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HomeMy WebLinkAboutpitkin.eh.246513200014 (1983)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. /Ia-00-o/y • ASPEN40PITKIN • ENVIR�DNIMENTA DlsosEALTH a CPRTMENT TYPE OF PERMIT: ( )Initial Construction ( )Emergency UseRepair Work,(Pievious Permit 1 or Installation ( )Use Permit as a result of sale - ( )Other, ISSUED TO: .) 1 )Alteration of an existing system, (Previous Permit 1 ,1 DATE OF ISSUE Ownerhf I GkLRG Home Phonct7 35's Business Phone��%Z�� Mailing Address �77� A'16An 0Ae,60,vl)1rCF 0z,0x?lD0 Agent R 114 Phone Mailing Address Sewage Disposal System Work to be performed by ObMe_k AAD �7OEp ��(oo 7/,/ /�/ This permit valid only for premises location by the following legal deueriptiont&-L'.1Tp `) )( p/ 60o r C� r'I�' LOT SIZE WATER SUPPLY 10,CLL AVERAGE PERCOLATION RATr. $N. 11 AAr—M This Individual Sewage Disposal Permit is granted with regard to the following usat SjljtPe /Ly E,jlocdag- Nmeber oft Dodreoms —4— Lofts_0 Garbage Disposals/_� Dishwashers_ Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD _ J`�(J GALLONS. THE NATURE OF THE SYSTEM INNCCLUDED UNDER THIS PERMIT: of Tank or Treatment Units SCPrIC, IHA/K Tank Capacity _Callon Mlnimua 1 of Final Dtsposala SEEPAGE Al- Absorptiop Area _ S Y!2_ Square rest Mintnum iptionof other equipment or/IISncludlnq brand name, it any) appurtnancen IVDAI C . Other Conditions or Specifications. PT hGOVE-DMINA6E TO ,PE yds' p ;2D°7Ofo rlo Gle�e6q6E PISP05f11- D/dEki- sUR�•9� /,r/�T�e 11U14Y )C ee6M OEEO46-e PfT-, STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation1�Vpon completion of excavation and prior Lo pincement of gravel Before covering distribution ,, 1\ C system of absorption field �fl Prior to backfill of any component ( $Other, Specify, Plans an,l specifications of the proposed sewage disposal syntem have born reviewed and are coneidercd satisfactory. Permission is hcreLy gra;ited to t6r owner or his agent to perform the work indicated at»ve in accordance with the Pitkin County Individual Sewagc Disposal Remtlations in affect on the date of Issue. In addition to general provisions set forth on the reverse hereof, this Permit is subject to the following additional terms and conditionst"Opc . APPROVED FOR ISSUE BY(1 U/ YL.o� (title)1 Thr above inAivldual sevago disposal system installed by Q E has been inspected for une by a represent.,tive cf the Aspen Pit to[nviron.x ata 11calth Ocp..rtment. Thu uwnur anaumos all rueponsibilaty in case of failure or inadequacy of tthhits ucrw�a,)a disposal system. Complete as -built drawing attached. DATE OF ,UN`AL INSPECTjON /.% BY: �iU� ��i .t�0, t— TITLE eOr, 'J30 /SSouth Galena Street Aspen, Colorado 811311 303/925-2020 GENERAL PROVISIONS OF AN INDIVIDUAL SEWAGE DISPOSAL PERMIT This Permit must be retained and made available for inspection at the above location upon request. This Permit shall not be transferred without approval of the issuing agency. This Permit shall expire 120 days after its issuance if construction has not commenced and a valid building permit has not been obtained. Any change in plans or specifications after the permit has been issued invalidates the permit, unless approval is secured from the Health Officer for such changes. This Permit is temporary until final approval is granted by the issuing agency in writing. Final approval cannot be granted until construction, repair and/or operation have occurred in conformity with the conditions of this permit. This Permit is valid only for the indi- vidual sewage disposal system and/or equipment specifically identified herein. Before issuing final approval of this Permit, the issuing agency reserves the right to impose conditional terms and conditions required to meet its applicable regulations on a continuing basis. Monitoring and testing requirements may also be imposed. The issuing officer shall be notified not less than 24 hours prior to backfilling or closing up the work which would prevent inspection of components installed in places otherwise inaccessible following such backfilling or