The URL can be used to link to this page

Home My WebLink Aboutpitkin.eh.264321302002 (1983)ASPEN*PITKIN :1� 6��f`�—al�`i� -��- ENVIRONMENTAL HEALTH OF F TMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. TYPE OF PERMIT: ( )Initial construction ( )Emergency UseRepair Work,(Pievious Permit 1 .) ( )Alteration of an existing system, or installation (Previous Permit 1 ) ( )Use Permit as a result of Sale ( )Othorf ISSUED TO: DATE OF ISSUE. Owner LIE AS -Pal Home Phone Business Mailing 0 Address P0. R''�} p L}( 0_0 b� ��- 1-iSTPhone 92� - L2 --Q Agent e Adddress dr ; 072q %dam Sewage Disposal System Work to be performed by _YEARY &1t4,riAf13AQM This permit valid only for promises location by the following legal deucriptions 4 LING 2 .V 2�. LOT stze c I5 ACPE!c , WATER SUPPLY `lU�'r _. AVERAGE PERCOLATION RATE. }� Cr - �',_o Phone2�� This Individual Sewage Disposal Permit is granted with regard to the following use: SIV—''h_2MJLt &flDC-Aje'C N%raber oft Dedreoms .3 Loft.3 12 Garbage Disposals_ --L DishwashersClothes Washers _.. CALCULATED AVERAGE DAILY WASTE LOAD 4�)� GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: r �F Pf iC�/{%� Tank. Ca acct I 20Callon Minimum Type of Tank or Treatment Hitt �QC'�pJ �� P Y Method of Final Disposals Agr__�0� Atj0 /JCEJk_H e Absorptiop . Area EXJSj//J&%(7'0 Square Feet Minimum Description (including brand name, if any) of other equipment or appurtnancest ...... NOV(-- Other Condition! or Specificationet&('XF/L1_ AA JJ / l&_ �0 6C -C- lgtO EDrvD. AF/. Z(-'t.`b COLD LAAJE 0_za 6(9&7) DUE 716 &F«_A/ I_1AJ6 Ott STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ' ( )Before Excavation ( )Upon completion of excavation and prior to placement of gravel Before covering distribution systern of absorption field Prior to backfill of any component ( !Other, Specify. fJQN67 Plans and specifications of the proposed sewage disposal system have been reviewed end are considered satisfactory. Permissi.on is hereby grae.ted to the, owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sewage Disposal ac,rrrlations in effect on the date of issue. In addition to geeral provisions set forth on the reverse hereof, this Permit is subject to the following additional terms and cpndit ons0J40.Vrn APPROVED FOR ISSUE By ( (title) The above individual sewage disposal system installed by /'�-iJ(3 e xcl l 1`) T, hes tx en 1n:rprctcd fur use by a rcprescntativc of the Aspen/11itkin Lnvlronmrnta rc:;ponsibility in case of failure or inadequacy of this sewage disposal system. DATE OF FI AL I SPI�CTION BY: L r4ew/'. A/Z %__ )Ica t nepartment. The owner aANumos a Complete as -built drawing attached. TITLE 130 South Galena Street Aspen, Colorado 91611 303/S25-2020 ASPEN*PITKIN ENVIRONMENTAL HEALTH -DEPARTMENT APPLIC.yr10N FOR -AN INDIVIDUAL SEWAGE DISP05i"r - t>EPJIIT Name C PLOT FLAN muct be filed -- Address of O',,TNER C `> �' % tAC) � '7-50 0 *zane of CAi.T` �i .�� ,- 1��;,iN• ��_ .,,� PHONE �1Z� - (v~ISC PERMIT TO 9Z: (,Picked Up ( )xailed tot TYPE OF PER.'lIT. ( )New Irstallatios ! Repair { (owner ( )Applicant , l )E'morgercy Use ( )alteratior N.')T due to failuia -frATION OF PROPOSED SYSTE�[: 1 Zrga: Description Lc7 r G oL� Z "�flv'>�ti`� �i.\\r�.rf eot\ o slots: tiling Com- Subdivision 1"ll�S �.V�..� 3ixe of Lct .TYPE OF e_pUr�ttR-cs V,1iagla Fatnily C-eiling ( )Others Do ide - p.an any further �Q Signa to one XCA Ito, of bedrooms No, of 'ofAfa No, of Garbage Disposals � No. of automatic Dishwashers � go. of Automatic Clothes rtast�_rs VATI:R SUP"rLY: tvl. rivste well, Depth 2-3 C or ( )Publie, Name of Svstem C )spring ( )Stream or Creek T'LPES OF IN0I7:0UAL SEWAGE DISPOSAL SY TcM PP.CPCSEDs klTSeptic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration °:ailet ( 311our.d ;�1Rceycling, potable use , )Recycling, other use ( )Vault Privy ( )Others T!tr'.nitial 3S2e inspection must be arranged with the Asoan/Pittin Ervircnr.enta! tiealt!' Department :725-102C, refore a pernit can :e islucd. The individual sewage disposal permit must be Issued before a building permit can be cbtaln0d. i'INA:. IN5PECTT_CN A,'i-RCVAL MUST BE 11.lViiV BY THE ASPEN/PITKIN ENVMR NMENTAL HEALTH DEiART?'