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HomeMy WebLinkAboutpitkin.eh.246334202014 (1988)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. aq1 ?,-ala oa-cry ASPEN&PITKIN ENVIRONMENTAL HEALTH OEPAFf.#AENT INDIVIDUAL SEWAGE DISPOSAL PER111T NO. TYPE OF PERMIT: ( )Initial Construction ( )Emergency Use Ot/Repair Work,(Pinvioua Permit 1 �,�/V :: .) ( )Alteration of an existing system, or installation , (Previous Permit 1 ,) ( )Usn Permit as a result of Sale ( )Others ISSUED TO:''// DATE OF ISSUE. nn Owner MA III M fZ, 1 V Home Phone Business Phone Mailing - -ob> � 5. g•If GW4 -1a4 Aadress'�7.rj,rlA �LA�1 Agent_ Mailing Address Sewage Disposal System Work to be performed This permit valid Only for premises location by tho following legal descriptions y 7 `1,rVtL'e 7`' C 1> It 0 1 C14 11CIOLU — LOT SIZE I MATER SUPPLY VJp"j ( AVERAGE PERCOLATION RATE (j -S M� 1 � II r7 This Individual Sewage Disposal Permit is granted with regard to the following usariIw n(� Y4hi•)4 ILk 6iA4--•C �' Rte&ber of, Dodicoms Lofts Garbage ' e))DDi�sposals__ Dishwashers lothes Nashors CALCULAV.D AVERAGE DAILY WASTE LOAD Li J C) GALLONS. NATURE OF THE SYSTEM INCLUDED UNDER THIS PER;IIT: Type of Tank or Treatment Unit& O'Au'jz- T'gN4- Tank Capacity _Gallon Minim -a Method of Final Disposals Ap/iopwlto )-lbw • . Absorptiog Pre &l,i square Feat Minlnum ?1 Description (including brand name. 1t any? of other equipment or appurtnencees FF Other Conditions or Specification/) NdY( uS �j1A)Q �Jt^,Cl j 5 1�� (11kP'IH�r^ �t� 1l- hL9�G� STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: I )Before Excavation ( )Upon completion of excavation and prior to pledement of gravel ( )Before covering distribution system of absorption (cid Prior to backfill of any component ( )Other. Specify, Plans and specifications of the proposed sewage disposal system have born r -viewed and are considered catisfaetory. Pn rnieal.on ix hereby grantt•d to the owner or his anent to perform the work inlicited above in accordance With the Pitk:n County Individual Sewage Dispesal Be•inintions in etfcct on the date of issue. In addition to general provisions set forth on the reverse heraef, this Permit is subject to the following additional terns and conditions: , APPROVED FOR ISSUE BY^LLL, ss -�`'�� (title) ['Jyi80,,r.a-,-�4A LIIAWx The ebnve in:tiv Ldual scun,)o disposal system installed by i has been in:ipeeted for use by a rcprracntative of the Asp n IVC to Lnv t•�'n.n. nt— a—il,cai [i Dcpartmtn[. The uvnu i-- evawnoa�l reo(wnseb Lltly in ease of failure or inadequacy oanf this/sewage disposal ya tem. Complete as-buLlt Braving attached, DATE OF FINAL INSPECTION 0j' B'1: I� SS- _ TITLE 1J, ��oSl� 130 South Galena Street Aspen, Colarado 99611 303/925-2020 ���r to s a ASPEN&PITKIN ENVIRONMENTAL HEALTH OEPARI MENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT Name of OWNER /9,444v Address of OWNER 4`to?4z/ 66E'vvm-,0 C �� Pllf- PHONE 9C'r P/i 99S-Pl�i� 00.72 'P'f/sL C -ew eo. Name of APPLICANT ,&.Z11N M06V Ze PHONE ,i/911)F 40F A&W PERMIT TO BE: ( )Picked Up ( )Mailed to: TYPE OF PERMIT: ( )Mev Installation P')Repair ( joiner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure InrATiON OF PROPOSED SYSTEM: Legal Descrip Block Filing Subdivision sire of Lot TYPE OF STRUCTURE: ( Single Family Welling ( )Other. Do you plan any further addition. to the residence? ( )YES N NO No. of bedroom. No. of Loft. 0 No. of Garbage Disposals No. of Automatic Dishwashers No. of Automatic Clothes Washers NATER SUPPLY: PqPrivate Well, Depth or ( )Public, Name of System ( )Spring 1 )Scream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: QJSeptic Tank/Absorption Field 1 )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound ( I"cycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other, The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020. 8:30-9:10 a.m.) before 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 info rm./c}J�n will S/n/�Oidate the application and any subsequent pe rm lt. Signature of Applicant (/ - /- DATE hie application becomes. invalid 12 months 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. . J. Domestic water service lines. 1. 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 undersigned_ hereby acknowledges receipt of this individual sewage disposal ple1rmit``apPlieetion and a permit fps in the amount of S - Receipt Number Date Fee Received `I'- l" Li ,.by, 1- AdminisLS Livo Off icer ek. ,z� a3ss 3 13C) South Galena Street Aspen, Colorado 81611 303/925-2020 ,,1 . 0 1 M E M O R A N D U M TO: Kramer ISDS File FROM: Rick Bossingham, Environmental Health Officer DATE: October 4, 1988 RE: Replacement of System at 0023 Bill Creek Road This system was replaced within 100 feet of the well as per the Pitkin County Regulations on sewage Disposal Systems, section 4-3.5, that reads:" ... For repair or upgrading of existing systems where the size of the lot precludes adherence to these distances, the repaired facility shall not be closer to water supply components than existing facilities. The usable upper part of the lot was too small due to the irrigation ditch and the cut bank by the house. WE C PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER A LAj Lp, M Q 0 PHONE MAILING ADDRESS— f CA S 34 i65 r,36(') LEGAL DESCRIPTION OF PROPERTY 1 �� jigs, LOCATION OF TEST HOLES Three (3) test holes required per system 4 Test Hole Depths (24" minimum) �i. -36 ` 36 Diameter of Test Holes Water remaining after 8 hour soak Percolation Rate Each Hole �3 Average Rate � Comments on soil or site: O - �b % f 5m(— g""° a., L8'KL� 4a-jk� Pow- �� c �ZP Signature Date i � 7 —ae 5 �Q N6�o 2 7j . OU i WL -4 IMPROVEMENT LOCATION CERTIFICATE S72"14'207 532.' +o Cartfirr Sa�--.3`1 I hereby certify that this improvement location certificate was prepared for Allan Kramer and Sally Cramer, that it is not a land survey plat or improvement survey plat, and that it is not to be relied upon for future improvement lines. the establishment of fence, building, or othe I further certify that the improvements on the above described parcel on this date, 17 May 1984, except utility connections, are entirely within the boundaries of the parcel, except as shown, that there are no encroachments upon the described premises by improvements on any adjoining premises, except as indicated, and that there is no apparent evidence or sign of any easement crossing or burdening any part of said parcel, except as not By 4ye4yi comi— Irttr'i, �b'Ei�F_NT Loc: -MON C. 'RTIFICATE U J2� BILL ;REEK ROAD 7"I'Mty CC.dt:T`/, L0LGRA00 By' LINES /N SPACE SYDNEY 41=lCOME a.S lav BOX 121CARBONDALE COLO. 303-963-3852 I'/ MAY 198t{ I SCALE f/=So' if y