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Home My WebLink Aboutpitkin.eh.264536100001 (1996)ASPEN/PITKIN ENVIRONMENTAL AEAL•'TH DEPARTME"T APPLICATIf :OR INDIVIDUAL SEWAGE, DISPOSAL SY -M 130 S. Galena St., Aspen Colorado 81611 Phone 970-920-5070/Fax 970-920-5039 D 0 Permit G 1 1 Parcel ID # (y Y `J - (o - O D O O Permit For: New Installation / Repair ( ) Remodel ( )Emergency Use( ) iName of OWNER V G 2 Owner's (nailing Address 1 tt 5 ly 3 W. TMPt5K1A)- b,,Z L 16 E tQ -r G �4 L & o O Y r Business Phone: iz - %n k b — Si U %R' Home Phone: Name of Agent i'/ /4 !i't'j ��w fiv/` i�G //�✓ G /•�1�G -� 3 - �jit/ .��liSiE/C. Agent's Mailing Address - /4 L Bus,ness Phone : r/: % c -� °`s J Celi Phone : Fax %/ Ccijy of permit to be sent to: Owner( ) Agent( )Both Streel redress O S In Legal Description: Lot_ ,Block ,Subdivision E S T / t,/ -T K f4l 0.? �RtvR�' C Size of lot. _5 acres Type of proposed structure: 2c s, , EN CE Size of bldg. envelope: Total area/living space (sq. ft): /%, Off_ # of Bedrooms, offices and similar size :rooms: _ i Caretaker Unit : ( )Attached i )Detached # of Bedrooms, offices and similar size rooms: Water:( )Private well( )Spring ( )Stream (A Community/Public (Name of System) 74;` j 5,6 3 r Is Proof of Adequate Water Attached ? ( )Yes (fit) No L� S Has this project been approved by Pitkin County ? Yes( ) No Is a coay of the floor plan attached ( required ) ? P Yes ( ) No Pplicat cn for an individual sewage disposal system is hereby submitted. the undersigned acknowledges that the above information is true and that false information will ovalicate the application and any subsequent permit. Issuance of the permit does not imply the approval of any other permit required for construction pursuant to Pflkin County coaes. No construction may be undertaken until all approvals and permits have been obtained. The owner assumes all responsibilities in case of failure or inadequacy of this system 4 Signature of applicant Date 1 /� /�e For department use below PERMIT FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM ii gsign Critoria of system to be InstallQ0 Any changesus itted and approved in w in / I �c/� 1` // Septic tank capacity: �, (% gallons Absorption area: a� a 4� O j � %, %L�i sq. ft. 5fE l%�S/✓�jnr /✓G rf= `c/ 7 C,-) *- �,C Com- An inspection is required prior to backfill of any component,of thdi tribution system. �G�Design by Engineer Required ? (X Ye�All plans and specifications of the ehgineer must be (lowed. Any ch9anges must be approved in wnr.ng and the engineer must certify the final installation to the Environmental Health Department in writing. Permit approval by: / is J' . Date1 �, ''5/ebf Plans andspecifications of the proposed individual sew a disposal system have been rd iewed and are considered satisfactory. Permiss ishey granted to the owner or me agent to perform the work indicated in accordance the Pitkin County ISDS Regu tion in effect at the time of issue. ?his permit becomes invalid 6 months from the date tnat the permit was issued unless system construction as commenced or an extension has been approved in writing by th:.- Department. I,utaller As -Built drawings must be included with this permit before the final approval will be iss in . -,i Inspection Approval: / � Date: Date requested: h In Date Pd S /0.