HomeMy WebLinkAbout152 Deer Trail Ave - 239127201002 - 0147ISEAGLE , JUNTY DEPARTMENT OF ENVIRONK ,NTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N9 14� (this does not constitute
a building or use permit)
Owner Ken Melby - KLM Constructioa
System Location Lot 33. Filing # 1, Red Table Acres
Licensed Contractor
KLM Construction
* Conditional Construction approval is hereby granted for a 75,E gallon
11, I Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
v i 1J Pere rate inches in 3t minutes sq. ft.
absorption area per bedroom 360 sq. f t .
# of bedrooms I- x 300 sq. ft. minimum requirement
May we suggest GGG sq. ft. of drainage field
Date_ Inspector
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.
`'l� 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.
Dateifc� �7;7 Inspector 4�d4z"i
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.
'/ram ENVIRONMENTAL HEALTH
PERMIT NO. I"I /OX 811
EAGLE,, COCOLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 346
Name of Owner: lkti� Phone: �y
Address of Owner:
Is facility within boundaries of a city/town Vr sanitation district?
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription: 4
Type of Structure: Single Family Dwelling
No. Bedrooms 2
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: c, E Public Water Supply: 4�23q
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: / e�m/7z
(T t,�6 ication becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: 000,poop—;�,—
Tank Capacity: ��S gal. (minimum)
Absorption Area: 67JO G4 Sq. ft. (minimum)
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED
Permit No
Fee Receipt .-�Z6 J ��dz
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: �� —?0 77 Sanitarian:
F1iGLL COUNTY ENVIEONMENTAL HEALTH
INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE SLIP
Name
Date RcEerred
Ldcation
Please review the attached application and return it and this completed form to the
Environmental lIealth office within G working days. .
Planning File Number
Complies with:
Subdivision Regulations
Zoning Regulations
Recommend Approval
Coament s :
Yes No
Reviewed By
Date
/ 2.1117
s
County Engineer: Roads
Grading:
. Drainage
Recommend Approval
Comments:
Building Department: Set Backs
Site
Access
Other
Recommend Approval
Ll
Conunents:
0147-Lot 33 Filing 1 Red Table Acres
JOB NAME 0152 Deer Trail Ave MF-BY
JOB NO, I `fir
JOB LOCATION /
_'` q' 1' 16 to 0- (--o V,
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
Zoi�i
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 �0 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.SA