HomeMy WebLinkAboutpitkin.eh.246734302014 (1972)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
,0-:
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k + PITKIN CO'1fr,— kPARTi'*'ENT OF EN`/IRONP4ENTAL HEALTH %
Box `! Aspen City Hall s'
Aspen, Colorado '•�
925-2020 .
v PERMIT
System Location :pe,
Contractor
1. Construction approval:
Plans and location are hereby*approveu._
Perc. rate / inches in / minutes=
M
. feet of
absorption area
per bedroom.
Adequate concrete cover (dry wells only)
r'
_ .a % '70
sq. feet• =
P/O
. §q. feet mini mum require-
ment. I Su?zett
/_'r P
_0.
/B iA-4111
Date__4r--/.7- j/____ Inspector
2. Final approval of system:
0
No system shall be deemed to be in compliance with the
Sewage Disposal Laws until the assembled syste:1 is ap?roved
prior to covering any part. _
'jam1 $" septic tank cleanout with .-as seal
hl Proper materials and assembly
Adequate absorption area
Adequate concrete cover (dry wells only)
�oY£naIlt.s_.�Il8S1_ _�
Date��?(�� _ Inspector
**Retain with permit records at construction_ site.
If at any time this system fails a new permit must be obtained and
�c7j repairs made immediately.
COLORADA DEPARTMENT OFOILTH
Water+Pollittion Control Division
4210 East llth Avenue
Denver, Colorado 80220 N
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner): JwArzr j 5DyA'r"1 '1
Mail Address: �o X / � City:Phone: y., 7-36rn
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
1. Location of Facility: County 'p, 7- A /A/ City or Town ��i✓�•a�n�i,*sS
Legal Description Lot Size:
2. Type of area and facility - Number of persons served:
Subdivision Motel Restaurant Trailer Court
Other:
3. Source of domestic water: Public (name): —5' z, �.—s ow
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District:
If so name:
5. Distance to nearest sewer system: 47A"/r /rs
Have negotiations been attempted with owner to connect:
If rejected, give reason: 4iP
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:
7. Name, address and telephone of person who made soil absorption tests:
8. Name, address and telephone of person responsible for design of the system:
u tit
9• Est. bid opening date: Est. Completion Date: Est. Project Cost:
Date: S'/ -7-/7i ttiz�l l�rl��:ua�
Signature of Owner
B. SIGNATURES FOR LOCAL &RNMENT OFFICIALS: The.undersl&d have reviewed the ;
proposal for the location of the above-described septic tank system and
RECOMMEND APPROVAL or DISAPPROVAL in the space provided below:
DATE APPROVAL DISAPPROVAL
/--7 /-7
Signature for Local Health Department
Signature for Mayor or City Manager
/-7 /-7
Signature for County Commissioners
Comments:
Signature and Title
Note: The applicant must obtain the comments and signature of at least one of the above.
C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: Recommendations of the District Engineer
D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION:
I3 WP -10 (Rev. 5-70-100)
COLORADO DEPARTMENT AALTH •
Water'Pollution Control Commission
4210 East 11th Avenue
Denver, Colorado 80220
DECLARATION OF COVENANTS
KNOW ALL MEN BY THESE PRESENTS, THAT:
WHEREAS, the COLORADO WATER POLLUTION CONTROL COMMISSION HAS approved
the following described land, situate in the ,,—mow .- Sn •«•,t s.,
of f ��.✓ and State of Colorado, to -wit:
TU—esA a entire parcel to be served by septic tank)
;Car iQ, (3/as.r /, CfirE s�,•y/ o/- .S.urwR,.rss
/17r"s i9 d u a D
as a location for a septic tank, as defined by the Colorado Water Pollution Control
Act of 1966, as amended, for the treatment of domestic sewage on a temporary basis.
NOW, THEREFORE, in consideration of the approval of the above described
land as a location for a septic tank, the undersigned, as the owner(s) of said land
does/do hereby declare that the following covenants shall be and constitute cove-
nants running with said land:
1. When the Colorado Water Pollution Control Commission determines that
a community or municipal disposal system is available and can provide service to
the above described land, the septic tank located upon said land will be abandoned
and wastes from the described lands will be carried to the available community or
municipal disposal system and the owner of the above described land shall bear the
entire cost of constructing and installing any sewerage system necessary to carry
such wastes to the available community or municipal disposal system.
2. If at any time hereafter, the septic tank shall adversely affect the
quality of the waters of this State, the owner of the above described land shall
use such other sewage disposal system as will maintain the quality of the waters
of this State within the limits set by the applicable water quality standards
adopted, from time to time, by the Colorado Water Pollution Control Commission.
3. This Declaration of Covenants shall be binding upon the undersigned
and the heirs, personal representatives, successors and assigns of the undersigned.
(Continued on reverse side)
LI
DECLARATION OF COVENANT •
Page 2
IN WITNESS WHEREOF, the undersigned owner s) has/have executed this
Declaration of Covenants as of the _:� -, day of in , 19 %/
--OWNER(S)--
STATE OF COLORADO
ss.
AND COUNTY OF ��- "d, ,"—.
The foreg9ng Declaration of Covenants w xecut before me this 30
day of 19%/, by
as owner(sl.
Witness my hand and official seal.
My commission expires:
Notary Public
Approved this day of , 19 . This approval subject to
withdrawal if the foregoing Dec aration o ovenants is not recorded within
sixty (60) days of this Approval.
COLORADO WATER POLLUTION CONTROL COMMISSION
By
Technical Secretary
WP -30(1-71-40)
Dr Septic
Septic
APPRO%IwATE SYSIU4 LOCATION- Give distances in feet
Type of system applied for dimensions to be
filled in upon permit issuance.
& Bed
gal. i.. .
1" Top Soil
4" Straw
To Septic -• 6"1" Gravel
• 4" Gravel
0
Septic & Nordak _
Septic
depth
. A
!tVI Septic & Dry Well(s)
- 1" Gravel
Cender Block
OSeptiy----'- 1 �i., ! - 2" Gravel
1--- 8" clean out
I_.l Mechanical +
Concrete cov
Dimensions
Bed
Dry Well
J (? ^iNordac
Holding pond
" Chlorinated dis.
i
�._.
... ..._._..�''..... ......�
Septic Tank
See Page 16 ofSewage Disposal Systems
Scaled Holding ` )=.t Pit Privy
�
r\
gal. i.. .
1" Top Soil
4" Straw
To Septic -• 6"1" Gravel
• 4" Gravel
0
Septic & Nordak _
Septic
depth
. A
!tVI Septic & Dry Well(s)
- 1" Gravel
Cender Block
OSeptiy----'- 1 �i., ! - 2" Gravel
1--- 8" clean out
I_.l Mechanical +
Concrete cov
Dimensions
Bed
Dry Well
J (? ^iNordac
Holding pond
" Chlorinated dis.
i
�._.
... ..._._..�''..... ......�
Septic Tank
See Page 16 ofSewage Disposal Systems
Scaled Holding ` )=.t Pit Privy
-3D8'
m
IN I
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