HomeMy WebLinkAboutpitkin.eh.264335103002 (1988)2-W3-3:'/ -o3 �-
i ASPEN*PITKIN
ENVIRUNMENTAL HEALTH DEPARTw1ENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. �0 Ll
TYPE OF PERMIT: K)Ireviou.s
)Initial Construction ( )Emergency Use ( )Repair Work,(Pcevious Permit (0 lteration of an existing system,
or installation Per. it i
( )Doe Permit as a result of Sale ( )Other:
ISSIFED TO: DATE OF ISSUE . q -04
O -,mer fIG_1�'7— Home Phone ,' a2� Business Phone
Mailing
Address
Agent fl' I�UNSTry(7
Mailing /�
Address �)(3,01 145,
Phone
Sewage Disposal System Work to be performed by
This permit valid only
for premises location by tho following,/legal d1Jeucriptions
LOT i
SIZE -3. ! %"tC?� J . WATER SUPPLY � �y/s/e/v AVERAGE PERCOLATION RATF 10
This Individual So a e D s Permit is granted with regard to the following use: LCI.
Pt
NAutaber of: / Bedrooms FN fts Garbage Disposals__ Dishwashers ¢Clothes Washe�r�s��
1 `�"" ��rr—� CALCULATi:D AVE CE DAILY WASTE LOAD Ir GALLONS [7� L l ; �� ���IsL�/VJ'�%��J��`3%�
C-44- � �l7'G-
THF NATUPRE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
� J2S�J
Type of Tank or Treatment Unitt<e_r'�}' /Kv Tank Capacity Ca Ion Minimus ``
rv:thod of Final Disposals � -Z )LY�f`f Absorption. ))Area S _are Feet Min(immum6rMAL.1
ji Description (including brand name, if any) of other equipment or,appurtnancest A D1 -F/ JAL ARoA
t)ther Col i;'l or Spccifica�
,2FnJ
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Aefore Excavation ( )Upon completion of excavation and prior to plaeement of gravel)Before covering distribution
system of absorption field
(Prior to backfill of any component ( )other, Specify:
Plans and specifications of the proposed sewage disposal system have been reviewed and are ecnsidered satisfactory. Pernissi.on
is hereby granted to tLe owner or his agent to perform the work indicated above in accordance with the Pitkin County Indivi ual
Sewa,e Disposal Rcvulations in effect on the date of issue. In addition to general provisions set forth on the reverse her=of,
this Permit ie subject to the following additional terms and conditions:
APPROVED FOR ISSUE BY (title)i✓O.c�DiJ/�e7+i`TAC
The above individual acoago disposal system Installed byl`7/ C/jJ G�/f/t-r/r/'"&(rl/LL-
has tx•en in::pccted for use by a representative of the Aspen/Pitkinin—l:nvironowlitalHealth Dep•:runent. The
owner asaumoa a
re::ponsibility in case of failure or inadequacy of t "AzlewAt)c isp 31 system. Complete as -built drawing attached.
DATE O1 NAL INSPEC I N e� / d 0 '
BY: TITLE
130 South Galena Street
r
CC
Aspen, Colorado 131611 303/925-2020
ASPEN*PITKIN N•(py'
ENVIRONMENTAL HEALTH DEPART WlENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT
Name of OWNER
Paul & Paula Bwct
PHONE wn_-�n2a
Address of OWNER South Starwood Dr., Aspen, Co 81611
Name of APPLICANT Pioneer Bldg & Construction Corp PHONE 925-1917
PERMIT TO 9E: M Picked Up ( )Mailed tot TYPE OF PERMIT: ( )New Installation ( )Repair
( yO6mer ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure
IpCATION OF PROPOSED SYSTEMt
Legal Description Lot R -44 '
Subdivision Size of Lot x.1(77 acres
Lot Block riling
TYPE'OF STRUCTURE: (X)Single Family Dwelling ( )Othert re you plan any further additions to the
residence? ( )YES (%1)NO
No. of bedrooms 0 No. of Lofts 1 No. of Garbage Disposals 1 . No. of Automatic Dishwashers 1
No, of Automatic Clothes Washers
WATER SUPPLY: (X)Private Well, Depth fit_a r-Wond or ( )Public, Name of System
( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWArE DISPOSAL SYSTEM PROPOSEDt
(X)Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound
(')Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other:
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020. 8:30-9:30 a.m.)
before a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtained.
FINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION
OF THE SYSTEM.
Application for an individual ge d posal it is hereby submitted. The undersigned acknowledges that the above information
is true and that false informs l i v lid a the application and any subsequent permit.
Signature of Applicant DATE Z
(?his application becomes. invalid 1 months from the above date.)
NOTE: PLOT PLAN must be filed with this application.
Please locate the following items by measured distances:
1. Property lines and dimensions.
2. Proposed and existing water wells on subject property and
adjacent property.
3. Domestic water service lines.
{. Proposed and existing buildings, driveways, and other
structures.
S. Streams, lakes, ponds, irrigation ditches, and other water
courses.
6. Proposed and existing individual sewage systems on subject
property.
SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO
BE CHANGED FROM ORIGINAL PLAN.
The undersigned hereby acknowledges receipt of this individual sewage disposal permit application and a permit !ee Ln the amount
of $ Receipt Number , Date Fee -Received /0- 3 - kf_,.by
=SCS
Administrative Officer
130 South Galena Street Aspen, Colorado 81611 303/928-2020
' TYPE OF PERMIT:
;J
ASPEN6PITKIN(O -
3.u)
ENVIRbIVMENTAL HEALTH HEPAR T
g95
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
( )InitialConstruction ( )Eaergency Use ( )Repair Work,(Previous Permit f
or installation
( )Uee Permit as a result of Sale ( )Othort
ISSUED TO:
Home
Mailing
Address
Agen t__�
Mailing
Address
DATE
00
S fig✓ u �ooa.l 1v�
()()Alteration of an existing syaten,
Previous Permit 1 72G )SI )
OF ISSUE.
PhoneCC Business Phone
rt-7rc- LA
Phone
Sewage Disposal System Work to be performed by
This permit valid only
for
� premises location by the
� follo�wingleg^al ,descriptions
LO? SIZE 3.1 �/a�IqAVERAGE
N RF/C
This Individual Sew eD s Permit is granted with regard to the following use: ,L IL
Number oft ` Dodreo s Cts C Garbage Disposals__ Dishwashers Clothes
Washers'
ftMJ —/ CALCULATED AVE GE DAILY WASTE LOAD
C4+1 �J1&D
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
ype of Tank or Treatment Units lX / /"}/n Tank.CapacitV_/_ � Ga n Minim
,=
N,=
c-thod of Final Disposals S i8—Z A i r/�% � Absorptiop. Area _ 5 este Feet Minimum�'r�/�iL
eseelption (including brand name, it any) of other equipment or appurtnanccss
AvD�T�ontA��i�EA .Fr.
Jthcr Co/dition! or Spccitica� loner �� �/ / i�� E��IA4
21wl 6 � WS T1 F r, FAJ
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: '
( )DcIore Excavation ( )Upon completion of excavation and prior to placement of gravel)Before covering distribution
system of absorption field
( Prior to backfill of any component ( Other, Specify:
plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission
is hereby granted to the owner or his agent to perform the work indicated above in accordance with the Pitkin County IndiviJual
Sewa,c Disposal Revelations in effect on the date of issue. In addition to general provisions set forth on the reverse her-:!0f,
Permit is subject to the following additional terns and conditions:
6AAPPROVED FOR ISSUE BY 1 (title) GVIiJ,QcW/4ewrl?L_ t/E13LTN �GF/erfi�
The above individual sawago disposal system installed by
has tncn ln::pcctcd for use by a representative of the Aspen 1'it in Unvironrm:ntal Health Deparuncnt. The uwnor asawnoa a
re::I,onsibil>.ty in case of failure or inadequacy of t iu aewa,j isp (sI system. Complete ax -built drawing attached.
DATE OF NAL INSPEC I '� 4 '
BY: TITLE �4V_,1�1JJz10rte
130 South Galena Street Aspen, Colorado 8'161') 303/925-2020
fel` ,1r � •