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Home My WebLink Aboutpitkin.eh.246734400062 (1983)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 • �/� - 31/y -0o 06 ASPEN*PITKIN ENVIRONMENTAL HEALTH DTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. TYPE OF PERMIT: Initial Construction ( lemergancy Use ( )Repair Work,(P[evicua Permit 1 .) ( )Alteration of an existing system, ar installation (Previous Permit 1 ,) 1 )Use Permit as a result of Sale ( )other, �7 �y� /�% ISSUED TO: DATE OF ISSUE .LI //- Owner E/mijeEIS Home Phone n-33 Business/Phone Mailing Q IM Address X SA/OM,%IOSS C ndtae.4Da Agent Phone Ma il.in g Address _ q Sewage Disposal System Work to be performed by 60w e This permit valid only for promises location by this following legal ,f descriptions h M / 2- MC- 3q LOT slit 2 -IS- /fief,$ MATER SUPPLY G��TF11N ./Ay �u AVERAGE PERCOLATION RATE. This Individual Sewage Disposal Permit Is granted with regard to the following use, N..,ber of, Dodrroms _12- Lofts C> Garbage Disposals_O OlshvashersClothes Washors CALCULATED AVERAGE DAILY WASTE LOAD 3 OCD GALLDNS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: �J /� Type of Tank or Treatment Units C �/r1r— s/e J< Tank Capacity/ w _Gallon Ntnlmum Method of final Disposal&5`pL 6` !_. / d *e iq es' Absorptlop Area // f/[J 5guara feet Ninlmum Description (including brand name, as //me,, iff any) of other equipment or appurtnancess t-- NOA/E" Other Conditions or Specifications, 900 Sq FT A//TH /2 // or I9A4✓EL &Q --&W LINES STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( IRefore Excavation W Upon completion of excavation and prior Lo p1RCement of gravel (tynOfore covering dfstrlhution K ^ system of absorption field ( )Prior to backfill of any component ( /Other, Specify, Plans and specifications of the proposed sewage disposal systom have been reviewed and are eansidercd satisfactory. Permission in hereby granted to the, owner or his agent to perform the work indicated ahove in accordance with the Pitkin County Individual Scvage Disposal Renolations in effect on the date of issue. In addition to general provisions set forth on the reverse hereof, this Permit is subject to the following additional terms and conditions, NQA/C- APPROVEDI�OR ISSUE BYAW/ /1� (title) Lr The above Individual soilage dlspo sal system installed by (/(�(J�J�� has twen ln:,pccted lur use by a representative of the Aspen Pit-iiin Cnv&ronmontaT licalth Ocp..rtmcnt. T e ,wnor assumes-&= responsibility in cast of failure or inadequacy of this sewage disposal system. Completo a -bulls drawing attachod Oil DATE OF FINAL INSPECTION — ci— T 1 BY: L TITLES } 130 South Galena Street Aspen, Colorado 8161n Cj. '1 _ 1303/925-2020 ='O awr�tnl - 4 �d e'iY CA ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER / p%1 % p R. e / s PHONE 12 7— 3 `17 X Address of OWNER ; g er_ 9 S' S Name of APPLICANT PERMIT TO BE: ( )Picked Up ( )Mailed to, ( Iowner ( )Applicant LOCATION OF PROPOSED SYSTEM: Legal Description Lot -7 /'S Block • TYPE OF PERMIT: (New Installation ( )Repair ( rmargency Use ( )Alteration NOT due to failure TYPE OF STRUCTURE: Oq Slagle Family Dwelling ( )Others Subdivision sire of Lott . IS acres Do you plan any further addition* to the residence? ( )YES ( )NO No. of bedrooms No. of Lof No, of Garbage Disposals No. of Automatic Dishwashers No. of Automatic Clothes Washers WATER SUPPLY: ( )Private Well, Depth a or ( )Public, Name of System ( )Spring ( )Stream or Creek TYPES Or INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED, - MSeptie Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound ",Wycling, potable use ( )Recycling. other use ( )Vault Privy ( )Other, The initial site inspection must be arranged with the Aepen/Pitkin Environmental Health Department (925-2020, 0:30-9,10 a.m.) before a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtainod. 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 permit is hereby submitted. The undersigned acknowledges that the above information is true and that falsa information will ir\,validate the application and any subsequent permit. �y Signature of Applicant ( /i/ - DATE1(�' /6 - X) - 5 (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. 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 permit application and a permit fee in the amount of S Receipt Number s Date Fee Received I-bY Administrative O[[lcat 130 South Galena Street Aspen, Colorado 81611 303/925-2020 11 PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER `P— j/1/y—�'� �� PHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY /� :icy/ �1 L LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) Diameter of Test Holes Water remaining after 8 hour soak 3 3'/ TEST HOLE No. 2 TEST HOLE No. 3 Drop 3) L Time Drop 31 L_ Time Drop 31 L Time 6" �d Jy# TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 Drop 3) L Time Drop 31 L_ Time Drop 31 L Time 6" ih ¢ TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 Drop 3) L Time Drop 31 L_ Time Drop 31 L Time SS g ) ih ¢ S 1 c i Percolation Rate Each Hole Average Rate _112 Comments on soil or site: 1 ;4w w A �; J Signature q 27 M //m 410 Date F!, I 36DLv.s.f �1 X5 w+C. Iiou PITKIN COUNTY COLORADO A parcel -of land situated in Tract No. 81 and Tract No. 82 of Section 34, Township 8 South, Range 86 West of the Sixth Principal Meridian, lying easterly of the easterly line of Gateway of Snowmass Mesa Sub— 'a division First Filing, said parcel is described as follows: Beginning at a brass cap found in place and properly marked for Angle,,. -.I Point No. 4 of Tract No. 75 in said Section 34 of said Township and Range, thence S. 21°29'20" W. 549.14 feet to a point on the easterly line of said Gateway of Snowmass Mesa Subdivision, being also the center of a 40 foot easement, the True Point of Beginning; thence N. '07057'23" W. 259.59 feet along the easterly line of said Subdivision and center of said 40 foot easement; thence N. 89°59'31" E., 328.41 feet; thence N. 84030'00" E., 20.82 feet; thence S. 13°59'00" E. 266.99 feet to+ a point in the center of a 40 foot easement; thence S. 89°59'31" W. 377.71 feet along the renter of a ['O fcOt i.,_.....m....t tO a }':oi3.[ i,!. ,.*LIC ` eg•sterly line of said Subdivision, the.True Point of Beginning. ?A'e above described parcel of land contains 2.15 acres, more or less, ad is subject to a 20 foot easement along the Southerly and Westerly 1. nes. May 17, 1978 Rev1seeC Nov. 8, w83 3CARROW AND WALKERIKKBNA, INC. 104 8th Street ,lenwood Springs, CO 81601 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 return, may be charged for each of no more than two annual effluent samples routinely collected and tested from subject system as deemed necessary by the issuing agency to monitor saic system for compliance with the Provisions of Article 10, Title 25, C.R.S. 1973, as au�nded, 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 establiEning final approval of an installed system for issuance of a local occupancy permit pursuant to C.R.S. 1973, 25710-111(2). APPLICANT'S SIGNATURE