Loading...
HomeMy WebLinkAboutpitkin.eh.246734303015 (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. * X6of 7- 33-0 5 • ► ASPETKIN 3 N PI qP Er" NMENTAL HEALTH HEPAR ENT INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. %,—USD TYPE OF PERMIT: Mnitial Construction ( )Emergoney Use ( )Repair Work,(Pievious Permit 1 .) ( )Alteration of an existing system. t Installation (Previous Permit 1 .) ( )Use Permit as a result of Sale ( )Others ISSUED TO: Mailing DATE OF ISSUEEi'ZS Phone_127_14e Business Phone Phone Mailing Address Sewage Disposal System Work to be performed This permitvalid only for premises location by tho following legal�/dose iptiens��/ L [ /4/i_X-f'/ i/ '+G /I Cir LOT SILE, 7 /!GM' . MATER SUPPLY QN L<LL. 11VEEM:C PERCOUITION MTE IN c/TES /MCF This Individual Sewage Disposal Permit is granted with regard to the following uses_ - 1- P Ne., . Rauber oft bedrooms 3 Lofts Garbage Dispo��ssajal Ts Dishwashers_ clothes Washors CALCULATED AVERAGE DAILY WASTE LOAD .�.3 C GALLONS. - THE NATURE OF THE SYSTEM INCLUDED tiUNDER THIS PERMIT: ypo of Tank or Treatment Units( /'� tv� Tank. capacity Gallon M1nlmtes :thud of Final Disposal&/��tL1�}a,��Vp t�'y/�/O� I Ie�C..J�� Absorptlo0 .y^Ajr'�e../71 Square Faet Nlalmw ' ascription (including brand name, 11 any) /off other equipment or appurtnaneest 1�" 'O� G �JE L a f-D1-f%� L Cs7s64 L LOAJ -f>C)MP1X1l9 almmge� ,ecqulr- p>Mo- Zr/ Jthor Conditions or Speciflcationes sET STAGES REQUIRING INSPECTION BY THE HE PA DfENT: / ( )Mfore Excavation ryUpon completion of excavation and prior to placement of gravel ♦�(i eefore covering distribution I u / ` rystem of absorption field ( Prior to backfill of any component I !Ocher. Speeifys _ -- Plc s and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission im hereby granted to the, wrcr or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sewage Di'PCBal RC•IHlationa in effect on the date of issue. In addition to general provision% act forth on the re arse heb!ef, this Permit is subject to the following additional terms and conditional _ I AsPen/PWn Environmental APPROVED FOR ISSUE BY CHied) Officer _ (title) The above individual seva*Io disposal system Installed by has been in for use by a reproscnt.ative of the As rvcponsibility in case of failure Snad yuac f hill DATE In4sfa'T'/OAS ' X TE OF FINAL INSPECTION Q BY /O� IQ 930 South Galena Street pen/Pitkin Cnvironthntal Health Department. Tn.! 'nor a••w..o sewage disposal system. Complete *%-hdk1L dra ng ttachod. C4 tj 10 Iggg L L9L8 00'N3dSV TITLE VN31VO *S 0£L IViNNYWHIAN3 NI)UJd/N3dSV Aspen, Colorado 81611 303/X0CM@)I1MHVW • ASPEN*PITKIN . ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER S NACD i1 ' PHONE ` 20-23 33 Address of OWNER Name of APPLICANT// ��A u� 1 ��<� • 1C • // PHONE �12o-Z 3 3 3 ►ERM2T TO Ott ( )Picked Up (61/ulled too TYPE or PERNrTs (•')Mer installation ( )Repair ( )owner ( )Applicant . ( )Oaergeacy use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEMS Legal Description C Lot Block Filing Subdivision I Site of Lot acre TYPE OF STRUCTURES R.I5ingle Family Dwelling ( )Others Do yon plan any further additions to the reside s,ee7 ( )YES 04NO No. of bedrooms'_ No. of Lofts�No. of Garbage Disposals No. of Automatic Dishwashers Ne. of Autonatle Clothes Washers NATER SUPPLY. ( )Private well, Depth or �Pabllc, Name of System ( )Spring ( )Stream or Creek TYFES Or INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSERS D�smptie Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound 1 lRecyeling, potable use ( )Recycling, other use ( )Vault Privy ( )Others The initial site inspection mutt be arranged with the Aspen/Pitkin Environmental Health Department (925-2020. 