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HomeMy WebLinkAboutpitkin.eh.264504202007 (1990)d I" TYPE OF PERMIT: C/ ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT •INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. DO/J initial Construction ( )Emergency Use or installation ( )Use Permit as a result of Said ISSUED TO: aU4s- 04Q- (2 oo ( )Repair Work,(Pievious Permit 1 .} ( )Alteration of an existing system, (Previous Permit 1 .} ( )Others DATE OF ISSUE v Owner�$EPIi YE��� �/e • Home Phone Mailing Address No Own0gocep LAD /1 4l /Aff� •UEfI Business Phone 23 Agent CA2L 1.�6 vE,e _ c>A�l �UA� /-�17�M Phone Zyc) -713a Addess W 913JgAPLf 6A04C- JC.1) MEl'ItlTi�SC�, c ' D 0170 Sewage Disposal System Work to be performed by This permit valid only for premises location by the following legal descriptions o -r B11>oc 2•- b rac SEK • LOT SIZE 2tD / /T�-Gi� , WATER SUPPLY Su/�Dl ifislig tII,yEu AVERAGE PERCOLATION RATF.re- 14 This Individual Sewage Disposal Permit is granted with regard to the following use: SMG LY I DE�4L'E Nut.iber oft Dodreoms 3 Lofts d Garbage Disposals_ Dishwashers^ Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD 4s® GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Tank or Treatment Units 136- rI likthod of Final DisposalsSCEpA^ - Absorption Description (including brand name, if any) of other equipment or appurtnancess Tank Capacity /6&0- &V _Gallon Minim= Area 2-ap square Feat Minim-= Other Condition, or Specificationst AcU�i �t� DPAW m 8E 1944c'.1) ',2-� FEE,UPHILL OF )Re -i A ri i✓ a T W. STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ' ( )Before Excavation ( )Upon completion of excavation and prior to placement oY gravelAsystem ofvabsorption fieidon )Prior to backfill of any component( )Other, Specifys .� -e viewed and are considered satisfactory. Pernts:-,ion Plans and specifications o, the proposed sewage disposal sy�tmn have b. -.n reviewed ! is hereby granted to tl,e• owner or his agent to perform the work indicated above in a_cordancc with the Pitkin County Indivi:Sval Snwa;e Disposal Re-tnlations in effect on the date of issue. In addition t,? general p:avisions Oct forth or: ,varee this Permit ii subject to the following additional terms and conditions: MIA APPROVED FOR ISSUE BY �(title) E.—y' "d4 The alxn•c In:iividua! xe•.:a•la disposal syetcrn Installed by —�Ti�O1��S---- 1%.�s b.ca to :,,cctcd for une t+y a reproscntativc r,f the Ail:c:/i•1tjan avirc�.:- nta N(^el '-Oc•y�rtm„nt Tti.t„unu: a.��s all - 1%. in case of failure c: inad,`quacy of till jc.,a')c(dyisNoral uystem. Corple�u ox -Ludt rowing a.taatcJ, DATE IN 'PE I �2iP 7 0 _ Aspen/Pitkin Environmental BY : TITLE Health Officer CC RtetJl1 F"1°� 130 South Galena Street Aspen, Colorado 131611 303/980-5070 ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT 6`� v�l/ Name o f OWNER /a; C �/ 12. e GUc' / _,Z/ PHONE ' Address of OWNER (? 1W l r Name of APPLICANT (,/,L/�G G(�©eYNP�' PHONE PERMIT TO BE: 1/4 Picked Up ( )Mailed tos . ( )Owner ( )Applicant IACATION OF PROPOSED SYSTEMS• TYPE or PERMIT: 4N,. Installation ( )Repair ( )Emergency Use ( )Alteration NOT due to failure Legal Description ./— LN Z, -Z 't1/UC /C.r' C C_ Lot Block o2— riling Subdivis ' TYPE OF STRUCTURE: )Single Family Dwelling ( )Others ize of Lot acres Do you plan any furtheadditions to the residence? ( )YES NNO / No. of bedrooms No. of Lofts " L% - No. of Garbage Disposals No. of Automatic Dishwashers / No, of Automatic Clothes Washers {� NATER SUPPLY: ( )Private well, Depth or ( )Public, Name of System%/(/e%/� �re�lC-CCJ��f ( )Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEWAQE DISPOSAL SYSTEM PROPOSF.DS Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound I )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other: The initial site inspection must be arranged with the Aspen/Pitkin Environmental Hcalth Department (925-2020, 8:30-9:30 a.m.) baore a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtained, FINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. Application for an individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information Is true and that false inform tion will i date the application and any subsequent per it. Signature of Applicant DATE_y (This application becomes. invalid 1 mo hs from the above date.) NOTE: PLOT PLAN must be filed with this application. Please locate the following items 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. {. Proposed and existing buildings, driveways, and other structures. S. 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 undersi Ve reby acknowledges receipt of this individual sewage disposal perm t application and aZpeiit fele in the amount of $ 6 , Receipt Number , Date Fee Received by— r1/ Administrative Officer 130 South Galena Street Aspen, Colorado 81611 303/9220-5070 --7 0 q i MESSAGE DISPLAY TO Bob Nelson From: Barbara Umbreit Postmark: Oct 23,90 2:22 PM Status: Previously read Subject: Newell home, Little Elk Creek Message: Please send copy of the septic permit (with letter of explanation) to Sue at Resort Financial Services, 415 E. Hyman, Suite 306, Aspen, CO 81611. For loan inspection --since septic system is new, Tom said we could furnish letter without charging fee. reference Newell on envelope. F= Lai m I= IRRIGATION DITCH CROSSSS PROPERTY IY'�° �I \ 10'- UTILITY + DRAINAGE EASEMENT �%� d�Jc,L LOT 4 BLOCK 2 I POL a F'E N^ E a � GRAVELRIVE PARKING hPEA \ I \ FINAL. LOCATION OF HOUSE AND DRIVE SHALL. $I= r,00RDImATr:D \ RITARH T TSD BbYffRE NLiEQENN�NG i ANY Yv O R K Li L/ I { RESIDENCE GENERAL LOCATION OF SEPTIC SYSTEM, F; -NAL. LOCATION ANC t7EzsfGt1q SHALL MEET ALL. STATE NEAL.7H DEPARTIAENT q REGULATIONS._ PLOT PLAN SCALE . I " =30 1 - 0 It v i TEL EPONE SOX N — /t/ DRISKELL LANE �i u ►/1 .ems'. J _ 1� �,e Ai e- v e S L06 t i C I 04 �.,�../ c cv_ w i� �:J, J VLe�} �i u ►/1 .ems'. Ali✓/�t�//�\�/f.�� ►/ % � t i C I 04 . t- It • 0 / t1 • ,� 1 (< i �) /1R 1 J 1` 1 c 1 ' T c; too , t 1 it Al its ate �i .ems'. Ali✓/�t�//�\�/f.�� ►/ % � t i C I 10 . t- It s� ,� t c ISHEET AGO �) /1R C T C t it DATE 'REVISIONS t i C I } IY�II�v//���i1►�I\ s� r Il• ISHEET AGO �) /1R