HomeMy WebLinkAbout141 Fawn Ln - 239127202009 - 0099EA(-' 7 COUNTY DEPARTMENT OF ENVIR' 'MENTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT �(� 99 (this does not constitute
• a building or use permit)
Owner
System Location Lot 9, F-2 . Red Table Acres
Licensed Contractor Bob Sewell
* Conditional Construction approval is hereby granted fora i oo0 gallon
x Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate 1 inches in20-30 minutes 750 sq. ft.
absorption area per bedroom 250
# of bedrooms 3 x 250 sq. ft. minimum requirement
May we suggest
Date June 19, 1976 Inspector
Erik W. Edee
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.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date Inspector 9dc.eJ
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_
PERMIT NO.
Name of Owner:
Address of Owne
ENVIRONMENTAL HEAD rl
P.O. BOX 811
EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO i Q 7
Is facility within boundaries of a city/town or sanitation district? NO
Distance to nearest sewer system: I m %
Location of Proposed System:
Legal Discription: L VT' / r I —
Type of Structure: Single Family Dwelling ('�) Other:
No. Bedrooms. .-
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: / , ifs GXA,4 Public Water Supply: r.nmm un
An appropriate plat plan must accompany s- a inspection for this application showing required information. (See
attac e-stTeet)--The-indi-v+d+ial_.se_wge -dis osal 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:.AaAML CLA (1.(,F1 M
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: A AR ate: Is
(This application becomes invalid 6 onths from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: �� �!J Permit No._
Tank Capacity: 4(---) UG gal. (minimum) Fee Receipt:
Absorption Area: 7- 4'2 Sq. ft. (minimum) File:
REMARKS:
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: �/l�� s2P4 -%-2 Sanitarian:
HOLE
P I E1120L,nTION TEST
Fe(,,: $50.00
IpT)licption No. hermit No.
Owner: �Z'
Leo -al Description:.
-24 �,r, /,/
Tyne of D�x-ellin--,: No. of Bedrooms:
Date of Test: Z Denth of Holes:
Diameter: — Tyne of Soil:
Locz:.tion of Tes-t Holes:
Test hole was nresoaked from: To:
Time Dzte Time Date
—TIME
WATER DEPTH
I OF FALL
RATE
'77
3
1
2
3
-INCHES
1
2
3
1
2
3
Percolation Rate: stIPI
Sit.e.h,-s been revievied,and teste r rercolation r2tte.-
DISIPPROVA.L DITE:
We recommend: [PPROVAL
E'rik 11cleen, R.P.S.
Environmental Health
Ea --le County
y
dal
JOB NAME
Lo +
JOB NO.
'IPA-
S►
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