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HomeMy WebLinkAboutpitkin.eh.264503200005 (1988)';)-.6 L! S -G3a -bo --coY oomk ASPEN40PITKIN1 `%55 moo"= ENVIRONMENTAL HEALTH OEPARW RENT clrc ;A INDIVIDUAL SEWAGE DISPOSAL PERMIT N0, TYPE OF PERMIT: InitialConstruction ( )Etnergeney Use ( )Repair Work,(Pieviou■ Permit i .) ( )Alteration of an existing system, or installation (Previous Permit 1 ) ( )Use Permit as a result of Sale ( )Others ISSUED TO: DATE OF ISSUE-- -3c) � 8 Oviner \j 4-13WUZA J Home Phone a Z<-- j,)�S�-$usiness Phone Mailing / Address Agent Phone Mailing Address ---' Sewage Disposal System Work to be performed by This permit valid only for premises location by the following legal dencriptions� (� (�VIt �j"� � T - r(� W,' Litt SI2E pt^ C%t' (fisc , WATER SUPPLY6-1y�JL�, AVERAGE PERCOLATION RATE S per•D 1 This Individual Sewage Disposal Permit is granted with regard to the following use: Nutaber oft Dedreoms Lofts Garbage Disposals_ L— Dishwashers Clothes Washers - CALCULATED AVERAGE DAILY WASTE LOAD (4 Sl n GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PER11IT: Typ.:! of Tank or Treatment Units CNJULA—'r�- tA)UV--- Tank Capacity _Callon Minim= Mcthod of Final DisposalsJvnoZ-vi ( � .tQ r.1Cblues Absorption Area �i Square Feet Minimum Description (including brand name, if any) of other equipment or appurtnancess © 10�� J(� �%� Jj- �C- , ) K� . y .Other Conditions or Specificationis A01:�- C �� PVL W i -n -f �f j/ P C9 rbeA �o � STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ' ( )Before Excavation ( )Upon completion of excavation and prior to placement of gravel ( )Before covering distribution system of absorption field rior to backfill of any component ( )Other, Specifyt Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sewa,e Disposal Re�tulations in effect on the date of issue. In addition to general provisions set forth on the reverse her:Oi, this Permit is subject to the following additional terms and conditions: APPROVED FOR ISSUE BY ' L - (title) 6)01LO�� - The above individual sewage disposal system inatalled by _" hes to cn in,tpcctcd for use by a representative of the Aspen/1-x r,onsibility in cure of failure or inadequacy ofth sewage In Lnviranm.�total Health DeparCmcnC, The owner asrlumes a isposal System. Complete as -built drawing attached, /V DATE OF NAL R 'PE TI 0 tJ ' } BY : T IT LEy.F�N.I %fiflJf�- ��130 South Galeiha StFeet Aspen, Colorado 81611 303/925-2020 rn.�r a� y - - 0 3 a Oc) - oo,IS ASPEN*PITKIN 1 ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name o f OWNER p J ;4Jf to PHONE 11 Address of OWNER Aix ////� �5/� CO Name of APPLICANT sE PHONE PERMIT TO BE: ('Picked Up ( )Nailed tos TYPE OF PERMIT: ( )New Installation ( )Repair ( fowner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEM& Legal Description 4/v �iolym�eSS, �� 2c. &i/*�w Lot Block Filing Subdivision Size of Lot (/ acres TYPE OF STRUCTURE: (VI/Single Family Dwelling (')Others Do you plan any further a ditions to the residence? ( )YES (w)NO No. of bedrooms No. of Lofts No. of Garbage Disposals I No: of Automatic Dishwashers No. of Automatic Clothes Washers WATER SUPPLY: ( ))Private Well, Depth � ..'.44 ,l ! ,, or ( )Public, Name of System (✓)Spring _ Yinp� j A44AJ 4?X �lwgltv►�:}'`� ( )Stream or Cree �++ TYPES OF INDIVIDUAL SEWArE 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 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 informatl&Qn ){ill invalidate the application and any subsequent permit. Signature of Applicant ✓_�)Z,O[� DATE ZO (This application becomes. invalid JJ months 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 e mist fee in he amount OI Sw' �L ,� , Receipt Number , Date Fee Received - - �)1 ••by Administrati Officer 1:40 South Galena Street Aspen, Colorado 81611 303/925-2020 19, PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER ,>' PHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) Diameter of Test Holes Water remaining after 8 hour soak TEST HOLE No.1 pT� Time g TEST HOLE No. 2 Drop Time TEST HOLE No. 3 Drop Time D .._ 1102 Percolation Rate Each Hole Average Rate ©` Comments on soil or site: 1' 't Signature I 4 . C164.. Date , `'T3 y PARCEL OF IN LOT :3 'J OTE: I.) The exact location of the southerly setback will have determined by a registered engineer. 2.) Contour interval = 2 feet. 3.) Elevations as shown are based on an assumed elevation of 100.00 on the N 1/4 corner of Section 3. 