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HomeMy WebLinkAbout217 Caballo - 239127304009 - 0082EAGLE '1NTY DEPARTMENT OF ENVIRONM 'TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMITO 82 (this does not constitute • a building or use permit) Owner Fender Brewer System Location Lot 67 Aspen Mesa Estates Licensed Contractor . Keith Patterson ? 1.17 * Conditional Construction approval is hereby granted fora 1000 gallon X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 30MPI. inches in 30 minutes 750 sq. ft. absorption area per bedroom 250 # of bedrooms 3 x 250 sq. ft. minimum requirement May we suggest ev� Date April 22, 1976 Inspector 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 covering any part. Septi Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. ::Auate absorption (or dispersal) area. �A�dennate compliance with permit requirements. CAdequate compliance with County and State regulations/requirements. Date / � `� �Y 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 tenth ENVIRONMENTAL HEALT. P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25. 00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0 C O Name of Owner: ��-�'-U^"t� Phone: �G�-��lS�� U Address of Owner: fl,)( % CA r �joiy.✓/ Ce �c� Is facility within boundaries of a city/town orr� sanitation district? Distance to nearest sewer system: 14 Al ) Nd Location of Proposed System: 7 �R i✓ �1 e S t`S %�}T�S Legal Discription: Type of Structure: Single Family Dwelling (& Other: Water Supply: Private Well ( ` ) Location: Size of Lot: ! I l7 1-lec K t No. Bedrooms Distance From leach field: Public Water Supply: y, An appropriate plat Dlan must accompany site inspection for this application showing required information. (See attached sheet.)' eO dividual 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 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: Z-r x ►-- The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: ��i�`i�e� �J Date: (This application becomes invalid 6 months from above date.) Percolation Information: Tank Capacity: Absorption Area: 1*kTi11ZJl,*1 HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( 1' ) 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: COLORADO DEPARTMENT OF HEALTH ACCOMMODATIONS INSPECTION REPORT Name If - JCi-''� Co. Acct. No. Category No. Location /--��� ,/ " 'r /ry-/ 6 µ./ Zip Owner Address Zip Operator Address Zip Units Capacity Male Female Juv. Water, Source -Type Sewage, Type -Method Food Source Swimming Pool An inspection of the above noted facility on this date reveals the violations and deficiencies listed below which you are hereby ordered to correct: 1 tA C"-4 1 '_5 �'q yr,- /"-" q t-)o C /a4 ��,l, to Received By ESaMM-57 (5-75-10) Inspected By Score J'A G11 E COUNTY ENVIRONMENTAL 11L� IN—L.Vi.DUAL SEWAGE DISPOSAL SYSTELM PELZMIT ROUTE SLIP Name Date Rzeferred 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: —7— Subdivision Regulations . .. ... Zoning - Regulations C, — -- ---- Recommend Approval A Ot" Comments: V County Engineer: Roads 6��%� // Grading: �t Drainage Recommend Approval Comments: C— - Building Department: Set Backs Site Access Other Recommend Approval Comments: C— - Building Department: Set Backs Site Access Other Recommend Approval L 7 /,, 11 ,D T L P EnCOLPTION TEST Fey:: $50.00 Pcnlicption No. � °ermit No. Owner: T eg c.1 Descri- tion: i+ Tyne of Dwelling: —_ No. of Bedrooms: 13 Date of Test:i���� Diameter: Loc2.tion of Test Holes: Death of Holes: Tyne of Soil: Test hole was nreso-'�ed from: Time Dzte !�z To: Time Dz-te TIME WATER DEPTH � INCHES OF FALL RATE i 2 3 1 2—� 3— 1 2 3 1 2 3 (0 14,111 (f Percolation mate: MpI ;site has been reviewed, and test d for ,-,ercolation rate, We recommend: ,IPPBOV�L isPPR'OVaL DITE: / lSoef Erik i,. Edeenr R..P. S. Environmental Health Eable County dal 0082-Lot 67 Aspen Mesa Estates JOB NAME — Ramiel � (`6,, Li i'' 0 JOB NO, v' InG I of A"^KI BILL TO DATE STARTED DATE COMPLETED DATE BILLED 4j'� PERMIT # 82 �� �� OWNER: "Ferid T "-$1 p Uv—,-, j ` 1 n X LOCATION: Lot 67 — Aspen Mesa Estates (1.17 acres) 0 �s1 C�-C> INSTALLER: Keith Patterson SIZE OF TANK: 1,000 gallons DWELLING: single family - 3 bedrooms x 250 sq.ft. PERC RATE: one inch/30 minutes (750 sq. ft.) Finaoized: 6-23-76 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 ®O NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.