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Home My WebLink Aboutpitkin.eh.264916101002 (1992)"- t& 4?- l 6 / - o / - ooa. ASPEN#PITKIN ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. c � TY E OF PERMIT: inscitial Construction ( )Emergency Use ( )Repair Work,(Pievious Permit fr aX-1llationn ( )Use Permit as a result of Sale ( )Other: ISSUED TO: Owner Mailing Address DATE OF _.) ( )Alteration of an existing system, (Previous Permit 1 ) ISSUE" phnnin 4/' -- 7� Business Agent 11J/h Phone Mailing Address SAftl - Sewage Disposal System Work to be performed by This permit jvalid onlyforpremises location by the following '1q Cfyy� " LOT SIZE e Ac �C- , WATER SUPPLY �,�f7101t► � `,/LR! J17<,f��1 AVERACE PERCOLATION This individual Sewage Disposal Permit is granted with regard to the following use: N%r.+bcr of: Dodreoms _ �' Lofts Garbage DiJssposa/l$ / Dishwashers Clothes Washers CALCULATED AVERAGE DAILY :TASTE LOAD (� C GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: 1pe of Tank or Treatment Units S��Tf� � AA k-- I Tank. Capacity_ t� � _Callon Minimum =t.hod of Final Disposals L)}��/Q/(�/�--/1°C� /76- Absorptioa Area�1an Square Feet Minimum zscription (including brand 1name, if any) of other equipment or appurtnanceas :ther Conditiond or Specifications STAGES REQUIRING I_ZSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation0Upon completion of excavation and prior to platement of gravel ( )system covering tioof nrfF,utiicn Prior to backfill of any component ( )Other, Specify: Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Pernissi.on iK hcreL-y granted to tha owner or his agent to perform the work, indicated above in accordance with the Pitkin County Indivi;nial Sewa;e Disposal Re,Iulations in effect on the date of issue. In addition to general provisions set forth or, the reverse hereof, this Permit is subject to the following additional terns and conditions: APPROVED FOR ISSUEBY �l— + `.. (title) h/!%'/4AIW6A 711P a rive individual acwago disposal systcn Snacallcd bys �_/_(s h.%s been in:jpected Lor use by a representative of the As -en ,'i iinn—Lnvlronr��nta Ilea t.. Dep.trtmcnt. Tho ,vnur aszumos awl reni)onsi.bility in case of failure or inadequacy of thiose .11C d pedal system. Complete as -built drawing attached, DATE O1 INAL INSH- T N r Aspen,/Pitkin Environmental TITLE Health Officer 130 South Galena Street Aspen, Colorado 81691 303/620-6070 ASPEN*PITKIN ENVIRL,s*IMENTAL HEALTH DEPARThd1ENT 3- 3300 APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT 0 Name of OWNER N'It'a PHONE Address of OWNER C4*/ &rte Cnu,-J � s :T "61ock- Name of APPLICANT S&Ate PHONE PERMfT TO BE: ( )Picked Up ( )Mailed to& . TYPE OF PERMIT: (V)New Installation ( )Owner ( )Applicant 1 )Emergency Use LOCATION OF PROPOSED SYSTEM& v4�r ( )Repair ( )Alteration NOT due to failure Legal Description t. -i Bei// Lot - Filing Subdivision Size of Lot /f O% acres TYPE OF STRUCTURE: ()4Single Family Dwelling ( )Other: Do you plan any further additions to the / residence? ( )YES ( )NO No. of bedrooms' No. of Lofts 1 No. of Garbage Disposals �_ No. of Automatic Dishwashers No, of Automatic Clothes washers ,1 WATER SUPPLY: ( )Private well, Depth or (Public, Name of System M SPring ( )Stream or Creek TYPES OF INDIVIDUAL SEWArE DISPOSAL SYSTEM PROPOSED& -MSeptic 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 Enviroranental Health Department (925-2020, 9:30-9:30 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 inform t wi �idathe application and any subsequent permit. Signature of Applicant 00, (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 "P C it fee in the amour. �!