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HomeMy WebLinkAbout1834 Daggett Ln - 211119400005EAGLE UNTY DEPARTMENT OF ENVIRONt� JAL HEALTH ... .... .... .... .... .... .... .... .... .. .. Box 811 6th & Broadway _. PERMIT MUST BE , POSTED ON `PROPERTY Eagle, Colorado 81631 CALL FOR FINAL INSPECTION REPAIR PERMIT ONLY PERMITS 263 (this does not constitute • a building or use permit) Owner MARY -BOOTH - GYPSUM CREEK RANCH System Location 1834 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 10 minutes 600 sq. ft. absorption area per bedroom 200 # of bedrooms I x 200 sq. ft. minimum requirement May we suggest 600 sq. ft. of drainage field. Date �e � � �Inspector FINAL APPROVAL OF SYSTEM: AvIcei r No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved for to covering any part. eptic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. A quate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. D l vJ 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 hm-h ti ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 5 0 0 `j �`fi° c` U 0'r7 lr l Name of Owner: 6�:% " 5clfl 6,n- � `Phone: Address of Owner:��L Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: Location of Propc Legal Discription: Type of Structure: Single Family Dwelling ( ) Other: ,-1 No. Bedrooms Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: "e6Gv,,6 - `► Public Water Supply:�-!'t/ 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: S G d �y��tro (This application becomes invalid 6 months from above date.) Percolation Information: Tank Capacity: Absorption Area: REMARKS: APPLICATION IS: APPROVED HEALTH DEPARTMENT USE ONLY gal. (minimum) Sq. ft. minimum) DENIED The above individual sewage disposal system was installed by. AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF Date: Sanitarian: Permit No._ Fee Receipt: File: THE EAGLE COUN Y HEALTH DEPT. h Fcc: $5.0.00 f nnlfc, tion No. � eznlit No. Lea.l Description: ���aw► I✓A`�Ci Tyne of Dwelling: Ito. of Bedrooms: ^ Date of Test J'l� Dent of Doles: Zr Tyne of Soil: Loc.vt:ion of Test Holes: Test hole «a.s nresoaiced from: To: - Time D4 to "Time ' D4te r,L T11IE -i 11 17PTER DEPTH j INCITES OF I` lk LL RATE kexc.ol-ation Rate: ;,Ipx Site alias bc!en revxewe:l• and .test for ;:crcolati x11 E 11c. xc.co:ninelid: IPPR0VPL DZ Sr l'PI;OV:!L D1'TE: I:r ik i•i. 1..C1C. ellp EI)v�_rot-IIne. , llr—Jth • I:,r�l�� Cc�u�1Ly • 0263-1834 Daggot Ln Gypsum Crk Ranch FJOB NAME BOOTH JOB LOCATION -! acumCci © JOB NO. BILL TO DATE STARTED DATE COMPLETED DATE BILLED C' t��a L L L IR' . Ej I z I JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER"Product 278 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.