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Home My WebLink Aboutpitkin.eh.264127301002 (1984)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. • SPEN46PITKIN 0 -7t3 / 0,3, ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. TYPE OF PERMIT: KiInitial Constructlon ( )Emergency Use ( )Repair Work,(Pievlous Permit 1 .) (�Alteratlon of an exlstin�99 system, r installation Previous Permit 1 %jay ( )Use Permit as a result of Sale ( )Other, , ISSUED TO: DATE OF ISSUE OwnerPz&A6 C C° J712!}I01 Hf}GtJ� Home Phone9lS�It� Businte�ss Phone Mailing Address M. RIX �� /}} Gz/�DOY ��FF� C "' Lt aeA& 91' 6S 6 Agent -4 Mailing Address Sewage Disposal System Work to be performed by Phone ZS _YLo?I2��3/V This permit valid only for premises location by the following legal descriptionsf��/t'1� (p�, LOT SIZE i1t .31 AC ie tU NATEA SUPPLY VVCfLL , AVEMCE PERCOLATION /M / This Individual Sewage Disposal Pcrmlt is granted with regard to the following usot-)ACL Nmnbcr oft Dodreoms L Lofts l/ Carbage Disposals -6 L Dishwashers_ Clothes washers . i CALCULATED AVENGE DAILY WASTE (AAO GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PEKIIT: enPIN Typ.i of Tank of Treatment Unitt f l �� ,K -S Tank Capn It _Callon Ninlna=a d r Pha[hoof sinal DISPosalt C ' -yhJ S Absorptlop Area squarerealNlntmmuse Deacrlptlon (including brand name, if any) of other equipment or appurtnanecsnF- /Mc . other Conditionsor Sp,c/c'i Mp7ea/cions CX18-Tit,fc 1977Y�YSTN-M 'T&jr7- AV/ GESINSPECTION REQ RG I[JSTION� THE'HTIi DEPARTiE.el-/ivFC'��,��5/�- ( )Before Excavation ( )Upon coepletlon of excavation and prior to Placement of gravel Nleefore covering distribution �,,/ � system of absorption )sold (Prior -to backfill of any component ( )Other, Specify[ boil r -� Plans and apeci Cicattons of the proposed sewage disposal syntem have been reviewed and are considered satisfactory. Perm)lsion in hereby granted to the, owner or his agent to Per(nrn the work indicated above In accordance with the Pitkin County Individual SCCA ,C JiSpOSai AC•nll.lt iOn! in Cf ICCC On the datC Of 133uC. 10 addltl On C gCnC[al pCOvlaiOnY art forth LJCtn OO the CvCCae ileC eC[, this Permit is -object to the following additional terms and conditionat��N�' APPROVED FOR ISSUE BY �Z� f (title) ( B ax, cgft ` QTC t The above Indivtdual aMra•lo disposal sy,te. Installed by �D I �fl-' JLf . I Ms bent ln.:pec¢ed for uae by a rcpreacntattve u( the Aspen Pit Ln Cnvtronrnotal Ilea t. ne.p.trtment. The uwnur annumos all cio(.onsibLLtty in case of failure or Inadequacy `of-.this aecw4t)a disposal system. Complete as -built drawing attached. DATE OF FINAL INSPECTION sECTION BYTTLEL-taCTL sib ��n aw,e. kY�d SL gr 130 South Galena Street Aspen, Colorado 81611 303/925-2020 4z' cam— I/5' 16\\ tfo weLL 1. lm- "U.Mm71 rim jOlmI :M91 m VeAJTT S'Me-X S`oLvD PI Pe P"4-ortTed P -le LeNao% Rcaa( N47 -7-z) Scale -7Sb ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT Name of OWNER Gocu . St1rdLV% s 4. n PHONE Is — Address of OWNER Name of ADPL: PERMIT TO BEt (Picked Up LOCATION OF PnOP0 Legal Description ANT�aIn�—g�deno PHONE &a 2.4-6 125-5370 ( )!ailed tot TYPE OF PERMIT, ( ew Installation ( )Repair ( jOwner ( )Applicant f )Emergency Use ( )Alteration NOT due to failure No. of Automatic ClothesW�ashers + WATER SUPPLY, (41Private Nell, Depth • 0 Os �r ( )PuD11e, Name of System f)Spring logtream or Creek ( n fa«� 1Jl rYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PPOP`0_SEDt 7/ E eptic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )!bund ( )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other. The initial site inspection must be arranged with the Aspen/Pitkin Environmental Ifealth Department (925-2020, 8:30-9:30 a.m.) 7cfore a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtalnod. f INAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITAIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. - Application for an lndiv al sewage disposal permit is h reby aubmitted. The undersigned acknowledges that the above inforswtion is true and that jlZS� nform n will in a1A11cation and any subsequent= ermit. signature of Appl ant L V DATE is application becomes. Invalid 12 months from the above data.) 3 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. The underslg&W hereby acknowledges receipt %q�(� NL individual sewage disposal permic ap�2/hI ation and • perm//lf) �[e�s �in the amount of $ fSC-- Receipt Number �A4L.--_� Date Fee Arealved q /�" � ..bY � J - Administrative O[[Icor 130 South !Selena Street Aspen, .Colorado 81611 303/925-2020 Lot Block Filing Subdivision Size of Lot ///' acres TYPE OF STRUCTURE: Single Family Welling ( )Othert Do you plan any further a it��ion'��S to the residence? ( )YES (a�NO No. of bedrooms_ No. of Lofts No. of Garbage Disposals Q No, of Automatic Dishwashers I No. of Automatic ClothesW�ashers + WATER SUPPLY, (41Private Nell, Depth • 0 Os �r ( )PuD11e, Name of System f)Spring logtream or Creek ( n fa«� 1Jl rYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PPOP`0_SEDt 7/ E eptic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )!bund ( )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other. The initial site inspection must be arranged with the Aspen/Pitkin Environmental Ifealth Department (925-2020, 8:30-9:30 a.m.) 7cfore a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtalnod. f INAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITAIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. - Application for an lndiv al sewage disposal permit is h reby aubmitted. The undersigned acknowledges that the above inforswtion is true and that jlZS� nform n will in a1A11cation and any subsequent= ermit. signature of Appl ant L V DATE is application becomes. Invalid 12 months from the above data.) 3 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. The underslg&W hereby acknowledges receipt %q�(� NL individual sewage disposal permic ap�2/hI ation and • perm//lf) �[e�s �in the amount of $ fSC-- Receipt Number �A4L.--_� Date Fee Arealved q /�" � ..bY � J - Administrative O[[Icor 130 South !Selena Street Aspen, .Colorado 81611 303/925-2020