HomeMy WebLinkAbout128 Ronce Ln - 998 Valley Rd - 239133402002 - 0072K• EAGL )UNTY DEPARTMENT OF ENVIRONr ~VTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT NO 72 (this does not constitute
a building or use permit)
Owner Joseph John Gabossi
System Location Township 8 South; Range 87 West; Section 4 of the 6th P.M.
Licensed Contractor Tom Wilkes
* Conditional Construction approval is hereby granted for a 1250gallon
x Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1-- inches in 2 minutes 1500 sq. ft.
absorption area per bedroom 375 sq. f t .
NOTE: Post on property.
Call for final
inspection.
# of bedrooms 4 x 375 sq. ft. minimum requirement
May we suggest a minimum of 1500 sq. ft. of leach field.
Date March 4, 1976 Inspector
Erik W. Edeen, R.P.
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved krior to covering any part.
'V _/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 iaal
both.
ENVIRPNKENTAL HEALTH
P.O. BOX 8 11
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLItATION'FOR INDIVIDUAL SEWAGE QI§,_PQSAL..SY$.T9M PERMIT ry2 9
Name of Owne r: Phone: -v a
Address of Owner:
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System:
,
-F
Legal Discription: I U
Type of Structure: Single Family Dwelling Other: No. Bedrooms
WaterSupply: Private Well Location: Distance From leach field:
Size of Lot: ILI
An appropriate plat plan must accompany site: inspection for this application showing required information. (See
attached sheet.) The individual sewage, cliSpcisdl system wd'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 b`e made to the Eagle County Treasurer. Permit, upon approval of this application; may be
obtained at th-6 eagle County sanitarian's office.
Appointment 'for,final inspection must be.,macle..priorto construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8':3'0"'dnd,9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection. - _11 1-ki I L ly
3 AT
T Name, address, and telephone of person responsible for design of system:
I., I I I __ --rA K. ! N -N
Y ti:- A k� I- _r�_ (.--- (,j 4 N 1:: Y _�* k m I -
The undersigned acknowledges' that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT" Date:.
14 h
(This application becomes invalid 6 months from above date.) C )f /C
6-if V., 1,, , ,
HEALTH DEPARTMENT USE ONLY
Percolation, I'h-f ormlati6n Permit No.
Tank Capa�clty gal. (minimum) Fee Receipt:
Absorption Area: Sq. ft. (minimum) File:
REMARKS: -
APPLICATION IS: APPROVED
DENIED
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:
/7'�1_1r"C
HOLE
PERCOLFTION TEST
Fee: $50.00
Innlication No. Permit No.
Owner; .
Legal Description:
Type of Dwelling: No, of Bedrooms:
Date of Test: Depth of Holes:
Diameter: Tyne of Soil:
Location of Test Holes:
Test hole was presoaked from: To: _
Time Date Time Date
TITHE WATER DEPTH � ,INCHES OF FALL R?_TE
1 2 3 1 2 3 1 2 3 1 2 3
''
t lei;
_ Percolation Rote: IMP
Site has been. reviewed and tested for percolation rate.
ire recommend: FPPROVP.L DISEPPROVAL D TE:
dal
Erik W. Edeea, R.P.S.
Environmental Heolth
Eagle County
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0072-T8S R87W Sec 4 of 6th
— 0998 Valley Rd Basalt Gabossi —
JOB NAM _ JOB NO,
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
oo
Cie? Par to
c�,._._
PERMIT # 72
PSALES
OWNER: Joseph John Gabossi i2" '(O
LOCATION: T8S, R87W, Sect. 4 of 6th pm - 0998 Valley Road
Basalt - (28 acres)
INSTALLER: Tom Wilkes
SIZE OF TANK: 1,250 gallons
DWELLING: single family - 4 bedrooms x 375 sq.ft'
PERC RATE: one inch/two mintues (15000 sq. ft.)
suggest a minimum of 1500 sq. ft. of leach field.
INSURANCE
TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FI I �- Printed in U.S.A.
Finalized: 3-24-76 1 ,
By: Erik Edeen