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Permit
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Please See Building and Land Use Approvals Files for additional information.
ASPEN&PITKIN
ENVIR(MMENTAL HEALTH DEPART ENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
�TYYPE OF PERMIT:
Q)Initlal Construction ( )Emcrgancy use 1 )Repair W.rk,(Piovioua Permit 1 .) 1 )Alteration of an existing system,
or Installation (Previous Permit 1 ,)
( )Use Permit as a result of Sale - ( )Othors
ISSUED TO: DATE OF ISSUE '
Owners
Mailing
Address
Phone Business Phone (%20-310.0
Agent i-seE& Alfa Phone W-3ioa
Mailing
Address
Sewage Disposal System Work to be performed by
This permit valid
[]only
y for
premises location by tho following
1/llegal de%�o/C/�ription,Lc T-,3 �Lawof jus Sugivlslo4
LOT SILE e V /Icecs MATER SUPPLY SUBDi VaQ�/{VC((,SI AVERAGE PERCOLATION RATE. �rM�)N el�/H
This Individual Sewage Disposal Permit is granted vita, regard to the following uses ems. E FAMJ �Y je JID6Ak-C
Nunbcr of, Dodreoms �3 Lofit _C Garbage Disposals f Dishwashers_ Clothes washers _.
CALCULATED AVERAGE DAILY WASTE LOAD 4 SO GALLONS.
THE NATUP.E OF THE SYSTEM INCLUDED UNDER THIS PERMIT: GAt(oUS MIA±
Type of Terk or Treatment Un�ltl S6lflC.s /AAJkS GFrItAd4—WTank Capacity VV _Callon Minim=
44cthod of Final Disposals SCEP WkH& fjb serp tIoq Area Z Square Feat H Iowa
(finance A71=� l-AcKCL)ftTENe \J
Dea<rl{>t l''onII (including brand namee if any) of other equipment or nppurtnanecet
lYofJE -- �E�'EV�sc Fo1e .�rz-�n1G C,���iA
Other Conditions or 5 eciflcatloney
SEE XCl/E4SEI=0.P- 5/MLLE SYSTEM-57;z/NG A-7.67 1A'TiUE
Cray uIATEP. 5EZVC-,e uNE To BfN0 /�6&7 ` -11441' )1A, M/�XrM0M.
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Defer. Excavation {E{/Upan completion of excavation and prior to placement of gravel (JQDefore covering dlstrihutlon
/ U � bystem of absorption field
( )Prior to backfill of any component ( )Other, specify,
Plans and specification. of the proposed anwage disposal sy atom have been reviewed and are considered satisfactory. Peen1..N.on
is hereby granted to tl.� owrer or hts agent to perform the work indicated above in a_cordancc with the Pitkin County Individual
Sowa;e Disposal Regulations in effect on the date of issue. In addition to general proviacona set forth on the reverse heraef,
this Permit it suhiect to the following additional terns and conditions) -
r
APPROVED FOR ISSUE BY (title)
Thr above ln.lividual ecoaga diapo sal system Installed by X/S171�10
has been la-spected for use by a rcprrscntativc of the Ao1:cn Pi[ Nn Envronn uta --i IIs.1th ncpartmca L. Tha nvnar ennumo. a
+vntwns Lbllaty in case of failure or inadequacy of tht. veva. di a P. a.1 system. Complete as-LULIt drawing attached.
DATE 0 IN i PF T N D ZS _
TITLE__
1 � 130 South Galena Street
Aspen, Colorado 81611 303/925-2020
SPS t r Fj_aw S \
�T Gecy Gf%7_Ck(CA�LNS J ,
�AUATDAACS — 7- V X 6 PC4San! S
Sj4&w62/Tu8 — K1X (a PE,-sotJ = 88.Z �I1.5'xzsS�23
bovAjoRy — ly..57X (o PesonJ
T 13 Ace- WATc2
pE,esoN s
Tiers —�y.8 x 6 P - 1�8. �_J.sx s� _ .Sg7>
��E — 1.4 )( 6 F�oNs = 8,
p MS/E �n 6 PE�son�s = 3 8. qg(%��ji
jt
Sl► &,,c sys-r�M of FooT 60AE -7;<"C/i CH
q,5 C)
S 06Y (ySo) =
IQ
1-32-S-0
i1q.2- L. F
T 01C -H.
OF 31 u)tDc'
ASPEN40PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT
Name of OWNER PAUL Inc, PHONE J9 3I0(
^—T
Address of OWNER
Name of APPLICANT p /e q M 1K J2:y PHONE 9�0 310 6
PERMIT TO BE: ( Picked Up - ( )Mailed tot TYPE OF PERMIT: (iQNew Installation ( )Repair
( jOwner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure
LOCATION OF PROPOSED SYSTEM.
Legal Description
Lot 'j Block riling Subdivision' `I 7nhi-j H;11, d4&�J(jSlre of Let t:, acres
TYPO OF STRUCTURE: (,)Single Family Dwelling ( )Othert
Do you plan any further additions to the
residence? ( )YES (ANO
No. of bedrooms ' No. of Lofts No. of Garbage Disposal@ _� No. of Automatic Dishwashers
No. of Automatic Clothes Washers I I II11
WATER SUPPLY: ( )Private Well, Depth or j%q Public, Name of System LIQ NIIIC
( )spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED,
Mseptie Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound
( )Recycling, potable use ( IReeycling, other use ( )Vault Privy ( )Other,
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020, 8:10-9:30 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
to true and that false i�njormation will invalidate the application and any subsequent permit.
y'
Signature of Applicant A-4041 DATE _�_ Q_
(This application becomes. Invalid 32 months from the above data.)
