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Home My WebLink About2255 Emma Rd - 246511400003 - 0179ISEAGLE )UNTY DEPARTMENT OF ENVIRONI ITAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT N9 179 (this does not constitute a building or use permit) Owner Allen Stor System Location Emma, Colorado Licensed Contractor . V & S Excacating, Inc., Box 2837, Aspen, CO. 81611 * Conditional Construction approval is hereby granted for a 1.000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 30 minutes 700 sq. ft. absorption area per bedroom # of bedrooms x sq. ft. minimum requirement May we suggest 700 sq. ft. of drainage field Date —_57_-2=;�7 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 ��2t .✓� %% Inspector.ez 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 C' ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 1r0 Name of Owner:., �T ,I _A&6Z �{dea=,Phone: , 1� 1 Address of Owner: ROK, --), K� / 26 3`3?92_ Is facility within boundaries of a city/town or sanitation district? Al 6 c Distance to nearest sewer system: 1�ti Location of Proposed System: 9n y,1 A - Legal Discription: Type of Structure: Single Family Dwelling ( " Other: No. Bedrooms 3 Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: /.?At'Ji—PQ Supply: Public Water Su I ,/,�1� 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; (/l 'S �s/�,L4��a1•y� �/+w. The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: LA —Date:_— (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: -p X�;�" Permit No. Tank Capacity:__ /eL" gal. (minimum) Fee Receipt� Absorption Area: Z" Sq. ft. (minimum) File: �'��40 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: Sanitarian: • P13,411COLPTION TEST Fey:: $ U.00 lnnlic. Lion No. 1,1/7 Permit .No. Owner: Leval Description /lvlinra� Tyne of Dwelling: No. of Bedrooms: �? .Date of Test: �� "- 72 Denth of Holes: . Diameter: %Z Tyne of Soil: Loc.,,.tion of Test Holes:� Test hole was nr esoaiced from: To: Titae Dste Time Date DLE TIirIE WATER DEPTH INCHES OF FILL• L RATE 1 d 3 1 2 3-L 1 2 3 1 2 3. Percolation mate: mpi. Site 'has been revi ei ed- and tested for percolation. We recommend: IPPROWL DISIPYROVfi.L DITE: �'cJ5` Se Erik Yr'. iscleC« ii i S. E1)Vi1`0[1111C11t,—?l fier.lth E.A-10 County 7 �Q 7 ✓, 00 cc cc k k,,.•^�\ ice` :�I 1� .�` M:`1. ... +,�� t,^rx t. ui 'J a' �;-t` ' I �l � � :: ! '�.+ !,, � ter-.. .r p e }: _ � +�•,-..a-�.: �-.> r ,,. ��/rt---.•, _ ---mow. 8 r f 1 /�1 1 `1 \" , t � r/. ; �ti��*-r.- F `/ t G , ' ,-j � f . \ter •, \ `�.. � �.-t1t . � ' � � n� � / '.��'� _i�. •+F --� -.ti .j � i -�'�� J- � � "-' 1 �'•` � I t '• + ) ,�1 1 ` c j •`'-) � � J i .1' � .. r^; • : ' " EAGLk-"OUNTY ENVIRONMENTAL HEAL INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM NAM E IUCC /i�i�'7 7 75 ��✓G/ ate Aefered Permit Number �ivy�� [,1�i�7CtCt'U LOCATION Please review the attached application and return it and this completed form to the Envirolimental Health Office within 6 working days. PLANNING: File No. Yes No Reviewed by Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval JT�2 Comments: COUNTY ENGINEER: Roads- Grading Drainage Recommend Approval Comments: BUILDING DEPARTMENT: Set backs Site Access Other Recommend Approval Comments Y BUILDING DIVISION INSPECTION REQUEST P.,O. BOX 789 PHONE: 328-6339 EAGLE COUNTY DATE JOB NAME TIME RECEIVED AM PM CALLER r ❑ PARTIAL. READY FOR INSPECTION MON TUE WED THUR COMMENTS: []APPROVED ®'DISAPPROVED ❑ UPON THE FOLLOWING CORRECTIONS: CORRECTIONS '^L_ a FRI 1 --lZ411—C AM40 C ./ f []REINSPECT DATE INSPECTOR cap 0179-Emma Basalt @R�'_MMa- -k• JOB NAME aa55 �tTax- �GQ�1�1ea TJOB NO.L� JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED An, a61 � Z6 1Z ��T OWAeL I k E- I . �C �� rl c!1 T! �q AWtss 0OZ2,-';S Ryd FasT-P,,�-��- -? -CJQ JOB COST SUMMARY TOTAL SELLING PRICE Kwc-'1 1C DOE=i"`,I✓—��`��`"' TOTAL MATERIAL - PERMIT # 179 2 �- 9/z- OWNER: Allen Storey LOCATION: Emma Colorado (13 acres) INSTALLER: V & S Excavating, Inc. (Aspen) SIZE OF TANK: 1,000 gallons DWELLING: Residential - 3 bedrooms PERC RATE: one inch/30 minutes (700 sq.ft.) SUGGEST 700 sq.ft. of drainage field C;1; -A. A.,-..,+ r, 1077 Rv• Anhn Fvanc TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT LDER Printed in U.S.A. .ean r."lF 3�.g J