HomeMy WebLinkAbout57 Elk Range Dr - 239127202001 - 0220ISEAGLE r 'JNTY DEPARTMENT OF ENVIRONCjTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
:I RMIT MUST BE POSTED ON PROPERTY PLEASE CALL FOR FINAL INSPECTION
PERMIT N9 220 (this does not constitute
a building or use permit)
Owner Bob Sewell
System Location Lot 1, Red Table # 2
Licensed Contractor Owner
* Conditional Construction approval is hereby granted for a 1, 000 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 25 minutes 800
absorption area per bedroom
sq. ft.
# of bedrooms x sq. ft. minimum requirement
May we suggest 800 sq. ft. of drainage field
Date September 28, 1977 Inspector Erik W. Edeen, R.P.S./sam
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.
Adequate absorption (or dispersal) area.
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
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 449
Name of Owner: Bob Sewell Phone: 96.3 —30 0
Address of Owner: Star Route, Box 13, Carbondale, CO
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System: Lot 1. Red Table Acres # 2
Legal Discription:
Type of Structure: Single Family Dwelling O Other: No. Bedrooms 3
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: a (0 1 Public Water Supply: Claaalo//Jvj�Al
�—
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 dA design & installation of system.
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit. i
PSIGNATURE OF APPLICANT: " Date: / 77
(This application becomes invalid 6 m nths from above date.)
Percolation Information: /72%11!U
Tank Capacity: lf/r119
Absorption Area 40-- 3
I_.
REMARKS•i "
J; ! i
HEALTH DEPARTMENT USE ONLY
gal. (minimum)
Sq. ft. (minimum)
APPLICATION IS: y APPROVED ( ) DENIED ( )
Permit No.
Fee Receipt:
File:%?0
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:
r.. A
r�
Application No.�
Owner: C EewjEzl-
Legal Description:
7,
PERCOLATION TEST
FEE: $ 5 0
Permit No.
Type of Dwelling:IAJ �A9 i1-y No. of Bedrooms:
Date of Test: C?" Z/ 7 %
Diameter: -
Location of Test Holes:
Depth of Holes
3
Type of Soil:
Test Holes Presoaked: Yes: No:
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
2
3
1
2
3
1
2
3
PERCOLATION RATE: �- S MPI
APPROVED: DISAPPROVED: DATE:
/000 y ���► 500 sq
0
EAGLL COUNTY ENVIRONMENTAL HEAL'.
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
NAME
at/e 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
Zoning Regulations
Recommend Approval L �12 7 7
Comments:
COUNTY ENGINEER: Roads ~
Grading
Drainage
6
Recommend Approval
Comments:
BUILDING DEPARTMENT:
Set backs
Site
Access
Other
Recommend Approval
Comments:
IL !W1RONMENTAL HEALT,(.
BOX B11 • EAGLE, COLORADO 81631 • PHONE 1303) 328-7
(Z
w
BY_ , i�,YYl� ,SaC..--.__-._
Form WR731The Drawing Board, Inc., Box 505, Dallas, Texas
INSTRUCTIONS TO SENDER:
t. KEEP YELLOW COPY. 2. SEND WHITE AND PINK COPIES WITH CARBON INTACT.
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0220—Lot 1 Red Table Acres #2
FBJO,
-0057 Elk Range Drive s PNAME CQte(�JOB NO.
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JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
Z� 1 `W , �
�wro "� , �-rs cl k `
a�cLl -23 2'2 2_0 2-- CC f
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
�ABOR
PERMIT # 220 jj ,f -�-
leM;�C� I, ,--1 C�jAe ��'���I�C ' ` IRANCE
OWNER: Bob
iES TAX
LOCATION: Lot 1 - Red Table Acres #2 !COSTS
(.69 acres)
U Co v ! '1
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms TOTAL JOB COST
PERC RATE: one inch/25 minutes (800 sq.ft.)
suggest 800 sq . ft. of drainage field GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
Finalized: 9-28-77 By: Erik Edeen NET PROFIT
JOB FOLDER Product 278 ®8 NEW ENGLf
Printed in U.S.A.