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Permit
Application
Log Sheet/Notes & Photos
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Soil Information
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Second System on property
Third System etc.
Floor Plans
Please See Building and Land Use Approvals Files for additional information.
ASPEN*PITKIN q&5-
ENVIRO�ENTAL HEALTH DEPART NT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
33a - v/- ooh
TYPE OF PERMIT:
Initial Construction ( IEmecgancy use ( )Repair Work,(Pievious Permit )Alteration of an existing system,
or installation (Previous Permit 1 .)
I )Use Permit as a result of Sale ( )Othor$
ISSUED TO:
JN
II II DATE OF ISSUE . x — �j � � Z
J � n
Owner II p c L I S MA ome Phone�R�—,Business Phone
Mailing n n n IC* -n n n k f, i I � . n n l / ei 1
Agent N I A
Mailing
Address
Sewage Disposal System Work to be performed
This permit valid only for premises location by the follsim4rm legal desc)rlptions 1 O r - )<
un S ILE 3S"' A C R ( � S WATER SUPPLY ';% 'jt �-. AVERAGE PERCOLATION RATE.
• f nn .
This Individual Sewage Disposal Permit is granted with regard to the following uses �jyiq le. Fa )yl /Ili R Q S I
Number off Dodicoms Lofts Garbage Disposals_ Dishwashers Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD 4&-r GALL MS.
ypa of Tank or Treatment un t$ *,..Ll
Tank CaMinistery SJ Callon Minisw=shod of rinal Disposal&.OVtAbsorptlaq .Area lSquare Eeat
oscription (Including brand namof other equlpmant or appurtnaneos&
;thcr Cof(p1t11 ns or pa flet I( �..5D°l� Q'YL
cher 1 Ca
/�
Co�vp r$2.550.t o-rZ 5��,.ea�
STAGES REQUIRING IN ECTION BYITAE HFl.LTH DEPARTMENT:
l )"fore Excavation ( )Upon completion of excavation and prior to placement of gravel �Ecf r vering istributlon
system of absorption field
Prior to backfill of any component ( )Other, Specify$ --
Plans and specifications of the proposed sewage disposal syntam have been reviewed and are considered satisfactory. Permission
is hereby granted to the ovrer or his agent to perfnrm the work indicated above in accordance With the Pitkin County Individual
Sew ,e Disposal Rc•u$lations in effect on the date of issue. In addition to general provisions act forth on the reverse hereof,
this Permit is subject to the following additional terns and conditionss
MARIAiT. CROOK
ASPEW"I'KIN ENVIRONMENTAL
HEALTH,s OFFICER
APPROVED FOR ISSUE BY (title) 1eet GALENA
ASPEN,CO 81811
Tho alusve Individual scvaga disposal system Installed by lM a
has been in::pected for use by a reprrsentative cf the Aspen IVt in L.vironmeo$a Nea 4,Dopar anent• Tao ..vnar assume a
rvaponsibil Lty in cess of failure or inad quacy of this sewaga disposal system. Completo as -bulls. drawing attached.
DATE OF FINAL INSPECTION -%,Aj_
BY TITLE_ .f1,-ld -10 A
I(�, 130 South alone Street Aspen, Colorado 81611 303/820-6070(/
0
IWFI1.10,A7012
N
TRENN
y 'CHE.,$
•`.2-75 ILil4pnt� Fee,
0
SEPTI! TANK
1,000 Ballot/
�bP6R.RNb -�
CEMENT
INC,zvod
P i P -es
Ia
62
p157RIBw7/otJ B°X
E--- CLEANOtkT
loo/
y,/
She- 3y PVc
D3o3y P+P''
\1
6 f{oase ro rAu>t
— its a
yi , e LEAkq ouT
biZWtWAY 7j i
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N��
Ll
.I
ASPEN+PITKIN
Total
ENVIROAENTAL
HEALTH
DEPARTrAT
z
FIELD TEST DATA
SHEET ON
PT=
Legal description: L of R,
SD b r i S
99E��RCOLATION
Iai R A
M G u Pia;
n[ 4l
Address of Property:
P_
B-1
Name of Owner:JO IV
WWl�'M
Address:
(# & st. / p.o.
x) (
ity) (state)
(zip)
Name of Agent:
LN
a4u-
Lot Area: 3 Water Supply:Public Utility ---Subdivision
Private Welles Other
Distance to Nearest Surface Water Type
Dates observations Made: Soil Borings: by
Percolation Tests: by
SOIL BORING TESTS .
A
PERCOLATION TESTS
Total
Observed Depth
Estimated Depth
Depth
z
Depth
to Groundwater
to Groundwater
Depth of Water
(left after 8 hr. presoak)
jChiaraciteir
B-1
A
PERCOLATION TESTS
U11
Depth
z
Diameter
Depth of Water
(left after 8 hr. presoak)
U11
Rate P-1 ktate P-2 Rate P-3 5�
AVERAGE RATE:' minutes/inch
Plan of the site and location of test holes on the back
Comments on Soil or Site:
Date�q
1.1
1 130 South Galena Street Aspen, COIOradO 61691 303/920-6070
l
WWl�'M
LN
�1i1
ill
M
%®
MMI
NNI
M
Rate P-1 ktate P-2 Rate P-3 5�
AVERAGE RATE:' minutes/inch
Plan of the site and location of test holes on the back
Comments on Soil or Site:
Date�q
1.1
1 130 South Galena Street Aspen, COIOradO 61691 303/920-6070
l
C�
.z
To4-ij� O
CIO//
I To
y w sIII
M
ASPEN*PITKIN
ENVIRIWENTAL HEALTH DEPARIWNT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL• PERMIT
Name of
OWNER
X10 (w
( )Repair
PHONE
7 d 7 7 SK
Address
of OWNER
f
Legal Description . LC-1
Name of APPLICANT
PHONE
PERMIT TO BE, ( )Picked Up -
(..}!failed tot
TYRE Or PERMIT; (,)New Installation
( )Repair
( )Owner ( )Applicant
1 )Emergency Use
( )Alteration NOT du failur.
