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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 � •