HomeMy WebLinkAbout419 Valley Rd - 000000000000 - 0016EAGLE ?_1UNTY DEPARTMENT OF ENVIRONMrMTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT (this does not constitute
• a building or use permit)
Owner KATHIE McCUNE
System Location 419 Valley Road - West of El Jebel
Licensed Contractor Copeland Concrete
* Conditional Construction approval is hereby granted for a 1000 gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 15 minutes 600 sq. ft.
absorption area per bedroom
# of bedrooms 3 x 200 sq. ft. minimum requirement
May we suggest a minimum of 600 sq. ft. of leach field. c
Date June 12, 1975 Inspector ("
Erik W. Edeen
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.
S tic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
c..
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
both.
ENVIRONMENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Name of Owner:
Address of Owner:
Phone:
PERMIT F FEE �$2 5. 00
Is facility within boundaries of a city/to wn or sanitation district?
Distance to nearest sewer system:
Location of Proposed System: -
Legal Discription.
Type of Structure: Single Family Dwelling Other: No. Bedrooms
Water Supply: Private Well Location: Distance From leach field:
Size of Lot: Public Water Supply:
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 Trpa'surer.:,Permit, up9p approval,,of this ,application, may be
obtained at the Eagle County sanitarian's office.
Appointment for -'final inspection must be Made 'prior to construction I 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.
,2
Name, address, and telephone of person responsible for design of system: 4
V,
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT:
Date:
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information:
't, 4ry ;27
Permit No.
'Tank Capacity:
gal. (minimum)
Fee Receipt: "A'
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:
Sanitarian:
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Street Address or Legal Description: --
Type of Dwellingl Maser of
DO NOT WaITZ BELOW THIS LINE
Date of Test:-- I
,f--,6j - 715 Depth of hole:—Aj'Diameter:.j Type of CQ-00CR
Location of Test liolc-:-,-- Q
Test hole was presoaked To:.&5 NY)
(Time) (Date) (CT k m e), 0
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Percolation Rate:
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Site has been revieued and tested for percolation rate:
We recommend: APM0VA1, DISAMOVAL Date:
NOTE: Plot
plan showinn boundary
Tinv3, location of proposed
buildins or buildings
and design
of septic system must be
submitted with Application
for Permit to Construct.
The back of
this form may be used
to show plot plan aid design
of system.
By:
Telephone (303) 328-7718
Sanitarian
P. 0. Bon 811
Eagle, Colorado 81631
JOB NAME T 1i v M C, Cq g i�
JOB NO.
JOB LOCATION
BILL TO
DATE S COLORADO
C B
DATE BILLED
BEARING
COMPANVIIINC-03a4D
DENVER, COLORADO 80202 0 PHONE 534-4211
1650 BLAKE STREET
PHONE 471-4211
Branch: COLO.
STONE ST. COLORADO SPRINGS,
80907
3204 NO.
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JOB COST SUMMARY
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TOTAL SELLING PRICE
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TOTAL MATERIAL
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TOTAL LABOR
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MISC. COSTS
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Dick Walsh Lest rmkke-&�-42( 795.0525
Emergency Dick Vaughn Daryle Billinger -2676 795-3359 722-7762
1 421-2357 934-5280 422
:1 1 Telephones JOB FOLDER
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Printed in U.S.A.