HomeMy WebLinkAboutpitkin.eh.264309200024 (1971)Document Layout
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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.
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PITKIN COUNTY DEPAM4SNT OF ENVIRONILENTAL HEALTH
Box V Aspen City Hall
Aspen, Colorado
925-2020
PFIRME T '
System Locat
Contractor
1. Construction approval:
Plans and location are hereby approved.__
Perc. rate J inches in S� minutes= / 2 5—sq. - feet of
absorption area per bedroom.
X / 2 S sq. feet- = 3 75_ §q. feet minimum require-
ment. I Suggest
/'�, X; "-2
Date -J-7�_ Inspector iE2^'APi
2. Final approval of system,.:
No system shall be deemned to be in compliance iki:th the
Sewage Disposal Lags until the assembled syste-n is ap?roved
Daior to covering any part.
$" septic tank cleanout with gas seal
E Proper ,materials and assembly
LI
Adequate absorption area
I ' Adequate concrete cover (dry wells only)
l_._._1 G9senants-ai¢nesl- .
Date8ti�7� Inspector
**Retain with pertait records at construction site.
If at any time this system fails a new permit must be obtained and
pairs made immediately.
4 •
s
COLORADO STATE DEPARTMENT OF PUBLIC HEALTH
Water Pollution Control Commission
4210 East 11th Avenue
Denver, Colorado 80220
I
J h
LAMONT KINKADE
ENVIRONMENTAL HEALTH
Box V
Aspen, Colorado 81611
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner):
Mail Address:_
City
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Phone: ts--3337
(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.) 11.x%
1. Location of Facility: County Y_—City or Town Ctt4✓
Legal Description � Lot size: 21 �//,! .
2. Type of area and facility - Number of persons to be served:
Subdivision Motel Restaurant Trailer Court
Other:—�Z — — — --^—
3• Source of domestic water: Public(name):
Private: Well Depth Other x D lTl/fo first lSround Water Table
4. Is facility within boundaries of City or Sanitation District:—
If so, name:
5. Distance to nearest sewer system:_
Have negotiations been attempted with owner to connect:
If rejected, give reason:_ � s
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:
7. Name, address & telephone of person who made soil absorption tests:
8. Name, address b telephone of person responsible for design of the system:
9. Est. bid opening date% 7//i�Est. Completion date:
Date:
-S�ifnalure
st. Project Cost:_
0
Page 2
B. COMMENTS OF LOCAL GOVERNMENT AND SIGNATURES:
Check one: Ej Mayor or City Manager
County) ❑ County Commissioners
Comments:
0
Health Department (City or
Signature & 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)
COLORADO DEPARTME•OF HEALTH
Water Pollution Control Car:nission
4210 East 11th -Avenue
Denver, Colorado 80220
DECLARATION OF COVENANTS
KNOW ALL MEN BY THESE PRESENTS, THAT:
WHEREAS, the COLORADO WATER POLLUTION CONTROL COMMISSION HAS approved
the following described land, situate in the
of_ and State of Colorado, to -wit:
(describe entire parcel to be served by septic
Olt of/ sec 9-9 -8's w o�
9-9 -
G�� 7s, Arcs mors or -less,
as a location for a septic tank, as defined by the Colorado Water Pollution Control
Act of 1966, as amended, for the treatment of domestic sewage on a temporary basis.
NOW, THEREFORE-, in consideration of the approval of the above described
land as a location for a septic tank, the undersigned, as the ovine -(s) of said. land
does/do hereby declare that the following covenants shall be and constitute cove-
nants running with said land:
V 1. When the Colorado Water Pollution Control Commission determines that
a community or municipal disposal system is available and can provide service to
the above described land, the septic tank located upon said land will be abandoned
and wastes fror; the described lands will be carried to the available cormunity or
municipal disposal system and the owner of the above described land shall bear the
entire cost of constructing and installing any sewerage system necessary to carry
such wastes to the available con7nunity or municipal disposal system.
2. If at any time hereafter, the septic tank shall adversely affect- the
quality of the waters of this State, the owner of the above described land shall
use such other sewage disposal system as will maintain the quality of the Maters
of this State within the limits set by the applicable water quelity standards
adopted, from time to time, by the Colorado Water Pollution Control Commission.
3. This Declaration of Covenants shall be binding upon the undersigned
and the heirs, personal representatives, successors and assigns of the undersigned.
(Continued on reverse side)
Lf
DECLARATION OF COVENANTS 1
Page 2
"Y
IN WITMESS l,lNEREOF, the undersigned owner(s) has/have executed this
Declaration of Covenants as of the L,5 day of 19
--OI-JNER(S)--
STATE OF COLORADO )
ss.
AND COUNTY OF��C� _ _
The foregoing Declaration of Covenants was executed before me this /
day of 19-- by
as owneri s
nd and official seal.
5 expires:
No' Public
Approved this day of 19 This approval subject to
withdrawal if the foregoing Declaration of Ccaenants is not recorded within
sixty (60) days of this Approval.
WP -30(1-71-40)
Is
COLORADO WATER POLLUTION CONTROL MIMISSION
By
Technical Secretary