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Home My WebLink Aboutpitkin.eh.264309300008 (1982)(Small House)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 rJ 26 y? -owl- ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISP03 ,'. err -!IT �'O. TYPE OF PEPMIT: ( )Initial Construction ! Mfsdcguncy Use ! )Repair Work,(PCovtous Permit 1 .) Al tera¢lonoC an exi +tem, or installation Prev to ns Purale 1 Q�p�.1 ( )Use Permit as s result of :ate ( )Other, yil.[ /ci�O 111A, ISSUED TO: DATE OF ISSUE C _ O �!)� C444FD Business Phone Mailing Address Phone cess Sewage Disposal System Work to be performed by / d� kt/ ( 'II This pern-t valid only forg e premiscs location by the followinq legal deeeription,AT "' OF Dr f.0'f SIZE � AC,. MATER SUP -'_y � EL L+ AVERAGE PE/R/COLLATIOY RATF.o "IXI(C-74 This Individual Sewaga Disposal rermit is granted vl[h regard to the following usa, Nu,aber of, Dodieoms toftsGarbage Disposals_ oishvashcrsClothe+ washers CALCULATED AVERAGE DAILY WASTE LOAD _CALLONS. THE NATURE OF THE SYSTEM INCLUDED LWDF!. THIS PERMIT: Type of Tank or Treatment Units �/(�/7/fJ�� Tank Capacity _Callon Hin!mtri ra:[hod of sinal Oia po tall E� d/1C L}� Atearpt:o0 _ 1 Ares 21a sq�uarepFeet XSnimwm Description (including brand name, if ary) of other equipment or appur Gnanccsr ��/TfiDi.f% "•'� "J� .V ls1 ��}L- IVOAI E -Other Conditions or Specificit(onst �on/r STAGES REQUIRING INSPECTION BY THE HEALTH DEPART:ENT: ( )Before Excavation lYl Upon completion of excavation and prior to ple:emant of gravel Defore cnverinq distrihutloa /� �/ system of nbsorptior. : xld (y/7rior to beckfill of any component ( lother, specify, /Un Alt ' Plans and srecifieattons of the proroacd sewaga disposal system have born reviewed and arc considered sati+factory. rermEnaion is hereby granted •n ttn owner or hw �gcnt torrfrrm the work indicated above in accordance with the Pitkin County Inaividual Sewgc Disposal Rc•r,!.twns is c[fcct on the d:.tc of [:sec. In addition t I general praviaaons act forth on the reverse hot f. this Permit is sublcct to tha follovtng additional ,tarma and cJ oni sic est p.,� APPROVED FOR ISSUE BY (title) The above in.iiv(dual xe•rage Jteposal system lnctalled by fq�l/ has born ln:queted ler Una Ay n rcurrvcntative of C•e Aap rn, l_•tt n l: nvlronT m—n—Tn t. Oe pa r rm r:nt. The as I, --e +�lL OQ ru Cl,onsiblllty in cite of failure or tnm4-gvacy of thi: ,ewga disposal system. Compla:o as -ball[ droving nCCacnnJ ec p��v DATE O: FINAL INO"PECT N o BY. TITLEJ60:� uAdY I 1 0 South 091ens Street Aspen, Colorado 81611 303/925-202 GENERAL PROVISIONS OF AN INDIVIDUAL SEWGCE uISPOSAL PEMIT This Permit must be retained and made available for inspection at the above location upon request. This Permit shall not be transferred without approval of the issuing agency. This Permit shall expire 120 days after its issuance if construction has not commenced and a valid building permit has not been obtained. Any change in plans or specifications after the permit has been issued invalidates the permit, unless approval is secured from the Health Officer for such changes. This Permit is temporary until final approval is granted by the issuing agency in writing. Final approval cannot be granted until construction, repair and/or operation have occurred in conformity with the conditions of this permit. This Permit