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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 IIIIIIII ININNEXIIIIIIIIIIIIIII IIRIIIIIIIIII IIIIIIIIIIIIIIIKIM II€ii[i1i€111€goII rear tern o[rra oo r. re uouxe wnaY, ran KOREAN eua.rao anu.r[e .la. .u.au ran cx.. acro or tea wlv rxrt aYav 1+ ran B-1 B/ao IY ur[O Oa Cexo r0 E•cr L.ar r[n O[nN a+t a Lr[11 OF ae]L m B-2 .1...AL TO FALL N Vwto[o IN C•1[C IIIIIIII IIIIIII VIII IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIH PERCOLATION TESTS V III IIII IIRIIIIIIIIII IIIIIIIII_IIII KEVININN IJfENWR III KOREAN xOYxO' wIr[• r[n Ow[ Oro. IY w.ru L<e [L. INCxu IY ur[O Oa Cexo r0 .L[r b L.ar r[n O[nN a+t a Lr[11 OF ae]L IN,L YO woLc .1...AL TO FALL N Vwto[o IN C•1[C 1N ICV (oe IY IY CN[o %.I w(r e r[..1. . wIN Vr[ L.Or MOO L.Or .0.0. IC..O 0Y[ P-1 0 ,�a�.�, .2 /0 P-2 30 P-3aJD Z, %� S S 32 P-4 VIII IIII IIIIIIIIIIIIIIIIIIIIIIIIIIII VIII IIIIIIIIIII VIII 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 x'39 t D I INCH = ao FT. o i o yo ryQ� i 30 Lo T ( /V /-/- 00 E 3 aa // , ) L / 3 -,000000oz F DCUC- r �1 >^ o -T' I . 00 ,7r �L `ti�1 � lid ryor� L S .Z Z LS 3a,>i7 FL.AC-ZL-E%3 Z/Gi o C S `f' /- o ma w / v o o j 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-.. � ■ TELEPHONE t3p1.1( a (� /25�s FOun10 STAKL- - HOUSE COR �..i/ aPOT f° � � Ei EVAT�oN of �xiST�NG v«A OE 11 j %' ELEVATION � DATUM ARI�ITRARY IJ of T C 8 CONTOUR TNT EFZVAL Z 2� SNOW COVERED PROP ERT ti' AT TI MC OF TOF��o 1 0 �j.. IV x r\ i Q a = 3 I i .. I14) %�/ LS 3a,>i7 FL.AC-ZL-E%3 Z/Gi o C S `f' /- o ma w / v o o j 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