LOCATION
LOCATION OF PROPOSED SYSTEM,
-
Legal Description . LC-1
Lot )� Block
Filing
SubdivisionSize
of Lot
acres
TYPE Or STRUCTURE; - .(L"Ingle Family Dwelling ( )
Do you plan any further additions to the
res idence7 ( )YES (;)NO
No. of bedrooms No. of Lofts No, of Garbage Disposals No. of Automatic Dishwashers
No, of Autoratic Clothes washers
NATER SUPPLY, ((private well, Depth or ( )Public. Name of System
( )Spring
( )Stream or Creek -
TYPES OF INDIVIDUAL SEwACE DISPOSAL SYSTEM PROPOSED,
G llteptle Tank/Absorption Field ( )Aeration Plant/Absorption Field
( )Recycling, potable use ( )Recycling, other use
( )Compostlnq Toilet ( )Incineration Toilet ( )!bund
( )Vault Privy ( )Others
The 'Initial site inspection must be arranged with the Aspen/Pitkin-Environmental Health Department (925-2030. 6,30-9,10 a.m.)
Fefore a permit can to 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
CF THE SYSTEM.
Application for an individual sewage disposal paroiit is hereby submitted. The undersigned acknowledges that the above information
In true and that false lnformati a^ will Invalidate the application and any subsequent perm.
Signature of Applicant 'L� DATE �,/ 1 C7J_
(This application becume,s. 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.
3. Domestic water service lines. - -
!. Proposed and existing buildings, driveways, and other
structures.
5. 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 acknowledge, receipt of this individual sewage disposal permit application and a permit a in the amour.
of S o25D' OD Receipt Number Dc)I/ 3q Data Fee Received (. 410 — / P, ..by — — f^'
'
Administrative Of[i ccr
130 South Galena Street Aspen, Colorado E31611 303/920-5070
i Recycled
Paper
ASPEN/PITKIN ENVIRUNMEN SAL rtt Nei H
PER* FOR FIREPLACE OR STOW or
n e .
Name of owner of property
Owner's Mailing Address R af) l SAc 7- Cd 57
Street Address of Property
Legal Description of Property
Parcel ID# of Property 2_32, 2, -
Tax Schedule # of Property D - 1047 9
Structure type: Single Family Q-7 I ` "Duplex Condo Apt=
Commercial/Office F-1 Other
Check one: New Construction Remodel
NUMBER & TYPES OF DEVICES YOU PLAN
NUMBER &TYPES OF DEVICES YOU AL-
TO INSTALL:
READY HAVE
# OF CERTIFIED WOODSTOVES
# OF CERTIFIED WOODSTOVES
MAKE, MODEL #
MAKE, MODEL #
ROOM
ROOM
CATALYST?
CATALYST?
OF FIREPLACES W{-Sfes—
# OF FIREPLACES W/GAS LOGS—
OGS'1#
' 1X r% . _ A7. F A�
ROOM(S)
# OF DECORATIVE NATURAL qAS FIRE
PLACE APPLIANCES W / 4" OR "CLASS
B VENT
MAKE, MODEL #
# OF WOODBURNING FIREPLACES
ROOM
DOES THE FIREPLACE HAVE AN INSERT?
(yes/no) TYPE
# OTHER DEVICES _ TYPE —
ROOM(S)
# OF DECORATIVE NATURAL GAS FIRE-
PLACE APPLIANCES (WITH 4" OR 5"
CLASS B VENT)
MAKE, MODEL #M
ROOS)
BU
# OF WOODRNING FIREPLACES
ROOMS)
DOES THE FIREPLACE CONTAIN AN
INSERT? TYPE
# OF OTHER DEVICES _ TYPE
ROOM(S)
If gas logs or a gas appliance are being installed in a bedroom, the Building Department re-
quires proof that the gas log or appliance is approved for installation in a bedroom by UL or
p AGA and the manufacturer.61 �dt�/)Z
�— Date
Signature of applicantDate ; —9 2-
359 Fnvirnnmon4al Hralth Deoartm nt aooroval
0� .
r V •
City'of Aspen/Pitkin County - Fire Place Perm function [PRINT I
Tax Sched: 0- 4022 Owner Name: GITLITZ, DAVID A.
Address : SUITE 300
Date: 30-JUL-90 Address 2 : 5575 DTC PARKWAY
City State: ENGLEWOOD, COLORADO Zip: 80111
Even Address: E Parcel Id:
Legal:
Applicant Name:
Street Num: 0 Street Name:
Structure Type: SF Description:
Comments: PERMIT #745
How Many Fire Places: 0 How Many Gas Log Fireplaces: 2
How Many Inserts: 0 Insert Info: Catalyst:
How Many Wood Stoves: 0 Wood Stove Info: Catalyst:
How Many Coal Devices: 0 Gas Appliances: 0 Other Devices: 0
Type of Other Devices: Certified Stove:
Abort
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