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Pitkin County Environmental Health Department
Permit for an Individual Sewage Disposal System
0405 Castle Ck Rd, Aspen, Colorado 81611
Phone 970-920-5070 / FAX 970-920-5077
Permit# 02076 Parcel ID # 2467-212-01-001
Type of permit New( ) Repair() Addition to House( x ) adding a CDU over garage
Name of Owner Barbara Schutz
Street Address 0703 Holland Hills Road
Property legal description
Size of lot .74
Lot 42 Holland Hills Basalt
Total square footage of the house
Water source Community/Holland Hills Metropolitan District
2200
# of bedrooms in house 3 # of offices, lofts & similar sized rooms in house
Caretaker unit Attached Total square footage of the caretaker unit
# of bedrooms in caretaker unit
Designed for what # rooms (list)
Designed by
Mailing Address
Perc rate
Min. Septic tank
576
# of offices, lofts & similar sized rooms in caretaker unit
Tank will serve 1 bedroom over garage — existing field is OK
ired
Profile hole depth
750 gallons
Permit information
Depth to groundwater or bedrock
Min. Absorption
Comments
Septic permit approved per compliance with the engineer design and specifications dated October 18, 2002. Any
changes must be approved by this department and the design engineer prior to them being made.
Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin
County ISDS regulations.
One 1000 gallon tank should be installed after the existing 1250 gallon tank. There should be an effluent filter on
the outlet of the new tank.
This department does not endorse any brand of products. The engineer must do a final inspection of the
installation and submit an as -built letter to this department. This permit must be kept on-site during installation.
This department must also be called for an inspection with a minimum of 48 hours advanced notice.
Permit approved by: l 'ara 'Q PI odt Date:
Plans and specifications of the proposed individual sewage disposal system have been reviewed and are considered
satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin
County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was
issued unless system construction has commenced or an extension has been approved in writing by the Department.
As -built drawings must be included with this permit before the final approval will be issued.
Installer QToe ?a1"1 Lna /
Final Inspection Approval: �l / 4j a (A Lo r.LL Date: 7 �
I Cat Ia(11/2l62 AU 41110 u'flb.t2d Lfl(-1k B --o Bw464.
PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
0405 Castle Creek Road, Suite 10, Aspen Colorado 81611
Phone 970-920-5070/Fax 970-920-5077
Name of OWNER 81/WA61--0162 /6/Z
Owner's Mailing Address 0463 llo&Aod Ill CIS ,eU , , / a.�ja � t , _ 60
Business Phone: q2�-3/64 Home Phone: q22 -L/310
Primary Contact Person (all communication regarding this permit will go through this person)
Name
1
C 6
Company
Contact Mailing Address i
Business Phone :6' Z Cell Phone: 011- Fax : Q2 4 - Lf%
varcel iu a (avauame rrom assessors omce
at 920-5160 or at www.aspen.com/assessorl)
Street address of property U i(-)
Legal Description: Lot Block
Zy%j-- Z/ 2 -0l.
Incl WHS 2d, 1�k)cdt- I1 1
,Filing Subdivision Wi6od't11��7e1
Size of lot: .? i acres. Type of proposed structure: Wr I CU s Size of bldg. envelope:
Total square feet of house # of bedrooms in house
# of offices, lofts & similar sized rooms in house
Caretaker Unit: Attached 0 Detached
# of bedrooms in caretaker unit
Total area(sq. ft.) of caretaker unit
Permit is for: New Home ( ) Repair due to failure ( ) Remodel/Addition (x/ ) Emergency use ( )
Water: Private well ( ) Spring ( ) Stream ( I) Community/Public Water System N)
If community system: Name of system C-IU�� and A ( N rr Q hB)01iea ii , `1I
The fee for a ISDS application is $330 for a permit that takes 6 hours or less for the department to approve. If approval takes
longer than 6 hours, a rate of $55 per hour will be charged. The maximum fee is $1000. The basic fee of $330 is due at the time
of application. The remainder, if any, will be due in two stages: first, at the time of issuance of the ISDS permit; second, before
final approval of the ISDS permit.
Application for an individual sewage disposal system is hereby submitted. I hereby certify that the above information is true and
accurate and that I have provided true and accurate information on locations of all existing and proposed wells, contour
intervals, buildings, property lines, ditches, slopes, waterlines, springs, suction or irrigation lines, drinking water cisterns, drain
tiles, irrigation ditches, lakes, water courses, streams, floodplains, dry gulches, and existing septic systems. I hereby certify
that any such features not shown on attached site map are not present. Issuance of the permit does not imply the approval of
any other permit required for construction pursuant to Pitkin County codes. No construction may be undertaken until all
approvals and permits have been obtained.
The Aspen/Pitkin Environmental Health Department, Pitkin County and employees of these agencies will be held harmless
should the individual sewage disposal system fail or malfunction. The permit to construct is issued on information submitted by
the applicant or his/her representatives. The owner assumes full responsibility in case of failure of the system.
