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Home My WebLink Aboutpitkin.eh.246734303439 (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. ASPEN*PITKIN ENVIR MENTAL HEALTH HEPAR&ENTke �f (�7- 343 - o3_ � INDIVIDUAL SEWAGE DISPOSAL PERMIT 140. TY 7, OF PERMIT: In1Inst Construction 1 )Emergency Wa ( )Repair Work,(Previous Permit I.,) 1 )Alteration Permit an existing aysten, or Installation (Previous Permit 1 .j ( )Use Permit as a result of Sale ( )Othort ISSUED TO: DATE OF ISSUE. A Owner_J Phone Business Phone !�Zi-POC,7- Mailing Address !2&/ �IGN7'%J/LL/L/Jfi/i Agent ��OE �P,AP�� Phone Mailing ,�[ // Address /O e2l rnArkLJA-(f /Pd' Sewage Disposal System Work to be performed This permit valid only for promises location by the following legal Lor SITE I. /s Glt-c•J MATER SUPPLY 0-96 y This Individual Sewage Disposal Permit is granted with regard to the following uses �AIGLF>TI'�%LLP^fDE� Ra.,bor of, Bedrooms _ Lofts_ Garbage Disposals_ Dishwashers_ Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD � SU GALLONS. - THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Sank or Treatment units�/ C.A'Vr-- Tank Capacity / Q _Gallon minimum f4cthod of Final Disposals S2pMrr/IJ-rs' Absorptlo0 Area 1 2_n_T Squaro Feet Hinlm_-_K eseription (including brand ntamee,,/If any) of other equipment or appurtnancest Other Conditions or Specificationst+ kf'e_,oMMFitJD 15-'X (S _X /o �DFEi� STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: 1 )Before Excavation 1 )Upon completion of excavation and prior to placement of gravel Below covering distribution `J / ystem of absorption field )(Prfor to backfill of any component L 10ther, Specify, -- Plans and specifications of the proposed sewage disposal syntom have been reviewed and are considered satisfactory. permission is hereby granted to the, owner or his agent to perform the wrk Indicated above in accordance with the Pitkin County Individual Sewage Disposal Re,tulations in effect on the date of insue. In addition to general provisions act forth on the reverse hen -of, this Permit is subject to the following additional terms and ndi least �i� Aspen/Pitkin Environmental APPROVED FOR ISSUE BY 6kl _.(title) Health Officer Tho curve Individual sevajo disposal system installed by has been inspected for use by a representative of the Aap n Ivt to Gnvtronmanta renjwnsibillty in cola of failure or Lnadoquacy of in iacv. a disposal aystca. DATE OF FINAL INS /� 6P b BY r,fyrka P.ner Complete ss -built drawing attached. Aspen/Pitkin Environmental TITLEHealth Officer ill 303/11111KC11-15070 Name of Address ASPENOPITKIN ENVIR0NMENTAL HEALTH OEPARIOENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT OWNER of OWNER PHONE �k2%-- 006 z Name of APPLICANT Cor D2l9% Lf��Ci� PHONE srRMTT TO BE: ( )Picked Up ( )Mailed toe TYPE OF PERMITS ckv(ew Installation ( )Repair ( joNner ( )Applicant " - ( )Emergency Use ( )Alteration NOT due to failure •ACATION OF PROPOSED SYSTEM$ / regal Descrip77tion �A'f �cc/U/N / tF 11 .�/( p "w Xl �/! F.r 4 .ry L ✓ �Odr rot 'i'l7 Block Y FSlieq 2 Subdlvislon CPA AIV ✓ site of Lot y acres TYPE -Or STRUCINeEt (-ISingle Family Dwelling / )Others Do you plan any further additions to the '7 residence? ( )YES 16 N to. Of bedroom 3' No. of Latta L' Wo. of Garbage Disposal• Bo: of Automatic Dishwashers so. of Automatic Clothes Washers /ATER SUPPLY$ ( )Private Wall, Depth or VIPublic. Name of System ( )Spring ( )Stream or Creek T17EE .OF INDIVI WAL SrWAOE DISPOSAL SYSTEM PROPOSED, Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field I )Composting