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HomeMy WebLinkAboutpitkin.eh.264511100003 (1989) (Main House - Pool House)K ASPEN*PITKIN Q -�/- //(_ �A ENVIRONMENTAL HEALTH OEPAR`TMENT e � •INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. UV S TYPE OF PERMIT: ( )Initial Construction ( )Emergency Use ( )Repair tfork,(Previous Permit f'? X(Aprevious Iterationerf an,ex ing_ -system:) or installation "Q�(�/"[T — ( )Use Permit as a result of Sale ( )Others ISSUED TO: DATE OF ISSUE. U Otmer)%69llf �Sf} �E/Vll�iQ Home Phone Business Phone Mai]_ing Address �l1/DGU ASSEK ORD A/trft�MAS �' Agent i) nAI E> l.�N�T� f�CT/DA (106-rE�p'j ff [ '{DATE / Phone 25' 17 Mailing Address 312— P /2r"a�7 Sewage Disposal System Work to be performed by /�SPEnI fTH/7�'V/N� This permit valid only for premises location by thefollowing% legal descriptions 2.± / S _ LOT SIZE _29(o ACK"65 . WATER SUPPLY (�(j G L�t, , AVERAGE PERCOLATION RATE. 3S M This Individual Sewage Disposal Permit is granted with regard to the following use: Nuralser of: Dodicoms �`I�- [tsGarbage Disposals_ Dishwashers Clothes Hashers CALCUL :0 AVE r DAILY WASTE LOAD X11 GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER TRS P 11T: Type of Tank or Treatment Units S ePT%Ci T "AJk_- Tank.Capacittyy Callon Minimum Method of Final Disposals QB ^� 0��/���/V�� Absorptiop Area p � S� Square Feet Minimum r ' SSS Description (including brand name, if any) of other equipment or appurtnancess 275 4IAJEAL FCC7r - OF —S rorAra Other Conditions or Specifications: AJ ADOIT/o,JAL "SYS -MM Fat A901710AJ -4 iboL_ tMd,!Sc (:ykY' � A0tI nooktA-(_, STAGrS REQUIRING INSPECTION BY THE HEA�DEPARTMENT: ( )Before Excavation ( )Upon completion of excavation and LO placement of gravel/y()aefore covering distribution !' aystem of absorption fi1_14 ;KP rior to backfill of any component ( lother, Specify: Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Pernin'ion i:r hcrcby granted to tl,e owner or his anent. to perform the work ir-dicated above in accordance with the Pitkin County indivi ual Scwa,;o Disposal Revulati0ns in effect on the d:+tc of issue. In addition to general provisions set forth on `Lc reverse •.eer�ei, this Permit is subject to the following additional terras and conditions: al�� - . Aspetl[Pitkitt environmental ) Health Officerl (title) 1?PPROVED FOR ISSUE BY (t-- TLo a`,ive individual xc%rago disposal system installed by L / y' F -0/w /6, hes boon in::pcctcd for use by a representative of the Asp n iit to !nY1 CGn�nia rv.-ponstbils.ty in case of failure or inad,-quacy of thiu jewaye disposal System. DATE O1 FINAL I 'P C BY r�cl6 • ifcaj c Dep.+r tment. The .,wnur avnumos Complete as -built drawing attached. TITLE 130• South Galena Street Aspen, Colorado 81611 Aspen/Pitkin Hitkin Envi oe mental 303/980-5070 Wig- 0� -'O1 ' ' a ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT_ —7ca( �k " ?_ CSAPPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT , Name of OWNER PHONE Address of OWNER X25 n l+ , C� Name of APPLICANT PERMIT TO BE:X Picked Up ( )Mailed tot . ( jowner ( )Applicant , TYPE OF PERMIT:XNew Installation ( )Emergency Use ( )Repair ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEM: Legal Description U( -1p Lot Block riling Subdivision Size of Lot acres TYPE OF STRUCTURE: ingle Family Dwelling ( )Other: iV 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 WATER SUPPLY: ( )Private Well, Depth or ( )Public, Name of System ( )Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEWAC:E 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.) t-efore 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 indiv du I ag dispo 1 ermit is hereby submitted. The undersigned acknowledges that the above information is true and that false in o \a 1 in ali a the application and any subsequent p rmit. Signature ofApplicant V DATE ,*_X4 (T�h�is a plication becomes. invalid 12 nt s from the above date.) `` v tV�. NOTE: P 1 PL 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 Irs adjacent property. /Z7 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 fee in the amount Of S_ �-U J , Receipt Number , Date Fee Received ,_ / �i `1 . •by J1 4 T Administrativo Officer 130 South Galena Street Aspen, Colorado 81611 303/92E;-2020 LACI 5i -l/)6 2hla�� /✓Q�v �-wo.wx y8� T�rlaQ FQow — t96 iSCvbJ : a� OUX o A) 4r: Q aa CC i�Q '^J osJ EAC mgk) Ho zz4 61 Al e�� �� 0 -2 PC 1 zv H,v lL1 Fox- 1,1019171011j s G t iK •uf rz:4 �i �c;oti'J C # 5A =f�fP��C tR�sz,e5 � N. W. C' I2 ffR SECTICN 2- T T 6T 5., R, 8& V. l'- ri P M, L 212.2(,'' CH: N 27°43'37"W 204- 4-- 04.4: 54°4)'30" N CXR° 25'45"i�- N CO* la I✓ M 645.lo9' ° SNOW O ? � N 55 04 .22" W G� wA. r-lc+4 o)\/ e Roam ;,• N 31°47' W 388.28' N 34°35` W 308.050 N 510 33'W 154.80' i EX15T(NG WIK>=',-FENCE N 44051'W 558.40' � 5 4G* 55'r- (o3CXJ' P 46 54'W 277.20' ,' ',��., 2 5 34'08')✓ 133.2o' -''� °' SIS°23't✓ g0.CL7' �5 43 27' E ! 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N 51' 39' yW 154.80 FT, HF -t,1 F- N 44° 5I' W 55840 fl, THEI`IC- N 48° 54' W 277.20 rT , TH-V-NCE S 31° 33' W 245,0c1 FT 70 Tf-tF- FE)INr aF I31=G(NINWG, CONTAI NN INCA 282.700 f 21=5 MORI= OR LESS. SURVEYOR'S CERTIFICATE 1, JAMES F KESEI�, A rROFE.551CNA.L LAIV! JRVE:1G:P� Rei 5TER)=.b (N THE 5TA7I✓ OF COLMADO HERE1561 CERTIFY ID X10 PATH LTt2, A COLORAD!�) U M ITM I'/'IKTNER -i I P ANCA-rF4AW5AMEIQ (CA T I TL.E (N5URANCE COMPM t/ -FHAT A 5UlzV1✓-( 0r -THE- A150\/F- DE5C:R.1 BED 12EAL rf OPER76t WAS CCNDLX--TFp 51-t ME IN cxTO(5ER, WOVEMM5,;> [DFCeMDER , 1-104, THAT TH 15 --AJRVE`[ FLAT CORRF�1tK x-10 WS THE 1-00ATION, COUP -15E f{Nt3 51ZL OR PIMEN5(ON Cf LLL_ EA51=M7 qcD, 1ZlGHT5-0E- WA( ROA(rS OR SIMILAZ. CONPITIOH5 0) of RECORP / ND (-ii) Y(5(5LE FROM A f HK5(CA L INSPECTION Cr TI -TE M0l-VzU'4(, AND THE APFKDXIMATE LOCATION OF THE EXt5TING H0051=. ANP ALL FENCES ON CR, ADJACENT' 70 X117 E?OUNPAR%-ft-A-T 71-1EKE ARi✓ NO tWCRDACHMEMS ON ADJOlWlkG FrGFF-RTi(, ANP NO F-NCROACHMEN75 C" 514\11D Plzot'ERtK I" 13U(LPINC , 5TR(ZTRl:5 bR. OTRER IMPROVEMENT -5 51TUATF-D ON APJOINING PRcf'ffRT°(, EXCEPT A5 51-iOWN AND NOTED l F1 F_L7N. JAM1=5 F. RE5EJ:�,>, L.5. �I104 . rr .... ..:.....:. - Y i 94 i rLot E 1' ~.LOWS �- mob we m A • pr . s , M � w O - Y i �u 13 0 a 1 um - U W +":1W.,� :: • :K . "'fir''', .h:::....'�C••.S� �:::'::.. � .. I 4 0- • -Al I 2mt V - 13R BY CHK'D SCALE DATES SHEET TITLE SHEET A —4, Zis 9 I ,. 94 i rLot �u 13 0 a 1 um - U W +":1W.,� :: • :K . "'fir''', .h:::....'�C••.S� �:::'::.. � .. I 4 0- • -Al I 2mt V - 13R BY CHK'D SCALE DATES SHEET TITLE SHEET A —4, Zis 9 I ,. 94 rLot E ~.LOWS �- mob we m A • pr . s , M � w �u 13 0 a 1 um - U W +":1W.,� :: • :K . "'fir''', .h:::....'�C••.S� �:::'::.. � .. I 4 0- • -Al I 2mt V - 13R BY CHK'D SCALE DATES SHEET TITLE SHEET A —4, Zis 9 I ,.