HomeMy WebLinkAbout1358 Eby Creek Rd - 193929201008T
OUNTY
Owner Gerald Rose
DEPARTMENT OF ENVIR� =NTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMITO 5� (this does not constitute
• a building or use permit)
Address
emhB aiim 333 Wadsworth - Wheat Ridge 30033
Location Eby Creek Road, Eagle
Licensed Contractor Self
* Conditional Construction approval is hereby granted fora 1500 gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 18 minutes 750 sq. ft.
absorption area per bedroom 187.5 sq . f t .
# of bedrooms 4 x187. 5 sq. ft. minimum requirement
NOTE: Post on property.
Call for final
inspection.
May we suggest a minimum of 750 sq. ft. of leach field.
Date September 25. 1975 Inspector
rik 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.
�// Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
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
L 1-
ENVIRONMENTAL HEA"I
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Name of Owner: Phone:
Address of Owner: o 0
Is facility within boundaries of a city/town or sanitation district?
Location of P�oposecl System:
Legal Discription:
Type of Struc�ure: Single Family Dwelling'( Other:. '9 -No.' Bedrooms
Water.Supply": Private We'll Location: Ae Distance From' leach field:
Size of Lot: Public Water Supply;
An appropriate plat plan must accompany site inspection for, this app
K tidn showing required information. (See
attached sheet.) The individual sewiigo Will bei constructed 'and installed in accordance with the
regulations governing individual sewage systems within Eagle County, and ihall comply with',"House Bill 1553 CRS
66-14, 1973� Payment shall be made to the Eagle County Treasurer. Permit, upon approval of t4is 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
Name, address, and telephone of person responsible for design of system:
The undersigned acknowledges that the above information ix hoa and that false information will invalidate the
oppUco+iohorsubsequent permit. /
SIGNATURE {]FAPPLICANT: Date:
��
(This application becomes invo""6m.�onthafrom above 6o+a.)
'
HEALTH DEPARTMENT USE ONLY
Per�colation Information:-
/
Permit No.
----�eeRecei pi.�^=
File:
-
APPLICATION IS: APPROVED( ) DENIED
_
The ouoveindividual disposal system was installed by
BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT.
Dote' 8onihzrion:--___
,-AGLE COUNTY ENVIRONMENTAL HEAL
INDIVIDUAL SEWAGE.DISPOSAL SYSTEM PERMIT
ROUTE SLIP
Name
Date t:e erre I'MALItL 11waber
Location
Please review the attached application and return it and this completed form to the
Environmental Health office within 6 working days.
Planning: File Number Yes No Reviewed By Date
Complies with:
Subdivision Regulation
Zoning Regulations
Recommend Approval
Comments. -
bounty Engineer: Roads
Grading: '
Drainage
Recommend Approval
r
L%�%(� �a
gy
Comments:
Building Department: Set Backs
Site
Access
Other
Recommend Approval
!
r:
OLI
P 0, .1-ATION TES'
P E _U',, I T N 0 . OWNEJI:_':
.Street Address or Legal. Description:
T-',,�c of Dwellin : .
AND SITE, i
N,,irilber of Beclrooms:
F F. E - SO . 0 0
DO NOT W,,),TPE BEL077 THIS LINE
Date of Test: !� r 4
?—Jq - 7 T' Depth of Hole: Diameter: /2 Type of. soil:
Location of Test Hole:
Test hole was presoaked from: (Time) (Date) To: (Time) . Date:
LIMIT'S Oi FAIJ
IFRATE
1
2
3
1
2
3
.1
2
3
.1
2
3
12-1100
12 11
12', 1
IZ 11
2r±
11W
/2
2- q YZ
-20
1z
i,�
30
3
Percolation --Rate: 142 1-1P I
Site has been reviewed and teste for
or percolation rate.
DISAPPROV-AL Date:
We recorinend: APIPJ."OVAL &
NOTE: Plot plan shoi.,-ing boundary lines, location of proposed buil-ling or buildings
CD
and design of septic system must be submitted j.',4 th Ap
plication for Permit to Construct.
The back of this form may be used to show plot plan and design of system.
By:
Sanitarian
P. 0. Box 811
Telephone (303) 328-7718 Eagle, Colorado 81631
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0057-Eby Creek Road Eagle
JOB NAME— 1358 Eby Creek Road Rose JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
CqJU
Ili -(�ej
:2� d �' X Fj
PERMIT # 57 ,
OWNER: Gerald Rose
LOCATION: Eby Creek Road - Eagle
(6.8 acres)
INSTALLER: Owner
SIZE OF TANK: 1,500 gallons
DWELLING: 2 single family - 4 bedrooms x 187.5 sq.ft.
PERC RATE: one inch/18 minutes (750 sq.ft.)
suggest a minimum of 750 sq.ft. of leach field.
Finalized: 7-01-76 By: Erik Edeen
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 �p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed In U.S.A.