6:10-9570 a.m.) before • 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 SY THE ASP /PI IN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR 9'O IfACRFIL:.ING ANY PORTION or THE SYSTEM. Application for an Individual sewage dl aposa1 1t hereby submitted. The undersign sckawledgee that the above Information IIs true and that false information rill,inv date /tj(e ppliutlon and any subscqucnt rdt Signature of Applicant L / DATE (/ (TRIS application becomes. invalid 92 monolks from the above data.) 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. 1. Domestic water service lines. {. 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. Ths undersigned he eby acknowledges receipt of this individual sevaga dispouI pore! pp Psion and a gerwit fee in the amount of S O b Receipt Number �`{ p Date res Received G� Administrative Officer 00130 South Galena Street Aspen, Colorado 81611 303,/820-5070 ENVIRONMENTAL HEALTH DEPARTENT a t)(G 7 _ j t{ 3 _0 ? _ Q1 • INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. TYPE OF PERMIT: kf]n In itlat Construction ( )Emergancy Use ( )Repair work,(Pievious Permit 1 .) f )Alteration of an existing syrtem, of installation (Previous Permit 1 .) ( )Use Permit as • result of Sale i )Other, q ISSUED TO: DATE OF ISSUE S`� / �✓ Ownerx, Home Phone 2730Business Phone Mailing 12_ , I /�/1 O 1/ /-., Agent_ MaiLin€ Address M Sewage Disposal System Work to be performed This permitvalidonly for premises location by the following legal dog* iptions 4.0 / G I /L LOT SILE� J /(CWATER SUPPLY1RlXIlISJQn� U/�LL, AVERAGE PERCOLATION This Individual Sewage Disposal Parrott is granted with regard to the following usesy IOJ& LL" f'1)/pl! L7 Nuiber of, Dodccoms 3 rafts V Garbage Disposals T ss''al s_ Dishwashers-� Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD 3 J V GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: pa of Tank or Treatment Units ( /"l� A) Tank.Capaeity _Gallon Minimum thod of Final Disposals %ENCHE� Absorptioy . Are Square Feat Minimum ' f gs %lt�pp��r_�NGNES (iJ/ scrlption (including brand name, if any) of other equipment or appurUaaccsa DF C,;eAJE L, i3c LAL.L) L(N Si zr� thcr Conditions or Spccificationas 7 Cf1T1oy�"--a,f ,//1 STAGES REQUIRING I14SPECTION BY THE HEAL DEPA MENT: tit ��` 1 )Before Excavation rpon completion of excavation and prior to placement of gravel tyl acfore covering distribution U 1 ` ryslen of absorption field x3andrior to backfill of any component ( )Other, Specify.Pis specifications of the proposed sewage disposal system have been reviewed and are considered satis(Actory. Permission ix hereby qranted to tlm owr<r or his agent to Prrforn the work indicated above in accordance with the Pitkin County Individual Scwa;e Disposal Re-,alations in effect on the date of insue. In addition to general provisions set forth an the reverse Recce!, this Permit 1s subject to the following additional terns and conditions. Aspen/Pitkin Environmental C- Health Officer APPROVED FOR ISSUE BY /� CJ title ) Tho a`,,ve individual scwaga disposal vyn:em installed by f./ /VG hoe two•<n la Ix ReJ lar use by a rope<acn tet ive of the Aspen Pat in twM-anuta Ilea t.. Department. TA.e or aenumoa a .vo(,ensibllaty