HomeMy WebLinkAboutpitkin.eh.264334200002 (1982-2000)ASPENoOPITKIN
ENVIRONMENTAL HSALTH DEPARTMENT
`z INDIVIDUAL SEWAGE DISPOSAL iERPdIT :i0. 82Oi
TYPE OF PERMIT:
nitial Construction ( )`mergency ilse
r installation
( )Use Permit as a resuit cf Sale
( );zopair W=k, (Previous PervA t 1 .) ( ;Alteratlon of nn existing system,
(Previous Permit i ]
( lnthors
ISSUED TO: DATE OF ISSUE G'28'93
T'� Noce Phone %ZS'✓� TCS Business Phcne i� —(o ! 37
Eleanor �HoNl/4S J • •HARDY /J p
mailing j�D IDX - PEi(/ L!2egD0 4 I
Ad-�ress f D
Agentl�®i✓E Phone
Maiixog /
Address A1lA
Sewage Disposal System Work to be performed by S17&rSMAPJ—GEi2!3tZ &e-AVA��NG
This permit valid only for preniscs location by tho following legal d_scriptions A it oc LANO 1d SEt. 2-T T9 5 /C
LOT SIZE } I J AC -IBES . WATER SUPPLY %vELi AVEP-Ar.
.E� PERCOLATION RRTF. fZ �/N/A/CL4
Th18 Individual Sewa a Disposnl Permit is granted with regard to the following uses .7(t�L,E Fi1p4iL`/� 1DE/Ik E _
NI oil IIodreoms _ 3 -Lois Carbaue Disposals lL_ Dishwashers_ Clothca Nashors _L '
CALCULATED AVERAGE DAILY WASTE LOAD _4y�_^_CALi02.5.
TcIE NATURE OF THE SYS". -N' I.1(,LLJr.0 b�vDF'i _! Fi.a
: Type of Tar.% or Treatment Units {�iC tA1UK
ethod of Final Oiaposal:5EEPAGLE 1 T
Tank Capacity IyIJO _Callon Idinimua
Absorptiop Area 500 Square Feat Hlntrrum
Description (including brand name, if any) of other equipment or,appurtnancens
DME _
Other Condition! or Specifications
-
STAGES REQUIRING INSPECTION BY THE HEALTH DEPART1,1ENT:
( )Before Excavation Upon completion of excavation and prior to p}a_ement of gravel f )Before crverinq distribution
system of absor.^.tior, fl-ld
Prior to backfill of any co.nparent ( !Other, Specify% _/1/0/VE
Plans and specifications of the pronnsed sewage disposal sv�tr_m have boon r.evtcwed and arc considered satisf.:czory. PCrf- In.;ion
is hnrchy iranted to that owrer or his agent to pnrforn the wurk inri:curd above in .r_ccrdancc t.rltn the. Pitkin C-;"ty indivi-:� it
Sewage Disposal Rcvulations in,etfuct on the d,rte of issue. In addition tpd��ral pr:vissons set forth on LY.e ravcrae hureof,
this Permit is subject to t:.c following additional terns and conditions
APPROVED FOR ISSUE By '• (title)
i
The above individual set,a.Io disposal ays"cm !rneni'ed uy 1 !Z -—
r
has ix cn in::pectcd for use by n r.:pMscntat�vc •�i •he hs{:cry, !!',tTc aci L:avr ranm::rta Lica t❑ ticp..r tmcnt. The -,nor av�tw:.oa all
reaVonsibilxLy in ccs.; of failure o, ln"loquacy Cf thty ;Jewaypu (ilapo•al ny+tem. Comi:lato ax -built drawing attaCneu.
DATE OF FIN.'lL INSPECTION
4
BY:OTITLE Z. _
130 South Ghlena Street Aspen, Colorado 91611 303/S25-2020
ASPEN4bPITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDI�IiDliAL SEWAGE DISPOSAL PE `IIT
Name 0i OWNER
�.ddxess of OWNER
1�60X /o
S
PHONE
Name of APPLICA','fT / J SfieD i PHONE
REslicked Up ( ; Mailed tol TYPE OF PMMI T . New I zstallation ( ) Repair
Ornez ( )Applicant ( )rma rgency Use ( )Alteration NOT dug to fpilure
L.Jr'A^.ION OF PROPOScD s`_'STEMt
Legal Les:r'ction ���'- '0 F 44�'o /0-/ EESBlock__filing Subdivision size of sorsa
�t -
Do you plan any further additions to the
TYF. OF `TRUCTUa£: ` (KSingie Family Dwelling ( )Othazt resicrrce? ( )YSS ( 1:10
ho, Z! G_3rcor. `) \No. of Lofts No. of Garbage Disposals No. of Automatic Dibhwaslera
i:o, of Automatic clotics Washers _.
