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HomeMy WebLinkAboutpitkin.eh.264929102009 (1987)TYPE OF PERMIT: o ASPEN*PITKIN Z yll - a q i- C, a_ 009 ENVIFVMENTAL HEALTH DEPARTMENT2�(p INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. ,(Initial Construction ( )Emergency Use j� Ir installation ( )Use Permit as a result of Sale ISSUED TO: ( )Repair Work,(Piovious Permit 10 ( )Alteration of an existing syutem, (Previous Permit i ) ( )Othort DATE OF ISSUE. Olrner �LJfjM��R/�. �1 %l�,Q Home Phone 2 - 3jgBusiness Mailing Address %/D$ Alnerk Its 9T. t#DettJ Cl _ �02-U Agent -14 Ma i l.in g Address Phone Phone_ Z& 432 - Sewage 3Z Sewage Disposal System Work to be performed by'"&M Lx -c-- This permit valid only for premises location by tho following legal de criptionS �/�/gC'T- � l-.)WigVjL,A66- _ LOT SIZE 437.AUES , WATER SUPPLY s, 6QjV1g1olli_ AvERAar PERCOI.ATION RA' 7 N, This individual -Sewage Disposal Permit is granted with regard to the following use:3 lid Gl E /lilLy S Nutaber oft Dodicoms Lofts 0 ' Garbage Disposals_/*� Dishwashers! Clothes Washors CALCULATED AVERAGE DAILY WASTE LOAD S&O GALLONS. THE NATUF.E OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Tank or Treatment Units sef-rjal IjrY Tank. Capacity 0 . _Gallon Mini.. Mcthod of Final Disp03als OCUPA &r Top Absorption Area Square Feat MinimumQ Description (including brand name, if any) of other equipment or•appurtnaneoat ESC ` � riO'f.0 �} f35o2 PTionl f ll�Ei9 /('1 ]1ST .6E ,�S FT." �iPD/NJ /,OATER L- /t1 cam. 5��,es G�ia,er/E,e �o/SETS Mord/El-,f�TTfPL'fJ�y� . Other Conditions or Spccificationst IVQ -DISPOSAL. •TD Be, S*TA1, ,GD Id +N00S�� �' s�$1/N6 7V/648 %4Bso9MIDW �rEs MAY BE 046C> �-U D Ori BSD JQ .F oto STAGES REQUIRIN_ PPECTION BY THE HEALTH DEPARTMENT: �}SD ( )Defore Excavation (IR(Ipon completion of excavation and prior to placement of gravel `sr'Before covering distribution ,���� 7/' �� Ksystem of absorption field �JQ Prior to backfill of any component ( ]Other, Specifyt Plans and specifications of the proposed sewage disposal system have born reviewed and are considered satisfactory. Perninsi.on is hereby gra:aed to tl,e owner or his agent to porform the work indicated above in accordance with the Pitkin County Indivi ijal Srwa,;c Disposal Re,iulations in effect on the d:,tc of issue. In addition to gencral provisions set Corth on tt,r; reverse herzei, this Pormit is subject to the following additional terms and conditions: _ APPROVED FOR ISSUE BY (title) 11•o attiive inaivldual scvago disposal system installed by 1✓1 QtCr✓� i has brcn tn::pectcd for use_ by a rcpresentaeivc of the Anl:en t in zr:won:wn'a ttcalfS DeparUntnt. The „wnar as:ru:as 7af rc wnsibilt!y in ccs-. of failure o; inad,-quacy of :is sewagea diappsl ay -stem. Co ple!e Ax -built drawing a:tachod. DATE 0' INAL INSP CTION�O T I' LE / L� 130 f8oiith �Gailen . i.- PL et jt� Aspen, Colorado 81611 03/925-2020 c�N���v-rio,� • .�" -�So SND 75 3 or - Gni — pox is �,2EDUCEp S � o-1 E 3 / o F BELozv �/�/ cil— Le, 4 -rlvlls, #Oui 6 e PI SN UJASNEK- = Z Ki -rte H Enl SiNr- = 5� �-AvA-To,ay = �S SO �� ASPEN*PITKIN ENVIRLPNMENTAL HEALTH DEPARTnAENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT I( - /p� ��Y '4z YPHONE�02—CJ�4 W3fa Mame of OWNER � i � l ('� WI -vi • /1' �.a ( � m2_► BY E N�ff••t Address of OWNER Name of APPLICANT PERMIT TO BE: ( )Picked Up ( )Nailed tot ( Towner Applicant * F PROPOSED SYSTEM, TYPE OF PERMIT: t"yNew Installation ( )Repair (()Emergency Use ( )Alteration NOT due to failure IpCA.ION O , Legal Description tr) Lot Block Filing Subdivision Size of Lot _acres fi TYPE OF STRUCTURE: (`,)Single Family Dwelling ( )Others Do you plan any further additions to the residence? ( ) YES (;11) NO No. of bedrooms No. of Lofts No. of Garbage Disposals No. of Automatic Dishwashers w No. of Automatic Clothes Washers WATER SUPPLY: ( )Private well, Depth or ( )Public, Name of System (,))Spring .