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.
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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
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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