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Please See Building and Land Use Approvals Files for additional information.
ASPEN&PITKIN 4(7 - 211 02.- 00'
ENVI MENTAL HEALTH OEPAR ENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
TYPE OF PERMIT:
1 )Initial Construction ( )Emergency UmaRepair Work,(Pievioua Permit 1 (ti. 1j ) ( )Alteration of an existing system,
or installation (Previous Permit
( )Use Pcrnit as a result of Sale ( )Othor, Q p
ISSUED TO: DATE OF ISSUE
Phone ,2 - W Business Phone
Mailing
Address 012
Agent 6V-6 X&S AND �oN S ( A15TRLC7'/0J Phone
Mailing n R , j ��`` ilO�1 O�fl /
Address r 0. 3 t�c�UMAS( dS LDO SAS '7
Sewage Disposal System Work to be performed by,AIRE 1 AnJp S;A(-T l / /Vs
V sT' Q Py/y���
This permit valid only for premise, location by the following legal
/I doseriptioniA� //lr JtL 2 1 'V/� /�--IXNV
LOT SILE = lZ ACkC MATER SUPPLY�'BD)JLSftAi WELL AVEMr.E PERCOLATION RATFF.
This Individual Sewage Disposal Permit is granted with regard to the following user SIa1GLE &M4fli RESi0fAICt
Number of, Dodreoms -3 Lofts D Garbage Disposals_ Dishwashers_ Clothes Washors
CALCULATED AVERAGE DAILY WASTE LOAD 145-6 GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
u
Ty;,_ of Tank or Treatment Units jC—j11= Al1C � ONACRATM-4- 05ED AS �C
Mcthad of Final Disposal, && PfIGE -f Absorptlop
Description (including brand name, if any) of other equipment or .ppurtnanccs,
1 Y0'q
Other Conditions or Speeificational
ljuc
Tank Capaci��t�yy //12cO _Gallon t f's;. A -c
Area /✓tt- 0 Square Feat Minimum
15,n 151, 06rpEe P(BELCW;tJLCT)
STAGES REQUIRING INSSPECTION BY THE HEALTH DEPARTMENT:
I )Adore Excavacion Upon completion of excavation and prior to plapement of gravel Xnefore onverinq distrihutlon
///
system of absorption field
Prior to backfill of any component ( )Other, Specify,
Plana and specifications of the proposed sewage disposal synte,n have been reviewed and are considered satisfactory. Prrnlss
is hereby granted to tl.e owner or his agent to per Corm the work indicated above in accordance with the Pitkin i.ounty Individlonual
Sowage Jtspesal Re•Inlationv in effect on the date of issue. In addition to general provisions act forth on the reverse Iteraei,
this Permit is su1•)ect to the following additional terms and conditions, _
`tea
APPROVED FOR ISSUE BY� /LG�/. (title)_I�^��t_G_ _
: The Oto+ c inAividual sevaga disposal system Installed by y/�//y,QEIS Pity S ___ _
I has tx`eo ln:[pected tor u1c by a reprDacntativc of the Antes Vi;t in-Cnvironmrnw ItcAit.�i Pcparunent. Tim swoop a9��um0.e a 1
ro;awnsiUlltty in ease of fa lure or lead yuacy of this sew disposal system. Completo as -built drawing attached.
PAki7A� 95�8(r
DATE OF FI Al.AIINSSPP'ECT N C
BY: / - - T I'tL E_ -----
(t 130 South Galena Street Aspen, Colorado 61611 303/925-2020
6 ASPEN*PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL PERMIT
Name of OWNER�PHONE
Address of OWNER
Name of APPLICANT 1 / �1zz�Q 1/. _z7----c4HONE
' PERMIT TO BE, ( )Picked Up
ILOCATION OF PROPOSED SYSTEM,
Legal Description
' TYPE OF STRUCTURE:
q���am"` � (
NX39 Sveu)NUisS,U g/65y
( )Malled tot TYPE OF PERMIT: ( )New Installation (,A1 Repair
( Owner ( )Applicant _ ( )Fmcrgency use ( `)Alteration NOT due to fallure
Block Filing
(vlSingle Family Dwelling
No. of bedrooms No. of Lofts No
No. of Automatic Clothes Masher's
Subdivision
( )Other
of Garbage Dlspo as is
re of Lot
Do you plan any further additions to the
residence? ( )YES LINO
No. of Automatic Dishwashers
WATER
MATER SUPPLY: ( )Private Mall, Depth or ( )Public, Name of System 1'4az�
( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SENACE DISPOSAL SYSTEM PROPOSED,
(�', \Septic Tank/Absorption Field I )Aeration Plant/Absorption Field
I IPecycling, potable use ( lReeycling, other use
( )Composting Toilet ( )Incineration Toilet ( )Mound
( )Vault Privy ( )Other,
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Ileulth Department (925-2020. 8:I0-9:70 a.m.)
