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HomeMy WebLinkAbout1301 Fulford Ct - 210904102010EAGLE( `LINTY DEPARTMENT OF ENVIRONF ITAL HEALTH Box 81 1 6th & Broadway Eagle, Colorado 81631 PERMIT N� 169 (this does not constitute • a building or use permit) Owner Robert L. Carl and Robert E. Havener System Location Lot 63, Kaibab Subdivision, Filing # 1 Licensed Contractor . Self * Conditional Construction approval is hereby granted fora 1,000 gallon (2) XX Septic Tank or Aerated treatment unit.9lease call for final inspection Absorption area (or dispersal area) computed as follows:Permit must be posted on property Perc rate inches in minutes sq. ft. absorption area per bedroom # of bedrooms x sq. ft. minimum requirement May we suggest Date :2�—Z2 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 k cleanout to within 12" of final grade or aerated access ports above grade. Proper aerials and assembly. Ade absorption (or dispersal) area. 5Ad �tecomipliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date T%�7Z Inspector K_cz� 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. PERMIT NO. ENVIRONMENTAL HEALTH P.O. BOX 811 EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT U Name of Owner: Robert L. Carl and Bob Havener Phone: Address of Owner: Box 960, Eagle, Colorado 81631 A 392 328-7760 Is facility within boundaries of a city/town or sanitation district? No Distance to nearest sewer system: 1 mile Location of Proposed System: Lot 63, Kaibab Subdivision, Filing # 1 Legal Discription: Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms 5 Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: 2.05 acres Public Water Supply: Eagle 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: Same The undersigned acknowledges that the above information -As —true --and that false information will invalidate the application or subsequent per -miff. � SIGNATURE OF APP Dat �Z%� s apple tion becomes invalid 6 months from above date.) REMODEL TO EXISTING SYSTEM HEALTH DEPARTMENT USE O Percolation Information: Tank Capacity:2- /� L� gal. (minimum) Absorption Area: /2; /-L-0 .�• 44- Sq. ft. (minimum) REMARKS: NO FEE REMODEL TO EXISTING SYSTEM APPLICATION IS: APPROVED ( ) 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: Sanitarian: -EAGLC'-'OUNTY ENVIRONMENrAL HEAL1 INDIVIDUAL SEWAGE: DISPOSAL SYSTEM PERMIT ROUTE FORM NAME -T - 77 ate Refered 41 Permit Number zw LOCATION ?lease review the attached application and return it and this completed form to the Environmental Health Office within 6 working days. ?LANNING: File No, Yes No Reviewed by Date Complies with: Subdivision Regulations Zoning Regulations X1, Recommend Approval L\j "I -omments: BOUNTY ENGINEER: Roads Grading Drainage Recommend Approval K H Domments: BUILDING DEPARTMENT: Set backs Site Access zither Recommend Approval -omments: 0169-Lot 63 Kaibab Subdivision�1 7-( 1 ,�(� O) I I- 62 0 1 )0 JOB NAME .__1301 Fulford Court CARL 1 J "7 JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY }- %��%� I PERMIT # 169 New i-s SJ6A �� `� ` C�', 2 �la�� any(► lMo� � V��'1�S OWNER: Robert L `nl and RobE. Havener LOCATION: Lot 63 - Kaibab Subdivision - Filing #1 (2.05 acres) l � O l ,� �� �,.�, INSTALLER: Owner SIZE OF TANK: 2 - 1,000 gallons DWELLING: Residential - 5 bedrooms PERC RATE - not listed Finalized: 5-4-77 By: Erik Edeen (� ©' —\ ¢ 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 1,110/ JOB FOLDER Product 278 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A. PERMIT NO. C ENVIRONMENTAL HEALTH '�) P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT PERMIT FEE S2S.00 N9 392 Name of Owner: Robert L.- Carl and Bob Havener Phone: 328-7760 Address of Owner: Box 966 Eagle, Colorado 81631 Is facility within boundaries of a city/town or sanitation district? No Distance to nearest sewer system: 1 mile Location of Proposed System:, Lot 63, Kaibab Subdivision, Filing # l Legal Discription: Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: 2.05 acres Public Water Supply: Eagle 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: Same The undersigned acknowledges that the above application or subsequentyermit:--,� SIGNATURE OF and that false information will invalidate the Date is apple Lion becomes invalid 6 months from above date.) :.:EMODEL TO EXISTING SYSTEM HEALTH DEPARTMENT USE Percolation Information: Permit No. Tank Capacity:Z J /i -- gal. (minimum) Fee Receipt: Absorption Area: Sq. ft. (minimum) File: REMARKS: NO FEE REMODEL TO EXISTING SYSTEM 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: -77. .7t " E. % - N��:S % A " 14x `\\ , ;�X�4� ���\ \ `� � �� IPA v I� CM p PERMIT # 169 N�w� stun` o M��s���T� 1►�� �'i� Z OWNER: Robert L� rl and Robe E. Havener ------------- LOCATION: Lot 63 - Kaibab Subdivision - Filing #1 (2,05 acres) INSTALLER: Owner SIZE OF TANK: 2 - 1,000 gallons DWELLING: Residential - 5 bedrooms PERC RATE - not listed Finalized: 5-4-77 8y: Erik Edeen