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HomeMy WebLinkAbout1101 Two Rivers Rd - 246512400010 - 0177ISEAGLE l �,,JNTY DEPARTMENT OF ENVIRONM� `TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT 1� (this does not constitute a building or use permit) Owner Lyle Schoon System Location - Basalt Construction, Box f, Basalt CO 81621 * Licensed Contractor 1 mile West on Hwy 82 * Conditional Construction approval is hereby granted for a 1250 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 30 minutes sq. ft. absorption area per bedroom 3 - 800 sq . f t . 4 - 1000 sq. ft. # of bedrooms x sq. ft. minimum requirement May we suggest For 3 bedroom - 800 sq. ft. For -A bedroom 1,000 sq. ft. � Date ��—�� 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. ek% Adequate compliance with County and State regulations/requirements. Date &A__'9, 1916X Inspector �o�c 4V 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 HEALTR r PERMIT NO. 177 P.O. BOX 811 EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT} NO 414 Name of Owner: Phone: Address of Owner: 3 22 t/ c � _ I % l" e,-/0d V 6 / Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: ,4 Location of Proposed System: I / �` ryl.>�z �` an --,te -Z � � � � �-P'Is ,S, We - Legal Discription: Type of Structure Single Family Dwelling (✓) Other: No. Bedrooms Water Supply: Private Well ( 1) Location: er Y! il ��-0 4,e- dt,, Distance From leach field: Size of Lot: a 4 C J• _!� Public Water Supply: A7 d 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: 9a :i�c- % % Ce ®�75 %i'�i d, 0 ej The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: j- _ Date: 7l 7 7 (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information:— / 100—Z- Permit No. Tank Capacity: gal. (minimum) Fee Receipt: �'/-` BED'/ Absorption Sq. ft. (minimum) File: T REMARKS: APPLICATION IS: APPROVED ( XYJ 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: NOVEMBER 0 29y 1977 Sanitarian: DOUGUS FOR EDEEN P-E-111COLPTION TEST. 11"00: 4ir.0. 00 lPnlicpLion No. 4//4/ lermit NO. Owner: v Lem zl Description:. zoz4t v Type of D%k,ellj-n,,T: No. of Bedrooms: ..Date of Test: Denth of Holes: Diameter: ZZ Tyne of Soil: Locvtion of Test Holes: Test hole Nvas nresoo-ked from: To: Tine Dr to Time 7 Date DLE TIM 1. WATER DEPTH F INCHES OF FALL RATE L 71 3 1 2 3 L.1 2 3 1 2 3 t-7 2- 7- L-L-J --- - -------- Percolation Rate: Site has been reviewed. and test fox Percolation. -e We recommend: IPPROVPL DISIPPROVAL DITE: ik 17. oil S. Environmen j Ife'.1th • E.,i-le CounL y ENGINE t -00 s _ fly 2.0Af jp ol IN Mr. Lyle Schoon Page 2 BUILDING: Approved. "Building Department does not have a permit for this location. One is required." Les Doug1 , Building Official Box 179, Eagle, CO 81631 328-6339 It would be to your advantage if you begin to resolve any problems and/ or requirements as soon as possible so as not to delay the issuance. of your septic permit any longer than necessary. Enclosed is a copy of the Routing Form for your information. Thank you very much /10 rik W. Edeen, R.P.S. Environmental Health EWE:TK:WVS:LD:sam enc: cc: Terrill Knight, Eagle County Planner W. V. Smith, Eagle County Engineer Les Douglas, Eagle County Building Official BUILDING DIVISION P. 0. BOX 789 PHONE: 328-6339 DATE TIME RECEIVED— ❑ OTHER JOB NAME-,-f AM PM CALL ❑ PARTIAL. INSPECTION REQUEST EAGLE COUNTY READY FOR INSPECTION MON TUE WED THUR COMMENTS:" LOCATION ®'APPROVED--�'�""`� ❑ DISAPPROVED El -UPON THE FOLLOWING CORRECTIONS: , f CORRECTIONS . ""7A'NA d a ./Y . F -r-` 1>; ; _�.•-; DATE G O FRI ° �� AM PM ❑ REINSPECT INSPECTOR L7k,29 9 8 •'' LAGLE COUNTY ENVIRONMENTAL 111-IALTH INDIVIDUAL SEWAGE DISPOSAL SYSTLN PERMIT ROUTE SLIT IS 57 Name bate Referred- L liulltut-Li Location 1.ease review the attached application and return it and this completed form to the nvironmental Health office within'$ working days. ianni.ng: rile Number Yes No Complies with: Subdivision Regulations Zoning Regulations Recommend Approval �A i )MMents: >unty Engineer: Roads Grading: Drainage Recommend Approval Reviewed By Date iilding Department-: Set Backs site Access Oth r ' Recommend Approval 10- f f 1 nunCIlts: 0177-1 Mi W on Hwy 82 Basalt —T V SOB NAM S DON , ;� 0,� ° JOB NO. JOB LOCATION BILL TO DATE STARTED L0 IZ DATE COMPLETED DATE BILLED PERMIT # 177 ' ` ` ��M 2 �2 — OWNER: Lyle Schoon L?ap �� y .) LOCATION: one mile W on Hwy 82 = Basalt (2 acres) INSTALLER: Not listed SIZE OF TANK: 1,250 gallons DWELLING: Residential - 3 bedrooms x 800 PERC RATE: one'inch/30 mi nutesooms x 1,000 sq.) suggest 800 sq.ft. (3 bedrooms) and/or 1,000 sq.ft. (4 bedroomsj Finalized: November 29, 1977 By Les Douglas 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.