Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
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.