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2601 Cedar Dr - 246704400011
EAGLE JNTY DEPARTMENT OF ENVIRONM TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMITU 193 (this does not constitute a building or use permit) Owner Douglas Long System Location Basalt Mountain Licensed Contractor . W. V. Smith, P . E. , Box 743 , Eagle, C 0. 81631 * Conditional Construction approval is hereby granted for a 1250 gallon XX Septic Tank or Aerated treatment unit. PERMIT MUST BE POSTED ON PROPERTS Absorption area (or dispersal area) computed as follows: PLEASE CALL FOR FINAL INSPECTION Pere rate 1 inches in 5-10 minutes 600 sq. ft. absorption area per bedroom 200 # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest 600 sq. ft of drainage field — although 500 sq. ft. would be acce table C Date �� ? InspectorZi���__� 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. Date Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. INSPECTION 12/16/80 by Erik Edeen revealed that the system is installed. No final Adequate absorption (or dispersal) area. inspection ever given. File is in complete( file with no .final given. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Inspector 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 1-1- ENVIRONMENTAL HEALTH' P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 4 10 Name of Owner. Phone: o" e Address of Owner: 13AtSo9 47 M e)(4 Is facility within boundaries of a city/town or sanitation district? Aly Distance to nearest sewer system: Q M;//f Location of Proposed System: S e e a. 7 9-c..,�i. 4r, T1,79 Legal Discription: Type of Structure: Single Family Dwelling ( Other: No. Bedrooms Water Supply: —ftevafe--Well ( ) Location: 3c�do /yrsr�i df � rt� Distance From leach field: 3 �JoO Size of Lot: .� G G �' e 5 Public Water Supply: -A"0 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: The undersigned acknowledges that.the above information is true and that false information will invalidate the application or subsequent permit. 7 SIGNATURE OF APPLICANT: Date: 7 / -r (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Awll.p Permit No. Tank Capacity: gal. (minimum) Fee Rec ipt :A -a? °° S Absorption Area: ADO Sq.ft. (minimum) File: "�i' 0 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: s LL) A) Te, A-�' Al 14, OLJ' BUILDING DIVISION P.O. Box 179 PHONE: 328-7311 ISDS Permit #: 193 INSPECTION REQUEST EAGLE COUNTY DATE 12/9/80 JOB NAME Douglas Lon TIME RECEIVED AM PM CALLER residence M OTHER Final? ❑ PARTIAL. LOCATION Basalt Mountain READY FOR INSPECTION MON TUE WED THUR FRI AM PM COMMENTS: Original permit issued July 15, 1977 for a minimum 1,250 gallon tank with 600 sq. ft. leach field. Installer was to be William V. Smith. ❑ APPROVED ❑ DISAPPROVED ❑ R E I NSPECT ❑ UPON THE FOLLOWING CORRECTIONS: CORRECTIONS l DATE / EAGL� COUNTY ENVIRONMENTAL J.IEALI. INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT � ROUTE FORM 1E ate Refered Permit Number LOCATION Please review 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: ©k Subdivision Regulations . Zoning Regulations Recommend Approval of 7 r Comments:�o� a COUNTY ENGINEER: Roads Grading Drainage 6 Recommend Approval Comments: BUILDING DEPARTMENT: Set backs Site Access Other Recommend Approval Comments: FAGLI_ ;OUNTY ENVIRONMENTAL REAL. INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM GaaJ YA bE ate Refered Permit Number LOCATION Please review 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 . 4 Zoning Regulations epK Recommend Approval O 7 Comments: J�_/� COUNTY ENGINEER: Roads Grading Drainage Recommend Approval Comments: BUILDING DEPARTMENT: Set backs Other Comments: Site Access Recommend Approval 0193-Basalt Mountain r_ J JOB NAME L c �G�tX IO2.�b�' JOB NO., JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED �r 00 Z6 ve 7-4 =O�q - DO - JOB COST SUMMARY TOTAL SELLING PERMIT # 193�� PRICE OWNER: Dougli,�,Long LOCATION: - Basalt Mountain C0 %poi Cec qq- �� (10 acres) INSTALLER: W.V. Smith SIZE OF TANK: 1,250 gallons DWELLING: Residential - 3 bedrooms x 200 sq.ft. PERC RATE: one/inch/5-10 minutes (600 sq.ft.) Suggest 600 sq.ft. of drainage field - although 500 sq.ft. would be acceptable. Finalized: no date given 12/16/80 inspection revealed system installed JOB FOLDER'Product 278 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed In U.S.A.