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Home My WebLink Aboutpitkin.eh.264316200023 (1973)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. W6Y3-/6;1-00 —0-�3 PITKIN COjY-HEAkLH DEPARTMENT PERMIT NUMBER RECEIPT NUMBFI)'-6-7-- Phone 6-7- Phone N 9�J—(/o3 -�- Phone N l -Z--- 777 %/ Location of system w �Lot size a2a4/O -,� Legal description /01, /Z XC//q 6?A �INI Number of bedrooms Signature of owner Percolation test data M' im recomipencjgd bsorption system size T� I nXsCJ 1) t7 � m Minimum recommended tank size / 0 11 Date i��lJ ZU 1 minutes per inch Permit application valid one year from dates Application to become permit and final only after lower portion is completed and signed. Retain this form at the construction site. Date I�' % - /J DRAWING OF SYSTEM o?S' Cal Sanitarians 0 0 COLORADO DEPARTMENT OF HEALTH Water Pollution Control Division 4210 East 11th Avenue Denver, Colorado 80220 ICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS Applicant (Owner): T6VLA- /j/iL Mail Address: ��X % ^ Ci tyPhone: 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 profiles in test holes. 1. Location of Facility: County 14� <C �4, City or Town f±Ze'�J Tv/V.sti p9 -V � Legal Description ��'��' RaN�E€We' bLot Size: Z 2. Type of area and facility - Number of persons served: Subdivision Motel Restaurant Trailer Court Other: Pi(VO,tC 0y 3. Source of domestic water: Public (name): Private: Well Depth I ° Other Depth to first ground water table 4. Is facility within boundaries of City or Sanitation District: % d If so name: 5. Distance to nearest sewer system: 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: (/_fig `AA, 7. Name, address and telephone of person who made soil absorption tests: 8. Name, address and telephone of person responsible for design of the system: 9. Est. bid opening date: Est Date: Completion Date: Est. Project Cost: Signature of Owner L —J 0 0 B. SIGNATURES FOR LOCAL GOVERNMENT OFFICIALS: The undersigned have reviewed the proposal for the location of the above-described septic tank system and RECOMMEND APPROVAL or DISAPPROVAL in the space provided below: DATE APPROVAL DISAPPROVAL /--7 /--7 Signature for Local Health Department / / Signature for Mayor or City Manager / / Signature for County Commissioners Comments: Signature and Title Note: The applicant must obtain the comments and signature of at least one of the above. C. FOLLOWING FOR STATE HEALTH DEPARTMENT USE: Recommendations of the District Engineer D. ACTION BY THE COLORADO WATER POLLUTION CONTROL COMMISSION: WP -10 (Rev. 5-70-100) 0 COUN,Y� LOCAT REPORTED BY %J ' COLORADO DEPARTMENT OF HEALTH REQUEST FOR,,^ERVICE EIVED BY SH -M-71 (4-71-50) q 9 E PERCOLATION TEST FIELD SHEET COMPLETE IN DUPLICATE (Check person responsible for or performing tests) ( ) NAME OF OWNER ADDRESS ?qo PHONE g�3-7 ( ) NAME OF CONTRACTOR QOR/�Ea _XCAVATOR ADDRESS a-0 3 T PHONE q�"?'N/ LEGAL DESCRIPTION OF PROPERTY /Or/z /6 Tc✓N,ol7vk 9 �1/ 74 gxn3Q tis 6S P General Information & Instructions In addition to compliance with all other rules and regula- tions for sewage systems as promulgated by the County of Pitkin and State of Colorado, it shall be the responsibility of every property owner/installer/contractor/excavator (the person running the tests) installing a sewage system to conduct percolation tests in accordance with the specifications hereinafter set forth. Subsequent to the performance of the required test, it will be necessary for the person responsible for/or person perform- ing the tests to file, complete and under oath and penalty of perjury, the affidavit form contained on the reverse hereof. Warning is hereby given that spot checks and inspections will be performed by the Pitkin County Pollution Control Officer and his authorized agents with or without the knowledge of person perform- ing or responsible for the tests to insure compliance with the requiements hereof. . Soaking is to be performed in the 24-hour period between /�.M. and M, on the J and days of 1e actual percolation Tles s are to be perlqrmeci a�—_�� .M. and / p/yJ.M, on 193 T At least two (2) test holes per system must be run. They should be in the area (within feet) of the proposed leach- ing system and dug to the deptil—To-f-The proposed system, generally 2.5 to 3 feet deep and 12 to 16 inches in diameter. The holes are to be soaked for a 24-hour period prior to running the test. A 0 TEST HOLE I TEST HOLE II Reading Drop Time Reading Drop Time 3<'m6" 6 y I g '' 3o ka 3d 3" 30 04 r n Y 30mL 3 y 361 kj4j 3 a 30 PERCOLATION TEST RESULTS: HOLE I 6 D Minutes per inch (HOLE II 7 5- Minutes per inch Average percolation rate: 3M Minutes per inch Comments on soil and/or site: Address: TEST FEE $25.00, payable in Advance 1 IV i AFFIDAVIT (Perco�a�n—Pest) E / being first duly sworn upon his oath un er penalty of per3ury, states,avers and certifies as follows: i 1. That he is the person who performed the percolation tests as required on the reverse hereof. 2. That the tests were performed in accordance with the time schedules and specifications as set forth on the reverse hereof. 3. That the test results of the said percolation tests were as set forth on the reverse hereof. 4. (In paragraph 4, affiant shall insert additional statement(s) which may be properly and reasonably required by the Pitkin County Control Officer or the affiant may wish to insert.) DATED: V54 a 1973. i I ig a e Person Running est Ca STATE OF `OI rwdo _ ) COUNTY OF��— ) NOTE SS: UBSCRIBED AND SWORN t 1973 My Commission Expires: This affidavit must be Pollution Control Department within 24 hours of the time the percolation tests are completed (Saturdays and Sundays excepted). -41 'OASPENOPITKIN ENVIRONMENTAL HEALTH DEPARTMENT MEMORANDUM Aspen/Pitkin TO: .Patsy Newbury, Building Department pAVr FROM: Bob Nelson, Environmental Health Officer DATE: June 18, 1982 RE: Aspegren Remodel -------------------------------------------------------------- We have recently been requested by the owner (and contractor) to evaluate the individual sewage disposal system referenced. The evaluation was requested by Tim Howe. Our inspection revealed a 1000 gallon septic tank and our attached permit records indicate a 720 square foot seepage bed. The system complies with our minimum setbacks for the remodeling and is functioning well at present. It is our opinion that no changes be made. BN/co cc: Marti and Christine Aspegren Box 8739 Aspen, Colorado 81612 130 South Galena Street Aspen, Colorado 89611 303/925-2020 O