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HomeMy WebLinkAboutpitkin.eh.264326202002 (1986)-262.---ez-ode. ASPENOPITKIN ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. t�ljD� TYPE OF PERMIT: (XInitial Construction ( )Emergency Use ( )Repair Work,(Pievious Permit 1 .) ( )Alteration of an existing system, or installation (Previous Permit ! ) ( )Use Permit as a result of Sate IISSUED T0: J DATE OF ISSUE. 3 -3/4 Ouner 01400-K-4'60,1ME Home Phone 'tailing Q Address P.O. Dox �/�ou)MASS U/LEGE 02 Agent j D d / " WS0&) /vi Ma i l.in g I Address D�i(� CIL/ ixj0,eA1F, Business Phone Phone 92,%L 192-0 Sewage Disposal System Work to be performed by P\UDD This permit valid only for premises )o cation by tho following legal descriptions LOT SIZET1l�K�S_ , WATER SUPPLY AVERAGE AVERAGE PERCOLATIOE. ONN RAT This Individual Sewage Disposal Permit is granted with regard to the following uses S146LEr'6,101RFjID NLr-1h.r of: Dedreoms _-5-- Lofts n_ Garbage Disposals_ Dishwashers �� Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD 7��� GALLONS. TE7 NATn,E OF THE SYSTEM INCLUDED UNDER THIS PERMIT: n-! of Tank or Treatment Units SC,f I C =A/K Tank Capacity 0 1 _Callon Minimim -4t.`.od of Final Disposals h3sozeTmo J 1 ge7�CHEs Absorptioo Area Square Feet Minimum R:cription (including brand name, if any) of other equipment or,appurtnanceas other onditions or Sp cc icationss VLA&1S MD P CCIFICXTIOA1S . DATEO (OF -8 193G-308 �n�iNEE,�S MUsT(3f✓ GoGGouJEO Oess AMEWEQ 6Y ENG1►JFFP- 1n1 tt)RlT1�JG, STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: -' ( )Before Excavation Upon completion of excavation and prior Lo p!aCement of gravelBefore covering distribution system of absorption field Prior to backfill of any component ( )Other, Specifys Plans and specifications of the proposed sewage disposal system have been reviewed andare cc nsidered satisfactory. Perminalon is hcccby granted to the owner or his agent to perform the work, indicated above in accordance with the Pitkin County Individ:la.l Sewa;-� Disposal Revv:lations in effect on the date of issue. In addition to general provisions set forth on the reverse Ler•=er, this Permit is suhject to the following additional terns and conditions; fJdj1�� APPROVED FOR ISSUE BY (title)fl- 7^.c abnve in:iivLdual sevago disposal system installed b Upp WT-/ OA,/ _ 1,"s b, -en In::pceted for use by a representative cf the As):en !';t In inv;ronm.rnta .Hca tai-nep•srtunant. The uwnur aseumoa a 1 -por.sibility in a of fa uric or �nad�-qua Y of Chiu 9ewd o disposal system. Completo as -built drawing attached. A ifiL /lam%Tl0I AtJ $� a� / DATE OF FIND. INSP T, N O TITLE '130 Sout a era reet Aspen, o ora o 1611 O CC'. P -r v- iI-j (o UIUT Y RU i LZ MC loft ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER Chuck Racine PHONE 923-5723 _ Address of OWNER P 0 Box E2, Snowmass Village CO 81615 Name of APPLICANT Jon-11onson, McLaughlin Eng, Ltd. PHONE 925-1920 PERMIT TO BE: (� Picked Up( )Mailed tot TYPE of PERMIT: (X)New Installation ( )Repair ( )Owner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEM: Legal Description C Lot R-81 Block Filing 12 Subdivision Starwood Size of Lot `� " V Ln/t + 7 acres TYPE OF STRUCTURE: ( Single Family Dwelling ( )Other: _ Do you plan any further additions to the residence? ( )YES )ONO No. of bedrooms b ' No. of Lofts U No. of Garbage Disposals 1 No. of Automatic Dishwashers 1 No, of Automatic Clothes Washers 1 WATER SUPPLY: ( )Private well, Depth or ( 'Public, Name of System Starwood ( )Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: - J.xSeptie 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 individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information is true and that false info ation will invalidate the application and any subsequent permit. Signature of Applicant ::2 DATE 2 6 , 456 J(This application becomes. invalid 12 months from the above date.) NOTE: PLOT PLAN must be filed 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. 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 hereby acknowledges receipt of this individual sewage disposal permit appl ion and a p mi Lee in the amount oL $ �(/(/ �- , Receipt Number , Date Fee Received •by /— Administrativo Officer 130 South Galena Street Aspen, Colorado 81611 303/925-2020 CJ 210A Ventnor Ave., 11 September 1986 Bob Nelson Pitkin County Health 130 South Galena Aspen, CO 81611 Aspen, Colorado 81611 Ltd. (303)925-1920 RONALD C. McLAUGHLIN HALFORD E. ERICKSON DOUGLAS T. SOVERN WILLIAM C. TAGGART ROBERT L. CARLEY WILLIAM R. KENDALL CHARLES L. HARDT RALPH L. TOREN JOHN T. MANE GENE A. BURRELL MICHAEL E. MERCER JOHN M. PFLAUM MICHAEL R. GALUZZI RONALD E. DVORAK SCOTT E. LEHMAN KENNETH D. ZIEBART MARY ANNE BLISH TERRENCE P. KENYON HAROLD ROBERTS JACK W. STEINMEYER LEANDER L. URMY DISON A. PALMER Dear Bob: Construction has been completed on the Racine septic system in Starwood. After several site inspections, I can say the system was installed in accordance with plans with certain exceptions which I approved. Specifically, the drop boxes are of CMP instead of RCP, and are sealed with Rubberneck. The septic tanks are of fiberglass. Thank you for your help on this system. If you need anything else, just call. Sincerely, McLAUGHLIN WATER ENGINEERS Jon G. Monson DENVER CASTLE ROCK LAKE DILLON TULSA (303)458-5550 13031688-5599 (3031468-2141 19181664-2741 COMPLETE ENGINEERING SERVICES IN: WATER RIGHTS AND RESOURCES WATER TREATMENT AND DISTRIBUTION SUBSURFACE DRAINAGE IRRIGATION FOUNTAINS STORM DRAINAGE AND FLOOD CONTROL WASTEWATER COLLECTION, TREATMENT AND REUSE FIRE PROTECTION WATER BASED RECREATION SPECIALTY HYDRAULICS RATE STUDIES AND UTILITIES ECONOMICS [FAX/MEMO TO: Phone Fax Phone 9 2 - ICC: I Date l Number of pages including cover sheet T FROM: Nancy MacKenzie Aspen/Pitkin Environmental Health Dept 130 Galena Street Aspen, CO 81611 Phone 970-920-5076 Fax Phone 970-920-5074 REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP ❑ Please Comment C/ i 8 V a W 'c 0