HomeMy WebLinkAboutpitkin.eh.264514402002 (1992)t ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT �y
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.✓�
TYPE OF PERMIT:
Initial Construction ( )Emergency Use
or installation
( )Use Permit as a result of Salo
ISSUED TO:
( )Repair Work,(Pcevious Permit 1 .) ( )Alteration of an existing system,
(Previous Permit 1 )
( )Othort
DATE OF ISSUE - �-171q2✓
Owner ome Phone�CtS ZJZ Business Phone
Mailing/ 7-3%10
Address J �Q ell-�0"eo / A)C' 444
Agent___.,
Mailing
Address
Phone / 3 4-7
Sewage Disposal System Work to be performed by
This permit valid only for premises location by the following legal deucription: h�, i� /!1 p g/✓��/g��// r���
LOT S1tE , WATER SUPPLY , AVERAGE PERCOLATION RATE.
This Individual Sewage sposal Permit is granted with regard to the following use: ,I.AjC l -e 14.Y
Number oft Dodicoms fts Garbage Dis sals Dishwashers Clothes washers
* CA TED AVERAGE DAILY WASTE LOAD -J ( � ! ` ALLUNS.(kW 'E 4:u
CSA 'f AYi fl- A te]_► W C1 ei
THF NATURE 0 THE_ SY T��' ACL E UNDER THIS PERMIT: 7J
OLA &L LVA T � ,r}�
?pe of Tank or Treatment Units f- / )� I K- (,% Tank.Capacity '�—_Gallon Minimum F FA)
:thod of rinai Disposals FIL-r9A7VP— "A wpm&i� Absorptiop . Area Square Feet Minimum
_scr;ption (including brand name, if any) of other equi nt or appurtnanceas 1
E
�Otj 1'0A C
USE TILS1,5" G-AL�LrJ��/�tv'S
:they itiond or Specificationat'AA/ �r%r%Dlv/7L
�5/�
WO CAI-.a1V 'Z31 Ti 7i41 � Q a EEE F
c f �THE 1°i�ecD t 7 s ► c �� f 9ZSTAGES REQUIR G INSPECTION BY H % H DEPARTMENT: �� i-T-�c:.li
( )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, Specify: .
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 agcnr to perform the work indicated above in accordance with the Pitkin County Indivillial
Sewage Uispesal Revulations in effect on the date of issue. In addition to general provisions act forth or, the reverse her_ef,
this Permit is suthject to the following additional terns and conditions;
Aspen/Pitkin Environmental
APPROVED FOR ISSUE BY re(title ) Health Officer
The ahAive individual seva,lo disposal systea installed bys--Tel "IJ*A-13 --
has been ln:jpcctcd for use h a representative of the A!ipen Pit to Lnvlronr— tr .Hca le t. Tho u..ncr chc'j--Aa ani
reaixonsibiltty in cele of (allure or inadequacy of thio 3ewaye disposal system. Complete ax -built drawing attached.
DATE O1 N ItiSPECT Oar fl ',2 —Gid -- _
Aspen/Pitkin Environmental
BY; TITLE _ Health Officer
130 South Galena Street Aspen, Colorado 81611 303/820-6070
- .' .
ASPEN*PITKIN
ENV&.JNMENTAL HEALTH OEPAR I'MENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT
Name of OWNER Nancy and Georgd Records _ PHONE �i,n51 RL9-1L9-i
Address of OWNER 1510 Gilford Lane Oklahoma City, • OK 73118
Name of APPLICANT
PHONE
PERMIT TO BE: Qo Picked Up ( )Mailed tot . TYPE OF PERMIT: (X)New Installation ( )Repair
( )Owner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure
LOCATION OF PROPOSED SYSTEM:
Legal Description Lot 2 of the Hidden - Meadows Subdivision
Lot Lot'2 Block Filing Subdivision Size of Lot 17�h97 _acres
TYPE'OF STRUCTURE: (X)Single Family Dwelling ( )Other: Do you plan any further additions to the
residence? ( )YES (A NO
No. of bedrooms__ �__ No. of Lofts No. of Garbage Disposals 2 No: of Automatic Dishwashers 2
No. of Automatic Clothes washers 1
WATER SUPPLY: (X)Private wall, Depth or ( )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 (925-2020, 8:10-9:30 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 information will invalidate the application and any subsequent permit.
Signature of Applicant 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 amour,
of $ 03 Iv • , Receipt Number + �� . Date Fee Received y��,-,-tr.tiv-
Officer
130 South Galena Street Aspen, Colorado 81611 303/920-8070
Legal des
Address o
Name of O
Address:
ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
(# & st�p/��i
Name of Agent: 7�iuDX,) (city) (state) (ZIP)
Lot Area: d Water Supply:Public Utility Subdivision.
Private WO -1l. X Other A
Distance to Nearest Surface Water 109f 'Type
Dates Observations Made: Soil Borings: by
Percolation Tests: � Z -by
SOIL.BORING TESTS
PERCOLATION TESTS
Total
Observed Depth
Estimated Depth
Character
P-3
-Depth
to Groundwater
to Groundwater
of Soils
B-1
t
J
(left after 8 hr. presoak)
- /
L�
Time
f
PERCOLATION TESTS
P-1 U -t
P-1
P-2 P-3
Depth
P-3 5!L
P-3
Diameter
Drop Time
Drop
Depth of Water
Drop
Time
(left after 8 hr. presoak)
Time
L�
P-1 U -t
P-1
P-2 �OL
P-2
P-3 5!L
P-3
Drop Time
Drop Time
Drop
Time
Drop
Time
Drop
Time
Drop
Time
f
2535
Z
.
Rate P-1 Z7 Rate P-2 '� Rate P-3 YO
AVERAGE RATE: 0 1 minutes/inch
Plan of the site
Comment
Qn Soil
/,()y/
Date
-9 /�3 Iq /-
and location of test h les on the back
or Site: Z�
J ft
Signature
130 South Galena Street Aspen, Colorado 81611 303/920-5070
Ass O/yp-r/oit/s --
()-3E 4-040 -7—ell-6- 7- M-oe�-.S-
`%li9 T osE /1D /I'I°i�E T�/f1� / • 5- Gig lf40sH
FA
Apon VED +0 % D�ecTlc
P,,, I A �F 31 MIn� /�OFi =X50 Sq PF OF TiQE�I n,N ED M
x S �3�i �eaor�
I'� SQ Pr �� U I � ��17LLF OF
btmr, WATe� -T4, AJ�H )
ov Foe 4e -ti
57� s
2-75-07 I o8 sQ FT.
geoo e Foy, (,DASH Ee-
�210 (111�113
757 � F GeEY WATE57.5Sy-s-rg-m
®
ReDUCEFOR_
1:4 F1 L i /LftTO YL
137 X . _ 9;-%5��' (274 LIMIF - FEE7")
U SE 5 -r'RENeNES 57'x' L-OAIC,
QFY
a)hTee- -TT
= 33VSQFT
0 U e o 2 0 o SQ Fr Fay
Gi4- leATol2 (7v L/AIEAZ FEET IAI "TWo-Cot/WL
/A� ,
V v
� y __
?,1
�•.s
- k-�•-
- __ t ..