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HomeMy WebLinkAboutpitkin.eh.264326403003 (1984)_,A3 63 -0©3 ASPENOPITKIN ENVIRONMENTAL HEALTH DEP RTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT 140. 1 603 TYPE OF PERMIT: ( )Initial Construction ( )Emergency Use or installation ( )Use Permit as a result of Sale Repair Work,(Piovious Permit #Nc r ALLWt )Alteration of an existing system, (Previous Permit 1 ) ( )Others ISSUED TO: DATE OF ISSUE. Own er�1 a��/� /jib LLAk0E-_F Home Phone Business Phone Mailing - Address_ Agent 6=12 LIPID Esau /U('lly� � Phone 6 0'— Q� — Mail ' ing /�5 -cm 06 tt1eiq Addrss Ol qV &c/_F%� Ave 1 �D I Sewage Disposal System Work to be performed byLOS SiYtiTN '�r'/✓��N/�C�� This permit validOI foor premises location by the following legal descriptions C(�,s,O •/ -/ LOT Site �:�-��/`FS , WATER SUPPLY ST)q�"r� TCgVi AVERAC:E PERCOLATION RATE /"/%N %/ve This Individual Sewage Disposal Permit is granted with regard to the following use: Nutaber of: Dodreoms Lofts Garbage Disposals_- Dishwashers_ j Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD I -CI ' GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Tank or Treatment Units SEPriC 1,AAIB Tank.Capacity I 50(n _Callon Minimum Disposals G Absorptio0 Area y c_ Square Feet Minimum Method of Final /LIQ 1NC Ems' YJ A0111D g/ /}L f%A SQUARC FEETMlivj Description (including brand name, if any) of other equipment or,appurtnaneess /"ICC L1TeHEo1 MgA1UF14CTU,'1N6Tj1G 0 6A1,&0nl S671 97-1c W1 ;-/ 1477-i4CH6 D©suic c HAM ecw 4AJ-0 'S I PHCA1. Other Conditiond or Specifications: (i(l 1 o u�f�6E�ISP�S<FL�y TEM 7b 8C 1A1-3rALLE10 XiC /' /VS AW SPEC/F/147/DNS.. OF 3 /S� oN S a *�S�-�. u. � %�l�S ��r Cv TRUCT/O� /�D✓1 SIDtiCS S�' 16E- F4LLOL(%ED N© ��y Y T74lS DEP14 IVIS-, TALES REQUIRING INSPECTION B THE HEALTH DEPARTMENT: ' ( )ncfore Excavation ( )Upon completion of excavation and prior to placement of gravelaefore covering tistributiionield Prior to backfill of any component ( )Other, Specify. � N E ---- Plans and specifications of the proposed sewage disposal system have been reviewed and are- considered satisfactory. Permission i:+ hereby granted to thf, owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sewa,e Disposal Re•rnlations in effect on the date of issue. In addition to general provisions set forth on the reverse hereof, this Permit ie suhject to the following additional terns and conditions: APPROVED FOR ISSUE BYAt/ _ (title) 6"e-ttlt� � i The above individual ac%eago disposal systens installed I has tx cn ln:;pccicd for use by a representative of the Asl n i'at to Cnvlronm�•nta lies t. Department. The owner assumes- re �onsiblltt in case of failure or Ina quacy of thio 9 walge dis oal a stem, t m 1 as- uilt drawing n tachod. ( 1lP/'�C'l't/6DfIZ,I fI aA'l� ��r� DATE 0 INAL INSPECTION_ 1 !i BY:&V� TITLE,__ `'l�i✓ z1 j 130 ouch Galena Street Aspen, Colorado 81611 3/925-2020 D—i i,4n -7'� ��< n �,i= is � �%✓P/_ 1�.4 T /D/l� t3,r- 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 ;'hall 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