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HomeMy WebLinkAboutpitkin.eh.246513200018 (1974)(CDU)Document Layout (From Most Recent to Oldest Permit) Permit Application Log Sheet/Notes & Photos Communications As -built Design Engineer Design Soil Information Water Permit & Information Second System on property Third System etc. Floor Plans Please See Building and Land Use Approvals Files for additional information. yam -13a - 00- o/ 8' ,S41 PITKIN COUNTY HEALTH DEPARTMENT 7201 f,ti PERMIT NUMBER RECEIPT NUMBER 1G— b) Ct hn .e G. � 6 D 54/e�O Location of system , 514 P f -s' 0 i'. -?-f ZC 80, ro,-t Legal description Number of bedrooms Signature of owner Percolation test data Minimum recommended absorption Minimum recommended tank size . L� 7 -& yic .9-020"-2'1 1 minutes per inch Permit application valid one year from date 'Application to become permit and final only after lower portion is completed and signed. Retain this form at the construction site. �D�RAWING�M I 1"� Joao S1f ,,t, IPAIM Date '3/,-,0 / 0/ / q ( Sanitarian /C+ 1 s� 1.0 L&a (S�e, g��.74 aI �� ,efi✓ /`7 <z') �A,eAGE I r � 4 i —srowy youSE 1 ® OeLL A8So/LPTioN P„5ED ( qs S46&vnl oni FA�04T-) PITKIN COUNTY HEALTH DEPARTMENT PERMI NUMBER 720165 RECEIPT NUMBER Phone N i Address { ki Contractor �C7 .A phone N Address Location of system ) ' %) 1 Lot size Legal description Number of bedrooms Date Signature of owner (p �— minutes per inch Percolation test data Minimum recommended absorption system size 7r) C U' ! Minimum recommended tank size Permit application valid one year from date. Application to become permit and final only after lower portion is completed and signed. Retain this form at the construction site. DRAWING OF SYSTEM N Fj , Date Sanitarian _ 3 9 OOLORADO DEPARTMENT OF HEALTH 0 DIVISION OF ENGINEERING AND SANITATION A C T I V I T Y R E P O R T Section Private Sewage Disposal/Violation FILE REFERENCE: INDIVIDUAL OR Jack Mason ESTABLISHMENT: ADDRESS: W. Sopric Creek NARRATIVE: Code I County ; Jack Mason called for a final inspection of his septic system on October 19, 1973 at approximately 2:30 pm. I was on sick leave at that time, and was unable to make the inspec- tion that day. Monday, October 22, 1973 was a legal holiday and the office was closed. Tuesday, T had a full schedule which took me from Ashcroft to Thomasville to make inspections and perc. tests. %vA 4 At the request of the County Commissioners, I attended An Air Pollution meeting in Denver on Wednesday, October 24, 1973 That meeting took the entire day. That moring Mr. Mason, called my office to check on when the final would be done. At that time, he was informed that it would be the next day, as I was out of the office. He stated that he had scheduled a back -hoe to come in that afternoon. He was going to cover the system with or without an inspection. The secretary informed him that if he did so, he would be in violation of the regulation concerning sewage disposal. He said that he wouldn't wait, he was going to cover the system before bad weather set in. On Thursday, October 2b, 1973 when I arrived at the septic site for the final inspection, I found that he was true to his word, the system had been covered. T RS LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE: October 26 pES: 7 (Rev. 6-70-100) 19 73 REPRESENTATIVE: COLORADO DEPARTMENT OF HEALTH DIVISION OF ENGINEERING AND SANITATION A C T I V I T Y R E P O R T Section FILE REFERENCE: Private Sewage Disposal/Violation INDIVIDUAL OR Jack Mason ESTABLISHMENT: ADDRESS: W. Sopric Creek NARRATIVE: Code 12 County Jack Mason called for a final inspection of his septic system on October 19, 1973 at approximately 2:3C pm. I was on sick leave at that time, and was unable to make the inspec- tion that day. Monday, October 22, 1973 was a legal