HomeMy WebLinkAboutpitkin.eh.246717401002 (1990)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 •
ENVIRONMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. OrCz-
T`Y/PE OF PERMTT:
(yl In(tlol Construction ( )Ererguncy Use ( )Repair Vork,(Pievlous Permit I..) ( )Alteretlon of an existing sy+tem,
or Installation (Previous Permit I .)
( )Use Permit as a result of Sale ( )Other[
ISSUED TO: ��"� '� I , DATE OF ISSUE .
Owner J (l YYl C.5 4 I�[17r ru Ull Home Phone qZ�-cjZ�`J Business Phone qZ, - 9L
Mailing /
Address -41 D 66? 5a CD
Agent Phone JO6 Phan-- Gt Li -3Z3
Mail,ing
Address /7C 3T /mar -f4 Zjaa/
Sewage Disposal System Work to be performed by
This permit va Ild only for premises Ioeation by tho following logo descriptions !jiff 33. 4b N6l.Yl f,L +l"I I I5
LOT SIZE )`'{ Q,C rZ_5 NATER SUPPLY C()✓11 AVERAGE PERCOLATION" - E.
RATnt/
This Individual Sewage Disposal Permit is granted with regard to the following uses �iP�G�h ha,yYU Lu I t sicLQ n LR_..
Nmabcr of. DOdreOma —, Lofts Garbage Disposals Clothes Washors —,
CALCULATED AVERAGE DAILY WASTE LOAD q50 GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PETZIIT:
Typo of Tank or Treatancnt Units{ C �.�� Tank Capacity O —Gallon Mlnln,u
P✓:thod of rinal Dlspoaa is 465 o 4� Di') Tren dLt5 Absorptioa Area square rent Minimum
Description (including brand name, if any) of other equipment or appurtnanceas
SIO%o red,u-[;b'an [+YOL�l--) f&3 . e. kt,+ 6,_;Iq .ir-eWi-{-1 roL iUYIA- Yj
1 etcommend z+rench.e-5 3 hex+ wid,e x q4 ems+ lana •
Other Conditions or Specifieationes
YYl GU n +A i n 5�+back 5 0� I O �u rp n� �l�Dpc ;'� , ✓l F Q�
Trev)(k,P,5 Lfapa t+J siGlPwa iI +o nidewa.11.
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Before Excavation ( )Upon completion of excavation and prior to placement of gravol
( Prior to backfill of any component ( )Other, Specify.
Z CO ft& }rev)-, h 0 Lk, -e- .
(116Beforc covering distribution
system of absorption field
Plans and specifications of the proposed srwage disposal system have been reviewed and are considered satisfactory. Permission
rx hereby granted to ti.,, oyer or his agenr to perform the work indicated abnve in accordance with the Pitkin County In•lividuat
Se•:a ,e Disposal Rc•uilations in effL-ct on the d.,tc of issue. In addition to general provisions set forth on iLc reverse hereof,
this P.•rmit is suhjcct to the following additional terns and conditions:
APPROVED FOR ISSUE BY (_yt l w/f��y . N/!Gt/tsiwx� (tills)
Aspen/Pitkin Environmental
Health Officer
Tho alxwr. Ind iv !dual scsago dlsWsal system Installed by
...0 l,oe,t in.. p:.eeq tpr use ty .i reV[oa<n aac ivc ..f r::eA:y:e:.::.enin [. .tom i—ii ::::ya:,,...�r. ., .n..: w.._..:a a
rc::punstbll icy in cane of failure or leads-quacy of this seUaqu dISPOs]I sysccm. Complete as -Will drawing nttschod.
DATE OF FINAL lN:>PI:CTION / -IL-5,1gp _-- —
Aspen/Pitkin Environmental
TITLE. Health Officer
L f (?� Q67�t�[/!�-� -------- --- - ----- --- - ---- --.- --
' _.1 130 South Galena Street Aspen, Colorado 89611 303!921)-6070
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` • ASPEN&PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION
SEWAGE DISPOSAL -PERMIT 1v ` 9>S S'tO/d
Name of OWNER �l�j�{j6�
rFOR
n/ANq/INDIVIDUAL
I l)'7i�
YVfL�V PHONE
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Address of OWNER(Cc2WoeCN%7
Ll �l
cpl&6�
Name APPLICANT
/je
1AwnrS IV ���
PHONE
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PERMIT TO BEt pip Picked Up - ( )Nailed
`' ( )Owner
tot TYPE OF PERMIT: >4New Installation l
( )Applicant ( )Emergency use (
)Repair
)Alteration NOT due to failure
t _'ATION OF PROPOSED SYSTEM: " �
legal Description /_ 3� o(C4,16 LCC C SUg VIS/O
Lot 33 Block Filing Subdivision Size of Lot - 57 scree
TYPE OF STRUCTURE: 3VfSingle Family Dwelling ( )Other' re You pe7 )YES riadditions e,to tl�,e J
i� Do Younee] )Yrs h-^ L/7t•1Y{/^eto t -t-
We. of bedrooms No. of Left,. No. of Garbage Disposals No. of Automatic Dishwashers
No. of Automatic Clothes Washers / 1&64,14
WATER SUPPLY: ( )Private Well, Depth orublic, Name of System
( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED'
)MQSeptic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Comporting Toilet ( )Incineration Toilet ( )Mound
( )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other'
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (915-2020. 8:30-9:30 a.m.)
tefoce a permit can be issued. The individual sewage disposal permit must be Issued befote a bualding permit can be obtained.
FINAL INSPECTION APPPOVAL U57 E GIVEN 11 THE ASPEN/PITAIN VIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING kNY PORTION
OF THE SYSTEM.
Application for an lid! idual sewage dispe 1 p rmlt reby submitted. The undersigned acknowledges that the above information
1s true and that La lse for atlon 111 S all a < e plication and any subsequent
permit.
Big"ture of Applies nt DATE `��� /O
(This pplicselon becomes. invalid 12 months from the above date.)
NOTE: vPLOT 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.
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:
y
ASPEN+PITKIN
ENVIRONMOVTAL HEALTH DE414RTMENT
FIELD TEST DATA SHEET
Legal decription: Lb+ -33. 0-o Il'land i h' I I s 5tc6b V151 bn
Name of Owner: J&YY% LS wllltl
Address: _ q10 _el IC 6r-cLt 6Asaa+ CO FIDZ 1
(# & st. / p.o. box) (city) (state) (zip
Name of Agent:
Water Supply: Public Utility Subdivision V Private Well
Lot Area: Q,(it.(5 Distance to Nearest Surface Water ft.
Dates Observations Made: Soil Borings: F-10-90 by
Percolation Tests: Q' -10 - by
SOIL BORING TESTS
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Average Rate: zp minutes/inch
Plan of the site on the back ( 5c'C CID -
Date - /L) Signature -
Carolyn Hardin
Aspen/Pitkin Environmental
Health Officer
130 S. Galena
Aspen, CO 81611
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