HomeMy WebLinkAbout15143 Colorado River Rd - 185918200007It REM DEL TO EXISTING SYSTEM - ADDITIONAL TANK CAPACITY tv
EAGLE JNTY DEPARTMENT OF ENVIRONM, TAL HEALTH
Box 81 1 6th & Broadway
PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631
PERMIT N° �13 (this does not constitute
PLEASE CALL FOR FINAL INSPECTION a building or use permit)
Owner Sumner Powell
System Location 15 miles up Colorado River - Gypsum
Licensed Contractor Owner
* Conditional Construction approval is hereby granted for a 750 gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate inches in minutes sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest
Date — 9- —127 Inspector
FINAL APPROVAL OF SYSTEM:
REMODEL TO EXISTING
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.
AA' Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
bL Proper materials and assembly.
Adequate absorption (or dispersal) area.
64� Adequate compliance with permit requirements.
e4- Adequate compliance with County and State regulations/requirements.
Date a ./a ,t 77 Inspector ,-,& Ao a�J deP
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
._ - -
PERMIT NO,
Name of Owner
ENVIRONMENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Sumner Powell
Address of Owner: 915 S. Little, Cushing, OK
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system: ----
No
Phone:
PERMIT FEE $25.00
N° 444
Location of Proposed System: 15 miles up Colorado River — left side of road
Legal Discription:
Type of Structure: Single Family Dwelling ( X ) Other�rnos) �Q�G.(iic> No. Bedrooms 1
Water Supply: Private Well ( X ) Location: Distance From leach field: 125 ft-
Size of Lot: 2zi acres Public Water Supply: No
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 design and 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: _ ����// (/�%/ Date: 7 / 7
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: Permit No.
Tank Capacity: %SU �aaal. �rlini um Fee Receipt:
Absorption Area: Sq. ft. (minimum) File:
REMARKS: REMODEL TO EXISTING SYSTEM
APPLICATION IS: APPROVED (X ) 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: e.0-GLt 2Za /97% Sanitarian:Z,4��-2 -
J
BUILDING DIVISION
P. 0. BOX 789
PHONE: 328-6339
DATE JOB NAME
TIME RECEIVED- AM PM CALLER
INSPECTION
E A G L-f -C
REQUEST
UNTY
READY FOR INSPECTION
MONK TUE WED THUR FRI AM' PM
COMMENTS:
F1 APPROVED [1 DI SAPP ROVED
0 UPON THE FOLLOWING CORRECTIONS:
CORRECTIONS
DATE
❑ REINSPECT
9
INSPECTOR
EAGL, COUNTY ENVIRONMENTAL 11EA1i O
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
/ DGI�,I�iG
NAME q
)a e Aefered /�.- �! �lQa'a o�Gl�-P EJ 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.
Complies with:
Subdivision. Regulations
Zoning Regulations
Recommend Approval
Comments;
COUNTY ENGINEER: Roads .-
Grading
Drainage
Recommend Approval
Comments:
BUILDING DEPARTMENT:
Set backs
Site
Access
Other
Reco/m�me
Comments: �(s
Approval
Yes No
Reviewed by Date
0213-15 Mi up Co River left side of road -7
rOBNAME P ELL < `� JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
cd
rz-
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
cor,)
PERMIT # 213 z-Z-- -
OWNER: SumnPowell - 915 Sa _h Lie
Cwsh ng, 61ktahoma 74023
LOCATION: 15 Miles up Colorado River - Gypsum
left side of roadR(22 acres)
INSTALLER: Owner
SIZE OF TANK: 750 gallons
DWELLING: Summer Cabin - 1 bedroom Kiev-t%� �-fiir �eN\
Remodel to existing system, ��;-��-
Finalized: 8-22-77 By: Les Douglas
—OTAL LABOR
'INSURANCE
SALES TAX
i
Misc. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
i
NET PROFIT
Printed in U.S.A
JOB FOLDER Product 278 ®® N