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Please See Building and Land Use Approvals Files for additional information.
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�ABPEN40PITKIN
ENVIRONMENTAL HEALTH 7P�TMENT
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f lin+tl:: r••c.u.aan { )Zmcgoncy Uen ( )Repair ;:nrk,(Pravlotxa ,armit 1.i Xn!tarnticn of nn nai Yq ,a r—,
or 1r:.' l`-t!on T revic�s Permit 1
+ la.e Permit •a a rea'alt of Sale i Wthnrt -,_ " ,U Q
ZS*a'uhD /TO: �1 I '`D2ATE OF fSt-M I p
C •Hier LEoA� �oe%b - � ' Q�_Nk auain!:�--
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Address
�EVu,'.,'t3 L13DQS �'•_ System Wor:: :D be perfvrme3
1,1
ih:a poo -At valid only iW: Premiecs :uc:.t!ar. !W th.> frltot••n4 loialt�aoacriptientIPTI-7�
wkwt SU7P:.Y__2&L__ ' 0•�r—. AVi.R4t:E AiRt:rlrATlOt7 li,, i'::""i -
^.t1a I<Mv!duni Scvaga Diopcsnl Parm..t in grant -A With rc;a-d to the Lailowinj
ar+ no;Lsows -. :gftaCa rbaga=irxsa!s.. ts:.Wnabaru � Clathee WiVira
chile UCt•rf:a ^vepm;E lldibY w. svf7 &,cAv
'i)... .r TC a, ^Ilr TI,E SYS.X,c rilCt,_ E: ^:C1. •rTt.S.Tf
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yank or 1rea erg l+n/i�e%r �/�✓ //LN/L 'ter% Ca;•aeity-,�� _,-yall>a ::'-,}alum
/V EA ISVAJlY �EW/. husotFkls:. At2c ....".'lcc^t :onq uf•,.. arm1
nv,rair-icn (lnv!-j�ing brand limns, if allyl t..f ot.l^r r e&'t;4: tnan,;av!
rc.Car Co: elitians or _�x!f Sr-atSarel
SEP77)G-FA} J<- oNL-y
STt'CE5 n_C..L-7T\ti3 _NS-F.CTT0N $V
. ....•!crx '. 'caw -ion 1 .�+..+ ci..nry3 c'olan c: .: xcays2 i.:.: anu pri v. ,.o Fcr.: ace. -a _` y.r:.
1 7Sefarc cnvcc'. nq n+•a rtbutian
.yste.n _f .+L.-r'in-n tread
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0e to l."f-l" of any ecmponant 3 jotner.
o! the eraxscd aaaa4. dtapoct +rvt lam hn+.• rpCn n•Yie .0 nuC are•
rar. v:n r. the avr o: r:+ ••••n• .o •a,. tic "o-• 'n•^d •F.- Ln ncc ".tk:n "'n ..1 .,:
:r :rt- al L.11'L.11'da ^ of in Ir a`i!te_r. to gC:cr_-!'p^ as a•.. s__ So:tr. ca t)
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nae to as to L.:c folio any a..!: tae.a'tecma ..n_ Z.n_'iclons+NONE
�,� (C3 •_l el( �ILHl —
r:.0?/2P FOR T_SSIIS BY%�G _
.n. .yC ... �!Vl•1. n: avwana di lYesul /.' ..... .
:.,•- H .+�.. h.. c,.J fir use by 4
a,.
=r cis., ^t !U!4r0 or !nun, ;,, _, .... i
OV m7rZALt. z*a:sr^cTxox- 8= 2687 —__
130 South Galena Street Aspen, Colorado 81611 303/925-2020
GENERAL :IOVISIONN Cr A"
1SDJI IXDUAI ... LlS SAT. PFRVTT'
.his Permit -
i.�� :rm:t must: be r�tciiu.d. and made a���ai,ablv For iuspucl'ior, at the above location itpart
request.
This Permit shall not be transferred WthrjuLapproval of the issuing agency.
