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HomeMy WebLinkAbout1010 Valley Rd - 239133405003 - 0423ISEAGL`7 1�1NTY DEPARTMENT OF ENVIROi''' NTAL HEALTH ,IT MUST BE POSTED ON LOCAtx:�,��t Box 811 6th & Broadway ``-AEASE CALL FOR FINAL INSPECTION Eagle, Colorado 81631 BEFORE COVE1 JNG ANY' PART OF F NIS'I ED S`f$TEM PERMIT NY 423 (this does not constitute • a building or use permit) Owner FRED J. GLASSIER (mechanic shop) System Location 1082 Valley Road - 1 mi west of El Jebel on Highway 82 Systems Contractor: Licensed�Contractor . * Conditional Construction approval is hereby granted for a 750 gallon zcxx Septic Tank or Aerated treatment unit. MINIMUM REQUIREMENTS: 750 gallon septic tank Absorption area (or dispersal area) computed as follows: 400 sq. ft. leach field Pere rate est 1 inches in est 30 minutes 400 sq. ft. ACTUALLY INSTALLED: 1,000 gallon septic tank absorption area per l RRR, 700 sq. ft. leach field # of 4fX0 ( x sq. ft. minimum requirement May we suggest Date January 16, 1980 Inspector Erik W. Edeen, Environmental Health Officer 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. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date January 22, 1980 Inspector Les Douglas, Eagle County Bldg 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 V'_+1, ENVIRONI4ENTAL HEALTH �ERCOLAT_ION TEST FEE. BOX 850 PERMIT FEE $50.00 EAGLE, COLORADO 81631 $25.00• APPLICATION FOR INDIVIDUAL SEti1AGE DISPOSAL SYSTEM PERMIT NO. NAME OF 0?,rNER: "P LIu/l! PHONE ADDRESS: NAr41F OF APPLICANT: �, , �� /ass; �, ADDRESS: 1 D FS L> as 1 I Le v1 PHONE�j./Al6 DESIGN ENGR.. FOR SEPTIC (if necessary): ADDRESS: PHONE LICENSED INSTALLER: i' S 1 AXIONE � ADDRESS: IS PERMIT FOR: (/,-'� New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County-'<�`LT� Lot Size, a City or Town, if within -City or Town Limits )100 LEGAL DESCRIPTION: hr,a >T� ,Ali- 4. O �' 0 u R � �Z� jb ' ' 04 �' T R' � ,og nj d- S / �,�,�/,i r� � i� .C�L�'- 4 WASTES TYPE: ( ) Dwelling ( ) Commercial or Institut Aonal�'? ( ) Non -Domestic Wastes ( ) Transient Use (\4) Other IS SYSTEM DESIGNED FOR 2,000 GALLONS PER. DAY OR LESS? ( X) yes ( ) no o U /,S o' BUILDING OR SERVICE TYPE: �-/fl�'G'� j� N�mber of Persons Number of Bedrooms ( ) Garbage Grinder ( ) Automatic Washer ) Dishwasher 3 cro / aS� SOURCE AND TYPE OF WATER SUPPLY: ( X) Well ( ) Spring ( )Stream or Creek Give depth of all wells within 180 feet of system: /)/a/ If supplied by community water, give name of supplier: GROUND CONDITIONS: Percent Ground Slope: Depth to Bedrock: ,`? S' Depth to Groundwater Table: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (�) Septic Tank ( ) Aeration Plant JzM1 Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other SOIL PERCOLATION TEST RESULTS: J Minutes per inch in Hole No. 1 Day — Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 -A i. -I,- i. .. i' iC 'C .. :: :: iC iC iC iC iC iC iC iC n iC iC iC iC iC iC iC J iC TC iC iV JC 7•C iC IMPORTAZIT t f i APPOINTMENT FOR FINAL INSPECTION MUST BE MADE PRIOR TO COVERING BY CONTACTING THE INSPECTING ENVIRONTFNTAL HEALTH OFFICER. REFER. TO PERMIT NUMBER... NO APPROVAL WILL BE GIVEN ON ANY SYSTEM I•'ITHOUT FINAL INSPECTION. TOLL -FREE NUMBERS 328-7311, Ext. 238 (Eagle area) 949-5257, Ext. 238 (Vail area) 927-3823, Ext. 238 (Basalt area) (OVER) FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Underground Dispersal ( ) Wastewater Pond ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? SITE (PLOT) PLAN: Include location of wells, springs, potable water supply lines, subsoil drains, lake water course, streams, dry gulches. Show location of proposed system by direction. Show distance of proposed system from dwellings and other fixed reference objects. Please indicate scale of reference, if any. Attach additional pages if necessary to give complete information. SIGNATURE �� DATE 42 7./ — EAGLE COUNTY ENVIRONMENTAL HEALTH ROUTE FORM NAME ���► DATE REFERRED APPLICATION NO. t. LOCATI N Please review the attaCfhed application an return it and this completed form PP p to the Environmental Health Office. -PLANNINGe Complies with: Yes No Reviewed By Subdivision Regulations Zoing Regulations Recommend Approval Comments: BUILDING, Set L/ sit A�= Other. Rec Comments: FNGTNEER• (not always nece Roads Grading Drainage Recommend App Comments: Date BUILDING DIVISION P. O. BOX 179 PHONE: 328-6339 DATE JOB NAME TIME RECEIVED AM PM CALLER INSPECTION REQUEST EAGLE COUNTY BUILDING FOOTING FOUNDATION FRAMING FINAL PARTIAL LOCATION: COVER INSULATION SHEETROCK VENEER ROOF PARTIAL LOCATI ON: PLUMBING ROUGH STANDPIPE FINAL W D C S MECHANICAL ELECTRICAL VENTCLATION HEATING HOODS TEMPORARY ROUGH FINAL SMOKE DETECTOR PARTIAL LOCATION: PARTIAL LOCATION: PARTIAL LOCATION: ❑ OTHER ❑ PARTIAL. LOCATION READY FOR INSPECTION MON / / TUE WED y THUR f COMMENTS: APPROVED ❑DISAPPROVED ❑ UPON THE FOLLOWING CORRECTIONS: CORRECTIONS FRI 1:) 1 .3 0 AM PM '-) ❑ REINSPECT �i DATE U42 3 1 Ml W of E1 Jebel on � _ JOB NAME _ Hwy as, 1-e�- valley Rd. ���� �i k F � j�ich'�ci' '" -Ae( u' Parcel �!!L .JOB NO. �T JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED t-tt ,S w T�C)ce A' 6- JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS '/o OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 014' Printed in U.S.A.