Signature of applicant
Date
/J f
Received by �J`1 G� Receipt # �f ll , Date
G:\eh\isds\isdsappU�ds doc
PITKIN dJNTY ENVIRONMENTAL HEALTH APARTMENT
SEPTIC SYSTEM APPLICATION CHECKLIST
NOTE: SEPTIC PERMIT APPLICATIONS CANNOT BE ACCEPTED UNTIL ALL OF THE
INFORMATION BELOW IS INCLUDED.
The soils test and system design must be done by a Registered Professional Engineer. You should plan
to meet with the RPE at your site to discuss where the soils tests should be done to meet all of the
County regulations and where you want to put your house. The RPE will be your contact for issues you
want to discuss about your system's size and location. Each box should be checked to indicate the
following have been submitted before the application can be accepted.
■ �IV�I•q•1\u iin-����=.�i:::�•rw�•iS�W-!!"I NOR-1f,Mq•91 LLy 11iZA
■ • • •application
■ • • • • • ••
De• •� • -• ••
❑ Site ma must include locations of all existing and proposed wells within setback distances
including on surrounding properties), contour intervals, all proposed and existing buildings,
property lines, ditches, slopes of greater than 15% in the area of the drain field, water lines,
sprinkler systems, springs, suction (irrigation) lines, drinking water cisterns, drain tiles, irrigation
ditches, lakes, ponds, water courses, streams, floodplains, floodways, dry gulches, or existing
septic systems. This must include all such features on neighboring properties within setbacks.
❑ omp ete ui inq oor plan. Floor plans should be 11 x17. (One set)
ust be drilled be ed.):
For private wells, recent well driller's pump test showing gpm actually produced, well permit
showing legal supply. The minimum yield from the well or water storage shall be .07
gallons/minute/person which is 100 gallons/person/day. There must be storage or yield capable
of a 24-hour supply for domestic purposes only (not including fire protection or irrigation)
For community systems, proof there is adequate water for all houses served by the system.
❑ ac enoogy es : idated-6anitation-District
and Snowmass Water & Sanitation District perform this test locally.
❑ PPX0l2tJQR489t9..
❑ All ISDS Permit fees are $330 to cover first six hours of processing. Hourly rate of $65 will be
charged beyond first six hours, up to $1,00Q� Tank only fee $110 Please make check payable
to: Pitkin County Environmental Health Depa}tmenf. ----
❑ Copy of county approval (1041 approval, subdivision approval, etc.)
You must obtain written approval from Community Development before submitting this
application if your septic system is outside the building envelope and any part of the
system is more than 30" above grade.
A WAIVER IS AVAILABLE FOR SUBMITTING A BUILDING PERMIT APPLICATION PRIOR TO
OBTAINING AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT.
Please ask the Community Development Dept. or Environmental Health Dept. for further information.
g: \ehVsdsVsdsapplicGsdschck.doc
• Aspen / Pitkin Environmental Health De*ent
Contact Log Sheet
rcel ID#: (0-7 _ 1-2 _ c>1-00 i Address:
E
ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT
ISDS DESIGN CALCULATIONS
Owner's Name 111111111111W, -A Parcel ID #
House Size (sq. ft.) ® (75 gpd, 100 gpd, or 130 gpd)
Number of Bedrooms in Main House
Number of Offices, Libraries, Studies, Similar -sized Rooms in Main House
Number of Bedrooms in Detached Caretaker unit
Number of Offices, Studies, Similar -sized Rooms in Caretaker Unit
(If the caretaker unit is ATTACHED, treat as if part of main house.)
Average Daily Waste Flow 800
State Review Required? no
Perc Rate -(T)
Design Flow (Q) = # potential bedrooms X 2 people/ bedroom X gpd X 1.75
Q= 1400
Absorption Area (=Q/5 X SQRT perc rate)
A = 969.94845 sq. ft. of absorption area required
63 gravelless chamber units without reduction
# of Perc Holes Required: 3
1 in every soil type? Spaced uniformly over proposed area?
A maximum 30% reduction is allowed for use of deep gravel or gravelless chambered system,
only if the lot size and soil conditions are optimal.
If a reduction is being proposed, describe why lot size and soil conditions are optimal:
A = 678.96392 sq.ft. w/30% bed reduction
44 gravelless chamber units
100
484.974226 sq.ft. w/ 50% trench reduction
31 gravelless chamber units
Type of system: []Absorption trenches []Absorption bed [] Gravelless chambers
[]Dry well []Seepage Pit []Other (type)
Minimum tank capacity 1750 gallons
SETBACK FROM WELL
# of feet = 132
SETBACK FROM POND, STREAM OR IRRIGATION DITCH
# of feet = 82
SETBACK FROM DRY GULCH
# of feet = 57
Printed on Recycled Paper
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