HomeMy WebLinkAboutpitkin.eh.264327400003 (1981)Q
ASPEN#PITKIN
ENVIRONMENTAL HEALTHCWPARTMENT
y"DIVIDUA'_. SEWAGE DISPOSAL PEI MIT F0.��
'Y 'PL OF PERMIT:
3r.Gti.,1 c'onatrweton ( )F.mcegcncy (ise ( )RepAtr i•'ork, (Pievious Permit 1 ^.) ( )Alter -tion of an existing system,
o: i.r.stalla:ion (Previous ?ermic I y
(
1!1-e Permit a% a r. -cult of Salt ( )Othar:
ISSUED TO: DATE OF ISSUE J5: — o
Home Phone /�� '��� �Business Phone _
-_-, r_s 7"-- /
A Pnt DpF_ DA�S`fi2�� C �. __- Pbone--
fox alq7_ Cao X16 0 `Z -
:ie ry„3 D_:�noca; System Work t.-, be pecfom.,: d
This: per^it valid or,ly, for presuiace )oration by tho ioiiowir.g lugai deucriptionr__ _ M
/ /� A
NOT S i ._4 ^_ i� y� • WATER SU?['LY�) I OI�� S08p' zj"&A: 6Tf C0LAT10N RNTF (00—
+ o m' • l- with he folio In U ac,• Tib r71 V/N
TLis z^t.iv d„:L ew ie D1sr�^r.l P•_r, is y-antc� regard to L 4 _�'l.!Lv ....__!�dd __..r_•
t'+..iLcr cf. ^.odrroms _O_ lifts Q Csrhayc Disi.ussls �,MM0 oinhwnshcrs Q C!othc9 t+[ashor�
CAL^UL%.Tt:D A4:CPNCC DAILY W..tiTF. LOAO _�' d_m_2vv'IAL1.ON5.
m y ,,rye r= c m y
:i.- NA'.21.L OF TETE; ` _i_"i ,^I.iJl�i t` !1NTR .E?i� ; R1Rl"I
TyNa of :.-nuc e,+- Trer.Lr:ac t. UnitsQ��e-/•-j/�/� A11C Tat:k Ca�'•.citY._._ `� _._. nallca :i;.-lmua
_« tyori of r;.t•aL l'3+x;yala n, �, / L<� ANaorptiata Area Mla it mu
!• :s(zii�ttnr (iii.. rdinq br;_: 1 name, if vy) of other equipixnt t,r appartnarrfeas
Oth;•r :cndi +ot,.a ce Specification3a
NoNc.
ST Cf FS R-liQUIRT_NG TAMPECTION ^Y THE IiEAT,` o t)TEPAFTN_NT :
{ );,a•.'n�z Excavation ( )Upon coi.[,Irtion of :±xc.vati.o,� and prier Lo ,rca:icment of gravel 0- B'b r%r ccvertnn distributic;a
sy!;tc+a cf ar.sor2 tisn Ei-3id
Krior t•> k—Af.*111 of -1'y rorpon"r+:. 1 ;ot'aer,. speciryr
1anz and spcci4icst:ons of the p-o,'.osed eewa o. dinprj.;al 9`j4t/m'4wo been rc..icw•cd an-! <: considered a.itis':•r_tory. Per.alna:oa
is herchy grant=.d Yo t)•+: o"ner oc his an^nt rn per:nrm the vork i-rriic•7trd atxwv^ in accordance with tho Pit-kiu Cu.mty Indivi•ival
t+"-oqc Uisl^o a1 Retutaticn3 i+. ••'tr•+!t on tha dace of 1334!^. ?n n.(ilticrt to (?encrnl provisions set, fc:rW. on the x:cv(-cue here, -F,
chin normit in ^4h;e<t to the following additional '_erns an-.'cenditicna
,W!'PoVED FOR %SSU.E .� tie�
'"h a:aer• ir.dividuml xciwa,e ell? --a: %intern inst.•11.•n by STV [ f M/INK3EiCO/IZ ! �IJ�TDP� •.�L�M_ G _. _.
ha •err, ir. :;,•'CLCr] fu as^ by reprri?rtatrvc q: trc. \�. ni.'1Z in L'nv. r C•n mrn.nlaiYH(a4L [*Cp 4: ttnCnt. ti.. ownar asuun.cs•n .ta 4�
rc:-ponsit:ilsty in cdsa of failu'r_ or +.nac'.:yuecy of thil crew::; u1so.;..,1 ..yst,a,.. Colne. c. _' os huilt drawir•; 3tt^ehgS•
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BY. Illi r:
s 130 South Galena Street Aspen, Colorado 81611 (/ 303/925-2020
1
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ASPENOPITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AIT INDIVIDUAL SEWAGE DISPOSAL- PERMIT
Of. 'EP.
