HomeMy WebLinkAbout554 Valley Rd - 239133401003 - 0600ISEAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P. 0. Box 850 - 550 Broadway
PLtASE CALL FOR FINAL
INSPECTION BEFORE COVERING Eagle, Colorado 81631
ANY PORTION OF INSTALLED SYSTEM
328-7311 or 949-5257 or 927-3823 PERMIT NO. N o 60 0
PERMIT MUST BE POSTED
AT INSTALLATION SITE
OWNER: Nicholas Lampiri.s ADDRESS: 0554 Highway 82 - El Jebel
SYSTEM LOCATION: Lot 5 - Arlian Ranch Subdivision
LICENSED INSTALLER: put in by owner LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: inch in minutes.
Absorption Area per Bedroom sq. ft.
No. of Bedrooms x sq. ft. minimum requirement per bedroom
= total sq. ft. minimum requirement.
' 1 SPECIAL REQUIREMENTS: � S li lee
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DATE: 3109183 INSPECTOR: cmlJ
**CONDITIONS:
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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:
Design Engineer of System:
Installer of System:
gallons.
Septic tank cleanout to within 12" of final grade or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes No
Compliance with permit requirements? Yes No
Compliance with County/State regulations requirements? Yes
Phone:
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -inspection when work is completed.)
DATE: INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
321-7311
• E•:,,, ��...._,._ .L ,L_
Box E-50
EAGLE, COLORACO E1631
FE„rrt1T F EE = l;0 PE= CCL T:^:! TES i FEE = SSO
APPLICATION FOR iiiDIVIDUA.L SE::A.rE DISPOSAL SYSTE'•' PER' -'.IT
._NAME *OF 01J;iER: b &S L w� �� f
ADDRESS: ��-S `1 I w� 2-
NAME OF APPLICANT (IF DIFFERE:iT FROM 01-INER): _
ADDRESS:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): —
ADDRESS: _
`-_
-PERSON RESPONSIBLE FOR INSTALLATIO"i OF SYSTE711: —
ADDP%ESS :
PHONE: cl63 `ZZZ i
PHONE:
PHONE:
PHONE:
PERMIT APPLICATION IS FOR: (r/ } 'New Installation ( } Alteration ( ). Repair
LOCATION OF PROPOSED FACILITY: County ag �� Lot Size oO ac`e�s
—r
City or Town, if within City or Tovrn Limits
LEGAL DESCRIPTION: �� S a-r. Y�6--^C �� b � V; S 1r
STREET- (RURAL) ADDRESS: 0
IS SYSTEM? DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (,i) Yes O No
BUILDING OR SERVICE TYPE: (Check applicable category)
(� Residential - Single-family dwelling ( ) Residential - Triplex
( Residential - Duplex - ( ) Residential - Quadpl ex
( ) Commercial - State usage
Persons r I Bedrooms -� -
HASTE TYPES: (Check all applicable) _.( )
( ) Commercial or Institutional (�) Dwelling Garbage Grinder
( ) Non -domestic, wastes ( ) Transient Use Dishwasher -
Other Automatic Washer
SOURCE AND TYPE OF 14ATER SUPPLY: ( ) Well(�) Spring ( } Creek or Stream -
Give depth of all wells within 200 feet of the system:
-If supplied.,by community water, give name of supplier: —"
y .r. - - _
':TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:W.-
(✓) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
.y awll Pf'IVy t j _,i�,�•i�L iIty IUiis i Li _'. �/�_I Iiia, v au,C vJC
::( ) Pit Privy ( ) Incineration Toilet ( ) P,ecycling, Other Use
- ( ) Greywater ( ) Other
"4IILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (z/) No
' _Signature Date �3 -
_ * * * * * t * * * k * * t x x
INFORMATION BELO!-I TO BE FILLED OUT BY ENVIROiI(IE,NT!tL HEALTH OFFICER
GROUND CONDITIONIS: Percent ground Slope:
Depth to 'bedrock (per 8' Profile Hole): Depth to rjr-oUj,,:,qater Table:
SOIL PERCOLATION! TEST RESULTS: Minutes per inch in HoIe NO- 1
Minutes per inch in Hole No. 2
!1inutes per, inch in Hole No. 3
FlNAL DISPC; S L 6Y: ( ) Absorption Trench, Sued or Pit ( ) Evanotransoir•ation
( ) Above GroUnd Dispersal ( ) Sand Filter
( ) Un4erground Dispersal ( ) 1•Iaste,.jater Pond
( ) 0 t:,,er
0600Lot .5 Arlian
Ranch 0554 Misli--4-2- El Jebel:
p
JOB NAP 2391-334-01-003 V �""f .f 6 t
J013 (:,�
OB
TO
DATE STARTED
I
N"
COMPLETED
r.,
PERMIT # 600
OWNER: IiUS�
LOCATION: Lot 5 - Arlian Ranch Subdivision
000554 Kttty-82 - E1 Jebel
INSTALLER: Owner C)0a&D t \4 6A
SIZE OF TANK: '�`-t l�
System not inspected or approved by .this department -
permit retroactively filed to locate system.
BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
TOTAL JOB COST I I
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
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