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HomeMy WebLinkAbout1001 Polar Star Dr - 210904102002EAGLE )UNTY DEPARTMENT OF ENVIRONF" 'ITAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT ND 8 (this does not constitute • a building or use permit) Owner Kenneth W • Kish System Location Lot 52 Kaibab, 'Eagle Colorado Licensed Contractor Ed Watson * Conditional Construction approval is hereby granted fora 1250 gallon X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate 1 inches in 16 minutes 800 sq. ft. absorption area per bedroom M 267 # of bedrooms 3 x 267 sq. ft. minimum requirement May we suggest 6-0 c Date May 13, 1976 Inspector Mrik 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. per materials and assembly. Adequate absorption (or dispersal) area. equate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. c Date Inspector Erik W. �'deen 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 HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0 O Name of Owner: /1 E/� /U /C'S/T Phone: 3��7 Address of Owner: U" �•Y.1©�Ll1/�O Is facility within boundaries of a city/town or sanitation district? A -A© Distance to nearest sewer system: / /) i/Ze Location of Proposed System: Z-© % 5-2' Legal Discription: Type of Structure: Single Family Dwelling J< Other: No. Bedrooms Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: ,?• /f-,aewEs Public Water Supply: An appropriate plat ply must accompany site inspection for this application showing required information. (See attache 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 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: 6-0 The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. �Jf SIGNATURE OF APPLICANT: Date: _ (This application becomes/invtdid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: / &', Tank Capacity: _ gal. (minimum) Absorption Area: n j2� � 6 Sq. ft. (minimum) REMARKS: APPLICATION IS: APPROVED ( ) DENIED Permit No. Fee Receipt:n000 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: )LE ; a E1tCOLPTI011 TEST rou: $r)O, ou /pnlicati_oa No. Permit; No. Legal Description: Tyi-)e of Dwelling: No. of Be -Brooms: Date of Test: Death of Doles: ' I % Diameter: --�-- '��``--r-' .. Tyne of Soil: -t A,? Loco,tion of Test Holes: 61Z_ Test hole was presoaked f rom: To: _ Time . _2ate Time Date TIME t WATER DEPTH � INCITES OF FALL RATE 1 2 _ 3 _ 1 77 2_ 3� _ J_ 2 _ 3 ]. 2 3 ' 10!3 o'er 2j Percolation . Rate: � 1I�E ✓y Z� Site 'has been xevieNied. aad tested for l.excolatiw` rnte,­ ;l4'e rc,co,iwlend. 11.E ,.MV)L ,..,.1L DZ S, J..t RCVI L ._..�........_... Df T r.: _. Erik W'. Edc oal R.11. 11;; Envi.ronaient:,l Ue—,,.lt)i clal Y". +, •• , .. � ( i� 2.1$ Acres /� ., a= Co /Uln (p�� � L 111 E/ orr aK<<TIN C. GiLADEj J% 00 r� a . / / hV_EI. i-: V. L.'�•D Gi j iY�'v 7kh Jl r• 7. J • r / � / Muu {-LiC. -z90 4-1.L. ,17.75' / Y\ ly, r: A 4 S 89' O3' 02 E 208. 12' _ S 7,7 34' L 4 13o ��LIl1EJ of �K�<�l lliG GPI._DE$ i ell so l�l 09 1. 1 leAl 6.,f,13 4-0 r 57-2-- -7 446, 6 Zvi- ,e� JOB NAME !CO/ D12Z-4F- STAR- De — JOB NO, 010']nR 1 nCATInN BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY C P PERMIT # 87 — �p— Q2 OWNER: LOCATION: Lot 52 - Kaibab - (2.18 acres) I o a i Pa l-a.v S��.az. INSTALLER: Ed Watson ` SIZE OF TANK: 1,250 gallons DWELLING: single family - 3 bedrooms x 267 sq. ft. PERC RATE: one inch/16 minutes (800 sq. ft.) FINALIZED: 11-19-76 By: Erik Edeen l 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 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.