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HomeMy WebLinkAbout258 Caballo - 239127305010 - 0124ISEAGLE �UNTY DEPARTMENT OF ENVIRONN,�'TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMITS 1�4 (this does not constitute • a building or use permit) Owner Albert N. Tipton System Location Lot 70, Aspen Mesa Sub. Licensed Contractor Lee Bernheisel ' * Conditional Construction approval is hereby granted fora 1, 000 gallon x Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 10 minutes 600 sq. ft. absorption area per bedroom 200 # of bedrooms 3 x 20c, sq. ft. minimum requirement May we suggest 600 sq. ft, of drainage field Date �/ — 7 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. x Proper materials and assembly. Adequate absorption (or dispersal) area. X Adequate compliance with permit requirements. X Adequate compliance with County and State regulations/requirements. Date 9--T 74,1 Inspector Lr t-w'a 'SA ./ 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 ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: `7,0tLoey-T N , 'Tt�� t4 P7Phone: Address of Owner: 00X 4-77 9 G Tt�PF-Al ,, l,0LO 2 h Eb Is facility within boundaries of a city/town or Distance to nearest sewer system: Location of Proposed Legal Discription: PERMIT FEE $25.00 N° 256 district? No Type of Structure: Single Family Dwelling ( ) Other: ��� No. Bedrooms Water Supply: Private Well ( ) Location:lsWVj,ftT9 MZA HKI1�` istance From leach field:��� Size of Lot: -�4 2— A� ' 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: 1"t E 8P2jJ geL rA The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. (— 6 (`"1 SIGNATURE OF APPLICANT: QAt J4 Date: (This application becomes in lid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: / o '-;R-z,- Permit No. Tank Capacity:gal. (minimum) Fee Receipt: aS� Absorption Area: c� �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: Sanitarian: E COUNTY IENVIRONMENTAL HEALTH :5 INDIVIDUAL SE14AGE DISPOSAL SYSTEM PERMIT ROUTE SLIP Name Date .e erred a t %OL �416 . Location lease review the attached application and return it and this completed form to the environmental Health office w-ithin'6 working days. 'Tanning: rile Number Yes No Reviewed By Date Complies with Subdivision Regulations Zoning Regulations Recommend Approval Z �, Comments: ;ounty Engineer: Roads Grading: Drainage Recommend Approval E COUNTY ENGINEER EAGLE Ui( )f DEPARTMENT OF ENVIRONIV JAL HEALTH _ B.)x 811 6th & Broadway Eagle, Colorado 81631 PERMIT Nu 124 (this does not constitute a building or use permit) ti Owner Al be.rt N. Tinton ! System Location Lot 70, Aspen Mesa Sub. Licensed Contrac for Lee Bernheisel * Conditional Construction approval is hereby granted for a 1 .000 gallon x Septic Tank or Aerated treatment unit.C3Y � �/ �v Absorption area (or dispersal area) computed as follows: &A-y '(/"Perc rate 1 _ inches in _10 minutes 600 s . ft. absorption area per bedroom 200 d N of beds ooms_:i_ x 2r-n sq. ft. minimum requirement ✓ May we suggest 600 sq. ft. of drainage field Date Inspector aw FINAL APPROVAL OF SYSTEM: No system sh all 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 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 structuies which have fully complied with County Zoning and building requirements. Connection to or use with any dwelling or structgres 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 II1, 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. CIlARGES Percolation Test $50.00 (includes final inspection) Permit Processing Fee $25.00 Check pro cash) kX Money Order _ Permit N9 124 Name of Applicant Tipton, Albert N. Amount Paid $75. 00 Date Paid 8-30-76 Cashier Erik W. Edeen by SAM ALL CHECKS ARE TO BE t;ADE PAYABLE TO EAGLE COUNTY Eagle.Cty. — White Copy Applicant — Green Copy Dept. — Ptnx Copy 'tr TO '7S^,. ab t, + wy`rt Sr r are .A i� hL re � Mist epa •f_ j yl Y tF'_,"f d 3 1rS WEN j5. st�`�Cf>ri ili�af$` WON i� T ALE 1 TIME WATER DEPTH ! INCHES OF FALL HATE 3 1 - 2 3 •l 2 3 1 1 2 3 03 -Percolation Rate:,`,Ipx' - Site lit -is been reviewed- and .test d for Percolation. tc, F tie recommend: /PPROVPL DISIPPROVnL DfTE: /ZOO/ /dD�c a� C�c-•--�'� �� Edecrl Z'snvxa.'orinir--.n�:�,l lic�:lth. €' )3,I-l0 Coll11 ty z 0124-Lot 70 Aspen P:fesa Estate JOB NAME — 0258 Ca TIT —j ?'al� Z3��-��j� D-DI� JOB NO. F rr, JOB LOCATION I I - - - -- 5CL%,\j -Vo v Ek oN 0z 2 1J J�Q BILL TO DATE STARTED DATE COMPLETED m �� dill 67,' L cV"'j1.i-t�' !' ��ts�� C► IVI� � 7 DATE BILLED �� �� JOB COST SUMMARY TOTAL SELLING PRICE PERMIT # 124 OWNER: Albert N fTipton (Z^ ! 2 r LOCATION: Lot 70 - Aspen Mesa. Subdivision (2.72 acres) p $ INSTALLER: Lee Bernheisel SIZE OF TANK: 1,000 gallons DWELLING: Single family 3 bedrooms x 200 sq. ft. PERC RATE: one inch/ten minutes (600 sq. ft.) (suggest 600 sq. ft.---of drainage field) Finalized: 9-3-76 By: Erik Edeen TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT .-�, ik�'}. Printed in U.S.A. bLDER G D \ ---- E �. Septi�- rc.. n K i