is valid only for the ind= vidual sewage disposal system and/or equipment specifically identified herein. Before issuing final approval of this Permit, the issuing agency reserves the right to imaose conditional terms and conditions required to meet its applicable regulations on a cor_tinuing basis. ?Monitoring and testing requirements may also be imposed. The issuing officer shall be notified not less than 24 hours prior to backfilling or closing up the work which would prevent inspection of components installed in places otherwise inaccessible following such backfilling or closure. This Permit may be revoked or suspended by the issuing agency for reasons set forth in he regulations of said agency or of the State Board of Health, as applicable, including failure to meet any term or condition imposed thereon during temporary approval or upon final approval.] Each and every condition of this Permit is a material part hereof and is not severable. Any challenge to, or appeal of, a condition hereof shall constitute a rejection of the entire permit and upon such occurrence this Permit shall be deemed denied ab initio. This Permit is issued and accepted with the understanding that a fee in the amount of $ , plus cents for each mile traveled by a designated inspector from the principal office of the issuing agency to the location of the system and return, may be charged for each of no more than two annual effluent samples routinely collected and tested from subject system as deemed necessary by the isauing agency to monitor said system for compliance with the Provisions of Article 10, Title 25, C.R.S. 1973, as amended, and the rules and regulations which implement said Article; and that a like fee may be charged for each such sampling taken in conjunction with the determination of compliance of subject system with a cease and desist order issued pursuant to C.R.S. 1973, Section 25-10-107(1)(k). The issuance of this Permit does not imply compliance with other state or local regulatory or building requirements, nor shall it act to certify that the subject system will operate in compliance with applicable state and local regulations adopted pursuant to Article 10 of Title 25, C.R.S. 1973, as amended, except for the purposes of establishing final approval of an installed system for issuance of a local. occupancy permit pursuant to C.R.S. 1973, 25-10-111(2). APPLICANT'S SIGNATURE G • ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT A'PPLICF.TION FOR AN INDIVIDUAL SS;,ACE DISPCSAra- PERMIT Name of OWNER ) r1AeT/>J �� um� j�'� PHONE - � �3 7 Address of OWMER Box 'LJ -3 6t/o 61/"SCP Name of A--rCANT ti]p,�-1'aJ G w2,�z�C/ PHONE P£RAI TO O 8 J)OPlcked UI• ( )Nailed to$ TYP£ OF ngMtT• WINew tca•effiSatlon ( )Repair )Ai?Meant I )Vnergenap vee ( )Alteration NOT duule to failure ! .CATIOY OT PRCPC__F.:1 SYS?EMI ''/I 1 //'�� -(\'� �'l �n�� Legal Deszr!p�tf�o-, Jer_ '•n Jf , 3a.�9 /� 179 5 /S,/, ,a1 �.JtO%/oAT9 J x lot .cG :..tX.eL slcck_ _ fliln4Subdivielon¢.c. HN.wJ __Size of tot 1i acrm TYPE OF sTh7CTCRCs W� Jngle Family Dwelling 1 IOthari Do woo 9Ian any further additions to tzv realzticace? ( )YES ( )NO No. of 4 No. of LDCts��Csa he. of Garbage Disposals A ;404r Ne_ Aatematie Dishwashers No. of Automati.: Clathes Washers f t� WATE? SUriUs ijd Private Ba11, Depth :J-7 or ( TPYbIIC, Name oC 'S75tcm ( )Spriry ( )Stroam or Cee% 1Yprs )F INDIVI07AL SE LVE Dl SPP O'%L SYSTEMROPOSEol _1Stptic Tank/Ab:-rpd,n Flald ( iAoratlon Plant/Absorption F:r'd ( ICacposting TOP3'ket ( lfacineratiov Toilet ( )Faend : )te.YXllnq, potzble Dae ( )Recycting, other we ( )Vault Privy .