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HomeMy WebLinkAboutpitkin.eh.264335105007 (1993)ta`;_'9 24 r=tSi-=terI411t —�C€a`.�` ',-4E-A:_i H Or=-Pr-F4-Fnf: '17 UOZ/INDIVIDUAL SEWAGE I)ISPOSA?, PEIR ITT ',,ypE OF PERMIT: '' ' )Initial construction ( )Errcrgoncy Usa- All'aepair work,(Pxevious Permit 0 _—•) ( jXltecation of an existing sy.itan, or installation (Previous Pernit ( ; )Uoa Pernit as a result of Sell I )Othort ,,, ' �� / egg a: ',TED TO: DATE OF ISSUE _,�,V_W 4—eA ,,-_'�.:}—� T r Home Phone X120 -2�Business Phone. Mailing .`,."dress 10(M z.r.t��(tAC-1� CU12 CtLPn?�/, CG�e f- SyhS Phoref_� 2 --Q 2�S' —.-- BvX ;ecaa$E: Disposal System Work to be performed by (S�rt l r1'ie�✓t ' U'P%�� / ccr: it v&IJC��only �� for premises location by the following legal descriptior,x f rCte IC "'� G �1k�JU !>� WA41:R SUPPL•Yy�bme — -- .__ AVERAGE PE:RCOLA/TIO:! BATF. �QJ. 9— is ThIs Ic ii.riti�ai. Scwagu Disposal Peroit is granted with, regard to the fol.owing uses S,n;le 7LwY1���/ •/LpS, ��..,�,�..: �'�,■.il„�Car^ Di-spr.1'�_.oz: ni x�� C, 'r Has1:c:s CALCMATI�0 AVf-RACZ' DAILY WASTE :AAO _ TvO__—,�_ 5• iI?? TKATURE GF THE SYSTE'M INC;.i DED UINDFR THIS P fi.T: . Tank or Treatment Untte/�Si P+"C;" t&41if< ol: Fara. Cispo.,air tfZVitl l,•N�' �' fte"C kes Absorption :r.;.p_ion (including brand nem�e, if any) of other equipa, or appurtnoncer.% 3 -Ire �tkas G6 K f /!fyra fv r „ I rot ,,g ( . (e SS C G�a.v. t•a•t S . 10i, Conditions oa Specificationsa Prev'w.s sez sysk-% -i,.<<e'4• AJQN' JVS&w, 1h51k.t(eg ' S TAG'r"_S RE QUiRING INSPECTION BY THE HEALTH DILPAt:TMENT: Xricfore Excavation ( )Upon completion of excavation and prior to plueement of gravel ( )Before cnver•i.ng distributiez syster., of absorptiurt ZZ I =ld Tank. Capacity irs�V _callon t+iniriu: Area square Fez-, Y.S.ni:; _m rl0 /Ort e. G 1XIPrior to backfill of any component ( )other, specify: ,f�n_ and apecifirntions of the proposad scvage disposal system have been rcvicvcd and, are ccnsicicred.satisfa..toty. rcrmission -hzcrcby granted to th" owner or his agent, to p"rfnrn the work incsicated above in accordance with the Pitkin Co':.nt;+ Ircliviivai :-•va;c Disposal Re -dilations in effect on the datr of i^sue. In a<!ditior. to general provisions ert forth on the reverse her•T-cf, s Permj.t in subject to the following additional terms ant: conditions: _ ,!:'PROVED FOR ISSUE BY 1, �. (title) thn:•c lnaividual sctia•lo disposal nyaLcm in3tallcd by ••x %-,' ; •r -n ln::p.`cted Cor use by a represcr,t.:ttve Cf the Aspen rlt .in Lnvironr.nla .7tea c.• Pcy-�rtmenC, 7h.711, mur a .LLTo arl �3nsibility in ccs" of failur4 or in.1,1, y of Chiu acwavc disposal sy:acm. conploCo as -guilt ur vinq atta hod., DATE OI FlierL INSPECTION BY : J , -- I 1207 South Galerui Street Aspe-n, Colorndb 8.1611, 303/S2C-60.7 7 LIfy Wt a TYPE OF PER14IT: ASPEN*PITKI 210 43 -3s1-oS-©o IEFeI lRONt+Lrfi=N I'�.t_ HEALTH 01=-PARiMErJ T INDIVIDUAL, SEUTAGE DISPOSAL PERMIT NO._9 7Q 40 _ )zni'tiai Constructicn ( Mmcrguncy Ura! 93tepair or installation ( )Uos Pcrmit as a result of S..lr, ( othort ISSUED TO: Owaer . V! Mailing flrj(t7•s_'S� i tia i:L��n g Address Sewage Disposal Sys Z This: per:a£t val•-i-d� only for p Sue Thlt; IndividUal Sewage Uispos tritscr raft nodiccros cjazu"TEU AVE T.11L NATURE OF THE SYS' : of Tank or 'treatment Units CO cd of Final Aispoaalt .ription (including brand nama, Qe►�pfaCe.n,e.