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Home My WebLink Aboutpitkin.eh.247317102015 (1985)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. a • 0`�y-73-I� �z-vis ASPEN40PITKIN ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.?_S-0 pSQ 3� TYPE OF PERMIT: Initial Construction ( )Emcrgoncy Use ( )Repair Work,(Pievious Permit 1 .) ( )Alteration of an existing system, or installation (Previous Permit 1 .) ( )Use Permit as a result of Salo ( )Other, ��jj /IU ISSUED TO: (1 DATE OF ISSUE O J' Owner &69_r-z3I-0,1_M � Home Phone IZ - Business Phone Mailing !/ 7 y/1 A.__ )—a—.._ —7r--7 � Phone Mailing Address Sewage Disposal System Work to be performed This permit valid only for premises location by the following legal doverlptlon, /1 7. UYf SITE t /I • Z CAF-S,WATER SUPPLY Sfngwc AVERAGE 3 This Individual Sewage Dlsposnl Permit is granted with regard to the following uses/ JMALL CABINS — I JINCtE %1HILI . em.d,cr of, Dodreoms — '2Lofts 0 Carbagc Dispos.11r�,,s,��_�O Dishwashers Clothes Washers 0 CALCULATED AVERAGE DAILY WASTE LOAD 3 C7C) GALLOWS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: T)•pe of Tank or Treatment Units s me � T/INK_ Tank Gpaeit _Callon Minima, rcthod of Final Disposals SEEOAG E BEP Absorptioa Area Square Feat Minimum 9 Description (Including brand name, if any) of other equipment or appurtnanceas I oNe Other Conditions or Specificattonst Non1E STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation ( )Upon completion of excavation and prior to pletement of gravelBefore covering distribution ystam of absorption field PPr for to backfill of any component ( IOther. Specify, Plans \and specifications of the proposed sewage disposal system have been rev loved and are considered satisfactory. Permission is hereby granted to t1m owner or his agent to perform the work indicated above in accordanec with the Pitkin County Individual Sewage Disposal Ro,vilations in effect on the date of Issue. In addition to gone I provisions act forth on the reverse hereof, this Permit is subject to the following additional terms and conditions,^/®Iy� ._ APPROVED FOR ISSUE BY (title) 6U44c 4 The above individual sewage disposal system installed by has been lnelwctcd tut use by a representative of the Aspen Pit in Lnvironmerksal Wealthnealth nepartment. Thi u.n.r asn uawe a11 rcaponsibility in case of failure or inad quacy of this sewage disposal system. Completo as -built drvvIng attached. DATE OF FINAL INSPECTION TITLE__ 130 South Galena Street Aspen, Colorado 81611 303/925-2020 • SPEN*PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT Name of OWNER Ko-beri Tu6+Viau i PHONE 'S/L) Address of OWNER 1633 l A. ,eY67 ov\/A u a Name of APPLICANT fINQ� fa PERMIT TO BE; (<)Picked Up ( )Mailed to; TYPE OF FERMIT1 0 New Installation ( )Repair ( )Owner ( )Applicant , t )Emergency use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEMI Legal Description - ;0 V\ (% TO kv v, S�rko So (4 >`�`/In P1 O"t• �3 Lot Block Filing Subdivision Sire of Lot acres TYPE or STRUCTURE: (v)Single Family Dwelling ( )Other: Do you plan any further additions to the residence? ( )YES (�l NO No. of bedrocma ,�. No. of Lafts - No. of Garbage Dig pos ale 0 No. of Automatic Dishwashers No. of Automatic Clothes Washers O NATER SUPPLY: ( )Private Well, Depth "Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED, or ( )Public, Name of System (A Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( 1Composting Toilet I ( )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Incineration Toilet ( )Mound ( )Other The Initial site Inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020. 8:70-9:30 a.m.) before a permit can be Issued. The individual sewage disposal permit must be issued before a building permit can be obtained. FINAL INSPECTI04 APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTIo4 OF THE SYSTEM. Application for an individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information is true and that false information will Snv lidattte the application and any subsequent p r t. Signature of Applies nt /l'*"'a`�` DATE (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. 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 ea ion and a po tml [ 1 the amount If i_ 1 Receipt Number_. Date Fee Receive by Administrative offlcor 130 South 'Galena Street Aspen, Colorado 69611 303/925-2020 • ASPEN#PITKIN • ENVIRONMENTAL HEALTH DEPARTMENT NAME OF LOCATION SECT NAME OF OWNER Field Test Data Sheet TOWN () V RANGE3-3 U ADDRESS (N.6, A. SL••Q SUBDIVISION WATER SUPPLY FROM: PUBLIC UTILITY COOPERATIVE PRIVATE WELLS 4xM3 / 0 SUBDIVISION DATA: AREA IN ACRES NUMBER OF LOT LOT AREA, SQUARE FEET DISTANCE TO NEAREST SURFACE WATER 'OJ FEET. NAME OF LAKE OR STREAM LIME DATES OBSERVATIONS MADE: SOIL BORINGS enll sne We 1.11. PERCOLATION TESTS Carl wur•ra+ ♦.,.., .1.lw real Dl•1« to •b YA..AI a+. .C, ew A+><Ta+or aDn w•CF I«1[r•lur I.1 ra 11 enalvte •rnM«laD w iwul CIA-." 40 ywVTu TO "ALL o.[ •. (p ))..a 0,> Oa A[« TO/ -D$L, 0.1: [a.l, 4.9; .YO, 1.0: iw AYaa. 1.2 " A. Qo.A V.O �O•o > �•D ♦[• V 1/4 I/t 1/0 Lo PERCOLATION TESTS Cul . V••A[• o[.lw• I.[... ' t.Au(R+u aen T.doco r NI[wa>• tleaa >I.ta L. lfl w[I Cao WAI.. 1.woa[ ..... I.., Col nw[ un+.AL I..Yro Om• I. ..la+uraa. ucwa• ywVTu TO "ALL o.[ •. (p >[w•D 1. LA., rL+SOD .ul h aA., Iolpp a>u Aaaop uA •ac A. C, >A 1.. ..'L. 10; ALAI. >J 20 ♦[• 30 1/4 I/t 1/0 Lo A. I 30 TDP SOI L. f5., MNVY SI LI -2-4 '`If YE$' 1/z 1 (' 7 A 2 30 'TbP SOIL.$ yd' S 1 13 ToP SSOIL i( 2� Y� S Sl6 5/141. S R BOB NELSON ASPENAPITKIN SANITARIAN 130 S. GALENA ASFENT CO 8 16 11 1• THE IMOEASIGNEO. WREMY COITIfY THAT THE SOIL BORINGS AMO RIICOLATIOM TESTS THE DATA MEC D[D LOCATION Of HOLES ON THE FLAN ARE CT T B j DATE SIGNATURE "( ON THIS FORM WERE MADE BY ME.