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pitkin.eh.264322110001 (1989)
2-2-1-OCi .61, ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT NDIVIDUAL SEWAGE DISPOSAL PERMIT NO. TYPE OF PERMIT: Pt/InitialConstruction ( )Emergency Use or installation ( )Use Permit as a result of Sale ISSUED TO: ( )Repair Work,(Pcevious Permit 1 .) ( )Alterationof an existing system, (Previous Permit / .) ( )Othors DATE OF ISSUE- �0 Owner P I L HoLsTe/,q Home Mailing P. ( 42-q /45f �- Address,OLU.eA� Phone 125--&V Business Phone Will Agent JJf tJe-[f}A!SW-TIJPAL- Af�-J!aTU� Phone t,9 Ma il.in g Address (� / fo (GrIwAY g.2- CLE�A�,000 ffW Sewage Disposal System Work to be performed by Ile This permit valid only for premises location by tho following legal descriptions Lt7t SItE (� 14e K -C � , WATER SUPPLY n��J�Q�`�1/Cli{(�J, AVERAGE PERCOLATION RATE. This Individual Sewage Disposal Permit is granted with regard to the following use: -MN(!e1-t LAMILY /\CQ>1VL NuraLcr of: Dodreoms % Lofts_ Garbage Disposals_ Dishwashers Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD (�C 0 GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERPiIT: Typ•s of Tank or Treatment Units &er/e- (/��p����/ �[ liethod of Final Disposalt��,e�/�%/l/C// Absorptiop Description (including brand name, if any) of other equipment or,appurtnancess Tank.Capacity Gallon Hinimu:a Are& 114 Squaw Feet Nininum W rrH -5 FT, 0 F (34AV 6L :`,3EWLJ 4wc Other Conditions or Specificational f �- IiU� �S TO � X AlIVI/i°I!�'�'I �� S G�i<� i✓��' �/iT�f �-�F )F G A VEL_ pE� I-1 A1 ��, STAGES REQUIRING I_1SPECTION BY THE HEALTH DEPARTMENT: ' ( )Fiefore Excavation(Upon completion of excavation and prior to placement of gravel'hefore covering distribution �\ system of absorption 1i.=1d ".Prior to backfill of any component ( )Other, Specifys Plans nd specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Pern(ssi.on is hereby grar:tcd to the owner or his agenr to perform the work, indicated above in accordance with the Pitkin County Indivi real Sewa;c Disposal Re•rulations in effect on the date of issue. In addition to general provisions set forth on the r -averse hercei, this Permit is subject to tare following additional terns nd conditions: Aspen/Pitkin Environmental APPROVED FOR ISSUE BY (title) Health Officer Thv a`x+ve inAividual scria.to disposal system installed by /5f0Te'OilD/e1JC'%1Q/V_ _`____ i has brcn In:;pected for use by a representattvc ..f the .ls pen%iitleln Lnvi ronn..•n to t{ca1t�Dopar uncut. Th.e .rvnur a•: u:-.ua aTl re:;ponstbiltly in cage of failure or inadaguacy of cti a r wage disposal system. Complete ai-Luilt drawing attached. r DATE OF INSPECT O;t r'I • T Aspen/Pitkin Environmental TTTLE ��.� 130 South Galefie Stre� Aspen, Colorado 8161.1 303/990-5070 a li)! Tff LA cJNRY� G�Ey Ct1� /0�''� ��K f-tlftT/t/�IaFS 336 ASPEN*PITKIN ENVIRONMENTAL HEALTH OEPARTM T CATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Address of OWNER Name of APPLICANT :7t�Gjyf*(� M6kn �Y��� �Wt-�'�111 PHONE ',�j Z)l¢-'� PERMIT TO BE: t picked Up t )Mailed tot TYPE OF PERMIT: ( )New Installation ( )Repair ( ).Owner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure IAY'ATION OF PROPOSED SYSTEM: Legal Description I Lot Te*iel I Block_ Filing Subdivisionwil ITi:_ Rlze of Lot acres TYPE OF STRUCTURE:PC)Single Family Dwelling ( )Other: Do you plan any further additions to the ! residence? ( )YES ( )NO No. of bedrooms_ No. of Lofts d No. of Garbage Disposals No. of Automatic Dishwashers No, of Automatic Clothes Washers RATER SUPPLY: ( )Private Well, Depth or ( )Public, Name of System w _ fTFti+� 1 Sr )Stream • ( )Sttreameam or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSEDs (.)Septic 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 must 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 false ii sewage l�reth s he a s mind a The undersigned acknowledges that the above information is true and that false Sn ion w 11 i all a t(hhe a at and any subsequent permit. Signature of ApplicantDATE Thiap n becomes. invalid 12 nths from th above date.) NOTE: PLOT PLAN must be file with this application. Please locate the following items by measured distances: 1. Property lines and dimensions. 