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HomeMy WebLinkAboutFawn Ln Feed Store - 000000000000 - 0688IS Temp Permitf EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway INSPECTION BEFORE COVERING Eagle, Colorado 81631 ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N ° 68 8 PERMIT MUST BE POSTED AT INSTALLATION SITE OWNER: Floyd Crawford ADDRESS: P.O. Box 1, El Jebel, CO 81628 SYSTEM LOCATION: Fawn Lam E1 Jebel - Coop Feed Store LICENSED INSTALLER: Self LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1,000 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: 1 inch in 5 minutes. Absorption Area per Bedroom N/A sq. ft. No. of Bedrooms x sq. ft. minimum requirement per bedroom 480 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Temporary permit until central sewer becomes available. DATE: April 1, 1985 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: 12 X 40 sq. ft. Installed Septic Tank: 1000 gallons. Degrees: Feet: Design Engineer of System: Owner Installer of System: Owner Phone: Septic tank cleanout to within 12" of final grade or aerated access ports above grade? Yes X No Proper materials and assembly? Yes X No Compliance with permit requirements? Yes X No Compliance with County/State regulations requirements? Yes X No COMMENTS: (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: April 16, 1985 INSPECTOR: Robert Fuller RE -INSPECTION DATE: INSPECTOR: f v RETAIN WITH RECEIPT RECORDS PERMIT NO. N'0_ 688 CHARGES Percolation Test = $50.00 Permit Fee (includes final inspection) _ ALL CHECKS OR MONEY ORDERS ARE TO BE MADE PAYABLE TO: EAGLE COUNTY Name of Applicant: Floyd Crawford Name of Owner: Sarre Amount Paid: $200.00 Receipt Number: CO298 Cashier: Gail Parker . �. White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner APPLICATION FOR INDIVIDUAL, SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY APR .L 1995 PERMIT APPLICATION FEE: P.O. Box 850 Dow w nG-a. -v. Eagle, Colorado 81631�� $150.00 328-7311 PERCOLATION TEST FEE: S50.00 NAME OF OWNER: ?- �© yc ADDRESS: oil l L7e � e- S I G NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (if applicable): PHONE: GJ. ;4 ( V�( PHONE: ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Licensed Installer (see attached list): YES NO k ADDRESS: 3 d X 1 � fie s /G I PHONE: PERMIT APPLICATION IS FOR: (x ) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check applicable category): ( ) Residential - Single Family ( ) Residential _ Quadplex ( ) Residential - Duplex (,r) Commercial (state sage) ( ) Residential - Triplex���� NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Dwelling Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher ( ) Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X Septic Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO ( ) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (16 yew, .6ee attached wastewatetc 6tow Aeducti.on methods) NOTE: The Enviunmentat Health OjjiceA may tceduce the Aegu,itr.ed aIbso&ption area upon appttova2 o4 an adequate wastewaten jtow tceducti.on ptan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: N SIGNATURE: DATE: .S� INFORMATION BELOW TO BE FILLED OUT By ENV/Om� ENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent Gtound Stope ®, Depth to Bedu ck (pen 8' Ptco bite Hote ) Depth to GAoundwateA Table } � SOIL PERCOLATION TEST RESULTS:. 15 inuta pets inch in Hote #1 I-C Minuta pets inch to Hote # 2 15 Minutes pen .inch to Hote # 3 FINAL D OSAL By: ' ( r A ,soAption T&eneh, Bed on Pit ( ) EvapotAa.n�sp,itca ion ( ) Above G&ound D,i speAzat ( ) Sand FiLteA ( ) UndetgAound D-i speuaZ ( ) Wastewater Pond ( ) Othet Amount Paid:Receipt Nwmben (_ - 0a9,R Date: Chi# '1"5560 NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) SA OWNER: LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF-ftf-EH-N /I PERCOLATION TEST FEE: $50 I.S.D.S. T-P-P.# DATE OF PERCOLATION TEST: TEST HOLES PRESOAKED? Yes No t1/10 * * * * * * TYPE OF SOIL: 54 WATER DEPTH Now N��G EI J PERCOLATION RATE: 1-7 P RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: /.-2- x RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for percolation rate. Date Environmental Health Offfcer COMMENTS: 1£919 opeaoloo 'albeg 'O'd 1£919 opwoloo 'albeg 1£919 opEioloo 'albeg 1£918 opeaoloo 'albeg 1£918 opwoloo 'albe3 Ut, XoS 69£ XoS 'O'd L£S XoS 'O'd 6" XOS 'O'd OS8 XoS 'O'd jainseaj,L 33pjaus aap.zoaag pue :taaD iossassy saauotsstuiuioz) Ajunoa ;o paeog d6/ AiNn03 319y3 ao bz-j0 44 LpaH Lp4uawuoa LAU3 RJP40aoaS °aaIapd Llp3 rzt7� awl `RLaaaouLS ' spaooaa anon' ao-. 41waad s Lq4 jo Rdoo p 6u Lso Loua wp I 9861 ' 9T Ludy uO as L Ln3 4aagq Rq paZLLPULJ pup pe4oadsUL uaaq spq Lagap L3 uL aupl uMp3 uo PO4POOL L'4aadoad aoj 889# 4Lwaad SaSI Anok 4pgl nofi waoJUL off. SL sLgl :paojmpa3 •aW apaa 8Z918 03 `Lagap L3 T xo8 •0•d paOJMpa3 pL'OL3 'aW 986T 'LT Ludy IICL-Ke 00 t�:9t8 opesolo:)'a16e3 A mpeolg i55 )k.-ur)o:) �]�Dv�l 0688 Crawford El Jebel Fawn IF JOB NAMELane �Q L 'I JOB r,�c�. JOB LO—CATI® DATE STARTED I DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL - - -- - TOTAL LABOR PERMIT #688 D SS _ScwImA-�o -E),e-IN INSURANCE OWNER: Floyd Crawford SALES TAX LOCATION: Fawn Lane, E1 Jebel, Colorado (Coop Feed Store) misc. COSTS INSTALLER: Self SIZE OF TANK: 1000 GAllon DWELLING: Retail Store PERC RATE: 1/5 =, 480 s . f . TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS FINALIZED: 04/16/85 BY: Robert Fuller % OF SELLING PRICE NET PROFIT Printed in U.S.A. o'Z391- a�a- �o-000 LDER