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HomeMy WebLinkAboutpitkin.eh.264327400015 (1983)A "PEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT e;"•TVTtDU11L SEW nISPOtitiL PERIIZT :iC. R- 007 "J1 t ri ,-• * TYPE OF : ='IT: Initial construction( )Em^.r?envy Use ( )Repair rior'*,('iavie-: icrsa.t tom__-) { )Alteration on ermitlexisting system'' Ar installation � )use Permit as a result cf Sale { )Other: '2 �3 rY$((?3 T ISSUED TO: - DATE OF ISSUE Owner 8v= DOPKIA) Some Phone Business Phone , Maiiing /XlA ,/1G' ASt' n+ oo"X'400 O�yi Z Address Agent_O/a _ Phone - Mail -Ing p�,/� ,Ad _ Sewage Disposal System Work to be performed byyOHtlVRaNEo$ //- This permit valid only for premises location by the followin;leg al de+scri/ptions�1 3 66CV ( U)MjC r LOB' 51Zd�.iJ� /finers WATER SUPPLYk/!//%E/7(!/'J��//��/�y7. AVERACE PERCOLATION RATF 12-048I AIC It G&_. s This individual SewaSe Disposal Pcrmit is granted with regard to the following use: Ly� risaaber oft O-dreoms_4 -LoCtsCarbage Disposals_0 Dishwashera�� Clothes Washers CALCULATED AVERAGE DAILY WAST-- LOAD CALLONS. ,.�,t THE NP.TUR E OF THE SYSTEM I\;CLUDED U�`;DER THIS P�.R.fIT: 75-0 6AU-VAIS FOR j3AW l�?<: of Tank or Treaty_rt Unit: Sc Ile- " le" `s'^"�'Tank Capacity '�70 Callon Hinim•:i method cf Final Dispcs..r ,c-vR 1ABUSe=Absorption Area 12=aQ Square Feet Hintrau.n OF ABS0,CF7700 774e,0 VCgf3 0 Description (including brand name, if any) of other equipment or'appurtnances: __/00 .. e" F00— SARA Other Condltiond or Spcctf.lcatinnst STAGES REQUIRING INS^cECTION BY THE; HEALTH DEPARTMENT: { )Before Excavation ( 'Upon completion of excavation and prior _o placement of gravel nefore coverir.a dist-rfh.;ciot +/ C system ci absorption _ d /� Prior to backfill of any component ( )Other, Specify, . ON Plae.s and specifications of the proposed sewage disposal wiystem have tern reviewed and are consii1cred satisfactory. 'erminsJ.on is hereby granted to thy- •weer or h:s agent to perforn Che work fir::Licated above in accordance with the Pit?.in Cocnty indl vioial Sewn -,e Disposal Revelations ca cffcct on the date of issue. In addition to general provisions set forth on the reverse hereon, this Permit is subject to the followuiq additional teres and conditions; IUQAi� APPi3,0VED FOR ISSUE Y4 (title) The above lm((vidual aeva•lo dispesal system installed by has �x'en ins:petted tor -se by a rcon•scncacive cf the• Aspen ?.t in Lnvi:cr.h ata Hcalch Dcp.+r cuu:n�, Tn.• uwnur ai:; �.noa oil rv:;ponsibility in cc9: of faiiuru or inadequacy of Lola Jcwage dispossa: Uystem. C.:mplatc as -built drawing attached. DATE Or FINAL IN;SPEC"'IO:t, $71: �: r TITLE 130 South 13lena Street Aspen, Colorado 91611 0ti3/ 25-2020 0 5l 8'3 cJ GENERAL PROVISIONS OF AUNT INDIVIDUAL SEWAGE DISPOSAL PEP.MIT This Permit must be retained and made available 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 rermit, unless approval is secured er.om the Health Officer for such changes. This Permit is temporary until final approval is granted by the issuing agency -!ii 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 ind i- _idual 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 continuir.,- basis. Monitoring and testing requirements may also be imposed. The issuing officer shall be notified not less than 24 hours prior to backfilling or c'_osing 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 ser forth in the regulations of said agency or of the State Board of Health, as applicable, including fail -,:re 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 Y , 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 s'.stem 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 103 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 toC.R.S. 1973, 25-10-111(2). APPLICANT'S SICtiATLE ASPF—N*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT d1PP i,I CINTTC,j,1 "R t N J"DI :'..'1JL--_ i..�F:WACE D SPOSa'�• PEILN11,1 �). Nark v^f Cw- GLZZ �!✓ ©r`��� PH�:su �I�S 75��� 27ante of a1= ri✓ tCiilti i !iL_G PEPNIT T4 B=: (-X?icked .'s ;-aitcd tot k.4b mer ('.4'policnnt iY.'AT[O+l OF eyoTF"t I.::gal Descripti; a -_F p -E_._ .__ - Lot 13 dock 4-- �nOr. jN�Yk ' OF •.:TRUi. r ti:7y18 ?da.iiy Y:6 OF YFPM (VJI�qcw Installation ( )Repair ! )£margency Cue ( )Alteaetion NO: dua to failu. iPe 14yaiefia, zc of lot 101 acres )Zther: ra you plan any further additions to the residence? ( )YES ( )ti0 Na. of txr+ droms -... of 14)ft:9_�� ulc+,. of ,rr*•a;r. :..t;.,^sala � bc. of )utomatic Ciahsas)?era :.f Auti..etic. C:1_t:ea Washers 4____�w r 1�'RaeR St)PPLY: ti : I TAl� 3Z�,b,, STS t� to D' �g�xl t�'_,,•\1 PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER PHONE 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 TEST HOLE No.1 Percolation TEST HOLE No. 2 TEST HOLE No. 3 37 t� Drop Time � Drop 31 c.— Time .�l L Drop Time t - �� a5 `/ic ` /v a 4"y 3 .� ' y ",i 4 3 O s q 9 6 Y ` 1 S11/1( - Percolation Rate Each Hole%►S L Average Rate Comments on oil or site: 1 dol Signature Date �"" PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER�� PHONE 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 30 f/ .r D q 4� � ► �O ii '/ TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 - -/ I 31 L Drop Time Drop Time 31 L - Drop Time Gi g Percolation Rate Each Hole Average Rate _ Comments on so i or site: Signature ' )a .5--0 1 S -v 1 Date���