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HomeMy WebLinkAbout7823 Brush Creek Rd - 210936204001 - Adams Mtn. Country ClubOwner Adams Rib System Location EAGLE( AUNTY DEPARTMENT OF ENVIRONF' `TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMITO 12 (this does not constitute • a building or use permit) 7823 Brush Creek Road Licensed Contractor . Owner * Conditional Construction approval is hereby granted for a 1, 000 gallon xx Septic Tank or Aerated treatment unit. PLEASE CAL FOR FINAL INSPECTION Absorption area (or dispersal area) computed as follows: PERMIT MUST BE PGSTED ON PROPERTY Perc rate inches in minutes sq. ft. absorption area per bedroom 200 # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest Minimum of 600 sq. ft. of drainage field Date �- l "��� 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 1 77 Inspector 6&.e'v ' 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 1,-Fw Y P ` ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FE 00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT No 388, instal l anon of Absprptfon filed only) l� 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: Wjxv"bw 7823 Brush Creek Road Legal Discription: Tract HO _ Sec. 26 ,—R 84W, T 5-_S Type of Structure: Single Family Dwelling ( // ) Other: No. Bedrooms 3 Water Supply: Private Well ( ✓")cation: Distance From leach field: 12n ft , Size of Lot: //��,, Public Water Supply: Private /7� An appropriate 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: Engineer: Clint Brookbart Box 659, Eagle, Co 81631 328-6326 The undersigned acknowledges that the above infor ation is true and that false information will invalidate the application or subsequent permit. NrN SIGNATURE OF APPLICANT: aJa VNA Date: "; •! 7., (This application becomes invalid 6 months from above date.) Percolation Information: Tank Capacity Absorption Ar( REMARKS: HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( DENIED ( ) Permit No. Fee Receipt:" 9XZ2- 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:. -©A -71 Sanitarian:— _ iJ EAGC{ 'COUNTY ENVIRONMENTAL BEAD, ✓� ��� �-may-'� INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM NAME ate Refered Permit Number LOCATION Please review the attached application and return it and this completed form to the Environmental Health Office within 6 working days. PLANNING: File No. Yes No Reviewed by Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval K 5 y Comments: o COUNTY ENGINEER: Roads Grading Drainage Recommend Approval z Comments: BUILDING DEPARTMENT: Set backs Site Access Other Recommend Approval Comments; 111V 5 -%f7 0172-Tr 80 Sec 26 R84W T5S JOB NAME. 7823 Brush Creek Rd ADAMS RIB JOB NO.,� C /OOJOB LOCATION IN iN k _� ` r r7-�f (-`1 h r "" _S)Oc NqA \L BILL TO DATE STARTED DATE COMPLETED DATE BILLED WS OvAe�- KAI C11 LLC Tome-6�/ 3 &-ep' Rw .c� 302- r -2— INITCRI 7T,` Z 1091 M2----0'��Co ,0S PERMIT # 172 j Z-Z ' 9'2 � -{{�� V 11 OWNER: Adams Rib TTG M(Xi! Ctll� �11�`� CAL} L� LOCATION: - Eagle f3 iS INSTALLER: Owner SIZE OF TANK: 1,000 gallons DWELLING: Residential - 3 bedrooms x 200 sq.ft. PERC RATE: not listed (suggest minimum of 600 sq. ft. of drainage field) Finalized: 6/30/77 By: Erik Edeen } V 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 -0010/ JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.