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Home My WebLink Aboutpitkin.eh.264335203006 (1987)A ( y3 -35a - 03 - 006 • 0 ASPENOPITKIN ENVIRONMENTAL HEALTH DEPARTMENT . INDIVIDUAL SEWAGE DISPOSAL PEFl-11T N0. (rO -� TYPE OF PERMIT: ( )Initial Construction ( )Emergency Use( )Repair Work,(Pcovioua Permit /�.) ( )Alteration of an existing system, or installation (Prev ous Permit 1 ) ( )Use Permit as a result of Sala ( )Othors ISSITED TO: DATE OF ISSUE Owner }f[) (-T. �E�i�D� Home Phone Business Phone Mai)_ing Address03Kfa A C) L., Agent[ P�NEt,� Phone Mailing Address Sewage Disposal System Work to be performed by This permit vali;l only for premises )ocation by tho following legal descriptions LOT 5I2ES WATER SUPPLY _IS/a/V AVERAGnnE PERCOLATIOi RTTF. D 1/y This Individual Sewage Disposal Permit is granted with regard to the following use: C,/ 'f A- ��j�// C Nut.Paor of: Dodreoms _I Lofts 0 Garbage Disposals / Dishwashers^ Clothes Washors CALCULATED AVERAGE DAILY WASTE LOAD 13c) c) CALLOM THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PEMIT: Typ.x :')f Tank or Treatment Units Sfiprie. A � Method of Final Disposals ecFP -T Absorption Description (including brand name, if any) of other equipment or appurtnaneess Tank Capacity _Callon Minimu:a Area Square Feet Minimum Other Condition' or Specifications: &WSrHO� e CCA11121A ;e 0-O�r�F_'5ys�M PvMPEI� AAS FlttEj.O STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Upon completion of excavation and prior to placement of gravelBefore covering distribution �� b system of absorption field W Prior to backfill of any component ( )Other, Specify:j' Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Pcrninsion i.s hcrely granted to the owner or his agent to porform the work. indicated above in accordance with the Pitkin County Indivi cal Sewa;c Disposal Revelations in effect on the d..te.of issue. In addition to ge er-al provisions set .forth on th.t reverse her2oi; this Permit is subject to the following additional terms and conditions: a0A A1� • �1w -A r APPROVED FOR ISSUE BY N (title) _ ( W fore Excavation - N6rz74i,' 7_4AIL To TIt(• above in:fividual scwa•)o disposal system installed by has b".% ln,ipcctcd for use by a representative of the A,) ro::y)ons.bility in case of failure or inadequacy of tfyiu Pit in !:.nvir , itri%tal }Icait t7::p•:rtmcnt. The )wnor a'+�su.:•oa a ye disposal system. Completo as -built drawing attachod. w DATE 0' FINA .1 3P, TION V/10k/ Q / TI'iLE 130 •South Galena Street Aspen, Colorado 81611 30 25-2020 V/y/p Q -U. owv'_�_" I �Ijl- okv;lt ASPEN*PITKIN . ' ENVIRMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER John G. Penson PHONE 920-2462 or 925-3658 Address of OWNER 0386 Johnson Dr Aspen Co. 81611 (Starwood) Name of APPLICANT John G. Penson PHONE PERMIT TO BE: ( 3Picked Up ( )Mailed to: TYPE OF PERMIT: ( )New Installation (X)Repair ( )Owner ( )Applicant . ( )Emergency Use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEM: Legal Description 0386 Johnson Drive Aspen Colorado 81 611 pprox Lot R-36 B1oekPltliln COUn�ilinq subdivision Marwood Size of Lot Aacres 2 Four TYPE OF STRUCTURE: (\,)Single Family Dwelling ( )Other: Do you plan any further additions to the residence? ( )YES ( XNO We. of bedrooms n/ a we. of Lofts 1 No. of Garbage Disposals 1 No. of Automatic Dishwashersn /a No. of Automatic Clothes Washers n / a WATER SUPPLY: ( )Private Well, Depth or ( )Public, Name of System ( )Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSF.Di (.)Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound (')Recycling, potable use ( )Recycling, other use ( )Vault Privy (X) Other: rPplacement tank & The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (9254 roiloV9130-9:30 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 A9y'EN�ITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION OF THE SYSTEM. ) Application for an individual sewage disposes pe i��nd tted. The undersigned acknowledges that the above information is true andlication that fals of atioany subsequen�t/jpermit. Signature of Applicant DATE 1y17 (This application becomes. invalid 12 months from the above date.) 7/ NOTE: PLOT T 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 app ? anon and a permit s/I the amount of S_ Receipt Number , Date Fee Received by /rli0 Administrative officer 130 South Galena Street Aspen, Colorado 81611 303/925-2020 ASPEN46PITKIN ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET Legal decription: /07 /L, All Name of Owner: ,%"'%'il/� Address: (# & st. / p.o. box) (city) (state) (zip) Name of Agent: Water Supply: Public Utility Subdivision_XPrivate Well Lot Area: A Distance to Nearest Surf ce Water C ft. Dates Observations Made: Soil Borings: 7 by { Percolation Tests:' y AFAI SOIL BORING TESTS � � 4 9 9 9 A �1 3N 3M Ni TEST MU.SEA TOTAL DEPTH I[[T DLPTN TO SROUND WATER. FEET ... ►[[T CHARACTER OF [OIL WITH THICKNESS IN }.{ OSS[RV[O [STIMATEO NICH B-1 0 ILT.Y o LT gt B- 2 WATER TC3T i1L+[ ... %�� ' r b,4 / Z IA IN V TES SECOND TO NEXT TO LAST PERCOLATION TESTS Average Rate: )0 minutes/inch Plan of th site on the back a4go,�,� Date �j .407 Signature bOb NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 81611 HOIIAS WATER TC3T i1L+[ DROP IN WATER LEVEL. INCH[[ IA IN V TES SECOND TO NEXT TO LAST TEST DEPTH CHARACTER Of SOIL $IN CC NO IN HOLE INTERVAL TO FALL NVMDCN INCHES THICKNESS IN INCHES 1ST MCT OvERHIGHT N MINUTES LAST PERIOD LAST PERIOD PERIOD ONE IN CJI Lo�.K0 SI 3 P-1 P-2 P-3 P-4 Average Rate: )0 minutes/inch Plan of th site on the back a4go,�,� Date �j .407 Signature bOb NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 81611 n s s►- 8 77- X 7.. i i• / � T9C i / / i� \SAN �R/Vf i R,„_ WEST 670.50 STABLE .ua ..re. m 1 HAROLD W JOHNSON A REGISTERED SURVEYOF CI OLORADO. DO HEREBY CERTIFY THAT ON THE 7986 A SURVEY WAS MADE BY ME OF LOT R - THE IMPROVEMENTS WERE FOUND TO BE LO( ALL EASEMENTS AND ENCROACHMENTS IN EVI ARE AS SHOWN. CORNERS WERE FOUND **r:81 CORNERS WERE FOUND OR SET. e.s HAROLD W. JOHNSON L.S. 9018 �O• 9018 4ti LO' STAR\ PITKIN ICC REGISTER 80. 249 WOODY CREEK J08 NO. 86-95 SEPTEYRER IN 1999