HomeMy WebLinkAboutpitkin.eh.247328400041 (1983)(CDU & Lodge)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.
Y�
ASPEN*PITKIN
ENVIRQE�I�LDIoF�nLETtT NDFpaA`RTMENT
TYPE OF PERMIT:
( )initial Construction ( )Emergoncy Use ( )Repair Work,(Pievlous Permit 1 .)Alteration of an ext ti system,
or Installation Previous Permit 1
( )Use Permit as a result of Sale ( )Othor,
ISSUED TO: %� DATE OF ISSUE_ -,2 -3 - �
Owner �oRRIEC .O Lost/ y� 181 Home Phone Business Phone 9Z 7- 3 VS,
Mailing
Address_ E1II//0?� �6J? /19FeE0(%ff OL02tiDa ����Z
Agent I/DAl[�1JIGN% Phone '9�27-��'S3
Mailing
Address
Sewage Disposal System Work to be performed by_Da rd1(1HT f1 Pp
This permit valid only for premises location by the followingiCrn
legal de.CTlptienjA7x rlll/jQ j SEr. 2iq--2FT? APP
LOT SIZE L4,e&/WATER SUPPLY WFLLs . AVENGE PERCOLAATION RATE. _Im ovIWGN
This Individual Sewage Disposal Permit is granted with regard to the following use, DtUCLQd(; tAJJ7"ArJD L e)p(y.6
Noaber of, Dodreoms �_ Lofts 0 Garbage Disposals � Dishwashers_L Clothes Washes
CALCULATED AVERAGE DAILY WASTE LOAD �%t/(J GALLONS.
THE NATURE OF THE SYSTEM INTCLUDED UNDER THIS PERMIT:
Type of Tank or Treatment Un1tt—c�Epflf}�K
fmtMd of Fiwl Disposal#FIOA.(IE Absorption
Description (including brand name, if any) of other equipment or• appurtnancest
I.Other Conditions or Specifications#
INNER
Tank Capacity /.2-�() Gallon Ninlmum
Area —'3 (.(p Square Feet Minimum
FT. F �([`��_ED/ 0A1 5AAfo %D BE lobl-cED gnLow C /i UAL lit/ 7W
E7EAGESpREQUIRING""IINSPECTION BY THE HEALTH DEPARTMENT:
I )Before Excavation Upon completion of excavation and prior to placement of gravel Jkfaefore cevoring distribution
System of Absorption field
(Prior to backfill of any component ( )Other, Specify#
Plans and aPcciEtcattons of the proposed sewage disposal system have been reviewed and are eons Llered satisfactory. Pcrmlesion
is hereby granted to the owner or his agent to por(nrm the work indicated ahnve in accordance with the Pitkin County Individual
Scwgc Uispesal Rcnulations in ctfcct on the date of issue. In addition to Qcneral provision. act forth on the caveree hereof,
this Permit is subject to the following
',additional terms and conditions, 140,
APPROVED FOR ISSUE BY e, / ititle)
The aMve individual acwago disposal system Installed by I Nn L� O
hwa been in:ipected aur use by A representative of the Aspen 1•it in Environ ma n to Ilea [ Ocp m.mm nt. T e uveae nsaumos a
evoironsibillty in case of failure or Inadequacy of this sewage disposal system. Complete as -built drawing attached•
DATE OF FINAL INSPECTIQN-
BY:.
TITLE
130 South Galena Street Aspen, Colorado 816111 303/925-2020
0
ASPEN*PITKIN
0
ENVIRONMENTAL HEALTH DEPARTMENT
AhPLICATION FOR AN INDIVIDUAL SZWACE DISPOSAL. PERMIT
Name of OWNER (: aO y 1y�G, PHGNE 9L7 - -7 S 3
d RC L 6 .3 - 5 / A-0 A910iraY ,CO; 5�-f 6 v -L
Address of OWNER o 9a s/3. /��,rrz ssoo se. sa- �E L,�re-6r-0P; CJ
Name of APPLIC-71.�IT_T „Q, /�r,tTZ- PHONE 'r/-6-Y9F
PERMIT TO DE: ( )Picked Up Mailed tot
Ir Pinar ( i Wplican- .
TaCATrON OS PROPOSED SYSTEM.
Legal Description ! f -(-
:"IPE CP PER)1:T: ( )Neu Installation ( )Repair
^ I (Emergency use XAlteration NOT due'to f.-17Yrs 1
Lot steelFiling Subdivision Sire of Lot LARGE acres
t'YDE-uF STPUCTORE: ( )single Family Dwelling Othert_ i g- cx Do you plan any furthe ditions to the
sidence7 ( )YES JN+O
go. of Dedreoms � No, of Lofts - No. of Cartage DlspasaL ; o[ Autome tic Dlshwaahen
So. Of AU[Omatic Clothes Washers / /
NATER SUPPLY: Private Well., Depth *y or ( )Public, Name of System
#�Ospring
1 )Stream or Creek
PROPOSEn. -
Tang/Absorption Field ! )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound
ng, potable use f IRec➢tling, other use ( )Vault Privy ( )Other._
The Initial site inspection must be arranced with the Aepen/Pitkin Env!rcnmental Health Department (935-2C20, 8:70-9:70 •.m.)
cefore a permit can be fasuce. The ind.vldual sewage drsoasal permit must be 1..�d before a building permit can be obtained.
FINAL INSPECTION APPROVAL MUST BE GIVEN BY 74E ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO sACXFIL-INO ANY FORTI04
OF THE SYSTEM.
Applieatlon for nn individual rewagt dispo 5pl permit is hereby submitted. The undersigned acknowledges that the above Snformatt:n
Is true and that false inform on 111 in li La the application and any subacquont permit. fj
Signature of Applicant { DATE $ — 2,5- O 3
(This application betimes. invalid 12 months Iron the above date.)
NOTE: PLOT PLAN Aust be filed with this application.
Please locate the following items by measured distances:
1. Prcperty lanes and dimTnsions.
2. Proposed and existing water wells on subject property and
adjacent p-operty.
7. Domestic w,iter service lines.
4. Proposed and e:dstirg buildings, driveways, and other
structures.
S. Streams, lakes, ponds, irrigation ditches, and other water
courses.
S. Proposed and existing individual sewage systems on subject
property.
SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO
BE CIIFNGED FROM ORIGINAL PLAN.
T"*
undeeGrsigned hereby acknowledges receip oC this lndivicual ..wags d!sposal perm Lt app !cation and a permit fee
fee In the amount
Of i�J Lecelpt Nunber_, Data Fee Received 5 .by t_,CJ
Adminiatracivo otflcor
130 South Galena Street Aspen, Colorado 81611 803/925-2020
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test ata 1 et on Percolation Test
PROPERTY OWNER / PHONE
MAILING ADDRESS
LEGAL DESCRIPTION OF PROPERTY
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
3S"
ZR it
24
d
Percolation ReAdSi Hole
Average Rate -24-
Comments
2-f"
Comments on soil or site:
Uk LA a 9
C7Aa06
Signature
I
r f n�
f� Date
E FA 0 IN N W«��M
s�
Percolation ReAdSi Hole
Average Rate -24-
Comments
2-f"
Comments on soil or site:
Uk LA a 9
C7Aa06
Signature
I
r f n�
f� Date
SOALL
U.so CAu o4
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