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HomeMy WebLinkAbout5036 Bellyache Ridge Rd - 194135301004EAGLE (—JNTY DEPARTMENT OF ENVIRONMa rAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 ?LEASE CALL FOR FINAL INSPECTION FERNIT MUST BE POSTED ON PROPERTY PERMIT NO 234 (this does not constitute • a building or use permit) Owner Philip Ordway System Location Lot 67, Bellyache Ridge Licensed Contractor . Owner * Conditional Construction approval is hereby granted fora 1, 000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 10 minutes 600 sq. ft. Note: 700 if you hit clay absorption area per bedroom 150 sq. ft. # of bedrooms 4 x 150 sq. ft. minimum requirement May we suggest 600 sq. ft. of drainage field — 700 if you hit clay Date November 1, 1977 Inspector 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. i/ Adequate absorption (or dispersal) area. /✓ Adequate compliance with permit requirements. 11� Adequate compliance with County and State regulations/requirements. Date L�4) ,/77 Inspector edez_t 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 Ill, .1.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a ma ner which involves a knowing and material variation from the terms or specifications con- tained in the apr'-q.tion of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or 1... Fl. ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. a.ji EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO C N. U Name of Owner: �� C Phone: 476 ' Address of Owner: 56X lekI VA -a- COz-Q• 7 476 " 6101 �- Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: / Location of Proposed System: Legal Discription:474i7 e/yij'� Type of Structure: Single Family Dwelling ( 0//) Other: No. Bedrooms — Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: Public Water Supply: 9060W)SIOW 06A171e4z- S VA10Z 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: 120 SA"r 4C, The undersigned acknowledge he above information is true and that false information will invalidate the application or subsequent p rmit. r/ W SIGNATURE OF APPLICANT: Date:®' 77 (T pplication becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: �� �� � Permit No.—P&O Tank Capacity: gal. (minimum) Fee Receipt 7,5- -#- Absorption Area. �(r2(� Sq. ft. (minimum) ! File: 141- �-7 REMARKS: " APPLICATION IS: APPROVED ( L�-�-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: /"7/ 9/ 7 -7 Sanitarian: 00°3047"E ,. I It 6 Application No. Own.e r : Legal Description: PERCOLATION TEST FEE: $50 �% Permit No. Type of Dwelling: No. of Bedrooms: Date of Test:. �� `� — Depth of Holes: 2 Diameter: Type of Soil: Location of Test Holes: -� 00 Test Holes Presoaked: Yes*.' es No: �z' TIME WATER DEPTH INCHES OF FALL RATE 1 2 .3 1 2 3 1 2 3 1 2 3 174,i z-r', -,7 7 PERCOLATION RATE: 1-4 MPI APPROVED: DISAPPROVED: DATE: f EAR, COUNTY ENVIRONMENTAL HEA('H INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM NA IE zte Refered ,per Permit Number o� eOCATION )lease review the attached application and return it and this completed form to :he Environmental Health Office within 6 working days. )LANNING: File No. Complies with: Subdivision Regulations Zoning Regulations, Recommend Approval ;omments: ;OUNTY ENGINEER: Roads Grading Drainage Recommend Approval :omments: 3UILDING DEPARTMENT: Set backs )ther :omments: Yes No Site Access Recommend Approval Lj Reviewed by Date /l-/-77 0230-Lot 67 Filing 2 Bellyache Ridge 2 JOB NAME. 5036 Bellyache Ridge Rd olzE AY SccuvleS T"r e -�"\/ JOB NO. , BILL TO DATE STARTED DATE COMPLETED DATE BILLED bavi'a 7, -ed K T-w,/s JOB COST SUMMARY TOTAL SELLING PRICE —IC) Ir J)trCJ}v PERMIT: #230 r,ti„p L�W�� �• Fqt� I I, Pw;N,S OWNER: Phi 1 i� � � .ZZ"�/2 p rdway ���� .�.�,�. LOCATION: Lot 67 - Bellyache Ridge - Filin (2.0 acres)Qo 9 #2 INSTALLER: Owner SIZE OF TANK: 1,000 gallons DWELLING: Residential - 4 bedrooms x 150 sq.ft. PERC RATE: one inch/10 minutes (700 sq.ft. if hit clay) sq.ft.) (suggest 600 sq. ft. (and/or 700sq.ft.) of drainage field TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER'Product 278 f I fld 11 zed: 1 2-09-77 Printed in U.S.A. By: Erik Edeen