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HomeMy WebLinkAbout530 Paseo - 239127303003 - 0033EAGLE UNTY DEPARTMENT OF ENVIRONN 'TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT (this does not constitute a building or use permit) 0 wner 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: Pere rate inches in minutes sq. ft. absorption area per bedroom # of bedrooms May we suggest Date x sq. ft. minimum requirement FINAL APPROVAL OF SYSTEM: Inspector gallon 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. eptic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. 0 equate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date7 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 L _ .L PERMIT NO, ENVIRONMENTAL HEALTH P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: Kassco {tea I ty Corporation Phone: Address of Owner: 0500 102 Rd., Carbondale, Colo. 81623 Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: S miles Location of Proposed System: LUL of Unit 1 1 , Aspen Mesa Estates Legal Discription: Lot 3 of Unit 1 1 , Aspen Mesa Estates Type of Structure: Single Family Dwelling ( X ) Other: No. Bedroom PERMIT FEE $25.00 Water Supply: Private Well ( ) Location: Distance From leach field,: Aspen "lesa ;-lorneowners PPY� Size of Lot: Public Water Supply:- Water 9ysterw 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: Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Tank Capacity: Absorption Area: 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: v iOL E 113 P�::;COL JION TEST AND SITE IN P2CTIOi'; / FEE- y;.50 .On t E;.._1T. N0. Street Address or Legal Description: 14'-IT '-� .Ty�'e ^r Dwelling: N, b e r Of DC NOT WRITE BEL0',; THIS LINE Date of Test: 7 ���" Depth of ?role: Diameter: Type of soil: Location of Test Hole: Test hole was presoaked from: To; (Time} (Date) (',ime) Late: ',TATFR t,EP I' ILL-Ii?S OF FALL 1 2 3 1 2 3 1 2 3 —IRATE, 1 2 i 3 -E,�� 11 _�qk Z)A Percolation ?ate: ''?I Site has been revie,aed and tested for percolation rate. We recot:-�end: Ax'p;.:CV?L ( DISA?.'t' OVAL ( ) Date: � NOTE: riot plan showing boundary lines, location of proposed building 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 and design of system. By: �I-k/ Sanitarian P. 0. Box 811 Telephone (303) 323-7718 Eagle, Colorado 81631 0033-Lot 3 of Unit 11 Aspen Mesa Ests �P(�CC � a 3 91 JOB NAME _— 0536 Paseo Rounds L. 02 3 O C)O �3 00'-JOB LOCATION JOB NO. BILL TO DATE STARTED DATE COMPLETED DATE BILLED Tr C arr �f PERMIT # 33 OWNER: Kassco ea y T-o—rp—oFT-iUff������ \V�a,, pen Mesa Estates LOCATION: Lot 3 - Unit IL- As(1.41 acres) ©�3 +-Q.O INSTALLER: Owner SIZE OF TANK: 1,200 gallons DWELLING: Single family - 4 bedrooms x 250 sq.ft. = 1,000 sq.ft PERC RATE: one inch/40 minutes (1,000 sq.ft.) (suggest a minimum of 1,000 sq. ft. of leach field) Finalized: 9-10-75 By: Les Douglas 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 ®O NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.