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HomeMy WebLinkAboutpitkin.eh.264320406004 (1991)ASPEN#PITKIN ENVIRONMENTAL HEALTH OEPAR rMENT +9 INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. //Q _ TYPE OF PERMIT: ( )Initial Construction ()Emergency Use or installation ( )Use Permit as a result of Sale ISSUED TO: Owner, EN) Mailing Address ( )Repair Work,(Pievious Permit 1.) kikre iteration of an existin tem, vious Permit 1 ©_ sys) ( )Others DATE OF ISSUE•. Home Phone -3 Business Phone ZK5 =/cZ2--7` A entC �� Phone Ma il.ing Address 3 em Work to be performed by Sewage Disposal Syst This permit valid only for! premises location by the f lowing legal de /ccrriip�tiont IsTrwi %Z-1661 /C y%(1Ol VILZA� I� N LOT SIZE . WATER SUPPLY �T tC AVERAGE PERCOLATION RATE. � E)a J/r,1ti . i �"NJr SI iJE� DIs��.��� �'t- This Individual Sewage1' Disposal Permit is granted with regard to the following uses. PJ( (1= Ntuabor of: Dedreoms i Lofts Garbage Disposals_ Dishwashers �� Clothes Washers CALCULATED �VERACE DAILY WASTE LOAD GALLONS. THE NATURE OF THE S�STEM INCLUDED UNDER THIS PERMIT: � � STi � �Q CCi9�(.�ni 7/Jk---/f L ype of Tank or Treatment Units ���G�� l� Tank Capacity /4060 _ _Callon Minimum et.hod of Final Disposals &P -E (rvI` %�, WJ/ Abeorptiop Area ,,Y.`1 Square Feat Minimum eacription (including brand namm, if any) of other equipment or appurtnances: T6X� 5 i i G 1900 S�� . r3�i9� � i E,e 3ther Condition! or Specificat ones ����� ��� PZ,� )M 1 D �Zi lel S' /��� CCIF�I-Tio/t1 - 1..Ar1/� ie V A i-- LA �1�iS /4 flrr%� �� 6KC1►���MF�� STAGES REQUIRING I14SPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation )Upon completion of excavation and prior to plaCement of gravel( Before covering distribution system of absorption field W Prior to backfill of a y component ( )Other, Specify3 _ �r Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission is hcreLy granted to tl,o owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sewa;c Disposal Rcvulations in effect on the date of issue. In addition to general provisions set forth on the reverse her• -of, this Permit is subject to the following additional terns and conditions: t J,, .> /v K Aspep/Min �nvirOtmental Hq#0 officer APPROVED FOR ISSUE BY Ft (title) The- alxivc in:iividunl scwago disposal system installed by hds lien in::pcctcd for use by a representative of the Ass:cn 1'at Environ nw Health dcp-%run(--nt. The uwnur as�umoa arl renVonsiLilliy in ccac of failure or inadequacy of this sewayc disposal system. Complete A%_ built drawing attached. DATE Of FEINAL INSPECTION BY: TITLE 611cNryt,/�ALnr 130 South Galena Street Aspen, Colorado 81611 303/920-5070 Name of ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT 11 ZA OWNER 1 Cr Q� PHONE Address of OWNER TW W/\ �)(Al , C/a " iSi� 1 ZI— q Name of APPLICANT ��( ('�- Dppj C�J�I..Ni NO" QC,(;,,er / PHONE qZ7 -3-%q 3-% l PERMIT TO BE: ( )Picked Up ( )Nailed to= . TYPE OF PERMIT: ( )New Installation ( )Repair ( )Owner ( )Applicant ( )Emergency Use Alteration NOT due to failure Legal Description t'(W-JV vv-wy n Y— ypt 1. -j Block 1 Fi TYPE'OF STRUCTURE: Nsingle Family Dwelling ( )Others Do you plan any further additions to the residence? ( )YES "NO No. of bedrooms J No. 01 Lofts 0 No. of Garbage Disposals �_ No: of Automatic Dishwashers No. of Automatic Clothes Washer .✓il WATER SUPPLY: ( )Private Well, Depth or Public, Name of System�7f1 �1-CF V �LI/s�il- ( )Springy ( )Stream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: W'iSeptic 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 musk 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 must 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 s wage disposal permit is hereby submitted. The undersigned acknowledges that the above information is true and that false i ormat n will i validate the application and any subsequent 7peercm+►it. Signature of Applicant (^ Ot,DATE 7� f- ( I (This application becomes. invalid 12 months from the above date.) NOTE: PLOT *LAN must be filed with this application. Please locate the following items by measured distances: 1. Property Ines and dimensions. 2. Proposed aid existing water wells on subject property and adjacent plroperty. 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 heC.r�eby acknowledges receipt ofthisindividual sewage disposal permit application and a permit fee in the amount of S �l , Receipt Number ( l _ ice' . Date Fee Received • • by Admir) etrativo Officer 130 South Galena Street Aspen, Colorado 81611 303/980-8070 GARY A. WRIGHT,.C. ALLEN H. ADGER, P.C. BRIAN J. PINKOW KI, P.C. Z 4 y2 2 0 Y o 07 WRIGHT &ADGER LAW PARTNERSHIP, LLP 201 NORTH MILL STREET, SUITE 106 ASPEN, COLORADO 81611 TELEPHONE: 970-925-5625 FACSIMILE: 970-925-5663 e-mail: aspen CLbwrightadger.com 16 February 2000 OF COUNSEL: PHILIP J. O'CONNELL' MACE J. YAMPOLSKY, LTD.* ALSO ADMITTED TO FLORIDA BAR 'ALSO ADMITTED TO TEXAS AND LOUISIANA BAR "ALSO ADMITTED TO CALIFORNIA AND NEVADA BAR Nancy McKenzie Hand Delivered Environmental Health Department 130 South Galena Street Aspen, Colorado 81611 Re: Pearson Residence Dear Nancy: Here is the information you requested. I hope this is sufficient for you to approve the requested Change Order. I appreciate your assistance and cooperation to date and would be grateful if you could expedite approval on this Change Order so that I can request a final electric inspection. If you have any questions, please call me. Thank you. GAW/jh Enclosures G: \SPEARSOMMcKelizie.let OFFICES LOCATED IN ASI, an Sincerely, WRIGHT & ADGER, LLP Gary A. Wright .zoo d PN4-4--. _- -_ vmrvvtH, COLORADO zaYl�-199 I i I � ` 700, CP jv, to kumoved---- SHED I L house and deck,.. 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