HomeMy WebLinkAboutpitkin.eh.264335401008 (1987)'WNW a 6` 3 -35 0I - v0 g
ASPEN#PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT ��jp��p I Or
INDIVIDUAL SEWAGE DISPOSAL PERMIT 140. ?70 0/ 6
TYRE OF PERMIT:
Initial Construe ion ( )Emergency Use ( )Repair work,(Pcovious Permit ! .) Alteration oC an ex tin yjtem,
r installation (y Previous Permit !
S�C-C)AiO 5Y` --EM c a
( )use Permit as a result of Sala ( )Othor: �Xl tti�• Sys M /�/0,-�
ISSUED TO: DATE OF ISSUE.,
Owner �OL /io�S Home Phone 92Q' f Business Phone
Mailing
Address
Agent �f1lU(L-Jir' Phone —
Ma i l.in g
Address _ �� f3 d\/ f D �/ (I7 /J C C� iii (o/oZ
Sewage Disposal- System Work to be performed by �` /_
This permit valid only for premises location by the following legal deacriptions/1 AV S;- U&Q to
LOT 512E ��� f1C�ES , WATER SUPPLY SOeoli(15ibN , AVERAGE PERCOLATION RATE r
This Individual Sewage Disposal Permit is granted with regard to the following use: DDIT/DAJAS f/YJP�<;Ph (2 Pop-)
TOTALS
Mrabcr of: Dedreoms _� Lofts _ Carbagc Disposals_- Dishwashers �� Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD
GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
Typ.a of Tank or TreatmentUnits&-wlLT k Tank Capacity vG/f/ _Callon Hlnimu:a
Method of Final Disposal SEEPAC C b S Absorptioa Area Square Feet Mininum
Deacription (including brand name, if any) of other equipment or appurtnancess
4011
Other Conditions or Spccificationes ,� �rlO//j�/V 7—O
FX i sTi1l& A Dir/ot c ySiElci To �E�VC
STAGES REQUIRING I_ZSPECTION BY THE HEALTH DEPARTMENT: '
(
)Before Excavation ( )Upon completion of excavation and prior to placement of gravel / `Before systesn coveringof tiofield
stribution
Ui)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
i:w hereby granted to the owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual
Svwa,a Disposal Re,nulotions in ctfcct on the date of issue. In addition to general provisions set forth or, the reverse hereeE,
this P,�rmit is sut,ject to the following additional terms and conditions:
APPROVED FOR ISSUE BY (title)
The aNive in:iividual xct,mlo disposal system installed by _ --
has been in::pcctcd for use by a rcpresentativc of the As{:en Pit an U.v:rcnm ata Aca t DcP•�runent. Tha ,,nor asiuno.a-arl
renpons:biltty in Ceae of failure or inadequacy of chi sewa a dispora1 system. Complete nn -•built drawing attached.
DATE O1 INAL IN ' PEC I g ,
T ITLL_m
130 South Galena Street Aspen, Colorado 81611 • 303/925-2020
- /t/lo C C- c
.... ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT
Name of OWNER SOL ROGERS PHONEg2n-7?97 _
Address of OWNER 100 EPPLEY DRIVE ASPEN, COLORADO
. Name of APPLICAN7'I
AMES HARTRICH PHONE 925-1392
FF.RMIT TO BE: X )Picked Up( )Mailed tot TYPE OF PERMIT: )New Installation ( )Repair
( )owner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure
)O
_ LOCATION OF PROPOSED SYSTEM: _
Legal Description LOT R 100 STARWOOD 16 PITKIN COUNTY COLORADO
Lot R X00--- Block 7 F Filing 7 F subdivision STARWOOD Size of Lot % _ S acres
TYPE re OF STRUCTURE: ;$Single Family Dwelling ( )Other: you plan any further additions to the
residence? (x)YES ( )NO
* SEE BACK SIDE
No. of bedrooms 6 No. of Lofts 0 No. of Garbage Disposals 1 No. of Automatic Dishwashers 2
No. of Automatic Clothes washers 1
WATER SUPPLY: ( )Private Well, Depth or (�(�Public, Name of System STARWOOD WATER
( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAf:£ DISPOSAL SYSTEM PROPOSED:
:•.)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 PORTIO`!
