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Home My WebLink Aboutpitkin.eh.246734300024 (1984)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 • ,ayc�-3y3 -oo - oay 3y -s -8b ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. O TYPE OF PERMIT: Xni'lal Construction I )Emergency Use I )Repair Work,(Piavlous Permit I..) 1 )Alteration of an existing system, ar Installation (Previous Permit 1 .) ( )Uac Permit as a result of Sale - ( )Other, ISSUcD T0: ` n ' / DATE OF ISSUE Owner��%//�/� rj, / C/��Udf�N Home Phone �-3Z Z Business Phone Mailing /9,q12_ . . r - fi_ nr // _ a _ _ r-1 i , i - ' Agent /y A Phone ` Mailing /�,/ Address �— a'�3� sr%ISoJ >40 Sewage Disposal System Work to be performed by This permit vali�d - only for premises location by the following legal description' %%9- N & O p LOT SIZE AO% A��CS NATER SUPPLY) Rj- AY�BpI dIS AVEancE I'RC TnI : RATE This Individual Sewage Disposal Permit is granted with regard to the following mn a, A L Ruiber oft Dodreoma 3_ Lofts C Garbage Disposals Q Dishwashers Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD �J D GALLONS. �TTT"� . THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Tank or Treatment Unitt5nC i jcC�Nr- th Meod of Final Disposal, SEEf+muE /.eCNe%{CS Absorptioc Description (including brand name, it any) of other equipment or appurtnancea' NOIC Tank Capacity V _Gallon minlmua Area Square Feet Hlnlmum Other Conditions or Specificationes l t vj STAGES REQUIRING IN��'qS///PECTION BY THE HEALTH DEPARTMENT: ' I )Before Excavation tyUpon coeplotlon of excavation and prior to platement of gravel Before covering distribution f�� r� Dystem of absorption field vorlor to backfill of any component ( )Other, Specify, _(VV - - Plana and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the, uvicer or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sewage Disposal Revnlitlons in effect on the date of issue. In addition to general provisions act forth on the reverse hercoi, this Permit is subject to the following additional terns and conditions, -74 APPROVED FOR ISSUE BY t (title) / E��u��r• The above individual sovaga disposal system installed by / k has been ln:jiected for use by a reprracntative of the Aa):en 1•it to Envi[anmrn tal Health Depar Unent. Tho ownur ansumoe a rva(wnsibUity in case of failure or inad quacy of this sewago diaposal system. ,CCoppleto as -bulls drawing attached. DATE OF FIN4 INSPECTION144 BY: Piz/Lkitjljj�'rTITEZl446`ss-.' 130 SoutW galena Street Aspen, Colorado 9161'1 30 /9 6-2020 �r�YC� GENERAL PROVISIONS OF AN INDIVIDUAL SEWAGE DISPOSAL PERMIT This Permit must be retained and made available for inspection at the above location upon request. This Permit shall not be transferred without approval of the issuing agency. This Permit shall expire 120 days after its issuance if construction has not commenced and a valid building permit has not been obtained. Any change in plans or specifications after the permit has been issued invalidates the permit, unless approval is secured from the Health Officer for such changes. This Permit is temporary until final approval is granted by the issuing agency in writing. Final approval cannot be granted until construction, repair and/or operation have occurred in conformity with the conditions of this permit. This Permit is valid only for the indi- vidual sewage disposal system and/or equipment specifically identified herein. Before issuing final approval of this Permit, the issuing agency reserves the right to impose conditional terms and conditions required to meet its applicable regulations on a continuing basis. Monitoring and testing requirements may also be imposed. The issuing officer shall be notified not less than 24 hours prior to backfilling or closing up the work which would prevent inspection of components installed in places otherwise inaccessible following such backfilling or closure. This Permit may be revoked or suspended by the issuing agency for reasons set forth in the regulations of said agency or of the State Board of Health, as applicable, including failure to meet any term or condition imposed thereon during temporary approval or upon final approval_ Each and every condition of this Permit is a material part hereof and is not severable. Any challenge to, or appeal of, a condition hereof shall constitute a rejection of the entire permit and upon such occurrence this Permit shall be