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Home My WebLink Aboutpitkin.eh.264505404006 (1985)t ASPEN*PITKIN -04b, ENVIRONMENTAL HEALTH OEPARTIIrENT r ' F INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.. v • TYPE OF PERMIT: ( )Initial Construction ( )Emergency Use or installation ( )Use Permit as a result of Sale ISSUED TO: ( )Repair Work,(Piovious Permit 1 .) ( )Alteration of an existing system, (Previous Permit I ) ( )Othor: DATE OF ISSUE Otaner_lip--r Home Mailing Address Agent ,- Mailing Address Phone Business Phone d11 Phone- 76 Sewage Disposal . System Work to be performed by 1 G/�0/S o/�S &AJ.9i4t'CT/ort) This permit valid only for premises location by the following legal descriptions LOS SIZE 7�� WATER SUPPLY UlKLL �S Ni4LAVERAGE PERCOLATION RATF. ZI M C This Individual Sewage Disposal Permit is granted with regard to the following use: N%rabcr of: Dodreoms Lofts_oO_ Garbage Disposals Dishwashers^ Clothes Washors CALCULATED AVERAGE DAILY WASTE LOAD % &0 GALLONS. THE NAITI.E OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Typ.: of Tank or Treatnent �UinittSEJ"TJC 'ANK Tank. Capacity i -75-0 Ca.lon Ninina a M.rt.hod of Final DSSPO9312 /,QnlYf��O�E�GNF Absorption Area �yp,_ Square Fent Minimum Deacription (including brand name, if any) of other equipment or appurtnancess. [?051A16 S I PHD�► LUD l�L l�C1� CI1s TZ? l lZ F�': �IN1� ASG -TeCAJO �()P "TD /so �;� /N t�Eit/G�'f-/ ,/ ^ / ^147- JOther Conditions or Specificationes�C�� 0 1N�,4LLEI.! �2 FEET) -7-0 Pei)I/JD6 AS /hVC9 So/[- AS /9/- 6-�JiID�,et- /MG' STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation ( )Upon completion of excavation and prior .to placement of gravelBefore eln covering distribution tatl Prior to backfill of any component ( )Other, Specify:. -__6 _ / ` --- .'laps and specifications of the proposed sewage disposal system have been reviewed and are ecnsidered satisfactory. Permission i:t hcrei:y granted to U:e owner or his agent to perfnrm the work indicated above in accordance with the Pitkin County 1ndiviaual Sawa•;. Disposal- Revulations in effect on the date of issue. In addition to general provisinns set forth on thy! r,averse her--cC, this Permit is subject to the following additional terms and conditions: APPROVED FOR ISSUE BY (title) l Thc• c:Xive individual t6c%tago disposal system installed by / _ __� has b.•en ln::pectcd for use by a represcntative of the Aspen pit cin Lnvlranr ,nnta llcalt. Dcp.:runent, Thc uwnur sadu.•noa ari re:>ponsiblitly in cage of failure or inadequacy of this sewage dIsPOrsl`syst m- Complete as -built drawing attached. DATE OF FINAL INSPUTION 2� �b / V . BY: � _. T Irl LE 3I3o�q 1 «' f 30 115out�ale �trArbi Aspen, Colorado 8161'1 303/925-2020 ASPEN4bPITKIN 'ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL• PERMIT Name o f OWNER ; fill S Sc Z- PHONE Address of OWNER 1 Name of APPLICANT /Aei iffi S PHONE 4127-33 — 5CX 3g SiV tv1-1ASSj C'0 g/0.sy PERMIT TO BE: ( )Picked Up - K7 Mailed tot TYPE OF PERMIT: tX)New Installation ( )Repair ( )Owner ( Applicant ( Mmergency use ( )Alteration NOT due to failure LOCATION OF PROPOSED SYSTEM: Legal Description ( Pilin subdivision Size of Lot acres Lot Block g Xs / /�}�F% �F rj/ j'T" Do you plan any further additions to the TYPE OF STRUCTURE: [�(Jsingle Family Dwelling Otherss residence? ( )YES 1� NO ""111 No. of Garbage Disposals No. of bedroomsNo. of Lofts � _ q p°sals No. of Automatic Dishwashers No, of Automatic Clothes washers ' 1 WATER SUPPLY: Private Well, Depthor ( )Public, Name of System Spring { )Stream or Creek TYPES OF INDIVIDUAL SEWAGE 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 1925-2020, 9:30-9:30 e.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 information will invalidate ate the application and any subsequent �i••. __ DATE Signature of Applicant ��P.�'-'�-"-"`-+ '=-p (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. <. 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 underrsigned2hereby acknowledges receipt of this individual sewage disposal permit aptlication and a per�� el in the amount of S �7C• , Receipt Number , Date Fee Received _t.by /f JV Administrativo Officer 1 S iii–v.votice 130 South Galena Street Aspen, Colorado 81611 X03/925-2020 i NSPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET Legal decription: C7/ 14� Name of Owner:'��`�tISSL( Address: (# & st. / p.o. box) (city) (state) (zip) Name of Agent: 'T6c /S Water Supply: Public Utility Subdivision Private Well Lot Area: �/��,'� Distance to Nearest Surface Water ft. Dates Observations Made: Soil Borings: by F/V� Percolation Tests: by rC�ti SOIL BORING TESTS :i ... TEST + NUMBER TOTAL DEPTH rE[T OCa TN TO S.O UND WATER. rECT OBSERVED I.T.—TI.NICK - +'�• CHARACTER OF SOIL WITH TM IC NN [[• I M /[CT .{$ DROP IN WATCA LEVEL. INCHES MINUTES � 1r T" O CHARACTER Or SOIL LA - ('ZARY(l) Ai B-1 �' i NEXT TO JiL,iy ��% ... INCHES THICKNESS IN INCHES IST MILT OVCRNIGHT N MINUTES LAST PERIOD LAST ►CRIOD B -2 -t 2 ONE 1. CK >1LT y LOAM �1f Fk BSc. £i A2 A.2 .mut ?A A2 Nifig{ ��({{ ��qpT 3Ct Ni TR rft N� }}pp{{ g� �+ �y fft Rt �g gt PR 0 p� �g �y �q �( }� �g gE g� TQC �q �o- g; 2 PA FR R2 SR A2 SR ik RC At FR R: r6 SR k PERCOLATION TESTS Average Rate: )I minutes/inch Plan of the.site on the back Date 16 SS Signature `--- BOB NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA AJPEN. CO 816 1 1 - DROP IN WATCA LEVEL. INCHES MINUTES TEST D[OTN CHARACTER Or SOIL NgIRS WATER SIN CC NO IN NOLO TEST "ME IN TEAVAL TO rAll SECOND TO NEXT TO LAST N UM SCR INCHES THICKNESS IN INCHES IST MILT OVCRNIGHT N MINUTES LAST PERIOD LAST ►CRIOD 'CRIOD ONE 1. CK >1LT y LOAM 3. P-1 ;, p c� , P-2 yo " `' y IL1U 30 , ► 2 165 P-4 Average Rate: )I minutes/inch Plan of the.site on the back Date 16 SS Signature `--- BOB NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA AJPEN. CO 816 1 1 0 P"3 a �I J� SoA it I�LP�3 �X dAT�oA