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HomeMy WebLinkAboutpitkin.eh.264504303020 (1993)- i1J.'-L�. V. Olid-'� ! •\,O V E=R V1F301,J ENTA t-iE 4%LTH ©EPARTM fVT?- INDIVIDUAL SEWAGE DISPOSAL PERMIT 140. Q(�� ,1 I TYPE OF PERMIT: I i•)Initinl Construction ( )Errcrgoocy Use or installation ( )Uoe Permit as a result of Salas ISSUED TO: epair Work,(Pievious Permit 1 f, .) ( )Alteration of -an existing ayrtem, n(Previous Pcrait i ). ( )Others OwneHome mailing Address nO 81 ff'f-Y b -a- 5 tieL- M A S Agent_ Address DATE OF ISSUE. to.,- 6 -49. -3 Phone j2 _7 y6S_ Business Phone. 9(13 1 Phone Sewage Disposal System. Work to be performed 1P � ���" �'-J 9� 7 � 3 y � �Lf7TL EtK QfL2fl� Sc(f3biVl5/oRl This permit valid only for premises location by the -following legal descriptions DoT 33 LOT site , WATER SUPPLY . AVERAGE PERCOLATION RATE y �• lM P i _ 'This lndivieual Sewage Disposal Permit is granted with regard to the following uses 'ttrAtscr of[ Dodicoms Lofts L) ' Carbagc Disposals__ Dishwashers_ Clothes Washers CALCULATiZ AVERACE DAILY WASTE SHAD D U GALLONS. iE NATURE OF THE SYSTEM: IN[ LIMED UNDER THIS PERMIT: . or. Treatment Units Tank. Capacity �6 . Gaiien Hinimua of Final Dispo4a11 A d SC 1I P r v(, . '( &R 0l''..He S Absorption . Area °� Squacc feat Flnimwu ^tion (includir:g brand F+nam4,,- i,f any) of other equipment.or appurtnaneeas Axe& Condition[ oificationsIrl ✓ H74— STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: Aystem )Before Excavation ( )Upon completion of excavation and prior to placement of gravel Before coveringsorptionstriiution ( )Prior to backfill of any component A lothcr, specifys `lens and specifications of the proposed sewage disposal system have been reviewed and arc consi.lered•zatisfactory. Permission K hereby granted to the, owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual .c,. -,c Disposal Re-sulations .in effect on the date of imsue. In addition to general provisions act forth on the reverse her_ci, :leis Permit is sut%ject to the following additional terms and conditions: _ • Nancy MacKenzie Aspen/Pitkin Environmental Health Officer APPROVED FOR ISSUE BY_�. LL (title) 4 QA 10 . Aspen, CO 81611 �: ore individual 1n disposal system inatallcd by txcn ln::pectcd [or vac .by a rcprescnt.itivc cf chc Aa1:en 1 it in L"av:rcr t,t [tease ocv-:r[,aent. 7n.: u�nvr as eu+�on ¢rl Complete ai-bulls dr wing attached. +on:billty in teat of failure or'inad,•quacy of thiv acwagc dispossal sysccm. s DATE OF FINAL IUSPECTION BY: J __ TITLE �^ 130 South alma Street Aspen, Colorado BIE311 303/3201-6070 I t6aTIow .SU , -7 �gZ as n, a1Q YR�� tFc rJ�E a a' y, a -f AkjypID LAtit--- i F �.o�RTro o� FAIL..e-b OL -D J4S AttILT YNISjl4LLei, SySTPM )'VS7/N6— Sep-rit TANk /)00O �,LIIOA! t MC -Ur N fU) T Rows of ►NFIL.TRATA 12 Irl I&CMaNc S o TAL A,650APTiO J 4R - ,P,4 2.5' ASPEN40PITKIN ENVIE 'VMENTAL HEALTH OEPAF VIENT r APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL• PERMIT Name of OWNER rj�i� ► ll!