HomeMy WebLinkAbout275 Deer Trail - 239127201012 - 0101EAG► COUNTY DEPARTMENT OF ENVIRC"-`1ENTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT NO 101 (this does not constitute
• a building or use permit)
Owner Tom Smith
System Location Basalt Colorado
Licensed Contractor Glassion and Terliamias Jr
* 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 30 minutes 750 sq. ft.
absorption area per bedroom
250
# of bedrooms 3 x 250 sq. ft. minimum requirement
May we suggest
Date July 6, 1976 Inspector_
Erik 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.
ti
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 Inspect o�J
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.
Name of Owner:
Address of Owner:
ENVIRONMENTAL HEALI
PO BOX8 1
1
EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT o 295
�-� N .
a? , 7 Phone:
Is facility within boundaries of a city/town or sanitation district? �` U
Distance to nearest sewer system: ;72 60 1E
Location of Proposed System: -
Legal Discription:
Type of Structure: Single Family Dwelling ( -- ) Other: No. Bedrooms
Water Supply: Private Well ( ) Location: Distance From leach field: 1�el �
Size of Lot: ,i /%war 2 ,'S Public Water Supply:
I ��'�l/y/. C��✓% cr�
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,
�/fix /e/�/i�//
The undersigned acknowledges that the a ove inform ion is true and that false information will invalidate the
application or subsequent permit.
S i � � V
SIGNATURE OF APPLICANT: Date:
! (This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: I /' Permit No.
Tank Capacity: gal. (minimum) Fee Receipt:
Absorption Area: o /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: Sanitarian:
HOLE
PEACOL'MON TEST
Fee: $50.00
1pnlicptioa No. :'ermi.t No.
Owner:
Legal Description: �� Zz���
Tyre of Dwelling: �� No. of Bedrooms:
Date of Pest: — &'Denth of Holes: IS,
Diameter: ���Tyne of Soil:
Locatioa of Test Holes:
Test hole was nreso<ked from: To: _
Time Dote Time
Date
TIMIE
WAT.Eh DEPTH
INCISES OF FALL
RATE
1
_ 2
3
1
2
3
� 1
2
3_
1.
2
3`
2.//0
2;/3
2tlS--241�'
!f
2!Zp
2`�S
,�
I�
21,
Per cola.tion Rate: (.R,_n
Site has been reviewed,and teste cr Y,ercolatioa r.-� te.
t4'e recommend: fL'I3.0V L DIS,P.:PHOVI'iL DITE:
dal
E T i k 1, . E'cleen,
Environmental Health
Ea -'I Count
0101-Lot 17 Red Table Acres
13 Deer Trail Av. SMITH
JOB NO.
IAQ 1 r1rAvinri
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
zz// /
JOB COST SUMMARY
TOTAL SELLING PRICE
PERMIT # 101 l l
OWNER: Tom Smith
LOCATION: Lot 17 - Red Table Acres (1.50 acres)
INSTALLER: Glassion and Terliamias, Jr.
SIZE OF TANK: 1,000 gallons
m'1 - 3 bedrooms x 250 s . ft.
DWELLING: Single Family y q
PERC RATE: one inch/30 minutes (750 sq.ft.)
i
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
%, OF SELLING PRICE
NET PROFIT
tinaiizea: July e, iyio
Dy. LLf 1r, LUGGII
F-R
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