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Home My WebLink Aboutpitkin.eh.264514400023 (1991)ASPEN*PITKIN a(oLJ5-lC/LI - 00.0,1.3 ENVIRClNMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO._. ql co E TYPE OF PERMIT: ()Initial Construction ( )Emergency Use ( )Repair Work,(Piovious Permit 1 .) ( )Alteration of an existing syutem, \\or installation ( )Use Permit as a result of Sale ( )Othort ISSUED TO: /�, Owner Ulu �)t1d L_ �r' �,If1lep_crr Home Mailing '0 Address /:. �� 4r t S/Oi4�A4A Agent 1 Mailing Address (Previous Permit 1 ) DATE OF ISSUE . (L2Iq I Phonea'? 3 "539'qBusiness Phone Phone Sewage Disposal System Work to be performed by A � This permit valid onlylot-for• premises location by the following legal detscriptiont ! 1 me - w t, —q `t� AO � i , WATER SUPPLY 1/(f�L�.- AVERAGE PERCOLATION RATF. �k LOT S 11E,!�, This Individual Sewago Disposal Permit is granted with regard to the following user Nutaber oft Dedicoms _ — Lofts Garbage Disposals Dishwashers— Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD _3"4_SGALLONS. THE NATURE OF THE SYSTEM INCLUUDD�EAD� UNDER THIS PER 1IT: yps of Tank or Treatment U is ��l ll /� ""� Tank. Capacity /ldf.' C� Gallon Minimu.;a etin `% ( Square Feet minimum j7 Absorptiop Azea . ascription (including bran name, if any) of other equipment o� appurtnancess j� �' ��A p GeL7' Dsuils PHc�ti? � a � � 46,00C'T117110 Lt,jOi)r // Q� j� /-;ITN-G r c.G )they Conditions or Specifications STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: W ( )Before ExcavationUpon completion of excavation and prior to p1neement of gravel VNefore covering distribution ystem of absorption field Prior to backfill of any component t )Other, Specifyt _ Plans and specifications of the proposed sewage disposal system have been reviewed and are cc nsid[ ered satisfactory. Pernisson is hereby gra;aed to the. owrer or his agent to perform the work, indicated above in a_corda'cc with the Pitkin County Indivi:lval Sewa,e Disposal Revulations in effect on the date of issue. In addition to general provisions -set forth on the reverse LereeP, this Permit is subject to the following additional terns and conditions: Aspen/Pitkin Environmental rAi914-____ Health Officer APPROVED FOR ISSUE; BY (title)_ Thc• alxive in:iividual seg.+ago disposal system installed by3 /�(Ji�J�� _1.�f1N hAs been in::pected for use by a representative of the Aspen lq 1n Environm.•nta rcaponsibility in case of failure or inadequacy of thi sewn. disporal system. DATE O1 IN INST' CTI IN _ BY: Health Departlnellt. The uwnor a33 VF'KlD a Complete as -built drawing attachod. TITLE. 130 South Galena Street Aspen, Colorado 81611 ASpen/Pitkin Environrr( j;u Lj Health Officer 303/920-5070 ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER / '/% Y" >��'� �I PHONE Address of OWNER 14 0)( SS/�� )n0pv,-, r 4V,�i.f , -� R`iG ss"" Name of APPLICANT PHONE ERMfT TO BE: ( )Picked Up • (4.Mailed to: TYPE OF PERMIT: New Installation ( )Repair ('; Owner (-)Applicant ( )Emergency Use ( )Alteration NOT due to failure ACA?ION OF PROPOSED SYSTEM: PIC,/�� .egal Description .ot Block Filing Subdivision Size of Lot s„s acres YPE OF STRUCTURE: (}Single Family Dwelling ( )Other: Do you plan any further additions to the residence? ( )YES (XNO to, of bedrooms No. of Lofts No. of Garbage Disposals No: of Automatic Dishwashers +o. of Automatic Clothes washers t�iw fpw' r2+!1 v�- tire✓ (AT£R SUPPLY: (A Private well, Depth .? i � ? or ( )Public, Name of System ( )Sprang ( )Stream or Creek ,`YPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: NSeptic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )Mound i )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Other: _ :he initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020, 8:30-9:30 a.m.) >efore a permit can be issued.. The individual sewage disposal permit must be issued before a building permit can be obtained, ,INAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO DACKFIL:.ING ANY PORTION IF THE SYSTEM. application for an individual