(1 PHONE ka'7-4 C Address of OWNER Name of APPLICANTL,yPHONE PERMIT TO BE: ( )Picked Up �Kailed tot TYPE OF PERMIT: ( )New Installation (X)Repair ( )Owner ( )Applicant 1 )Emergency Use ((( )Alteration NOT due to failure WATION OF PROPOSED SYSTEM: ,� Legal Description tm ya-lE. bye C u d eo C - Lot Block Filing _C Subdivi ze of Lot (( o f:Aft acres TYpE'OF STR1'CTUREt 6/1.9 residence? Family Dwelling ( )Othert Do you plan any further add ns to the residence? ( )YES I No. of bedrooms__J� No. of Loft=. No. Of Garbage Disposals No: of Automatic Dishwashers t No. of Automatic Clothes Washers y WATER SUPPLY: ( )Private Well, Depth or (Public, Name of 5 stem- ( )Spring ( )Stream or Creek TYPES or INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSEDt 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 perms can :sued. The individual sewage disposal permit-iru3V-be issued before a building permit can be obtained. FIKAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTIO;i 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 infoation will invalidate the ap ication and any subsequent permit. Signature of Applicant _1' DATE (This application becomes. invalid 12 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 permit fee in the a.,=u, O! S f5d. rio . Receipt Number , Date Fee Received _ �C� �J7 - � r •by ' Ay„inistrativo Officer 130 South Galena Street Aspen, Colorado 61611 303/920-6070 ASPEN/1;'rrK,N ENVIRON-NMNTAL BEAM DEpAIZTMENT 130 South Galena, Aspen, CO 81611 303920-5070 Property address_�_L__ s I n Legal description 3 Property Owner: Name Address Phone 9 -a _--►-'. Note: • Percolation Test Form, Site, flan and Grain Size Distribution Curve of he Sati�p e must bz submitted with this form. 0 For all Lots <5 acres the site plan must include the entire lot. Test locations must be accurately tied to lot corners or other permanent markers. and identified with Location of perc and profile holes inust be mapped adequately cra!<r�e- flar ciitlir. etc. holes must be staked ttti #1, #?,, and #3. Saturation and Swelling • Smeared surfaces removed: Yes No • Sand or gravel added. Yes • Date and tine presoak water added: • Amount of presoak water added (gallons): • Date and time pcn:ola6on test is started: Did water rcrntin in hole after the overnight swelling* period: Holc 1 Yes % No Hole 2 Yrs` 10 Hole 3 YesNo Percolation Pate Measurement Percolation Ratc (minAlt.) Hole I _ Hole, 2 Holt 3 Average Groundwater: k/dfeet • Encountered @ • Estimated depth to maximum seasonal water table if not encountered in profiler_ • Is area believed to be subject to seasonal fluctuations which could result in a seasonal wa er table within 8' of surface? ____,Yes No Slope determination in absorption area: — TO to the E–�. (direction) Bedrock:`� • Encountered @ � `feet. • Estimated depth if not encountered in profile: 1 i 6 • Type of bedrock: _,Sandstone —Clays tone Siltstone other • Is bedrock fractured or weathered? Ycs No • Is bedrock believed to be permeable? (Pere, rate <60 min./ill.) Yes -No 6),5(z� * N RESULTS S OIF FERC LA TION TEST JOB ADDRESS OESCRIPTION_a2g l____-�y ----- DEPTH AND DIAMETER OF HOLE #I .