- �(�� Receipt #: 2 % �p , Received by: %\ Information complete: 150 0 0 /o/3/ -111 _�.0-1 . t-- : O tP71� -� 4dOPWft P7 .*v A4 1, AON 't f. I "Ir *maw 4dOPWft P7 .*v A4 1, AON 't i' � p � � f:' �' '.'. ` � �-� �� _� � �'�x' �,+r. ...�' � � � �3;n: � r ' �, �' . � . ..r � �`4' _ _ �fl��..t, .. i, j. �.. _ / �� './ ,� t f �C • ` 1 i. h. t P•;`�, ,� ,�_ ,,, 'r i I� ._ � µ � �.. ,. � � �• �� o �y .. i.`; �; -. `� Vis'. �.4ti Al �� -� r: • 3• � a l i a 0 `` ��.`°'' � ..4 -.ae � � ``TTTT„'6ti� `; �' k� �'ta,��y . • `•,,, -in / Pitkin Environmental Health Departure Contact Log Sheet • .. Name Parcel ID 1. �, Q �3 V E {� Street address p S D 5 I U iD C,9 i 1157it S V K. - ate Received; o Application q y� - �� ❑ Fee 5 --/ o - G+� ❑ Perc test 5 - q - :9 G Soil profile �_ �� Water Quality ❑ Site plan -aq -9.1, `� Water Quantity n House floor plan Date _... ---------- Person Spoken To Comments / Action to be Taken Initials V(, u, s - 6 L/ 7 — 3 - d L J ClC�1 - d - i A 144 i L I I I I 1 I � _ I I I 1 I _- MAY -09-96 THU 11:10 MCLAUGHLIN WATER ENG FAX N0. 970927'974 JUL 02 '93 12:59PM CITY OF PSPEN ASPEN/Prr KW ENV MONMENTAL HEALTH DEPARTMENT 130 South Galena, Aspen, CO 81611 303-920-5070 Property addres P. 05 P.3 Legal description Proerty Owner- . D \Mame '23 U'__ -@Eg� MAY 14 1996 Address ENVIRONMENTA_L hEALTH Phone N / PITKEN :`Tote: • Percolation Test Form, Site Plan and Grain Size Distribution Curve of the Sample must be submitted with this form. • For all Lots c5 acres the site plan must include the entire lot. Test locations must be accurately tied to lot corners or other permanent markers. * Location of pert and profile holes must be mapped adequately and identified with stakes, flagging, etc. Profile holes must be st�vQ�av � 4t?- And #3. Saturation and Swelling • Smeared surfaces removed: Yes No 1 Sand or gravel added: Yes - No • Date and time presoak water added* 5'oQ T • Amount of presoak water. added (gallons): (5- !4 4 4 • Date and time percolation testi starte : %SDid.1"00 /e .2 q--5- Did water remain in hole after the overnight swelling period: Hole 1Yes No ?-sole 2 Yes No Hole 3 Yes __.No Percolation Rate Measurement . Percolation Rate (min fin.) Hole i t% Hole 2 Hole 3 .� Averag i Groundwater: • Encountered @ --feet. • Estimated depth co maximum scusonal water table if not encountered in proFile:, SGo Is area believed to be subject to seasonal fluctuations which could result in a seasonal water table within 8' of surface? Yes No Slope determination in absorption area; LO -1, to the S (direction) iBedrock, j • Encountered @ Ecct. Fstimated depth if not encountered in P1tee''_ • Type of bedrock: Sandstone Claystone Siltstone 5—A �Other • Is bedrock fractured or weathered? Yes No Is bedrock believed to be permeable? (Pere race d60 min.1in.) Yes No MAY -09-96 THU 11 11 MCLMIGHLIN WATER ENG ------FAX.NO. 9709"-'974 JUL. 02 '93 01:OOPM CI.. OF ASPEN Pohle Hole Information (Cont.) (Soils must be classified using Unified System ASPM D2487) Profile dole Log —0 L 2 SSG i S 7 F1 N] 10 Certification P. 06 P.4 1 certify that the above information is correct and complete to the best of my knowledge and that all tests were performed in accordance with the provisions of County Health Department Regulation X ` by myself or under ervysiotr. Ori tnal tgnature Date A/ Company Name Address Phone ,.4 Original Seal 11 MAY -09-96 THU 11:09 MCLAdLIN WATER ENG FAX N0. 