LIBRARY the commenting Departments are listed with each comment. 328.7787 PUBLIC HEALTH Eagle 328.6594 Vail 476.5844 PLANNING 328.6338 ROAD & BRIDGE 328.6591 SHERIFF Eagle 328.6611 Basalt 927.3244 Gilman 827-5751 SOCIAL SERVICES 328.6328 TREASURER 328.6376 Planning: Not Approved. "Location of house is unacceptable; clearly a very hazardous location should any sort of ground shift occur. Hazard to health; safety and welfare of persons concerned. Section 1.01 Eagle County Zoning Resolution. t° Cliff -H-os-KIns,iftanning Technician Inspector Box 179, Eagle, CO 81631 328-6338 zeering: No Engineer at the time of routing. ling: Approved. 0281-Lot 6 Block 1 Lake Creek Meadows T —0142 Polar Srar SHEVWSKIC1 ��,�C-fir I ��.'i�;� JOB NO. JOB NAMEP� JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL Z0i 3 � uk i -�Q � ��� „ PERMIT # 281 I - T OWNER: "et--er l J LOCATION: Lot 6 - Lake Creek Meadows I� (4.8 acres) INSTALLER: Bill Yeik SIZE OF TANK: 1,000 gallons DWELLING: Residential - 3 bedrooms x 266 sq.ft. PERC RATE: one inch/15 minutes (800 sq.ft.) Suggest 800 sq.ft. of drainage field. TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT JOB Finalized: 7-10-78 BY: Erik Edeen Printed in U.S.A.