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• 1
ASPENLPITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
•INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. CC44
TYrE OF PERMIT:
( )Initial Construction ( )Emergency Use
or installation
( )Usu Permit as a result of Sale
ISSUED TO:
( )Repair work, (Previous Permit I..) WAlteration of an existing a atem,
// (Previous Permit 1 _5__.)
( lotherl
DATE OF ISSUE
O:.t[ler J O hn 1 T
0.1't4hk-1t–�Home Phone
q(�Q-3/'�W`J3 Busiffn��Pss Phone
Mailing
Address O
Phone
Ma il.in g
Address
Sewage Disposal System Work to be performed by_To-t 'Za.YM.t7Y-a' . D G
This permit ,vlalid nonny for premises location by the [ro�l)/11o�/win lg, legopl d•_ae rlpt ions_ f cayw ✓lid , I`'o l�� Wj
LOT 5[LE E'I.� IM1�i/�S WATER SUPPLY YI:I/AJ� WIiII AVERACEEG PERCOLATION MTr.�.3n�fY�l•yf1,•t _.
This Individual Sewage Disposal Permit is granted with regard to the frolllowing usa:�tt FQ,,�1�1 KX 7fTLt•r��i�� •
NwalA:r oft Dodreoms Lofts Garbage Disposals_ (,/ Dishwashers I Clothes washers _.
-1 JVA A'`1Ori'WD co
CALCULATED AVERAGE DAILY WASTE LOAD -f SO GALLONS, if �SO —µ..al Q^I ATZt,YIIL
THE TURF. OF THE SYSTEM INL
TECUDEDNDER THIS PE
UP.:I: F �`1p�YYllq�IZSD O-yj faei 4v /1
NA1C i5
.—__-- -- _ ITGI..I 5•o I.I.SLaI .
vy?- of lark or Treatment Unlit(1�,/}N, L �7� I_ - Tan's Capacity I W _Gallon Nlnln:wn
•.t*.ml of Final D4 spoaaL �bS�.�MA� I(trl YL L5 Absorptloa Area Sq un ra re -'t Rininwn
e-cription (Including brand name, if any) of other equipment or appurtnancest
�•ccomvn Ao(— 3 +r•cncilcs loo kf lord x 3 Guy wide ed .
cl.lo-5oyyt (� hod s u �cd , I I Z � �u a -r c f< t rell -'
Other unditions or pccifica do at -�I,( yrl(� � � o 0
5doS� sa h usO'5\46ir— ) CAv) �X re_�lu.cfcE ZO 070
_ (aqZ j -f
�. {-4. A -h5 0� Pti on l�jcd .
STAGES REQUIRING I14SPECTION BY THE HEALTH DEPARDIENT:
( )Pefore Excavation ( )Upon corpletion of excavation and prior Lo placement of gravel Before covering distribution
vysLem of absorption field
g)Prior to backfill of any component ( lother, 5peeifyt
Plans ami specifications of the proposed swage disposal system have burn reviewed and are ccnsin-rod sati<factory. Permission
Ln herchy grar.tod to tlet owrer or his a-wn, to the work indicated above in acrer.!ancc v..: thn P:t;::n ins-. c/ ln•livi ival
Srwa•)•> Ji.pesal Re,inlations in cth.-:t on the d,tc of issue. In mhiition to general provismnn L,-, to -t. or. z:11 -Ivetse 1:ct �cti,
-`als P.•rmit is sW)vct to the fULIO.Ind additional tcuns and conditions: _
/ Aspen/Pitkin Environrnenial
Health Officer
APPROVED FOR ISSUE BY__J/,G^�0/`
. �. �� ! .�. .. _�... , ,�� �.. _..� .,. `, ... ..�. •. .. �. .�. �.�, �:�. as
Aspen/Pitkin Environmental
D- Health Officer
000001oF1 1�
'130 Sou..:• Dalen.. Sir .-�.L Hts(arn, Goiorado B96.1't 303/92(}tiO PO
ASPEN40PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDU L jSEWA EI )DISPOSAL -PERMIT
Name of OWNER �v I / \`� EOE �O
Address of OWNER j 4-r �oa
, ll
Name of APPLICANT - H V v /V PHONE
PERMIT TO BE: ( )Picked Op (7�/j{,palled tot TYPE OF PERMIT: ( )New Installation y+tf:epalr
{�QOutrr ( )Applicant ( )llacrgency Use r( )Alteration to fl allure
Legal Description
Let Block
riling Subdivision Y Size of Lot `fe (r, Ores
TYPE OF STRUCTURE:(JKln91e Pettily Dwelling ( )Others Do you plan any further additions to the