deemed denied ab initio. This Permit is issued and accepted with the understanding that a fee in the amount of $ , plus cents for each mile traveled by a designated inspector from the principal office of the issuing agency to the location of the system and retu-cq, may be charged for each of no more than two annual effluent samples routinely collectel and tested from subject system as deemed necessary by the issuing agency to monitor said system for compliance with the Provisions of Article 10, Title 25, C.R.S. 1973, as amended, and the rules and regulations which implement said Article; and that a like fee may be charged for each such sampling taken in conjunction with the determination of compliance of subject system with a cease and desist order issued pursuant to C.R.S. 1973, Section 25-10-107(1)(k). The issuance of this Permit does not imply compliance with other state or local regulatory or building requirements, nor shall it act to certify that the subject system will operate in compliance with applicable state and local regulations adopted pursuant to Article 10 of Title 25, C.R.S. 1973, as amended, except for the purposes of establishing final approval of an installed system for issuance of a local occupancy permit pursuant to C.R.S. 1973, 25-10-111(2). ASPEN*PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER L 46e rot/ rZFIQ�U9'�J PHONE * 3-364 y Address of OWNER Rex S-5 Name of APPLICANT L,t,-,ZP'N PHONE �Hr PERMIT TO BE, ( )Picked Up Oiled tot . TYPE OF PERMITt (,j New Installation ( )Repair ("!Owner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEM$ Legal Description 7r4nT3 S'/ A✓0 81-' �E[5 1 3y %ssv+ P8 G9u6E ilL c✓FS7 ,1f6Ss/ �/. Lot Block Filing Subdivision Size of Lot 11041 acres TYPE OF STRUCTURE: ( 4S ngle Family Dwelling ( )Other, Do you plan any furtherajdltlons to the residence? ( )YES ( NO No. of bedrooms 3No. of Lofts No. of Garbage Disposal* -4�L No. of Automatic Dishwashers No. of Automatic Clothes Washers WATER SUPPLY, ( )Private Well, Depth or 44ublie, Name of System ( )Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED$ (Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound ( )Recycling, potable use ( )Aecycldng, other use 1 )Vault Privy 1 )Others- -The Initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020, 8:10-9t30 a.m.) before a permit can be issued. The individual sewage disposal permit must be issued before • building permit can be obtained. FINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. Application for an individual sewage disposal rmlt Ss hereby submitted. The undersigned acknowledges that the above information is $rtes and that (also 1 o[m an will Sn ata the application and any subsequent /Q,D[m{t. Signature of Appli I f%"/—^' DATE (� (This application becomes. invalid If 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. {. Proposed and existing buildings, driveways, and other structures. 5. 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 Remit application and a permit fee in the amount of $/Sn.l7� Receipt Number �7.3��fl Data Fee Resolved , by Co Administrative Officer 130 South Galena Street Aspen, .Colorado 81611 303/925-2020 L] PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER�%`�� PHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) 51.3 Diameter of Test Holes Water remaining after 8 hour soak Percolation Rate Each Hole_ _ Average Rate c3q y Comments an an soisoil r site:'I / sipmrs I /Imv Date. M -9 s v Percolation Rate Each Hole_ _ Average Rate c3q y Comments an an soisoil r site:'I / sipmrs I /Imv Date. M -9 s rig;s c -sr ►u��c�.. Percolation Rate Each Hole_ _ Average Rate c3q y Comments an an soisoil r site:'I / sipmrs I /Imv Date. PITKIN COUNTY ENVIRONMENTAL HEALTH ff Field Test Data Sheet on Percolation Test PROPERTY OWNER a` �` i :,// o4 WGt— PHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths 124" minimum) Diameter of Test Holes Water remaining after 8 hour soak Z13 n, TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 Drop Time Drop Time Drop Time �2U 3 2 5' 1 f 1 — . IZ <: o < o L D I 14 0 Percolation Rate Each Hole Average Rate / Comments on soil or site: `2 0,Ir11/LJI 10 Date qgi— 0 0 0 PCIL)c SATE (pr--tos£D) 125-o GAuc4 WQAsr o UCP"CoHarE sEPric. qv Wr ►3 LovIWS wA-f-T6 k - bob OF TlfaC FT, X 7-RIF40 H — FEETO, C. Y , DpIVEUIFlY TD I L�M -/oi DRIltulAV TO Fork• Pax F • 2 02' ircrEi PEN /-Avt I wow P&A-, 6AZUW wmrs-