HomeMy WebLinkAbout8193 Brush Creek Rd - AdamsRibRanch - 000000000000Owner Adams Rib
System Location
EAGLE UNTY DEPARTMENT OF ENVIRONN TAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N® 1'70 (this does not constitute
• a building or use permit)
3193 Brush Creek Road
Licensed Contractor . Owner
*.Conditional Construction approval is hereby granted for a 500
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate inches in minutes sq. ft.
absorption area per bedroom 300
# of bedrooms 1 x 00 sq. ft. minimum requirement
May we suggest300 sq. ft. of drainage field
Date �� �.77 Inspector
FINAL APPROVAL OF SYSTEM:
gallon
sec. lz` x30
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 /a 1977 Inspector Uez /D.tico/ &vel�
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
L - -
,
(' ENVIRONMENTAL HEALTH'
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE 25.0
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT No 3 9
Name of Owner: Adams Rib Phone: 328-6326
Address of Owner: Eagle, Colorado
Is facility within boundaries of a city/town or sanitation district? NO
Distance to nearest sewer system: 5 mile
Location of Proposed System:g'gk 8193 Brush Creek Road
Legal Discription: Tract 95, SeG. 26, R gT-��,.�5
Type of Structure: Single Family Dwelling ( Other: 111-inkhouse No. Bedrooms 1
Water Supply: Private Well ( 'Location: RUjU @Brush Crank Distance From leach field: 299 Ift
Size of Lot: 35 ages -i- Public Water Supply- Private
S f �'
An appropriate -pW_-.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.
I 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:
Engineer: Clint Brookhart Box659 Eagle,, Co 81631 328-6326
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit. a D
SIGNATURE OF APPLICANT: �1M,�3 Mom' Date:
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: Test Hole#1 7 min,411' Test Hole #2 2nmin, l" Permit No.
Tank Capacity: Soo gal. (minimum) Fee Receipt: z2-
Absorption Area:ggn Sq. ft. (minimum) File:
REMARKS:
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: Ili �� Sanitarian:� h,�4d
EAGL(- 'OUNTY ENVIRONMENTAL HEAL(—"
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
C�� J?
NAME
ate Refered � Permit Numuer
LOCATION
Please review the attached application and return it and this completed form to
the Environmental Health Office within G working days.
PLANNING: File No. Yes No Reviewed by Date
Complies with:
Subdivision Regulations
Zoning Regulations
Recommend Approval
Comments:
COUNTY ENGINEER: Roads
Grading
Drainage
Recommend Approval
Comments:
BUILDING DEPARTMENT:
Set backs
Site
Access
Other
Recommend Approval
Comments:
'49
0170-Tr 85 Sec 26 R84 W T5S
JOB NAME' 8193 Brush Creek Rd ADAMS RIB P(� C� JOB NO.
F-10
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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 U.S.A.
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N. 638,000
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MEURER • SERAFINI • MEURER, INC.
CONSULTING ENGINEERS
2901 W. 19 th. AVE. DENVER,
COLO.
DRAWN BY-
PART OF TRACTS 80 a 85
JOB NO.
43890
DESIGNED BY:
FILE NO.
ADAMS' RIB RECREATIONAL AREA
CHECKED BY:
SCALE:
B. P.
100
I
NO. DESCRIPTION
DATE BY
DATE:
EAGLE COUNTY -COLORADO.
SHEET NO.
REVISION
11-4-74
12;