closure. This Permit may be revoked or suspended by the issuing agency for reasons set forth in the regulations of said agency or of the State Board of Health, as applicable, including failure to meet any term or condition imposed thereon during temporary approval or upon final approval. Each and every condition of this Permit is a material part hereof and is not severable. Any challenge to, or appeal of, a condition hereof shall constitute a rejection of the entire permit and upon such occurrence this Permit shall be deemed denied ab initio. This Permit is issued and accepted with the understanding that a fee in the amount of $ , plus _cents for each mile traveled by a designated inspector from the principal office of the issuing agency to the location of the system and return, may be charged for each of no more than two annual effluent samples routinely collected and tested from subject system as deemed necessary by the issuing agency to monitor said system for compliance with the Provisions of Article 10, Title 25, C.R.S. 1973, as amended, and the rules and regulations which implement said Article; and that a like fee may be charged for each such sampling taken in conjunction with the determination of compliance of subject system with a cease and desist order issued pursuant to C.R.S. 1973, Section 25-10-107(1)(k). The issuance of this Permit does not imply compliance with other state or local regulatory or building requirements, nor shall it act to certify that the subject system will operate in compliance with applicable state and local regulations adopted pursuant to Article 10 of Title 25, C.R.S. 1973, as amended, except for the purposes of establishing final approval of an installed system for issuance of a local occupancy permit pursuant to C.R.S. 1973, 25-10-111(2). APPLICANT'S SIGNATURE ul •ASPEN*PI.TKIN • ENVIRONMENTAL HEALTH DEPARTMENT :I.Pi,ICATIO FOR AN INDIVIDUAL -U-MACE DISrOSI .• 1ERDiIT Nam-- of OWNER PHONE pz'f -'3%17Z AdOress o,_ G ER ��7 Z �ir:'sa.z �/ Maine of APPLICANT PARK f•i YY' rot ( !Okdd Up L7^_ATION o'r' !/rLi DcacriVtior. _,� ( &) Ailed tot . / ( )Otmar 1 )Applicant . S PHONE Y:Z% 34— / -J" ( New Inmtalletto' ( Rr>afr I MF ergency Use ( )Alteratlon NOT due to tall •re 9r-7 // l . T00 .o .A L:t__ Dleck riling__—SeWI.Sn!or._`� ,-•_vt re of Lut —J?::o__eercx TY�C OF STrO4fnR': ( sin•Tle Family Dwelling ( )Ot)wa:� _ _�•__^ --_ Do you plan any .'urther� -d ions to the reeldr�cel ( )Yes Ia .'.J. No, of Lefts ra No. cC lbayo Llohoeala �_ Nc. OI Aatcm>Clc ✓: xl•:ra nh-_rs of tel�oa;as -4�-- No. Of A.tOna11C Clothes Nae:..rs __ j_•___•i_ PATER. TLPPLYI ( )Private vn)1, Mnthor ( )Puhlie. Na..^..a o2 tyetem ( )SPr+aq ( )Strcam ct Crank . rpr^ IND/VID^dL C^'.1^.E o1S]9_S%L SY:TEY PP.OPY,_T,Rr I .S's' z;.t1e Trn`.; Ahsc.ntien Field ( )Aeration Plant/AF:nrption Field ( )Conpoetinq Toilet ( )Incineration Toilet ( 'Mound ( )RecycIing, potaLlc usn ( )Ret;¢ting, othcr use ( "-Ault Privy ( lother, _ Tht'ir;tial dte ln.e.•r. ten most are nrrenged with tho Aepen/PitkinEnvlrenment>1 Reclth Department 1925-2020. P:30 -9:3P LefOfC t p_rmlt ran 1`e 1en9r•e. The Snd-vld Ual PQwdge di5p0e41 permit must be !?SUCd {Klore a builditg permit cw, be obtain. !';PAL lmSPFCT1ON APPRUVAL NWT Si SIV" hY TY.E ASPEN/PITx1N ENV3A0)InLNTA. HEALTH DCPAF:7JLKT PRIOR TO BACKFILLING MY POAT:OI• 07 TI:E SYSTM. - Appllc-tion for in 1r.LlvI U. !wage die .aI crit is horehy suxmltted. The vndcrrlgned ecknow!edgca tnat the above Snfa,mation -t 119. ani that tale. lui at r. ull ova dctt the pglicatlon aad any o••_ml.ene permit. Yl9..at.we of Applicant _ DATE/%'�� '� SL -'Q /_. __�' (Tl. application bo comes. Invalid 32 rwnt:.c 's= G.c abu•+e datoJ NOSE: r/ PLOT PLAN mtt.st be filed with this application. Pease locatc the following items by measurect distances: 1. Property lines and dimension.;. i. Proposed and existing water wells on subject proerty and adjacent property. 3. N�mestic water service lines. 1. 