-, ( (}�]�/ , Date Fee Received �L1r f%_.byReeeipt Number b officer 130 SoutFi Galena Street Aspen, Colorado 81611 303/920-5070 ASPEN#PITKIN ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET ON PERCOLATION TEST Legal description: Address of Property: Name of Owner: Address: (# & ss' / p.o. box) (city) (state) (zip) Name of Agent: Lot Area: Water Supply: Public Utility Subdivision Private Well \Other Distance to Nearest Surface Water Type Dates Observations Made: Soil Borings:- by Percolation Tests: 2e -by SOIL.BORING TESTS PERCOLATION TESTS Total Depth Observed Depth to Groundwater Estimated Depth to Groundwater Character of Soils B-1 Depth of Water _. (left after 8 hr. presoak) r PERCOLATION TESTS G._7arr 1:7 !1 I—,, w Y 1 1— P-1 P-2 P-3 Depth Diameter Depth of Water (left after 8 hr. presoak) r G._7arr 1:7 !1 I—,, w Y 1 1— Rate P-1 '-:1-7 �Raate P-2 -3'2-- Rate P-3 AVERAGE RATE: minutes/inch Plan of the site and locati n of test h les on the back Comments n oil or Site. ' Date / Signature 130 South Galena Street Aspen, Colorado 81611 303/920-5070 YA I AP ij R 2) 171, 1WfflW1W,,WJ1PAAr rAfflj � Rate P-1 '-:1-7 �Raate P-2 -3'2-- Rate P-3 AVERAGE RATE: minutes/inch Plan of the site and locati n of test h les on the back Comments n oil or Site. ' Date / Signature 130 South Galena Street Aspen, Colorado 81611 303/920-5070 I/04/ MINOR HAZARD REV/EW PLAT FOR SIER LOT 21 CRYSTAL RIVER COUNTRY ESTATES. BLOCK 2 PITKIN COUNTY, COLORADO \ �cs-t 12 5, o 0 �o GcLse.vv�e.vt�s If r IN 0 m y_ro 'l rByx X11, GoN.0 C kG" iAAt-caa_Us 5aU,_-AA ve,b0.r L_..Ot -.4-1 9q 2Oy �b Propo Pc?L I I /oma i /z a r — L � 3 9 ..y t J � \\I SCaAe_- Ai I= 20 1041 Conditions of Approval 1.) Dogs shall be kenneled or leashed. 2.) No fencing of the site with fencing over 42 in height or which rec.s Department of Wildlife standards. 3.) All vegetation outside of the building envelope shall be maintained. 4.) The Applicant shall receive approval from the Board of Adjustment for a setback variance prior to issuance of a building permit. Legal Descrpton Lot 21, Crystal River Country Estat-s.. Block 2, Pitkin County, Colorado. Applicant acknowledges that he/she has been informed by Pitkin County of the existence of "1041 Hazard Areas" that might affect the property, any improvements and the use and occu- pancy thereof. Approved 1041 Hazard Review by:Date: 1 In oun y anning lrec or APPLICANT'S NAME: Se-JYe4 3-t• )5 Surveyor's Certificate I, Sydney Lincicome, do hereby certify that I am a registered land surveyor licensed under the laws of the State of Colorado, that this Site Plan is a true, correct and complete plat of a 1041 Hazard Review as shown hereon, that said Site Plan was made from an accurate survey of the real property described hereon by me and under my di- rect supervision and correctly shows the location and dimensions of the property and of the building envelope. This survey is true and correct to the best of my knowledge and belief. In witness whereof I have set my hand and seal this day of A.D. 19—. By: Sydney inciccme ACCEPTANCE FOR RECORDING This 1041 map has been accepted for filing in the office of the Clerk and Recorder of Pitkin County, Coloardo on this day of A.D. 19 in Plat Book at Page ascoption Po. ler an kec0ri.er I hereby certify that on March 24, 1992 a topographicsurveywas performed by me and under my direct supervision of the building site and access to said building site shown hereon . The 2 foot interval contour lines shown. hereon a r1qtrue andco ect to the best of my knowledge and belief. By : '11L