�l f UG Seg _r conditiont or spccificationst te (Pr:,viouu Perasit m bS� ^� ( )Alteration syrtem, (P ) 11ome Phone DATE OF ISSUE ZI Business Phone Phone � 3 C� -z �S� to be performed by -- Kaes locatio by tho•:a. permit is ranted with f Uffts Carba '�`�1'r�c F Q -lo Z t�•,.wcx.e � ,� i,t t ng legal ttcriptions v_1lir' c . AVERAGE RERCOG rit:`t rhTr rd to4theollowing usos5sposa2- DishvdshersL'lothes Has!tors/�Cr')--R :: DAILY OJ TC LGAO f I3� CT.LrD :•iD.ER liI S t 3 any) of other equiptr-en or app, jl f3'.iAGES REQUIRING INSPECT ( )itefore Excavation ( )Upon BY TH EAI,TH 1 �i Ion of excavation 2000 Tank. Capacity� Callon Hininu:.a rptiop Area Z 1%1/_ square :cat Minimum ancesr • -V E AF.TMENT: nd prior to pjaCenac tt.n1 grar.:l :avfore a m afvaUcospcio nr ficllon ( )Prior to backfill of any component ( ) then, Speeifys Plans and specifications o,' the proposed se ge disposal sy tem hava been reviewed and are considered satisfactory. Permission iia h..-rcL•y q.ar.ted to the owner or his agent t perforn the work; indicated above in accordonee with the Pitkin County Individual :cwa,c Uispe.sal Rc.tulations in cffca:t on the da c of iis. _ In addition to gcncrai prs%!isiono act forth on the re vcrec hcr•:ef, this rrrmit is subject to the following addition -c_ �e and cOnd41'..^.nSt - APP ROVED FOR ISSUE BY—0 dz� (title) a:.ovc individual e:C-a•jo dispoval syit" "atallcd Ly _ _ — s ty tcra 1:1:0octed :or unc by a rcprescnt.itivc c,' the A3l:cn !'i a; in L'nvironn•uta .t[c�0ap•artmcnt, Tha uvnar +�:uTgs all c ,onsiLiiily in ceac !')1 failure or iradcquacy of thio :acwagC diapoaal ay;tca". Cornrleto aa-L'uilt drawing attachod. DATE 01' PI,d.'LL MSnEC IZ ION T:i'i L c. i:10 South G Elena Stree•.. Aspera, Colorado BIF311 0 03/S20-5070 DAILY OJ TC LGAO f I3� CT.LrD :•iD.ER liI S t 3 any) of other equiptr-en or app, jl f3'.iAGES REQUIRING INSPECT ( )itefore Excavation ( )Upon BY TH EAI,TH 1 �i Ion of excavation 2000 Tank. Capacity� Callon Hininu:.a rptiop Area Z 1%1/_ square :cat Minimum ancesr • -V E AF.TMENT: nd prior to pjaCenac tt.n1 grar.:l :avfore a m afvaUcospcio nr ficllon ( )Prior to backfill of any component ( ) then, Speeifys Plans and specifications o,' the proposed se ge disposal sy tem hava been reviewed and are considered satisfactory. Permission iia h..-rcL•y q.ar.ted to the owner or his agent t perforn the work; indicated above in accordonee with the Pitkin County Individual :cwa,c Uispe.sal Rc.tulations in cffca:t on the da c of iis. _ In addition to gcncrai prs%!isiono act forth on the re vcrec hcr•:ef, this rrrmit is subject to the following addition -c_ �e and cOnd41'..^.nSt - APP ROVED FOR ISSUE BY—0 dz� (title) a:.ovc individual e:C-a•jo dispoval syit" "atallcd Ly _ _ — s ty tcra 1:1:0octed :or unc by a rcprescnt.itivc c,' the A3l:cn !'i a; in L'nvironn•uta .t[c�0ap•artmcnt, Tha uvnar +�:uTgs all c ,onsiLiiily in ceac !')1 failure or iradcquacy of thio :acwagC diapoaal ay;tca". Cornrleto aa-L'uilt drawing attachod. DATE 01' PI,d.'LL MSnEC IZ ION T:i'i L c. i:10 South G Elena Stree•.. Aspera, Colorado BIF311 0 03/S20-5070 0 0 -wv �W/ ASPEN*PITKIN ENVIE. 