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HomeMy WebLinkAboutpitkin.eh.246734400588 (1993)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 ENVIRICENTAL HEALTH DEPART NT INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. / 00 z E OF PERMIT: Initial Construction ( )Emergency Use ( )Repair Work.(Pieviow Permit 1 .) 1 )Alteration of an existing system, or installation (Previous Permit I ( lose Permit an a result of Sale ( )Others ) ISSUED TO: DATE OF ISSUE. n n--iii7" Ower J.,.l Home Phonet9L/- f/A6Z Business Phone Address � SN u/ 21 QDAp-S�docUM.4s g /6J i Agent /9Uc Soli - O NG ©Ie;C bft-PFie—S Phone 927-923,6 Mailing Address FJ In Sewage Disposal System Work to be performed by L61Af -S ( Q1f!37XW C,111A1 / This P004L mit Qrlli�d only for promises location by the ro ring legal descriptions 56c,37 / fl LOT SIZEUV /�(C/QC S' WATER SUPPLY ) J CLL . AVEMOE PGCOLATIois RATE AVI-kAlllwell This Individual Sewago Disposal permit Is granted with regard to the following uses %CE A /`- t-`5/ Muubor oft Dodroome 2 lofts CD c.,b q. Dot, .o..I, () DSshwasAerscloth,. Washers CALCULATED AVERAGE DAILY WASTE LOAD S. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:, fpm of Tank or Treatment tlalta ,�Ci�/ rte i�,)/ f� Tank. Ca It 7V 0 - Gallon Minim. :thud of rinal Disposais SE�PfFGE AbsocptioD .Area Square teat minimum .criptlon (including brand nate, If any) of other equipment or appurtnanccas i UMP �NAMP���2 Ta LIX- w -r�z-Tf+�IIK Jther Conditions or Specification Agi 7-o'� 7i bAL1 jAN AMP /U/V C'ff/i/�IQzC %ows Z� � - 1), IN�o�d� v'a 6yo �a Fr_ .41AGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )ftefore Excavation ( )Upon completion of excavation and prior to plseament of gravel ( )Before cowering distribution system of absorption field ( )Prior to backfill of any component ( 0ther. Specify. Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission in hereby granted to the owner or his agent, to Perform the work indicated above in accordance with the Pitkin County imlividual Sewage. Disposal Ro.nslations in eff+eat on the date of issue. In addition to general provisions act forth on the reverse hereof, this Permit is subject to the following additional terns and conditionss Aspen/Pitkin Environmental APPROVED FOR ISSUE BY / (title) Health Officer , :he ahnve individual sc.rego disposal system installed by lhas txen in::pectcd for use by a representative of the Asp 1`it in Cnvlronmeota rcawnsibility in ease of failure or inad quacy of thin sevago disposal system. DATE O)Z.INAL INSPECTION BY:_� complete as -built drawing attached. a TITLE / \ 130 South Galen. Street Aspen, Colorado 816/1 303/9120-6070 v za' 471 Li p.e5 are 3 �y. Al" hvlrS /ne Pi%Ie al -e 3v 0 0 A) I i I � I ,) , I ��G I P4 se I ctiy��� pu��in�� aC asvri sy Sieh,<ci ,6e /)D) Z ScGZ,Qe • ASPEN+PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER PHONE `; l Address of OWNER 2Z�L 5nlpWSS C 121j7h7 Name of APPLICANT sfi211✓2r Foto l3UIL0025 PHONE '£sMIT TO BE, ( )Picked Up - 04Nailed tot TSP£ Or PENNY 0414ew Installation ( )Repair 00wnar ( )applicant : < )E1.ergency Use ( )Alteration NOT due to failure tnCATION Or PROPOSED SSSTENs regal Description 0 1 15 :et S6w . (Stt 3/3 Filing 58bdtviaion Size of Lot acres EhtPla Ef Owtu-fN7r YyPF'Or srsuc-VREt ( )Single rastar Dwelling ()y Others Y UN17 Do you plan any further jdd plans to the residence? ( )TPS .(4NO o O No: of Automatic Dishwashers eo, of bedrooms No. of Lofts No. of Garbage Disposals ro. of Aot tie Clothes washers I - tATE71 SUPPLY* Private well, Depth or ( )Public. Name of System ( )Spring .. ( )Stream or Creek PYPM Q INDIVIDUAL SrWAC..E DISPOSAL SYSTEM PROPOSEDI Oljseptle Tank/Absarption Field ( )AoraCioa Plant/Absorption Field ( )Composting Toilet ( )Imclnarstloa Toilet (Itwun ( )Recycling. Potable use ( )Recycling. other use ( )Vault Privy ( )Others the initial site inspection swat be arranged with the Aspen/Pitkin �Envimamcnul Wealth Department (925-2020. 8130-900 a.m.) before a permit can be issued. She individual sewage disposal permit must be Issued before a building permit cam be obtained. rINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION or THE SYSTEM. Application for an indiv 1 acv di osaI permit is hereby submitted. The undersigned acknowledges that the above Information in true and that false n[o aaW 1 nvdLdste the application and any subsequent permit, Signature of Applicant / DATE 2 /3 (This application becomes. invalid 12 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 _hCreby acknowledges receipt of this individual sewage disposal permia ap Mention and a Mfee in CjI Amour of i_fS0 Receipt Humber (�Ql Lf �- Date rem Received ` 3 , bY' � AdminL eraet of[lccr J �-% 130 South Galena Street Aspen, Colorado 81611 300/920-6070