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Home My WebLink Aboutpitkin.eh.247113201002 (1991)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 12471-13R-oo�ooq INDIVIDUAL SEWAGE DISPOSAL PERMIT 140. TYPE OF PERMIT: Anitlal Construction ( )EMCCgonCy Usa ( )Repair Work. Wavloua Permit 1 .) 1 )Alteration of an existing system, r Installation (Previous Permit 1 .) ( )use Permit as • result of sale ( )Others / ISSUED TO: DATE OF ISSUED. J Mailing f ) A 1%_ , ^ Ay�'� i�/i /,-/ Mail.ing Address Sewage Disposal System Work to be performed This permit valid only for premises location by the following legal LOT MATER SUPPLY Phone AVERACC PERCOLATION This Individual sewage Disposal Permit is granted with regard to the following uses Naber of, Dodrooms -5 Lofts _ Garbage Disposals 0 Dishwashers Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD 4S0 GALLONS. ATURE OF THE SYSTEM ypa of Tank or Treatment Units Tank Capacity /LJ - Gallon Minimum ethod of rival Disposals :966 GC Absorptloss Area square, Feat Minimm eseriptlon (Including brand name, If any) of other equipment or appurtnaneess Aber Conditions or Speeifleationes STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: I )Before Excavation l )Upon completion of excavation and prior to Pte Cement of gravel I )Before covering distribution system of absorption field I )Prior to backfill of any component ( !Other, SpeeLfys Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission in hereby granted to tl,e owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Scwa ,e Uispcsal Revelations in effect 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 conditions , AsperMtkin Environmental APPROVED FOR ISSUE BY / (title) Health Officer The above individual scuago disposal system Installed by (_J/C Lf/J �/yVV has been lnn(w cted for use by a represent.twc of the Aspen 1'tt an lnvlrenmrnt-0 rvoiwnssbillty in case of failure or load quacy of th sew ge disposal system. DATE 0' IN IN 'PE TI 9 _ By_ Ilraltb DeP,rtmeDt. Tne ownur aeuum Complete as -built drawing attached. TITLE Aspen/Pitkin Environmental Health Officer 5 130 South Galena Street Aspen, Colorado 81611 303/9120-6070 • ASPEN*PITKIN 0 ENVIRONMENTAL HEALTH DEPARTMENT APPLICAT11ON FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER -J(Aa Address of OWNER L'• k7C`X 111s1�1 %7� �U Name of APPLICANT ,�Pcc Jl�E 'ERMIT TO BE, �KOicked Up ( )Mailed to, ( )owner ( )Applicant . CATION OF PROPOSED� SYSTENC ;e,Q gsl Description /'7//'/EN;, :at Block riling_ PHONE '71-7-3116V_ PHONE C1'n TYPE OF PERMIT: "New Installation 1 )Emergency Use ( )Repair ( )Alteration NOT due to failure Subdivision Sire of Lot TYPE -OF STRUCTURE: 0Single Family Dwelling ( )Others Do you plan any further additions to the residence? ( )YES ONO io. of bedrooms "I' No. of Lofts �_ No. of Garbage Disposal• No: of Automatic Dishwashers co. of Automatic Clothes Washers PATER SUPPLY: (>,)Private well, Depth I or ( TPublic, Name of System ( )Spring ( )Stream or Creek . TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED, (N Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound ( )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.) before a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtained, PINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. Application for an individual v��dis sal permit is hereby submitted. The undersigned acknowledges that the above information Is true and that false info n L11 revalidate the application and any subsequent permit. Signature of Applicant f G DATE - Z o l (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. {. 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 hereby acknowledges receipt of this individual sewage disposal permit \application and a permit the amount amount Of S `SCC, — Receipt Number �� beta Fee Aecelved by - Adminl trativo officer 130 South Galena Street Aspen, Colorado 81611 303/90C1-6070 13 • ASPEN*PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET CLON PERCOLATION TEST Legal description: 1Z `D — o T Address of Property: ra Name of Owner: Address: 2305 U (# & st. / . bok) (city) (state) (zip) Name of Agent: Lot Area: % /Icer Water Supply: Public Utility—Subdivision Private WAll� Other Distance to Nearest Surface Water Type Dates Observations Made: Soil s Borin9]7Z-9131 IYb k YN � Percolation Tests: 9 by K/ -N SOIL BORING TESTS PERCOLATION TESTS Total Observed Depth Estimated Depth Character Depth to Groundwater to of Soils B-1 Firm Groundwater PERCOLATION TESTS Rate P-12 , Rate P-2 Rate P-3 AVERAGE RATE: 2C, minutes/inch Plan of the site and locatio f CommentcV on Soil or te: Datef U Signature 1b i back 130 South Galena Street Aspen, Colorado e'16Y1 303/920-6070 DepthDiameter WORM Firm Rate P-12 , Rate P-2 Rate P-3 AVERAGE RATE: 2C, minutes/inch Plan of the site and locatio f CommentcV on Soil or te: Datef U Signature 1b i back 130 South Galena Street Aspen, Colorado e'16Y1 303/920-6070 WA1�%Jl��l�- -- -- -- Rate P-12 , Rate P-2 Rate P-3 AVERAGE RATE: 2C, minutes/inch Plan of the site and locatio f CommentcV on Soil or te: Datef U Signature 1b i back 130 South Galena Street Aspen, Colorado e'16Y1 303/920-6070 ,4 (0o e'"20 Sc e: V'-30' , [ovL IASY ZvL�,�� c, i [ o ca �o vL Cou - i,Ae i , � C�.o / lNo 14111 lip ..,.ear �a ryak L L 1 1 SLle .)Ia7 I 1 B" LINES /N SPACE -` I 1 5YDNEY L/NC/COME (L.514///) 1 SCALE:I"=.30'