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Home My WebLink Aboutpitkin.eh.246720101003 (1986)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. 0,2y4 -7-201 -D1-003 ASPEN*PITKIN ENVIRONMENTAL HEALTHPA TMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT N0, TYPE OF PERMIT: XTnitial Construction ( )Emergency Use r Installation ( )Use Permit as a result of said ISSUED TO: 'V'I (IAM Fl. ( )Repair Work,(Pievious Permit 1 .) I )Alteration of an existing system, (Preva s Permic 1 ,) ( )Other, b K e DATE OF ISSUE 7///% Mailing Addrej,�& Mailing Address Sewage Disposal System Work to be performed This permit valid only for premises location by the fcoll�o��w//i�kn��g legal de iption,LOT IV LOT SIZE 1.13 ACRES NATER SUPPLYSisp & . AVERAGE PERCOLAT This Individual Scwago DISPosnl Permit is grpnted wl h regard to the following mote nI&LL 1 Aufflu i , Mu.lbor of, Dodreoms _I Lofts ge DispoClothes Washers CALCULATF.O AVERAGE DAILY ASTE 1� IpACis�F oMDishwashers�_ THE NATURE OF THE SYSTEM INCLUDED UNDER TRIS PERMIT: Type of Tank or Treatment UnLttSEPTXAMP, Method of Anal oispoaaL,AB56,007 "14WHeS Absorptlog Description (Including brand naammee, If fanny)) 7of �olt'h`eir/eequiipemeen.ti or appurtnances, LOther conditions oofpecifications, Tank Capacit O _Callon MinlmuA Ares Square;Fect Minimm NaAF STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Refote ExCavatlon Upon completion of Cxcava tion and prior Lo pie Cement of gra vol Before Covering distribution system of absorption field it Prior to backfill of any component I )Other, Specify, Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to U.c owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Scwage DisPosal Rcmllations in ctfcct on the date of issue. In addition general provisions set forth on the reverse hereof, this Permit is suh)ect to the following additional` terms and conditions, h A APPROVED FOR ISSUE BY /• //1^�'� ('title)e!g4jA e The above indiv Ldual scuago disposal system Installed by JOt IigCjF I has been ln:iected for use by s rcprestntative of the Npen 1'tt rn Lnv uon mrnta reliimnsibillLy in case of failure or Inadequacy of�t/hi sews a dlaPe sal system. DATE OF N I S E ION / '1 BY: MY" CG. o14y. 11calth Deparnaant. The owner aaaumos Complete as -bull[ drawing attachod. TITLE w' 130 South Galena Street Aspen, Colorado 81611 303/925-2020 �� 1 • ASPEN*PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION �IFOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT Name of OWNER f :- ryHZ �SFICAJt-1 > PHONE 2 — 0/,6 _ Address of OWNER P(i 3U� ��l UaS'J9L CO 8/62/ Name of APPLICANT S%3?, -1F_ PHONE No. of bedrooms_ No. of Lofts No, of Garbage Disposals / No. of Automatic Dishwashers No. of Automatic Clothes Washers / WATER SUPPLY, ( )Private well, Depth or �4Publle, Name of System L i?T,f L% t-1 ) r ( )Spring ( )Stream or Creek . TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED, septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Recycling, potable use ( )Recycling, other use l )Vault Privy ( )Incineration Toilet ( )Mound ( )Other, The Sr !tial site inspection must be arranged with the Aspen/PS tkin Environmental Neal th Department (925-2020, 6:30-9:30 a.m.) before 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. Application for an Sndlvi dual wage dis permit is hereby submitted. The undersigned acknowledges that the above information is true and that falsa inform/�,t ion will idate the application and any subsequent permit. Signature of Applicant 4 7 DATE -7 ) ��•`� {This application becomes. invalid 12 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. 2. Proposed and existing water wells on subject property and adjacent property. 