The URL can be used to link to this page

Home My WebLink Aboutpitkin.eh.246717401027 (1984)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. e ! . • 2�F�7- / • 7Y -D/ b27 ASPEN*PITKIN ENVIRC)NMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. TYPE OF PERMIT: IVl In Ltlal Construction 1 )Emergency Use ( )Repair work,(Pievious Permit 1 .) ( )Alteration of an existing system, /\or Installation (Previous Permit 1 ,) 1 )Us. Permit as a result of sale ( )Other, _p ISSUED TO: / DATE OF ISSUE Owner o uc cK/C Home Phone 9!0 ; Business Phone Mailing // • ,, //a� (� / Address_ Agent Phone Phone Mailing Address _ _ — C69`2 (7!'n y s fj j �7r- 1 Sewage Disposal System Work to be performed by E C e1gVf1— L This permit v lid only ��for premises location by the following ,l/egal description, LOT SIZE I ACK-C-.� WATER SUPPLY ,�JAD)Vjgh,j wet". AVERAGE PERCOLATION RAT E j��-.SM•/P� This Individual Sewayo Disposal Permit is granted with regard to the following uso,_�I�Ci. Nurabor of, Dodreoms LeftsGarbageDisposals_ Dishwashers_ Clothes washers '/, CALCULATED AVERAGE DAILY WASTE LOAD `j 5-L) GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Tank or Treatment Units SFPn '/ AjK Method of Final Disposals cGe/�/Lf/ ki) Absorptiot Description (Including brand nansty if O army) of other equipment or sppur tnancen IJoA/E Other Conditions or specifications - /V D i✓C Tank capacity / 67—'x` ) _Gallon Minimum Area 1 %? Square Feet Minim= STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: I )Before Excavation Upon completion of excavation and prior to placement of gravel re covering distribution system of absorption field ( )Prior to backfill of any component ( )Other, Specify, Plans and specifications of the proposed sewage disposal system have been reviewed and Are considered satisfa*tary. Permission In hereby granted to the owner or his agent to Perform the work indicated above in accordance with the Pitkin County Indioidual Sewage DiaPosal Re-,nlationf in effect on the date of issue. In allition t g* y`fel provisions act forth on the raveree hereof, this Permit is subject to the following additional terms and conditions, �I i �i /far`- 'a / APPROVED FOR ISSUE BY_i�iV/ ititle)�/I� L,� The show* lndiv Ldual sewage disposal system installed by )�I(/']t'�]� _ has been inopected Lor use by A reprrsentative of tho Asp*n l'1[ a`o [nv,r*nmcnta Ilea t Depar anent. T e owner aAnumoe a recix,nsiblltly In case of failure or inadequacy of this sewaat)o disposal system. Complete a -built drawing attached. DATE OF FINAL INSPECTI N 2 '7 �{7 BY: AIZ7 Z TITLE�t�s 130 South Galena Street Aspen, Colorado 89611 303/925-2020 fo 3id� 7'- mow? v�- irk' ra 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(l)(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 +ASPEN*PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT t.r2L:IC1VrT0!1 OR AN IP:D!Vliu AL ; ::i[tGi DISPOSAL- Pi p -MIT Address pi OR'NER Fame of I1PPLIC.iN1T 1plcked Op - kililcd re, �2mror ( )lv.pl: tarn , fv f•^!HOC Fa sl'S'^E%� r- HONE 0, X16-eS PHONE TYiF ur 1.yS'.:.I:: dtV lnscsa.tlon ( )ke0a1• I ::S;u-Sena, Ga. ( iAl,exatlun XOI due to ftlasie Legal De,crirtLa: logy �� .___ r(liay._....._-- satdivistvn )LattAf[1 r { Silo .r Wt els+.-•'- TY^r'OF S7RTCTUkF.: ( ]til ^g1t Fdm!!y trrc`•:'g l lotUc,t.la+ yea Plar r-• !archer aciitlr.+_ to then `.4 -'— iasidenaei ( IYPS ( 11:0 Mo, of be,(rooms '�'� llc. �: Loftc� No. C•t Cdrba,•c olepot.lr I _ 1:0: of As:cmeti•: GS.t was4..rt if _ 1K'. of Automatic clothes WATER SUPPLY, I )rr,vota N ..... Or ptfm,hlrc'. Na;rq Vf Tyete.A •��.cANO•�I,/ -.,_ _ _ f )Spr/:.g ' ` ( )Stroce .•r Creek ' ffPEB OF INOIVIOUAL SEWAGE DI"PO"\(• c: ST>.M1 P.nup.c;•. i�5eptfe Tank/Abse pt ion Pio, d- 1 lanetf'•n !•taut/LGaor>tlon FS.`.'. ( jC.e post ins ;nil.: ( lapeinaxa tin» Toa et ( IMganC ( )Recycling, potable use - , )xr^yriing. other u:e - ( j:.a:t Fsl+7The initial alts Inspection must be c.-r::ncd v;th tLe Aape,./PItk u. •nvl nq,mene e! xalrtl• Ccptrt. rnt [523-1^:3. 8:10-9,30 tvfora a purmat ern bo Issued. Tile individual acmye as;.css: per. -it mute br 'rsusd t.. .. a hufldt.1g C•:.::: eau is obtoinoG. FINAL INSPECTION APPROVAL MUST Di GIVEB'DY 711E r8V1RO:4KENTAI. xr..LTi! GCI:.S•:.,.;:r Hind TV Wj.,:L:.IhC ..cY rORTIL.1 Cr THE SYSTEM. I.ppl/cation for an !ndlvf dual sewage eusposai perait is F,rreb, •u:ed•ad. Thr aader•igned c s :cl e'.;ca that t^^ a.%4 --e J1 true and that [dire latera n wiil :n,a l[Ecto the aopll:atAo» and Any ourecq'•cu prr!r r signature of Applicant Mels Applica,.1.^n b a- O cs. Lit -lid 22 sereno. I.aia tL: "Ve data.) WOTF,: PLOT PLAN must be filed with thi,' Please locate the following items by me.E+'te.A distances: 1. Property lines and dimensions. 2. Proposed and existing water .'ells on subject prover;;• and adjacent property. ! 3. Domestic water service lines. - {. Proposed and existing buildi Pas, drivr wa"s, and other structures. S. Streams, lakes, ponds, irrigation ditches, ant] other water. courses. 6. Proposed and existing individual sewage systems on s.ti�eat property. f SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL PLAN.' SM undersi mad he;oby acknowledges of 3 1. 0 0O , Receipt receipt of thi,_individual Nw!)cr sewage disposal te Ece Rocclved Date p6rmIt appl'eOrion and a permit fro in the an,oun: Adr!ri ntr-tiv� M[!ctt -� 130 South Galena Street Aspen, Colorado 81611 303/925-2020 L 0 0 Nouse g08t)IViSionl ROAD