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Frying Pan Rd - 000000000000
COUNTY DEPARTMENT OF ENVIK—'MENTAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMITv 1®4 (this does not constitute a building or use permit) Owner_ wa„y Do i enbank System Location Frying pan Rd., Wooden Handle Ranch Basalt CO 81621 Licensed Contractor W4414 Wallace Dollenback * Conditional Construction approval is hereby granted fora 2-1000 gallon X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate inches in minutes sq. ft. absorption area per bedroom # of bedrooms 5 x sq. ft. minimum requirement May we suggest plastic 6 Mil Liner required to prevent contamina ion of ground water, Recommend 50' by80' evaportat'on ed. Date Inspector &Z July 8, 1976 Erik,' . 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. Septic Tank cleanout to within 12" of final p 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 5:�dez__� 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 h-*w ` P.O. BOX 811 PERMIT NO EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT PERMIT FEE 525.00 N° 241 14 4Name of Owner: /���G� a/ C vt c k Phone: Address of Owner:.%ng Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: Location of Proposed System: Legal Discription: !744� s I Se�.faw T�`s _Rsa tv G 71 Pq Type of Structure: Single Family Dwelling ( ) Other: C: 6.2 5 No. Bedrooms S Water Supply: Private Well ( ✓) Location: Distance From leach fi Id: /04 j!hs Size of Lot: I-� 0 4 Z Public Water Supply: w p �` -, Z'41 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: Zi lldce llell is The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: i Date:2-+ !Y (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: '�'�'���' Permit No. Tank Capacity: 2 — ©O �/Lfi gal. (minimum) Fee Receipt: Absorption Are Sri— Sq. ft. (minimum) File: 6. -, 12,512— 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: o r J�ASAII. �)J,.^TX OTZ AJii ��l - rcc: $5-(). ()0 lnnlic, tj.on No. Permit No, r .Owner: `// Lfe-1 Le as Description: *� Tyne of lluellinU: No. of Bedrooms: D: to of 7'es t: Denth of Boles: ✓ / Diameter : Tyne of Sox l :E'G"c Locotion of Test Holes: Test hole xva.s nresor-ked from: To _ `rime Date Time ' Date C e-S / "I - LE TIMIE WTEA D �,I?TIT f Si�CTS3�S OF FALL RATE JVI` �_ 2 J �. T4 .3 . ZA / C . s Percolation late: Mpl _ Site'kips been re✓ieved and .tested for pexcollcl 'I rate.' We recommend f-'pAi.0vpT1 DZS:1'PROVAL ._ DPTE: �;nviaoanic:taf:.�.�1 kle,.l.tk� Ea. le cou a 1. c' 1 o ` G / � o A ry � � �M. _ `- .F Y•e k 6 P a'M g f• ]j j[[ '®p'a� F '" sF 0.4 A Ir? YEA vt a V N - rIVr, n O r�C C7 O O C� 1T1 -Q to t , c d <, > !T7 n, t� C tti Jr: e cn ri7 M C1 r }' t p� . �-� . CTi �. p , � r • �� . y 7 i : r►�a�a.�� -� � � � � i • • Ire, JOB NAME JOB NO. LOCATION t ©t1 n BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT # 104 OWNER: Wally Dollenback LOCATION: Wooden Handle Ranch - (160 acres) INSTALLER: Wallace Dol l enback SIZE OF TANK: 2 - 1,000 gallon DWELLING: 5 cabins ( 5 bedrooms) PERC RATE: not listed Frying Pan Road TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FI Finalized: 9-28-76 By: Erik Edeen Printed in USA