9709274 P. 03 MAY -09-96 THU 11:10 �3 MCLAUGHLIN WATER ENG _ 5 FAX N0. 97097-"974 P. 04 -ems -KOE O � ✓f O ' a5tN(- Al rA Os X N Lo G A 14-1 cj ERIFt .2�r..5a.' 6r' our bco 9'9' �X— POC, I Ole op AP 4 _ ail' x 7 a': t P s!G � N� / ' � /VI G�A � \ ---• -- AI.FI4 r�.9_�2tY.�:::��t�.±�t REQ_ ' '� �t_ao r Y4'-D►� �1 Flg ie, Co Q/ —� 0 LO �.......;.., :'....._ FE.3. ESIGN McLAUGHL.IN wAT..,.ER. _:NOfNEERs ,� 5��-- -'" 2420 ALCOTT ST. ?= .DENVER, Cfl - 80217' HTAIL ' AT@ , PFIOJECT NLJM9EAGI� -L ., ECK ' ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT ISDS DESIGN REQUIREMENTS DEPARTMENT USE ONLY Permit # Name Braver Parcel ID # House Siz 11,000 (75 gpd, 100 gpd, or 130 gpd) 130 Number of Bedrooms, Lofts, Offices, Similar Rooms, Main House 5 Number of Bedrooms, Lofts, Offices, Similar Rooms, Caretaker unit 0 Average Daily Waste Flow 750 # bedrooms X 2 people/br X 75 State Review Required? no Perc Rate 30 (T) Design Flo w (Q) _ # bedrooms X 2 people/bedroom X gpd X 1.75 Q= 2275 Absorption Area (A= Q/5 X SQRT) A = 2492.138 sq. ft. of absorption area required 138 infiltrator units without reduction A maximum 30% reduction is allowed for use of deep gravel or gravelless chambered system. 1744.496 sq.ft. with reduction 97 infiltrator units with reduction Type of system: []Absorption trenches []Absorption bed [] Gravelless chambers []Dry well []Seepage Pit []Pumping Chamber Is an Engineer -Designed System required? no yes _ reason: Minimum tank capacity 2500 gallons SETBACK FROM WELL # of feet = 2e� NA Remember: 8 feet of additional distance for each 100 gallons/day of design flow over 1,000 gallons/day should be added unless an RPE can verify that it is not necessary to prevent contamination. APPROVED FOR ISSUE BY: SYSTEM INSTALLED BY: DATE OF FINAL INSPECTION REQUEST: FINAL INSPECTION BY: Printed on Recycled Paper DATE: DATE: ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT ISDS DESIGN REQUIREMENTS DEPARTMENT USE ONLY 1 Permit # Name Braver w/ attached 1 br caret Parcel ID # House Siz 11,000 (75 gpd, 100 gpd, or 130 gpd) 130 Number of Bedrooms, Lofts, Offices, Similar Rooms, Main House 5 Number of Bedrooms, Lofts, Offices, Similar Rooms, Caretaker unit 1 Average Daily Waste Flow 900 # bedrooms X 2 people/br X 75 State Review Required? no Perc Rate 30 (T) Design Flo w (Q) _ # bedrooms X 2 people/bedroom X gpd X 1.75 Q= 2730 Absorption Area (A= Q/5 X SQRT) A = 2990.565 sq. ft. of absorption area required 166 infiltrator units without reduction A maximum 30% reduction is allowed for use of deep gravel or gravelless chambered system. 2093.396 sq.ft. with reduction 116 infiltrator units with reduction Type of system: []Absorption trenches []Absorption bed [] Gravelless chambers []Dry well []Seepage Pit []Pumping Chamber Is an Engineer -Designed System required? no yes _ reason: Minimum tank capacity 3000 gallons SETBACK FROM WELL # of feet = 238.4 NA Remember: 8 feet of additional distance for each 100 gallons/day of design flow over 1,000 gallons/day should be added unless an RPE can verify that it is not necessary to prevent contamination. APPROVED FOR ISSUE BY: SYSTEM INSTALLED BY: DATE OF FINAL INSPECTION REQUEST: FINAL INSPECTION BY: Printed on Recycled Paper DATE: DATE: M O OG� � I �I f � ';`•iii � .•,i�,F:•;•�i�� x:� A I I 0 ! + J; rf t t+f M S17dZ�1 N/1ST - 2 107 N� r 14 ! I I .. .... ......__ �'��0 }... .. • P-, OS � { ..._... - �