HomeMy WebLinkAboutpitkin.eh.246524201018 (1976)Document Layout
(From Most Recent to Oldest Permit)
Permit
Application
Log Sheet/Notes & Photos
Communications
As-built Design
Engineer Design
Soil Information
Floor Plans
Water Permit & Information
Land Use Approvals
Second System on property
Third System etc
(All relevant older documents in the same order as above)
(A red sticker will be placed on both sides of the file tab when doc. is scanned)
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r( ~i ~'~ ~ ~~PITKIN COUNTY HEALTH DEPARTMENT ~J~'~ G\
~.e ~ s _ :., RECEIPT NUMBER ~'
PERMIT NUMBER /~ ~~ii
n/EiN /~ti°'1~ LT~,~'AU7/NE ~f/~~A~7M~~ Phone # 7~~"~0.5
Owner' Ma,lina Address ~~~~ ~/e/~iv~/'/7~'l ~~~ /~/~S~L./
~f~M C Phone #
Contractor
Address
Systems Contractor's Name ~f}/~~~
Legal Description N i~ - _
I '~~ ~~~~ Type of Building by Usec>/N~~LG //~Ml ~~(~~t
Lot Size i _
Type of Water Supply ~~~~~-~--
Number of Bedrooms ~~
Type of Individual Sewage Disposal System ~~~~ ,/~~~ Jr~~~~E f'~~~~
LOAM To Srt~1~ ~N~ GR~41/EL
Type of Soil or Soil Classification
/~"~ ice,-aww.~/Gll 7 8 ~
Proximal Location of Bedrock / r0T !JG ~CiC~ ~
..., /
Proximal
Owner's
PLOT PLAN:
SEE /-17~f1G'HED
Kip
-' ~~Minutes per inch
Percolation Test Data
_ _ _ ,.. _ /. _ ~.i_. r ~nr_c~ni+t ~L'11 Pu+n~fMfA(DfI
Minimum Recommended Absorption System
Minimum $Ze[~mrQended Tank Size ~
~7/ 7 / 7 ~O lication to beco permit and final only
permit application valid one year from Date. App
after lower portion is completed and signed by the Sanitarian. R~ THIS FORM AT THE
CONSTRUCI 0 SIT ~1~~
Date Z J~' Sanitarian
(Drawing of system on back)
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DEPARTMENT OF ENVIRONMENTAL HEALTH
COUNTY OF PITKIN
506 E. Main
ASPEN, COLORADO 81611
February 3, 19T6
Mr. b Mrs. Kenneth Chambers
5131 Frying Pan Road
Basalt, Colorado 81621
RE: Parcel of land located wholely in Tract 73, gec• 2~+, TSS, R87W
Dear Mr. & Mra. Chambers:
Investigation of ad,~acent lots in the immediate vicinity of the
above captioned property indicate a maximum seasonal ground water table at approxi-
mately 7 feet belox the surface of the ground, about 150 feet from East 9opris
Creek. Inasmuch as You plea to build higher in elevation than that parcel of
conventional aeplic~~tank and seepage bed wouldlconform to CountylIndividual t a
Sewage Disposal Regulations. Should soil conditions or perc rates vary aub-
etantially from those anticipated, a Registered Professional Engineer will be re-
quired to design the system, but, is no ease, would the use of an evapo~transpira'-
tioa system be considered.
Sincerely,
~ ~~
~~i
Robert F. Nelaon, R.P.S.
County Sanitarian
RFN:nrr
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER /~ENNE7H'll ~ERAfjtJ'DINE L'K,wet~es PHONE y,27-,3GS~
MAILING ADDRESS SI3I ~Yin/GPAnI /fOfiD
LEGAL DESCRIPTION OF PROPERTY
z~ / BS~~~Ly
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" minimum)
Diameter of Test Holes
Water remaining after 24 hour soak
oT - f~~'TD ~.
