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HomeMy WebLinkAboutpitkin.eh.246734303010 (1988)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. e ASPEN*PITKIN `/ (r ' ENVIRONMENTAL HEALTH DEPAWMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. G TYPE OF PERMIT: 001nitial Construction ( )Gnergancy Use ( )Repair work,(Pievious Permit 1 .) ( )Alteration of an existing system, or Installation (Previous Permit 1 f )Use Permit as a result of Sale ( )Others /� ISSUED TO: SUsan Mire- q&3-- J34q DATE OF ISSUE. -q-6 Owner 'ira l Home Phone q;0-3307Business Phone — Mailing Address�f 4a x)okJM/YS5 C� 8 �6�* Agent_ Mail,ing Address Phone Sewage Disposal System Work to be performed by, i, // / � � This permit valid only for promises location by the following legal daseriptiont Lr 6 r'jle7d� AAT, WAN <1 It. IAT sire I GC2.6.S MATER SUPPLY Gkr6JJJ%. . AVERAGE PERCOLA�R RATE f- — This Individual Sewage Disposal Permit is granted with regard to the following uses it AjGl.E r=Artli tj fLF CIA.�DC_B Nsrabcr oh Dodreaea 3 Lofts Garbage Disposals C Dishwoshan1617 1_ Cloths Washers CALCULATED AVERAGE DAILY WASTE LOAD L4 5-() GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER TRIS PERMIT: Type of Tank or Treatment Units Cdri' P," re.-'Mt.AL C�� method of Final Disposals A35o(z8Tto�j .-S:6 -r. g-�6 at) ✓ Absorptioq Description (Including brand names if any) of other equipment cc•appurtruncie$ Tank Capacity-) ©OG Callon Hint^= Area 1 59LO Square Feet Hint mum tWSf U5L O�Si&q Other Cond.�iltions. or Specifications$ ft �SoryU7LON Aa&,ov st'ATo I05-6 f^fa Wt ixipi'f�ooj O� R �osl.•lq SID�w . FxeA"+,oN of NU51 6t Rl LR dqp+ -j" I 1 '(lam Ln�qki EctMeA sgNd EJAJ (04.-% .� vl>(bLe . STAGES REQUIRING INSPECTION BY THE HEALTr[l DEPARTMENT: ( )Refore Excavation (upon completion of excavation and prior to placement of gravel ( )Before covering distribution system of absorption field yPrior to backfill of any component I )Others Specify$ Plans And specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Pareission is hereby granted to Ebr owner or his agent to perfnrm the work indicated above in accordance with the Pitkin County Individual Sewage Disposal Re.iulations in otfect on the date of issue. In addition to general provisions act forth on the reverse hereof, this Permit is suhject to the following additional terms and conditionss _ APPROVED FOR ISSUE BY'&y �^-� (title) �11J/G111)Ftf [ fl�dLTtf�`J�CEi� The &hove individual scuago disposal system Installed by has teen Iaepected for use by a representative of the Aspen/1-Atkin tftvAronma,stal Health Dep+ruscnt. Tee uwnur ssmumus a 11 rcgsonsibility in case of (allure or inadequacy of this sewago disposal System. Complete as -bulli drawing attached. DATE OF FINAL IN:PECTION (- Ib BY: epizz TITLE16,0, 4UL-f'A 440� Lc Cw 130 E h Galena Street Aspen, Colorado 91671 303/925-2020 0 0 -V— eL)OfA, IM ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPAPMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT Name of OWNER =,7*L 0=411`94 — SMSA✓ PHONE Address of OWNER b")X 4'4Z-1 S/1/Ou, i�SS L G' is/6 Cif Name of APPLICANT PHONE /7G✓JAL PERMIT TO BE: (Picked Up ( )Mailed tot TYPE OF PERMIT: offew Installation ( )Repair ( jOVner ( )Applicant ( )Emergency use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEM: Legal Description /' 'T L (7% 6 7 SF.-�Oy/J /et-- / �- Lot Block G�-' Filing Z subdivision sire of Lot acres TYPE OF STRUCTURE: o) SI ngle Family Dwelling ( ) Do you plan any further additions to the residence? ( )YES 0 No No. of bedrooms 7 No. of Lofts No. of carbage Disposal• r) No. of Automatic Dishwashers Ice. of Automatic Clothes Washers WATER SUPPLY: ( )Private Wall, Depth or ( )Public, Nemo of System-/i2%/GL(li� ( )Spring L�IAA7.¢!L ( )Stream or Creek - TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (.)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, 8:30-9:30 a.m.) before a permit can be issued. The individual sewage disposal permit ..at be issued before a building permit can be obtained. FINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING 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 informs//U wwil invalidate the application and any subsequent permit. signature of Applicant A 7 /-vy� DATE (This application bectmes. 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. 5. Streams, lakes, ponds, irrigation ditches, and other water courses. 6. Proposed and existing individual sewage systems on subject property. I SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL PLAN. The undersigned hereby acknowledges receipt of this individual sewage disposal Persit pi'le/at`ion and a permit fee In amount of 3� r. .. Receipt Number Dau Fee Received — C. by i� 12 trs - - AdminLtretivo officer 130 South Galena Street Aspen, Colorado 81611 303/S2d-2020 • PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER 54ANy ' 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 6D cl. 6 Percolation Mate Each Hole Average Rate o•nd I Comments on soil or Signature 4 j8.1 c12.Z, 6011 d-65 ci�i (z 66 ) r i���ENOMOVppyy►��� �RP�1 : • ��itti�ii+�i71��i�t�lB�41'[.�l i/i r3'll[�i��1ilRwlii�iCit3r� • rr�L���r.� X91 NNE mm nON Percolation Mate Each Hole Average Rate o•nd I Comments on soil or Signature 4 j8.1 c12.Z, 6011 d-65 ci�i (z 66 ) r PITKIN COUNTY ENVIRONMENTAL HEALTH �,,11�, L Field Test Data Sheet on Percolation Test PROPERTY OWNER_-Rd0i t6bIn PHONE 9� �✓✓ 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 �ilrMV:9'/L'�i�"�a:�� TEST • . • . • • Time• .. Percolation Rate Each I1ole Average Rate COO) Comments on soil or site:P5 d c11i, �rFf� Te ,) gtZFFu�s Co 0(,2j Signature S- Date E� f 1 D'd( N E N O R A N D O M TO: Chris Conrad, Building Department FROM: Rick Bossingham, Environmental Health Office r DATE: July 14, 1988 RE: Furr Excavation Permit, lot 6, block 4, Gateway Sub. It is not necessary to hold Mr. Furrs excavation permit. A percolation test on 5-16-88 revealed that an engineer design is required. I am holding up the septic system permit until the design is recieved and approved. If you have any questions or comments about this, feel free to contact me at this office. q 2�y -� O� 2- .` STAfNT DATE TO ) !17ae- /7G IrCI�UCO7�� ADDRESS CITY STATE ZIP S/UOG.c/�NO S f Cc(v ✓a c-�O �/�� �i Ol REDIFORM ®8S 882 9POLY PAK (50 SETS) 8PS82 /c P COQ i LD-T(p 6LOcIC ere 64 SiV6Gddi4_ S k d REDIFORM ®8S 882 9POLY PAK (50 SETS) 8PS82 "700 Ekz 2Sx3o x30 -� -17,k 3-,,tk�4v MR 16 171 to � ��Wv Rte% 1450 1 (fib ° J -700 Lko 4 -AA rD A0 tkf) +\� boo