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HomeMy WebLinkAbout801-803 Cottonwood Pass Rd - 211118100022EAGLE PERMIT MUST BE POSTED ON PROPERTY Owner LITCAS WI SON TY DEPARTMENT OF ENVIRONS,_,, ,L HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PLEASE CALL FOR FINAL INSPECTION PERMIT NO 241 (this does not constitute • a building or use permit) System Location ;MILE SOUTH OF COTTON WOOD PASS ROAD Licensed Contractor LUCAS WILSON * Conditional Construction approval is hereby granted fora 750 gallon NN Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate i inches in 30 minutes 600 sq. ft. absorption area per bedroom 300 # of bedrooms 2 x 300 sq. ft. minimum requirement May we suggest 600 sq. ft. of drainage field. Date — �3 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. 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 both. PERMIT NO. Name of Owner: Address of Owner: ENVIRONMENTAL HEALTK P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: Location of Proposed System: Legal Discription: Phone: Type of Structure: Single Family Dwelling ( ) Other: No. Bedroom Water Supply: Private Well ( ) Location: Size of Lot: PERMIT FEE $25.00 Distance From leach field: 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: 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 becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Tank Capacity: gal. (minimum) Absorption Area:. Sq. ft. (minimum) REMARKS: APPLICATION IS: APPROVED ( ) DENIED ( ) Permit No._ Fee Receipt: 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: INSPECTION REQUEST DATE TIME RECEIVED JOB NAME AM PM CALLER EAGLE_P-,OUNTY BUILDING FOOTING FOUNDATION FRAMING FINAL PARTIAL LOCATION: COVER REQ. RATING SHEETROCK VENEER ROOF PARTIAL LOCATION: PLUMBING ROUGH STANDPIPE W D C S FINAL MECHANICAL ELECTRICAL VENTILATION HEATING HOODS TEMPORARY ROUGH FINAL PARTIAL LOCATION: PARTIAL LOCATION: PARTIAL LOCATION: P OTHER MON COMMENTS: ❑ PARTIAL. READY FOR INSPECTION LOCATION 6-3 WED THUR FRI6' 2APM ❑ APPROVED ❑ DISAPPROVED ❑ REINSPECT PE14COL'^TION TEST Fee: $50.00 t p nlication No. ��" Permit No. Le�a:l Description: e Tyne of Dwelling: No. of Bedrooms: HOLE Date of Test: Derth of Holes: Diameter: Tyne of Soil: Location of Test Holes: �-00el Test hole was nresoaked from: e-7�—Z7 plc To: _ Tiuie zDste Tiiue Date TIME W ATEA DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3' q " f3 3z Y� YZ- '7' 3 q N -5 Percolation .ate: 1� IiPI Site hzis been reviewed -anti tested for percolation. rate. We recommend: I-P.PROWL DIStPPROVAL D: TE: Edeen, 11,1-,.S. Enviroamental He4lth Eagle County dal z (/o -91- / �5& 2--, Zi- Z� Z4, /001 /<Z� Sao 7C;>O V f i VC w l Y 1 i I Review Routing Form % %/ Date Referred Appl icant /) Permit No Location Please review the attached apple catib n and return ij and this completed form to the County Building Official within 6 working days. Planning Commission File No. Planning: Complies with: Yes No Reviewed by: Date: Subd. Regulations Zoning Regulations EJ 0 Recommend Approval Comments: County Engineer: Roads Grading Drainage El Recommend Approval El Comments: County Health: Sanitation Water Q Recommend Approval Comments: --- �co 2r EAGLE COUNTY B' -D a PERMIT APPLICATION FINAL: C/O INSPECTION, LANDSCAPE INSPTION FORM Review Routing Form (✓}Primary Routing ( ) Rerouting Date Referred AppIicant Permit No. Locati Planning Commission File No. Review and return to the County Building Official within 6 working days Planning: Complies with: Yes No Reviewed by: Date: Subdivision Regulations H Zoning Regulations Site Plan (Landscaping) ❑ I -7 _. r ❑ Recommend Approval: Comments: County Engineer: Roads Grading Drainage Comments: County Health: Water Sanitation Perc. test Comments: Final Inspection: C/O Recommend Approval Comments: Recommend Approval: ❑- ❑ ❑ Recommend Approval: W Final Inspection: Landscaping Recommend Approval ❑ ❑ Comments: C/O Issued Final Filing Date by Date I E COUNTY ENVIRONMENTAL II 2H INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT :te Refered ROUTE FORM yzZ NAME LOCATION Permit Number )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: Yes No E Reviewed by Date ;OUNTY ENGINEER: Roads Grading Drainage Recommend Approval 7 ;omments: 3UILDING DEPARTMENT: Set backs :)ther .omments: Site Access Recommend Approval J ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: Address of Owner: Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: Location of Proposed System: Legal Discription: Phone: Type of Structure: Single Family Dwelling ( ) Other: No. Bedroom Water Supply: Private Well ( ) Location: Size of Lot: PERMIT FEE $25.00 Distance From leach field: 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: The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Percolation Information: Tank Capacity: Absorption Area: REMARKS: Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( ) DENIED ( ) Permit No._ Fee Receipt: 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: 7 Toll Free/Direct Dial Room Reservation Service 800/648-6966 //-2-OZ-0/7 ;` ENUiiiOi�;ci�,Tj�j, HEALTH > 0 , rri ca CD '(D 0 o 0 w (D o 0 [a p 0 Fj' 0 I-d H P- 0 0 CD 0 p 0 ct :5 0 0 11 (D 0 PF-j. ril I M., L -Q H � F-j CD t7lro 1-3 0 to • CD 0 CD CD 0 '-d i-. F- Ct 0 P, Fj' CD P- C.) r5 It 0 Gq Fd (D m 0 0 ct P. oz� In m z m a 0241- Dagget Ln �—GXpsum Creek Rd JOB NAME 0977 Co onwood Pass WILSON,,�,;��� �" 2 JOB NO. �? JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED RN /R �G), coq 0 oc& JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL --- Z" 2 PERMIT #241 L L L OWNER: LOCATION: Dagget Lane & `yGypsum Creek Road `-'1 {� may 2N `�� INSTALLER. Owner�il SIZE OF TANK: 750 gallons DWELLING: Employee Housing - 2 bedrooms x 300 sq.ft. PERT RATE: one inch/30 minutes (600 sq.ft.) (suggest 600 sq.ft. of drainage field) LABOR JRANCE ES TAX ,COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT 1,000/ JOB FOLDER Product 278 ®® NEW ENGLAN Final i zed: 5-24-78 00- Ci,? By: Erik Edeen Printed in U.S.A.