( )Others 5e.0PFjr TAMC �C71U1 G:'e-( The initial site inspection meat be ariangcd with tt.c Aeptn/Pitkir Environ*ental llezlth 'Lare+rt.*ent 1915-2020. 6:10-9:30 a.m.) before a permit can be la aucd. Tr.a andlViduai )e+agu atapazal permit mast be-.Vsw>d oe:.nve • buwldlog pe::ait car. be obtained. PIMAL fNSPECTION LPPRCVAL MUST bE GI1,EN eY THE ASPE::/PC1A111 ENVIRONMENTAL NEhLTH DEPARTW-TT PRIOR T,1 tACKFILLiNO ANY PDRTI01 OF THE SYSTEM. Application for an individual sewage disposed pee mit is hereby +cbrittdd. The unders_gxdi ac)cncwlMges that the about infocratior. 1. tvue and that Ca so rforawtlop _wtll '- wcl d e N,e plleatron and any subsequent pzsat/t. iignature of Applicant ✓GSL - DATE S (Thla ap.' atior. becomes- S.svelid 11 s,-rttm Irom the a -awe data.) :dO'i'S: PLOT PLP,N mnst be filled with this applicrltion. Please locate the £oltowing items try measured distances: 1. property lines and dimensions. 2. Prorosed and existing water wells cn subject property rad adjacent pronccty. 3. Domestic water service lines. 4. P.,oiosed and existing buildings, driveways, and other stru^tures-. S. Stream;, lakes, ponds, irrigrtfon ditches, and other %xettrr Courses. S. Proposed an.: existing individual sewaga systems on subjtset property. , SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUC`T'ION IF INSTALLATION IS TO DE CHAPIGED FRO% ORIGINAL PLAN. She undertigned heraby acknowlodges receipt o hi IndlviduaI sewage disposal pe app station and i permita.- fee in the ou,-t of f1 so . o�• Receipt NumberiS ' Date Fee Received .7/iw 7� , .by --- AdminLtrat!vo Jt Cac'r 3 130 South.Cialena Street Aepena Colorado 81611 303/925-2020 S- (USES TO LOO -A AO 9le'S/ C4Ira- uAflAG�o C ,Ill' scaurti c. �> "VzsT. ik �1�iS D15T0>Ica: WAS AbJUSTED Te C�osc THc 02�4ir1Au 27 L=S c21 P'TtoN OF THE J.IZ. Gu,sD/+41Jo p2oPCRTY SurzvE�rolzS GE2TIFlCATE I, (I�,I�oi.s� W. JoFAl.ison�, 2Is��o LA.u>, Surz�/�Yo� IK THS ST°a.ZTG ov Gc,L02/r.ao• bo, WEEIzsz>3Y ccla7r)1= y' 'TN aT-f'c+s- 1,Sra--. vc-vy' A►ln TL A. -r Or= TW 6 SG H LU M w.: Q2oP�{2T`� IciE2� N(�a� SY ME otz uNate� MY SUrur-N(Isron/. 4/,n Iti'SYRC1GTIo�15 ALM, Tu.4•T BCTF; Arne' .Accu$t,A-re To TNS j3t sT OP Niy AND BELIEF. �ASEMcTITS A1Ja 1�CtGHYs oP tcJA� IN EVIDENCE I Ort ,G 7� C>.dN To ME ort THE pmimr"I scS AiZE 4ccurLA,-rizL•e SVAoi jr,4 . NAF-�ol_u:, ,l Jot-trJso►y 4 cotes SEc. 9 { .JOI-INSorJ - .1.._oNG1=E 0 t4 � ASSt>c. SCHLLIMT3ETZG�- 1 L� COLORADO STATE DEPARTMENT OF PUBLIC HEALTH Water Pollution Control Commission 4210 East 11th Avenue /�� ✓ Denver, Colorado 80220 yi / APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS Applicant (Owner): /rl%J�%'/IIS %W4Oj;.' 44(= 4 Mail Address: (%QS�Cityphone: ,3)33 A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVI (Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percolation test holes, soil profiles in test holes,) 1."' Location of Facility: County 1�� City or Town 0/OJ ee foci `S1f Legal Description �-.Of -5 % r�Is+ /�AF;I` size: , � Af.oet.