2. Proposed and existing water wells on subject property and adjacent property. 3. Domestic water service lines. <. 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 ackn,3wledges receipt of this individual sewage disposal permit a �pylication and a permit fee in the amount Of S ��© , Receipt Number Date Fee Received /,121e,7 by Administrative officer 130 South Galena Street Aspen, Colorado 81611 303/925=2020 PHILIP M. HOLSTEIN, JR. 12 June 1989 Mr. Bob Nelson Pitkin County Environmental Health Department 130 South Galena Street Aspen, CO 81611 Dear Bob, I would sincerely appreciate your assistance in releasing the plans for my new house on Lot 1, White Star Ranch to the Building Department for review. The problem with further delay is that I must complete the house within nine months to preserve the IRS deferral of funds from my last house. If this is not accomplished, there will not be funds available to build the house, creating a major financial hardship for me. The soil in the area of the proposed septic system below the house is very dry and sandy. Other new construction in the immediate area (residence of Tam and Sue Scott) did not have any problem. I have been a builder for over thirty years, and a visual inspection assures me that we will not encounter any problems. However, we will of course perform a perc test during excavation. This will be completed by July 15. If there is any further delay in commencing excavation, I will notify you. Sincerely, Philip M. Holstein, Jr. NORM GOULD & SONS CONSTRUCTION, INC. November 21, 1989 Mr. Bob Nelson City of Aspen 130 S. Galena. Aspen, CO 81611 Dear Mr. Nelson; Attached is a copy of an "As -built" for the sanitary sewer line at the Holstein Residence which is located at 0185 Yellow Top Lane, McLain Flats. Thank you. Sincerely, Norman L. Gould 6874 Highway 82 • Glenwood Springs, Colorado 81601 • (303) 945-7291 `,SPEN�PITKIN ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET Legal decription: Name of Owner: Address: Name of Agent: Ine"d L'W /2 -- (zip) Water Supply: Public Utility Subdivision Private Well Lot Area: -3 . Distance to Nearest Surface Water 2 -, ft. Dates Obsfervations Made: Soil Borings: 61;-01P? by Percolation Tests: i by SOIL BORING TESTS PERCOLATION TESTS h4 AR 7R AR A¢ A2 PR fft xt >�fe€>R RC IR 7R PR>Rit€xt AC >e€7R IR fR 7R 7R SR xt xt >i€xt Rt 1ft9R AR SR 7R �t���.����xCAR T(/T TOTAL DEPTH DEPTH TO GROUND WATER. ♦[ET F. .1 i•IMC C XV4\(11 R2 FEET OBSERVED [\TIMAT[O XIDN CHARACTER Of SOIL WITH TRIC XX [// IX /[[ % TO IAII NVM/CR INCHES THICKNESS iM IN EN[3 IST WET OYT RNICNT N 41NVT[ LA/T ►[R100 LAST PERIOD ►[R IOD B-1 SIc.TY�.;:1 Ltd-; 9 B-2 P-1 ,5 WTY CLA PERCOLATION TESTS h4 AR 7R AR A¢ A2 PR fft xt >�fe€>R RC IR 7R PR>Rit€xt AC >e€7R IR fR 7R 7R SR xt xt >i€xt Rt 1ft9R AR SR 7R �t���.����xCAR •Set fR %c Nc faT NOSIN3 � WATER F. .1 i•IMC DROP IN WATCH LEVEL. INCHES MINUTE! SECOND TO N[[T TO LAST II TEST DC►TN I CHARACTER OI SOIL SINCE NO IN NOLO INTERVAL TO IAII NVM/CR INCHES THICKNESS iM IN EN[3 IST WET OYT RNICNT N 41NVT[ LA/T ►[R100 LAST PERIOD ►[R IOD ONE IN" SIc.TY�.;:1 Ltd-; P-1 ,5 WTY CLA P-2 31�Ty cuaY tri P-3 2-0-77 P0 --.--- 51LTY CIA yItoAM-.- Average Rate: L1 minutes/inch Planof t e site on the back Date Signature 6)B NELSON -:Sr &t /PITKIN SArvfTARIAN 130 S. GALENA A;,PEN, CO 81611 0 E C.1.,CAN1i4 r o Lt 5 4 �� S4n/i 7-49 9f / /SOL S 7'r.✓it/ �ES�"DENG� N a , NEw N Pa Z�NUVln A.,.. -