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HomeMy WebLinkAboutpitkin.eh.246716301022 (1988)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. t ASPEN6PITKIN yb ?-43— 61-00 a, a ENVIR MENTAL HEALTH DEPAR ENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. TYPE OF PERMIT: 'P4.Initlnl Construction I )Emergency Use ( )Repair Hork,(Piovious Permit 1 .) ( )Alteration of an existing system, or installation (Previous Permit { f IUsv Permit as a result of sale ( )Others C Z ISSUED TO: DATE OF ISSUE Owner Dou&,LA S K + Suw U1CKljiome Phone a- " .) ', Business PhoneC ;?-S-Mailing Address Px&-t 33N Asp" e!li6r a Agen t—i Mailing Address Sewage Disposal System Work to be performed by Phone tor ,I x(0647 Not loon lj4. lis (Z.( 4 This permit valid only for premises location by the HIoIllowin�g /l'egal descriptions i �/ {{OLC.p4i� hit 1/S �C�U LOT SIZE f L) AGs .7 NATER SUPPLY F1<S.d.�D( ILLS iONN,,N.FiJ AVERAGE PERCOLATION RATE77���(( This Individual Sewage Disposal Permit is granted with regard to the following user 51140 If FA/'"L4 Nur.,ber of, Dodreoms Lofts_ Garbage, Disposals_ Dishwashers ' Clothes Hashers CALCULATED AVERAGE DAILY WASTE LOAD Ll SCGALLONS. THE N_TURE OF THE SYSTEM INCLUDED UNDER THIS PER11IT: Typ.r of Tank or Treatment Units CdoeR.OTe- I4isuf_ Tank Cap.,4 0% I ) --_Gallon Nlnimu:i Method o[ Final Disposals H"G� Lou''r(f.,ZAK.ki6� Absorption Area Square Feat Hinlmum Description (including brand name, if any) of other equipment or appurtnaneesl �)w�fi Other Condltions or Specifications. N%kl A1� 5e' aQtyS fe0m r7,e-LcoI¢rLOA) DITC. H f W ATeJL uwieS an,,ID QEf C..(SEE ae-GUL-A'-Lat,)s) STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: { )Before Excavation ( )Upon completion of excavation and prior Lo platersent of gravel ( )Before coverim7 distributlon system of absorption field Apr to backfill of any component ( )other, Specify, Plans and specifications of the proposed sewage disposal system have bern reviewed and are considered satisfactory. Permission Ili hereby granted to tl,e owner or h,s agenr to perform the work indicated above in accordance with the Pitkin County Individual Sewage Uispesol Be,mlotions in etfcct on the date of issue. In addition to general provisions set forth on tlw reverse hereof, this Permit is sub)ect to the following additional terms and conditions: APPROVED FOR ISSUE BY� /, yy � (title) &JIO_DA)f1WTA(I N(,&L The above individual ac„ago disposal system installed by has ben, inspected lot use by a representative of the As rvgwnstblltty in case of failure or inad quacy of this DATE 'Q 130 South Gal no treat nvi ronarotil tleatth Dcp,r Unbnt. Tac uvnnt .11w a iii sal oysters. Complete as -built drawing attached. TITLE Aspen, Colorado 61611 303/925-2020 ASPEN*PITKIN yG 7 -J�3 ENVIR NMENTAL HEALTH DEPAROMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT Name of OWNER f„ (�b-S K'. t�U r� l��—` K S PHONE 2 % Address of OWNER lAM'1 � Name of APPLICANT PHONE PERMIT TO BE: Picked Up LOCATION OF PROPOSED SYSTEM, Legal Description �Y Lot -1T Block TYPE OF STRUCTURE: ( )Mailed to, TYPE OF PERMIT: ONew Installation ( jOWner ( )Applicant . ( )Emergency use Piling '1 Single Family Ovelling ( )Other ( ]Repair ( (Alteration NOT due to failure ire of Lot Do you plan any further additions to the residence? ( )YES N NO ---7/No. of bedrooms >' No. of Lofts LJ No. of Carbage Disposals _1_ No. of Automatic Dishwashers NO. of Automatic Clothes Washers NATER SUPPLY, ( )Private Well, D ( )Spring ( )Stream or Creek or ( )Public, Name of System L L'L&L4 R! Li -s �4&M' TYPES OF INDIVIDUAL SEWACE DISPOSAL SYSTEM PROPOSED, 0Septie Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( IIneinerstion 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 (925-2020, 8:30-9:10 a.m.) hfore 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 5YSTEM. Application for an individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information is true and that fal ae Sn[Qr\�{\C�I1on w S�nvalidate the application and any subsequent permit. Signature of Applicant - V/In N �lJ DATE�2 (This application becomes. invalid 13 mon 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. 4. 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. She undersigned hereby acknowledges receipt of this individual sewage dlsposeI permit �applTicatiio� on and a permit fee in the amount Of f e)C �i Ov Receipt Number Date Fee Recoived C / / .by 14 C Administrative officer Ll 130 South Galena Street Aspen, Colorado B1611 303/925-2020 E 0 Pitkin County Environmental Health Department Contact Log Sheet �-)- y 6,.7_/6 -3 _0/ _UU Z ParcelD. .•. , Person Spoken To Comments / Action to be Taken I Disney 'aloo 1�1�NI'ro 3 -Ti2f NQ NES 3Frx wiocAd - i �p1►�DA71 �� P D i 1250 GAUCIA) 4�"n Q.oNGeETE SEPTA-. TAnIr— wr ZOAL.E I a=,0 OC el roo,l-S > 2,000 6 i" �X �. X 166 x 1, *7 �" = l loo ypd a"L = 140o x 1 zs 11 SD ?26 x z, 8 Z = 7qo f '10- qq W room5 ` 2 , aao yk� x 7Sxi7ypd a'41JG = lb So x 1, _ 12- CI zo 5 Z10 x o?,K2 -- 5qa� a' L9 L ASPEN*PITKIN f ENVIR MENTAL HEALTH DEPART NT 09 WOODBURNING DEVICE PERMIT APPLICATION OWNER NAME lk r.)llvlflV� �U.C�-S OWNER PHONE # (H) (� �t (0) 9�5 Iranc{(1(sD OWNER MAILING ADDRESS x �3D�' I'}SYl`f Y� l U 16 ( JI(Street (o1rlIBox) (City) (Zip) JOB ADDRESS nw4�j LEGAL DESCRIPTION � `'C `Db Parcel ID # Fill - j (for off ice use only) ARCHITECT NAME AND ADDRESS D W CONTRACTOR NAME AND ADDRESS bLU— Q� IS THIS APPLICATION PART OF A VARIANCE? f�(� Variance Name USE CLASSIFICATION: Single Family Home X Duplex_ Multi -family— Other Remodel New Construction DESC IBE DEVI ES 0 BE IN' Al (include Ike and od 1 nu rs) 0 T S 66a c�p�ta,..��-9— LIST WH DEVICES WILL BE LOCATED IN BUILDING IU In ( o�7 r(V ( LIST FIREPLACES AND STOVES (type and total number) IN BUILDING, OTHER THAN DEVICES TO BE INSTALLED ti1C n'P_ WILL GAS LOGS BE INSTALLED IN ANY OF THESE DEVICES? C0 - NOTE: This permit application is to determine compliance with applicable woodburning regulations only. Approval indicates that the installation as described above by the applicant complies with City and/or County woodburning regulations. A Building Permit is also needed for installation, relocation, or alteration of any woodburning device. This permit application is subject to the following conditions: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing woodburning devices will be complied with whhee her cified herein or not. V) � U U� DRQ Signature (of Owner or Authorized Agent Title Environmental Health Dept. Approval Dat 14 Original:Health Dept. Blue:Building Dept. 130 South Galena Street Aspen, Colorado 81611 Green:Applicant 303/925-2020 1