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HomeMy WebLinkAbout161 Paseo - 239127301016 - 0030EAGLE UNTY DEPARTMENT OF ENVIRONN 'TAL HEALTH Box 811 6,h & Broadway Eagle, Colorado 81631 PERMIT Owner System Location Licensed Contractor * Conditional Construction approval is hereby granted for a Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate inches in minutes absorption area per bedroom # of bedrooms May we suggest Date _ s q. ft. x sq. ft. minimum requirement FINAL APPROVAL OF SYSTEM: Inspector gallon (this does not constitute a building or use permit) 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. 61 Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date 20 - 7 G/ 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. ENVIRONMEh' TAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: Phone: 04 3 Address of Owner:/ rl� Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: Location of Proposed System: XU 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 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: The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Percolation Information: Tank Capacity: Absorption Area:. REMARKS: Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( ) DENIED Permit No._ Fee Receipt: 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: �LE T -T A -ES U�', SIT',- J0,T PEZU"IT INT0. ca"6-7-Y-5 Street Address or Le -a'! Description: Tyr-e ofF of- M: DO I10 T TVITTZ =UT TITIS LINE --7 :Z Date of Test: -7 Depth o Derp e: Diwueter: Type of soil: Location of Test Hole: Test hole w-as presoaked from: To: (Tine). (Date)- (Time) Date: t -7, X6 1/0 /0 0 T T T)YPTH 'KES OF T�'zkTj, T 2 3 2 3 1 2 2 3 116 to 20 4 -7 Percolation ?ate: 2 Site has been reviewed and tested for percolation rate We reco—a-e.ne: APPi','MAL Date: .NOTE: Plot plan s'Rowin,- I 2, Uilda ry lines, location of proposed building or build' Cr L, and desi-n of septic system, must be stl-bmmittcd p,.p plication for 2ermi -t to Construct. The back of this fore may be used to show plot plan and dezi-n of system, C, s CM. BY: t-' San- ar P. 0. Box 811 .Telephone (30). 328-7710 Ea -le, Colorado 8-1631 1��JAs PERCOLPTION TEST Fee: $50.00 Ipplication No. 220 Permit No. Owner: Florence Robertson Legal Description: SW! NE4 Sec_ 25.Range 5S Twnshin 84W Tyne of Dwelling- Mobile Home No, of Bedrooms: 2 Date of Test: Oct. 31, 197)!�pth of Holes: Diameter: Tyne of Soil: Loc,-,tion of Test Holes: Test hole was presoaked from: 1fr.05(/6-&7 4 i r--7 Time Ds.te To: Time L ,: TIME WATER DEPTH ( INCHES OF FELL RATE 1 2 3 1 2 3 1 2 3 1 2 3 _ �' Yc) ! Tl 13;s-<,, 2-% %� i z 2.0 2-0 Percolation Rate: �� MPI Site has been reviewed and ,tested for Percolation rate. 'vie recommend: TIPROVAL v/__ DiSfPPROVAL DI TE: 110 dal Erik W. Eaeen, R.P.S. Environmental Health Eagle County z up (10 Q 0_ 10 0 o• 0 d co o , a Q a , a o i 0 E c ; N Q a rn uw LO a M r a 0 0 U N M p w Q e� •r� is O • p Is\ 0 cu� O c Q to u p (D w. 4-3 Q 0 'i� N U m Vi f? c tJ) u m ri N CH 0 0)0 4 i C` cl $1 O 0, A U Q0 4-D w 0 U,4" r! Q a v+• U 4� U 4! N H cz O cllrl N SU O CH(1) H M. ILI a) r-1 co {�� r--i cu Q 3 U A • fs', � N •O Q N co 4-3U CU Q O N O_ O �r O rq Cf] O 0)a) 4Q-1 O v U 4i 4) U � R5O. 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PERC RATE: one inch/25 minutes (800 sq.ft.) (suggest a minimum of 800 sq. ft. of leach field) TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT Finalized: April 20, 1976 By: Erik Edeen )LDER Printed in U.S.A.