3~'~ 3/ ,/ ~o ~r
/6 ~/ 8 ,. NaHE
p D U
TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3
Dro Time Dro Time Drop Time
z ~-u ~Q (
,3 y 20 Z 3 OLc
z3 iz 7 8 po P O /
/
~o
d ~ ~G OS E ,P.irr/oN LIJ/ i/
(
p.~p
3 D ~
,eGE o rJ,~/T of
~ 20
6 ED/M ENT
Percolation Rate Each Hole 1 `i ~ L i
Average Rate
Comments on soil or site: G-oAM 7o Gi2AVC L.
Signature
Date / 3~~
~~~~
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~d'lZauratai~ ~ziP~iia~ G'a.
5062 COUNTY ROAD - 113 CARBONDAIE. COLO. 81623 -Phone 945-5148
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~~ PITKIN COU~'NyTs'Y H{E~A(L'iTH DEPARTME
` PERMIT NUMBER (1r ~ S e~ .a. RECEIPT NUMBER ~ .: ':1r
Owner ~~ ,.. / f ~ ~' ,~~/ ;7 / ~? ~~ /~ Phone N
~ / T
,% p~
Address ~~ / ' "~~~ i
~ ~/ Phone # /~S 9~~¢
Contractor i / ~ ~~ ~ ~y o~
Address ~/~~ 7 i~ ~• %' ~`~~~~
Location of system i~'" 'd °~,r i>j ~' ' ~~-~,1/C ~ ~~'/~oyyt size .(~,,A~~ l
Legal description J ~ / o
Number of bedrooms j Date f/~"- ~'' ~~//y -
Signature of owner ~ D ~ ~ ~ ~ ~~r ~~A " ~~ ' ~ ~/ ' ( "
~ minutes per inch
Percolation test data ..r
Minimum recommended absorption system size- ` / ("' •' ` Y ill ~ ~r~, 1~
`~ ~ J
Minimum recommended tank size ~~~CJ - ~%-
_._-----
Permit application valid one year from date. pplication to become permit and final
only after lower portion is completed and signed. Retain this form at the construction
site.
1 V ~
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Sanitarian
'.QRADO DEPARTMENT OF NEALT~kI ~ ~•
slater ~°ollution Control Di~„.,,.ion ' . :,~
~.
4210 Est 11th Avenue .,,~ ....
Derwer, Colorado 80220
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner): 1
`J 1S F~~c City:~Py~i:P:r Phone:37%-2"SIG3
Mail Address: ~
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect io surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
1 . Location of Faci 1 1 ty: County- ~t ~~k ~ r~ C I ty or Town ~t?Q `~ ~ Y'l1YY1 C~
-~u.'P 8 S, ~ri.,ngz ti3~ W e Ph,
Legal DescriptionS~%,~~~~.r, i1/y S c~;n. '~4 _ Lot Siza: 5 f~
2. Type of area and facility - Number of persons served:
Subdivision Motel Restaurant Trailer Court `'~`
\ ~,
Other:
3. Source of domestic water: Public (name): 1\r1 ~(1~
sh~~la eP ~-~~eox too ~r•
Private: Well ~ Depth~_ Other -,Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District: Y~(}
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:
s
8. Name, address and telephone of person responsible for design of the system:
9. Es i. bid opening date: _ Est. Completion Date: Est. ProJeci Cost:
ii '~?- ~ (~
Daie: 31~~~~~1 n ~ ~/ ~ M~r'C~ ~l
--~ Signature of Owner
,.;.~~iG`~F,TURC•S FOR LOCAL GOV~'f/iEN7 OFFICIALS: The undersigne~^,,have reviewed tho
proposal for the locatio~r.ef the above-described septic taws system and
RECuAT1END APPROVAL or DISAPPROVAL in the space provided below:
DATE APPROVAL DISAPPROVAL''
~- Signature or local Hea th Department
/_7 / /
Signature for Mayor or City Manager
/~ /~
Signature or 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:
lJP-10 (Rev. 5-70-100} ,