HomeMy WebLinkAbout611 Jules Dr - 211105400009PLEASE CALL FOR FINAL I��PEC TI ON
EAGLE( +LINTY DEPARTMENT OF ENVIRONt ITAL HEALTH
Box 811 6th & Broadway
PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631
Owner Sharon and Steve Bobson
PERMIT TO REMODEL
PERMITa 202 (this does not constitute
• a building or use permit)
System Location Lot 5. Longview Subdivision - Gypsum
Licensed Contractor Owne
* 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 3 inches in hour ffff 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 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.
2�-Proper materials and assembly.
6#-J Adequate absorption (or dispersal) area.
Ab Adequate compliance with permit requirements.
0/0 Adequate compliance with County and State regulations/requirements.
Date d�ef _ 27 Inspector 9 n1 ' e .
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.
remodel ("r existing system (�
ENVIRONMENTAL HEALTH'
P B 1
.O. OX 8 1
PERMIT NO. EAGLE, COLORADO 81631 1PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 438
Name of Owner: Sharon and Steve Bobson Phone: 524-7503
Address of Owner: P. 0., Box 103, Gypsum, Colorado 81637
Is facility within boundaries of a city/town or sanitation district? No
Distance to nearest sewer system: Approx. 1 mile
Location of Proposed System: Lot 5, Longview Sub. - Gypsum
Legal Discription: Above
Type of Structure: Single Family Dwelling ( g ) Other: No. Bedrooms 3
Water Supply: Private Well ( ) Location:
Size of Lot:
Distance From leach field:
Public Water Supply: Gypsum Water Dist.
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: Owner will be responsible
for installation of system
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit
SIGNATURE OF APPLICANT:4--:::�Date: ~✓ a %
(This application becomes invalid 6 months from above date.)
Percolation Information: 3
Tank Capacity:
Absorption Area:_
HEALTH DEPARTMENT USE ONLY
gal. (minimum)
Sq. ft. (minimum)
REMARKS: No fees required. Remodel to existing syste4i
APPLICATION IS: APPROVED (v ) DENIED
Permit No. -
Fee Receipt:
File:
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: eGG� � 77 ALSanitarian: 4—�d
16
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EAGLr"COUNTY ENVIRONMENTAL HEAL
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
f
�7 'NAME _2111e,
ate efered
Permit Number
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
Zoning Regulations
Recommend ApprovalIx
2
Comments:
COUNTY ENGINEER: Roads:,
Grading
Drainage
Recommend Approval
Comments:
BUILDING DEPARTMENT:
Set backs
Site
other
bmments:
i
I
i
i
Access A
Recommend Approval
0202-Lot 5 Longview Subdivsn Gypsum,
FOB NAME
—0611 Jules Drive BOBSONGx ���; JOB NO.
JOB FOLDER'Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.