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HomeMy WebLinkAbout210 Cedar Dr - 211106407015EAGLE 'LINTY DEPARTMENT OF ENVIRONq" VITAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT NO1 (this does not constitute • a building or use permit) Owner JACK DAVIS System Location 3 miles south of Gypsum Licensed Contractor . Self * Conditional Construction approval is hereby granted for a 1200 gallon x Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 40 minutes 1200 sq. ft. absorption area per bedroom 300 sq. ft. # of bedrooms 4 x 300 sq. ft. minimum requirement May we suggest a minimum of 12 x 100 sq. ft. of leach field. Date July 1. 1975 Inspector ,,�� �Ts�-i� Erik W. Edeen FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in complia with the age Disposal Laws until the assembled system is approved 'or to covering any part. eptic Tank cleanout to Proper materials and as e Adequate absorption (or Adequate compliance with thin 12" of final grade or aerated access ports above grade. persal) area. 10 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. r ENVIRONMENTAL HEALTH.: P.O. BOX 811 PERMIT NO. / 34L EAGLE, COLORADO 8.1631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT a 132 Name of Owner: Phone. Address of Owner: Is facility within boundaries of a city/town or sanitation district? "' o Distance to nearest sewer system: — Location of Proposed System: — Legal Discription: k j' 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 inspectling'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. � f SIGNATURE OF APPLICANT.Date l -�' (This application becomes invalid 6 months from above date.) •Percctation Informatio Tank Capacity:_ Absorption Area: REMARKS: HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED (,,�)'� DENIED ( ) Permit No. Fee Receipt: File: Jhq 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: G✓i Y, PE :COLATIO TEST AND SITI: I'rT"PECTIOi1 / FEE- y''>SO .00 PE UIIT h'O. /. .;L 0' -7 U E R,� -cam e� Street Address or Leoal Description.��; Tyke o,:. Dwelling• .. tT;ar,��,er of J�r o,�zs: ------------- DO NOT 1-7 ITE 3Ir O7,7 THIS LINE 44 �� P Date of Test: Depth o, i:ole: Diarieter: Q�Tyne of soil; _./J Location of Test Hole: Test hole was presoaked from: To: (Time) (Date) (Time) Date: I ;r, ;:ATr a TPTH I170;'FS OF F_ IJ. JLE 1 2 3 1 2 3 1 2 3 1 2 3 I Percolation Rate: 17ZI Site has been reviewed and �7%ISAPPROVY for. percolation rate.We recor:�end: ; APPf:OVAL ( L ( ) Dater (� _2-7—;z7 NOTE: . Plot plan_ s-howin- boundary lines, location of proposed building or buildi.l"Is and design of septic s;ste^_i must be sz:bmitted w th Application for Permit to Construct. The back of thas fore may be used to show plot plan and design of system. BY: Sanitarian P. O. Do;c 811 Telephone (303) 328-7718 Fable, Colorado 81631 0021-3 Mi S of.,Gypsum E �!© [� �D �. � .vb Cede Dr, ec 5 o Q, — JOB NAME - � �"-� ' � `�` JOB NO. t JOB LOCATION - & ,) /jt l � ; /U - BILL TOlhuo�i� o do4q'h'a4-) 6 �`7 l / / cJ� DATE STARTED DATE COMPLETED DATE BILLED /y o kw 4-6--c- i ,1 r 1z J 'A�'ALaA-P 5(6 3 ol q kbftlq- 0-IRd a d-d -'e'41 ALO—dLda ddt��&. j h�kk . (' de tuku�.t' - le c4t-wd a'r -.t� Ut.t� Atkz-d-, JJ Al,�� a12 �J- jta�y PERMIT # 21 0 OWNER: J-a -- C-z-v'r I LOCATION: 3 miles south of Gypsum (5 acres) INSTALLER: Owner SIZE OF TANK: 1,200 gallons _ 1200 sq.ft. DWELLING: Single Family - 4 bedrooms x 30 PERC RATE: one inch/40 minutes (1200 sq.ft.) (suggest.a minimum of 12 x 100 sq. ft. of leach field) Erik Edeen Finalized. 8 22-75 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 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed In US.A.