HomeMy WebLinkAboutpitkin.eh.246734303015 (1988)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
ENVIFIONMENTAL HEALTH DEPARTMENT
2q b7-3f3'og-0��
(Xgabk {D reitch &.t&x,
IV Pbw,) 14 H mij uA s
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. ? 1,15k lek S- /0-45 Q.I<.
TYKE OF PERMIT:
I aitial Construction ( )Emergency Use
or Installation
( )Use Permit as a result of Sale
ISSUED TO:
( )Repair WOrk,(PiovLOus Permit 1 .) ( )Alteration of an existing system,
(Previous Permit 1 ,)
( )Other, �!
DATE OF ISSUE' �V
OwnerIIIJCIUKJ-I/�YiN// BCa�►s Home
Mailing
Address i3o t . l�itsHuJAY 82
Phone
Address DF P,foF>9Crr .� (-, ell
Sewage Disposal System Work to be performed by AJA1?,X:7) S uVSTPUCT,
This permits valid only for premises location by the following legal description,
! z Vu+17�41
LOT SIit / AC. -g- MATER SUPPLYSi� 9&0Ai iNELL , AVERAGE PERCOLATION
This Individual Savage Disposal Permit is granted with regard to the following uses JMIG�1,b YA6MDE dji5—
Mtrabar oft Bedrooms _� Lofts_L Garbage D13POS213_L Dishwashers_L Clothes Washers _.
CALCULATED AVERAGE DAILY WASTE LOAD 5(5-0 CALLOUS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
Type of Tank or Treatment Units t.aCfl�
Mt rho! of final Disposals A� 'C ZZ t I/W:s Abeorptiotl
DeacriptLonn/(incccluding brand name, if any( of other equipment or'appurtnanceas
Other Conditions or Speeificationes
Tank Capacity Gallon Minimums
Area Square Feet Minimwe
STAGES REQUIRING INSPECTION BY THE HEALT11 DEPARTMENT:
( )Before Excavation (Upon completion of excavation and prior to placement of gravel y(►)/Before coverin.7 distribution
�� system of absorption field
( X1P
rior to backfill of any component ( !Other, Specify, .J1/JF _ _—
Plans and specifications or the proposed sewage disposal system have born reviewed and are considered satisfactory. Pemission
in hereby granted to the owner or his agent to prrtorm the tork indicated above In a,cordonce with the Pitkin County Individual
Snwa,r UinPesaL Rcauletions in effc•;t on the date of issue. In addit,on to general provisions ere forth on the reverse her:ot,
this Permit is subject to the following additional terns and conditions, Ai/A
ZAPPROVED FOR ISSUE BY �/ (tit -le) W44t`
Thv ahove in.tivldual aziiaga disposal system Installed by
has b, -cit la::pected for use by a representative cf the Aspen i.,. tk in Unvr ron.>�ut al11,,. 1t. Dcp.Ir t"'Iet. The wwnor as -t yro-3 ILL
rvgWnsebiltty in case of failure or i.d quacy of thtw sewage disposal system. Complete as -built drawlrtg attached.
DATE OF FINAL. INSPECTION
y* TITLE
,3hjto Cc" ow 130 1 S 6 A4 CRA)l'treet Aspen, Colorado 61619
/ U� �;-
303/925-2020
0 ¢yam
ASPEN&PITKIN
'ENVI ONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL. PERMIT 7
Name of OWNER Jprye1//� �>�tlfQ J//� O Iei7iJS PHONE
Address of OWNER �����/��✓�/U /?Sr�P�/`��
Name of APPLICANT .J 0,4n,7e Ll
PERMIT TO BE: (Picked Up ( Mailed tot
( jowner ( )Applicant
LOCATION OF PROPOSED SYSTEM,
Legal Description —111L
PHONE / z S ) Gi9/
TYPE OF PERMIT, (rt)New Installation ( 1Repair
// 1 )Emergency Use (/)Alliteration NOT due to failure
(�q{-P....,nf ���C s/J Jct Gri•(/iJ/Gb,/
Filing Z Subdivision Size of Lot
TYPEOFSTRUCTURE: (Y)Single Family Dwelling
Do you plan any further dditions to the
residence? ( )YES 4NO
No. of bedrooms No. of Lofts No, of Garbage Disposals � No. of Automatle Dishwashers
No, of Automatic Clothes Washers I 1
WATER SUPPLY: ( )Private Well, Depth or yCl Publie, Name of System \-RSC 4/'/ / �/C }/) .1u
( )Spring
( )Stream or Creek {
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED, '
(Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( lComposting Toilet ( )Incineration Toilet ( )Mound
1 )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( ]Other:
The Initial site inspection must be arranged with the As Pen/Pitkin Environmental Health Department (925-2020. 8:30-9:30 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 PRI0R TO BACKFILLING ANY PORTION
OF THE SYSTEM.
Application for an lndivldua wage dlspoa perm! t, is hereby submitted. The undersigned acknowledges that the above information
L true and that fa iso 1 matlon wi 1 a Z j,e applies tion and any wbseq ucni permit
Signature of Applicant DATE
(This applicatioe becomes. invalid 11 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.
4. 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 S /e-6 Receipt Number R C O S y Date Fee Received ) // r , by /` H
AdminLcu tivo officer
130 South Galena Street
Aspen, Colorado 81611 303/925-2020
J
. 4.
