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Permit
Application
Log Sheet/Notes & Photos
Communications.
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Second System on property
Third System .etc.
Floor Plans
Please See Building and Land Use Approvals Files for additional information.
• ASPEN*PITKIN •
2-03 -062— 02-oo6
ENVIRONMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
TYPE OF PERMIT:
XInitial Construction ( )Emergency Use ( )Repair Mork,(Piovious Permit 1 .) ( )Alteration of an existing system,
or Installation (Previous Permit 1 .)
( )Use Permit as a result of sale f )Othort
ISSUED TO: T DATE OF ISSUE
OwnerDEX I Ett- 0 1 /C / WEEK Home Phone ��' �p /ZBusiness Phone
d ressa (/ 7oO( �/S t� (1�1�1Z
Phone
Mailing
Address
Sewage Disposal System Work to be performed by 1QUJAlr=')P- NUTS/tA�/-hEA'dAZ L[A✓RT/ J6
This permit valid only for promises location by the following legal description, o(]eL
LOT si[E 2, -/ A64CS , NATER SUPPLY rje/PATE I LL. , AVERAGE
' PERCOLATION RATE. C
This Individual Sewn o Di o P[„Ex ,I �
y pea 1 Pc rmlt !a grunted with regard to the following user E S'/ �ENL'C
Mmabcr oft Dodreoms T Lofts �_ Carbage D�issposals_0 Dishwashers Clothes Rashers
CALCULATF.D AVERAGE DAILY WASTE LOAD / SD GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: 12S0 AA10
px t
:fof Tank or Treatment Units ST
1nits J EPTI A. -Jr,- Tank Capacity_ _/—Gallon Minimum t�
P'thod of Final Dlsposal1/}O�.il br✓.,. / //JC//�[U�' Abso[p C1o0 Area _ �� ._ ,�square�(�Feat NSnlmw �1t
Descr:pti (including brand name, 1f any) of other equipment or appurtnancest 0 L. F DF / LNv F007—
,I In w11�E '��lc�l �,cl['rN ,2�-INckeS
N r14 OF GLV EL 3ELDW-D 1 STk1 FLM01)
Other Conditions or Specifications, LINES
�,j.� OkCY UJ,47- sysr�M Rs sPF�F/ED
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Refore Excavation Upon completion of excavation and prior to p1seement of gravel �48efore covering distribution
system of absorption field
{yl Prior to backfill of any component ( )Other, Speeifyt
Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission
is hereby granted to tl,e owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual
Scwagc Disposal Rcenlations in ctfect on the date of issue. In addition to general provisions sea forth on the reverse here_ef,
this Permit is subject to the following additional terms and conditions,
APPROVED FOR ISSUE BY (title)
Ii
The above individual scwaga disposal system Installed by VN lA%Ca
ha• b.,co ln:�Pc cicJ ler use by a rcP[nacntative of the Aspen Pit ,n Lnvi re ntn; ata uca t. Department. T e +woos, eanumoe a
rvq,onsiblltly in case of failure or "adequacy of this ewaga llp.oul system. Complete as -built drawing attached.
DATE OF FINAL INSPECTION sC(O Q
BY:� TITLE\ 1
130 SouthGalenaStreet Aspen, Colorado 81611 303/525-2020
0
�tPTI C- (1LACK> G{%Te;e �YsrEM
2- IIS-rC-1-tC-Al 191prKs _ 4�S dla�ou�(�7Pr–iovAt)
l PISHWASNc�c —/o, $� LLpp
�10,Alre,2 CCI9SETS--.270
�a Lti UtlToR y (o PTion)AL) — 17
1000 f" A-= 320 X
147
I Sttowe� — /
67
,Z-.gvel c�Y 7Wy _ -o
��/�NuiAsN 7.2--
735
,2
735
0
1-F OF T -96W
e 1! of G"VE-L
LF 0 ;2-0 -Pe6WC8 Z
G2A UCL-
• ASPEN*PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT
Name of OWNER D'L4 C e (rr._vri-ei PHONE
Address of OWNER
Name of APPLICANT 4-X7e2GAWeP'_ PHONE-ANlL'
PERMIT TO BE, _i4Picked Up ( )Mailed to: TYPE OF PEIL4IT: 4New Installation ( )Repair
( jOwner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure
Legal Description /I
Lot
TYPE OF STRUCTURE:
Piling Subdivision \ 'L_ sire of Int Z- / acres
( )single Family Dwelling (140thert �J= (� �- ri Be you plan any further additions to the
residence? ( )YES A\ "0
No. of bedrooms No. of Lofts l No, of Garbage Disposals ( No. of Automatic Dishwashers
No. of Automatic Clothes Washers
WATER SUPPLY: L�)frivate Well, Depth % ZIL or ( )Public, Name of System
( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED,
(E,)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, 9:30-900 a.m.)
