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HomeMy WebLinkAboutpitkin.eh.247114301012 (1986)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 ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. Q D 7 / ``TY/PPE OF PERMIT: itial Construction ( )Emergency Use ( )Repair Work,(PievLoua Permit I .) ( )Alteration of an existing system, or Installation (Previous Permit 1 ,j ( )Use Permit as a result of Sale ( )Others (� ISSUED TO:DATE OF ISSUE. / Owner�/J .-/'� MIVC Rome Phone Business Phone Mailing Address Agen Mail Addr, Sewage Disposal System Work to be performed by This permit ✓validdonlyy for premises location by tho following legal descriptions 11CUP1 -- DQr$ ,t LOT SIZE I J '/GJCG s WATER SUPPL7 �iAFE,% INEI.I, . AVERAGE ••P''ERCOLATTrIION RATE OQir'1 Al fife. This Individual Sewage Disposal Permit is granted with regard to the following uses ,SAIGLE l /fAW-Y le" IDE0045' . NwAfer off Dodreoms 3 Lofts_ Garbage Disposals / Dishwashers i Clothes Washers _. CALCULATED AVERAGE DAILY WASTE LOAD Ig 45-1) GALLONS. THE NATURE OF THE SYSTEM INTCLUDED UNDER THIS PERMIT: Type of Tank or Treatment nits —+E pC ,/SCK- Tank Capacity Gallon Mini..\/ Method of Final Disposals yFfPA 6E E0 Absorptioo Area 13216 Square Feet Minimum Description (including brand name, if any) of other equipment or,appurtnancest Nor�E .Other Conditions or Specificstiones A e.uzr6W DRAIA) IA/TO /I eF -36. Iduers SEP To -Z�6—I ISTALL6D 25 GEST �PHI��of ABSo�P17n�1 g TAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation I )Upon completion of excavation and prior to plseenent of gravelBefore covering distribution ` ! • stem of absorption field pO Prior to backfill of any component l (Other, Speclfys - MoAl _ _ _ _ Plans`and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Peeninsion is hereby grar.Led to the owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sawa ;r, ULSPesal Ronnlstions in offuct on the date of issue. In addit,on t 9enotel previsions act forth on the reverse hereof, this Permit is suhjeet to the following additional terns and conditional �o�E APPROVED FOR ISSUE BY (title) The ahnvc Individual scwago disposal system Installed by has be•rn lnspccted for uac by a representative of the Aspen Pit in Cnvironxnta lwalth Dep•irumnt. The uwnuc- esawaeal reziwnssbility in case Of failure or inadequacy of this a wag disposal Jystem. Complete as -built drawing attached. I/ J DATE OF FINAL INSP CTI N iD QZ0�(a /r� B'lff:1`-�k����`--��t �— iO�'11ti� TITLE GC dem ' 1 07 h O l Street Aspen, Colorado 81611 - 303/925-2020 ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER Address of OWNER PHONE IS - Name Name of APPLICANT S „ire-,- PHONE /— %/ D I PERMIT TO BEt SA1 Picked Up ( )Mailed tot TYPE OF PERMIT: New Installation ( )Repair ( jowner ( )Applicant ( )Exrgency Use ( )Alteration NOS due to failure LOCATION OF PROPOSED SYSTEM, Legal Description Lot / L Block riling Subdivision TYPEOFSTRUCTURE: Single Family Welling ( )Others No. of bedrooms No. of Lofts No. of Garbage Disposals Igo. of Automatic Clothes Washers l:e of Lot Do yep -plan any further additions to the residence? ( )YES ( )NO we. of Automatic Dishwashers WATER SUPPLYt �XfPrlvate Wall. Depth or ( 1Publie, Name of System ( )Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEMACE DISPOSAL SYSTEM PROPOSED, - IN`/ LN Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound Recycling, potable use ( )Reeycllny, other use ( )Vault Privy ( )Others The Initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Depsrtment 1925-2020, 9:10-9:10 •.m.l 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 BACKFII.:,ING ANY PORTION OF THE SYSTEM. Application for an individual • wa a gisposal permit is hereby submitted. The unders fined acknowledges that the above information is true and that Ca Le Snforma !0 1 !n ell�da SIe appliytion and any subsequent porsdt. Q signature of Applicant �& _/ DATE I, (This application becomes. invalid 12 nths from the above dab.) 