HomeMy WebLinkAbout5226 Bellyache Ridge Rd - 194134401009EAGLE rY DEPARTMENT OF ENVIRONM i.,L HEALTH
Box 81 1 6th & Broadway
PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR FINAL INSPECTION
PERMIT NO 288 (this does not constitute
• a building or use permit)
Owner LYLE FLYNN
System Location LOT 65, BELLYACHE RIDGE SUBDIVISION
Licensed Contractor SMITH AND JONES CONSTRUCTION
* Conditional Construction approval is hereby granted fora 900 gallon
NY- Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate X 1 inches in 5 minutes 375 sq. ft.
absorption area per bedroom
125
# of bedrooms 3 x 125 sq. ft. minimum requirement
May we suggest 375 sq. ft. of drainage field.
Date Inspectorb-41;6vAl
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.
Sep 'c Tank cleanout to within 12" of final grade or aerated access ports above grade.
Pr er materials and assembly.
A,dequate absorption (or dispersal) area.
quate compliance with permit requirements.
Date
Adequate compliance with County and State regulations/requirements.
-,/7,7 b,
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
,' +w
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0 538
Name of Owner: �Z L �f Phone:
Address of Owner: U� ��� �9s�� 1� �� c11Z6
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system: IVP A/,t<--
Location of Proposed System:
PTA
Legal Discription: � e V
Type of Structure: Single Family Dwelling ( )< ) Other: No. Bedrooms S
Water Supply: Private Well ( )< )) Location: Distance From leach field:
Size of Lot: (;� e 0 I.<— /,9 r pes Public Water Supply:_ 1yK)1V1
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: d`i t'—
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: Date: — zzz Y br
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information:
Tank Capacity:
Absorption Area:
REMARKS:
APPLICATION IS: APPROVED
gal. (minimum)
Sq. ft. (minimum)
U� /t6, �
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
Date:
Sanitarian:
COUNTY HEALTH
DEPT.
7c, 0: 5,; .5- 0
1P1)1ic,-)tion O.
Owner:
Lon-,J Description:. 1/, Ze
Type of D\vellinC>,-: o. of Bedroolils:
1 N
Date of Test: 520JLcby1978 Dcr)tli of Holes:
Dir.mcter: Tyne of Soil: S,41d-v 16am,
Locv,.tioa of Test Holes:.
Test bole was preso31ted from: To:
Tivie Di:.te Tone e Date
TIME
2
AUTER DE
1 2
TY.P I I
1
RATE
1:13
3_11
1
2,
3.
3*
;5z .',2 3
Lz� 119-1
5-
Pexcolation Rate:
h.-is been tested f 0 x ".'ercolation. -C
Sitc Y 2"L
WO I-CCO:11111-elid: I-P1,11""OvilL DIS;Pjlrj01,'All DITE: 78
):,I) v ir o In III c 61
):",-1 1.0 C 0 LI II L
t
EAGL COUNTY ENVIRO.I>'MENTAL IILAL d
76 1-k-
xte Refered
ROUTE FORM
fWl E
Permit Number
?lease review the attached application and return it and this completed form tc
the Environmental Health Office within G working days.
�Ci 1- ZS
3LANIvING: File No. Yes No Reviewed by. Date
Complies with:
Subdivision Regulations
Zoning.Regulatious
Recommend Approval Lj
.'omments:
:OUNTY ENGINEER: Roads
Grading;
Drainage
Recommend Approval
�omments:
BUILDING DF.PARTMENT:
Set backs
Site
Access
)ther
Recommend Approval-�.L�__
"omments:
i
0288-Lot 65 Bellyache
JOB
JOB LOCATION
BILL TO
DATE STARTED
e Subdivision
DATE COMPLETED
PERMIT # 288
OWNER:
LOCATION: Lot 65 - Bellyache Ridge Subdivision
(2.05 acres)
INSTALLER: Smith & Jones
SIZE OF TANK: g00 gallons
DWELLING: Residential - 3 bedrooms x 375 sq.ft•
PERC RATE: one inch/5 minutes (375 sq.ft.
U
Suggest 375 sq. ft. of drainage fireld
Jc
Finalized: 8-17-78
_Z
By: Erik Edeen s
J
JOB FOLDEF
JOB NO.
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
EtYGLEcouNTY Eagle County OWTS Systems Cleaners Reporting Foram
NOTE- Required to be sabmnteg to Health wM%n 10 days of cleaning an owrs system
Systems Cleaner Compa/ny
,l' iZ ( License Number
411 '- �r� kl 7 LG���c Phone
Email Address---����� � ! iZ �'.�.�i
5ervice Technician / l C�� t r L,� / /`� Phone �/
Tax Parcel # % l 0 61OAddress of Service 5o )?�cllyaej(tr z4e�r
Person Requesting Service d J Phoned 0 �) ` � _ 7074
Property Owne �'!� �'/��Glf�L�i�iL1Z 4(-1 Phone
Septic System Permit Number Tank 5ize /' p �a el ll&-S
Date of service 7-2 % Tank Material
Sewage Disposal Site _
General Condition and
r
of the System �%/�o� oxdr�
Recommended Repairs /Vy .
Site ,sketch showing location of the septic tank access fids
(Photos Encouraged) i�74 I
from at least 2 fixed points
2A IL, 1 14
/�-
Signed Date �'"` "J �