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HomeMy WebLinkAbout1043 Willits Ln - 246511200004 - 0218IS VOIDEAGLE C NTY DEPARTMENT OF ENVIRONM( ,'AL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PER.MTT MUST. BE POSTED ON PROPER_.TY_ PLEASE CALL FOR FINAL INSPECTION PERMIT N0 218 a building or use permit) Owner Clarence J. Spargue System Location Lot 2, Red Tables Acres — Basalt Licensed Contractor . Frank Bishop * Conditional Construction approval is hereby granted for a 19000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate 1 inches in 15 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 `f (:� 12 % Inspector — 0-1, �' 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. Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements.0 Adequate compliance with County and State regulations/re ements. Date 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 ­4' Name, address, and telephone of ENVIRONMENTAL HEALTH / P.O. BOX 811 PERMIT NO. �` EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N® Name of Owner: ��/P�iV C �mti°f1 uc Phone: Address of Owner: fD ' i &46& Is facility within boundaries of a city/town or sanitation district? �d Distance to nearest sewer system:Jiso- L- _3 Location of Proposed System: /-(>! Wa-0 Legal Discription: L D%' -rwo tc�� . Q 010 &A b a 00cr A.0--a o AID 7204/e, /i1C,� S Type of Structure: Single Family Dwelling Other: No. Bedrooms -j Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: 2 ® O x -,) l 9. 5 Public Water Supply: AE:S An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be co ructed and installed in accordance with the regulations governing individual sewage systems within Eagle Co and shall comply with House Bill 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasu a it, upon approval of this application, may be obtained at the Eagle County sanitarian's offi Appointment for final inspection muste m e i r to u ion by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.y Refer t p rmit u er No approval will be given on any system without final inspection. \ design of system: E Al ^ � l 94 OP sib a for The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent per it. SIGNATURE OF APPLICANT: Date: 9-23--7 his application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Permit No. Tank Capacity: _�4 0 gal. (minimum) Fee Receipt: Absorption Area: ' Sq. ft. (minimum) File: -A 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: 6 PERCOLATION TEST FEE: $50 Application No. 4/aP Owner: Legal Description: o4.2 94 a,% dot a Permit No. Type of Dwelling: 44tt& No. of Bedrooms: Date of Test: , /,IZ7 Diameter: Location of Test Holes: Depth of Holes: Type of Soil: Test Holes Presoaked: Yes: v� No: 3 TIME WATER DEPTH INCHES OF FALL RATE 1 2 .3 1 2 3 1 2 3 1 2 3 lya PERCOLATION RATE: MPI APPROVED: DISAPPROVED_ DATE i 3-17 9' 4G� G -z U Z i4-1,,voib 43PR,,--5Sg J 1 ,C l� le 6nJO-a: mil' S D l2 A 6 4 G ✓�vOE �,✓L�—y-��e,F, 1� Coo �77 L) COUNTY LOAD f� ` '`\1 EAGLE JOUNTY ENVIRONMENTAL HEALI INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM fWANI E e Permit Number )Ae e� ✓ 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 Zoning Regulations 4— Recommend Approval _ Z 77 Comments: COUNTY ENGINEER: Roads Grading Drainage Recommend Approval Comments: BUILDING DEPARTMENT: Set backs Site Access Other Recommend Approval Comments: f 0218-Lot 2 Red Table Acres Basalt JOB NAME- sP�GUE SG�,'lh' -) �- - JOB NO. I JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED ZDIZ VI, KI., RtkA �-� JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL i TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.