HomeMy WebLinkAboutpitkin.eh.247322100011 (1970)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.
C'
COLORADO DEPARTMENT OF HEOH
Water Pollution Control Division
4210 East 11th Avenue
Denver, Colorado 80220
•073-aai -oa-.big
Y -X3
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner):
1.n.u�r enc e,
Mail Address: Gth,El_f\<AjArn, '.:7FieP1s City: ya(lsas WD44Phone:
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 k-Ve n 0,o , City or Town
Legal Description 6?'o A),t4/Lara Lot Size: /Ac�'
2. Type of area and facility - Number of persons served:
Subdivision Motel Restaurant Trailer Court
3. Source of domestic water: Public (name):
Private: Well _X Depth _Other a,JC"-Depth to first ground water table'wnlcnow.l
4. Is facility within boundaries of City or Sanitation District:
If so name:
5. Distance to nearest sewer system: N0 \ic.oY�le
Have negotiations been attempted with owner to connect: N
If rejected, give reason:
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours: tocxk.. G"
.VxAt _-,,i\.
1
7. Name, address and telephone of person who made soil absorption tests:
S. Name, address and telephone of person responsible for design of the system:
ll-KhQ( Il no -OY\S�J :(% c r 001 vf)(A1)0)CISS Cr,. Ci 33s�
9. Est. bid opening date: Est. Completion Date: Est. Project Cost:
Date:_)C
lgnature of Owner
I � 1
B. SIGNATURES FOR LOCA&VERNMENT OFFICIALS: The unde0aned 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 F-7
/-7
Comments:
Signature for Local Health Department
Signature for Mayor or City Manager
Signature for County Commissioners
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:
WP -10 (Rev. 5-70-100)
0
0
Tio��h soy �.
'Fr ..
VQI-r, �&U&(
IZA
law BUILDING INSPECTION DEPARTMENT ay93- -oc, oil
❑ CITY Ak ASPEN - COUNTY OF PITKIN®,AWLORADO O 83
ADDRESS
OF JOB Frying Pan River
PLUMBING OR
DOMESTIC APPL.
PERMIT
L41
WHEN SIGNED AND VALIDATED BY BUILDING INSPECTION DEPARTMENT THIS PERMIT AUTHORIZES THE WORK DESCRIBED BELOW.
Septic Tank
CLASS OF WORK: NEW IBJ ADDITION ❑ ALTERATION ❑ REPAIR 1:1 MOVE ❑ WRECK ❑
OWNER
NAME William Linscott ADDRESS Meredith, Colo. PHONE
C
F
LICENSE LICENSE
NAME (AS LICENSED) Weatherwood Constr. CLASS NUMBER
U
zADDRESS
Meredith, Colo PHONE 927_3354
o
u
SUPERVISOR
FOR THIS JOB NAME DATE CERTIFIED
PLUMBING
DOMESTIC APPLIANCES
FLOOR BSMT. 1 2
3 4 S 6 7 B OTHERS
NO. OF
UNITS
DESCRIPTION OF WORK
AUTO. WASHER
BATH TUB
AUTOMATIC WASHER
DRINK. FOUNTAIN
DISH WASHER
DISH WASHER
WATER SOFTENER
FLOOR DRAIN
In-cationon oL�urce of
GARB. DISPOSAL
x#atelr. eDI1c Tank
OTHER -
GREASE TRAP I
I at C ur e$ Ditches.
REMARKS
No. Bedrooms*
SAND TRAP
SEWER -SANITARY
Size Tank: 750
SEWER -STORM
SHOWER 1
SINK 1
SLOP SINK
Vacation Home - Summer
UNDERGROUND
SPRINKLER SYS.
URINAL
WASH BOWL 2
AGENCY
AUTHORIZED
DATE
WASH TUB
ZONING
WATER CLOSET
WATER DISTR B. SYST.
PUBLIC HEALTH
Septic Tank
WELL
STATE
ENGINEER
OTHER
TOTAL FIXTURES
6Y FLOORS
VALUATION
OF WORK
TONAL FIXTURES
ON L F
NOTES TO APPLICANT:
FOR INSPECTIONS OR INFORMATION CALL 925-7336
THE VALUATION OF EACH OF THE ABOVE UNITS SHALL BE INCLUDED IN THE VALUATION OF WORK.
FOR ALL WORK DONE UNDER THIS PERMIT THE PERMITTEE ACCEPTS FULL RESPONSIBILITY FOR'
COMPLIANCE WITH THE TECHNICAL PLUMBING CODE REGULATIONS, PUBLIC HEALTH DEPARTMENT,
STATE OF COLORADO, CITY OF ASPEN ORDINANCES, AND ALL OTHER COUNTY RESOLUTIONS,
CITY ORDINANCES, STATE LAWS, WHICHEVER APPLIES.
PERMIT SUBUIRED iJECTCTIONS SHALL BE TO REVOCATION REQUESTED SUSP NSIONNE SFORRING VOLATIONNOFDANY CE.
AWS GOVERNING SAME.
A FINAL INSPECTION SHALL BE MADE BEFORE OCCUPANCY IS PERMITTED.
SIGNATURE
OF
APPLICA
PLAN
FILED T P
TP.L "r�E
iy 1'. �f! 3:6�
DOUBLE
FEE ❑
CHECK ❑
CASH ❑
BUILDING INSPECTI- D PARMENT
/0 DATE
P Ro
THIS FORM I ERMIT ONLY DATE PERMIT NO
WHEN VALIDATED HERE �0/31/61i 711 Se
q
LICENSE � RECEIPTS CLASS AMOUNT
Tank