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HomeMy WebLinkAbout2610 Copper Spur - 168903200003EAGLEC UNTY DEPARTMENT OF ENVIRONCITAL HEALTH Box 81 1 6th & Broadway Eagle, Colorado 81631 PERMIT Na 197 (this does not constitute a building or use permit) Owner Robert A. Daugherty System Location 1 mile North of Copper Spur Licensed Contractor Clark Ewing * Conditional Construction approval is hereby granted for a 1,000 gallon PLEASE CALL FOR FINAL INSPECTION XX Septic Tank or Aerated treatment unit. PERMIT MUST BE POSTED ON PROPERTY Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20 minutes. 600 sq. ft. absorption area per bedroom 200 sq. ft. # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest 600 sq. ft. of drainage field Date - 7— 2 � 77 G 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. 0-� Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. ©4— Proper materials and assembly. AL Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date � �9, -/ 7 Inspector s 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 hnth PERMIT NO 1 ENVIRONMENTAL HEALTH P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 1 Name of Owner: ^®Iq . 019y15�1 ��r�% Phone: Address of Owner: PERMIT FEE $25,00 N° 398 1715 Is facility within boundaries of a city/town or sanitation district? /v Distance to nearest sewer system: Location of11Proposed System: 1gQ,TAC£iVZ' % 13iJI)P1N6, .Sr/r.57 A101040 i , 11114 10WZ111 Legal Di Type of Structure: Single Family Dwelling Other: //''JJ No. Bedrooms 3 Water Supply: Private Well ( �,) Location: �%��'�d �D�'f1� �� �7d/'�FDistonce From leach field: Size of Lot: %O5 -,d CRe-- Public Water 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: C�Z/9Rk Z�iA4�- The undersigned acknowledges that the aboveCinfoationN —A " is true and that false information will invalidate the application or subsequent it. �- SIGNATURE OF APPLICANT:Date: / U 3 1 V I IV, N applic ion becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information:a Permit No. Tank Capacity: gal. (minimum) Fee Receipi. 7-5'' o ,,11 Absorption An Sq. ft. (minimum) File: �!Z /W-/'77 V# 11h REMARKS: APPLICATION IS: APPROVED ( k--r 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: r/ 47Z-i la9 19%1 Sanitarian EAGLL COUNTY ENVIRONMENTAL IIEALC INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM 6 Alva E 1. G J-r / '/1/gl / , - - /i f, lql ate Refered - / Permit Number /U 0- LO TION Please review the attached application and return it and this completed form to the Envirozlmental Health Office within 6 working days. PLANNING: File No, Yes No Reviewed by Date Complies with: Subdivision Regulations 1< Zoning Regulations Recommend Approval j Comments: COUNTY ENGINEER.: Roads Grading Drainage Recommend Approval Comments: BUILDING DEPARTMENT: Set backs Site Access Other Recommend Approval Comments: • � • s�r�,cc�ra; zz ort T.a�, . / FCC: $50.00 !E I pnlic, Lion IN P erntxt No. Owner: Leaa:l Description.. /YnL �� .�f•�� Tyne of DwellinC No. of Bedrooms: ki' Date of Test: �� Death of Holes: .�� .. Diameter: Z2-"'I Ty-ne of Soil: v^ric�✓l �� Location. of Test Holes; Test hole Nvas nreso3 iced from: To; 'tiule .: Ds.te Time ` Date TIME Si'ATF.R DEPTH � INCHES 'OF FALL RATE_ l 2 3 1 2' S L 1 2 3 1 2 3• 3 ercolzation Rate: 1111PI' .. Site 'has been revieu-e:l• and .tested for Percolation. z a te, We'recommend: IPPROWL DISIPPROVAL DPTE: Dnviv onmon t::,l lict:lth ' i,na.e County F . i COLORADO DEPARTMENT OF HEALTH, DIVISION OF ENGINEERING AND SANITATION A C T I V I T Y R E P O R T Section FILE REFERENCE: INDIVIDUAL OR. ADDRESS: l/ ✓ NARRATIVE: 77 D -� 6 6 4j 0�. Code County LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: /�j% DATE: 1 REPRESENTATIVE: ES: 7 (Rev. 6-70-100) Vc4"�_ FJO0197-1 Mi N of Copper Spur Bond B NAME — 184Q DALTM�RTY Copper Spur Road o '�Ne-Gcv JOB NO. ,--JOB LOCATION Me BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE �ro 0 PERMIT # 197 OWNER: —Cb e r Daughertyi LOCATION: One mile north of Copper Spur Bond, (105 acres) C-)O:Z(; C) 6, n' *ur Raj INSTALLER: Clark Ewing SIZE OF TANK: 1,000 gallons DWELLING: Single Family - 3 bedrooms x 200 sq.ft. PERC RATE: one inch/20 minutes (600 sq.ft.) suggest 600 sq;:.ft. of drainage field Finalized: 8-29-77 By: Erik Edeen TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT 0 0 LDER Printed in U.S.A. WAT--2 go f PL Y f(DpFt� SP infF> r \ a t t"3y 1 � t ryo t t l is I 1 f 1 / / I I `PRR, J r.