HomeMy WebLinkAbout238W Eagle St - 211106415001EAGLE CUNTY DEPARTMENT OF ENVIRONS( JAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT MUST BE POSTED ON PROPERTY PLEASE CALL FOR FINAL INSPECTION
PERMIT Na 224 (this does not constitute
a building or use permit)
Owner JOSEPH AND CHARLOTTE MAYNE
System Location GYPSUM
Licensed Contractor Owner will be responsible for system
* 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 20 minutes 600 sq. ft.
absorption area per bedroom 200
# of bedrooms 3 x 200 sq. ft. minimum requirement
May we suggest R600 sq. ft. of drainage field
t L
Date October 6, 1977 Inspector i
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.
Adequate compliance with County and State regulations/requirements.
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
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. �a`L EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT No 453
`�'
Name of Owner: o Se J,'
E• � 0% ,Jo lie a h e- Phone: L& 2KZI
Address of Owner. .23A9 L"aA_ V)-eej yp1�U, otohaILI,
Is facility within boundaries of a city/town or sanitation district? /Ire
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription:
Type of Structure: Single Family Dwelling Other: No. Bedrooms J,
Water Supply: Private Well ( ) Location: Distance Fr leach field:
Size of Lot: Public Water Supply:
J'kQi
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:
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent per
mit.
SIGNATURE OF APPLICANT: Dater
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: a� XZ4P Permit No. a=4
Tank Capacity: Z a gal. (minimum) Fee Receipt:`-/5 # L90
Absorption Area: 10�7/1 a Sq. ft. (minimum) File: `� 717-7
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:
PERCOLATION TES T
FEE: $50
Application No.
Owner:
r t1
Permit No.
Legal Description:
Type of Dvielling: No. of Bedrooms:
-f %7 /
Date of Test:_�
Diameter:
G"
Location of Test Holes:
Test Holes Presoaked:
Yes-
Ja�,4le
Depth of Holes: IS
Type of Soil:
No: >
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
2
3
1
2
3
1
2
3
7;1�
l'ZU
PERCOLATION RATE: 2 0 MPI
APPROVED: ()c-i- % DISAPPROVED:
L
,7 0 0 110,94--l-Ile /-
DATE: AO-3-7�
0
EAGL_ COUNTY ENVIRONMENTAL HEA .
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
NAME o?a�
)at 6 Aefered 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
Yes No
Reviewed by Date
Drainage
Recommend Approval �� 77
i
Comments: �i6 .f�Qir<�ytiy SddollGD ��
,,1'-12®oq Pe,0/2C5e7Y 4 W&
.BUILDING DEPARTMENT:
Set backs
Site
Access
Other
Recommend Approval
Comments:
0224-Up Gypsum Creek Gypsum
r.J-0EB NAM 4qq
23MEagle Street E SciaT 51�1% JOB NO. -�
E
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
z 012 Scans ; 'To S1��j /l 4
�✓
PERMIT # 224
OWNER: Joseph �harlotte Mayne
LOCATION: Up Gyps urjCreek - Gypsum.
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x 200 sq.ft.
PERC RATE: one inch/20 minutes (600 sq.ft.)
Suggest 600 sq.ft. of drainage field.
Finalized: 5-9-78 By: Erik Edeen
-2 11 I -h(4._ It-;. Ml J
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER product 278
Printed in U.S.A.
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