Toilet ( Ilncineratlon Toilet ( )Mound 1 )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. St30-9.10 a.m.) tefore 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 ST THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. Application for an individwI sewer spam reit is hereby submitted. The undersigned acknowledges that the above information L true and that false iniormatfn w all a the application and any •ubsequg n[ permit. signature of Applicant - _ DATE yL /.' (This application becomes. invalid 12 eaotha fres 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. 4. 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 permit appll Son and a pe rml�t�� 1�tt the amour. Of S Z�Q D'� Receipt Number Date Fee Received 7�� - Z ..by '� / Administrative officer J130 South Galena Street Aepen, Colorado 81611 303/920-6070 ASPEN*PITKIN ENVIRAMENTAL HEALTH DEPAR-&NT Legal description: 1 Address of Property: Name of Owner: Address: (# & Name of Agent: p.o. box) (city) (state) (zip) Lot Area:"Al/t Water Supply:Public Utility-.Subdivision— Private WAll_ Other Distance to Nearest Surface Water Type Dates Observations Made: Soil Borings: by Percolation Tests: by 6� SOIL.BORING TESTS PERCOLATION TESTS Total Observed Depth Estimated Depth Character Depth to Groundwater to Groundwater of Soils B-1 Depth of Water (left after 8 hr. presoak) 101112mo PERCOLATION TESTS Rate P-1 Rate P-2 Rate P-3 AVERAGE RATE: minutes/inch Plan of the site mme C1-� / � ' q �So Date �4 7 and location of or Site.� S holes on the back 130 South Galena Street Aspen, colorada 61611 303/920-6070 P-1 P-2 P-3 Deipth Diameter Depth of Water (left after 8 hr. presoak) Rate P-1 Rate P-2 Rate P-3 AVERAGE RATE: minutes/inch Plan of the site mme C1-� / � ' q �So Date �4 7 and location of or Site.� S holes on the back 130 South Galena Street Aspen, colorada 61611 303/920-6070 101112mo IN"MI, M.IIMMIM-M-M- Rate P-1 Rate P-2 Rate P-3 AVERAGE RATE: minutes/inch Plan of the site mme C1-� / � ' q �So Date �4 7 and location of or Site.� S holes on the back 130 South Galena Street Aspen, colorada 61611 303/920-6070 ASPEN40PITKIN ENVIRONMENTAL HEALTH DEPA : MENT FIELD TEST DATA SHEET ON PERCOLATION TEST Legal description: _ Address of Property: Name of Owner: Address: (# & st. / p.o. box) Name of Agent: (city) (state) (zip) Lot Area: 2aCWater Supply:Public Utility—Subdivision_�_ Private Well_ Other Distance to Nearest Surface Water Fo Type Dates Observations Made: Soil Borings: gl-)g by Percolation Tests: 8-20 by lefAy SOIL BORING TESTS PERCOLATION TESTS Total Observed Depth Estimated Depth De th Depth to Groundwater to Groundwater B-1�- Z PERCOLATION TESTS Rate P -1Z% Rate P-2 Rate P-3 A ERAGE RATE: minutes/inch Plan of the site and location of test holes on the back Comments on Soil or Site: <" Date i Signa Robert F. Nelson Aspen/Pitkin Environmental Health Officer Z/ 130 South Galena Street Aspen, Colorado 61691 Iow. �.•e naoP, P-1 P-2 P-3 De th Diameter Z Depth of Water (left after 8 hr. presoak) p d Rate P -1Z% Rate P-2 Rate P-3 A ERAGE RATE: minutes/inch Plan of the site and location of test holes on the back Comments on Soil or Site: <" Date i Signa Robert F. Nelson Aspen/Pitkin Environmental Health Officer Z/ 130 South Galena Street Aspen, Colorado 61691 Iow. �.•e naoP, AV Rate P -1Z% Rate P-2 Rate P-3 A ERAGE RATE: minutes/inch Plan of the site and location of test holes on the back Comments on Soil or Site: <" Date i Signa Robert F. Nelson Aspen/Pitkin Environmental Health Officer Z/ 130 South Galena Street Aspen, Colorado 61691 Iow. �.•e naoP, L n I -