Address of OWNER
Name of APPLICANT
PHONE
PHONE
PER'tIT To BE: ( )Picked Up - q4m i)ed tot . TYPE OF PF_RMrr: ()New Installation ( )Rep.eir
( )Owner (t�Plicant j )Emergency Use ( )Alteration NOT dua to failure
I/1CATIO'R OF PROPOSED_ SYSTEM, r��_�✓�. ` `
Legal Description ` �� •��C?/l� f^' ��_�` / vM..
lot3.ecicv_ Filinq Subdivision Sizer of Lot acres
00 STRVCTU£E: ( )Single Family Dwelling ( )Other: i jri/r/ Do you plan any further Vdi`inns to the
residence? ( ,' YES PQ -UQ
,:J, of bedroota3�� No. of Lofts 10 No. of CAtLage Disposals (5No. of Autnrar.tic Dishwashers
Pe. of A:tonatic Clothes Washers //1
lik-MA SUPPLY: ( )Private Wail, Depth .. fir XPublie, Name of System4"4//-V-
(?Q,Sprinq
( )Stream or Creek
I P. GF INDIVIDUAL SEWAGE rI5PC."AL SYSTEM PROPOSED,
04-eptic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Tncineration Toilet ( )Hound
( )Xecy ling, potable use ( )Recycling, other use ( )Vau.t Privy ( )Ot_hcrt_
Tae initial site inspection must be arrangad wit:S thu Acpea/Pitkin Envi:u.,,;rcntal :teslth De,..rtmcnt. (5I: ?.0 9, F.: d -y: ?0 a.m.)
1xfc.rc a ;.:r]it can be isec;ed> T`_ 17:3zvidual aec,ag» disposal permit must to isaued befo:a a bu ldiny po.,-At can t•+ t_Alrwe.
"JY!L INSPECTION APPROVAL MUST Bc. OIVEN BY THE ASPEN/PITK!a ENVIRONMENTAL HF.A:.'CH DFr'.\n.TM_7-!'. PPIOn 1'O BACXi'ILLING ANY 110AT:0S
r�. THE biaTF.M.
6.,:,^-•I-*.:Aticn for an individual se a disposal permit is here'.. -)y submittcd. The unde:aigned ackn.^vla_;ss t.',at the above information
a Lr -.,r. -and that false inGu'ma .rill i va.iidat the application and ary subsequent tar. L.
ai?.;4t-.rc of app?icant DATE_ ~5
(This application bILJ:h!L. inva.i>: 12 mor,tts from tha moon date.;
N0T"F, PLOT PIAN must be filed with th .s applicat::.on.
",:case locate th,: following items by uteasured distances:
1. Proporty lines and dimensions.
3. Propczd and ex sci))g water_ well: on subiec- picrcrty and
adjacent property.
5. d•omescic: u;atcr se vice lines. '
4. rropoze-1 -a:. e:.,sting buildings, driveways, and athar
stru�.tures .
Stie ams, lakes, ponds, irxigaticn ditches, and ot?
ci water
courses.
?ro)?osed aflrl, exist. incl syst,E:ns on
proper`v.
s
UBhiIT A :2EVZ5 D Pt.OT PLAN PRION TO CONSTRUCTION TF INSTALLATION IS TO
FROM, ORIGINAL PLAN.
The, ui.drrs'nn.,d hereby acknowledges recei at this ind;::d sal. sew&I-i d!s;.sual permit e^p)icAOor, anti a Permit tee in 0 a art kv%t
a:
$., Aeeeipt N;rT,btr 3SS5?6 .a=3 Fra Re.-etved S /`-/-- b'(„__,L-bY
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130 South.0alena Street Aspen, Colorado 131611 303/925-2020
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