3
qPWO" ASPEN*PITKIN ,
ENVIRC1'VM&TAL HEALTH DEPARTMENT
Legal deci
Name of Ow
Address:
FIELD TEST DATA SHEET
Name of Agent:
Water Supply: Public Utility_ Subdivision Private Well
Lot Area: /,26-�C Distance to Nearest Surface Water ft.
Dates Observations Made: Soil Borings:/ol XX by G
Percolation Tests:
SOIL BORING TESTS
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Average Rate::2 minutes/inch
Plan of the site on the back
Date D y signatureJt21/
a
BOB NELSON
ASPEN/PITKIN
SANITARIAN
130 S. GALENA
ASPEN, CO 81611
0 0
N
SCALE
LS 3317
( F LAC-C-�C. 0 Z/9 (D
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HUT(: OCCORDINO IU COLORHW LN YOU HOST COHIMHCE NHY L5K NCHON DOSED UPON NNY DEFECT IN THIS Stay UIFHIN Six YENRS NFFER YOU
FIRST DISCOOIR SKIT DEFECT. IN NO EVENT, SIUHl RHY OCTIOH DOSED UPON AMY DEFECT IN THIS SURVEY DE COHHEHCED WE INNN IEH YERRS
FRDH ➢IE 011E OF IK (THIFICHTION SII(Ilgl HEREON,
KA1NAN CONST.
P.O. Box 649
Aspen, CO 81612
(30'3)920-2333
ter* Tam
o02 SP
CE RT
I -S 33)7
CATI
ON
I, DRVID
`FIT Dg90
CERTIFY
LEGEND a NOTES
PLAT IS PLOTTECFR
FIELD NO ES OF R SURVEY MADE
UNDER
MY SUPERVISION DURING
LS IG8yZ
r
1987
O
FOUN R PROP. CO12. # 5 2E oaR
1�
SIGNED:DFl
W/ CAP AS NOTCR
-- --
D W. McBRI0
¢
CA 1,"-.5 1N ( ) ARE F2CCOC2CJ
/
6-..
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TELEPHONE t3p1.1(
a
(�
/25�s
FOun10 STAKL- - HOUSE COR �..i/ aPOT
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Ei EVAT�oN of �xiST�NG v«A OE
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ELEVATION � DATUM ARI�ITRARY
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HUT(: OCCORDINO IU COLORHW LN YOU HOST COHIMHCE NHY L5K NCHON DOSED UPON NNY DEFECT IN THIS Stay UIFHIN Six YENRS NFFER YOU
FIRST DISCOOIR SKIT DEFECT. IN NO EVENT, SIUHl RHY OCTIOH DOSED UPON AMY DEFECT IN THIS SURVEY DE COHHEHCED WE INNN IEH YERRS
FRDH ➢IE 011E OF IK (THIFICHTION SII(Ilgl HEREON,
KA1NAN CONST.
P.O. Box 649
Aspen, CO 81612
(30'3)920-2333
ter* Tam
o02 SP
I. DAVID W. McBRIDE. HEREBY CERTIFY THAT ON _
1990A VISUAL INSPECTION UPDATE WAS MADE UPON THE PROPERTY HEREIN
DESCRIBED AND NO CHANGES WERE FOUND EXCEPT AS HEREON NOTED OR
SHOWN.
SIGNED THIS /G DAY OFFjE/'a19$13-------------
.
�! �� 16129 � •^
David W. MLHi ;de RI_ Ibl�'9
`Cly/••r�• `�fi
BUILDING PERMIT
SURVEY
T
LOT 2 13 LOCK '-} 'F1L.LNC� 2-
7-0
TO 0Wtvlp\SS
MESA. SUDO. Pi-rl<IN C-OUNTY
PREPARED BY
Aspen Survey Engineers, Inc.
210 S. GALENA ST.
P.O. BOX 2506
ASPEN, COLORADO 81612
(303) 925-3816
DATETOPo ,DOF_U -19- 88
S
CE RT
I FI
CATI
ON
I, DRVID
W. McBRIDE, HEREBY
CERTIFY
THAT THIS
PLAT IS PLOTTECFR
FIELD NO ES OF R SURVEY MADE
UNDER
MY SUPERVISION DURING
1987
°
,
SIGNED:DFl
D W. McBRI0
I. DAVID W. McBRIDE. HEREBY CERTIFY THAT ON _
1990A VISUAL INSPECTION UPDATE WAS MADE UPON THE PROPERTY HEREIN
DESCRIBED AND NO CHANGES WERE FOUND EXCEPT AS HEREON NOTED OR
SHOWN.
SIGNED THIS /G DAY OFFjE/'a19$13-------------
.
�! �� 16129 � •^
David W. MLHi ;de RI_ Ibl�'9
`Cly/••r�• `�fi
BUILDING PERMIT
SURVEY
T
LOT 2 13 LOCK '-} 'F1L.LNC� 2-
7-0
TO 0Wtvlp\SS
MESA. SUDO. Pi-rl<IN C-OUNTY
PREPARED BY
Aspen Survey Engineers, Inc.
210 S. GALENA ST.
P.O. BOX 2506
ASPEN, COLORADO 81612
(303) 925-3816
DATETOPo ,DOF_U -19- 88
S