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HomeMy WebLinkAbout60 Willits Ln - 246511114001REMODEL ONLY EAGLE', JNTY DEPARTMENT OF ENVIRONM, 'rAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT MUST BE POSTED ON PROPERTY PERMITO 254 (this does not constitute a building or use permit) Owner DELLA J. ARLIAN System Location NORTH WEST OF HOUSE Licensed Contractor . SAME AS OWNER * Conditional Construction approval is hereby granted for a 1.250 gallon XX Septic Tank or Aerated treatment unit. a I r Absorption area (or dispersal area) computed as follows: 900 Perc rate 1 inches in 15 minutes 14M sq. ft. absorption area per bedroom XU 300 300 # of bedrooms 3 x AM sq. ft. minimum requirement 900 May we suggest X4M sq. ft. of drainage field. Date 3 — ZZ ` '74 Inspector itv 94n�g� 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. r -- -? t � Date 7 " Inspector � �� � /l� 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 (ENVIRONMENTAL HEALTH' PERMIT NO. P.O. BOX 81 1 EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of Owner: Address of Owner: Is facility within boundaries of a city/town Distance to nears-' Location of Propc Legal Discription: ° 93 Phone:—. ! " 3 �J d sanitation district? _. Type of Structure: Single Family Dwelling ( /"C �( )Other: Water Supply: Priv Private ell �p No. Bedrooms ( ) Location: 1,lntance From leach field: Size of Lot: Public Water Supply: 4-0 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 regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 Cthe RS 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 8:50 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: j The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Date:��tJ�C� (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY rcolation Information: `nk Capacity: ((sorption Area: gal. (minimum) �• �� Sq. ft. (minimum) ARKS: Permit No. Fee Receipt: File: CATION IS: APPROVED ( DENIED dove individual sewage disposal system was installed b yL HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. j -76 i Sanitarian: i x 0250-Tr 51 Sec 11 T8S R87W Basalt JOB NAME. -sot wy 82 ARLIAN,�11CV( IC? JOB NO. FJO JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED HO) �C JOB COST SUMMARY TOTAL SELLING PRICE PERMIT # 250 �- OWNER: Della J. Arl ian LOCATION: Tract 51 - Sec. 11 - T8SR (4 acres) Basalt REPAIR SYSTEM INSTALLER: Same as Owner SIZE OF TANK: 1,250 gallons DWELLING: Residential - 3 bedrooms x PERC RATE: one inch/15 minutes (900 (suggest 900 $ sq.ft. of drainage field) Finalized: 4_5_7Q TOTAL MATERIAL L LABOR c� :a::. .. a.l . �,p„�,� � �rA« �� SURANCE U �, �/ JJ' / �- �3� C% � tALES TAX SC.COSTS - 87 W TOTAL JOB COST 300 sq.ft. sq.ft.) GROSS PROFIT LESS OVERHEAD COSTS °i° of SELLING PRICE NET PROFIT JOB FOIAER'Product 278 ®® NEW BY: Erik Edeen Printed in U.S.A.