HomeMy WebLinkAboutpitkin.eh.246532301002 (1979)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.
•
pl- ooh
PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBER -49 ja RECEIPT NUMBER lQu 8
Owner rddC -Y CC Phone No. o,, -n 1
Owner's Mailing Address
Contractor
ow v--Q-V'
Address Sammi
System's Contractor's Name 0 W vc 4—
Phone No.
S I(,a 3
Address
Legal Description r `� S ' ,, 3 I -� 3� w 'let
d( Lot Size Type of Building by Use - x re r t1 r
Number of Bedrooms 42 1. ype of Water Supply
1
Owner's Signature Date
PLOT PLAN: ATTACHED AS REQUIRED
is ii i a a a al a a a a a a a i i i a w a ii a w a i a a i a a i a a w a e i a a a a w i a i i i w w i i i{{i is ii ieew{ i a i i i M a i i a a i i i a w i a w a as
Type of Individual Sewage Disposal System k t c -tare rN a
Type of Soil or Soil Classification San2,_4 `vA � w
v
Proximal Location of Bedrock `�� ? g
Proximal Location of Ground Water Table V1 -QA IAP-vm�j >
0C
i i a a a a w a a a a a a a a a a a a i a a i a i a i a a a i i i i a a a{ a a a i a a a a a a a a a w a a i a a i a a a a a a a a a w a a w a w a w a a a a as a w w a a a a as
Percolation Test Date b -t\ - _4q Minutes Per Inch
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size �6 0 a llo o 5
Special Conditions of Issue:
Approved for Issuance Byp ` ` Date
50
NOTICE
When properly signed for Issuance, this application
becomes your permit. Application valid one year from
data. If an individual sewage disposal permit Is Issued
for property on which no building permit has been
Issued, the individual sewage disposal permit shall
expire 120 days after In issuance If construction has
not been commenced. Any change In plans or speci-
fications after the permit has been issued invalidates
the permit, unless approval is secured from the Health
Officer for such changes.
aa�^w{iiiifiiiaiaw{law{awilaiiwi#ii
FINAL INSPECTION APPROVAL Date � O o
I
a wing of System on Back)
SroQ
�id
1000
E
C&JCA : rE
TAS
•
HOUSE f;t)N0A'+isd
CLE+nbv,s
Dk) ve7
S 6JIL�
fJ� n� TE D 5113 �Y
REQUEST FOR VMER AND SEPTIC SYMM I SPB<T OK
USE PERMIT APPLICATION 6
Date Requested �� y check/Receipt Number
Bill To _:VrQ i71hr,10Ce,
Inspection Requested
Original Report To Be Sent To �r 4
Property
Parcel ID Num
Legal L
Lot , Blo
Building occupied Vacant Age Of
Date Septic Tank Last Pumped /E 5'I # Bedr
DFPATZMeM R XXIM:
Permit Nmber 7_`� C 2-1 Year Issued -1 ` - No Records 01nd
Septic Tank Capacity iMPAW (Gallons) Septic Tank Mat�ial
Leach Field Size t�L— (Sq. Ft.) Leach Field Type
INSPHMON: / 1!�
Date Of Inspections Inspector -r.
Soil Conditions: Dry�L tur4 ated Snow Covered Other
Septic System: Functioning Satisfactorily Not Functioning
Comments:
Water Supply: Public: Name
Private: Well , Spring , Cistern , Surface—f
Other
Well Construction And Location: Approved_
Unapproved Because
Bacteriological Water Test: Lab Number Date
Acceptable X
other
DA
„J6
A.P.E.H.D.:4/87
• ASPENOPITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
Tb
well USE
C75 ,
SNEv
2-
130 South Oalana Straet
10 0 0
1000 (.yA[Lpnl
VOX" -110.
sEarl c j< K
o
INCP„ I
� l
13f j
vt-�-
Aspen, Colorado 81811
n�.
'SCAcE i "= 3o'
303/925-2020
PITKIN COUNTY ENVIRONMENTAL HEALTH
f� n Field Test Data Sheet on Percolation Test
PROPERTY OWNER�n/� PHONE
i
MAILING ADDRESS I C aJLL,
E��
LEGAL DESCRIPTION OF PROPERTY = QcZ h:"
1 Aaj SS
P
w Sec 3 a -
LOCATION OF TEST HOLES N50
TEST HOLE No. 3
Time
C)
J 'Q_
Time
3�
��
Three (3) test holes required per system
55°'
z
Test Hole Depths (24" minimum)
+
rr\
I
Diameter of Test Holes '
�A
3 I x X �I
I `// E,a c k e
>',Is
��
Water remaining after 8 hour soak
"
TEST HOLE No.1
TEST HOLE No. 2
TEST HOLE No. 3
Dro
Time
Ir,u�25.�
Dro
J 'Q_
Time
ppm
....a.�7U _
Drop
Time
55°'
9 I y 4'4-
>',Is
��
"
e
0 V l"
y Ib
5� '»
15 k 4 c7
I «IlV
d u..
,.b�
I� l
'll
'� IF, ,
"-IU-
a " 5 :09
fin
"a
s�,
qI adZ
s:1
Percolation Rate Each Hole<!O 0
a" I
Average Rate '56 "n K�
Comments on soil or site: fjkCLCAL pCa.",¢� (1 L3 .vim axy✓�e2( ��Q�C�—
/ 4 1 (,
Signature
5
Date (0 —1r- } Z