HomeMy WebLinkAbout530 Kaibab Rd - 210904102012EAGLE' ANTY DEPARTMENT OF ENVIRONS 'TAL HEALTH
..i Box 811 6th & Broadway
PERMIT HUST BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR FINAL INSPECTION
PERMIT O 249 (this does not constitute
• a building or use permit)
Owner DAVID & DIANE KITT
System Location LOT 64, UPPER KAIBAB SUBDIVISION
Licensed Contractor OWNER
* Conditional Construction approval is hereby granted fora 1,000 gallon
x Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 15 minutes 800
absorption area per bedroom
200
sq, ft.
# of bedrooms 4 x 200 sq. ft. minimum requirement
May we suggest 800 sq. ft. of drainage field.
Date
FINAL APPROVAL OF SYSTEM:
Inspector
No system shall be emed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved pr' o covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
quate absorption (or dispersal) area.
quate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
D Inspector
;-�-ETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
* CONDITIONS: 03 —7?— AA4 C
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
L -
-� ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO
1
Name of Owner: __ io i s j a n P I Phone: 9"9 p, -a 5s
Address of Owner: 4o _ 1-3pX Ayoz2 , 62 2
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system;
Location of Proposed System: JZ C.;, �-6�` 1� P_.+r
Legal Discription: %7' � 7 /`Qi La n pllxns
Type of Structure: Single Family Dwelling (�) Other: No. Bedrooms
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: 2,3 0 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: �2k�M--Date:
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: /5 "2,-, Permit No.
Tank Capacity: gal. (minimum) Fee Receipt:
Absorption An Sq. ft. (minimum) File: OI `Rec�!, 07®I
REMARKS:
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 C UNTY HEALTH DEPT.
Date: Sanitarian:
co: 150.00
1pnlicn Lion No. erntit No.
Owner: Donne K�
Len-_-:l Description: _ (A 64, K,-?
J.
Tyne of D%+ellinq: No, of Bedrooms:
Date of Test: 7t Depth of Holes:
Dio;meter: t_. Tyne of Soil:
Locvt ion of Test Holes.
Test hole was »resoaked from: AA" To:
Time Dste Time Date
1E
'
TIME
17,ATER DFPTIi
INCHES OF FALL
RATE
2
3
!- 1 1.
Z
3
L 'l
2
3
1
2
3'
_ _
Percolation Rate:/ v`„IPx' ;
Sitc::has been reviewed. and .tes' ed for I ercolation. ue.
We recommend: fPPROVf L DISI1'PROVAL DITF:
• lanviroi�m�i�t:�,1 Iicr.]:.i;h •
Coula
d 1
EAGLz COUNTY ENVIRONMENTAL HEALTa 1
INDIVIDUAL.-SEiNAGE DISPOSAL SYSTEM PER IT
ROUTE FORM
�mu—nA o vae M i+
NAME
Daf a Ref re Permit Number
LOCATION
Please review the attached application and return it and this completed form to
the Environmental Health Office within 6 working days.
PLANNING: File No.
Complies with:
Subdivision. Regulations
Zoning Regulations
Recommend Approval
Comments:
COUNTY ENGINEER: Roads" -
Grading
Drainage
Recommend Approval
Comments:
BUILDING DEPARTMENT:
Set backs
Site
Access
Other
Recommend Approval
Comments:
Reviewed by Date
21-7
1 2--/ � /79-1
0249-Lot 64 Filing, 2 Upper Kaibab Subdvsn
JOB NAME 0530 Kaibab Rd K TJOB NO.
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
21 �,� ,` �a,��es C,
1c,Acy6,
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
LU 12 �� 1(; ��./ RIC
PERMIT # 249
OWNER:
LOCATION: Lot 64 - Upper Kaibab Subdivision Filing #2
(2.3 acres)
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 4 bedrooms x 200 sq.ft.
PERC RATE: one inch/135 minutes (800 sq.ft.)
(Suggest 800 sq.ft. of drainage field)
' `�TAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOIDER'Product 278 ®@ NE Finalized: 3-1-78
By: Erik Edeen
Printed in U.S.A.