holiday and the office was closed. Tuesday, I had a full schedule which took me from Ashcroft to Thomasville to make inspections and perc. tests. At the request of the County Commissioners, I attended An Air Pollution meeting in Denver on Wednesday, October 24, 1973 That meeting took the entire day. That moring Mr. Mason, called my office to check on when the final would be done. At that time, he was informed that it would be the next day, as I was out of the office. He stated that he had scheduled a back -hoe to come in that afternoon. He was going to cover the system with or without an inspection. The secretary informed him that if he did so, he would be in violation of the regulation concerning sewage disposal. He said that he wouldn't wait, he was going to cover the system before bad weather set in. On Thursday, October 26, 1973 when I arrived at the septic site for the final inspection, I found that he was true to his word, the system had been covered. LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE: October 26 ES: 7 (Rev. 6-70-100) 19 73. REPRESENTATIVE: rI COLORADO DEPARTMENT OF HEALTH COUNTY REQUESTZ0,R SERVICE PROGRAM Imo- RECEIVED BY LOCATION It _ 1.tria.M� G NAME TE D p.3 REPORTED BY ADDRESS �./ TE LE PHO NE ACTION ACTION BY SH -M -7i (4-71-50 ISPOSI TI DATE /O COLORADO DEPARTMENT OF HEALTH COUNTY S7 REQUEST FOR SERVICE PROGRAM /.%- RECEIVED TE SS TELEPHONE SERVICE REQUESTE ACTION ACTION BY SH -M-71 (4-71-50 DI SPOSI TI COLORADO DEPARTMENT OF HEALTH COUNTY PROGRAM RECEIVED B1 LOCATI REQUEST SERVICE REPORTED BY TELEPHONE ACTION REPORT ACTION BY SH -M -7t (4-71 DI SPOS I TI PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER MAILING ADDRESS PHONE _" ' i A LEGAL DESCRIPTION OF PROPERTY 2 i zyiL.S /' p - `S i oTA ,Vq r 'C �i Q-!' �� f � -Y/` � ✓�K i i/ter � � Y s'/ // Q �c. LOCATION OF TEST HOLES Q % Zr, p �r Three (3) test holes required per system Test Hole Depths (24" minimum) I D /0 9 Diameter of Test Holes /,Z / a " Water Remaining after 24 hour soak NZI Ile 11 &Z Atd 1 TEST HOLE Nl 1 TEST HOLE N2 1. TEST HOLE H� k1 Drop Time Drop Time Drop Time 71 Percolation Rate Each Hole �Lq Average Rate yh vw / V•� wH, NAME OF RESPONSIBLE PARTY RUNNING TEST _\ ,u (? ('jy, y �1 PHONE SIGNAL'URP PHONE COLORADO DEPARTMENT OF HEALTH Water Pollution Control Division 4210 East 11th Avenue Denver, Colorado 80220 APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS Applicant (Owner): Mail Address: City: Phone: 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 profiles in test holes. 1. Location of Facility: County -j Legal Description City or Town Lot Size: 2. Type of area and facility - Number of persons served: Subdivision Motel Other: Restaurant Trailer Court 3. Source of domestic water: Public (name): Private: Well / Depth _ Other Depth to first ground water table S 4. Is facility within boundaries of City or Sanitation District: If so name: 5• Distance to nearest sewer system: 3 I.1 L'' Have negotiations been attempted with owner to connect: If rejected, give reason: Rate of absorption in test holes in minutes per inch of drop in water level after holes have been soaked for 24 hours: i Name, address and telephone of person who made soil absorption tests: 1. 