in <cse of failure r lnad q.Ac f hoe sewaga disposal system. Complete as -t It draw ng ttaehod. fi �L INs n�ioni f nlcci lc�i-r�r�mVC L� ��(,�qz TE OF FINAL INSPECTION L L9 L8 03'N3dSV gy • TITLE VN31VD *S OEL -- o3rit3@Htltl3aY— IV1N3WNOWAN3 NDWd/N3dSV 130 South Galena Street'. Auspen, Colorado 814311 303/IjG*"j6AUVW 0 0 y 0 J ASPEN+PITKIN ENVIRAMENTAL HEALTH DEPARANT FIELD TEST DATA SHEET ON PERCOLATION TEST Legal descripti Address of Prop Name of Owner: Address: (# & st. / p.o. box) (city) (state) (zip) Name of Agent: Lot Area: c -Water Supply:Public UtilitySubdivision Private Well_ Other Distance to Nearest Surface Water Type Dates Observations Made: Soil Borings: by Percolation Tests: by M Z SOIL.BORING TESTS PERCOLATION TESTS P-1 Total Depth Observed Depth to Groundwater Estimated Depth to Groundwater Character of Soils B-1 r �— � •• Depth of Water (left after 8 hr. presoak) PERCOLATION TESTS P-1 P- P-3 Depth �I Diameter � •• n -I � •• Depth of Water (left after 8 hr. presoak) •• n-I� •• 73�lIkdmm ®1 ��� �I � •• u -I � •• n -I � •• u-I� •• n-I� •• a -I �. •• o - `v -67d" IPM Ii -M MIM- �M, I MOMIM- Rate P-1 lio Rate P-2 10 Rate P-3 AVERAGE RATE: --)"+�minutes/inch Plan of the site and location of test holes on the back Comments on Soil or Site: Date ��� 23a Q 130 South Galena Street Signature Aspen, Colorado 81611 303/920-6070 r 0 0 �� P-/ - tv e 2 ASPEN+PITKIN ENVIRCOMENTAL HEALTH DEPARANT 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: Water Supply:Public Utility -.Subdivision Private WAll_ Other Distance to Nearest Surface Water. Dates Observations Made: Soil Borings:_ by Percolation Tes Zby SOIL BORING TESTS PERCOLATION TESTS Total Depth Observed Depth to Groundwater Estimated Depth to Groundwater Character of Soils B-1 Diameter PERCOLATION TESTS ^r_ v; L_ Q %.L Rate P-1 Rate P-2 Rate P-3 AVERAGE RATE: r? minutes�ch Plan of the site and location of est holeson the back Comments on Soil or Site:/`Q Date Signature���n`�� 130 South Galena Street Aspen. Colorado 81611 303/S20-6070 P- P-2 P-3 Depth Diameter Depth of Water (left after 8 hr. presoak) 0 ^r_ v; L_ Q %.L Rate P-1 Rate P-2 Rate P-3 AVERAGE RATE: r? minutes�ch Plan of the site and location of est holeson the back Comments on Soil or Site:/`Q Date Signature���n`�� 130 South Galena Street Aspen. Colorado 81611 303/S20-6070 f v )I `� -- 9;--X 70 3 • ASPEN*PITKIN 0 ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET ON PERCOLATION TEST Legal descripti Address of Prop Name of Owner: Address: (# & st. / p.o. box) Name of Agent: (city) (state) (zip) Lot Area: Water Supply:Public Utility—.Subdivision Private WAll Other Distance to Nearest Surface Water Type Dates Observations Made: Soil Borings: by Percolation Tests: by SOIL BORING TESTS . n, PERCOLATION TESTS Total Depth Observed Depth to Groundwater Estimated Depth to Groundwater Character of Soils B-1 Drop Time Drop Time Diameter Time n, PERCOLATION TESTS I. L_ I -,Vi— P-1 P-1 P-2 P-3 Depth P-3 Drop Time Drop Time Diameter Time Drop Time Depth of Water (left after 8 hr. presoak) Time Drop Time I. L_ I -,Vi— P-1 P-1 P-2 I P-2 P-3 P-3 Drop Time Drop Time Drop Time Drop Time Drop Time Drop Time 1 7` `ll < L33 Z Il' , Rate P-1 �"�v Rate P-2' Rate P-3 AVERAGE RATE: minute/inch Plan of the site and location of test holes on the back Comments on Soil or Site: Date- 930 South Galenas Street 7 V Signature / Aspen, Colorado 81611 303/920-6070 �U Vi V1 / / I9 • o'J qlll 11-vool, � '1