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
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