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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