Loading...
HomeMy WebLinkAbout275 Escalante - 239127205011 - 0189ISEAGLE ( UNTY DEPARTMENT OF ENVIRON1 TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT O 189 (this does not constitute • a building or use permit) Owner James W. and Gloria J. Peloquin System Location Lot 2, Block B, Parcel 1, X16K Aspen Mesa Esters Licensed Contractor Max Patton, El Jebel, Colorado 81628 * Conditional Construction approval is hereby granted fora 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 $00 sq. ft. absorption area per bedroom _ # of bedrooms x sq. ft. minimum requirement May we suggest 800 square feet of drainage fielCd '�/�C� Date � 7- 7i Inspector __ft C 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. Jr Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. kl�j Adequate absorption (or dispersal) area. r-1 Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. DateInspector 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 (8500.00 fine - 6 months in jail or i...4L. PERMIT NO. Name of Owner: Address of Owner: ENVIRONMENTAL HEALTH P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT PERMIT FEE $25.00 N° 365 Phone: 9(0 S' a© a Is facility within boundaries of a city/town or sanitation district?ancl '`rf' 4 �'Ic-,koa C= tilyej IF Distance to nearest sewer system: Location of Proposed System: ' 1cf,l.. 5 )- .. (J Ica f- cJ0(p( r4a sR--G-o 1 hnUG Legal Discription:-�� ✓ G�.1 ,(7]���Q ���j Type of Structure: Single Family Dwelling (X ) Other: No. Bedrooms Water Supply: Private Well (K ) LocationPP--,QPri 1%2 17-0 421ffiQ0istance From leach field: Size of Lot:. ti �' C i->°-S Water ��" Public Supply: 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: ry)Qx n The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Lt1� Date: ( is application becomes invalid 6 months from above date.) �Ij HEALTH DEPARTMENT USE ONLY Percolation Information: &� 1/0" Permit No. Tank Capacity: Z OOD gal. (minimum) Fee Receipt:/k "1:5 - gg35 Absorption Area: 8�D Sq. ft. (minimum) File: 6 f-7% - /,51 REMARKS: APPLICATION IS: APPROVED (XX) DENIED The above individual sewage disposal system was installed by Max Patton AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: 9-12-77 Sanitarian: John Evans for Erik Edeen " k:AG(� _. COUNTY ENVIRONMENTAL 11EALT11 (r ` 4 INDIVIDUAL. SEWAGE DISPOSAL SYSTEII PERMIT 110UxE SLIP Name da ite .cerrc. — � flulaucr sZct..1c°Un�:u�yZea�v�P¢ Location lease review the attached application and return it and this completed form to the nvironmental Health office within'G working days. fanning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulations ,. Zoning Regulations Recommend Approval �.._� )mment s )unty Engineer: Roads Grading: Drainage Recommend Approval )mments: ,ilding Department-: Set ]hacks Site Access Oth6r l:ecommend Approval r. _� c 7 BUILDING DIVISION INSPECTION REQUEST P. O. BOX 789 PHONE: 328-6339 EAGLE COUNTY DATE JOB NAME TIME RECEIVED AM PM CALLER []---A-- PP ROVED ❑ DISAPPROVED ❑ REINSPECT ❑ UPON THE FOLLOWING CORRECTIONS: CORRECTIONS DATE INSPECTOR '11N 0189-Lot 2 Block 2 Parcel 1 Aspen M E t VJOB NAME'-0275 Escalante PELXUINYu/ JOB NO, JOB LOCATION DI BILL TO DATE STARTED DATE COMPLETED DATE BILLED 'ri 1111 G� 9 WAYre— Z-11 JOB COST SUMMARY TOTAL SELLING PRICE PERMIT # 189 a�:� P OWNER: James W. &�ori a J . Pt1 oqui n i LOCATION: Lot 2 -Block 2 -Par-ce*1 1, Aspen Mesa Estates (2.58 acres) C0q'1 INSTALLER: Max Patton SIZE OF TANK: 1,000 gallons DWELLING: Residential - 3 bedrooms PERC RATE: one inch/30 minutes (800 sq.ft.) suggest 800 sq.ft. of drainage field��� B John Evans Finalized: 9-9-77 Y • TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX M ISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JLDER Printed in U.S.A.