HomeMy WebLinkAboutpitkin.eh.264504202003 (1983)dENOW
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ASPEN*PITKIN
ENVIRONMENTAL HEALTH Or TMENT
•XitDT.VIDUAL SEWN%E DISPOSPLL rR2fIT ItiO.
TYP.r. OF PEP -MIT:
QQInttial Constructian ( lEmergonay Use ( 11.1cpair Work,f?cevious Permit
r installation
( )Use permit as a result of Sale
)othari
ISSUED TC: `�
Owner/L/P/3ttlD��i+�! �s�'�t�X—Home
MailingRi`�C � /1;= t ti, IV
AddressJ
,) ( )Alteration of an existing systtm,
(Previous Permit 1 9
_Y4
DATE OF ISSUE y'
Phone-2�;-- _-"'tssiness Phone _
Agent _��� Phone �.._.
Meiling
Address
Sewage Disposal System Work to be performed by 0WJCC nE� _
This Dermic valid only for premises location by tho following legal dexcriptions �J 1 �K z I rrtc �•
IAC SIZE ,' ( � F-C� , WATER SUPPLY �i,D/t,/l AVERAGE PERCOLATTION RA^.F. lk
/
This Individual Sewage Disposal Permit is granted with regard to the following usa: . Fik�/�F���A3iD /VAC
ttur.rix:r ofi Dodreoms Lofts ( Garbage Dispo(sa�llss Dishwashers clothes washors
CALCULATED AVERAGE ZM LY WASTE LOAD 13/GALLONS.
THE 1,ATUR1 E 0V THE SYSTEM 1"CLUDED LITDER THIS P%RMIT:
-Type of Tank or Treatment Uniti ,%til' ( c," r"� Tan::. Capacity `� _Canon `SSaiRu a
rthod of Final Disrosal: AL1 oL) PT7w � I1C1>Absorptiop Ares _ squire_ Feet Hinimur:
Descriptior. (including brand name, if any) of other equipment or appurcnance i
CFiLUEN7' Tb BE �)u�IPED ! O fly✓ L v�9 T = �/ C Fi�4 f% 1k11ill/� /ki .375 G/iGLiJN�
Other Conditions or Spccificationat
go >t�vsT ec � ur
STAGES REQUIRING INSPECTION BY THE HFj TH DEPARTMENNT: '
( )Before Excavation Upon completion of excavation and prior to placement of gravel �neforc coverirn. distribution
system of ;%usorption J_cid
V?rior to backfill of any component ( !other, dpecifyi�/�fy� _-- --
Pans and specifications of the proposed sewage disposal system Lave been reviewed and ere_ ecnsvSered satisfactory, Permlgnion
is hereby gra;.ted to ti,- u. nzr or hts agent to pertorn the wtrrk inc(icated above in ac,_•ordancu, with the PitAkn
Scwz;c Dispesal Re'ruiation9 in eff4,.t on the date of iasuc. In addition to general provisions set forth on the r-.vcrne hereof,
this Permit is sur•ject to the ioliowing additional terns and ccnditions: AJONC
APPROVED FOR ISSUE BY
S // <� (title)
6
G.
Vic aNive in.lividunl n^rragc disposal a,stem installed by/v/��
yea b.cn 1n::pCctec2 (u ane ny a repro cac.uive of t!:c i.�pen/I':cxit: _ rite^^enol tl.a c� Dcparuacnt, Th. ,) p4r as•)yRns
re:_(:oasibllity in ease of tailuru or ina.Iequacy of tht Jcwa,)o uls(.Ora''Yyst Complete. as -built drawing �tt,rc 011.
DATE OF FINAL I:ISPEC•.VION /� �� :3
rf:
130 South Galena Street
Ti'l LE
Aspen, Colorado 81611 303/925-2020
ASPENOPITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
�`y�P IrC 7tTT ^Tt �^�+� i Ti•t ,1VI7D* 7 t'Z r.1'7�G-r• 1� rr• 4?r 'r *t •r'tv
Ak'�'I,xC.'"x�.i iv:e :tJe1 .•oi� .�.iMVl� l.L{.Jt�L .+i:jYr.•tt„�u 1�.1 9iC OJ:rt11.!• .:•.�.i't.s..l
Mdress of 03 ;N E R to
Rame of APPLI CMI T _ Ph't�S—.?JC373
PPRK'C TJ r£; ( )i•i':ilei vp ( W» Ikiled tot TYFZ OF ({.0ilew InstalSwtiLn ( )Pep
ni.r
(tiowner (LAPPlic•n! _ j i^,.;3eacy use 1 NOT due to failu:.
