HomeMy WebLinkAboutpitkin.eh.264326301013 (1983) (Main House)7^•_.•e: �}'.•. .._,•.,...-.,rx.,1 _. .:-S,�if+++.s.'K►'. ... ... a#C .�.._...... _ ..._.. _.
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• - ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
• .. _:...R+.c.,o. _��.TT .r, T rpFr .r T T F', T• � O
?YR'P. OF PF? MTT :
g }'.aitiai Constractlon ( )Emergency Use( Repair rtork.(Pcevicus Permit 1 MN ') t )Alteiot,aon of anaexisttng system,]
or lnutailation ////!��!
)Una Permit as a result of Sale ( )Other: / (�
MUED TO: DZTE OF ISSUE
,A-vner B�i�% �i�N _ _ Rome
_'Nil ng
Address '
Phone Business Phone
agent_ __) r1 ff tJ �AG'O gSEN Phone
Sewage Disposal System Work to be performed 'by i', SEQTIC- - ORA C- Cg- C.xe_.4t1A-��AI6
This permit valid only for premises iocation by tho following legal d._dcription:. Q � !Za)06�'J��./ _
Of
LOf SIZE C G S WATER S U;,PLT aL)49'9)Lj1S/6P'j]►VERA(IE PiCC0:31TI0`1 R/ITF..^��L-�-_/!/
This Sndividuil Sewage Dispx:sal Permit is granted with regard to the following use:
Istraber oft Dodreoms 'Lofts O Carbage Disposals_ Dishwashers_ clothes Washors
CALCULATED AVERAGE DAILY WASTE LOAD cALLONS.
THE NATUZE OF rHE SYSTS:�1 I.ICLUDED UNDER THIS P=MIT:
-- -- -- - /AAA �AL.LOA/ M►nitp0M F044AW�e
Ty -_-2 of Tank or Treatment Units- a
:method of Final Lisposali ;c-�Nc itE� Ad)� . Absorptiop
: oescrigtion (including brand name, Lf any) of other equipment or appurtnancess
A)AJE
:_ Other Conditions or Spccificationst
Tank Capacity _Callon Hinimt:.-r FOX _
0
Asea,(D Square Feet ML-11-1--t-
EPA
ining vs�
V�EEP.4�T
c80 SQ .F-: M ttiJ IM(JM !/v
ABzc)p_ io,tl T,e��/c S C1�
3 /NG
C
,LINTS
- NNE
STAGES REQUIRIING I2v SPEC T SON BY THE. HEALTH Dti P tM:ZZ 1T :
( )ne:ore Excavacion upon completion of exca•:ation and prior to yl�dement of gravel �ystem ctvab{oridi,n+f-,ttlon
Prior to backf111 of any comporcnt ( iOther, Suecifyt -- --- --r`-•
Plans an,i specifications of the proposed sewage disposal system have been reviewed and r.re eonsi.iered satisfactory. Pccmi ai.on
is hereby gra.Ited to the �w-cr or his agent nerEnrr+ the wrk in,licated above in ace rdarcc with t.`.c pit:<in co—ty L•.l:vuai
Sewage Ui posai ACIo21aL:On9 in etfcct en the care of >aaue. In aad:tion to ye_acral provis:ona set forth on the raver se hureor,
this Permit is suhject to t!:e following add>tional terms and condition:3: AJp AfIe
APPROVED F0 ISSUE BY �, ' (title) -'
Thr a?x
Ivn, in.iivldual sc.lago dlspcs'11 System Sn^.talled by ��/ ��e�N�/ _ �r�" �� •�1S N�
d.a hien lu:�c+ecte•1 for use by A rcurrsentatty- of rhe P.spe ':CTc►a l:-vei�ec+:n<s Lca t. S?rp.�ctrn.�nt. Ti. ..wnur
rvsponsibillty in ca ac of failure or Snadrquacy of tftrS ocwaya daapow.al _j.1tcm. Corplaz.o as-LuLit drawing aCtacicd.