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.
4. 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 perm app cation and a per}1 f e in the amount
of S� S� �— Receipt Number Data Fee Received -. by
Administrative officer
1130 South Galena Street Aspen, Colorado 81611 303/925-2020
O ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
Legal decr
Name of Ow
Address:
FIELD TEST DATA SHEET
Name of Agent:
Water Supply: Public Utility_ Subdivision% Private Well_
Lot Area: C/ Distance to Nearest Surface Water ft.
Dates Observations Made: Soil Borings: 5� , by
Percolation Tes s "''11ii''i/ by
SOIL BORING TESTS
PERCOLATION
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it
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S
ASD S14A10S7d1V6- 1CR'1f6.qEN77:S .5-
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oil
//.
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PERCOLATION TESTS
C9 1�
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it
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1. .1 I .
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y I.V.( .(.1100 [...//.x�[..00 100
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oil
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f,
P-2
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tt tt tI
SI
J
3
P-3
7
0
P-4
90999
111111
Average Rate: ,7 3 minutes/inch
Plan of h site on the back
Date Signature
bob NELSON
ASPEN/PITKIN
SANITARIAN
130 S. GALENA
ASPEN, CO 81611
•
f 4JCHWAY
Q P-2 pQ�6�M
� �3
�XCAJATio,J /�nJO
URTE,e-
- JP pl ✓lS/oiti OAD
r
DASA LP
E�Rt�
NIAR o
f
17
,i
7
\I
c
• .PRAISE THE LARD" •
COPELAND CoicrETE
28803 U.S. Hwy. 6 & 24
(303)625.1112
TOP VIEW
I I�
20.. 1 SIDE VIEW
Rifle, CO 81650
7
5'
4'-1"
••- 1 111 •s • -a• • •'. �� - a • X111 •- 1• r -r of No • -' •- - -
• n•
Digging : 71-6" wide, 9'-4" lag. Fmn the atside bottan to carter of inlet hale is 4'-11,
and cutlet is T-10" fcan bottom.
T Drawing page 32
C C
• -PRAISE '111E LORD"
0
COPELARD ConcrETE
28803 U.S. Hwy. 6 & 24
(303)625.1112
1000 ga1. 2pC
revised 1997
Rifle, CO 81650
Model C.M. 1000 gallon two piece septic tank. The bottom and sides are
reinforced with 6-6 10-10 mesh plus #3 rebar in the bottom and toners. Top
reinforced with 6-6 6-6 wire mesh as well as 43 rebar.
Digging Specs: 6'8" wide x 9'6" long. From the outside bottom to the center
of the inlet hole 4'2", outlet is 3" lower.
- pq. 31
Spy l i ���-u� s • •
- To GP-FY G(%rCk(GAI.LOnls)
/ AVAT Oohs — $.Y X 6
SMmuE2�Tu0 — 1�, 7 X (o PE,RsotJ;I. SX 255,6 �3
L,AUAJoRY — jq, X (, per so is = 117.0
To/ Lens—,2y,� x ro Pc9soNs77
1.5 x Iqs�
Dl S,14AVe#1A1C Phi Son1S Reduce,-& -1,2-h �J� 3
ITC�fE'tJ SINS 1 9S, (a p " Jv 1
SIgGLE Sysmo of 71�,PEE(3)F607GVI�E7X76*CN�s
2
06Y (450) =
1-32-S-0
ziq.2- /-IF
T Ei✓cH.
OF 3 1 W IDC
s
TABLE II
TABLE OF MINIMUM HORIZONTAL DISTANCES IN
FEET BETWEEN COMPONENTS OF A SEWAGE DISPOSAL SYSTEM
AND PERTINENT PHYSICAL FEATURES
Spring, Wells, Suction
Drvildng Water
Drinking Water
Dwelling
Property Lines, drain
Lake, Water Course,
Dry
Gulches
Septic
Tvxk
Lines
Supply
Supply Cistern
occupied Building
Nes, Piped, Lined or
Irrigation Ditch or
Line
mternuttent Irrigation
Stream
Ditch
Absorption Trench, Seepage Bed, Sand
(2)
(2)
Filter, Sub -surface Dispersal System, or
100
25
20
10
50 .
25
6
Drywell
(2)
25
(2)
(2)
Seepage Pit
100
S0
25
20
25
50
25
6
2
Lined Evapotranspiration Field or Lined10
25
15
l0
25
5
Wastewater Pond
60
10
Unlined or partially Lined
Evapotranspiration Systms Wastewater
100
25
15
10
25
15
Pond, or Surface Disposal System Other
(2)
25
than Aerosol10
60
10
25
15
10
25
Lined Sand Filter
Unlined Sand Filter m Soil With a Pert
15
10
25
15
10
Rate Slower than 60 Minutes per Inch
100
25
25
2
(2)
(2)
Dispersal System Using Aerosol Method
100
10
25
10
10
2
10
10
50
25
125
15
10
25
10
—
Vault Pn y
50
Septic Tanks, TreatnsenI Plants, Dosing
'T
(1)
10
5
10
50
10
_
s, Vaults
50
25
Building Sewer or
10
25
0
10
50
10
—
Effluent Lines 1)
50
0 0
THOMAS S. DUNLOP
DIRECTOR
ASPEN / PPITQN
ENVIRONMENTAL HEALTH DEPARTMENT
130 SOUTH GALENA STREET • ASPEN, COLORADO 51611
PHONE 970.920.5073 FAX 970.920.5197