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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. , Y ,- . - - y �..: S' �, '\JI t" . � �Si (' f. \ - �.l _ ~�..' . - .. � _ ...` \ 1 �„ - - _ i j ; Z � ti; � � 1 Y _ y,� � f �} -; r � u r� � 5�� 1, �' ; O � ra '; 1 - i� t n �-`\ t/ r�l L � I _ �° � R'� {� ` `„ a,;.a _ - v �. f �� ��: _ .,_ gip,,, �, L.%� , PLOT PLAN i (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 �• �f coR. - N 90®er SCQc. t "_ 400' ' t� N RO° E Q p M, a - - -- - 77, j 1\1 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 Printed in US.a