HomeMy WebLinkAboutCottonwood Pass Rd - 000000000000EAGLF -OUNTY DEPARTMENT OF ENVIRO1'_ -NTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT Na 90 (this does not constitute
• a building or use permit)
Owner Dale L. and Barbara T. Argubright
System Location Cottonwood ft# . Pass Rd.
Licensed Contractor Larry Schultz
* 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 1 inches in 20 minutes 1000 sq. ft.
absorption area per bedroom 500
# of bedrooms 2 X 500 sq. ft. minimum requirement
May we suggest
f
Date June 2 , 1976 Inspector
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.
Proper materials and assembly.
L ' Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date N i
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 HEAL I i .
P.O. BOX 81 1
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
T ,,mubri ilt
Name of Owner. - - � Phone: • •72 3
Address of Owner: :.p:1e, Colorado B16'71
Is facility within boundaries of a city/town or sanitation district? No
Distance to nearest sewer system:-''--pn.r. oximately
Location. of Proposed System:
Legal Discription: " fi Tract •.O. 91 (a part of) of Sec. 1(.
Type of Structure: Single Family Dwelling (. ) Other: No. Bedrooms
r Distance From leach field:
Water Supply: -Private -Well � � Location: Of S' - o
Size of Lot: acres Public Water Supply:
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 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:
g .jsum, Colorado 31G�t
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT:
Date:
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: u ��`�� Permit No._
Tank Capacity: gal. (minimum) Fee Receipt:
Absorption Area: Sq. ft. (minimum) File:
[11 "T7:10N-A
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:
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JOB
NAME A'AGt t... WCR14T
C-07TaNL000t)
TABS 3:,b
JOB NO.
/—inm i nrre-rinni
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
�CC x 1
PERMIT #
90
J;��
JOB COST SUMMARY
OWNER: Dale
and Barbara Argubright
TOTAL SELLING PRICE
TOTAL MATERIAL
LOCATION:
Cottonwood Pass Road - Gypsum
of) of Sec. 18, T5S, R85W of 6
- S 2 of T91 (a
pm (172 acres)
part
TOTAL LABOR
INSURANCE
INSTALLER:
Larry Shultz
SIZE OF TANK:
DWELLING -
PERC RATE:
1,000 gallons
single family - 2 bedrooms x 500 sq.ft.
one inch/20 minutes (1,000 sq. ft.)
SALES TAX
MISC. COSTS
Finalized:
7-13-76 By:
Erik Edeen
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 277 8 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed In U.S.A.