- 3
' DATE 4F.1 F NAT..
DY TiT'LE,
130 South Ghlena Street Aspen, Colorado 91611 03/925-2020
GENERAL P13CVTSIONS OF AN
INDIVIDUAL SEWAGE DISPOSAL PERMIT
This Permit must be retained and made a-ailable, 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 acid/or operation have occurred
in conformity with the conditions of this permit. J'his 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 or, a
continuing basis. Monitoring and testing requirements may also be impcsed. The issuing
officer shall be notified not i_ess than 24 hours prior to backfilling or closing up the
work which would prevent inspection of cc-uponents installed Ln 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 Dermit 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 rents for eaci, mile traveled by a designated inspector from
the principal office of the issuing agency to the location of the system and return, may
be chaT.ged 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 ocher 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 SIGNaTJRE
ASPEN06PITKIN
1 ENVIRONMENTAL HEALTH -DEPARTMENT
Ash IrSD`'VIDUA.L SEWAGE DISPOSAL• PERMIT
a3a a 0'� `win" �:.� � O ' �'� � ���' P � PHONE
M.xr- c r.;Pr'LI{`.. ZTV �y P � �rt?�- ` JDAn eJ0Ce) J r'11 PHONE
ft %+fi2Y T3 3ei :3 r tM ! `iw:ilal t*i TYPE OF PERMIT: ( )New Installation (}(jRepair
N4�rtn:: a ?Ngp:fCaat . ( )Emergency ese ( )Alteration NOT due to failure
•'lx'-CPA,1IC11 Cr i:npPrSEG=Y�w+i.•�a, (� �
riling Subdivision Site of Lot
2. � A- scr-s
w4 ZI.ngla F..mily :>+.e:lia4 ( )dtluss Lb yea plan any further additions to th3
residence? ( )YES (k)No
'IPS. of bedro-m" - y- Me. of Lofts of Garbage Disposals � No. of Automatic Dishwashers
•'YQ:9. of +in.sratie cloth=s Warrers IF
"71;Ea�tuPMY: ' '^-' Lata wcll, De�+th or (�jPublie, Name of system �:? •' i
d )cpr i nq
t }Sirc:-n or L.tmx
"'f'`!?� C" `•�":TOr,7*r, �qw('q 01c?rJS.`-., SYSTF*t PR_nPCSFDt "
Nozegtic ;ankjA:sorpt_on+Ficid ( 17.cratiun Plar.t/Aoaorption Field ( )Composting Toilet ( )Incineration Toilet ( )Moand
)9&cyrclir's, p:t.a:rls :+sa ! ;Raa,:cL'nq. other use ( )Vault Privy ( )Other:
,the i-Stza' + to 5I^rt'.7n cruet bu arz.•.ngrd With tie AzDf-n/Pitkin Environmental Health Department (925-2020, 6:30.9:30
t�--fSre: a Pit -nit Zan be The ind:vid ial aewage disU-sal permit must be issued 'before a building permit can _ obtained.
',71ML INS^CZT:0; AP:::JV.1L Y4L'S' 3.^'. GIVEN BY THE ASPE.N%PITKIN ENVIRO::MENTAL HEALTH DEPART:'.ENT PRIOR TO 9AC11,FILLINC AN: PCRTION
;Ap¢Ti;zl ton frr an inai1riaLal sew_gz disposal p-rmit is h^reby submitted. The undersigned acknowledges that the above information
Is Upst- end iha: raise in rns on y 1 inva)r date tris application and any subsequent perlt.
:s:%Matnre o= Appzi«ant / DATE
r SThis application becomes. invalid 12 months from the above date.)
?1ML : P JOT DLA"+ must he =i1pd with this application.
ffitase Incai.e tre fcllc:ying '_teras by measured distances:
1. Property lines and dip ensi _ns .
3. Propcsed and existing watei wells on subject property and
fOjacent nrope-tv.
e 3. Domentic Water _ry:cn lines.