/� residence? ( )YES Dd NO
No. of bedrooms �_ No. of Lofts � No. of Garbage Disposals U No. of Automatic Dishwashers CJ
No. of Automatic Clothes Washers
WATER SUPPLY: �>Orivste Well, Depth or ( )Public, Name of System
'( )Spring
I )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Y-lgtptie Tank/Absorption Field ( )Aeration Plant/Absorption Field ( (Composting Toilet ( )Incineration Toilet ( )Mound
( (Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other:
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department 1925-1020, 8:10-9:10 a.m J
before a permit can be issued. The individual sewage disposal permit must be issued before a building permit can he obtained,
FINAL INSPECTION APPROVAL MUST BE GIVEN BY THE A,7PEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION
OF THE SYSTEM. I
Application for an indivi ual vewage d aposal/p/rmit is reby submitted. The undersigns ackn ledges that the above information
1a true and that Carse 1 st !0 11 Sova .1 ate plleation and any subsequent Pc it.
Signature of Applicant o DATE
(This application becomes. invalid 12 nths res the above data,)
NOTE: PLOT PLAN must be filed with this application.
Please locate the following Stems by measured distances:
1. Property lines and dimensions.
2. Proposed and existing water wells on subject property and
adjacent property. .
3. Domestic water service lines.
4. Proposed and existing buildings, driveways, and other
structures.
5. Streams, lakes, ponds, irrigation ditches, and other water
courses.
6. Proposed and existing individual sewage systems on subject
property. .
SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO
BE CHANGED FROM ORIGINAL PLAN.
The undersigned hereby acknowledges receipt of this individual sewage disposal permit application and • perwfN.ln the amount
of S7Z LZ, �l f - rf L ,
Receipt Number Date Fee Received LL .by
Administrative officer
000002
130 South Galena Street Aspen, Colorado 89611 303/925-2020
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ASPENO►PITKIN
ENVIRONM` VTAL HEALTH OE�)ARTMENT
FIELD TEST DATA SHEET
Legal decription: N�+� C6YYlGl� lj ZZ 5 �$$IN &4"-tp
Name of Owner: ig
( p
Address: 05-P ��A"1/K�t 9A eGI�L(J!%Y-"b tom} Pl-)-3
(# & st. / p.o. box) (city) (state) (zip)
Name of Agent:
Water Supply: Public Utility Subdivision_ Private Well X
Lot Area: 4.p aA.t.S Distance to Nearest Surface Water—L6D - ft.
Dates observations Made: Soil Borings: by
Percolation Tests: /0-/7-y0by i '&
SOIL BORING TESTS
PERCOLATION TESTS
..... I . . . . .
B-1
...
ane
,..e.,
B-2
P-1
34
ay
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PERCOLATION TESTS
Average Rate:Lj. 3 minutes/inch
Plan of the site on the back
Date /0-/7-96 Signature ea4 w �✓ ��
DODD05
Carolyn Hardin
Aspen/Pitkin Environmental
Health Officer
130 S' Galena
Aspen, CO 81611
...
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,..e.,
.
P-1
34
ay
P-2
3Z
Gt)b 24
' roI
I
I
1(7
P-3
P-4
Average Rate:Lj. 3 minutes/inch
Plan of the site on the back
Date /0-/7-96 Signature ea4 w �✓ ��
DODD05
Carolyn Hardin
Aspen/Pitkin Environmental
Health Officer
130 S' Galena
Aspen, CO 81611
4 • yds—aay-=2�Z
PITKIN COUNTY DEPART!. -',ENT OF ENVIRONMENTAL HEALTH
Box V Aspen City Hall
Aspen, Colorado
925-2020
PERMIT #
System Location �//�� 44ZJL-e�,fle!:�Z
Contractor— ���0 : 4....,_... _ L_
1. Construction approval:
2.
