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HomeMy WebLinkAbout9405 Brush Creek Rd - 219501301001EAGLE! JNTY DEPARTMENT OF ENVIRONF TAL HEALTH Boxl 6th & Broadway BE POSTED 'ON 'PROP�ERTyltagl�(tolorado 81631 PL AS,E, 'CALL YOR `FINAL INSPECTIC PERMIT O 294 (this does not constitute i • a building or use permit) O*if ter; �haP1 n �ra;'g System Location )369 Brush Creep Road. Eagle (S'ec 1. Twnahp 6. Range 84) Licensed Contractor ..Robbs, Excavation' * Conditional Construction approval is hereby granted for a 1250 gallon xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate 7 inches in 5 minutes i 01t0 sq. ft. absorption area per bedroom 9 s 0 # of bedrooms 4 x 9 so sq. ft. minimum requirement May we suggest -1000 sq. ftdrainage area Date 14 fa;,, ,1Ct 1978 Inspector Jo Ann Dew ghan 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. v S ptic Tank cleanout to within 12" of final grade or aerated access ports above grade. per materials and assembly. G gnate absorption (or dispersal) area. equate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date a ___-- 9� z' 0 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 both. c� PERMIT NO. MY Name of Owner: Address of Owner: ENVIRONMENTAL HEALTH' P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDYAL�§EWAGE DISPOSAL SYSTEM PERMIT Is facility within boundaries of a city Distance to nearest sewer system;,-% Location of Proposed System: Legal Discription:� or sanitation district? (/S, PERMIT FEE $25.00 N? 1-1" Type of Structure: Single Family Dwelling x) Other: No. Bedrooms\ - Water Supply: Private Well Locgtion: /� L(��- Stance From leach field: Size of Lot: / Public Water Supply: 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: �Al &Qx�, The undersigned acknowledges that application or subsequent permi14 SIGNATURE OF APPLICANT: (This I HEALTH DEPARTME ONLY that false i r-1 atiah will invalidate the above date.) Percolation Information: M>P7- Permit No. aw Tank Capacity: /4 "C:E® gal. (minimum) Fee Receipt: '41f9 70 Absorption Area: & ©® Sq. ft. (minimum) File: 7S� REMARKS: 0 Win APPLICATION IS: APPROVED (� DENIED ( ) C�--/L(—? r 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: O ite Refered EAc, " COUNTY ENVIRONMENTAL IIEA-..,f ROUTE FORM At Vo a N ME Permit Number LOCATION ?lease review the attached application and return it and this completed form to the Environmental Health Office within 6 working; days. :)L•ANNING: File No. Yes No Reviewed by Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval 9-4- �78 3omments: �� a� C%ie�2 M BOUNTY ENGINEER: Roads Grading Drainage Recommend Approval �omments• 3UILDING DEPARTMENT: Set backs F-1 1+ Site Access )they Recommend Approval __ c .. _ Ipnlzcation �o. 7 1 c rani. :No. cAAA D Lc - :x Dcscr:iptio:r. K - J�1 . 6U)cS�O l %3lOg/ 2C5�� �. �'a'• Type of Dwelling: No. of Bedrooi'.is: 1 �i Date of Test: Dcrnt_h of I101es: Di-:mc't;er: 9 Tyne of Soil; - Loc,:t.ioa of Test Holes: . Test bole was nreso3 iced from:3�� To:a� .,o • te Date Tzrtic Dote TIME IF li'1�TER DIsP'1'ii i INCHES 'OF FALL } l z 3 z 2 3_ l 7. j 1 2 3 �! -- I 1 f - /9 % /� y� - 02 3 , �3 r.AL,1l A/ a /� % Percolation Rate: _� .,IPI Site: I1as becen tested for �•rzcolation. • ... • . • 11 e.. •.. 1Yc ,xccoaunena: IPPROWL ✓ UXSr1?1'rOV^L DFTI✓: �;r�v�..i•c�;�u,c�i�'t::,7. Y"a...1 o Coll li t.y El 294 I�Clii ce,� -/96 0/3 -v/ —0 JOB NAMli � � 40 NO, . 9 q� Brush Creek Road JOB FOLDER Product-278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in U,S.A, JOB FOLDER —190