HomeMy WebLinkAbout467 Big Dipper Rd - 194134101002EAC - COUNTY DEPARTMENT OF ENVIR MENTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N° 93 (this does not constitute
• a building or use permit)
Owner Big Dipper Construction /
System Location 50 feet west of house — refer to site plan
Licensed Contractor Bi.- Dipper Construction
* Conditional Construction approval is hereby granted for a 1 - 000 gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 40 minutes 750 sq. ft.
absorption area per bedroom
250
# of bedrooms 3 x P.50 sq. ft. minimum requirement
May we suggest a minimum of a 750 sq. ft. leach field
Date 11 June 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 approvedprior to covering any part.
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 Z6 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
both.
PERMIT NO,
PERMIT FEE $25.00
N° 281
Name of Owner: _/00eC �c��Si�'L�.rc��b_.�/ Phone: 172-6
Address of Owner: �1C <LGa Cc:-'
Is facility within boundaries of a city/town or sanitation district? ti0
Distance to nearest sewer system: /d 'r),Le')
Location of Proposed System: -0 , D -,4 /vac- s Z
Legal Discription: 4 c:7` 25 .f e,1,4, i0tcx 2-ag, rGn i Z
Type of Structure: Single Family Dwelling (✓) Other: No. Bedrooms3
ENVIRONMENTAL HEAL',
P.O. BOX 811
EAGLE, COLORADO 81631
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: 2 •U ,9:4t Public Water Supply:
An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) a in ividual 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:
S%z6- 3316
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: c / Date:rr
(This application becomes invalid 6 months from above date.)
Percolation Information:
Tank Capacity: I
Absorption Area: x
REMARKS:-
4/2 e-
r
r
HEALTH DEPARTMENT USE ONLY
I
gal. (minimum)
Sq. ft. (minimum)
APPLICATION IS: APPROVED ( ) DENIED
Permit No.
Fee Receipt-,2_2J'
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:
HALE
F
A
PE"COL ^TION TEST
Fec: $50.00
pr)lication No. �7—p l Permit No.
Owner:
/ C �S�o���e.,s�
Legal Description: �y� �� �`��1�k9l,16�
Tyne of Dwellin;> <T I- �F?i No. of Bedrooms: 4
Date of `Pest: �-7�p Denth of Doles:
Diameter: le !� Tyne of Soil:
Locz:.tion of Test Holes:
Test hole Nva.s nresoaked from: 7(/ To:
Time Date Time Date
TIME
WATER DEPTH
� INCHES OF FALL
RATE '
1
2
3
1
2_``
3
1
2
3
1
2
3'
Percolation Rate:
Site has been reviev;-ed� and tested for ,,,ercolation. rate.-
iY e recommend: fPP,'I.OVPL DIS; PPP;0VP.L DITE:
dal
Erik ,. Edeetl, iZ,i'Qu.
EaviroamentEi1 ff. eylth
Eable Counl;y
Septic Pumping Report Form
(Please Print)
Name of Systems Cleaner: SNOWBRIDGE ROTO-ROOTER
Name of Service Person:
Date of Service:
Date of Installation: J-'oiq e
Property Owner: A Telephone # L � , jID
Physical Address: -4- t7,1/A ►N nvt t,, V-J A k Inl e r- /In 0, i
Estimated Tank Size:
lC'GG
Material of Tank
# of Manholes:
Depth to Manhole Covers: / f
1� t
Estimated Volume Pumped:
# of Compartments
Sl'dge Thickness:
inches
Scum Thickness
; inches
Baffle or Sanitary Tee in Place? r✓
Inlet y Outlet
UNg
Effluent Filter in Place?
y
L ,,/ N
Dosing Mechanism
Pump
Siphon t✓ None
Dosing Mechanism / Alarm Functioning Properly y N
Previous Pumping Date, if known
General Comments (include any signs of failure and all work in addition to pumping)
Sketch (Lochkon of Tank)
Im
/ �ql 3VW'-'Oa
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JOB NAME 046'7-L JOB NO.
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BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
t!aK�% 6�� cc-s2_ L � !�
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G/�� CZ:ilit-�L L��//l L(C/ ��e%��1%�•
PERMIT # 93 0—c(2
OWNER: n
LOCATION: Lot 25 - Bellyache Subdivision - Filing #2
(2.0 acres) c5 y � q
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
DWELLING: single family - 3 bedrooms x 250
PERC RATE: one inch/40 minutes (750 sq. ft.)
suggest a minimum of a 750 sq. ft. leach field.
Finalized: 7-76 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 278 �g NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS, 01471 JOB FOLDER Printed in LIS.A