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HomeMy WebLinkAboutpitkin.eh.246533201002 (1992)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. 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 r 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 Help Refrsh