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HomeMy WebLinkAbout185 Original Rd - 246511100011EAGLE ANTY DEPARTMENT OF ENVIRONrJTAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT NO 156 (this does not constitute • a building or use permit) Owner John C. Dills, Jr. System Location See attached Licensed Contractor Kelly Lyon * Conditional Construction approval is hereby granted fora 1000 gallon Septic Tank or Aerated treatment unit. (PLEASE CALL FOR FINAL INSPECTION - 328-7718) Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in absorption area per bedroom 20 minutes sq. ft. # of bedrooms x sq. ft. minimum requirement May we suggest 10x10x10 Dry well (Dry well must be 10' from property lines, 20' from building and 100' from well.) Date 1-7x--y----77 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. 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 //—/_?-77 Inspector gdte,,J 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 N. O T' 2 y 1,(J. ®I c. �s 9o2 i -2 4 � q Name of Owner:. �®I+►J C. L�1 �-.1-"S Jam, d- SNP L� Phone: Address of Owner: 1 14 i 6 F1 WAY 9 a. R A c A L:C 00L-QOAQ) 91 & 0 l Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: 2 J Location of Proposed System: ©" �' LL14U✓ Gre n71" '7v 42 k Ss.&o i 2AcT SI, NW-4 0 Mg-1S�ce I T. S, So.� i o) 6 P ®, Ei.soiv Legal Discription: Sv b Ca Type of Structure: Single Family Dwelling ( ) Other: 11 No. Bedrooms y N, Cohxer d TY; &,Lk" 01- (% 4h � fQJ T� Water Supply: Private Well ( Location: we!/ �51' h2 indl 12-46f. Distance From leach field:_ 3 F' Size of Lot: 14133 ` KZB. 25 "A I q4. Q " 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 bet en 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. V Name, addess, and telephone of person responsible for design of system: I<e- r/ 1f L P The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Date: M A PC 4 a a, 1 ri 7 7 (Th pplication becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Tank Capacity: /0017 G-ullQ-q gal. (minimum) Absorption Area: lS7 X /ta )C /® ,lira �4,-d Sq. ft. (minimum) Permit No, Fee Receip&-Sl gsor File: REMARKS: c, vim. ed !'?V S "L /0 ^'► ���� /`� fS �-U r 7�d^� /3u rl ir3 -74 100 1 APPLICATION IS: APPROVED ( I� 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: 1---7-77 Sanitarian:/ , �e� e EAGLE COUNTY i:IiVll,ONMLMAL HEALTH INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT ROUTE SLIP .� d9 �� IM ame te'Re£erre33•� Location ?lease review the attached application and return it and this completed form to the nvironmental Health office within 6 working days. Tanning: File Number Yes No Reviewed By Date Complies with; Subdivision Regulations Zoning Regulations LTnrnnx»nnrl Snnrnva� '/Y/4li s�///A / 3A, ;ommen t s ;ounty Engineer: Roads Grading: Drainage • 0 9 Recommend Approval VI/ G, 'arrments: 3uilding Department: Set Backs' site Access Oth4r Recommend Approval ' ,onunen t s: :Tl 1c o a 1 c� rn �s rn ✓41 'U 5� + LA Q ( r a t: d� oq Fd Ur P• :4 Ffi zC O m 4v N P o F'• m m N•N•wrn c+o� O i I c N f i Fd Fi cF. I-' Fi �d P. c-F o s M CR c+ c-F F-+ P� F-1 c+ t-� O • o O (D (' / i v C .l� ' •, � c+ O N. W O P- (D I✓ () (D Fy ✓ 1 o FF,aIv oo P3 �N•�' �'+ P� N• N• Fi O o m N, c+- c+ C+ •. Fd O Y• F 1 H O F y C +- c+ 0$= (D �3' r 3 D o O 0) f-1 c+- r P F1 (D K + Fi A C +- " O P c+- 5= R, v�F+t-� �r (D (D (3' pl'd � Fd (D F • Oq FJ - I- ! F y Pz Fi O F 1 (I CD P 0 9D ¢, O (D cF O `C (n y • p� F N• Imo• `C fi (D F- 0 CD P) � cC CA �• c+ c-Fo d (D- ¢ Fj F'a O O CD (D d Fy P) Q H (A �i a o F-j (D c � �FhF� tzd� �•+'O CD d j to in y FI• 0) Fj Fd P) �g o m cF (D Oq c+- (D m Fi d I-1 c+ Fi a � o C+ o o �i iR F c+ o (D +i � . N i O Fi O 0 O P d' n I✓ (D 0) as , P3 O C IV x (D p o o `4 I. C) 0156-Lot 3 Tr 4 NE' Sec M T8S JOB NAME 3021 xwy Fz D s JOB NO. , Ip JOB LOCATION ; BILL TO DATE STARTED DATE COMPLETED N C, DATE BILLED bdS JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL l l� ,� PERMIT # 156 OWNER: John C. Dills , Jr. CS LOCATION: - Nelson Subdivision - Lot 3 - Tr.51, NW, of NE, of Sec. M, T8S, 6th pm INSTALLER: Kelly Lyon SIZE OF TANK: 1,000 gallons DWELLING: Apartment above garage - one bedroom PERC RATE: one inch/20 minutes (suggest 10 x 10 x 10 dry well - dry well must be 10' from property lines - 20' from building and 100' from well) TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT Finalized: 4-12-77 JILDER By: Erik Edeen Printed in U.S.A.