HomeMy WebLinkAboutpitkin.eh.264929102016 (1990)7�49 OU 07,_4
ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
•INDIVIDUAL SEWAGE DISPOSAL PERMIT 140.
�o A
TYPE OF PERMIT:
( nitial Construction ( )Emergency Use ( )Repair Work,(Piovious Permit 1 .) ( )Alteration of an existing system,
or installation (Previous Permit 1 j
( )Use Permit as a result of Sale ( )Othori a
ISSUED TO: DATE OF ISSUE yYL�.il -1 / 0
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OwllerC, W_1 Home Phone e1_13—_614t OBusine_ss Phone Q Z7 - L( o
Mailing b ip o Z ILc[i(S-i-61iLQ� U 1 C GU �� D t�LQ C U
Address
Agent_
Mailing
Address
Phone
Sewage Disposal System Work to be performed by 1�oYG�-+ 5 �GX Ca.�1ytA
This permit validonlyfor premises location by the following
'legal
��description_� ZZ'� Z3 Wi�✓`� I/ ( �I_
L7t SIZE Y(� WATER SUPPLY6W(� V �' �KiK WIIIYY�+ AVERAGE P£FCOI_ATIO i R
A
TE �f
This Individual Sewayc Disposal perrnit is granted with regard to the following use:--j"TII
Nurabecr of: Dodreoms Z. Lofts Garbage Disposals_ I/ Dishwashers Washers
CALCULATED AVERAGE DAILY WASTE LOAD CALL -DNS.
THE NATURE, OF THE SYSTF'�,f�jINCLUDED
�UNDER THIS PF.R:IIT: 2 %�
Typ,�! of Tank or Treatment Unit.�/ rG �f/�-T ITank Capacity / �v Callon Hlnimu:a
M.cthod of Final Disposals [ U_ 5^� rD el Absorptioq Area Square Feet Hinimiva
Description (including brand nam V► any) of other` equipment or appurtnanceae
Gvey ►ala(kwG / sy5lcvns —15 -p~ 12'+5(
Other Conditions or Specificationsr
S� ok o s s+ ply m �,s 4, ►le j4A i -e -d.
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Defore Excavation ( )Upon completion of excavation and prior to placement of gravelsystem ofvabsorptica fi.!lden
Prior to backfill of anyrcomponent ( )Other, Specify. --
Plans and specifications of the proposed Sewage disposal systamn have been reviewed and r.rn. ecnsirdered satisfactory, pernis:ai.on
i:r hereby granted to tt,c owner or his anent to perform the work indicated above in accordance with the Pitkin County Indivi.',ual
Sr.• p;.- bispc,al Rcv:lations in effect on the d,. of issue. In addition to ycncral pcovisinnA _ct :o_th on ..,. !averse
this Parmit is sut'ject to the following additional trras and conditions:
APPROVED FOR ISSUE BY
Tho a`x:ve inaividual nc'.ra do disposal system installed by �_Y llcalc :�+'P•rtmr:nom Tt•. nut a�sur." a
i:.•s h..en in.:,•:Lte<d :or ut.c by a rcprrcrcntatiVc',f the "I ,,T L�❑vuon:r,�nta
rv:;0Qnsebility in cage of failure or inad'-quacy of t7ii4 se_%, djsjQ.a1 ayatem. Con+pleLu as -Lulls Qr::wing attached.
DATE'OF FINAL INSPECTION �D d b —
- Aspen/Pitkin Environ
TITLE Health Office+
BY: —
130 South Galena Street Aspen, Colorado 8969'1 303/920-5070
Dwi ✓e way
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Name of
S '
lit ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL-PERMIT
PHONE 3-04 70
OWNER Ltit:�c`:� i L
Address of OWNER
Name of APPLICANT
PERMIT TO BE: ( )Picked Up ' N Mailed to: TYPE OF PERMIT: New Installation
( (owner ( )Applicant , .( )Emergency Use
(-073
C/La-6cc?o
( )Repair
( )Alteration NOT due to failure
LOCATION OF PROPOSED SYSTEMS
U
Legal Description j n \� a A� a� w , \\c`( e. I \,, C t
Lot, Block Filing Subdivision S V Slze of Lotacrea
TYPE OF STRUCTURE: K)Single Family Dwelling ( )Other: Do you plan any further additions to the
residence? ( )YES ( )NO
No. of bedrooms NO. of Lofts No. of Garbage Disposals No: of Automatic Dishwashers
0 �
No. of Automatic Clothes Washers
WATER SUPPLY: ( )Private Well, Depth Or._�dPublic, Name of System Sc. JCC Y l �lC�liP��_
(yASpring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAC:E DISPOSAL SYSTEM PROPOSEDS
boSeptie 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 PORTION
OF T' E 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
NOTE:
DATE
(This application becomes. invalid 12 months from the above date.)