before a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtained.
FINAL INSPECTION APPROVAL MUST DE GIVEN BY THE ASPEN/PTTRIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO DACRFILLING 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 false information will invalidate the application and any subsequent permit. ')
Signature of Applicant �n� � ,�^� DATE t{";i 7 — .S
(This application becomes. invalid 12 months fres the above data.)
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.
t. 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. J
SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO
BE CHANGED FROM ORIGINAL PLAN.
The undersiMed hereby acknowledges receipt of this individual sewage disposal permit appllepation and a Do t fes i t amount
Of SJ ��
Receipt Numbs[ Date Fee Received 2 /��.5 ,_bY
dministrativo officer
130 South- Galena Street Aspen, Colorado 81691 30n/925-2020
• •
LAW OFFICES
OATEs, AUSTIN, MCGRATH & JORDAN
600 EAST HOPKINS AVENUE
LEONARD M. OATES ASPEN. COLORADO 61611
RONALD D. AUSTIN
J. NICHOLAS MCGRATH. JR.
WILLIAM R. JORDAN ED
ROBERT W. HUGHES
RICHARD A. RNEZEVICH
DEBORAH GUINN August 21, 1980
Mr. Bob Nelson
Pitkin County Sanitarian
130 South Galena Street
Aspen, Co 81611
Re: Double X Quarter Circle Ranch
Dear Bob:
AREA CODE 303
TELEPHONE 92S-2600
You will please find enclosed the letter which I received from
Lincoln DeVore further discussing the matter of the proposed
septic tank - leach field capability of the Double X Quarter
Circle Ranch. I would ask that you keep this in your file for
consideration at the time of detailed submission.
Additionally, you should be aware that we would not be limited
solely to the lot configurations for purposes of placement of
septic tanks, but can encroach upon the common areas in order to
accomodate the best functioning system.
LMO:nb
Enclosures
CC: Jerry Gerbaz
P.O. Box 1964
Aspen, CO 81611
Very truly yours,
OATES, AUSTIN, McGRATH & JORDAN
By
Leonard M. Oates
• ASPEN4PITKIN•
ENVIRONMENTAL HEALTH OEPARTNIENT
Field Test Data Sheet
NAME OF SUBDIVISION DC) O6 LE X QVARIC-9 `1RC-Lr-
LOCATION SECTION TOWN TOWN_RANGE
NAME OF OWNER
TIEXTE/�AidDTULIE (9,4
9,ArlC
ADDRESS
(NDTb. i
SUBDIVISION WATER SUPPLY FROM: PUBLIC UTILITY COOPERATIVE
SUBDIVISION DATA: AREA IN ACRES NUMBER OF LOT
DISTANCE TO NEAREST SURFACE WATER FEET.
NAME OF LAKE OR STRE
DATES OBSERVATIONS MADE: SOIL BORINGS
(Smlq (ZIP Cod.)
_ PRIVATE WELLS
LOT AREA, SQUARE FEET
tnn Rnow�,•
PERCOLATION TESTS
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PERCOLATION TESTS
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BOB NELSON
ASPENAPITKIN
SANITARIAN
130 S. GALENA
ASPEN,CO 81611
1. THE -WDUISpM[DN K11pT CERTIFY THAT THE SOIL BORINGS AM KRCOLATIM TESTS REPORTED ON THIS FORM WERE MADE BY ME.
THE DATA RECORDED
AND LOCATION OF HOLCS ON THE PIAN ARE CORR/F1[ t0 TML S TT ,(QEF (�j/I�KNO�W LCDG C. -
DATE /_ 26 �(/ � SIGNATURE
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