Plans and location are hereby approved.
t
Perc. rate / inches in h minutes= sq. feet of
.•absorption area per bedroom.
3 X sq. feet. =,3 %hJ §g. feet minimum require-
ment. I Suggest
Date Inspector
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.
Date //-.Zp - Z/ Inspector
**Retain with permit records at construction site.
8" septic tank cleanout with gas seal
I/
Proper materials and assembly
Adequate absorption area
Adequate concrete cover (dry wells only)
Covengn-ts Signed
Date //-.Zp - Z/ Inspector
**Retain with permit records at construction site.
J6 COLORADO DEPARTMENT OFSALTH / I�
• -=' Wstdr Pollution Controi Division el
q, n�b`_ ti l
4210 East llth Avenue
Denver, Colorado 80220 d
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner): (/ s
Mail Address: City: «i Phone: 3-��%�
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil prof'les in test holes.
1. Location of Facility: County City or Town 4'0
Legal Description L►, Lot Size: e ,
2. Type of area and facility - Number of persons served:
Subdivision /f'� Motel Restaurant railer Court
Other:
3. Source of domestic water: Public (name):
r
Private: Well X1- Depth §,q Other _ Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District: _4f:�Q
ti
If so name:
5. Distance to nearest sewer system:
Have negotiations been attempted with owner to connect:
If rejected, give reason:
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:
7. Name, address and telephone of person who made soil absorption tests:
8. Name, address and telephone of person responsible for design of the system:
9. Est. bid opening date: _ Est. Completion Date: Est. Project Cost:
Date d` 7/ �'ar^ u- '
S gn ture of Owner
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I
COLORADO DEPARTMENT Of ALTH •
-Water Pollution ContrAltonmission
4210 East 11th Avenue
r Denver, Colorado 80220
DECLARATION OF COVENANTS
KNOW ALL MEN BY THESE PRESENTS, THAT:
WHEREAS, the COLORADO WATER POLLUTION CONTROL COMMISSION HAS approved
the following described land, situate in the
of and State of Colorado, to -wit:
eSCr7 a entire Parcel to Be served by septic tdrV
�-a
Cr ��� +uta 7, 'snd 10,5 p" p+ywiirii� f$ '.
` grJ�.WµcSt c�.t>, ,xxth�
ga;pFin�+{le,�ritibed air'
,+r t es, unrtmp air, a' no nCvnn� he i�aS tePi.yn s WF�'f16 ;j.c L, ''
�. hence a ..e nt dTlace eiulncrtperl,y as .eu.._1uc-r},.�c ';
said Sec'-t""�-i''o''4nR'7
i5 feet.;
ACC aIn
S8 a .�+
r
boo "sa
tilenca
Own
of
$i.ne mf _%SA Lot; .7 read 11, Co the.Painto� '-vr!. I� .
-CVCCB .:1: Z. �7 F�"�5, ^or. or les.
as a location for a septic tank, as definad by tne'6oioraao Hater Pollution Contra!
Act of 1966, as amended, for the treatment of domestic sewage on a temporary basis.
NOW, THEREFORE, in consideration of the approval .of the above described
land as a location for a septic tank, the undersigned, as the owner(s) of said land
does/do hereby declare that the following covenants shall be and constitute cove-
nants running with said land:
1. When the Colorado Water Pollution Control Commission determines that
a community or municipal disposal system is available and can provide service to
the above described land, the septic tank located upon said land will be abandoned
and wastes from the described lands will be carried to the available Ccrmunity or
municipal disposal system and the owner of the above described land shall bear the
entire cost of constructing and installing any sewerage system necessary to carry
such wastes to the available community or municipal disposal system.
