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Please See Building and Land Use Approvals Files for additional information.
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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
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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
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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-
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Signature
Date i � 7 —ae
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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'
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