This Permit eball expire 120 las after its issuznce if construction has not commenced and
a valid building permit h.7s not boon obtained. AnY change in plans or specifications aftcr
7
the permit has been issued avalidates t H pernd._, unless eppi:ova:l is secured!€rob: the
Health Officer for such chauges.
Thi Permit is tempo ary* until Vinal apro.,:l .is grant _„ by tir_ issuing agency
-Final approval cannot be granted until c _ru,^.t-t�,i, repair rand/or cpeyaHoa WE occuTrawl
in conformity wi:tL the condivicus of thj3 permit, This,Pnimin is valid only Por the indi-
vidual sewage disposal system and/or eccipment specifically identified heroin.
Before eu� final approval of this Permit, the issuing agency reserves the riz,'L.t to
impose contitinnal -erms and conditions required to meet its applicable rogulaLloaa on a
rontinu%Z basis, Monitoring and testing requirements may also be imposed. i
d. ..
• - , h. issuing
officer shall be n..i. i_ftee not less than 24 hours prier to backfilling ur closing up the
1-.-,,rk shich would prevent 7-1 �
I o .:oZ of cq,naczen=,.s installed in places otherwise '„accassyble
following in -h haL c Ili g o1
lusure.
This Permit any he revoked or s,,verded: or the i.a .l.-n'g aganc :. f.c.l T ascns. set fy,th in tho.
regulations of caid neeacy or of the State Board of wealth, as z n o ti.cable, including f<tl lure.
to moat any '_ern: or cundicion imposed thereon during temporary appzooal of upon Final appto ai
Each and every condition of this Permit is a material part: hereof and is not severable. Any
challenge to, or 1pp_al of, a coni';.tion 'h2r2of shall con titutc . reju.tacn o`. the antfze
pewit and t., a :such occurrence this Permit shall be deemed deuiad ab ioitic
This Permit _; issued and accented with the .ir:lerstanding that a fee in the amount o
nlus -__Coats for each mile tr.avclec by a 1e2i.gn
iFen i t>r f:o.r
LhO P iilci,p .l Office Of Lhq issuing agency to the location of the system and return, may
e charged it each of no vo:e than two annual effluent sumplLs routinely collect d enol
tested from suljecL systom as do med necessary by the issuing agency to monitor said
system fcr c0m""nOa with the Previsions of Article 10, Title 25C.A.S. 1973, as nmpnn; ,
a;v9 the ,sure.. ;:nd t g;t12i,1 as ,;aicf implement said Article; and that u 1W foe .vai be
charged for, each such a °,ni sing taken in c.uniuncrtion with the determination of compliance
of subJer_t symn,m with a ._ease and desist order ned pursuan ^
_ ✓ i"O C.P\.u. 1. `'73., Ji.l.t il,n
23-10-10&)(Q. ...
The issna0we of this Permit noes not imply compliance with ether _state or iocaa_ regulator,
c;: bz !ding r Qy;lire;;ier,ts, Per shell it act to certify that the subject system wi.l.l operate
in umpliFuun with applicable state and oval regulations adopted pi rsu:ant to AS t.icl'a 10
of Tit-leW.S.7 , , except for the Purposes of: establishing fir_al appy
25 r it 1,,5 <+s amended, _ _ k>, o.<al
of an lusuallad syszem for issuoncc of a local ocLupaucy ermit pursuant to c.R.s. 1973,
25M-111(2).
APPLICANT'S SI
a
JASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR Ar INDIVIDUAL SCNAC:E: CISPOVAL• PERMIT
PHONE 925-3811
Name of OWNER _ T.a�
Address of OWNER 0093 Horseshoe Drive, Carbondale, CO 81623
Nw-o of APPLICANT Leon Norton
, tF.R•f!T TO PF_: ( ): :eked Up CjI)Mailel Eaa ,
(x)owner 1 )Applicant .
PlICNE
Tips or P•5••t ! )na.+ L+.: )taction Oa,•palr
S lltner�entt 7aa ffjhltsratien N,1T destofailure
cta.IOF ;,�_rPC-_eo SYSTEM -
Leal oee.ripGior 0093 Horseshoe Drive; (Pitkin County)_!- .