sewage disposal permit is hereby submitted. The undersigned scknowled'gea that the above information .s true and that false information will invalidate the a plication and any subsequent permit. DATE C 41 / signature of Applicant (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 per- 1� -jon and a per ff a in the amount of = � 0 s�U , Receipt Number Date Fee Received _j I -by ((( Administrative officer 1310 South Galena Street Aspen, Colorado 81611 303/925-2020 ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET ON PERCOLATION TEST Legal description: I`IL�`� 14 J Address of Property: Name of Ow er: Address: E Q. (# & St. Name of Agent: _j 514 p. o. box) (city) (st'ate) (zip) Lot Area: Water Supply:Public Utility Subdivision Private e� Other Distance to Nearest Surface Water Type Dates Observations Made: Soil Borings: by Percolation Tests: q11!2&j / by° SOIL .BORING TESTS PERCOLATION TESTS Total Depth Observed Depth to Groundwater Estimated Depth to Groundwater Character Soils P-3 Drop Time Drop Time Diameter sof PERCOLATION TESTS 1 -7 1 P-1 P-1 P-2 P-3 Depth P-3 Drop Time Drop Time Diameter Time Drop Time Depth of Water (left after 8 hr. presoak)% Time Dropi4 T' e 1 -7 1 P-1 P-1 P-2 P-2 P-3 P-3 Drop Time Drop Time Drop Time Drop Time Drop Time Dropi4 T' e r Rate P-1 12- Rate P-2 Rate P-360 f AVERAGE RATE: minutes/inch Plan of the site and location of test holes on the back Comments on Soil or Site: Date 1 +r I+ 4111/1/ - 130 South Galena Street Signature Aspen, Colorado 81611 303/920-5070 u SG�s �'neum� C'�i F: Lawyers Title Insurance Corporation NATIONAL HEADQUARTERS RICHMOND, VIRGINIA SCHEDULE A-4 cont'd. LEGAL DESCRIPTION A parcel of land situated in the NE -,SW-,, NW4SE4, SW%4SE4 and the SE4SW4 all in Section 14, Township 9 South, Range 86 West of the Sixth Principal Meridian, lying Southerly and Easterly of a Gulch, said parcel of land is described as follows: Beginning at a point in said Gulch whence the South Quarter Corner of Section 22 in said Township and Range bears S 34°10'16" W 7852.66 feet; thence N 63°38'00" E 26.64 feet along said gulch; thence N 69°57'27" E 28.37 feet along said gulch; thence N 38°43'25" E 90.78 feet along said gulch; thence N 51°48'14" E 61.08 feet along said gulch; thence N 87°37'25" E 41.99 feet along said gulch; thence N 17°50'23" E 64.81 feet along said gulch; thence S 89°21'42" E 144.68 feet along said gulch; thence S 74°21'00" E 676.99 feet; thence S 24052'00" W 107.85 feet; thence S 17011'00" W 176.06 feet; thence N 74°21'00" W 951.60 feet to a point in said gulch, the point of beginning. COUNTY OF PITKIN, STATE OF COLORADO. ELAINE DEMMONS JARRETT WILLIAM H. JARRETT P. O. BOX 5514 923-5389 SNOWMASS VILLAGE, COLO. 81615 MfOTHE 5566 19 82-237 X021 Sclieclule A-4 _.Page 2 Na.BE-225272 W1 10 2 U131(11NAL �l G • ( 11 BOUNDARY DESCRIPTION: A parcel of land situated in the NE'/4SW'/4, NW14SE1/4, SW'/4SE'/6, and the SE'/.SW'/<, all in Section 14, Township 9 South, Range,86 West of the Sixth.Principal Meridian,, Pitkin County, Colorado, lying Southerly and Easterly of a Gulch, said parcel of land 'is described as follows: Beginning at a point in said Gulch whence the South Quarter Corner of Section'22 in said Township and Range bears S.34010116"W. 7852,66 Feet; thence N.63038.100"E. 26.64 feet along said gulch; thence N.69°57'27"E. 2b.37 feet along said gulch;' thence N.38043125"E. 90.78 feet along said gulch; thence N.51°48114"E. 61.08 feet along said gulch; thence N.87°37125"E. 41'.99 feet along said gulch; thence, N.17050123"E. 64.81 feet along said gulch; thence S.89021142"E. 144.68 feet r along said gulch; thence S.74021100"E. 676.99 feet; thence S.24052100"W.' 107.85 feet; thence S. 17,°11'00"W. 176.06 feet; thenco N.74021100"W. 951..60-'. feet to a point in said gulch, the point of beginning. owe,r Ypo� a %0 , as (Koo TE oe rt,� ear e 30� vJ 4 c� �'oarQ vJ aj> Gcvs e'riL" SL6802312-1 6. 1 5' TC.51° t`1'aZ„ Vel 2.x.60' , 0� s 5s rh �. . 01 `Aj �4. %v 0 au , V. 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