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HomeMy WebLinkAbout15233 Hwy 6 - 210906200006EAGLE( UNTY DEPARTMENT OF ENVIRONN, ' JAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT N° 143 (this does not constitute • a building or use permit) Owner Donald M. Bolen System Location A llrzir e Tract 1.88 M/ rL - Hiway 0 West Licensed Contractor . Ken Schultz * Conditional Construction approval is hereby granted for a 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 300 sq. ft. absorption area per bedroom 200 sq. f t . # of bedrooms 4 x 200 sq. ft. minimum requirement May we suggest 300 sq. ft. of drainage field Date 10-13-76 FINAL APPROVAL OF SYSTEM: Inspector Erik W. Edeen, R.F.S. 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. A Adequate compliance with permit requirements. X Adequate compliance with County and State regulations/requirements. Date 12-15-76 Inspector Erik W. Edeen, R.F.S./ san 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 i ' P4 ,`e ti= a t ref to existi,A.g s sti `7 Rio charge , "( ENVIRONMENTAL ,.HEALTH t<' P.O. BOX 811 0• EAGLE, COLORADO 81631PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: /),Cn �/ /f'� i L Phone: .� �/� - - 2 Address of Owner: Z,:: Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: Ayz X Location of Proposed System: �` ,� . �' j f�- Legal Discription �' " ,.., �" -`si r € : .Ue k ^ Type of Structure: Single Family Dw Hing ( ) Other. No. Bedrooms Water Supply: Private Well lLocation: Distance From leach field Size of Lot: _ '" Public Water Supply: An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) - . ndividual 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 1553CRS 66-14; 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtainedat 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: ''�'��--''`—Dater (This application becomes invalid 6 month's from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: 44- ? Permit No. Tank Capacity:gal. (minimum)Fee Receipt�'rfi2::r�. Absorption Area: Sq. ft. (minimum) File: REMARKS t7ir% o' P , a��3G- —�. 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: 2- a►(:..ii COUNTY I NVIEZONMENTAL HEALTH INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT •' ROUTE SLIP Name I Date Reterred'r..... Lrerintr Tluaib.ar Locatio lease review the attached application and return it and this completed form to then nvironmental Health office within G working days. lanning File Number Yes No Reviewed By Date Complies with: ^ Subdivision Regulations Zoning Regulations Recommend Approval omments: ounty Engineer: Roads . Grading: Drainage Recommend Approval El amrnents: gilding Department: Set Backs : Site Access Other Recommnend Approval )amientsi )amientsi EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 November 24, 1986 Mr. Gerald E. Holton Post Office Box 1154 Eagle, Colorado 81631 RE: Loan Inspection for property located at: 15233 Iiighway 6 Dear Mr. Holton, 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 November 21, 1986 revealed that the septic system appears to be functioning properly. This. individual sewage disposal system was permitted and installed in accordance with State and County regu- lations. Final approval for individual sewage disposal permit #143 was granted on December 15, 1976. Water is supplied by an on -site well. The owners are to provide a water sample. Enclosed is an invoice in the amount of $25.00, the fee for this inspection. Should.you have any questions regarding this inspection, please do not hesitate to contact this office. Sincerely, Erik Edeen Environmental Health Officer EE/cb ENC: cc: high Country Financial Corp. 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 LOAN INSPECTION FORM LOCATION: REQUESTOR: �er�o� l 6/l 15(f�.� � l COPIES TO: BILL TO: Ao /o ff ,/ fix ISDS PERMIT # / 47 INSPECTION INFORMATION: 2 INSPECTION DONE BY: Oea,-L-�- -xv,;n `K'W ;13_' It ,Lets �..y. -44 <ay1 i Zk` =sus DATE: ���� COLOP" STATE DEPARTINfENT OF PUBLIC HEALTH SANITATION DIVISION DUG 'NELL INSTALLATION d _ _ oj rn U. \ \� /ice\� • '. �"� �\ C7 �C WIIWIUIW ,0I--�I 1 ' I N a u 1 c V - d O I CL I s O o ail d O n E ° a• \ c c .. . a San: Pi- 11 9-50-10 �J ✓ �.✓ COLORADO STATE: DEPARTIAENT OF PUBLIC HEALTH SANITATION DIVISION RECOMMENDED INSTALLATION FOR SPRINGS SURFACE WATER DIVERSION DITCH / �fNEW GROUND LEVEL Nq� GiQOG II FILL DRAIN VALVE REI1"FORCING STEEL CLAY ASPHALT IC NOT LESS THAN. 6° I 0 25 FEET I OR MORE I WATER •BEARING SAND OR GRAVEL I • FLOW' SEAL fat OVERFLOW San: PHE 24 11-50-5 0143-Tr 1.88 M/L W Hwy 6 JOB NAME 15233 Hwv 6 'HOLTON JOB NO. Y �T JOB LOCATION n •—r' .,._. Sc me' �� ) BILL TO DATE STARTED DATE COMPLETED DATE BILLED -zo i2 2 � Como .Tp E�15U b-m)p PERMIT # 143 �y _ii.��(Z ���� OWNER: Defrado-T'en /! LOCATION: Alkire Tract 1.88 M/L - W Highway 6 West of Eagle (right handside) Remodel to existing system 0ISZ33 44�%%' INSTALLER: Ken Schultz ) '� � '� 5 s Aeyc- To, © F SIZE OF TANK: 1,000 gallons DWELLING: Residential - 4 bedrooms x 200 sq.ft. Cf PsLM PERC RATE: one inch/20 minutes (800' sq.ft.) i (Suggest 800 sq. ft. of drainage field) l S ,13 3 �`� 2<QCI — c6r 00 00 (o Finaoized: 12-15-76 By. Erik Edeen 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 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in USA