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.