4 ✓�i_,._ 01% /T zip i /%,�— 9:37_ 74 ui/_ , address and telephone of person responsible for design of the system: 9. Est. bid opening date: Est. Completion Date: Est. Project Cost: Date: 1 i 6r 4 Sigr(�2ure of wnerof wner B. SIGNATURES FOR LOCAL GOVERNMENT OFFICIALS: The undersigned have reviewed the proposal for the location of the above-described septic tank system and RECOMMEND APPROVAL or D[SAPPROVAL in the space provided below: DATE APPROVAL DISAPPROVAL F-7 /__7 Signature for Local Health Department /— Signature for Mayor or City Manager /__7 /---7 Signature for County Commissioners Comments: Signature and Title Note: The applicant must obtain the comments and signature of at least one of the above. C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: Recommendations of the District Engineer D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION: lU WP -10 (Rev. 5-70-100) PERCOLATION TEST FIELD SHEET a COMPLETE IN DUPLICATE (Check person responsible for or performing tests) ( ) NAME OF ADDRESS ( ) NAME OF CONTRACTOR OR EXCAVATOR ADDRESS PHONE LEGAL DESCRIPTION OF PROPERTY General Information & Instructions In addition to compliance with all other rules and regula- tions for sewage systems as promulgated by the County of Pitkin and State of Colorado, it shall be the responsibility of every property owner/installer/contractor/excavator (the person running the tests) installing a sewage system to conduct percolation tests in accordance with the specifications hereinafter set forth. Subsequent to the performance of the required test, it , will be necessary for the person responsible for/or person perform- ing the tests to file, complete and under oath and penalty of perjury, the affidavit form contained on the reverse hereof. Warning is hereby given that spot checks and inspections will be performed by the Pitkin County Pollution Control Officer and his authorized agents with or without the knowledge of person perform- ing or responsible for the tests to insure compliance with the requiements hereof. Soaking is to be performed in the 24-hour period between O M. and 6.,TO �} M. on the «�Snd days of 19'7,3. `I' actual percolation e s are to be performed at a A_.M, and Q:,3a A M. on At least two (2) test holes per system must be run. They should be in the area (within feet) of the proposed leach- ing system and dug to the deptE—o—f—The proposed system, generally 2.5 to 3 feet deep and 12 to 16 inches in diameter. The holes are to be soaked for a 24-hour period prior to running the test. 0 AFFIDAVIT (Percolation Test) , being first duly sworn upon his oath under penalty of perjury, states, avers and certifies as follows: 1. That he is the person who performed the percolation tests as required on the reverse hereof. 2. That the tests were performed in accordance with the time schedules and specifications as set forth on the reverse hereof. 3• That the test results of the said percolation tests were as set forth on the reverse hereof. 4. (In paragraph 4, affiant shall insert additional statement(s) which may be properly and reasonably required by the Pitkin County Control Officer or the affiant may wish to insert.) DATED: , 19 Signature of Person Running Test STATE OF ) COUNTY OF ) SS: SUBSCRIBED AND SWORN to before me this _ day of , 19_ My Commission Expires: Notary Public NOTE: This affidavit must be returned to the Pitkin County Pollution Control Department within 24 hours of the time the percolation tests are completed (Saturdays and Sundays excepted). v. 4.70 CRIMINAMPLAINT, SUMMONS AND W� 4NT-c .. ro--_,r. co.. ocrvice. c=.c CRUMAL CASE NO..�_-_—! ! ._..._ ..._....... :,LORADO IN TEZ COUNTY COURT. 2i tk i n........ ... ._.......... .._..�sa. OB SHE STATE OF COLORADO vs. son.__, _ I Time of Filing..—._..._.._.....__ O'clock_._. . The ..o:.alaint and Information of_.........._..James_... 07,Sk__...._._........... ...... _._`...—.-'..-.-.._...'.-..__�... made before._...FXAX1G.CS..... Ka..ulllRP........ ._... .............. Ck;k, of the County Court in and for the said County, . 41.f1._ ............... _...._.daY of ..... D,gCP.2RbeY:...--_„........ A. D. 19_11.. being duly sworn on oath says th.., Jack Mason ..on, to-wit:rne_..___. on. or about October 24th___.__.__._._._....._,�.A to -wit: the said County of....__.._.Ql)i'.11l._.