_OF_PROPOSEO SYS_TFMI
Legal Description
/3
51stk't11rSize Lf tut_ a^.ca�_�TC
-- SWIL U s.'RILCIUR : {� xasle e'amisy Welling tDo you plan any further additions to the
No. rf t d.e ,r,�... �. No, of Lofts_ `ta. 6! rnrbage 01i'%Posals 610: of A tomaca, Arxh�est eri �...._ ,.
k'fi. Or; Xutw'iatic .icthes i:ss(:ers
11 :TEF SI'F I^Y: i'itrivata Wil.,, e'ieprh, ._.__..,.,._y,.. w,)r (s';tutiie. ..etre of Syttem
( )'-'Tins -
( );trcam ur Creek
TYPES '?F S17YtrVTQ' ".L SF•? ^.E D75.'O_^?,1. 5 -'STEM PROP05'Dt
Urs-ePtic':ank/,+bnocptioc Ficld ( )Aeration Peat/Absorptio.l Field ( 1C,moosting Taal+t T flet ( :Yto;;^d
L a4acycl.ir:5, 8ct3s:;le ;se ( )ng=r-ling. other ua4 1. )vault Privy ( Y::'V%0--z--__e __ ___.- .•_
Thr Vnit!al Site ic3pection must_ arcangcd with tha Aspvn/Pitkin F_r'rtir•anr^r.tai !ir,ich "artrcnt
Miorc t rer^.it cin isa"d. Z":c lndivicival ddvage ritspovat F^-mie m•est a .,uii:'inq }etmie ca.: txe <;btained.
Y':N'... risrrct'IC:7 AP^ V;AL XJ.i^. SE k;ZV6 BY THE T5PFS/P1rX1N fn.'JIriCDiHLY:A: NEALrp. DttltH:t L`:' PRTC: TO LACXFUT.INN 7";y PJPTIO`7
�1pp;t!r, ticrt
for an irdividu�:. a-:.+agt dtapasal prrmit it ha ety sW�mict.e3. :he up!!eralSned acknow.itdges t`ac the move infor.-ation
is trot: -.rid thAt fa•'.se is a:•.,, ilii o the p 1. ra-l'in ar.:. any autse;ue-i.- r -mi'
Zi;:.atuz•e of Applicant..eik3
w � (This tpPlicata•.i becomes. invaliC 12 months from the above date.)
NOTE: PLOT PLAN .trust he l i_ied with this application.
Please locate the rollowring it rns by measured distances.
1. Property lines and dimensions.
7. Proposed and existing water .:ails on subject pro -arty and
adjacent pro=erty.
3. Yx--Inesti c water service 1-4.110s-
4.
'_::es _
\ 4. iroiky-sed and buildir.^_i, driveways, a7id ot.'.^ei
F Cr'uc:tu'r es ,
a. Streams, lakes, }fonds, irrigation ditches, and �.•+thee water
courses,
6.
Prop:)sed and existing individual se;dage systems on subject
Vrope:rty.
Si£iT'' A REVISED PL '; T PLAN PRIOR `IO '.:1NSr11.LLATIC T s:bo_
v
3TM.:i. CIirNNGED F:ZO'l L+1iie.,,.T`til, P.AN .
The nndiz.slgnci hercbf acknovIc-dges receipt o! tuts tndivieu•t se?va4e d'_-ica:tai p`rmitfe^pp3' at 4ot and a pti�rrt1 p/�ee in 'ie as»unt
Ai ....e[S..LSr_y , Rec"ipt Nwrlbcr .- ....� C12tt Fra Reselved ._ , �1 �J.��3 %•Sy iJ`,:. .__�._._..--_- ��
130 South Galena Street Aspen, Colorado 81611 303/925-2020
O NTY ENVIRONMENTAL HEALTH
PITKIN C U
Field Test Data Sheet on Percolation Test
yD
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
161 ME
TEST HOLE
Time
Time
Aa��
r
0 WEV"A"
Percolation Rate Each Hole ).3 'LIR 12-0
Average Rate 4_
Comments on sqjj or site:
Signature
Date G� ✓��