HomeMy WebLinkAboutWest of KOA Campground - 000000000000EAGLE ( UNTY DEPARTMENT OF ENVIRONN" TAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT NO 13 ® (this does not constitute
• a building or use permit)
Owner Clay Crossland
System Location Tr. 58, Sec. 11, Twn. 8 S. ; Rng. 87 W of 6th P.M.
Licensed Contractor Clay Crossland
* Conditional Construction approval is hereby granted fora 1, 000 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 20 minutes 750 sq. ft.
absorption area per bedroom 150
# of bedrooms 5 x 150 sq. ft. minimum requirement
May we suggest 750 sq. ft. of drainage field
Date I za - 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.
Date
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.
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 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. `SO EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Np
Name of Owner: Uc. G. ,�A P-DS.S'CAAijo Phone: l�a�
Address of Owner: E b X 19 `1 Sx � -- ( oL/� !
Is facility within boundaries of a city/town or sanitation district? /Vd
Distance to nearest sewer system: kZ
Location of Proposed System:
Legal Discription: �. S�E�7'. l �%e�kJ -•�.g �Sj&, e7 CO--4 i,
Type of Structure: Single Family Dwelling ( ) Other: (2pk"04&!-9CiAL No. gedveeiws
Water Supply: Private Well (x) Location:-L c �' ' �� � Distance From leach field: `-
Size of Lot: 4Public Water Supply:
PP Y:
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:
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: Date: 7�
(This application becomes inva id 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: ?-0 /51
Tank Capacity: 0 gal. (minimum)
Absorption Area: %�'O Sq. ft. (minimum)
REMARKS:
APPLICATION IS: APPROVED ( i/) DENIED ( )
Permit No.
Fee Receipt:��
File:
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:
PERCOL ! 1011 T..•,1
00.00
lnnlicrtion No. Permit No.
Owner:
La1 Description:
p � 7—
Tyne of Dxrellin�,-: g No. of
Date of Test:,
�.� � Dentli of Iiol.es.
Dip meter: Tyne of Soil:e
Loc:;.tion of Test Holes:
Test hole xras nreso--ked from: To:
Time Dv to Time ' Date
LE
-,'
TIME
WATER DEPTH
� INCHES OF F/+LL
RATE
1
2
3
1
2
3
I----
1
2
3
1
2
G
2,0
�f Zn
I.zo
3 2--.
3
Percolation Rate: PI'
Site has been reviewed -and .tested.. fox Percolation. `xnte.
itie 'xecomm,end: /PPROVPL G/ DISIPPROVA. L Df'TE:
c
Lzii: Y . 'dc�en, R.P.S.
I)Vironniont:�l llct:lth
a
I;aU c Country I
dal • : l
i
A FAG,-_, COUNTY 1•:I01VIRONMENTAL 111EALTII # G�
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE SLIP
Name
Date .e Jerre
Location
lease review the attached application and return it and this completed form to the
nvironmental Health office within G working days. '
lanning File Number Yes No Reviewed By Date
Complies with:
Subdivision Regulations
Zoning Regulations
Recommend Approval
A-1-17�
omnen t s :
ounty Engineer: Roads
Grading:
' Drainage
t/,/&�COUNTY ENGI
Recommend Approval
EE G
omments:
uilding Department: Set Backs
�.
site
Access
Other
Recommend Approval
p1
Ex
,�-:n�:
„-M e
�Q �` ��
0130-Tr 48 Sec 11 T8S R87W of 6th PM
JOB NAME Ne..t to KOA campground CROSSLAND
JOB NO.
ina i nCATInN
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
.PERMIT # 130'
.-
OWNER: Clay Crossland
LOCATION: Tr 48-Sec. 11, T8S, R87W of 6th pm
Willits Lane - Basalt (4.52 acres)
INSTALLER: Clay Crossland
SIZE OF TANK: 1,000 gallons
DWELLING: Commercial - 5 restrooms x 150 sq.ft.
PERC RATE: one inch/20 minutes (750 sq.ft.)
(suggest 750 sq.ft. of drainage field-)
Finalized: Not listed
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
OLDER
Printed in USA