—._.... in the State aforesaid unlawfully Pitkin county, Colorado, sewage disposal regulations, VI, in that he, failed to obtain a final inspection of ..waca disposal system installed on his property locates: on SLEis Creek, Pitkin County, Colorado, in violation of Coiorado Revised Statutes 66-3-14(7)(d). A14 hj� , 1 _ � .ry to the form of the statute in such case made and provided, and against the peace and dignity of the People of the State C. :,iorado. He therefore prays that the said ...... ...._..._.___JA.fek_..a ..xi._..........._._........._..._—..�.__._..._.__......... ... . . be arrested and dealt with according to law. _. .. •--i__•_ - ems♦ I 1 , j 1 '.scribed and sworn tocbefore me 1 . _....... - .r9f �' _.�.,./....1� .• day of_ (SEAL OF C .:URT) l r{ '"WCLERK EPZITY 13 - i br-lbC'm_' , �o iy P1At,� r•�SDct,T � Co GO ��-�►'6 O p� 1 � � a_Ln d` I SII` • ri GrKA VOL VI���yob G AA VwI_Y .\\' 4 /ro wow zo fzaol' SY 6o F.or -atl A!fwfrLow F+ea_D �'t2x'o- >zv xa f -r. o4l'A cn�cTA' ADvITfo� � -� V' 130 S. (;alma 1LDING PERMIT APPLICATION UU I Z>General Aspen, CO 81611 ASPEN&PIT�1COMMUNITY DEVELOPMEN PARTMENT Construction 920-5090 Permit 920-5448 Inspection Line PITKIN COUNTY K CITY OF ASPEN - L� Apchcant w complete numbered spaces only. No. .x1B ADDRESS / J Zoning Validation _ 2' LEGAL 2- DESC. LOT NO. BLOCK TRACT OR SUBDIVISION� (C SEE ATTACHED SHEET) s'` co DE OWNER MAILADD SS ZIP PHONE MILAD CONTRACTORIDRESS PHONE LICENSE NO FN 4. ARCHITECTORDESIGNER MAILADDRE33 - PHONE LICE ENO — C MS ENGINEER MAILADDRESS PHONE LICENSE NO O. RF CLASS OF WOR ❑ NEW ❑ 7�DITION ❑ ALTERATION ❑ REPAIR ❑ VVV"` SQUARE FOOTAGE E ZONING FEE L " CENSUS CODE USE OF BUILDINGPLAN a. C NZ—r r4 k; T CHECK FEEPERMIT / ��/ �'� FEE 3. 6% USE TAX DEP. VALUATION 10. $ Typo d ColrcVucoon - 0=0anc, lid R3 -I Araa 11. Is there food service in this building ❑ ves ❑ No sue dl BwMi halal s,w,a"kI,I � No W S ` Occ, Load � `^—S 12. Is LPG used? ❑ YES NO NO.OFSEDROOM5 I Uoa Zane /1 P13. F 2 - l o �� r RNSPdIMen Reauued? ❑ Abm S".a�weeai Dyes Remarks EXISTING A p c Qq -13 No. of O b, Unas OFFSTREET PARKING SPACES Caverel llI)ooveled ^� C I t SPECIAL APPROVALS REQUIRED I AUIflORQED Y DATE 2DNING PARK DEDICATION IO E}. DNI%Lt"V f PR AL C f TED By PLANS CHECKED APPROVED FOR I$SUANLE ENGINEERING PARKS HOUSING DOTE DATE DATE DA PLANNING OTI FIRE MARSHAL A' FFJ_B-]_TE P_ EBJ�ITS ARE R ELECTRICAL. PLUMBING, HEAD- ILATING OR AIR CONDITI'aaaaaONING. �- �" WATER TAP OTHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120/180 DAYS, OR IF CON- STRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD PAYMENT OF PITKIN COUNTY USE TAX OF 120/180 DAYS AT ANY TIME AFTER WORK IS COMMENCED, MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ❑ DEPOSIT METHOD 3.5 % 25% OF THE PERMIT VALUATION PAID AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF AT ISSUANCE. A FINAL REPORT ON TOTALACTUAL COST MUST LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM- PLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAN- BE FILED WITH IN 90 DAYS OF SUBSTANTIAL COMPLETION OF WORK AND /OR ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. CEL TH a111(((ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CTIOV OR THE PERFORMANCE OF CONSTRUCTION. O EXEMPT. EXEMPT ORGANIZATION C RESALE. STATE a PITKIN COUNTRY RESALE NO. ANYONE WHO USES AND / OR CONSUMES BUILDING MATERIALS AND FIXTURES IN PITKIN COUNTY IS SUBJECT TO THE 3.5% USE TAX. PROPERTY LIENS MAY BE PLACED ON THE OWNER'S AND /OR THE CON- TRACTOR'S PROPERTY WHEN USE TAX IS NOT PAID SI ATUREOF A o PF7R CAG NT tppr I • L.' (, " �t I _ SIGNATURE OF O ER RF OWNER aULLO A) (DATE) HIS FORM IS A PERMIT ONLY WHEN VALIDATED Plan Check Validation Zoning Validation —I•aT—WHITE-FILE COPY CANARY-APPLIC IS WORK STARTED WITH OUT PERMIT WILL BE DOUBLE FEE Pennit Validation 3.5 %Use Tax Deposit Validation