be Core 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.
I Application for an individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above Information
is true and that false 1 ormatlon wi4 invalidate the application and any subsequent permit.
1����
Signature OC Applicant Tf Oi a -�. DATE
(/ '-^ (This application becomes. invalid f2 months 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.
Z. Proposed and existing water wells on subject property and
adjacent property.
3. Domestic water service Lines_
1. 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 permit app !cation and a permiit/C�Jee/ in the amount
of S,�S�D� Receipt Number �05r Date Fee Received by / 'j;
Adminlstretivo offlccr
130 South Galena Street Aspen, Colorado 81611 .303/925-2020
w
4�S" RAIL FW" .
SEEPAGE Piz' \
1 2,0 DIAI• ort o. )
kxrIrnMC 1291,0 GAuaj Y�
rNArJAERA7LD "`E4'r
Ai TD.-
COLORADO DEPARTMENT OF ILTH
Water Pollution Control ivision
4210 East 11th Avenue
Denver, Colorado 80220
�yG� ala-oa-
rj
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner):
Mail Address: PG d� bg7 City: Phone: ql
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil 77prryofiles in test holes.
1. Location Location of Facility: County f/�.L,(Z.OL, C1ty or Town ,z%Jk_S
-r y
Legal Description %Zl� A &
2 Lot Size: QPiL �-
2. Type of area and facility - Number of persons served:
Subdivision QftxMotel Restaurant Trailer Court
Other:
3. Source of domestic water: Public (name):
Private: Well x Depth S S�Other _ Depth% to first ground water table 140 ry1
'%r/Z
4. Is facility within boundarif City or Sanitation District: 440
If so name:
5• Distance to nearest sewer system: ZyllA l¢
Have negotiations been attempted with owner to connect:
If rejected, give reason:
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:
7. Name, address and telephone of person who made soil absorption tests:
8. Name, address and telephone of person responsible for design of the system:
9. Est. bid opening date: Est. Completion Date: Est. Project Cost:
Date:
Signature of Owner
B. SIGNATURES FOR LOCAL &RNMENT OFFICIALS: The unders*d have reviewed the
proposal for the loca on of the above-described septi ank system and
RECOMMEND APPROVAL or DISAPPROVAL in the space provided below:
DATE APPROVAL DISAPPROVAL
/-7 /__7
Signature for Local Health Department
Signature for Mayor or City Manager
Signature for County Commissioners
Comments:
Signature and Title
Note: The applicant must obtain the comments and signature of at least one of the above.,,-
C.
bove.rC. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: Recommendations of the District Engineer
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
WP -10 (Rev. 5-70-100)
DECLARATION OF COVENANTS
Page 2
i
IN WITNESS WHEREOF, the undersigned owner(s) has/have executed this
Declaration of Covenants as of the 4th day of September 19 71
--OWNER(S)--
STATE OF COLORADO
ss.
AND COUNTY OF Garfield
The foregoing Declaration of Covenants was executed before me this 4th
day of Soptemb r , 19L�_, by cernard A;. baecker and Charlene
as ownerls
Witness my hand and official seal.
My commission expires:
My Commission expires May 13, 1974 )ItK 4E7j
Notary Publit
Approved this day of 19 . This approval subject to
withdrawal if the foregoing Dec aration o Coven ns is not recorded within
sixty (60) days of this Approval.
COLORADO WATER POLLUTION CONTROL COMMISSION
By
Technical Secretary
WP -30(1-71-40)
�Y
--OWNER(S)--
STATE OF COLORADO
ss.
