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HomeMy WebLinkAbout44 Hooks Ln - 246511200035 - 0154IS11 EAGLE, CUNTY DEPARTMENT OF ENVIRON,TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT Na 154 (this does not constitute a building or use permit) Owner Ed Dreager System Location Existi Licensed Contractor Same * Conditional Construction approval is hereby granted for a XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: 1250 gallon PLEASE CALL FOR FINAL INSPECTION.... 328-7718 MUST BE 300 FEET FROM DEMOZ WELL Pere rate inches in minutes sq. ft. absorption area per bedroom # of bedrooms x sq. ft. minimum requirement May we suggest (Enlarge existing field by 6 x 50 - 300 sq. fft/tt. ) Date 7? Inspectorr!�,a� 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. ok Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. ok Proper materials and assembly. ok Adequate absorption (or dispersal) area. ok Adequate compliance with permit requirements. ok Adequate compliance with County and State regulations/requirements. Date September 16, 1977 Inspector John Evans for Erik Edeen 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. 154 EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT XTO 7 A n Name of Owner: Address of Owne Is facility within boundaries of a city/town or sanitation district? /y'1 Distance to nearest sewer system: Location of Proposed System: Legal Discription: Type of Structure: Single Family Dwelling (, Other: No. Bedrooms Water Supply: Private Well pp y: ( Location: Distance From leach field: - Size - - Size of Lot: f A) 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 acknoy edges,t ft tt e a ove irYFor ation is true nd that false information I invalidate the application or subsequent p r i SIGNATURE OF APPLICA / Date . his dpplication becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Tank Capacity: Absorption Area: REMARKS: gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( x ) DENIED Permit No. - 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: September 16, 1977 Sanitarian: John Evans for Erik Edeen BUILDING DIVISION P. O. BOX 789 PHONE: 328-6339 DATE JOB NAME TIME RECEIVED- AM PM CALLER El. -OTHER ❑ PARTIAL. INSPECTION REQUEST EAG.,,,LE COUNTY READY FOR INSPECTION MON TUE WED THUR FRI AM?'PM COMMENTS: EIAPP ROV E D ❑DI SAPP ROVE D E]UPON THE FOLLOWING CORRECTIONS: CORRECTIONS FIREINSPECT DATE INSPECTOR EAGLE COUNTY lUiVIRONMENTAL HEALTH INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT ROUTE SLIP Name to .e terre oozy /�aa���:�..&; •�.���� Location Tease review the attached application and return it and this completed form to the :nvironmental Flealth office within working days. ?lanning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval oL 'onmen t s c ;ounty Engineer: Roads Grading; Drainage Recommend Approval :omments: 4 . wilding Department: Set Backs Site Access Other Recommend Approval t :onunents; JOB NAME . 0154-0044 Hooks Lane Basalt DRAGER 4-S-))2-6�- COI f2 JOB NO. Y _I � - - BILL TO STARTED 26)2 DATE COMPLETED y 65-I 2- DATE 1 2012 I,' `k (2� Cl;-) 12- X- 662 ) LfndQ Ppc�-cOA 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 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in USA