3roposed and existing buildings, driveways, and other structures. S. Streams, lakes, ponds, irrigation ditches, and other water courses. S. Proposed a,Jd existing individual sewage systems ort subject property. l SUBVIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL PLAN. ,h. andersignecreby acknowledges receipt cCtthi� ladividual 3ewagc disposal permit Ppl ®&tion and a penam 't fee the aouPt ut' $- ��Q , Recelpt Number 77�9� rate Fee Ae:eivcd _ Y3 _t•:+y �� AdmtniPLrcalvo O!L1 ccr 130 South Galena Street Aspen, Colorado 131611 303/826-BOWO CITY O�SPEN FINANCED RTMENT CASHIER'S RECEIPT LICENSES & PERMITS ❑ GENERAL OCCUPATION BUSINESS LIC. 00111-61000 ❑ LIQUOR OCCUPATION LICENSES 00107-60900 ❑ BEER, WINE, LIQUOR 00107-61030 ❑ LIQUOR LICENSE RENEWAL FEE 00107-61031 ❑ LIQUOR LICENSE APPLICATION 00107-61039 ❑ EXCAVATION PERMITS 00115-61211 ❑ SEPTIC TANK PERMITS 00125-61213 ❑ NON -COURT DOG LICENSES 00135-61100 ❑ COLORADO FOOD SERVICE LICENSES 00125-61001 FINES & FORFEITS ❑ CITY SHARE-DUI'S 00131-64002 ❑ COURT TRAFFIC FINES 00132-64003 ❑ TOWING FEE -CITY 00132-64011 ❑ PENALTY ASSMTS. ON TOWS 00132-64013 ❑ STORAGE FEES 00132-64014 ❑ NON -TOW PENALTY ASSMTS. 00132-64014 ❑ TRAFFIC FINES 00132-64020 ❑ NON -COURT DOG FINES 00135.64040 ❑ NON -COURT IMPOUND FEES 00135-64041 ❑ NON -COURT VET OR R.V. 00135-64042 ❑ NON -COURT ADOPTION FEES 00135.64045 ❑ CITY COURT DOG FEES 00135-64043 ❑ COURT BOND FORFEITS 00131-64101 ❑ COURT COSTS 00131-64201 ❑ ACCIDENT REPORTS/XEROX 00131-63420 ❑ GENERAL ACCT. NO. DESCRIPTION: (NAME, NUMBER, ETC.) RECEIVED FROM DATE: �� RECEIPT 6 T TEM�RD. 11' DEEP ORYUJELL 19' �JAr� 125a sni L�CA1, E 1 � r = ZO i TO WtIL t 5-" Fr -r. ome SToiey Cob C.ABI J (�oaerl v�l.msim PUM F 9vow o vCPHAt►G LArwt MAKE -rieze • ay65-13�- • cy*a PITKIN COUNTY HEALTH DEPARTMENT PERMIT NUMBER ` 2 0 3� Z RECEIPT NUMBER Z d Owner A. �, +m p�L_�//1 Pu ZEE- kj t Phone # Owner's Mailing Address df," A', Contractor Systems Contractor's Legal Description 13 T D S „ ?7 (A) Phone # Lot Size =/L Q [/u -2i Type of Building by Use Number of Bedrooms 3 Type of Water Supply Type of Individual Sewage Disposal System Type of Soil or Soil Classification 1V0 ',0'07/v/ -)Y L Proximal Location of Bedrock Nt 7 Proximal Location of Ground Water Table 6T VEjayAllAicpS C(iE /`IT d Owner's Signature � � - d �, Date— ate PLOT PLAN: PLOT 0 r ###################################################################################################### Percolation Test Data M uut/es%gyp r inch Minimum Recommended Absorption System Size 2i5?0,.4j2 y/ l /� 3� /lYI4/Yi9 Min' Re mmended Tank Size rLj � (%U Pe t Rye valid one year fr Date. Application to beco re it an final only after lower portion is completed and signed by the Sanitarian. RE AIN THIS FORM AT THE CONSTRUCITO�N S I �� Date // Sanitarian awing of system on back .� I Nk Ll 9 T TZ) 9 poor To le"I < CeNc� Ik_AHove GRACE PITKIN COUNTY ENVIRONMENTAL HEALTH 0 Field Test Data Sheet on Percolation Test PROPERTY OWNER PHONE FLAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY SEc-T/Di✓ / 3 T g S P �S cJ LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) �O 3 Diameter of Test Holes _f 2 12 Water Remaining after 24 hour soak 0 D Percolation Rate Each hole Average Rate, NAME OF RES SIGNATURE M" Time TEST PHONE PHONE COUNTYJ / REQUEST FOR SERVICE r _ PROGRAM RECEIVED BY .i e) DATESy7t; LOCATI REPORTED BY SERVICE REQUESTE i r � TELEPHONE 9a7- -?47i - i 9 Ar Wo ffollogo sRI�y, . iJM.7�'T.��,///� SH -M -7a (4-71-50 OLORADO DEPARTMENT OF HEALTH 0 DIVISION OF ENGINEERING AND SANITATION A C T I V I T Y R E P O R T Section FILE REFERENCE: Private Sewaee Disposal INDIVIDUAL OR ESTABLISHMENT: Meekly/Ringsby ADDRESS: Code 12 County NARRATIVE: I did a site location for Jim Meckley on a property owned by Mrs. Ringsby, across from the old Emma store. There are some definite location problems on this particular site, but I think, depending on the percolation rate we can fit a leach field in somewhere in the orchard area and maintain the 100' from the well, 25' from the water line, and get the cesspool out of there. A perc test will be run next Monday. LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE: 4/10 LIQ ES: 7 (Rev. 6-70-100) 19 75 REPRESENTATIVE: Bob Nelson