/
ATA?'ER SJI"PLY: Frivz. a well, Depth or ( )^ubr.ic, Yame of System
` ( )Spring
)Strestr or Creak
'Yi'S O7 I?:CIVIC'_'AL SEWAnE OISrCSAL SYSTEM PRCPOS-Oa
rcpt' -c ^_zn./:.bscrpticn ri,.ld ( )Aeration Plant/Absorption Field ( )Composting Toile: t )—icineration Toilet ( 1Mou^.d
{ 3flrcycliny, po`2bie use l )Recycling, other use { )Vault Priv; i )Other:
Tie initial site inspection my " be 07 angcd with the :,open/Pi.tkin Env.romncntal Health ucpartment 19:5-3010, P: JO -9:30 a,r.i
tefo'e T'^civ.4ua1 seway_ dibzcaal permit m::st be Issued before' a building permit can be obtain^_d.
permit can be ipsod. `e
YINAL INSPtC:iOr APPR,'1VAL Y.uS: IsE GI`1Ea 9Y Tail£ ASPEN!PITKIN ENVCRONY.E;3TAL HEALTH D£PARTM.E&T PRIOR TO DAC',rr1L ;NIC ANY
OF Tit= SYSTEM.
Appiicatien for an individual sewaac disposal permit is hereby submitted. The undersigned ackhowledges that the above i..ferr.rtion
is true and that _alae informatl.on will invalidate the applic-tion and a-ty subsequent per.ait.
Signature of Applicant DAiE_/ ��JU
(This application becomes. invalid 12 months from the above date.)
NOTE: PLOT must be filed with this application.
Vlease locate the following items by measured distances:
1. Prcpery lines and dimensions.
2. Prorn;ed and existing water wells on subject property and
a+!jacent prop?rtv.
3. Domcs�ic watar ser-iice lines.
Q. Proposed _nd existing buildings, driveways, and other
' StrUCl:. lirec^S.
S. Streams, lakes, ponds, irrigation catches, and other water
courses.
6. Proposed and existing ind_vid•.al sewage systems on subject
property. ,
SUBMIT A RF%riSED" PLOT PLAN PRIOR TO COi3STi.UCTI0N IF INSTALLATION IS TO
13E CHANGED. FROM ORIGINAL PLAN.
Tha u ersiened hereby acknowledges receipt of this individ-.sal sewagt disEcsal pe f appllestion and a permit fea in t`.a c:.o"ant
of $�_ 'Receipt Numb^r ���• Date tee Received Z Z�.by ,
' Awninisc.-ativo O(fi:cr
130 South •Galene Street Aspenj Colorado 61611 303/925-2020
To WELL
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7
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FOR- fioUSE AA/O O.,W.4,
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Dp,ivc-
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER i - 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 TEST HOLE No. 2 TEST HOLE No. 3
Drop Time Drop Time Drop Time
J _
Percolation Rate Each Hole
Average Rate
Comments on soil or site:
Date
Signature
�- _ ���
� = O 1 Mine? O Twn? O 1 Blk/lot O 1 Condo? O 1 Mobile? O 1 Sales?
❑ Pre/Suc
Account
O AccountO Parcel* NameO Situ., 22572000
❑ Remarks
❑ Value ❑ Oil and Gas
❑ Tract
Legal Description
Property Card
R004415
❑ Spec Asm
❑ State Asd
❑ Block
Year
District
❑ Sales
SARDY, MRS T J
DESC: A PARCEL OF LAND BEING LOCATED IN
❑ Misc (M)
❑ Flags
C/O MRS TED HELLUMS
THE DESC: NE 1/4 OF NW1/4, SEC. 34 & THE
2000
008
4946 WOODLAND FORREST DRIVE
SE1/4 OF DESC: SECTION 27, ALL IN 9-85
Apr Dist
St
TUSCALOOSA AL 35405
DESCRIBED BY DESC: M/B CONTAINING 4
A
ACRES, MORE OR LESS. DESC: BOOK 270
Parcel Number
MH Space
Seq
264334200002
Street No4DirNo#Street
Name
Type
Version
V. Date Time
ID
36800HWY
82
20000414000
14 -APR -2000 02:09
PM
DP
Location Ciation
Zip
Acct Type
Lagt
Land Actual
Land Assessed
Land SF
Acre
ASPEN11
11000
400,000
38,960
0
B,'—ode Owner
Id
Owner Location
Map No
Impry Actual
Imp Assessed
Square Feet
194,800
18,970
Exmpt Actual
Exempt Assess
New Version
Business Name
0
0120000705000
❑ Tax Items ❑ Protest (T) ® CAMA (A)
Total Actual
Total Assess
594,800
57,930
❑ Situs
❑ Pre/Suc
❑ Mobile Auth ❑ Personal (P)
❑ Mobile
❑ Remarks
❑ Value ❑ Oil and Gas
❑ Tract
❑ Tax Sale
Property Card
❑ Condo
❑ Spec Asm
❑ State Asd
❑ Block
❑ Mines
❑ Control
❑ Sales
❑ Sibling
❑ History
❑ Misc (M)
❑ Flags
40
Current Year
Prior Version
Go To Imaging
Prior Year
Ne(x)t Version
Abatement
Next Year
Clerk's Doc's
Property Card
Update
Clear
Exit
T
A
X
T
R'
X
C A006
Aspen / Pitkin Environmental Health Department
Contact Log Sheet
Name: s R- L
Parcel ID#: Address:
Date I Person Spoken To Comments / Action to be Taken Initials ITime
l .--3L D A, ° vv,,_.
3d
d
C