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423 Escalante Dr - 239127205004 - 0228IS
EAGLE C iTY DEPARTMENT OF ENVIRONMEIr �\�L HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PLEASE CALL FOR FINAL INSPECTION PERMIT MUST its ATA Rt P&Pi PERTY PERMIT N9 228 a building or use permit) Owner WAL T SMITH — K.S. BUILDERS System Location Lot 4, Aspen Mesa Estates 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 20 minutes $00 sq. ft. Estimate absorption area per bedroom 400 sq. ft. # of bedrooms 2 x 400 sq. ft. minimum requirement May we suggest 800 sq. ft. of drainage field Date October 25, 1977 Inspector Erik W. Edeen, R.P.S. 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. ok Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. ok Proper materials and assembly. ok Adequate absorption (or dispersal) area. ok Adequate compliance with permit requirements. ok Adequate compliance with County and State regulations/requirements. Date October 25, 1977 Inspector Erik W. Edeen, R.P.S. 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. ENVIRONMENTAL HEALTH �- P.O. BOX 811 PERMIT FEE $25.00 PERMIT NO. EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ATO �r Name of Owner: Address of Owne Is facility within boundaries of a city/town or sanitation district? %1 Distance to nearest sewer system: _ __ _ IV,;. 14 r Location of Proposed System: Legal Discription: 3 Type of Structure: Single Family Dwelling ( P<6ther: No. Bedrooms 042, Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: I -g� �-C t- L Public Water Supply: 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: w�� t 7�- The undersigned acknowledges that the above JWKmatio i true and that false information will invalidate the application or subsequent per ii . SIGNATURE OF APPLICANT: —Date:— (This application becomes inv lid 6 onths from above date.) Percolation Information: Tank Capacity:_ Absorption Area: REMARKS: HEALTH DEPARTMENT USE ONLY �S gal. (minimum) Sq. ft. (minimum) 2� APPLICATION IS: APPROVED ( ) DENIED Permit No. , ar Fee Receipfi:%��� 88s3 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: Sanitarian: EAGLE, aUNTY k NVIRONMENTAL HEALTH INDIVIDUAL SEWAGE DISPOSAL SYSTb PERMIT ROUTE FORM NAME ate Refered Permit Number LOCATION ?lease review the attached application and return it and this completed form to :he Envirolimental Health Office within 6 working days. )LANNING: File No. Yes No Reviewed by." Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval ;omments; :OUNTY ENGINEER: Roads-, Grading Drainage Recommend Approval ;omments: _ 3UILDING DEPARTMENT: Set backs Site Access )ther Recommend Approval H" ;omments: 0228-Lot 4 Aspen Mesa Estates -002 scalante HIR BERG r �T�j TO y`�� � .JOB NO. 2,2 R V-10 NAME ,000'JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED A MQ) ox�i-Z3 BccAIA),�,) t)vi-je, 2 91- 2�2- 6 -- O Q�e�� fi� c Seut JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL Q _ ScQfAjaINSURANCE PERMIT: # 228 J ���� � J� act A 11��;►��- ' OWNER: - LOCATION: Lot 4 - Aspen Mesa Estates (1.84 acres) LC)©? -2 sCC1IGi�}�� INSTALLER: Owner SIZE OF TANK: 1,000 gallons DWELLING: Residential - 2 bedrooms x 400 sq.ft. PERC RATE: one inch/20 minutes (800 sq.ft.) estimate Suggest 800 sq.ft. of drainage field TOTAL LABOR SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JO ca-'"��=.� ' ( `a �6 L Printed in U.S.A. Finalized: 10-25-77 By Erik Edeen t R A A� 1 i f l r� l - t L C ' i l jj�\ f �.. t tom} "'_'�; ion .. , _ C. Tom► L: L i :� �../i�+ i s I .,