HomeMy WebLinkAboutpitkin.eh.264316100025 (1985)(From Most Recent to Oldest Permit)
Permit
Application
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Floor Plans
Please See Building and Land Use Approvals Files for additional information.
J (P —16 ! _ 00-Oa5
•ASPEN*PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. SSOOa2—
TYPE OF PERMIT:
( )initial Construction ( )Emergency Usa pair Work,(Pievious Permit 1NONE- .) ( )Alteration of an existing system,
or installation ' ` (Previoux Permit / .)
( )Use Permit as a result of Said ( )Othon
ISSUED TO: / /DgA�TEE OF ISSUE.p
Owner /1/t r(LT/�/Y Home Phoneg�3-7 ( L Business Phone q2S_ 7/ 73
Mailing P�, Bax 21&j 1SA0). �yeADO p1612
Address OGD D
Agent)
Mailing
Address
Sewage Disposal System Work to be performed by , A/J R007HE
�'7 I'
This permit valid n only for premises location by the following legal deacriptlonj k'/1C, II&V� IT11.14/ I•,/ //�.
LOT SIZE 2 •,UYJ MATER SUPPLY (.{/E� . AVERAGE PERCOLATION RATF./O/fM/N �lY C /���ty
This Individual Sewage, Disposal Permit is granted with regard to the following use,U�L/ Qr aw
W..,bcr of, bodreoms _2- Lefts 0 Carbago Disposals 0 Dishwashers Clothes Hashers f
CALCULATED AVERAGE DAILY WASTE LOAD GALLONS.
THE NATURE OF THE SYSTEM
INCLUDED UNDER THIS PERMIT:
TypcJ
e of Tank or Treatment Units ErI,IC-. /mi—
Fcthod of Final Disposals SECpT Ar,E'PI,r, Absorptlop
Description (including brand name, if any) of other equipment oc apputtnancess
I Cther Conditions or Spceificationes
"Jr
Tank Capacity �J �� _Callon Minimum
Area ,�J_� Square Feet Minimum
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ��I ///
( )"fore Excavation ( )Upon completlon of excavation and prior to placement of gravel before envering distribution
/ `system of absorption field
)Prior to backfill of any component ( )Ocher, Specifys
Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission
in hereby granted to U,o owner or his agent to prrfnrm the work indicated above in accordance with the Pitkin County Individual
Sewage Uispesal Revelations in effect on the date of issue. In addition t�p general provisions act forth on the reverse hereof,
N
this Permit is subject to the following additional terms and conditions: coje
APPROVED FOR ISSUE BY � (title)
The ahnve individual ecwago disposal system installed by ..Jlfi bRJIJ II'(C
has bccn in:,pected (or use by a representative of the Aspen 1•it in Enviro nm.n w Ilia t OcPsr Unent. T e uwnur .sesame,. .11
[ccl,onsibility in case of failure or inad quacy of th w 3ewwa,)a disposal system. Complete a -built drawing attached.
DATE OF IN
INSPECTION�p d�
C)c b BY TITLE
130 Sout Galena Street Aspen, Colorado 8'1611 303/925ado 81611 303/925-2 D2
ASPEN*PITKIN
ENVIRftMENTAL HEALTH DEPART ENT
Date Requested r,_ b -
I✓Bill To6NE a. R.II
Inspection Requested By.
Original Report To Be Sent
Copy Of Report To Be Sent '
Property Owner Y_/j,•x w
Aje -rc
Parcel. ID Number
Legal SIJ 1/4, 1/4, Sec
Lot Block Filing-
Building Occapied--�g
3Mate Septic Tank Last
Check/Receipt Number
Subdivision
DEPAialLP7r RH(Xf3fl,S:
Permit Number 8500a Year Issued No Records Found
Septic Tank Capacit (Gallons) Septic Tank Material ('Aa(RQ✓�n
Leach Field Size (Sq. Ft.) Leach Field Type XPPA�Q,T
Date Of Inspection--LL-L� InspectorVwcr- �sw$L
Soil Conditions: Dry "& Saturated Snow Covered Other
Septic System: Functioning Satisfactorily_, Not Functioning
Comments: D2Aot,022
Water Supply: Public:
Private:
spring_, Cistern , Surface
Other "
Well Construction And Location: Approved_
Unapproved Because
Bacteriological Water Test: Lab
Acceptable / c,ua:l,VLJL.Qd:o/X'0?1G/,'D
Other —�
A.P.E.B.D.:4/87
130 Sounh Galena Sona[ Aspen, Colorado 6,Bt7 303/926_2020
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•ASPEN*PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
Name of
Address
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERXIT
�g� g
OWNER /:i;"c PHONE
,E rfo.✓ s
%VPS /-
of OWNER
Name of rte°?LICANT �Ce
PERMIT TO BE, Q(yP lcked Up ( )Mailed to, TYPE Of
( jdmar_.(. )Applica�nt
LOCATION OF PROPOSED SYSTENt S[V qNC, f aICY 64 Af RC� �I INr 0+
6 l
L PHONE 923- V%'P9 (H)
-5- - /7 7 --?i w)
PERMIT: ( )New Installation .IID Rapalr
( )Emergency Use {(/ )) Iteration NOT due to failure
ti 1.v )b, TA >~SWe A sD k I (1c.gP Ss war) 03
Legal Description y/r-t"o .ifL2u Gtr tit,
Lot Block Filing. subdivision Size of Lot a-- acres
'-
w a... 57 GCTURE: Single Family Dwelling ( )Other Do you plan any furthedltions to the
residence? ( )YES ( NO
Mo. of bedrooms 12- No. of Lefts (-�� No. of Cartage Disposals , No. of Automatic Dishwashers /
No. of Auconatle Clothes Washers -
WATER SUPPLY: (vl Private Well. Depth 7.5-' or f )Public. Name of System
( )Spring
1 )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
eptie tank/Absorptica Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound
.( )Recycling, potable use f )Recycling, other use ( )Vault Privy ( )Other:
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020, 5:30-9:10 a.m.)
tefore a permit can be issued. The individual sewage disposal permit must be Issued before • building permit can be obtained.
FINAL INSPECTIGN APPROVAL MUST BE GIVEN BY THE ASPEN/PITEIN ENVIRONMENTAL HEALTH DEPARTMENT FRIOR TO BACKFILLING ANY PORTION
OF THE SYSTEM.
Application for an individual sewage di ap. permit 1 hereby submitted. The undersigned acknowledges that the above information.
is true and that Ca lee Information will lova Sda Ee [ app
ll ca Cion and any mbsequcnt crml[.
Signature of Applicant -�- A - DATE -
..� (Thi application becomes. Invalid 12 months from the above data.)
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 subje^_t 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 undersigned hereby acknowledges receipt -of this individual sewage disposal permit appl tion and • pe rm fee Sn the amount
of y Receipt Number Cate ha Received / �� by '
70
--7-7 Administrativo Officer
130 South Galena Street
Aspen, Colorado 89611
303/925-2020
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