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264 Fulford Dr - 210904105009
EAGL( BOUNTY DEPARTMENT OF ENVIROhr JNTAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT N0 137 Owner Ronald & Janette Hornung System Location Lot 69, Kaibab Subdivision Licensed Contractor . Owner & Schultz * Conditional Construction approval is hereby granted for a 1250 gallon xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 10 minutes 800 sq. ft. absorption area per bedroom 200 # of bedrooms 4 x 200 sq. ft. minimum requirement May we suggest 800 sq. ft. of drainage field Date 1-0— Z,�—' '7 f Inspector FINAL APPROVAL OF SYSTEM: (this does not constitute a building or use permit) 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. X Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. X Proper materials and assembly. x Adequate absorption (or dispersal) area. 4 Adequate compliance with permit requirements. X Adequate compliance with County and State regulations/requirements. Date /a- 7ro Inspector elks Zed. &4e4i2 14f-luJ 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(^ PERMIT NO. �3� P.O. BOX 811 EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT jVO 319 Name of Owner: poMXi-� '� �AMF-T<- Phone: '�" 3��- 7a�o5Z Address of Owner: -� 3 (o 0- H-u (Z-C N 6c) X 745' Is facility within boundaries of a city/town or sanitation district? �0 Distance to nearest sewer system:6-�C Location of Proposed System: Legal Discription: Type of Structure: Single Family Dwelling ( K ) Other: No. Bedrooms Water Supply: Private Well ( ) Location: FAGL9, Distance From leach field: Size of Lot: QC,G es Public Water Supply:_ P-g 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 Eogle_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:%5-- 6 f/vL 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 Percolation Information: /© W'OZ Permit No. 127 Tank Capacity:_ _12,.5- © gal. (minimum) Fee Receipt: 75°° ' alo8 Absorption Area: Sq. ft. (minimum) File: REMARKS: APPLICATION IS: APPROVED ( ) 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: Sanitarian: �/ `d. 6,&-''"`J � •r •u -8/W r.r►t,.. �: COUNTY ENVI11ONMENTAL HEALT}} r INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT • ROUTE SLIP %0 -�0- `7� • .. Name Date .e errc Location 'lease review the attached application and return it and this completed form to the .nvironmental Health office within G workiing days. lanning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulations _ Zoning Regulations � 1 Recommend Approval Li NCO CMG( omments '.I- i ounty Engineer: Roads Grading:. '! qq``t�r' w py • Drainage Recommend Approval omments: wilding Department: Set Backs r site Access Other Recotntnend Approval onutents i �~ PJ;IICOI. 'TI014 TEST -10.00 Ipalic,) tion No. '&19 Permit No. Legal Description: Tyne of Uwellin�; uC Ito. of Bedrooms: Date of Test; Denth of Holes: Diameter: Tyne of Soil: Location of Test Holes; Test hole was nresoaked froms To .. Time Dzte Time Date LE TIME 17PTER DEPTH � INCHES OF FALL DATE 3 l 2 I-._ 3— L 1 2 3 11 2 3' o% 231", V 314. 3• r 03/ /y 3 aq 3 1 Percolation Rate: Site has been reviewed -and .tes d for Percolation. rate.' itie 'reco:aunend: [PPROVPL DISEPPROVAL DFTE: Erik l,- Edeoli, . x,nvi.a•onment�,l lic.:ltl1 . Jsaule County dal -* .3, t'� TELEPHONE 303/328-7311 Board of County Commissioners Ext 241 Assessor July 8, 1983 Ext 202 Clerk and Recorder Ext 217 Sheriff Eagle: Ext 211 Basalt: 927-3244 Gilman: 827-5751 Treasurer Ext 201 Administration Ext 241 EAGLE COUNTY Eagle, Colorado 81631 Alpine Mortgage Company Box 1166 Glenwood Springs, Colorado 81601 Re: LOAN INSPECTION - Property at 1492 Polar Star, Eagle, CO Lot 69 - Filing #1 - Kaibab Subdivision Terrence Quinn TO WHOM IT MAY CONCERN: Animal Shelter All water and sewage disposal system loan inspections are done under 949-4292 the authority of the Eagle County Building Regulations, Section 9 - Subparagraph 34, adopted by the Eagle County Board of Commissioners, Building September 20, 1982. Inspection Ext 226 or 229 An on -site inspection of the above referenced property on July 7, 1983 Community revealed that the system is functioning properly. The individual Development sewage disposal system was approved in December of 1976 (Permit #137) Ext 226or229 in accordance with applicable County and State regulations concerning such installations. County Attorney Ext263 This department recommends that the septic tank be pumped every three Engineer or four years. Ext 236 If you have any further questions concerning this matter, please give Environmental us a call. Health Ext 238 Sincerely, Extension Agent C �^ Ext 247 Library Sidney N. Fox Ext255 Assistant Environmental Health Officer EAGLE COUNTY Public Health Eagle: Ext 252 Vail: 476-5844 /if Personnel Ext 241 Purchasing Ext 245 xc : Terrence Quinn Road and Bridge P.S. Enclosed is an invoice in the amount of $25.00 (fee for the Ext 257 above inspection) . Social Services 328-6328 ,.,. �' ,, �� .,, -� _� � ��,�� ,iti . „, .,.• .J �'�- . _.»� 0137-Lot 69 Kaibab JOB Nl- �� �, „T�,TrT Faceiff2 -Cy� 0&00 JOB NO. tnn nnwttnw� 11 n Die - BILL TO DATE STARTED DATE COMPLETED DATE BILLED T PERMIT # 137 OWNER: \ e tee. �u� lzl��,��� LOCATION: Lot 69 -Kaibab Subdivision � � � . (2 plus acres) I� Z6q 1 1ZI v� INSTALLER:f Owner &-Schlutz / J`�` SIZE OF TANK: 1,250 gallons DWELLING: Residential - 4 bedrooms x 200 sq.ft. PERC RATE: one inch/10 minutes (800 sq.ft.) (suggest 800 sq.ft. of drainage field) i Finalized: 12-76 By: Erik Edeen 00 q JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC.COSTs TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS %, OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 n @ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS, 01471 JOB FOLDER Printed in US.A.