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Home My WebLink Aboutpitkin.eh.264335200011 (1987)ZG43-'3S2roo-��! ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. ? 7G TYPE OF PERMIT: ---- (}nitial Construction ( )Emergency Use ( )Repair Work,(Pievious Permit / .} ( )Alteration of an existing system, �.Ir installation (Previo s Permit 1 __ ) ( )Use Permit as a result of Sale ( )Othort ISSUED TO: DATE OF ISSUE - Owner Mailing Address Agent____ Mail.ing Address Home Phone ®WM Business Phone 4n SA 10 0' Phone 7./--D Sewage Disposal System Work to be performed by Z Ifoo MtL.atn Fl"fa '04. // 1 �� This permit valid only for premises location by the following legalr- /description: � G LOT SIZE �t AC , WATER SUPPLY Jt)Byl •LS�ji� , AVERAGE PERCOLATION RATE. This individual Sewage Disposal Permit is //granted with regard to the following use: Niraber oft Dodicoms _� Lofts 0 Garbage Disposals �� ( Dishwashers �� Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD U(J GALLONS. THE NATURE OF THE SYSTEM INCLUDED LTND.ER THIS PER11IT: Tya.s of Tank or Treatment Units'DetrIe. //jyN�� Tank. Capacity/� -Gallon Hinimu:a Me/� Method of Final Di3po3alt .&�Pl�TQ /a/ �//G /J/��c��sorptioa _ Area 1,24= Square Feat Hintrium ocacription (including brand name, if any) of other equipment or appurtnancest IvL^AlE Other Conditions or Specificationst a- - ► '7 - -7 , J:f- -Seal s , A&A. H)'A I6M Ff+jz� M i..ji ILA �'`t____ 1 CA c o i;. ►2 i s s STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation)Upon completion of excavation and prior to plaeement of gravel Before coverin•1 distribution � ) / \system of ebsorptier: fi..ld (xj Prior to backfill of any component ( )Other, Specifyt Plans and specifications of the proposed sewage disposal system have been reviewed andare_ considered satisfactory. Pernissi.on is hereby gran Led ,to tt,r- owner or his agent to p•-�rform the work indicated above in accordance with the Pitkin County I1111ivi;+:a1 Sgwa.;e Disposal Revelations in effect on the date of issue. In addition to general provisions set forth on t1w reverse herzoi, this Permit is subject to.thc following additional terns and conditions: APPROVED FOR ISSUE BY Tho aMvc ir.,iivldual sevayo disposal system installed by i b:en in::;,ectcd for uvn by i representative cf the Aspea Pitkinn iaviron.,.i to Health�-S)c:p•�rtment. •The u,, -nor as•�u:r.o- a an r�•:;,on:ibility in co:i: of failure or Lna eguacy oC thiu acwayu disposal system. CompleLo as -bulli drawing attachod. DATE, Or VENAL I4.r 'TI011_ BY:`� ��-TITLEAA. alt i IGrL' , 30 >�outh aleeetlth�C. Aspen, Colorado 8'16'1'1 303/925-2020 3Z'{ q oo Zt 18) Arm i LU, q - 6i,,94 foe, �i C• l WO WL v 460 4 -1, Q44 c fuel-, a Q, n n - I I r - CP ' ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE Name of OWNER _�� i'Y 1�.�1 C JC/E//►/4 T7�//,� ! ) Address of OWNER Name of APPLICANT /// GG DIS'�OSAL• PERMIT PHONE L PHONEHONE 103 674-3�( PERMIT TO BE: ( )Picked Up ( )Mailed tot TYPE OF PERMIT: M New Installation ( )Repair ( )Owner ( )Applicant ( )Emergency use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYST s / Legal Description ` b Lotf Block Filing Subdivision size of Lot ♦ acres : TYPE OF STRUCTURE ( Single Family Dwelling ( )Others Do you plan any further additions to the residence? ( )YES ( )NO No. of bedrooms_ No. of Lofts No. of Garbage Disposals No. of Automatic Dishwashers No. of Automatic Clothes Washers I1/1 WATER SUPPLY: ( )Private Well, Depth OsY TPublie,/Name of System ( )Spring / ( )Stream or Creek TYPES/OF INDIVIDUAL SEWAC:E DISPOSAL SYSTEM ?ROPOSEO: ( 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 •+ith 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 individualsewa _ permit is hereby submitted. The undersigned know1 dges that the above information is true and that false inform a the application and any subsequent per Signature of Applicant/ DATE (This application becomes. invalid mont4 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. 4. 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 in the amount Receipt Number Date Fee Received % �� . by "- - Administrative Officer 130 South Galena Street Aspen, Colorado 81611 303/925=2020 December 23, 1987 Don Davis c/o Dick Fitzgerald 1621 River Road Snowmass, CO 81654 Dear Mr. Davis, 'l Certified #kP-556 627 241 Please be advised that the individual sewage disposal system at Lot 1, Block 1, White Horse Springs subdivision was inspected on 12-17-87 and failed to pass a final inspection. The permit was issued for 1200 square feet of absorbtion trenches, and the inspection revealed that an absorbtion bed had been constructed. The area required for an absorbtion bed on that site is 1600 square feet. This must be corrected before the final permit can be issued. If you have any questions concerning this matter, please contact me at this office. Sincerely, Rick Bossingham Environmental Health Officer cc: Stutzman-Gerbaz • SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put Your address in the "RETURN TO" space on the reverse side. Failure to do this will prevent tft;s card from being returned to you. The return recei t fee will rovide You the name of the arson delivered r and the data a dative .For additional fees the following services are available. Consult Postmaster or ees and check box es) for additional service(s) requested. 1 • ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery, 3. Article Addressed to: QC"` �� 4. Articte Number 5'0 0 1 G\(\ �—i'� Z ({g•r TYPe of Service: Myy Signature — Addressee X 7. Date of roar PS Form 3811. eh_ 100; ❑ Registered ❑ Insured Certified ❑ COD Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. 8. Addressee's Address (ONL Y if requested and fee paid) DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name, address, and ZIP Code in the space below. • Complete items 1, 2, 3, and 4 on the reverse. • Attach to front of article if space permits, otherwise affix to back of article. e Endorse article "Return Receipt Requested" adjacent to number. "0%, IL PENALTY FOR �F"VATE $V USE. ' RETURN Print Sender's name, address, and ZIP Code in the space below. TO HEALTH DEPARTMENT ASWA l . z. tiifil l S 1 1 l l 1 ii: :tl:t N OD M r d C 7 7 E 0 LL ,P-,556 627 241 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Ohm 5' ID 0k, Street and No P, 1 y P.O . State and ZIP Code Postage S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom, Date, and Address of Delivery TOTAL Postage and Fees S Postmark or Date A c— W