`� i F c is 4i !I O(%�.N, �� s5c%C 6Ci� '. CSG'( W\&- ,e v 7 4ti 15 "T i,� I ( )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. 8:30-9:30 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 PORTIO`, OF THE SYSTEM. Application for an individual sewage disposal permit ia--ttereby aubmitted. The undersigned acknowledges that the above information is true and that false information 'will invalidate t ppl tion and any subsequent permit. Signature of Applicant %� s 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 per/m�it appcl�ica on and a po f a the amount of $ 2 S'f�- ` , Receipt Number , Date Fee Received V � / by Administrativo officer 13p South Galena Street Aspen, Colorado 81611 303/925`2020 4vus'rOOTja 125-o GA&I I o fcg ,-- na--41 W iT iNFL,UE�MAAWaLg ANO 1 R�MAO 14oL CF�EnIT ��A �Bso,2PTloA1AkEASr �OAI a)17-11 3GT, -�;So T o iae SQ F'� AfE-S CSR ACL B 6LCUJ L/ _ _ __� 'R '� <'------- N-, �' � ' ��� � � '� .. q: � _ .� _. �! ;,,�`j ���, r �� f.:�. a A '� � .I%. r7 ._.. f, • �".. 4J ♦ s j 1 dfr' ire �" Sears I�t�Dt « � 1q qJ �F//"" i TWAL BM owners manual IMPORTANT Read these instructions thoroughly before beginning work. Save This Manual For Future Reference C ALL CHINA ONE-PIECE WATERSAVER TOILET • Installation • Adjusting • Repair Parts Sears, Roebuck and Co., Chicago, III. 60684 U.S.A. AW Save This Manual For Future Reference C ALL CHINA ONE-PIECE WATERSAVER TOILET • Installation • Adjusting • Repair Parts Sears, Roebuck and Co., Chicago, III. 60684 U.S.A. #kSPEN#PITKIN ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET Legal decription: g Name of Owner: Address: (# & St. / P.O. box) Name of Agent: (city) ! A (state) Water Supply: Public Utility Subdivision X Private Well Lot Area: .3� A� Distance to Nearest S rface Waterft. Dates Observations Made: Soil Borings: i by Percolation Tests: by SOIL BORING TESTS DE.TH TD !ROUND TEST 70 r•L DEPTH W•TCA, FEET CHARACTER OF !OIL WITH 7H IC RN [S! IH FK ET £, y� NUMBER FEET D!S[IIV[D 7C2 ESTIMATED NIGH }� yk LOQ M U1/TH IG7-AG' B -a �K YA �. PERCOLATION TESTS *3� TE��VE� HoyR3 WATER ZEST TIME TO TALL DEPTRACTER Of 301E SING[ NO IN HOLE INTERVAL SECOND TO NEXT TO LAST %XRME33 IN INCHES IST RCT OVERNIGHT N MINUTE LAST PERIOD LAlT PERIOD ICR100 ONC INCH mi -Ong. \lad��/� b � 4a YA LOIYA '' YA Average Rate: .,)L7 minutes 1 ch Plan of the site on Date ' :r Signature BM NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 81611 �- Z i/-�'_ M v j �- Z i/-�'_ M If - T S, R68W TRRCTJ /z �� <S EC 29J O)c THE 6 TN. P. M. PITKIN COUNTY, COLORADO A tract of land situated in the S.E.y N.E.4 of section 29, Township 9 south, Range 88 west of the 6th Principal Meridian, lying between two, thirty foot road easements, one being on the Westerly side, and one on the Easterly side, described as follows: Beginning at a point on the Westerly line of said road easement whence the East Quarter Corner of said section 29 bears S. 40° 47' 30" E. 1001.02 feet; thence N: 720 20' 00" W. 172.36 feet to a point on the Easterly line of said road ease- ment; thence N. 17° 40' 00" E. 105.44 feet along the Easterly line of said road easement; thence S. 72° 20' 00" E. 131.12 feet to a point on the Westerly line of said road easement; thence S. 03° 41' 43" E. 113.22 feet along the Westerly line of said road easement to the point of beginning. The above described tract of land contains 0.37 of an acre, more or less. November 9, 1967 '1 CRegist ed Land Surveyor