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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. — �' Ino 1 nn n�lnwl le - BILL TO DATE STARTED DATE COMPLETED DATE BILLED Yal k'le 7 mac) - 3� k - u g/v D �o l 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 Printed in USA a-0y1— n�—cao�- G 5-40 ter-- • { 'err t1-•-.r... -� � � i 040 41 01 • F r r � ff - " e = s = s _ F - - -- • _ - - �--�'r ' � �-T� •fit! � eT� _ M •rY t r _ file+ f, - date - __ draw l �': ,r•r y....' ---fir—` —" = - � � _ _ � check J ;;J^ - 000� T JON4 EN77;z