HomeMy WebLinkAboutpitkin.eh.246720101001 (1992)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.
-7 -of-ooh
ASPENOPITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
�Pz slg3
INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. 2-0`5
TYPE OF PERMIT:
( )Initial Construction 1 )Energoncy Use ( )Repair work,(Pievicus Permit1 .) Alteration of an exlsFL a stem,
or installation (Previous Per It 1
( )Use Permit as a result of Sale ( )Othore
ISSUED TO: DATE OF ISSUE. O Z�
Owner /,10A,6(!bF k l%MMr 4S Home Phone 927 -yl usiness Phone 9i?S—
Mailing
Agent_
Mailing
Address
Sewage Disposal System Work to be performed by �UTSMAn/—// 7gxq,.,Zy Q.'4�✓i-9(,T///AK-
This permit valid only for
Promises )o cation by the following legal do/s/clptlons //T,6 llaLZ 4AO. ILLS
LOT SIZE I,-23 !!Ce 5 MATER SUPPLY &,8-01V),JQ�(�/(;(,(�C AVERAf.E PERCOLATION MTF. ST 19;;
This Individual Sewage Disposal
Permit is granted with regard to the following usot 0i/C-W,"/2�f-V�Li114S/1
Nmiber oft bodreoms --a
Lofts_ Garbage Dia sale_ f Dishwashers_
Clothes
Washers
CALCULATED AVERAGE DAILY WASTE LOAD TO GALLONS.
NATURE OF
LIhi1)_:liatIM
Type of Tank or Treatment UnLtz Ef'r)-/i;rwP— (6XI STI.AJC)
it-thod of Final Disposals SEEP/Wc-- / /.S Absorptioq
eseriptLon (including brand name, if any/) of other equipment or appurtmencess
UGC—R!J/cl f}L7��it/f�T�it/G' (/AL l/E Ta
Tank Capaeit/0&0 Gallon Hinimum
Area (7ti Square Feet Minimum
(AODI DA1111C,/80sq FT ro BF
SEED
OA/ -
Other Conditions or Speeificationer
/I SEND ! '66101q6C To BF C61t1s- evl"7 Ftq els %X/
I MAGE OG EX l sTin/G SYS'7E/tl
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Before Excavation ( )Upon completion of excavation and prior to placement of gravel( sofore covering distribution
system of absorption (Laid
Prior to backfill of any component ( )Other, Specify[ —�
Plans and specifications of the proposed sewage disposal Syntem have been nevieved and are considered satisfactory. Permission
is hereby granted to thin owner or his agent to per(orm the work indicated above in accordance with the Pitkin County Individual
Snwagn Disposal Rmnilations in offuct on the date of Inoue. In addition to general provisions act forth on the roverse hereof,
this Permit in sul•joct to the following additional terms and contlitionst A
Aspen/Pitkin Environmental
APPROVED FOR ISSUE BY (title) Health Officer
The ahnvo individual sewago disposal System Installed by
has been in:tpcctcd for use by a representative of the Aspen I4t in Cnvironm-nta lira t. Dcp-•rbnont. T e ownur ainumoa a
ll
rcoponsibilily In case of failure or inad quacy of this sewago disposal System. Complete a -built drawing attachoda
DATE OF FINAL INS ECTION�=
BY: t TITLE_&aj�, 41-Z�
(�'
13CY South Galena Streetspin, o oar o 8'1611
• ASPEN*PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT
Name of OWNER Oa fug' 1_ u ram t�InS PHONE 9Z�-4Z2`j
Address of OWNER
Name of
APPLICANT ':�-AOA E PHONE L
'ERMIT To DEI Scked Op ( )Nailed tot TYPE OF PERMITS ( )New Installation Repair .
/ f (owner ( )Applicant , 1 )Emergency Use / ( )Alteration NOT dw to failure
'CATION of PROPOSED SYSTEMS p'., ,� 1 /I I^ /ly F�
regal Description LOT I� � ✓�-,V '"t^J /7tL --S /-1T /�4y
:ot Block
subdivision Sire of Lot
TYPE OF STRUCTURES (Xlsingle Family Dwelling 110tharl Do you plan aurtheF additions to the
reddence7 ( TLs t` )NO
9o. of bedrooma�_ No. of LUEts No. of Garbage Disposals `� No: of Au Cle Dishwashers
an. of Autonatie Clothes Washer / , /,
O1TOt SUPPLYs ( )Private Well, Dapth or ( Name Of system
/rIh/ S�-J
( )Spring
( )Stream or Creek ,
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSEDI
1J.��Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )IaelnawtloU Toilet Noun
/I )Recycling, potable use ( )Recycling, other use ( )Vault. Privy ( )Other
the 'initial site inspection must be arranged with the Aspen/PitkinEnvironmental Health Department (925-2020, 6:30-9,30 a.m.)
!afore a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtained.
rrKAL INSPECTION APPROVAL MUST RE GIVEN RY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO SACKFILLING ANY PORTION
OF THE SYSTEM. ,
Application for an Ind
is true and that false
Signature of Applicant
NOTE:
e dispose permit fs hereby submitted. The undersigned ee owledges that the above information
will in idate the application and any subsequent rml
�j OATE
(This application becomes. Invalid'42 months from the above date.)
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.
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 dispose) permit ap leatlon and a �pgrmit Cee in he amour.
Receipt Number .� i (fate Fee Received I .� ,�- _,.by �� iii
Administra 0vo officer
130 South Galena Street Aspen, Colorado 81611 303/920-6070
rI
N
IOD �� VVV--v
1:
N
U
cvm