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HomeMy WebLinkAboutpitkin.eh.246727201001 (1990)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*PITKIN y > a > — UD ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT Nkl-d (J0, -3 TYPE OF PERMIT: 0 1.itlal Construction ( )Emergency, Use ( )Repair Work,(Pioviou. Permit 1 .) ( )Alteration of an existing .ystem, or installation (Previous Permit 1 .) ( )Use Permit as a result of Sale - ( )Others ISSUED TO: q27-92 UE OF ISS.�' aI- Owfler�OWJIC� .1 1 tn) S Home Phon Business Phone(��(7' Mailing Address("Oy "q )QWtA n Cq Phone Ma il,in g r Address 81T�,��, rtiA Sewage Disposal System Work to be performed This permit valid only for premises location by tho following legal desedptionrL'tI. �LJ�O S.>4'll[IJI Snl 1T- __ LOT SITE y�c jJ (},C�� WATER SUPPLY -&JW& 'AtLt.- AVERAGE PEBCOIGTION RATT�E.�(T, This Individual Sewage Disposal Permit is granted with regard to the following uses 4)O/(F YaLat H�� A ' ffissxr of$ Dodreoms 7:3t- Lofts p- Garbag'e/I Disposals_ Dishwashers 1 — Clothes Washors "i . CALCULATED AVERAGE DAILY WASTE LOAD �O GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Tank or Treatment Unita COA)CrLe-TE Tank Capacity IMn —Gallon Ninimta Method of Final Disposals Af"piRoii- 11,6 )"6,S Absorptloq Area Square Feat minimum Description (including brand nems, if any) of other equipment ar appurtnannceat . doe. -VO E�EJkflOas lj�s4�eM MQI LIAVU- IO L PL)W'P'j , Other Conditions or Specificationelt -� 11 O` ,{-(gJCel e)Le A'VA+t O.•1 t 40 Ia2 UO �4R.41f)t 'INAAf/ I INCI+t2j ' Wwl 02(sjiA)t41 IV-OUNA Ia(0e.I) LLUe- '{'O kkjq t 9n.o✓r(i WATP/�. i1 J5'� CDUPh L, 1, , 6 ING�Y A�oUe Of 1 INkI gPiD✓ w 1 I&JCI J STAGES REQ IRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation ( )Upon completion of excavation and prior to piweement of gravel ( )Before crvering distribution system of absorption field Prior to backfill of any component ( )Other, Specify: Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Pernlnnion is hereby granted to U.o Owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Snwagc Disposal Rc•mlations in effect on the date of insue. In addition to general provision. art forth on the reverse he,racf, this Permit fa suh)ect to the following additional terms and conditions: APPROVED FOR ISSUE BY_J�(title)&J ALT 6+ ©ffic 0A The ahn•o individual .r.+ago disposal .,stem ln.tallcd by we/ry/sl�-'t'—� A/.7 L-,4V,>1ACV''/ M h..s tb:en in:p acted for use try ., represeutactve of the Aspen 1'tt stn Cnv uon,nca t— Tau I t i nope r lmen t. The o4nur +num N::yens!hilt!, 1n come of (,[lure or ioadequaey of it, sewn u dtspo.al ayscem. Complete as-bullt draVinq attached, nAze D Fr.:nL rr Pr. Tlo;i _ AsperMtkin ErMronmental BY: _ TITLE Health Officer //07 CL --------- 130 South Galena Street Aspen, Colorado 696'1 303/820.6070 aY ASPEN&PITKIN ENVIR MENTAL HEALTH DEPAR ENT a%a - Jl- 00/ APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT Name of OWNER bi7fJ1C- _ PHONE c6%3 3193(, Address of OWNER {'D Name of APPLICANT DI JILL -.l �tYIJ� PHC PERMIT TO BE: C4Picked Up ( )Mailed to. TYPE OF PERMIT: New Installation ( )loner ( )Applicant I )Emergency Use 3 ( )Repair ( )Alteration NOT due to fallere LOCATION OF PROPOSED SYSTEM% Legal Description IR\rfAl tJAYURSJ�DIVISIOFI' t -UT 1 ®(-'?'5o0WMA55.� SOI 4p/ 11.2 OLPSV6WMS5 Lot ( Block riling subdivision LR:NhtJ }. A L64Z Slre of Lot 3 '(i acres TYPE OF STRUCTURE: (VSingle Family Dwelling ( )Othe No, of bedrooms 3 No. of Lofts 0 No, of Garbage Disposals No. of Automatic Clothes Washers I WATER SUPPLY: ( Private Well, Depth or ( )Public ( )Spring ( )Stream or Creek Do you plan any further additions to the residence? ( )YES N NO No. of Automatic Dishwashers Name Of System TYPES Or INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: 0 Septic Tank/Absorption Field 1 )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound ( )Recycling, potable use 1 )Recycling, other use ( )Vault Privy ( )Other: The Initial site inspection must be arranged with the Aspcn/Pitkin Environmental Health Department (925-2020, 9:10-9:70 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 :.NY PORTION OF THE SYSTEM. Application for an individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information is true and that false nn rmatl`pglw invalidate the application and any subsequent permit. Signature of Applicant ( ,(ifIYbAAA/yi�" DATE —!C'17 (This application becomes. invalid 12 months from the above date.) J 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. J. 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 application and a permit fee in the amount of iReceipt Number Date Fee Received '.(�� ,.by Administrative officer .C�. -'�( 116 130 South Galena Street Aspen, Colorado 81611 303/925-2020 1i 0 PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER PHONE MAILING ADDRESS R. n Say( :�AJdwHAC� 60�6s7 LEGAL DESCRIPTION OF PROPERTY 1LJW )At 64-4 J8 ' ( 10 4W -)K0( 14W 8aj C r) LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths minimum) I Diameter of Test Holes Water remaining after 8 hour soak 1tikk I �)h 1 7, 6 TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 Drop Time Z �a O Drop Time S 2, - 0 Drop Time - -Z, 7 1/30 b 7-11 SO Lko - 2 S H Z-7- Oq i 3 Percolation Rate Each Hole — Average Rate Z ( Comments on soil or site: 0- aV\Lvwi slog h k LO (�, 66 `` Signature - yliD Date J : – IG I/ 0 CI 4� J= A= <I' \ SCALE = 1 " = 30' C�jp,E.e-