HomeMy WebLinkAbout984 Daggett Ln - 211119100005\ y
EAGLE(jl JNTY DEPARTMENT OF ENVIRON'I� TAL HEALTH
Box 811 6th & Broadway
PERMIT MUST 'BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR'FINAL INSPECTION
REPAIR PERMIT ONLY
PERMIT �(➢ 262 (this does not constitute
a building or use permit)
Owner MARY BOOTH — GYPSUM CREEK RANCH
System Location 0984 DAGGOT LANE
Licensed Contractor LARRY SCHULTZ
* Conditional Construction approval is hereby granted for a 1,000 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 20 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 f
Date
FINAL APPROVAL OF SYSTEM:
ald.
4
Inspector
lLQ,eW
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved p for to covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
7/—
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date C _
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 1II, 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,
ENVIRONMENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631 PERMIT FEE $25.00
�^APPLICATI�O R INDIVIDUAL�WAGE DISPOSAL SYSTEM PERMIT NTO 500
Name of Owner: � l�l
Address of Owner:
` � n C l Phone: 96 0017
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription:
Type of Structure: Single Family Dwelling ( ) Other: No. Bedrooms 2,
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: ra"-)y /� Public Water Supply: 7
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:yL/4'�'�
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: Date:
application becomes invalid 6 months from above date.)
Percolation Information:
Tank Capacity -
Absorption Area:
REMARKS:
HEALTH DEPARTMENT USE ONLY
gal. (minimum)
Sq. ft. (minimum)
APPLICATION IS: APPROVED ( ]1011k 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: 2 Sanitarian:
ySU. UU ,
lnnlic, Lion No. c;z•n►i t .'vTo.
Tyne of Dwel link: n No. of Bedroovis: 1
Date of Test: 1--- /Z'—?7 Do-oth of Holes: :Zl
Dir.metex: 1 f Tyne of Soil:
aLocatioa of Test Holes;
Test hole Was nzeso,i;ed from: r r To:
`:Ci�ncDste Time ' Date
TIME
j 17PT`r.'R DTPTII
j INC'S p;� I�'liLL
l
2
3
l
f'
2
3II
1
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1
2
3.
Cl ,,50
kerc:olation mate: `='�J
.. Site h.is been rCV:LeIVe:1 and .test d oz rcz colat io,1. x lit C-.
We xeco:ni+ie1ICl: fA."PJ'iOVPL>Il.V ^I' DITD•
I:nva.�•c�;�mei�t,,7. lIi;t;l.th
E'a 1.o Co11at.y
0262-0984 Daggot Ln Gypsum Crk Ranch
VO
B NAME - Bo�H SC i�I F110�� JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
2b( CX,,)�e�- `. A�VES LLB
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
PERMIT #262 Z _9 2 ,
OWNER: `LC
LOCATION:000984 Daggot Lane - Gypsum Creek Ranch
INSTALLER: Larry Schultz
SIZE OF TANK: 1,000 gallons
DWELLING: residential - 2 bedrooms x 300 sq.ft.
PERC RATE: one inch/20 minutes (600 sq.ft.)
Suggest 600 sq.ft. of drainage field.
j
Finalized: 7-78 By: Erik Edeen0001)
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD cows
% OF SELLING PRICE
NET PROFIT
JOB FOLDER ?rodi /
Repair Permit 7. 1 1 H 9,- t!U—��j �� Printed in U.S.A.