3. Domestic water service lines. {. 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. the undersigned hereby acknowledges receipt of this individual sewage disposal perm Lt aD�1 eby If 3 l 5-0tion anda p! ! \ the amount Q Receipt Number Date Fee Recelved WP J Adminiatrativo officer 130 South Galena Street Aspen, Colorado 81611 303/925-2020 PEAMfT TO BE: ((.)'Picked Up - ( )Mailed to: TYPE OF PERMIT: (,.!'New Installation ( )Repair (kfOwner ( )Applicant ( )Ilaergency Use ( )Alteration NOTdueto failure {OI TK114 LOIAT1O4 OF PROPOSED SYSTEM, _ ��I7�� Hou yy.�- i1/LtS '1/ /' R4S CL �U h/y,I^10/� 600rw/y (7F �/ Legal Description -4-P,) Lot , (J Bloekk Filing Subdivision )44&4 "') /I1f.LS Sire of Lot / '13 acres TYPE OF STRUCTURE: (yfsingle Family Dwelling ( )Other, Do you plan any further ad��Stions to the realdence2 ( )YES (,a'NO No. of bedrooms_ No. of Lofts No, of Garbage Disposals / No. of Automatic Dishwashers No. of Automatic Clothes Washers / WATER SUPPLY, ( )Private well, Depth or �4Publle, Name of System L i?T,f L% t-1 ) r ( )Spring ( )Stream or Creek . TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED, septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Recycling, potable use ( )Recycling, other use l )Vault Privy ( )Incineration Toilet ( )Mound ( )Other, The Sr !tial site inspection must be arranged with the Aspen/PS tkin Environmental Neal th Department (925-2020, 6:30-9:30 a.m.) before 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. Application for an Sndlvi dual wage dis permit is hereby submitted. The undersigned acknowledges that the above information is true and that falsa inform/�,t ion will idate the application and any subsequent permit. Signature of Applicant 4 7 DATE -7 ) ��•`� {This application becomes. invalid 12 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. 2. Proposed and existing water wells on subject property and adjacent property. 3. Domestic water service lines. {. 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. the undersigned hereby acknowledges receipt of this individual sewage disposal perm Lt aD�1 eby If 3 l 5-0tion anda p! ! \ the amount Q Receipt Number Date Fee Recelved WP J Adminiatrativo officer 130 South Galena Street Aspen, Colorado 81611 303/925-2020 • ASPEN*PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT Legal decription: Name of Ow Address: FIELD TEST DATA SHEET Name of Agent: Water Supply: Public Utility_ Subdivision Private Well _ Lot Area: Distance to Nearest Su fa e Water tsev ft. Dates Observations Made: Soil Borings: /D by ` Percolation Tes s: p by SOIL BORING TESTS &`�� $�)PIIIIMI€tl€ i1l1lii3i��iR�I 3�if1�1[iiiiiil[il€�I€11A'i[�iII�:E xrr ax AlffIf Iff r. ...... ... ' .Vu1l• I{Ll .1 I. ..I(.. [•• IM Il {T O.f[,.10 u .. B-1 g > .0 1ST - 17-/",44 .SA60S B-2 ufCO I4Cx(f Txl(Rx [f] 1. I4 LM(] IfTQ\I(\ Nli„ N INVT[ /0 C/.1T .[.IOD L.]l ...IOD .L. IOU 04( IM (N P-1 PERCOLATION TESTS Average Rate: minutes/inch Plan of h site on the back Date Signature 4a� bOE NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 81611 i1[ it1€[i�€x[11 xrr ax AlffIf Iff ufCO I4Cx(f Txl(Rx [f] 1. I4 LM(] IfTQ\I(\ Nli„ N INVT[ /0 C/.1T .[.IOD L.]l ...IOD .L. IOU 04( IM (N P-1 4 L LO M U !�i P-2 u w » �0 2C) 1• 201 ! P-3 » » �� D P-4 AAAAK 9999 111 Average Rate: minutes/inch Plan of h site on the back Date Signature 4a� bOE NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 81611 1DRIVE es -r • IN LOG Nou%6 VE NTS 411 ASTM —p -3o 3•F 0/ lo' y Iy0 � Nour Izso cALLOI) "ve-P" OlaO Frr c.,EPnaTA►JJL WITH ONEPOSMbtJ IMFLJENT M A M 14OLC 277 L4mE-A L- FEET of TNREE r=oo-r [,VIDE TP.&JCH 10" BO 10"E'S 09' G"VCL_ FE -LOW LI NES 6EFFEeTIJE 14gcA _ /496 qj) FEW _ .. N I GH WAy gZ