Loading...
HomeMy WebLinkAbout3220 Brush Creek Rd - 210910400001LNVI}. Q,-1z.i. iTA/-L HEALTH 1•.iv1{.,`E, CQ%_C_: -0 81,63-1 APPLICATION `-s YS -3INDIVIDLAL C 9 ^VOTE T.7T.F T Address of &aner: � ! Is facility within bounda,:ies of a City town or sanitat oa district? Distance to nearest Sewer S, SE qm: Locat-`-o-a of Legal Disc.; intion: T,1rt a a ni StrUCt=re: Single Family Duelling other: 4 r T _y oC?C'o -S St er ripply: Private :• ; it { ? Location: - leach fze3.d- Size of Lot. _�. PLbl is Water Supply - An aprropriate plat plan Mist accompany site insp8ction for this application srlo.liiky required information. (See atLa coed sheet.) hc- ind yidus! s5wage disposal Systea will be constructed and installed In accordance with the regulations governing individual sewage systems within Eagle County, and shall Comply with douse Bill 1553 CRS 66.14 1973. .Laynent shall be made to .the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sa nitF'i•:zFi'f 's Office. r Apnoi tuent for filial i` s nect.-ion urust be _i:i Irle: �-rior Lo cons t uci.ion by contactiP.`" the 1012ectn. sa_rt_t�ria:�. _c, :�-77 � t�.� �:33�rr �` 3 i :7 i�' r +., Alf.) tee to �!C',:i=l1t i1L.:.:�JuT'. i -.o .-oval x:�ikl„;be given on any s"Si::m r.rithout final inspection 11'�-�: t= •„�, GY'e Ssz and telePL9190 l'. 2=500 Sj'Ste'rt: ' psp jai The tmdersiSrncid achnowledge's that the above i-afox maLion is true and that false infoi%;atioa will inva Lidote the application Or subsequent permit, (f-nis ap lication beco-aas invalid 6 tonths ,;roat above date.) HEALTH' DEPA'UMCF-RT T-1,'3F ONLY, Percolation Infoi—nation: Tani. Capacity: AbsorptirJ'C7 1-,r_aa- R ii�i 3: tl%. -- --- sq. Jr-. t. (Zinii?iL�_t,) A22LICATIONOa _ 3 . Appaono Q) 0SE;IED C ) Permit Nou Fee eceipt: Fiie: The above individual sewage disposal Fir seem fas installed :fir .t BEEN MET �y N ' V `E I S NT r �.- n TTr. r 7 1 tliT -:E;r T•�.-. Fsi��i i.�S 3�� e�T x..ya-•�,T�. _-� �J ��� �:Gi � t1 � �,.,_.x'_��r;.�tiT.iTZ� �, i;;. T.�:.. �lG.:u ,a(;i:x.L l �:• ::,TIi I�:, _. Date., Sanitarian: DO 1110T l i :Z: 3n �IL�V.1 THT S L im Depth o nolc"`", � ii_c V_te � Ty..O� 502. j_oCa%-J_4:, of Test Hole-- c�'�) � So —test =tole was (1( ime) ( Z- to To: (`P zT,e) Date_ i ii Y oIr IY/ 1 0 C `f r j l s Percolation Pate: F � i•.i� Site has been revier7edl and tested for p ercolat�_an rate. !'LOt bOLI:"L4?�� j�' t?l: u- lo�� Lz V l O DT'4 �a$iC uLi= i a' �t 7 c_L1d C..'�'.s. ,r-n o sep �d i ",'! ' . _ - �e.4x.iz v I T ;i LF' cC. o UO f %�C Ste. t[ iSt ^ Su S?? ? 7i7�.=CF t'G'1 r 3F i r Li-- _. f Q f LE C 1C: ?i :!?e7! t)L li$fs it to SAOL': Plot i.^•, t. an (! �.� _�R Oil. $�� c r�c': _. J 2. 0. DO<: [n3t1 ie"Lc^ -,)ne (303) 32V-7718) 1c2��. e , 4o17ra('.a 816j f EAGLE 1. T MUST BE POSTED ON PROPERTY DEPARTMENT OF ENVIRONML., .,, HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 CALL FOR FINAL INSPECTION (this does not constitute PERMIT No 286 a building or use permit) vner stem Location T10, 5 South, R 84 up Brush Creek icensed Contractor Same as owner * Conditional Construction approval is hereby granted fora gallon xx _ Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate 1 inches in 20 minutes 600 sq. ft. absorption area per bedroom 200 # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest 600 sq. ft. of drainage field. ` Date Inspector FINAL APPROVAL OF SYSTEM: deemed iance with the Sewage Disposal Laws until the assembled system No system shall be is approved prior to coverito be in compl ng any part. `'' Se tic Tank cleanout to within 121, of final grade or aerated access ports above grade. roper materials and assembly. Adequate absorption (or dispersal) area. /dequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date C6- _ ' /ZK Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE * CONDITIONS:dual1. All installation must comply with all requirements of the County Indiviamended 25S 1 614Disp 1973egulations, adopted pursuant to authority granted in 25-10-104, C This ermit is valid only for connection to structures which inave fully or structureslnot approved by he building ing and 2. P building requirements. Connection to or use with any dwelling 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 termsiation from the or system in a manner which involves a knowing and mat Pet °Offense ($500 00 fine- 6 months in ions con - system or tained in the application of permit commits a Class I, y 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? N C Distance to nearest sewer system: PERMIT FEE $25.00 N° 528 Phone: ' 2 5? �; !E4 / /,/ Location of Proposed System: :V, Q r� Legal Discription:47 _ Type of Structure: Single Family Dwelling Other: No. Bedrooms Water Supply: Private Well ( ) Location: Size of Lot: 13 Distance From leach field: Public Water Supply: r A GL, 2iJrf z>N• ` -.» 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: 47 C e The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit _ _ �7 � SIGNATURE OF APPLICANT: ' 2 -,T - D te: 6 - 'f�- — ( is application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: ;1,0 M P4 Permit No. Tank Capacity: / iD O gal. (minimum) Fee Receipt: A9A2 Absorption Area: Sq. ft. (minimum) File: ✓ 3h&?T�/ REMARKS: APPLICATION IS: APPROVED ( L- ' DENIED 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: LOCATION: ZZO REQUESTOR:_ �� D1i �L-7 4 4 �'�---� COPIES TO: U't BILL TO: l�7` fUUiv+7 a--7 ISDS PERMIT # INSPECTION INFORMATION: ct pi s 7 INSPECTION- DONE BY: DATE: �Z� EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 July 25, 1986 Ken & Pat Norman 3220 Brush Creek Road Eagle Colorado 81631 Re: Two homes at 3220 Brush Creek Road Dear Mr. & Mrs. Norman All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03-A(7), adopted by the Eagle County Commissioners on October 8, 1985. Permit number 286 was issued by this office and final approval was granted in August 1, 1978. An onsite inspection on July 25, 1986, revealed that the system appears to be functioning properly. This department recommends that the septic be pumped every three or four years. The Property is served by the Town of Eagle water system. Water test results are available from this office. If you have any questions concerning this inspection, please contact this office. Sincerly, J ! Erik Edeen Environmental Officer xc: Mortgage 21 Corporation C. Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 ULOU-11V J/o i�v -r ur +�i+-•+++ �� -� JOB NAME ` 3220 Brush Crk Rd LOkIG JOB NO.� JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX M ISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDERProduct 278 �0 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOBG FOLDER Printed in U.S.A