HomeMy WebLinkAbout10 Fender Ln - 239128102001EAGLE"70" ITY DEPARTMENT OF ENVIRONh:I,E1 %L HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT NO 94 (this does not constitute
a building or use permit)
Owner Mr Harold Reese ' • by * •Koski)
System Location 0010 Fender Lane Basalt, Basalt , CO 81621
Licensed Contractor
* Conditional Construction approval is hereby granted for a 1000 gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate 1 inches in 20 minutes 600 sq. ft.
absorption area per bedroom 200
# of bedrooms 3_ x 200 sq. ft. minimum requirement
May we suggest
Date June 16, 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.
dequate absorption (or dispersal) area.
�A�quate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date � � —� �` 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
.NVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Name of Owner: KIP ICOSkt Phone: �6 3 Z0 ?�
Address of Owner:
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system: 114 K4 1 It t
Location of Proposed System: inn` !O ��N pP� lac N2
Legal Discription:
Type of Structure: Single Family Dwelling (x ) Other: No. Bedrooms
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: 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:
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subseauent permit.
SIGNATURE OF APPLICANT:
Percolation Information:
Tank Capacity:
Absorption Area:
APPLICATION IS: APPROVED
Date: azt/-
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
gal. (minimum)
Sq. ft. (minimum)
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.
i 4
Date: Sanitarian: _ '�•----�
)LE
13, 11% C 0 1, T 10 14 TEST
F 7-A
IPI-)licp,tioli No. Permit No.
r
Owner: l4�2 XD
v
Le,:,al Description:.
Tyne of Dwellijjr- droo]IIS:
No. of BC
Date of Test: Denth of Holes:
Diameter: Tyne of Soil:
Locz.tion of Te---,,*t Holes:
Test hole xvas presoaked from: To:
Time Dote Time Dpte
TIME
V?,ATEft- DEPTH I
RES OF FALL
F, INC, I
RATE
1
2
3
1
2
3
1
2
3
J.
2
3'
LI ,
7-
Ll -C�o
Percolation Rate: Mpl
Site has been revieN�ed and tested for !.Cxcolation vpte,—
We recommend: [In PA"? 0 V � L DISWROVAL D T 1?:
B',Iglo Coutit..Y
d"I 1.
Vul
JOB NAME DO/D Rncter Lxx t , 64-sol+
JOB NO.
B LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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 ®@ NEW ENGLAND BUSINESS SERVICE, INC„ GROTON, MASS. 01471 JOB FOLDER Printed in USA