$ 2. Type of area and facility - Number of persons to be served: J Subdivision Motel Restaurant Trailer Court Other: 211h/ , 3• Source of domestic water: P'A�lic,�(name): 1L— p t ,Private: Well X Depth � Other Depth to First Ground Water Table�JJ 4. Is facility within boundaries of City or Sanitation District: If so, name: 5. Distance to nearest sewer system;_ /% 0 it e Have negotiations been attempted with owner to connect: If rejected, give reason: 6. Rate of absorption in test holes in minutes per inch of drop in water level after holes have been soaked for 24 hours:_ I -e -i-, —,;- - .2a0,2 x gj�c 7. Name, address 6 telephone of person who made soil absorption tests: B. Name, address b telephone of person responsible for design of the system: 9. Est. bid oper(ing date: Est. Completion date: Est. Project Cost: Date: Signature of Owner Page 2 B. COMMENTS OF LOCAL GOVERNMENT AND SIGNATURES: Check one: F] Mayor or City Manager County) E] County Commissioners Comments: Health Department (City or Signature E Title Note: The applicant must obtain the comments and signature of at least one of the above. C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: WX D. ACTION BY COLORADO WATER POLLUTION CONTROL COMMISSION: („ WP-10(Rev.11-66-100) COLORADO STATE DEPARTMENT OF PUBLIC HEALTH LAMONT KINKADE Water Pollution Control Commission ENVIRONMENTAL HEALfo 4210 East 11th Avenue Box Denver, Colorado 80220 AldBfl, Colorado 81611 APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS Applicant (Owner): ^/14R77//U 8G/s�LU�ysr�� CQC . Mail Address:_ city Phones= 3 A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: (Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percolation test holes, soil prof- iles in test holes.) I. Location of Facility: CountyJ�Jh.p7 _City or Town 60co 5 6_3"s'i� Legal Descriptions f �g _�R�r g�L�� Lot size: 5 2.,N Type of area and facility - Number of persons to be served: Subdivision Motel Restaurant Restaurant Trailer Court Other:_��PS I [ LAG u S P 3. ,Source of domestic water: Public(name): Private: Well___ Depth Other Depth to First Ground Water Table ►_� 4. Is facility within boundaries of City or Sanitation District: If so, name: 5• Distance to nearest sewer system:_ k e) � Have negotiations been attempted with owner to connect: If rejected, give reason: 6. Rate of absorption in test holes in minutes per inch of drop in water level after holes have been soaked for 24 hours:_ /_e�:„J- 7. Name, address E telephone of person who made soil absorption tests: 8. Name, address b telephone of person responsible for design of the system: S �4 9• Est. bid opening date: Est. Completion date: Est. Project Cost: Date: Signature of Owner 0 Page 2 B. COMMENTS OF LOCAL GOVERNMENT AND SIGNATURES: I* Check one: [:] Mayor or City Manager CJ Health Department (City or County) E]County Commissioners Comments: gnature E Title Note: The applicant must obtain the comments and signature of at least one of the above. C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: D. ACTION BY COLORADO WATER POLLUTION CONTROL COMMISSION: WP-10(Rev.11-68-100) COLORAOSTATE DEPARTMENT OF PUBLIC HEALTH DIVISION OF SANITATION Code Section ACTIVITY REPORT County FILE REFERENCE: INDIVIDUAL OR ESTABLISHMENT: 9 ?/fids ADDRESS: �tt.-cc cam. � �;�>; • -, VA 'v '40-&� ee(- Car -!JL iyfd•r/nrb �izL�Cs�tso •ZOO � �` � �, �[tl LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE: L> 7 Fs: 7 (8-53-50) 19_ REPRESENTATIVE: ��