HomeMy WebLinkAbout47 Polar Star Ct - 210904102004EAGLE C( 4TY DEPARTMENT OF ENVIRON" AL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT®3 (this does not constitute
• a building or use permit)
Owner Richard Cantrell
System Location Lot 54 Kaibab
Licensed Contractor Harold Denton
* Conditional Construction approval is hereby granted fora 1250 gallon
x Septic Tank or Aerated _treatment unit.
Absorption area (or dispersal area) computed as follows:
NOTE: Call for final
inspection.
Post on property.
Perc rate 1 inches in 30 minutes 1000 sq. ft.
absorption area per bedroom 250 sq. ft.
# of bedrooms 4 x 250 sq. ft. minimum requirement
May we suggest a minimum of 1000 sq. ft. leach field.
Date March 11, 1976 Inspector�J
Erik 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.
Z/ eptic 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 'l� '�� Inspector41 F �///"
,.--�/
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 HEAL. H
P.O. BOX 811
• EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
40
Name of Owner: Phone:
R�
f-
Address of Owner:',s5
Is facility within boundaries of a city/town or sanitation district? v •.«m
Distance to nearest sewer system: / %l t �
Location of Proposed System:
Legal Discription
Type of Structure: Single Family Dwelling Other: No. Bedrooms"
Water Supply: Private Well ( ' ) Location:
Size of Lot:
N
Distance From leach field:
Public Water Supply:-?`
An appropriate plat plan must accompany site inspection for jhis application,.showipg required information. (See
attached sheet.) The individual sewage disposal system w�'[I'be constructed and installed in accordance with the
regulations governing individual sewage systems within F"agle County, and shall c ply%+with. House Bill 1F5-53 ,CRS'
66-14; 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this appIg- t'- '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: °'D`/
e.
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: 1� �,^: f r� .:_si ; t �r, . d ..,,., r" Date.
(This application becomes invalid 6 months from above date.)
' HEALTH DEPARTMENT U.SE ONLY
Percolation Information: ` (`;)"`�
Tank Capacity: gal. (minimum)
Absorption Area:) Sq. ft. (minimum)
Perrfiif No r 7/ -. t
Fee Receipt:%
File:
REMARKS:
61.f? '!r ,ir, y jY.Y .� <`..-kr�5- (s r [i�r:;
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.
Sanitarian:
i
EAGLE COUNTY ENVIRONMENTAL Hr.ALTH
INDIVIDUAL SEWAGE. DISPOSAL SYSTEM PERMIT
_ `ROUTE SLIP
Name
Date Reterred _
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
County Engineer: Roads
Grading:
Drainage
Recommend Approval
Commentsft
Commentsft
Building Department: Set ---Backs
Site
Access
• r:
Other
Recommend Approval
V
Comments:1 ,D
HOLE
PERCOLr TION TEST
Fee: $50.00
Ipplication No. z- o Hermit No.
Owner:
Leal Description: ZV)4
Type of Duelling: 1,5;/6n,No. of Bedrooms: �
Date of Test: 76 Denth of Holes:
' ;�
Diameter: � �- � Tyne of S o i 1: �� Zoe, � [� �" n.
Location of Test Holes:
Test 'hole was nresoa'ked from: _ To: �%�xJ _3 `2-76
;Fine Date Time Date
TIME ..
WATER DEPTH
1 INCHES OF FALL
RATE
1
2
3
1
1
2
3
1
2
3
� C)
//
/120
2r0
Percolation Rate: MPI
Site has been reviewed and tested for percolation rate.
We recommend: P PPROVAL (/ DISIPPROV.PL DL-TE:
Erik R. Edeen, R.P.S.
Environmental Health
Eagle County
dal
0073-Lot 54 Kaibab 0047 Polar
JOB NAME --Star Court Moeger
JOB NO,
inc i nreTinni
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
g as/I
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
001,
PERMIT # 73
OWNER:
LOCATION: Lot 54 Kaibab (2.65 acres)
INSTALLER: Harold Denton i
SIZE OF TANK: 1,000 gallons
DWELLING: 4 bedrooms x 250 sq. ft.
PERC RATE: one inch/30 mintues (1,000 sq. ft.)
j
suggest a minimum of 1,000 sq. ft. leach field
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
Finalized: 4-15-76
-:
By: Erik Edeen
ILDER
Printed in U.S.A.
Vio