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HomeMy WebLinkAbout785 Red Table Dr - 211104308001EAG a JNTY DEPARTMENT OF ENVIRONM" TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT N® 136 (this does not constitute • a building or use permit) Owner Erik &David Edeen System Location Lot # 6.13 Longview Subdivision, Gypsum Co Licensed Contractor Ted Reynolds * Conditional Construction approval is hereby granted for a 1500 gallon`, d>CIV, XX Septic Tank or Aerated treatment unit. PLEASE CALL FOR FINAL INSPECTION Absorption area (or dispersal area) computed as follows: PERMIT MUST BE POSTED ON PROPERTY Perc rate 1 inches in 10 minutes % sq. ft. 12' x70' A' ar absorption area per bedroom 777,,e�- 0 of bedrooms z x sq. ft. minimum requirement — May we suggest Drainage field of 121 x 70 ' 4 -3" GARFIELD COUNTY ENVIRONMENTAL HEALTH 4g`k a/ 2014 Blake Avenue Ph. (303) 945-1255 Date ____% % " 7 2 '"�'�''� Inspe tT ' o ora 9 FINAL APPROVAL OF SYSTEM: F No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assemb d system is approved prior to covering any part. '%G Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. °y- Proper materials and assembly. GP- Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. id Adequate compliance with County and State regulations/requirements. Date -7--77 InspectorT 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 both. ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 324 Name of Owner: y- one: C?=� Address of Owner: �?S �/���y e �/ �4^cSG� 7 Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: - Location of Proposed System:-i 7L �� �i (,�� Pam✓ S-Ii�I Legal Discription: I—r) 7 - �v �d ho, (r'f �P C,-- lit � //,' c-� Type of Structure: Single Family Dwelling ( er: No. Bedrooms Water Supply: Private Well ( Location: Distance From leach field: Size of Lot: 2- , 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: Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY 1 Percolation Information: Zo 111®ar- ( /�6.& -_p �Or S, Permit No 11Z51`" a6� Tank Capacity: 1,5-007 gal. (minimum) Fee Receipt Absorption Area: x -2 D Sq. ft. (minimum) File: REMARKS: APPLICATION IS: APPR� �� NIED ( ) nnl�,,A 000a1e The above individual sewage disposm syF Ochs i stalled by AND HAS BEEN INSPECTED AND APPR ED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: `� a7_ 77 Sanitarian:�o)GL�e�cJ LAGLr. COUNTY EI.1VIRONMENTAL HEALTH xNDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE SLIP Name Date .c errc Location ,lease review the attached application and return it and this completed form to the environmental 11calth office within 6 working days. 'lanning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval OCIT 2107 � ,omments: ;ounty Engineer: Roads Grading: ;y ... Drainage Reconuucnd Approval :d Ll b-�' Z, r ; biTnent s: ;uilding Department: Set Backs ' Site Access Othtr Reconunend Approval t EAGLE COUNTY DEPARTMENT(=NVIRONMENTAL HEALTH Box 811 6th & _, oadway Eagle, Colorado 81631 PERMIT ``, t (this does not constitute. _- a building or use permit) Owner ' System Location Licensed Contractor — T `' Conditional Construction approval is hereby granted for a 1- '60 gallon Septic Tank or Aerated treatment unit. ._i L_ -- Cr LL - 1NIA 1, 11I/ ; i,('T?.`_t Absorption area (or dispersal area) computed as follows: T Pere rate t inches is minutes sq, ft. absorption area per bedroom # of bedrooms 3 x sq. ft. minimum requirement _ May we suggest ,: ;. 7 field o f 17 i URFIELD COUNTY ENVIROMMENTAL HEALTH " 2014 Blake Avenue Date Inspector P6. (303) 94 •7755 Gi-erwood Spriggs, Colorado 81601 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. Proper materials and assembly. Adequate absorption (or dispersal) area. �o S' Of- Adequate compliance with permit requirements. U K Adequate compliance with County and State regulations/requirements. Date J 27 - 77 Inspector �iSTnitT EN6/N(/l�EA RETAIN WITH RECEIPT RECORDS AT�G�OiySTlMM0�ITE PAL-Tf ONDITIONS: 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 . - .both.. .... ........... ........ „ ,,., ........ Permit CHARGES - Name of Applicant °`` ''; David Percolation Test $50.00 (includes final inspection) Amount Paid Permit Processing Fee $25.00 1i - , - ;,; t;; ' i ct� t.icn 32r Date Paid 1: Check no cash i l . ( ) Cashier Money Order ---- ALI, CHECKS ARE TO BE MADE PAYABLE TO EAGLE COUNTY Eagle Cty. - White Copy Applicant - Green Copy Dept.,- Pinx Copy r PrIiCOJ..; TXOl1 T::S'L' . roc: $510.00 !p»lxcation No. -___: ^oi mi t No. Owner • - � /� `L� T �lj Lc, -,-al Description:D2 h ci G•- i •P �j/ Tyne of Dxrellino: No. of Bedrooms: ��`--?�Denth of Holes: of Test: Dxrmeter: �I Tyne of Soil: Location of Test Holes: Test hole v-as nresoaiced from; To; iline ` ime Dsto Date LE -, TIME WATER DEPTH � INCHES OF FALL RATE 1 2 L 1 2 j 3-- L 1 2 3 1 2 3' %1 YZ 27 �� Z Percolation late: O_ ,•,I.PI' CIS Site has been re✓iewe:!• and tested for percolation. `xate. We •eco:nmeiid: II'P,'ZOVPL DISIPPrOVPL DfTE: L"Erik Edecli R.P. S. Enviv0nmcnt'nI lic::lth ' 1 69 .V 0 Lk p cn C� C711 O L(7 0 0 fit? c I 0 o ff) v CO co iKi I Lu • oQ CJ � � .� 1 � 1 t, � co co wZvi-/\ Easement j !C) 4� �- O c� i , '� C �(5) ! = 0 tom} ` 0 0 / =----- - o O O (5) CC), O / Z oo in U �• / N W � � '� t7 � S ! d' Cn co ,5L6� _ _`` �- l `o oAZI m y- •v �h 0 i IF U \ a 0136--D6t 6 ao +1eS k'rty J 15 6. ^�s,� �✓ �-'� JOB NAME 0785, Jui ve EDEEN JOB LOCATION 4� 1 1 JOB .NO.at BILL TO DATE STARTED DATE COMPLETED DATE BILLED Vc k-., �Z surd TO 5e�lov I PERMIT # 136 l J� OWNER: Erik Edeen � r Qy�z Lla JOB COST SUMMARY LOCATION: Lot 6 - Longvi174-4bdivision - G ypsum i (2.2 acres) � TOTAL SELLING PRICE INSTALLER: Ted Reynolds? TOTAL MATERIAL SIZE �T�I� �L- OF TANK: 1,500 gallons DWELLING: Residential - 3 bedrooms x 165 sq.ft. TOTAL LABOR PERC RATE: one inc/10 minutes (165 sq.ft.) INSURANCE 495 sq.ft. absorbtion area (suggest drainage field of 12' x 70' x 3' SALES TAX 12'x42'x3') —) MISC. COSTS Finalized: 5-27-77 By: Robert Koff TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 ®c@ NEW ENGLAND BUSINESS SERVICE. INC., GROTON. MASS. 01471 JOB FOLDER Printed in USA