2. If at any time hereafter, the septic tank shall adversely affect the
quality of the waters of this State, the owner of the above described land shall
use such other sewage disposal system as will maintain the quality of the waters
of this State within the limits set by the applicable water quality standards
adopted, from time to time, by the Colorado Water Pollution Control Commission.
3. This Declaration of Covenants shall be binding upon the undersigned
and the heirs, personal representatives, successors and assigns of the undersigned.
�rQQ (Continued on reverse side)
OQO�Uv '::ti�,ii,►'
DECLARATION OF COV NANT® P
Pigg
IN WITNESS V18FREOF, the undersigned ov.mer(s) has/have,execuded this
Declaration of Covenants as Of the _z y -day of 6 _, 19 7�.•
I
--OWNERS)--
STATE OF COLORADO
ss
AND C0UINIT'f OF /moi
The foregoing Declaration of Covenants was executed before me this .2
day 19.L> by----
as
y --- — --
,�liEhl� y
kry_;ancFIkiii official seal,
fres.
Notary Public
Approved this day of 19 This approval subject to
tJ:thd.ekat if the for°egging Declaration of Covenants is not recprded within
sixty (60) days of this Approval.
COLORADO UATER POLLUTION CONTROL COVINUSSION
B/
Technical Sec`retrau
d'lp-30(1«71-40)
000009 � � �� �J-U
'2`i 63-a -vo -as
Dubick.Stephanie,Fusaro.Tony,Bailey. Nancy, 03:08 PM 12/19/2003, 0589 Thomas Road
To: Dubick.Stephanie, Fusaro.Tony, Bailey. Nancy
From: Carole Twitchell <carolet@co.pitkin.co.us>
Subject: 0589 Thomas Road
Cc:
Bcc:
Attached:
Environmental Health is okay with issuing the building permit for this remodel. The septic system
is sized for five bedrooms and the house only has four. Per Carla Block.
Printed for Carole Twitchell <carolet@co.pitkin.co.us>
000010
t..
1
PITKIN ENVIRONNTAL HEALTH DEPARTMENT
ISDS DESIGN CALCULATIONS
Owner's Name Parcel ID #
House Size (sq. ft.) (75 gpd, 100 gpd, or 130 gpd) 75
Number of Bedrooms in Main House -
Number of Offices, Libraries, Studies, Similar -sized Rooms in Main House
Number of Bedrooms in Detached Caretaker unit
Number of Offices, Studies, Similar -sized Rooms in Caretaker Unit
(If the caretaker unit is ATTACHED, treat as if part of main house.)
Average Daily Waste Flow 750
State Review Required? no
Perc Rate -(T)
Design Flow (Q) = # potential bedrooms X 2 people/ bedroom X gpd X t75_
Q= 1125
Minimum tank capacity 1406.25 gallons
Absorption Area (=Q/5 X SQRT perc rate)
A = 686.15778 sq. ft. of absorption area required
44 gravelless chamber units without reduction
# of Perc Holes Required: 3
1 in every soil type? Spaced uniformly over proposed area?
A ma)dmum : 50%
only if the lot size and soil conditions are optimal.
if a reduction is being proposed, describe why lot size and soil conditions are optimal:
A = 343.07889 sq.fL with 50% reductionTRENCHES 480.31045 sq ft 30% reduction BED
22 gravelless chamber units with reduction 31 chamber units with reduc.
Type of system: HAbsorption trenches []Absorption bed H Gravelless chambers
QDry well USeepage Pit HOther (type)
SETBACK FROM WELL
# of feet = 110
SETBACK FROM POND, STREAM OR IRRIGATION DTPCH
# of feet = 60
SETBACK FROM DRY GULCH
# of feet = 35
000011
FROM : Skip&Mary Harutun PHONE 140. 970 963 1609 O JUL. 07 2003 02:45PPI PS
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J�rvl SKIP & MARY HARUTUN
0589 THOMAS ROAD
CARBQNDAtf, COLORADO O.S.A. 81623
6>
000012
FROM : SkipBMary Harutun
FROM : Skip&Mary Harutun PHONE NO. : 970 963 1609 • JUL. 07 2003 02:46PM P3
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00044 .
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000016