HomeMy WebLinkAbout247 Deer Trail - 239122303001 - 0015EAGLE INTY DEPARTMENT OF ENVIRONMr TAL HEALTH
Box 8 11 6th & Broadway
Eagle, Colorado 81631
PERMIT (this does not constitute
J, a building or use permit)
Owner
System Location
Licensed Contractor
Conditional Construction approval is hereby granted for a gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate inches in minutes sq. ft.
absorption area per bedroom
H of bedrooms X
sq. ft. minimum requirement
May we suggest
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 prigr to covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
— Proper materials and assembly.
dequate absorption (or dispersal) area.
— Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date -_-- ZZ Inspector '6�
RETAIN WITH RECEIPT RECORDS AT CONSTRLICTION 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 111, 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.
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NVURONMENTAU HEALTH >
P.O. BOX 811 -�
' NO. EAG&E'COLO0ADO 81631
APPL���������R�N0��� |�����E���E�P����SY�T������r.
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NomeofOv,ner� ��1� � -�
AJ6,enu of Owner: or I I-
V Is facility within boundariesdistrict?
Distance to nearest sewer system: °
m' Location of Proposed System:
Lego|Dischption- Lot 18 - Red TobIe Acres Subdivision
Type of Structure: Single Family Dwelling Other: No. Bedrooms —
Water Supply: Private Well Location: Distance From leach field:
, ^
An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) The individual uovvoge disposal system will. be constructed and installed in accordance with the�
regulations governing individual sewage systems within Eagle County, and xhoU comply with House 8i/| 1553 [R8
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be
o6/oioe6 at the Eagle County oonito,ion's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
320-7718 between @:3Wand 9;00A88']Refer ^ppermit number. @mapproval will 6egiven mmany system without final
inspection.
.'
Name!"address,and, telephone of person |efor design of system:
The undersigned ocknuv,*6geo that the above information is true and that 6z|oe information will invalidate the
application or subsequent
SIGNATURE OFAPPLICANT:
(This application becomes ino/alid6/mon/ths from above date.)
HEALTH DEPARTMENT USE ONLY
-~'
Area:In
tion-
Percolato
Tank Capacity: Z 4LJ r, 4 gal. (minimum) Fee Receipt:
Sq.HL (minimum) File: -'
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED
The above individual sewage 6iapnoo| system was ino/oUeJ by
AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF, THE EAGLE COUNTY HEALTH DEPT.
Dote:
Sanitarian:
JILL
L
0-n
JOB
NAIVIEV
1
001
NO,
LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
R'r40]zX**1zfi1�k" �111- 'MA
i-
TOTAL SELLING PRICE
TOTAL MATERIAL
PERMIT # 15
TOTAL LABOR
OWNER. INSURANCE
LOCATION: Lot 18 Red Table Acres
SALES TAX
INSTALLER: Owner MISC. COSTS
bedrooms
l,OoO gallons 600 sq-ft.
SIZE OF TANK: _ 3 x 200
DWELLING: single family ft.)
PERC RATE: one inch/20 minutes (600 sq.
leach field) f leI I
(suggest a minimum of 600 sq. ft. oTOTAL JOB COST
GROSS PROFIT
J.6
LESS OVERHEAD COSTS
Finalized : 6-11-75 6p BY;, Les Douglas % OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 277 ®(D NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.