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Home My WebLink About6010 Salt Creek Rd - 210727300040EAGLE\LINTY DEPARTMENT OF ENVIRONM,/ '7AL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT NU 181 (this does not constitute a building or use permit) Owner John R. Oleson System Location XXXXXXMIINXXX Tract 71 Parcel 4. Salt Creek Licensed Contractor Larry Schultz * Conditional Construction approval is hereby granted fora 1, 000 gallon XX Septic Tank or Aerated treatment unihn PERMIT MUST BE POSTED ON PROPERTY Absorption area (or dispersal area) computed as follows Perc rate 1 inches in 30 absorption area per bedroom minutes 840 PLEASE CALL FOR FINAL INSPECTION sq. ft. # of bedrooms x Z ,?0 sq. ft. minimum requirement May we suggest 840 sq. ft. of drainage field - 12' x 70' Date 6 7 2 Inspector az 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 -a4 22 Inspector Sxe� G /X�1/1-1;1f0 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 both. ENVIRONMENTAL HEALTH d O� P.O. BOX 811 PERMIT NO. O EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 399 Name of Owner: John Oleson Phone: 524-7575 Address of Owner: 0570 Airport Road, Box 246, Gypsum, Colorado 81637 Is facility within boundaries of a city/town or sanitation district? No Distance to nearest sewer system: 5 miles approx. Location of Proposed System: Tract 71, Parcel 4, Salt Creek Legal Discription: Type of Structure: Single Family Dwelling ( X ) Other: Water Supply: Private Well ( X ) Location Size of Lot: 40 acres o. Bedrooms 3 Distance From leach field: Public Water Supply- None 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: Larry Schultz - Schultz Const., Gypsum, Colorado The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. II SIGNATURE OF APPLICANT: Date: _.- SA3{?-7 (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: 1, -119 &" Permit No. Tank Capacity: /, 1--" gal. (minimum) Fee Receipi.17S - fdJ1 Absorption Area: 1-;?X 710 — �`�� Og-&- 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: ��« - .f77 Sanitarian: fb � CMA so ANNIE ally VIP, cn I . 6N MAT TAX:, Qd- J too all WTANSQ&,� .t EIZCOL T.l'Jl`I TEST JT Fc;c:: 150. 00 f pnlicp Lion No.Permit No. Owner. Lea,-;l Description:. Tyne of Du•ellin�: ----No. of Bedrooms: Date of Test: < Denth of Holes: Diameter: /O Tyne of Soil: c 0� Lot ion of Test Holes: '~ Test hole was nresoaized from: To: Time Dcte , Time Date DLE TI1iE WATER DEPTH � INCHES OF FIULL HATE 1 2 3 1 1 2 — 3`L 1 2 3 1 2 3' �J j Percolation Rate: 130 1,11PI Site lips been reviewed, and tested for ercolation. rate.'. We 'recommeiid: IPPROWL DISIPPROVAL DITE: Erik i;'. Ecleell R.P. S. Ell vi.ronment,-J health County d a I EAGL( )L'OUNTY ENVIRONMENTAL HEALI INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM % NAME �0 ate ftefered Permit Number LOCATION Please reviev, 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 i i Recommend Approval Comments: COUNTY ENGINEER: Roads'-, Grading Drainage Recommend Approval Comments: BUILDING DEPARTMENT: Set backs Site Access Other_ Recommend Approval Comments; ?10 1 0181-Tr 71 Parcel 4 Salt Creek I JOB NAME —6010 Salt Creek Rd OLESON 1i -S-'Wd� To JOB NO., ,400108 LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED C' , Cke-scA Ln' —s t 60 0 1 f C=k lgw� JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL (0 Lc7mp PERMIT # 181 OWNER: John E. Olseson Gi LOCATION: Tract 71 - Parcel 4 Salt Creek (40 acres) t)C�Coj�, INSTALLER: Larry Schultz SIZE OF TANK: 1,000 gallons DWELLING: Residential - 3 bedrooms x 290 sq.ft. PERC RATE: one inch/30 minutes (840 sq.ft.) Suggest 840 sq.ft. of drainage field 12' x 70' Finalized: June 26, 1977 Bv- Frik rHnon TOTAL LABOR INSURANCE SALES TAX MISC. COSTS T 1 TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT )LDER Printed in U.S.A.