OF THE SYSTEM.
Application for an individual sewage di sal permit is hereby submitted. The undersigned acknowledges that the above information
is true and that false information wil nvalidate the pplication and any subsequent permit. Q�%
Signature of Applica DATE 4-7-
`� ■
pplication becomes. invalid 12 months from the above date.)
NOTE: PLOD 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 undersignedherebyacknowledges receipt of this individual sewage disposal perms appl ation and a pee it fpe in the amount
of 3 �SV— , Receipt Number , Date Fee Received �� by OC,`,:v/
Administrative officer
130'South Galena Street Aspen, Colorado 81611 303/S25-2020
one bedroom addition under construction
me. Upon completion,there will be a total
rooms For budgetary reasons, the contractor
er a simple septic ink/absorbtion field
filar to the existing?'ssystem if percolation
W it.
ble flat area would fallow an absorbtion field
mately 12'x100 for a; -field area of 1200, the
of the existing fielzo..
A
F
�l
A
. A
1
HART CAPITALMANAGEMENT, INC.`
4`
.$
P.O.. BOX 12285 92S-1392
ASPEN OOLORADO :;812
1`4 O
e2�
„
4=23102i
A �
197
iY TO THE ' ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPT. $ 150.Atd s
MR OF
xf
OiE HUNDREDFIFTY AND
00/100TH--------------- --
ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
FIELD TEST DATA SHEET
Legal decription: foT /`'LUV —S
T-'Oeu10o10
Name of Owner:
Address:
(#k & st. / p.o. box) (city) (state) (zip)
Name of Agent: TA -AA 'Teel
Water Supply: Public Utility Subdivision Private Well
Lot Area: ,'.» Distance to Nearest Surface Water ft.
.-//Dates Observations Made: Soil Borings: 7 byZRJ
Percolation Test by
SOIL BORING TESTS
PERCOLATION TESTS
TEST TIME
DCI TN TO GAOUND WAY EA, ft ET
MINUTES
TEST
NUMSCA
TOTALDE1TN
IEET
CHARACTER OF SOIL WITH •N IC AM [[• IN I[[T
O [S[AVED
(STIMAT[D NIGH
B-1
HOW-SWATER
]INCE H014
a.niov&
IN TEAVAL
Ott, Le -1' -4
B-2
INCHES
TNICRNCS] IN INCHES
SIT INCT
OVIANIGHT
IN MINUTE]
LAST 1[11100
LAST ►CR10D
►CR100
ONE INCH
PERCOLATION TESTS
Average Rate: minutes/inch
Plan of the site on the back
Date f Signature
80b NELSON
ASPEN/PITKIN
SANITARIAN
130 S. GALENA
ASPEN, CO 81611
TEST TIME
DROP IN WATER LEVEL, INCHES
MINUTES
SECOND TO
NCET TO
LAST
TEST
DC1TN
CHARACTER 0I SOIL
HOW-SWATER
]INCE H014
IN MOLE
IN TEAVAL
TO TALL
MUMBER
INCHES
TNICRNCS] IN INCHES
SIT INCT
OVIANIGHT
IN MINUTE]
LAST 1[11100
LAST ►CR10D
►CR100
ONE INCH
X J7
P-1
Lil
'SIL
F"O
Psai+--
l
S
P-2
0
�
Y2,
P-3
11L
P-4
�g 1�g>`
Average Rate: minutes/inch
Plan of the site on the back
Date f Signature
80b NELSON
ASPEN/PITKIN
SANITARIAN
130 S. GALENA
ASPEN, CO 81611
317
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