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HomeMy WebLinkAbout1101 Two Rivers Rd - 246512400010EACi1,E(` f LINTY DEPARTMENT OF ENVIRONV,,, 'TAL HEALTH Box 811 6th & Broadway' Eagle, Colorado 81631 PERMIT No 53 (this does not constitute a building or use permit) Owner LANCE WEBER System Location SWI of the SE1, Section 12, Twp 8S, R87Wof the 6th PM. Licensed Contractor . Self Conditional Construction approval is hereby granted for a 1000 gallon Septic Tank or Aerated treatment unit. NOTE: Post on pronexty. Call for final Absorption area (or dispersal area) computed as follows: insrection. Perc rate 1 inches in 10 minutes 500 sq. ft. absorption area per bedroom (10 10 x 10 dry well) of bedrooms 2-3 x sq. ft. minimum requirement May we suggest a minimum 1000 gal. tank and 10 x 10 x. 10 dry well. Date August 28, 1975 Inspector 1R W. n 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. Proper materials and assembly. Adequate 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 M' T \ "ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT a f . ,, 155 Name of Owner: Z 1-'C AE" ,N 4j -g' Phone: Address of Owner: S'D • % 1 3 in N7 dui rtl'A a 54•.-/ z C1 Is facility within boundaries of a city/town or sanitation district? /V 6 Distance to nearest sewer system: r/ /;7 Z,- Location of Proposed System: A Lc o• - / Legal Discription: S'A. ,Grf c1 s'l, 'c.r"lt r- /Z 74-/-'u' i'r,u?. `6'%u hri P,:-v. Type of Structure: Single Family Dwelling (x) Other: No. Bedrooms 3 Water Supply: Private Well ( ) Location: Distance From leach field: dP/-'• l00 Size of Lot: 0. 3FP c % Public Water Supply: AU C As 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: r%7g The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. 1'eZ,4 L SIGNATURE OFAPPLIC NT: — Date: °1-7 This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information:; Tank Capacity: /` gal. (minimum) Absorption Area: Sq. ft. (minimum) REMARKS: APPLICATION IS: APPROVED ( ) DENIED ( ) PermitNo: Fee Receipt: l/17 File: 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: WELLHOUS100 SEPIC110HO BRY WELLPARKINGDRIVE WAYR I G h t o f W A YHIWAY 8 2 6.01R O A R I N G F O R K R I U E R BASALT OLE P : ;CO: ATION TEST AND S--M - S-ECTI0N / 35010 r L.E- OWNE Street Address or Legal Description: Type o _ Dwelling- /% Tq"t_'nber of Bedrooms: - 1- 0T td ITE 23ELU.7 THIS LINTE Date of Test: Depth of hole: Diameter: Type of soil: Location of Test Hole: Test hole was presoaked from: To: Time) ( Date) (Time) Date r t.: :_ INCI-IFS OF FALL RATT7 Tr 2 3 1 2 3 1 2 3 1 R 2 3 Percolation Rate: Site has been reviewed and tested for percolation rate. We - recommend: APPROVAL ( P DISAP2i10V_'17_- ( ) Date: NOTE: Plot plan showing boundary lines, location of proposed building. or buildin"s end design of septic s;Tstem must be submitted with Application for Permit to Construct. The back of this form may be used to show plot plan and design of system. By: Sanitarian P. 0. Box 811 Telephone ( 303) 328-7718 Eagle, Colorado 81631 JOB NAM- i. 0053-SW of SE4 Sec 12 R87W Basalt Colo. HWY 82 Weber JOB NO, t 3 1 1^0 1 ~l A"I Kl BILL TO DATE STARTED DATE COMPLETED DATE BILLED 126 N b U"i2 '4,PPXL55 w o g 5H M o 1 ZLm 4ZIL11 PERMIT # 53-- ` '; OWNER: I a_nca-Up-b4a LOCATION: SW4 of SE4, Sec. 12 T8S, R87W - 6th p.m. - Basalt 10.38 acres) I INSTALLER: Owner SIZE OF TANK: 1,000 gallons I DWELLING: single family - 2-3 bedrooms PERC RATE: one inch/10 minutes (500 sq.ft.) I suggest a minimum of 1,000 gallons tank and 10 x 10 x 10 dry well i Finalized: 8-28-75 By: Erik Edeen JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT JOB FOLDER Product 277 @ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed In U.S.A.