HomeMy WebLinkAboutpitkin.eh.247113201002 (1988)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 prope.rty
Third System.etc.
Floor Plans
Please See Building and Land Use Approvals Files for additional information.
M ASPEN*PITKIN 7 71 3.7- ^00 -Q0j
ENVIRO ENTAL HEALTH DEPART NT /
INDIVIDUAL SEWAGE DISPOSAL PEIMIT 140.
TYPE OF PERMIT:
AInitial Construction ( )Emergency Use ( )Repair Mork,(Piavious Permit 1 .) ( )Alteration of an existing system,
r installation (Previous Permit / ,)
( )Use Permit as a result of Salo ( )Other, p
11 9h
ISSUED TO: �% /�% DATE OF ISSUE'.p 7
Owner. d • (�/ X63 ��
Qf/�EGEie Home Phone: p / Business Phon ovFi 2.5=211 S
Address(',
Agent -3,Ae -- 1,0,grELEA_ Phone
Mail,ing
Address
Sewage Disposal System Work to be performed bye Y /, E6LICIC
This permit valid only for premises location by the following legal descriptions AiA�. Al 13
�,f
IAit
T SIlE D6 /1t,�5 MATER SUPPLY WGLG. , AVERAGE PERCOIATIOY RATE /10 All
This Individual Sewage Disposal Permit is granted with regard to the following uses SA�[.E 1101AUfV A-51 DFAh1 G.
Nmabor oft Dodreoms 3_ Lofts_0 Garbage Disposals 0 Dishwashers_ Clothes Washers
4J �_.
CALCULATED AVERAGE DAILY WASTE LOAD Q GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
Typ.f of Tank or Treatment Units ZX1 /Aitl� Tank CapaCi _Callon Minimum
Method of Final Disposals SEEPvuc Absorptlod Area Square Feet Minimum
Description (including brand name, if any) of other equipment or• appurtnancess
Other Conditions or Speeif eattones
WED Spec
IPEG�WUH No DISRCSRL (ISSX 3 X . 8
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: """VVV
( )Before Excavation ( )Upon completion of excavation and prior to placement of gravel Lr'Before covering distribution
system of absorption field
t)OPrlor to backfill of any component ( !Other, Specifyt
Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Porniision
is hereby graiard to tl,e owner or his agent to perform the work indicated al»ve in accordance with the Pitkin County Individ Vae
Sewage Disposal 9enulations in effect on the date of issue. In addition to general provisions set forth on the rovetso her-aoi,
this Permit is subject to the following additional terms and conditional
APPROVED FOR ISSUE BY (title)
Tho atv+ve individual ,c+mge disposal system installed by
h.+a t,,e,, lm:prc tial for use by s rc,resentattve of the As
ee,lenntbility in case of failure or lnad quacy of thiyy
DATE OF
I �� BY:fj
1 South Galena Street
disposal system. Compleco as -Lulls. drawing attached,
- TITLE t
Aspen, Colorado 69611 30 /925-2020
14-54s. «. owkgn 6141. nom, M_fr
a
ASPEN&PITKIN
ENVIRONMENTAL HEALTH DEPART NT
APPLICATION OR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT
Name of OWNER PHONE - S3 �J
Address of OWNERII�A //d � // l d(2111 -
Name of APPLICANT A40-??Zg. -! PHONE
PERMIT TO BE: ,K)Pi.k.d Up ( )Nailed tat _ TYPE OF PERMIT: )rNew Installation ( )Repair
( )Owner )Applicant { )Emerg cy Use ( IA1;eratlonNJJaC d o Ca�illfuie
LOCATION OF PROPOSED SYSTEMt- ���.CSG> '��Jl�/ i , ,y/•t,
r /v a /}
Legal Description ps'�i%ar /�[.b I�.SML�.1� 1 t�.ea e . ��'� �� 8r' L, 71� —
Lot Block Filing Subdivision Size of Lot acres
(
TYPE OF STRUCTURE: N(Single Family Dwelling ( )Othert Do you plan any further additions to the
residence7 ( )YES ( )NO
No. of bedrooms -1 No. of Lofts NOAI& No, of Garbage Disposals �"'" No. of Automatic Dishwashers /
No. of Automatic Clothes Washers
NATER SUPPLY: ,1QPrivate Well, Depthf or ( )Public, Name of System
( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSEDt
(N Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound
1 )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other:
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020, 8:30-9:30 a.m.)
teforc 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 BACKFILLING ANY PORTION
OF THE SYSTEM.
Application for an Individual s w qe dtape sal er it hereby bmitted. The undersigned ask wI dges that the above information
is true and that false in[or.a n w111 1 da t ap cat) n end any subecquene per it.
Signature of Applicant DATE
(This application becomes. invalid 12 m. nt s frqlm the above date.)
NOTE: PLWPLAN 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.
She undersigned hereby acknowledges receipt of this individual sewage disposal pe�t/g1/,trap )cation and a pe rpjc Ceq�In the amount
OC S� ��� Receipt Number Date Fee Re eeived _ /(_ �, by /i��'FI
� —I Administrative Officer
a930' South Galena Street Aspen, colored. 81619 303/925-2020
IOSPEN*PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
FIELD TEST DATA SHEET
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: Distance to Nearest 4S.rifaceWater er ft.
Dates Observations Made: Soil Borings:by26 -21
Percolation Tes �by F— "
SOIL BORING TESTS
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PERCOLATION TESTS
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Average Rate: f minutes/inch
Plan of the site on the back
Date Signature
bob NELSON
ASPEN/PI FKIN
SANITARIAN
130 S. GALENA
ASPEN, CO 81611
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Legal Descriptinn
i o -v I m ;r- T.MACF_
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'� Sites CSH r///,�1
ZS X 3L
All that part of the S'WSW'G of Section 12 and all that part of the NIANW94 of Section 13,
all in Township 8 South, Range 84 West of the 6th Principal Meridian, lying southerly
of and adjacent to the Southerly right-of-way line of a County Road, known as the Fry-
ingpan Road, as built and in place.
PITKIN COUNTY, COLORADO
EAGLE COUNTY, COLORADO
7 -IE' f t_;NU j-�L K- _J13A/li l�ilIIL 1 -
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A- iw S') z S VJ ') y o Sic _ 1 z
SC' z SCW' 4 o5 Sec. i�J C -U 'Uo. 'T. 8 �.,
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LINES IN SPACE
SYDNEY LINC/COME (L S. 14//1) 1
Br)X 121 CARBCW)ALE COLORACO 81623 303 -
DATE' G Sam-• AC�B�? I SCALE I SO'