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HomeMy WebLinkAboutpitkin.eh.264320406019 (2003) (Garage-CDU)Permit # 03032 Pitkin County Environmental Health Department Permit for an Individual Sewage Disposal System 0405 Castle Creek Road, Suite 10, Aspen, Colorado 81611 Phone 970-920-5070 / FAX 970-920-5077 Parcel ID # 2643-204-06-019 Type of permit New( ) Repair( X ) Addition/Remodel to House( ) Name of Owner Brvan McShane Street Address 1735 Medicine Bow Road, Aspen, CO 81611 Property legal description Lot 7, Block 4, Filing 2, Brush Creek Size of lot 2 acres Total square footage of the house 1,900 Water source Snowmass Water # of bedrooms in house 1 # of offices, lofts & similar sized rooms in house Caretaker unit # of bedrooms in caretaker unit Total square footage of the caretaker unit # of offices, lofts & similar sized rooms in caretaker unit Designed for what # rooms (list) 2 bedrooms Permit information Designed by "TANK ONLY" Mailing Address Perc rate Profile hole depth Depth to groundwater or bedrock Minimum Septic tank capacity 656 gallons Minimum Absorption area Comments Septic permit approved per compliance with Pitkin County Individual Sewage Disposal System Regulations. Any changes must be approved by this department and the design engineer prior to them being made. Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin County ISDS regulations. A new 1250 -gallon, two compartment tank with an effluent filter on the outlet will be installed in the same location as the old tank. The existing tank will be properly abandoned. This department does not endorse any brand of products. This permit must be kept on-site during installation. The engineer must do a final inspection of the installation and submit an as -built letter to this department. This department must also be called for an inspection with a minimum of 48 hours advanced notice. 1 Permit approved by: ,Y {� /)t) C Date: Plans and specifications of the proposed individual sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was issued unless system construction has commenced or an extension has been approved in writing by the Department. As -built drawings must be included Installer: this permit before the final approval will be issued. IIf LFinal approval: b 3 6�'a`e: PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM 0405 Castle Creek Road, Suite 10, Aspen Colorado 81611 Phone (970) 920-5070 Fax (970) 920-5077 Name of OWNER - Owner's Mailing Address 7 (VA -e ^ e-Iznn Cit , State, Zi C Ci ^ ( Business Phone: Home Phone: Gj Z 7j " -7-5 7 Z E-mail Address: Primary Contact Person (all communication regarding this permit will go through this person) Name 13 U CA k? Vl< QV-\ Company Contact Mailing Address Z C) //� City, State, Zi r� C_0916L Business Phone : 7-371.5- 77 11 Cell Phone: -3 % —q 7 Fax: q7- C ] E-mail Address: e P44.�.1.� Parcel ID # (available from assessor's office at 920-5160 or at www.piltkinassessor.org ) 2 6-!J-- -3-- Z 0 Q�± - d 6- - 0 Street address of property'I -7 -3Cvv\ej t r etre �&o Legal Description: Lot ,Block L Filing Z Subdivision %�jrv.5 C Ilee Size of lot: Z acres. Type of proposed structure: Total square feet of housel ( G CC) # of bedrooms (potential) in house Caretaker Unit: Attached ( ) Detached ( Total area(sq. ft.) of caretaker unit # of Z in caretaker unit Permit is for: New Home ( ) Repair due to failure (K) Remodel/Addition ( ) Emergency use ( ) Water: Private well ( ) Spring ( ) Stream ( ) Community/Public Water System (4) If community system: Name of system +"DW 5 0 � 1 The fee for a ISDS application is $600 for a permit that takes 6 hours or less for the department to approve. If approval takes longer than 6 hours, a rate of $100 per hour will be charged. The maximum fee is $1000. The basic fee of $600 is due at the time of application. The remainder, if any, will be due in two stages: first, at the time of issuance of the ISDS permit; second, before final approval of the ISDS permit. Application for an individual sewage disposal system is hereby submitted. I hereby certify that the above information is true and accurate and that I have provided true and accurate information on locations of all existing and proposed wells, contour intervals, buildings, property lines, ditches, slopes, waterlines, springs, suction or irrigation lines, drinking water cisterns, drain tiles, irrigation ditches, lakes, water courses, streams, floodplains, dry gulches, and existing septic systems. I hereby certify that any such features not shown on attached site map are not present. Issuance of the permit does not imply the approval of any other permit required for construction pursuant to Pitkin County codes. No construction may be undertaken until all approvals and permits have been obtained. The Pitkin County Environmental Health Department, Pitkin County and employees of these agencies will be held harmless should the individual sewage disposal system fail or malfunction. The permit to construct is issued on information submitted by the applicant or his/her representatives. The owwgeer assumes full responsibility in case of failure of the system. Signature of applicant WDate �` "03 Received by r�.�.2. -{?� Receipt # -r)p,I--- oat 6, 3 G:\isds\isds applic\isdsapp RIv050103.doc I o 4 O 11 a 1 a r; n 1v o 4 O 11 Pitkin County Environmental Health NO SEPTIC PERMIT REQUIRED FORM NPPROVED PAM M County Environmental Health Date: -7 /Q,-2 Owner's Name: Jf)�T A/ P , Project Name: Address of Prope4y: l7 -3!5 -k''�lw . 6�, Building Permit number: Parcel ID # 9-G 4.3 - -.?- ov— D 6 __-U 1 Scope of Project: `-% 4,zw— V Remodel does not increase the bedroom/potential bedroom count Existingseptic system is sized for this project New buildings do not need a septic system (i.e. garage, shed, barn, etc.) Project is not located in the area of the existing septic system No septic permit is required for this project. No further review is required by Environmental Health. FOOD SERVICE FACILITY This facility contains a retail food establishment. Environmental Health has reviewed and approved the plans. I n A....... 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