HomeMy WebLinkAbout235 Kaibab Rd - 210904103002EAGLE(` AUNTY DEPARTMENT OF ENVIRONR TAL HEALTH
Box 811 6th & Broadway
P IRMIT MUST BE POSTED ON Eagle, Colorado 81631 PLEASE CALL FOR FINAL INSPECTION
�p.OPERTY
PERMIT �• � 238 (this does not constitute
a building or use permit)
Owner Phillip E. Small
System Location Lot 49 Upper Kiabab
Licensed Contractor . PTurT.T.TP F _ GMAT T
* Conditional Construction approval is hereby granted for a 1,000 gallon
X X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rateg3�0 inches in 1 minutes 800 sq. ft.
absorption area per bedroom vo
# of bedrooms 3 x 270 sq. ft. minimum requirement
May we suggest DRAINAGE BED 12 X 70` DUG ON CONTOUR LINES
Date JANUARY23, 1978 Inspector ERIK W. EDEEN
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
ENORONMENTAL HEALTH
. P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 478
Name of Owner: ��//, zc- �' �' Phone: 22F 22I�
Address of Owner: �®
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System: 10 7- 51,9
Legal Discription: Lr-n" 11,F dr y- Kh
Type of Structure: Single Family Dwelling Other: f • No. Bedrooms
Water Supply: Private Well ( ) Location: (4—/7L Distance From leach field:
Size of Lot: i Public Water Supply:
O'
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, a�ress, and telephone of person responsible for design of system: -X� � � ,?/ 01
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: Date:
(This application beco es invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: 130Permit No. of
Tank Capacity: 4,000 gal. (minimum) Fee Receipt7�•
Absorption Area: E�10Cp Sq. ft. (minimum) File:
REMARKS:
. C! -.
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 TEST
FEE: $50
Application No. %
Owner:
Legal Description:
Permit No.
K,gbo Rc��c1
Type of Dwelling: 5 No. of Bedrooms: �r�r
Date of Test: ` 1"( _. %
Diameter: 6
Depth of Holes: Ej `
Type of Soil:
Location of Test Holes: Zoo, VL-emu,
Test Holes Presoaked: Yes: P"� No:
TINE
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
2
3
1
2
3
1
2
3
f6,
vs7
PERCOLATION RATE: u MPI
APPROVED: DISAPPROVED:
DATE: /-- /`t-'� �
EC.
0238-Lot 49 Upper Kaibab � %D96)gtO 300p�
—002 calante DENKER �/ JOB NO. 2-
JOB NAME. —
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BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
Yal k'le 7
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
_
e� a-vFl P— �i�
PERMIT # 238
OWNER: � �1,Vi(i�� ��
LOCATION: Lot 49 - Upper Kaibab (22 acres)
Q00 �1",C I w
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x 270 sq.ft.
PERC RATE: one inch/30 minutes (800 sq.ft.)
(suggest drainage bed 12 x 70 dug on contour lines)
TOTAL LABOR
INSURANCE
SALES TAX
M ISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LE ss OVERHEAD COSTS
OF SELLING PRICE
NET PROFIT
JOB FOLDER'Product Application date: January 23, 1978
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