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 1 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 o[ thl n d"I sewage disposal permit app) cation and • per/s, ale/q in the amount of 3 /S� Receipt Number Dace Fee Received �1�%.by /C /N Administrative officer 130 South Galena Street Aspen, Colorado 81611 303/925-2020 SPENCER CONSTRUCTIM&C. • 1684 SPENCER CONSTRUCTION, INC. BOX 491 927-3710 BASALT, CO 81621 ALPINE BANK 1684 BASALT, COLORADO 81621 82-287/1021 I SD.D� l' Date 70"" 1 1 000 2110 0 0 � STo(zy �oGr No USE \ DOC ��o e, rE D�EPncETaw�� `s- CU97MW DaW i(e o1 DEEP \ _..i. , , Rhin FOR '�.UNS,D� LI LINE• (Te LOT 4� *kSPEN*PITKIN • ENVIRONMENTAL HEALTH OEPARTMENT FIELD TEST DATA SHEET L _ 1 Legal decription: Name of Owner: Address: (# & st. / p.o. box) (city) (state) (zip) Name of Agent: Water Supply: Public Utility_ Subdivision Private WellX Lot Area: ' ' �i Distance to Nearest Surface Water ,�,,.11„�t. Dates Observations Made: Soil Borings: 2 by 1/ Percolation Tests- by�,r/V 4*1* M .101:�4Zlea 0*1yam itiiiiiii€iIp■iiilx�����Iiiliilli■ia«1i■i)Riwilii!)YI€i�1€ii11i�M�EiEiii€���� p n[. To nL Oar T. oar.^ To LWVo wan L, I[a+ WINXII II ■NIM .YYOLL I[[. OLLaO190IO.IMa1t0 YIO. LMMaLTaa 01 •OCL VIM ............ I��a .aL. n LA 1 TD L.0 +LLT // a^ ••cnV OI wn i �>�it�■M f ■1r�KlRltfii€ Him YA I IntrAYAW G i PERCOLATION TESTS I NIXONii€i€ WINXII II ■NIM •ell.a .T.. L"+ .. O.O. of .RL Lwn. lwc^u I.Yn• uT..." LLLO.O +O .aL. n LA 1 TD L.0 +LLT o P1. a^ ••cnV OI wn LYc[ M ..o.L MVYLiY T^ ILT w[)+ OY(II.ILIIT Y YIYY+L 11LT I[LI00.... .[.100 •[ONO OYLn1.�1 P-1 Le.. P-2 �1 P-3 P-4 Average Rate: e ' minutes/inch Plan of the site on the back Date �. ': Signature bOE NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 81611 M �35L :35-L z/7L r I�4 4kSPEN*PITKIN 16 ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET Legal decription: Name of Owner: S�FpAjr Address: (# & st. / p.o. box) (city) (state) (zip) Name of Agent: Water Supply: Public Utility Subdivision Private Well_ 0 Lot Area: SSC Distance to Nearest Surface Water ft. Dates Observations Made: Soil Borings: by Percolation Tes s: by ��Rp�sE7-o ;)C EkMIAll< S�inl�suY of vNDE9Ly1AIc U -061I SOIL BORING T eilClEi lii m• NXI tilMM151 Tu• .ow .o T. .u...[w [aaT dAwfnu e. OIL wl Tw Tutuu. 1• .uT .. r ■ � rr�€I�I�I�l�lr�>��€�€I�l�l�l�lrs�l�l�i>tllll�lrll€I��€�€;�I�■ sAME {j�LES AS Pint 67/7x / 607-160 "P6E� AA1_01A T my PERCOLATION TESTS ■i[i)1■ ■ e■ 111M[iiNIX5111 KEVIN11wass ASPEN/PITKIN NNER$IiilliXXXIIIE [ANN 130 S. GALENA www. I -Al.- _ItNia Ttf< TIME ewe. q w[<[[ I..". 1.[Mu Lu.<• [C<e.e .e •C., b Lfrt T.., "ll. <....[ TC- er ..L .I.[[ .O ..,T,a...... TO .ALL NV M... I.(w[f Tw ICII. [L. I. Iw<.Itf 1.T IT I. w qeT< LA.T .[.I.. I.11' SILTl LOAM 3n 1 �D 11T CleAALLENS/Or P—l. 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APPLIED PRESSURE — ksl w SWELL -CONSOLIDATION TEST RESULTS Fig. �� -San-doi 1Z ■■1111111■■11 DSgmple of Clayey ■11111111■■11 ■1101mill ■■1111111��1111111■■1111111 11,M11111111■■1111111' ■■1111111■■111111■■1111111 ■■1111111■� ■■1111111■■1111111■■1111111 1111111■■1111111 ■■1111111■■1111111®i1i111111 ■■1111111■■liillll■■1111111 lu I. APPLIED PRESSURE — ksl w SWELL -CONSOLIDATION TEST RESULTS Fig. �� 0 LL O 1� Ly