HomeMy WebLinkAbout14550 Hwy 6 - 211101100005EAGLE COUNTY
DEPARTMENT OF ENUIRONPIENTAL HEALTH
PLEASE CALL
FOR'FINAL P.
0. Box 850 - 550 Broadway
PERMIT MUST BE POSTED
INSPECTION
BEFORE COVERING
Eagle, Colorado 81631
AT INSTALLATION SITE
ANY PORTION
OF INSTALLED SYSTEM
N ° 55 2
328-7311 or
949-5257 or 927-3823
PERMIT NO.
OWNER: Buckeye Gas, Products ADDRESS: P.Q. Box 180 Eagle, CO 81631
SYSTEM LOCATION: 14550 Highway, #6
LICENSED INSTALLER: Ted Reynolds- LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 126-n_ gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: inch in 2 , minutes.
Absorption Area per Bedroom 2_0 a sq. ft.
No. of Bedrooms x 2—or— sq. ft. minimum requirement per bedroom
X'� total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS:
DATE: & g- 6 ,2 INSPECTOR:
**CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage
Disposal System Regulations, adopted pursuant to authority granted in 25-10-104,
C.R.S. 1973, as amended.
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 structure not approved by the building and zoning departments 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, 3.21 requires any person who constructs, alters, or installs an
individual sewage disposal system to be licensed according to the Regulations.
FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Eagle
County Individual Sewage Disposal System Regulations until the installed system is
approved prior to covering any part.
Installed Absorption or Dispersal Area: �� sq. ft.
Installed Septic Tank: / gallons.
Design Engineer of System: ell
Installer of System:
Septic tank cleanout to within 12" of final gr✓ or
aerated access ports above grade? Yes t,-' Jo
Proper materials and assembly? Yes No _
Compliance with permit requirements? Yes pl / No
Compliance with County/State regulations requirements?
COMMENTS: a, l
Phone:
Yes No
(Any item checked "No" requires correction before final approval of stem is made.
Arrange a re -inspection when work is completed.)
DATE: _ INSPECTOR: c
nC TAICnCr'T OKI nATC. ThICnCr7nn.
PLEASE RETLIR71 THIS POR.TInN WITH YOUR. SITE PLAN AND FEE(S)
3287•7311 9"It 9•-5257 92 7-•3S'23
ENVI RONIPENT AL EnLTN
BOX 850
EAGLE, COLORADO 81631
PER'►IT FEE - $150 PERCOLATION TEST FEE _ $50
APPLICATION FOR INDIVIDUAL SE;iAGE DISPOSAL SYSTEM PER'lIT
NO.
NAME 'OF 01:Ji1ER:
ADDRESS: aa _ le �e 1 430 C4 , �o . PHONE: - a y- 77-7 �^
NAM1 OF APPLICANT (IF DIFFERENT FROM 01JNER) : la2r,�
ADDRESS: PHONE: 3z .. 77 z -z,
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE):
ADDRESS:
_.a
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (X) ^lew Installation ( )) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County 1TLot Size
City or ToGgn, if within City or Town Limits
LEGAL DESCRIPTION:
STREET (RURAL) ADDRESS:
IS SYSTEM! DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( -'f' Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
( Residential - Single-family dwelling
( ) Residential - Duplex
( ) Commercial - State usage
# Persons % # Bedrooms
Residential - Triplex
Residential - Quadplex
WASTE TYPES: (Check all applicable)
( ) Commercial or Institutional ( Dwelling ( ) Garbage Grinder
( ) Non -domestic wa tes ( ) Transient Use ( ) Dishwasher •
( ) Other Automatic Washer
SOURCE AND TYPE OF 14ATER SUPPLY: ( ) Well ( ) Spring ( ) Creek or Streams' Give depth depth of all wells within 200 feet of the system:
If supplied.,by community water, give name of supplier:
TYPE OF IND IDUAL SE14AGE bISPOSA.L SYSTEM PROPOSED:
( Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
11. T - • j ,y_.b
[aa_i i, F`r••i.v;, 1 1 .r .i-,)- -ill�J iUi �;,,,1 i •—�-.�/ I illy; — U vJ�
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greywiater ( ) Other
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO 14ATERS OF THE STATE? ( ) Yes ( � No
Signaturei�,f 1,
* * * * * * * v* * * * * * * * * * * * * x * *
iN ORNATION BELO!,1 TO BE FILLED OUT BY ENV1R1Ni1,ENTAL HEALTH OFFICER
GROUND CONDITIONS: Percent Ground Slope: �Acn,.
Date Z
* * * * * * * *
Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table:
SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1
�. Minutes per inch in Hole No. 2
t1inutes per inch in Hole No. 3
FINAL DISPOSAL BY: (pO Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Underground Dispersal ( ) ''Wasteviater Pond
( ) Other
0552 Rey 14550 HWY 6
:JOB NAN LC
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JOB NO.
ince � nceTinni
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
LC
Wass ' 0 )4SS 0 Lw
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0 AcxS
a ` -Z.I 10I a -00 5
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
PERMIT # 552
OWNER: Buckeye Gas Products
LOCATION: 14550 Highway #6
INSTALLER: Ted Reynolds
SIZE OF TANK: 1,250 gallons
DWELLING: Residential and office
PERC RATE: one inch/20 minutes
Finalized: 2-8-82
- 3 bedrooms x 200
(600 sq.ft.)
By: Erik Edeen
sq.ft.
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
%OF SELLING PRICE
NET PROFIT
Oovo-onu- oo • 000
_DER
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