HomeMy WebLinkAbout5161 Bellyache Ridge Rd - 194135202021EAGLE LINTY DEPARTMENT OF ENVIRONh TAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT Nu 131 (this does not constitute
a building or use permit)
)wner George Burens
Lot 50,
>ystem Location Filing 2, Bellyache Ridge
',icensed Contractor Burens
* Conditional Construction approval is hereby granted for a 750 gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 10 minutes 1Ox10x10sq. ft. Drywell
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggesst�t>> Drywel1-vtL- lOx1Ox10
Date 10 —� '� Inspector
INAL 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.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
✓ Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date //- /- 7Z, Inspectors
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
PERMIT NO. 131 P.O. BOX 811
EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 320
Name of Owner: 66_---0R CF_ E - QU � SPhone: gib - 331S)C/-
Address of Owner: 4�6A L C/G 9G72_
Is facility within boundaries of a city/town or sanitation district? NCa
Distance to nearest sewer system: /<�_ A-2
Location of Proposed System: L-d
Legal Discription: L6 l
Type of Structure: Single Family Dwelling Other: No. Bedrooms " _
Water Supply: Private Well ( lU(/ �'06E t") Location: Distance From leach field: crun/
Size of Lot: g /el��S 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:
The undersigned acknowledges that t above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: Date:
(This application becomes inva id 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: &I Permit No. /3/
Tank Capacity: %D gal. (minimum) Fee Receipt: 7l 9
Absorption Area: 61 Z?,11t..Ck /C.>X r(i x /C�Sq. ft. (minimum) File:
REMARKS:
APPLICATION IS: APPROVED (, -r 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: l�` �� Sanitarian: S4 h_�
I�ol.4 rs 'otcP i7/el
VtCi.1: COUNTY 1-2.VIEOi�ML'Ci1'nL HEALTH
INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE SLIP
Name l/
Datc Relerred rerintT'Tlumbur
LOCiition
'lease review the attached application and return it and this completed form to the
.nvironmental }lcalth office within G working days.
'lanning: File NUMber Yes No Reviewed By Date
Complies with:
Subdivision IZegula Lions
Zoning I:egulations
Recommend Approval
wf nents:
i
:ounty Engineer: Roads
QCT 0% 197
T :-
Grading:
r u . ERG-
iLL
'i
:'Drainage
Recommend Approval
,orr*nent s :
uilding Department: Set Back
Site
Access
Oth�r
Recommnend Approval
r
oauncnts:
LE
• ( PMICOL TIOIZ T;:a'1`
Fee: $bU 00
1pnl.icp Lion No.Permit No.
Owner:
Lesa:l Description:
e
Tyre of Dwellin r: No. of Bedrooms:
Date of Vest: Denth of Holes:
Di- meter: CZ �( Tyne of Soil:
Loc,;tion of Test Holes:
° Test hole was Dresoa%ed from: `-
. Time Dste
To:
Time' Date
TIME
i1'ATER DEPTH
� INCH OF FIku,
DATE
3
L '1
2
3
1
2
3
20
Percolation Rate: ,`,IPI'
Site 'has been re;�iewe:I• and .tested for percolation. 'r:c .e.
i";e reco.mmend: IPPROWL U DISIPPROVAL DPTE:
} rik 17. Edec:li) 31.1). CO.
. �/2 `° hn�i.ronment<<1 11c::lth
73.1Ulo County
. ,.;s;�..� ,< tee;,>.�.a,x �.♦:=rya... ..-� .�- rT. . .
EAGLE COUNTY
Eagle, Colorado
OFFICIAL RECEIPT
? f -��/i lg _'�
Date •--���
,
- RECEIVED
OF
CASH , CHECK ACCT.
AMOUNT
"- CODE
ITEM
Building Permit Fee
Application For
) 1
h G
Subdiv Sion Application
Zone Change
Conditional Use
Special Use
Variance
Appeal Fee
Code: (Building) (Zoning) (Subdivision)
Total Received
,
All items are received for collection only and this receipt
shall be cancelled f
no -payment of any item.
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PLOT PLAN
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(DDRESS PERMIT NO. o 0
z m
EGAL PIt.flC1y : D
)ESCRIPTION LOT BLK ADDITION a
a
ITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS. SHOW BUILDING, SITE, AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES. SHOW LOCATION. OF SURVEY PINS. SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF,
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
■NENEEEEs■MMMMMMMMMMMM■�MM■
■MMMMMMMM®fN■MMMMMMM■M■M®■
■MMMMMMMMMzMMMMMMMMMMMMMMMM■
■MMMMM■MMMMRWWzMMMMM■M■MMMM®
■MMMMMMMMMMMMMMMMMM®MMMMM■®■
■MMMM■ME■■�MMMMMMMMMMMMMMM■■
■MMMMM MMMM ■MEMMMMaMMM■MI®®■
■aMMM �- EMMMMMN MMzMMMMMMMMMMM■
■mmmmm 1MMMNMMMMMMMMMMMM®MM■
MM"N NMMM0&MMMMMMMMMMMM®MM®�
MMEz MMMMM ■MMMMMMzMMMM MMMM
■MMWMMMMMMMzM■MMMMM.MMMMMMM■
■®MMMM■MMMMM MMMMMrAMMMMMMMMM
MMMMMMMMMMMMM'k0_=MP MMMMM MMM
®MMMMMMMMMMM■MEzN MMMMM■M®M■
MMMMMMMMMMMMM■®MM®MM■MMm®mm
■MMMMMMMM®MM■■MMMMMMMMMMMM■■
■MMMMMMMM®MeMMMMMMMMMMMMMMMM
■MMMMM®MMMEMM®.M.MMMMMM■®MM■
MMMMMMMMMMMN®MMMMeMMMMMMMMM■
■MMMMMM■MMMMMM■MM®■M■MMMMMM■
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval
a ti PS U M r:'.QCE< "Z N V EL"T'(Y1Er"S'T C_'-
WEIS) OF OWNER(SI OF SITE 8, STRUCTURE(S) (PRINT) SIGNATURE OF OWN (S) OR AUTHORIZED REPRESENTATIVE
00 NOT WRITE BELOW THIS LINE
APPROVED
;TRICT AS NOTED DATE
_ INSPECTOR
Yliz)P);R'I'Y SURVEY
E— W
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-
N 90®er SCQc. t "_ 400' '
t�
N RO° E
Q p M, a
- - -- -
77,
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plo
5' c�Q Coco' G(do'
0. `3.E. Ca
i SURVEYOR'S CERTIFICATE j ' ; ` ;T. & s I' 85
Ii RICHARD F. BARTON, A REGISTE.t?ED LAND SURVEYOR LICFJISED TO PRACTICE IN THE.
