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HomeMy WebLinkAbout389 Big Dipper Rd - 194135203005EAR--";_: COUNTY DEPARTMENT OF ENVI(—\]MENTAL HEALTH Box 811 6th & Broadway > Eagle, Colorado 81631 PERMITG 1®9 (this does not constitute • a building or use permit) Owner Rudolph Kerns System Location Lot 23 Filling #2 Bellyache Ridge Licensed Contractor . George Burens * Conditional Construction approval is hereby granted for a 1000`' Ilon t X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere 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 15, 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. x Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. X Proper materials and assembly. _ Adequate absorption (or dispersal) area. X Adequate compliance with permit requirements. XAdequate compliance with County and State regulations/requirements. Date q— /— r1& Inspector .itc k. Y.y - �� �/ 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 ENVIRONMENTAL HEAL'' P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0 2►•IS Name of Owner: �✓ ?g �'ii �� Phone: ���,-- /( Address of Owner: -6,&&� 06. k, k 10.32_, �,rL k,1 4,7 Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: l ® n Location of Proposed System: LU1 3. Legal Discription: Z07— .��.il-Cr�✓�o�/�I,�C/' /�/17G� �'fJ/�f�fls/.S/L1l.J Type of Structure: Single Family Dwelling (tl�) Other: Bedrooms Water Supply: Private Well ( ) Location: Distance //Frroo�m,, leach field: Size of Lot: 4 10'� Public Water Supply:i//F[/`�� 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: --`--�Wff._� The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit SIGNATURE OF APPLICANT: a,4a Date: �� 1/j �y • 1 G �� (T 's application beco invalid 6 months from above date..), HEALTH DEPARTMENT USE ONLYA�� `z' / -� may, _�u,l.Q<� Percolation Information: r /' / P4- Permit No. Tank Capacity:_ /1 %") gal. (minimum) Fee Receipt: Absorption Area: 54, Sq. ft. (minimum) File: REMARKS: APPLICATION IS: APPROVED ( X ) 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: f-1-76 Sanitarian: IA k- w- :rx-, e �� C / COLORADO DEPARTMENT OF HEALTH A000MMODATIONS INSPECTION REPORT lame ° , e � /% / / G Co. k � (` C Acct. No. Category No. ,ovation __ ; �_ ; G%�. r ; - r " - Zip kwner `mac , Address Zip Ipe7rator, Address Zip Inits Capacity dale Female Ouv. later, Source -"type Sewage, Type -Method Food Source Wimming Pool in inspection of the above noted facility on this date reveals the violations and deficiencies .fisted below which you are hereby ordered to correct: ! t® ,MFD:57 (5-75-10) �, dl /. fill -�..� ;G ved By , .s= 1� J Inbpected'By car, 0109-Lot �iCe-D'JOB NO. . 102 23 Filing 2 Bellyache Ridge 0399 Big JOB NI Dipper Rd KRUSE — E LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED �Z'VRop4y Owes- PR I &�2A`ne- i 6se- Corn ,PERMIT # 109 � OWNER: LOCATION: Lot 23 - Filing #2 - Bellyache Ridge (1.6 acres) eb � �, INSTALLER: George Burens SIZE OF TANK: 1,000 gallons DWELLING: Single family - 3 bedrooms x 250 PERC RATE: one inch/30 minutes (750 sq.ft.) i Finalized: 9-1-76 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 ®o NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in US.A.