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HomeMy WebLinkAboutpitkin.eh.246727200003 (1989)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. ASPEN,6PITKIN �2-q67-2-72 —A -003 ENVIRINMENTAL HEALTH DEPAR*ENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. 1z TYPE OF PERMIT: t4In(tlal Construction ( )Emcrguncy Use ( )Repir work,(Pievioua Permit 10 t>4Iteratlon of an ext ting syutem, or installation (Previous Permit 1 NA ( )Use Permit as a result of Sala ( )Othor, , ISSUED TO: DATE OF ISSUE N— 13 -89 Otmer at,A L 11 f'AUN Home Phoned 2J-4 "1 Business Phone ) %0( ) Mailing Address 'FIN R�;1 �Alolw A ASS 91654 k4� eA /-9/6<0r . I d --i1— Mailing Address Sewage Disposal System Work to be performed by,1iP 4nU u� l'n'✓Is�CJY*ir- This permit ,,v11aliid only for premises location by the following legal dcscriptiont IfZAC(" tZ7y YL �7y�g S f 12 4I U� LOT S I1E "1 A ), Q(�.WA S_, WATER SUPPLY y(Zji)ArE W Ef _i _ , AVERAGE PERCOLATION RATE. pk4h11 � This Individual Sewage Disposal Fcrml[ Is granted withregard to the following usai5l&6LE 6A.in(L�.V t�', .y i.r Nueabcr of, bodreoms tf Lofts rj Garbage Disposals_ DishwashersClothes Washers CALCULATED AVERAGE DAILY WASTE LOAD &X' GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Typo of Tank or Treatment Unitt(0A1LZ4. Te 'rAAhf— ffethad of Final Disposal,—/{{r�'J Qf�jj/f�A�b.orptloq Description (including brand name, It anyjol other, equ n t"�SpuFtnancear Tank Capacity ID -SO _Gallon Nlnlmna Area /w.� Square Feat mintnum Other onditions or Speciflcationes / OF / CW62— /,t � 771C ov - I .4r �F T,e�,vcrl IVETH SJ (�/�rfV [S iv i Pr TTo M BE� � 15-T413LM� V 41NES . STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: Y I )nefore Excavation (Upon completion of excavation and prior to pla Cement of gravel �)Beforc covering distribution // \\ ' \system of absocption fiold )Prior to backfill of any component ( IOther, specify, Plena d specifications of the proposed sewage disposal syntrm have bern reviewed and are considered eatlsfaetory. Prmission is hereby gran Led to the uvrer Or his agenr. to perform the work irvlicated above in accordance with the Pitkin County Individual Sewagr Disposal Regnlacions in effect on the date of issue. In addltaon to general provisions not forth on tLe reverse hereof, this Permit is subject to the following additional terns and con tions, Aspen/Pitkin Environmental APPROVED FOR ISSUE BY , r/(}`� (title)Healr6�i Tho above Individual sc.esga disposal system Installed has t, -co in::pcctcd for use by s representative of the rvgxonstb LILLY in case of failure or lead quacy of thea ewm)a rapoaal system.. DATE OF F NSPECTIO. t/ Completo as -built drawing attacoou, A,,ponplitkm environmental BY TITLE I jealth Officer cc : ow. �1� 0 '130 Saut Gelene Street Aspen, Colorado 81611 303/925-2020 Iv 3 • ASPEN46PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWACE DISPOSAL•PERMIT Name of OWNER Pamela J. Osborn PHONE 927-4207 Address of OWNER Box 281, Snowmass, CO 81654 Name of APPLICANT Pamela J. Osborn PHONE 927-4207 PERMIT TO 5 (xl Picked Up ( )Nailed tot TYPE OF PERMITS ( )New Installation ( )Repair ( )Owner ( )Applicant , l )Emergency Use ( )Alteration NOT due to failure LOCATION Op PROPOSED SYSTEMS Legal Description Tract 68, Sec. 27, T 8 S, R 86 W (9241 Highway 82) tot Block Filing Subdivision Sire of Lot acres TYPE OF STRUCTURE: (X)Single Fully Dwelling ( )Others Do you plan any further additions to the residence? 1 )YES (X)NO No. of bedrooms 4' No. of Lefts No. of Garbage Disposals 0 No. of Automatic Dishwashers 1 No. of Autonatic Clothes washers - WATER SUPPLYt (X)Private well. Depth 551 or ( )Public. Name of System ( )Spring I )Stream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED, (A)Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet 1 )Mound ( )Recycling, potable use ( )Recycling, other use ( )vault Privy ( )Other. The 'Initial site inspection must be arranged with the Aspen/Pitkin Environmental health Department 1925-2020. 5:30-9530 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 aro individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information 1s true and that falsee'ta 'Mation will i validate application and any subsequent permit. Signature of Applicant-/((�rri-i �-[_ DATE 4/11/89 (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. t. 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 perms Appli n and a permit ee in a amount of S �u 000k Receipt Number Date Fee Received �� ..by Administrative [icer a930 South Galena Street Aspen, Colorado 81699 303/820-0070 J T R►vE,� (GRkOFAJ X P Pogo 4 1i►TC,44 Cu LV6-e—T ►2�-CRU-oil ���a � �,o� SEpri�TgNK � G1 iT' 2'!�'oF RL.ss+�as � IGt� M1A`I �QKTil6U���1 8CX $� - :C4qES t.�lTN S� GI2/1VE(. BELDu�1 LIrJES— Y1en� K 2•sTo�ty 3UIc.DING 3-o A