4.) Proposed building site faces S. 15 ° 00'00"E. I REJ L -J L -J L-- _r-- - _-i 0 50 100 150 SCALE: 1 INCH = 50 FEET DETAIL ''A'' SCALE: 1 " = 10' IN PLACE SEE DETAIL "B" (, j, EXISTING DITCH SALANCE 1041 HAZARD LAND, SITUATED IN TRO REVIFtiti MAP 80 OF SEC. 349 OF SEC. 31 T-09 Sol R. 86 Wo OF THE YIiKi.e COUNTY, COLORADO PROPOSED 12.00' ACCESS EASEMENT S.870 56'04'W. / 178. 48' / j S. 72° 16'32"W, 173.24' 6TH T.8 N. 650 06'00'E 144.67' --- '1.43° 11'00"E. 112.26' / a I N W cn C2 DETAIL "B" SCALE: 1 10' S,61 57'37"W. i,90' REBAR & CAP FOUND '2"W. 2.77' IN ?LACE SOUND CAP WITNESS COR. PLACE (3.60') NOTE: Basis of bearing for this survey is bearing of S.73053108"E. between the Northeast Corner of that praperty described in Book 373 at Page 511 of the Pitkin County Clerk and Recorder's Office, a rebar and cap in place and the North Quarter Corner of Section 3, a brass cap in place. . NO. 7, TRACT 80 SS CAP IN PLACE BRAS EN. IN a%A 3 EXISTING 12.00' ACCESS EASEMENT PROPERTY DESCRIPTION A parcel of land situated in Tract No. 80 of Section 34, Township 8 South, Range 86 West of the Sixth Principal Meridian, also being situated in Lot 3 of Section 3, Township 9 South, Range 86 West of the Sixth Principal Meridian, lying northerly of the northerly right-of-way line of a County Road as constructed and in place, said parcel of land being described as follows: Beginning at a point on the northerly right-of-way line of said road, whence an iron post with a brass cap, found in place and properly marked for the North Quarter Corner of said Section 3 bears N.50°18120"E. 252.08 feet; thence S.61030'00"W. 275.00 feet along the northerly right-of-way line of said road; thence N.28030100"W. 406.66 feet; thence N.55003100"E. 144.21 feet; thence S.45048100"E. 442.90 feet to a point on the northerly right-of-way of said road, the point of beginning. Together with a non-exclusive easement for ingress and egress for the above described parcel of land being more particularly described as follows: Beginning at Angle Point No. 7 of said Tract No. 80, being the same as Angle Point No. 3 of Tract No. 82; thence N.01018100"W. 239.58 feet to the centerline of said easement at a point intersecting the easterly property line of the above described dominant tenement; thence N.65°06100"E. 144.67 feet along the centerline of said easement; thence N.43011100"E. 112.26 feet to a point on the existing county road, said easement to be twelve (12) feet in width, being six (6) feet on each side of the above described centerline of said easement. Together with a non-exclusive easement for ingress and egress for the above described parcel of land being .a 12,00 f -t gide steep of 'Land situated in Tract 80, Sect< n 34, Township 8 South, Range 86 West of the Sixth Principal Meridian, County of Pitkin, State of Colorado; said strip being 6.00 feet to each side of th' follawing described centerline: Commencing at Angle Point No. 7 of said Tract 80; thence N.01°18100"W. 239.58 feet to a point in said centerine the True Point of Beginning; thence the following four 4) courses along said centerline: 1. S.87056104"W. 178.48 feet; S.7201e132"W. 173.24 feet; 3, S.20048154"W. 59.07 feet; 4. S.38038152"W. 73.72 feet to a point on the easterly line of that property •described in Book 373 at Page 511 in the Pitkin County Clerk and Recorder's office, the Terminus. IMPROVEMENT SURVEY CERTIFICATE This is to certify that this improvement survey was prepared by Scarrow & Walker, Inc. for Rory A. and Barbara Jane Salance. It is further certified that the improvements on the above described parcel on this date, March 14, 1988, except utility connections, are entirely within the boundaries of the parcel, except as shown, that there are no encroachments upon the described preerrnises by improvements on any adjoining premises, except as indicated, and that there is no apparent evidence or sign of any easement crossing or burdening any part of said parcel, except as shown. This property is :subject to easements and r4ghts--of-way of record as shown in title commitment 1repared by Pitkin County Title (commitment no. PCT -1699-C2). By: Frank W. Harrington, .#19598 IrOve Applicant acknowlF-.lges that he/she has been informed by Pitkin County of the existance of "1041 Hazard Areas" that might affect the property, any improvements, and the use and occupancy thereof. APPROVED 1041 HAZARD REVIEW BY DATE: NOTICE: According to Colorado lav you must commence any legal action based upon any defect in this survey within six years after you first discover such defect. 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