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HomeMy WebLinkAbout800 Upper Cattle Creek Rd - 239127306001 - 0139ISEAGLE ("' 'LINTY DEPARTMENT OF ENVIRONN TAL HEALTH Box 81 I 6th & Broadway Eagle, Colorado 81631 PERMIT NO 139 (this does not constitute • a building or use permit) Owner Marvin Fender System Location Lot L, Section 27, S.W. 4 of N.E. Q 1670 Upper Cattle Creek Rd. Licensed Contractor . Bob Brewer - Brewer Construction St. Rt., Box: 16C Carbondale CO. 31623 * Conditional Construction approval is hereby granted fora 1) 000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20 minutes 600 sq. ft. absorption area per bedroom 200 _ # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest 600/sq. ft. of drainage field Date ___ 2 " ` ?-- Inspector az 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. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date Inspector dd"� 1zd� 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 ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. �`�% EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT f Name of Owner: V' Address of Owner: e 1^ Is facility within boundaries of a city/town or sanitation district? (� Distance to nearest sewer system: "Z5 M ' J,-- C, Location of Propc Legal Discription: A•��� 342 Phone: Type of Structure: Single Family Dwelling (�) Other: No. Bedrooms Water Supply: rHvafe�J/eli �� Location: / Distance From leach field: 200 Size of Lot- 0 o K'�� Public Water Supply: PP Y: 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: Fg."c Ed., ) The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent per SIGNATURE OF APPLICANT: Date: (This application becomes invalid 6 months from above date.) Percolation Information: HEALTH DEPARTMENT USE ONLY M Tank Capacity: gal. (minimum) Absorption Area: (r`Ln Sq. ft. (minimum) REMARKS: APPLICATION IS: APPROVED ( -- f DENIED Permit No. /—;�F 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: Z-L �� — 74 Sanitarian: -t Pr11COL.; TI W4 T..S'1' Fee: $5.U. UU I nnlxc' ti on .11o. Pernilt No. Owner. Description mat i 7-8 Tyne of Dvellino; No. of Bedrooms: Date of Test: i/-.� - �� Denth of Holes: �=�j• Diameter: Tyne of Soil: Loe-ztion ©f Test Holes: Test hole was nreso-ked from: To: Time Dste Time Date LE TIME IYATEH DEPTH � INCHES OF FALL DATE 1 2 3 1---=`-- Z I �`�` L 1 2 3 1 2 3' SIX/ % / 2 20 go l-excolatiun Rate: 2,0 Site .has been ze-rie��e.I and tested for ;:ercol t L a x o ,i. z• e . itie 'xeco:mviend: IPDROWL DISIPPROVP.L DITE: l.'rik 1'4'. }Edecnj iI.P. S• Ei)vironment'-,1 11("zIth ' 1j"I 1C County d �:l • El►G.t: COUNTY I:I•IVII:ONMENI'AL tiCALTIt ` R INDIVIDUAI. SEWAGE DISPOSAL SYSTEM PERMIT S ROUTE SLIP Name c/ Da -tt e i e i cr r�� / Pz lfiz�'T:Unitiz;r Location lease review the attached application and return it and this completed form to the •nvironmental Health office within 6 working days. -lanning File Number Yes No Reviewed By Date Complies with: r Subdivision Regulations _ Zoning hegulations Recommend Approval6 onnents: z ounty Enginecr: Roads . Grading: Drainage-^ Recommend Approval ,orrment s ,uilding Department: Set Backe Site Access Other Recommend Approval f anunents: CASH CHECK ACCT. CODE AMOUNT ITEM Wilding Permit Fee application For <5�Z22 SO 06 �+u+si Application .one Change :onditional Use special Use 'ariance appeal Fee :ode: (Building) (Zoning) (Subdivision) . Total Received g t 11 items are received for collection only and this receipt shall be cancelled for :)-payment of any item. . 0139-Lot 1 Sec 27 SWI of NE 1 pp � I� � �) � � /;�,���� JOB NAME ppeY X (j ACT21 RCCd JOB NO. 3 LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED I 22 R -CD --------------- --------------- r r; JOB COST SUMMARY AL SELLING PRICE IATERIAL LABOR DURANCE ALES TAX COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 @ NEW ENGLAND BUSINESS SERVICE, INC, GROTON, MASS. 01471 JOB `OLDER Printed in US.A.