AND COUNTY OF Garfield
The foregoing Declaration of Covenants was executed before me this 4th
day of Soptemb r , 19L�_, by cernard A;. baecker and Charlene
as ownerls
Witness my hand and official seal.
My commission expires:
My Commission expires May 13, 1974 )ItK 4E7j
Notary Publit
Approved this day of 19 . This approval subject to
withdrawal if the foregoing Dec aration o Coven ns is not recorded within
sixty (60) days of this Approval.
COLORADO WATER POLLUTION CONTROL COMMISSION
By
Technical Secretary
WP -30(1-71-40)
COLORADO DEPARTMENT OFSALTH
Water Pollution Control Commission
4210 East 11th Avenue
Denver, Colorado 80220
DECLARATION OF COVENANTS
KNOW ALL MEN BY THESE PRESENTS, THAT:
WHEREAS, the COLORADO WATER POLLUTION CONTROL COMMISSION HAS approved
the following described land, situate in the
of and State of Colorado, to -wit:
(describe entire parcel to be serve by septic tank)
as a location for a septic tank, as defined by the Colorado Water Pollution Control
Act of 1966, as amended, for the treatment of domestic sewage on a temporary basis.
NOW, THEREFORE, in consideration of the approval of the above described
land as a location for a septic tank, the undersigned, as the owner(s) of said land
does/do hereby declare that the following covenants shall be and constitute cove-
nants running with said land:
1. When the Colorado Water Pollution Control Commission determines that
a community or municipal disposal system is available and can provide service to
the above described land, the septic tank located upon said land will be abandoned
and wastes from the described lands will be carried to the available community or
municipal disposal system and the owner of the above described land shall bear the
entire cost of constructing and installing any sewerage system necessary to carry
such wastes to the available community or municipal disposal system.
2. If at any time hereafter, the septic tank shall adversely affect the
quality of the waters of this State, the owner of the above described land shall
use such other sewage disposal system as will maintain the quality of the waters
of this State within the limits set by the applicable water quality standards
adopted, from time to time, by the Colorado Water Pollution Control Commission.
3. This Declaration of Covenants shall be binding upon the undersigned
and the heirs, personal representatives, successors and assigns of the undersigned.
,7% (Continued on reverse side)
0
• . . S ---o
/
/
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ME
Sec
of
i
o 33r�/"E
00 �7g 5�
60 o Lam. S ,PV t 7A6L
At 11� (� r
0. 49 Ac.'
co
21, T. 8 S., R. 86 P/.
the 6th PM '
1n
0 �
t
O �
Q Denotes 518" rebor with plum. cop. N
Bearings established from original boundary survey. -
50 25 0 50
stole — /" 50'
9
OINK
' ?'5
52,001
2 06 53
3�
yL^ Z " c , -• ��li
O
l�
\RIVER
Fpo 58, 26"Y✓
> - 73 .,
45.uv
V PITKIN COUNTY, COLORADO sea 21 A.P 2
I rR. 65
A parcel of land situated in Tract 64 of Section 21, Township 8 South, Range
86 West of the 6th P. M., lying Northerly of the centerline of the Roaring
Fork River, more completely described as follows:
Beginning at a point in the centerline of said river whence A. P. No. 2 of
Tract 65, said Township and Range, bears S. 270 01' 25" W. 306.53 feet;
thence N. 120 57' 05" W. 198.86 feet; thence N. 540 30' 00" W. 200.00 feet;
thence N. 350 30' 00" E. 23.83 feet; thence S. 780 33' 41" E. 240.23 feet;
thence S. 250 38' 19" W. 1.19.60 feet; thence S. 180 11' 59" E. 169.98 feet
to a point in the centerline of said river; thence S. 730 58' 26" W. 45.00
feet alone, the centerline of said river to the point of begiuniug.
Containing 0.549 of an acre, more or less.
I hereby -certify that I made the survey of the above-described parcel of
land and determined the same to be as shown on this map.
LA RY I. BECKER, L.S.
Coloracio Registration No. 7734
C�
ALPINE SURVEYS
Glenwood Springs, Colorado
April 23, 1968