—___" ® ------ 0 12 ----- " ® ----- " 0 #3 ----- " A ----- " 0 TEST HOLES WERE PRE-SOAKED FROM: (i)ate)_/_1_2 _ (Time)_? L_ TO: (Date)_2)-. (Time) --- HOLE HOLE # I HOLE #2 HOLE #3 TIME RgFO MAORK FALL RATE LIME REFH2ARK FALL RATE TIME R�FF H2ORK FALL RAPE T� 00 / 4438 Z.�,—� 2.42.3cSo 4: 2, S-1 2.530 :5 -2 — 5- 2,83 z 2U f2� ­41 S:A 2n PERCOLATION RATE: REMARKS: ClJ'Vl �� Zo W/pl j vt lit I \ ,"A "AJ _)�� (-Ir A o AREA SKETCH: PR OFILE HOLE AND SOIL DESCRIPTION BY -------------- x ... A pofine Hole Information (Cont.) (Soils must be classified using Unified System ASTM D2487) Profile Hole Log 0 W, C L r/A'/ J 0 10 Certification I certify that the above information is correct and complete to the best of my knowledge and that all tests were performj:d in accordance witl; the provisions of County Health Department Regulation X by myself under m} supervisi n. Orifi nal Signature n ate Coit&hy Name 0-7"5 Address !1 Phone Original Seal La LI5 Iq P l - G'&-Ja- E f! . High Country Engineering, Inc. 923 Cooper Avenue Glenwood Springs, CO 81601 303-945-8676 - FAX 303-945-2555 TO I ATTN C FAX NO Sheet—of— We are sending the following: ❑ Photocopies X Prints DATE 1 Cil»I_� 3 SUBJECT l � c) JOB NO. 7 Herewith ❑ Under separate cover Documents ❑ Mylars ❑ Shop Drawings NO. OF COPIES ITEM LATEST ITEM DATED REMARKS C IS o X 13a(-s'nv el -1511 If material received is not listed above, kindly notify us at once. Transmitted by: First class mail ❑ U.P.S. Next Day Air ❑ Federal Express El U.S. Express Mail By. ❑ U.P.S. Std. Service ❑ Messenger ❑ Pickup ❑ FAX 0 4 - �o `✓ 1 - VICINITY MAP GENERAL NOTES ION SHALL BE IN ACCORDANCE WITH THE PITKIN kTIONS OF INDIVIDUAL SEWAGE 'EMS. EVEN THOUGH ALL SUCH REQUIREMENTS ARE NOT NOTED ON THE DRAWINGS. THE CONTRACTOR SHALL BE 'OR SUCH SPECIFIC DETAILS AS ARE REFERRED TO IN ITIONED REGULATIONS. MMS *2 PERSONS/BEDROOM *75 GALLONS/PERSON/DAY IS :RAGE DAILY FLOW = Q. AVERAGE = 450 GPD MINIMUM TANK SIZE IS 1000 GALLONS. PER PITKIN COUNTY EQUATIONS: Q - 0.055 0 0 - MAXIMUM FLOW L. r . LOADING RR TE 450 - 0. 055( 300) - 1484 S. F. 0. 3 [MUM REOUIREMENTS FOR USE OF "INFIE-.TRATOR" SYSTEMS AREA REDUCTION = (0. 6) * A WIRED * 0.6 = 890 SQ. FT. S0. FT. PER UNIT = 48 UNITS Al [L EXCAVATED FROM SITE ACCEPTABLE IF 1V0 CLAY IS 1FFIC IS PROHIBITED ON THE FIELD. REQUIRED AT ALL BENDS AND AT LEAST EVERY 100 iE HOUSE SEWER. 2S AS NECESSARY TO BRING ALL ACCESS POINTS TO )OT OF FINAL GRADE. ALL COMPONENTS MAY BE.VARIED AS NECESSARY AS LONG )M DISTANCES AND SLOPES MEET THOSE REQUIRED. rIVE DRAINAGE OF SURFACE WATER AWAY FROM REA USING DRAINAGE SWALES AS NECESSARY. RATE OF 45 MIN/IN BASED ON TEST BY HIGH COUNTRY 'ERSONNEL ON SEPTEMBER 22, 1993. (PERCOLATION 4CENT LOTS WERE 40 AND 42 M. P. 1.) N0. DATE REVISION BY x I A NC S, Co SM 8876 FORKE RESIDENCE PITKIN COUNTY, COLORADO INDMDUAL SEWAGE DWOSAL SYSTEM LOT 33, BLOCK 1 LITTLE ELK CREEK SUED SON DES. TPB CK. FILE NO. SHEET 1' DR." HMS DATE .1 0/6/93 04.14_ OF 1