T.'rt__17 Blank y .^'Slf nq sGbdlvialon Double K Size of Lot _%„85-—_acrea
i4:rt o? STAW.711M Q05ingle Fwmily Waili.ng ( )Deher•M••_•�_�„__."_ Ci-ov pia:. '�vrny further additions to the
ca.1'ene A )YES C )NO
Ill. of bedrComs _3No. of Left 0 No. of Garbage Dispoaata ao. r.r Automatic
of Automatic Clovh a mashers r•�
VAITA SUPPLYYr C )Private troll, Depth or of )i) -':'b}1^./. Y.mt Ct .iae«iw Doub.3,e•_. �1 er •stem __
C ISpri ng .
S )Stream 4r Creek ,
T._t;^SAF IV7IVID^,_b SE'ahGE D:aPOS?.L SYSTEM PR!Y0SL51
Xi Se-Llc Teak/Abst.artior. Field ( ),...ra:'u:n 'ri4.a/AbsucFilo« Yield C )('.^mPOsting TIAItt C )Incineratiar. Toilet ( )Mound
! )Fe^ycl}n9, potable use ! )!tu:ycl: ar, other use • ;vault Crier
iratlal site inspection .oust be aC. .mc, r..i .,lth the l..f;:ra r:! ''in aim. :ranr^cn:al llea!ti. Lc•.a: G,.:+t (`i75-LnTg. ?: Tu-?ilJ n.s..;
'au:ore a permit con be iawrd. 'rhe iR:1 ••••ia+) adrage di:P• sa. perm -'t must r tsanedColn: r. r t:u l::nq pe mtlG can be cbta v.cd.
1 ^th •, J119PFCT!JN APPRr1VP.L MUST 4!: C. .1 BY V7. A PEN/.,STAIN r%ViRONMENTAI dEA)T1I M..PART.{ENT FP.'o3 'fG 3ACSSI:CING ANY ?GRTIO:':
nr Y;E SYS'F.M.
npplieectoo for an ird1:•12v-1 sewage disroarl ^trait is he:t6•• svkr_tted. ;n jn.:arwiened aakno+rlodgex that the ZWv 4 fnfor•wtia,
In true ar,d Ghx: talon :n n'+til Snc..a Ld a a r scSan mad any 'I'haa•(unat ;vx mit.
SSSratcra 3: .ippilcaptTL_-.,Cl: �o �__-
i:his app_.aecioo 'wco:mea. lnval, nths trem tha above dato.l
NOTE: PLOT PL,u-; 1 -lust he filed with this application.
Please locate the f�11cwiny itens by mens•ired diatanceb: Note*
3.. Property l'_ne< and dimension
a, ^;.pc,scll aad eaistiog water w•:ils On •:u'ojer_':_ property and
r cljaccnt proparty.
3. T'O.^.:^_stic :+iter ser7ic3 iin2L.
17, :i oJe. acrd Pasting bui.dinys, U \V W1•;S, end Other
rtructures.
lakes, (fonds, i_rigstior, riitche., ai t: other water
yGt.lx' jpy .
b, Proposed end <.tist_nG j"eliv rlu,11 sett»qe g+.SLet+o on sul.jc-r.
PUGI,TT I 1:EVT�?'l ?:iii e,:+N
PRIOR '.CCI :'OIISCY.UC9'_O,,q IF IV5%A7+LH'SGN iS TO
Bk: CIiANGFD f!r'C)1•1 .: +:7'n1Z. PLAN,
:;,a end....' arch arknoe:adgey :ac -int m! thio n.Vanw disnosnl orrxtr, apulenticn and a Fn. I t' + ;fie aawmnt
cC 6 + ___, ""c.n l!.• NU'ber �� •_ Date Fae A::olved
* Old Steel Tank to be replaced.by 1,200 gallon Conctete Tank
130 South. Galena Street Aspen., Colorado 811M 303/925-2020
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