.EIIT PRICR TO PACKFILLING ANY PCRriGN OF THE SYSTE". I►PFT=cation for an individ+Sal sewage 3icposalpermit is hereby submitted. TY.e urders_gned cknoyledges that the atlove iriornatinn is true and that false information will n ligate the a?plication and any subaecuent �ezr t. Signature of Applicant �d� `" DAA-�-- (This application becomes. invalid 12 ^.ths �rom the above date.) NOTE: PLOT FLAN muct be filed ;with this applicaticn. tQ Flease locate the following items by measured distances:` 1. Property lines --.nd dimensions. , 2. Proposed and existing water wells on subject property and adjacent property. 3. Domestic water service lines. 4. pro 4_Eed ani cxiscinq buildings, driveways, and other 3. Structures. Streams, lakes, ponds, irrigation ditches, and other water b. courses. Fronosed and existing individual sewage systems on subject property. SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCT-LON IF INSTALLATION IS TO BE CHk GED FROM CRIGINAL PLAN. The and rs gn rareby acknowledges receipt of this individual sewage disposal pecr�it /ap?lication and a permit fee in the ancur_C Of Receipt Number 21--. Date Fee eeaivrd / ! % '� r "5Y � Administra_ivo Officer �� /fie . � • . ' 130 South Galena Street Aspen, Colorado 81611 30.3/925-2020 GENERAL PROVISIONS OF AN INDIVIDUAL SEWAGE DISPOSAL PERMIT This Permit must be retained and made available for inspection at the above location upon request. This Permit shall not be transferred without approval of the issuing agency. This Permit shall expire 120 days after its issuance if construction has not commenced and a valid building permit has not been obtained. Any change in plans or specifications after the permit has been issued invalidates the permit, unless approval is secured from the Health Officer for such changes. This Permit is temporary until final approval is granted by the issuing agency in writing. Final approval cannot be granted until construction, repair and/or operation have occurred in conformity with the conditions of this permit. This Permit is valid only for the indi- vidual sewage disposal system and/or equipment specifically identified herein. Before issuing final approval of this Permit, the issuing agency reserves the right to impose conditional terms and conditions required to meet its applicable regulations on a continuing basis. Monitoring and testing requirements may also be imposed. The issuing officer shall be notified not less than 24 hours prior to backfilling or closing up the work which would prevent inspection of components installed in places otherwise inaccessible following such backfilling or closure. This Permit may be revoked or suspended by the issuing agency for reasons set forth in the regulations of said agency or of the State Board of Health, as applicable, including failure to meet any term or condition imposed thereon during temporary approval or upon final approval. Each and every condition of this Permit is a material part hereof and is not severable. Any challenge to, or appeal of, a condition hereof shall constitute a rejection of the entire permit and upon such occurrence this Permit shall be deemed denied ab initio. This Permit is issued and accepted with the understanding that a fee in the amount of $ plus cents for each mile traveled by a designated inspector from the principal office of the issuing agency to the location of the system and return, may be charged for each of no more than two annual effluent samples routinely collected and tested from subject system as deemed necessary by the issuing agency to monitor said system for compliance with the Provisions of Article 10, Title 25, C.R.S. 1973, as amended, and the rules and regulations which implement said Article; and that a like fee may be charged for each such sampling taken in conjunction with the determination of compliance of subject system with a cease and desist order issued pursuant to C.R.S. 1973, Section 25-10-107(1)(k). The issuance of this Permit does not imply compliance with other state or local regulatory or building requirements, nor shall it act to certify that the subject system will operate in compliance with applicable state and local regulations adopted pursuant to Article 10 of Title 25, C.R.S. 1973, as amended, except for the purposes of establishing final approval of an installed system for issuance of a local occupancy permit pursuant to C.R.S. 1973, 25-10-111(2). APPLICANT'S SIGNATURE