HomeMy WebLinkAbout83 Elk Range Dr - 239127201009 - 0173ISEAGLE ( 1NTY DEPARTMENT OF ENVIRONM' TAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT® 13 (this does not constitute
• a building or use permit)
Owner LEE BERNHEI SEL
System Location Lot 18, Eppley Subdivision.
Licensed Contractor Owner
* Conditional Construction approval is hereby granted for a 1.000 gallon
XX Septic Tank or Aerated treatment unit. PERMIT MUST BE POSTED ON PROPERTY
Absorption area (or dispersal area) computed as follows: PLEASE CALL FOR FINAL INSPECTION
Perc rate 1 inches in 15 minutes 600 sq. ft.
absorption area per bedroom 200 sq. f t .
# of bedrooms 3 x 200 sq. ft. minimum requirement
May we suggest 600 sq. ft. of drainage field
Date � 2 Inspector
FINAL APPROVAL OF SYSTEM:
No system shall'be4eemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved ��r to"covering any part.
1/
eptic Tank cleanout to within 12�, of final grade or aerated access ports above grade.
Pro r materand assembly.
Adequa a absorption (or dispersal) area.
dequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
✓"/ � .�7
a `—� s to In !ector
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
V'_+1'
PERMIT NO.
Name of Owner:
ENVIRONMENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT // -- N? 371
l
!? 13 f" i'1� l .S E� ( Phone: w YP 3
Address of Owner:._S2C-? r 7 C—_ I K U (- t'b11w�l
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system: f �yl_- II
Location of Proposed System: Vy e `5A 2 r L�1 e O
Legal Discription: L Q f I 4f�x Q.
Type of Structure: Single Family Dwelling ( X) Other: No. Bedrooms 113
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: Ck-C- e_�5 Public Water Supply: l 0 LU VN C � r
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 desi n of system:)( i^��- I. E'-r Ix �t e 1 s < r
The undersigned acknowledges that the ='e:
that false information will invalidate the
application or subsequent permit.A�SIGNATURE OF APPLICANT: /7-7
(This application becomes invalid 6 months from above d te.)
^HEALTH DEPARTMENT USE ONLY r-e�
Percolation Information: � " f e J_ Permit No.
Tank Capacity: /-000 _ gal, (minimum) Fee Receipt: ,75 -2
Absorption Area: 6Z ffnSq. ft. (minimum) File:
REMARKS: �r" �'+1 �, r 6z
r
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:
f 10c✓ -772
EAGLE COUNTY £NV1RONMP 1TAL rHEALTH
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT '
ROUTE SLIP
77 Name
Date Referred
hl Ye7LT5 A cT
Location
'lease review the attached application Ind return it and this completed form to the
,nvironmental Health office within-6-working days.
'lanning: File Number Yes No Reviewed By Date
Complies with;
Subdivision Regulations
Zoning Regulations
Recommend Approval
'orrment s z
ounty Engineer; Roads
Grading:
Drainage
Recommend Approval
omments:
,�`�.r. r-'.:y.,,�.�..,.,.�y C'_ .��. � �.�C-G__„i-"� O I �-,;�/ ,—"'�%�A � 7�'-V t.ic/Ji_L. z�J j^/ U�r-- <-r: o G✓ dy-
uilding Department: Set Backs
Site
Access
Other
Recommend Approval
r
X-
onunen t s
0173-Lot 18 Eppley Subdivision
JOB NAME . 0083 Elk Range Carbondale BERNHEISE
,114
JOB NO.
B LOCATION
BILL TO
DATE STARTED I DATE
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R)
P)
JOB FOLDER'Product 278 \`
JOE
PERMIT # 173
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
n
OWNER: Lee Bernhei sel 1 Z4 ._ qZ
LOCATION: Lot 18 - Eppley Subdivision
(Basalt) 2.02 acres
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x 200 sq.ft.
PERC RATE: one inch/15 minutes (600 sq.ft.)
(suggest 600 sq. ft. of drainage field)
Finalized: 5-13-77
By: Erik Edeen
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