HomeMy WebLinkAbout1030 Fender Ln - 239127204002 - 0121ISEAGLE LINTY DEPARTMENT OF ENVIRONF TAL HEALTH
Box 81 I 6th & Broadway
Eagle, Colorado 81631
PERMIT No 121 (this does not constitute
• a building or use permit)
& Karen Shaver
ion Lott, Block A, Aspen Mesa Estates
itractor
.onal Construction approval is hereby granted for a 1000 gallon
X Septic Tank or Aerated treatment unit.
)n area (or dispersal area) computed as follows:
1 inches in 40 minutes 960 sq. ft.
rption area per bedroom
320
bedrooms 3 x 2320sq. ft. minimum requirement
uggest 960 sq. ft. of drainage field I D/ I I"
S -17 - 76 Inspector �j Z�( Gk�
OVAL OF SYSTEM:
n shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
2d 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.
9 115-- 7�1 Inspector 4FL� ""4)' dam✓
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
tallation must comply with all requirements of the County Individual Sewage Disposal Regulations,
d pursuant to authority granted in 25-10-104, CRS 1973 amended 25--1-614► CRS 1973
Permit is valid only for connection to structures which have fully complied with County Zoning and
ig requirements. Connection to or use with any dwelling or structures not approved by the building
)ning office shall automatically be a violation of a requirement of the permit and cause for both
fiction and revocation of the permit.
n 111, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
1 in a manner which involves a knowing and material variation from the terms or specifications con-
PERMIT NO.
Name of Owner:
ENVIRONMENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631 PERMIT FEE 525.00
APPLICATION FOR
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 236
,QCQ6 Dha�r Phone: 9 Z 7 - 376 %
Address of Owner:C7Xasa 1
Is facility within boundaries of a city/town or sanitation district? 110
Distance to nearest sewer system:
Location of
Legal Discr
Type of Structure: Single Family Dwelling ( x ) Other: / v No. Bedrooms-3
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: .g I acm Public Water Supply.ZTZ CIAi
An appropriate plat plan must accompany site inspection for this application showing required inf rmation. (See
attached sheet.) The individual sewage disposal system will be constructed and installed in actor ante 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.
Anic-,
ress, and teleph a of person responsible for design of system: A
The undersigned acknowledges-fhat the above information is true and that false information will invalidate the
application or subsequent permi
SIGNATURE OF APPLICANT: ate:
(This application becomes inv li 6 mo the from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: 7'-/-0® Permit No._
Tank Capacity: n Q gal. (minimum) Fee Receipt:
Absorption Area:Sq. ft. (minimum) File:
REMARKS:
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: 9 Sanitarian: & _j tz)
PE111COLA"TION TEST
Fee: $"1U OU '
I pnlication No. 7.S 16 Permit No.
• Owner:
Lei- l Description: L-�'7` � /31� f�- �,� />•es
Tyne of Uirellin�;:No. of Bedrooms:
LE •',
Date of Test: ^1��`% Denth of Boles: S
Divmeter: 2,01/ Tyne of Soil: �ae _gyp
Lociztion of Test Holes: 7 S /J`•- il„�
Test hole was nresoaked from: To:
Time Dz to Time ' Date
TIM ,
171ATER DEPTH
� INCHES Or J7 AliL
DATE
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2
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Percolation hate: T. 0 ,` pi
Site lies been revieiked- and 7DISiPPROVAL
for rercolati.on 'rate.
►'fe recoainiend: IPPROWL DITE:
dai
Erik, ii. Edc-0111
Environme11t,,11 lir;u lth
J."a-3. c County
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