HomeMy WebLinkAbout10 Mi S Red Cliff - Cerise000000EAG(__")LINTY DEPARTMENT OF ENVIR�r ~NTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT® s 8 (this does not constitute
a building or use permit)
Owner e i va.n—Cerise
System Location 10 mi S. Red Cliff- 1 1 mi SE Oold Park CampgroundS34, T , R 81
13)iF V
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 sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest
Date s i Inspector
FINAL APPROVAL OF SYSTEM:
gallon
Note: No fee. Remodel
of existing system.
chemical toilet.
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.
per materials and assembly.
absorption (or dispersal) area.
Adequ,Xe compliance with permit requirements.
Adequate i\ompliance 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
hnth
ENVIRONMENTAL HEALT.
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
1vf l?,P .ICA "gSNO�R I %1XRU h�,SEe1 jAGE DISPOSAL SYSTEM PERMIT ) O
55
dba Uolumbine Ainen "'++�� 945r7727
Name of Owner: Phone:
Address of Owner: 0085. Ftd. 167 Glenwood Spg. Co. 81601
no
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system: 10 miles South of tired Cliff Qo.
1.1 milee BE of Gold Park Campground
Location of Proposed System:
Legal Discription:Sea 34 Twp 7S Range 81W
mine cabin 2
Type of Structure: Single Family Dwelling,( ) Other: No. Bedrooms
Water Su water to be hauled none
p y: Private Well ; (.,) Location: _ Distance From leach field:
Size of tot: 7 mine! claims 600OX 15001 Public Water Supply: not
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 betMI:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection. Pet a Potty to be used. see attached papers.
Name, address, and telephone of person responsible for design of system: same as owner
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT:v\ Date: ?k
,
(This application becomes invalid 6 months from above date.)
Percolation Information:
Tank_Capacity_: '....
Absorption Area:
HEALTH DEPARTMENT USE ONLY
-gal. (minimum) -
Sq. ft. (minimum)
REMARKS: f! `"' ' �:. -
,A
r s�;
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:
ta
lw�l
t
C hoc I `7
.1
.AGLE COUNTY ENVIRONMENTAL HEAL
INDIVIDUAL SEWAGE.DISPOSAL SYSTEM PERMIT.
ROUTE SLIP
Dept. Of planning & sieve!,,
Alvin Cerisegt� ' $
30 January 76 Name
Date Referred Sec 34,T 7$, R81W 68
10 miles S. Red Cliff, 1.1 mi r erffit L 1=11bZ!r
Gold ocation
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: ' G ✓-� I J, _ (/ 121— Pp�—
uf:
County Engineer: Roads
Grading:
Drainage
Recommend Approval
11
N
,
Comments:
Building Department: Set Backs
Site
Access
Other
Recommend Approval
—,;?--2�
Comments: �/
0068-10 Mi S of Red Cliff
JOB NAME'- Cerise JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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 n , NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.