STATE OF COLORADO, DO HEREBY CERTIFY THAT THE, ABOVE SHO16 *^ 1t�d PLAN, WAS CALCULATED
UNDER MY SUPERVISION IN DECEidBER, 1971i, Am) REPRESENTS THE SECTION ERF'A)<M
ACCORDDIG TO THE IV- MNGS AND DISTICdCES FROM THE 1903 BIAM RkbSURVEI $,
-SECTION .23s T. 6 So- R. • 85 W, OF THE 6th P.M.98
"
.72
4 _.M
r C lAl x. Alt`,iOND �V41e 4 .
'try dF" CO1.o�
ea
PERMIT NO. /l�
—A►I'PLICATI
Name of Owner:
Address of Owner:
ENVIRONMENTAL HEALTH '� ��
L_
P.O. BOX 811 _
EAGLE, COLORADO 81631 PERMIT FEE $25.00
FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
�{ ...
Phone: �� -'
Is facility within boundaries%f a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription:
Type of Structure: Single Family Dwelling ( ) Other:
Water Supply: Private Well ( ) Location:
Size of Lot:
No. Bedroom
Distance From leach field:
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:
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT:
Percolation Information:
Tank Capacity:
Absorption Area:
REMARKS:
Date:
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
gal. (minimum)
Sq. ft. (minimum)
APPLICATION IS: APPROVED ( ) 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:
EAGLE COUNTY ENVIRONMENTAL HEALTH
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE SLIP
Name
Date Re erre
Location
Please review the attached application and return it and this completed form to the
Environmental Health office within 6 working days.
Planning: File Number Yes No Reviewed By
Complies with:
Subdivision Regulations
Zoning Regulations
Recommend Approval
Date
County Engineer: Roads
Grading:
Drainage f
Recomme d Approval
1
Comments:
Building Department. Set Backs
i
Site P
ss
Other
Recommend Approval
Comments: !�� /';`! 7�C��" ��l��r-.— �,-�?
X)�
LOAN INSPECTION FORM
a
LOCATION:
T`
REQUESTOR:_{
91�
COPIES TO:
BILL TO: IL
ISDS PERMIT #
INSPECTION INFORMATION;�5.,-k
C Ci Chi l�f `� �� , , U J r IGt 1 h G S'✓ ��oi ��/��
INSPECTION DONE BY: ��� DATE:_
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
May 26, 1987
Empire Savings and Loan
9111,West Bowles
Littleton, CO 80123
ATT: Gerri Gurule
RE: Loan Inspection for property located at 5161 Bellyache Ridge,
Lot 50, Filing No. 2, Bellyache Ridge
Dear Gerri:
All loan inspections are completed under the authority of the.
Eagle County Building Resolution, Section 3.09.03, A(7), adopted
by the Eagle County Commissioners on October 8, 1985.
An on -site inspection of the sewage disposal system on
May 26, 1987 revealed that the septic system appears to be
operating properly. The tank and dry well are located
approximately 50 feet southeast of the dwelling. .Final approval
of this system was done November 11, 1976, Permit No. 131.
If you should have any further questions concerning this in-
spection, please do not hesitate to contact this office.
Sincerely
a_��
Erik Edeen
Env. Health Officer
Eagle County
EE:pm
xc: Empire Savings
POB 5280
Avon, CO 81620
Files
Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer
P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479
Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631
0131-Lot 50 Filing 2
5161
Bellyache Ridge
JOB NAME Bellyache Ridge
Rd B S �011111
JOB LOCATION
bZ 6Z JOB NO.
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
Y"
ajv\I mTy Z41-
JOB COST SUMMARY
TOTAL SELLING PRICE
u k ^5
PERMIT # 131
1 1
OWNER: Georg ,Burens ), iG{/YO ���� j �(�
LOCATION: Lot 50 - Filing #2 - Bellyache Ridge
(3.8 acres) p
INSTALLER: Owner
SIZE OF TANK: 750 gallons
DWELLING: Residential - 2 bedroom x (not listed)
PERC RATE: one inch/10 minutes -
suggest *10 x 10 x 10 sq. ft. dry well
I
Finalized: 11-01-76 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
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