HomeMy WebLinkAbout4236 Bellyache Ridge Rd - 194135201004EAGLES N \UNTY DEPARTMENT OF ENVIRONITAL HEALTH
BOX 850 B"I 6th & Broadway
Eagle, Colorado 81631
PERMIT MUST BE POSTED ON PROPERTY CALL FOR FINAL INSPECTION
PERMITa 296 (this does not constitute
a building or use permit)
Owner Bruce Kandnl1
.System Location Lot 4, Bellyache Ridge
Licensed Contractor Donald Davis
* Conditional Construction approval is hereby granted for a 1000
xx Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 10 minutes sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest
Date 16 August 1978 Inspector
FINAL APPROVAL OF SYSTEM:
gallon
No leachfield;
Instead, install
two (2) 10'x10'x6'
dry wells, separated
with diversion valve.
Erik W. Edeen
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.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
�oper materials and assembly. 4)e a b« C--���
4�'—fAAdequate absorption (or dispersal) area. 71-0 64,
�de uate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date �l/ �cf—' Inspector C
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.
PERMIT NO.
Name of Owner:
Address of Owner:
r� r
El., ✓'IRONMENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
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 (�K ) Other:
Phone:
PERMIT FEE $25.00
0 546
Bedrooms J
Water Supply: �Private Well ( ) Location: Distance From leach field:
Size of Lot: t!5�S 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 telee of person responsibl for design of system:2a*
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent perm' .
SIGNATURE OF APPLICANT: Date: Z
(This application becomes invalid months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: �® ��.�_ Permit No. r
Tank Capacity: to gal. (minimum) Fee Recei t: F9
Absorption Area: 2" 1C /d X !� Sq. ft. (minimum) File: ✓
_ C 6
REMARKS: fIr', `
el
APPLICATION IS: APPROVED ( ) DENIED
d
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:
1pnla.e Lion I\'o.. "'ez•nzi,t. No.
Owner:
DC CxXPtzo:1:- �4- l &f A 4e e
Tyne o� DuellinC> 11�4'xo. of I3ec'zooi;Is:
Date of Test: Dcnth o I1010s:
Di2hictexTyne of coil.:
boc,-..Ii-on of `J.'est 11oles
Test hole was nresoa%;ed fro.: �`� To. %rZ-U
D; to Tillie DzAc-
TIME
�. }7t`! PER
I\CIIIs'S OFFAL
� RATE
1 i
_
:'ex col at- ion Rate:
3i_te has boon revicNvea• and te•- cd fox ,:cxco1'-Aio:)
4c 'xccwmicnd: 1%'PROVJ)L DIS;PPROV^Il
0296-Lot 4 Bellyache Ridge
B NAME. _-4236 ,Bellyache Ridge � R0,i�'erti - / d' Q/d0 JOB NO.
ro. _.
JOB LOCATION
BILL TO
DATE STARTED
7
DATE COMPLETED
DATE BILLED
2D
' ED
JOB COST SUMMARY
TOTAL SELLING PRICE
PERMIT # 296 r
OWNER: 1
LOCATION: of 4 - Bellyache Ridge
�(4 acres) L)'-�>
INSTALLER: Donald Davis
SIZE OF TANK: 1 ,000 gallons
DWELLING: residential - 3 bedrooms
PERC RATE: one inch/10 minutes
' x10' x6 '
No leachfield; instead - install two (2) 10 rout inlet
dry wells - separated with diversion valve. (g
and outlet lines)
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDERProduct 2
Finalized: 10-4 78
By: Erik Edeen
Printed in U.S.A.
3