9MENTAL HEALTH HEPAR /)ENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL• PERMIT Name of OWNER �'Me �c kph (✓� PHONE Address of OWNER d `6 S t.�r�i-v�� Ar- Name ir Dame of APPLICANT �� c �� �e . Ems/ L PHONE "/!5 ?ERMfT TO BEs ( )Picked Up ( )Hailed tot TYPE OF PERHITs ( )New Installation (repair ( )Owner t4Applicant ( )Emergency Use ( )Alteration NOT due tlo�1 failure Loe,.ATION OF PROPOSED SYSTEM: Legal Description � - ;� SfQY Qecord • �o O -P fQCofd 10- - �'. Cts rete j � Lot Block Filing Subdivision Size of Lot acres Do you plan any further additions to the TfPE'oF STRQCTURE: PqSingle Family Dwelling ( )Others residence? ( )YES ( )NO q. of bedrooms_ No. of Lofts No. of Garbage Disposals �_ No: of Automatic Dishwashers a 3 Ko. of Automatic Clothes washers I tA'.CER SUPPLY: ( )Private Wall, Dcpth or ( TPublie, Name of System � �A �ft1 ✓ � -le ~ ( )Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (K)r,eptic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound ( )!'eeycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other: The'initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020, can be obn0bob a,m.) mit c before a permit can be issued. The individual sewage disposal permit must be issued before a building pertained. 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 sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information is true and that false info tion w 11 invalid the application and any subsequent permit. DATE 2 G Signature of Applicant (This application becomes. invalid 1 snort! from the above date.) NOTE: PLOT PLAN must be filed with this application. Please locate the following items by measured distances: G F AN 02�9i/�� 01 fANk ::Pe /Z 1. property lines and er �nsio..•a. i!�Pi�o✓�� o [— /Fr�ohc'i ions /Kn f d- 2. Proposed and existing water wells on subject property and/,,,., // !�i P �rrQr/e2 adjacent property. 3. Domestic water service lines. %��� /5 Co��4�ot�� ,¢N Gt1(f -4/Ze 4. Proposed and existing buildings, driveways, and otherC 4ti structures. S. Streams, lakes, ponds, irrigation ditches, and other water(oaj l/,y��oN f �NCIZ& courses. % �f'',)� 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 fee in the amour Of S-�.�� . Receipt Number A1C `� �' Date Fee Received �" l . •bY Administ tive 0fficcr 130 South Galena Street Aspen, Colorado 81611 303/920-8070 vc wj iV, sP-c v rv. dvn� it - Z -93 I� � Dr. vewGy IQ e O io de n c e 2�1 SPe ®= Lill sewer l the n 411 POCA 21' l ey Ir v. (� = � " roof cfs Aa Ali / 1 ol wAG bad/ (-j r Ief – �(y�� ' Pcrdl t Q�;E c�ratnS ---- v f— 90� rzeh; d ewc e- -r r. il fk�5 Ser +'.' -i bacV',, 1d Sy',fo` Lot#G2, S'-Aftw,rod Sv6d,v. pg7G Jo�,.vyoN ,�72,�✓e, 93 A D 0 S �vd � r Fch I is Not 9 Pky"Ia4) OOmrlpJ)*&r► 13— 150V GA 1. PaHgRy 2 Res ex -3 G - I ana Dol. 5w,,)4z1 y N K. I R is em w/inl (" of 5vitFAce- p-ADS �e�.Fersar�us Hatnl gJ�N�ti ��e - 3 - 4D� Ta ¢NcWe1S vJ14 125 SIN Fi 1 �RA7o R ZQ,y f 8c+w"I P&, --t A I- n Il eNJ's rGMFoR47eJ ptiy Well )Z,hg5 cv444ed %Z -c k