4. profAlsed and existing buildings, driveways, and other
s►rs _tzr=
S. Streams, lakes, ponds, irrigation ditches, and other water
Courses.
S. ?reposed and e:-stiaq indiviw*.gal sewage systems on subject
property. ,
SU kzI A YC: ,TISE'J pL&.V pL �,' PR�.CR TO CONSTRUCTION IF INSTALL, -,.TION IS TO
BE CHcrNCED FROM: ORIGININI. PLAN.
-thetde^tzsV.sed hherurby aeY.nov:sdges rfcetpt is i dividual sewage disposal permit aP llieation and a permit fee in the amount
lkata"•.fit Nur-.!Der � Date Pere Received O i �t'by
Administrative Officer
130 South Galena Street Aspen, Colorado 81611 303/925-2020
1
Abpen / Pitkin Environmental Health Departm t
Contact Log Sheet
Name:
Parcel ID#:
Date
2 to q-3 -- 210 ~off - D
Person S oken To
Address: b S Z
Comments / Action to be Taken I Initials ITime
n 15'5
y
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5
st
I
i
- MIL
rnvr�nTY OWNER
E"14
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
MAILING ADDRESS
LEGAL DESCRIPTION OF PROPERTY
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" minimum)
Diameter of Test Holes
Water remaining after 8 hour soak
PHONE
TEST •
• •
Dro Time
Drop Time Drop Time
ME
Ed
NEW
Percolation Rate Each Hole
Average Rate ;N —
Comments on soil or site:
Signature
a.Z. at
250
790
Date
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ASPEN/PITKIN COUNTY REGISTRATION FORM
FOR FIREPLACES AND STOVES
Required Pursuant to Pitkin County Resolution No. 88-58 and City
of Aspen Ordinance No. 20 Series of 1988
Be sure to fill out
& return even if you
have no stove or
fireplace.
Name of Applicant Robert A. Hefner, III
Name of Owner Same
Complete & return this
postage -paid form no
later than Oct. 1, 1988.
(Fold in half, staple &
mail)
Owner's mailing address c/o The GHK Company, 6441 N.W. Grand Blvd.
Oklahoma City, OK 73116-5506
Street address of structure 952 Trentaz Drive, Starwood Subdivision
Legal description of property Tract R -8-B, Starwood
Type of structure: single familyl X1 duplex �^ condo�_J
commercial] other: i (what?)
NUMBER AND TYPE OF FIREPLACES OR STOVES
TYPE NUMBER
FIREPLACE
FIREPLACE INSERT
WOODSTOVE
3 Does it have gas logs? No
r.,
L
COAL STOVE OR COAL FIREPLACE 0
GAS FIREPLACE APPLIANCE 0
OTHER
Manufacturer, Model #, and Name
DOES THE INSERT HAVE A CATALYST
Yes No !_� Unknown
Manufacturer, Model #, Name
DOES THE STOVE HAVE A CATALYST
Yes ( No J Unknown
0 TYPE:
Signature of Applicant Date
IMPORTANT: Please note: Ordinance 20 requires that the application
must be returned to the Aspen/Pitkin Environmental Health Department
no later than October 1, 1988.
PLEASE LEAVE ORIGINAL MAILING LABEL AFFIXED
L -ON 4!u.J*d
OD °u9dsy
GlVd
a6e190d *S'n
1% via
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0MVA3�1n09 aNv 1S3MH.JdON 1009
I I ' d 1?A908 ' 63N 33H
6i££0/53N
r
POSTAGE PRE -PAID BY:
Aspen/Pitkin Environmental Health Dept.
130 S. Galena
Aspen, CO 81611
ASPEN/PITKIN ENVIRONMENTAL
HEALTH DEPARTMENT
130 SOUTH GALENA
ASPEN. COLORADO 81611
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