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 perm t fee in the amount
of S��f�� . d , Receipt Number �V 3� (� . Date Fee Received —dam 90 by
inistrativo officer
PA.oq,,- qJ0 -Sold
� i 50,00
130 South Galena Street
i�prr i l S r .
Aspen, Colorado 81611 303/920-5070
ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT
REVENUE DEPOSIT / RECET
subtotal
00125-61050 Pet Shop/Hoarding Kennel License. . . . . . . . $
00125-61070 Colorado Food Service License . . . . . . . . . 5
00125-61120 Septic System Permit. / �',. .�C,?. 1. $
s�orr o
00125-62230 State Share - Env. Health . . . . . . . . . . . $
00125-63340 Land Use Review Fees . . . . . . . . . . . . . . $
00125-63700 Colo. Air Monitoring Fees . . . . . . . . . . . $
00125-63710 Loan Inspection (Water & Septic). . . . . . . . $
00125-69000 Other Misc. Revenue . . . . . . . . . . . . . . $
00125-80900 County Share - Env. Health. . . . . . . . . . . $
General Revenue Account . . . . . . . . . . . . $
DEPOSIT TOTAL . . . . . S
Name �(ge it`"5 4Date,71
L1���h�1c�e L�iTiG
Address \ Phone 1&'3
Check No.
()&- ( rtv T CG 10 2 3
A.P.E.H.D.:7/87
. •.
ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT
REVENUE DEPOSIT / RBUIPT
subtotal
00125-61050 Pet Shop/Boarding Kennel License. . . . . . . . $
00125-61070 Colorado Food Service License . . . . . . . . . $
$
00125-61120 Septic System Permit.
7 7 %'moi
pod'- Ci
00125-62230 State Share - Env. Health -
$
00125-63340 Land Use Review Fees. .
• $
00125-63700 Colo. Air Monitoring Fees . . . . . . . . . .
5
00125-63710 Loan Inspection (Water 6 Septic). . . . . . .
5
00125-69000 Other Misc. Revenue . . . . . . . . . . .
Share - Env. Health. • • • • • • • • $
00125-80900 County '
General Revenue Account
. $
DEPOSIT TOTAL . . . . . . . . . . . .
�=.rt TDate-�-y)=—
Name 1 Phone b", \ �� i.�C� - 6 �7 G
Address
I>�U� _ Check No. �_L-=---
( '� 1s CG
CHARLES W. LIGGITT r' 1-82
�ELIZABETH.,SCHORR-LIGGITT i
0602 ktb6T,ONE •B[VQ. -663-0470 J,< .i1:, i
uUUb4'
V w
1759
sa �f
(� • � �• " ., 82-713/3070
CARBON*LE,CO 8162 _
1pi R ter.. �
,GolQmbia Savin s :'.;'AFEEWs► +. -
..30yiAagR a Larie S naO Wv+1 k '^h j r �/ ►/, "
. t Ci bondele. Color 6,2A `a } + / i �> 1 f � v=
zi
M
w„..kv uwnf.�n Bank Nola 8-2 NWancY
ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
Legal decription
Name of Owner:
FIELD TEST DATA SHEET
5 %1
Address: ODUZIZed54T-71 . 6 V
(# & st. / p.o. box)
Name of Agent:
j:55 V f'
,j-
t 51-D✓u C Q _f b 2 3
(city) (state) (zip)
Water Supply: Public Utility Subdivision Private Well
Lot Area: 11ZO-tAL, Distance to Nearest Surface Water ft.
Dates Observations Made: Soil Borings: #11q4qd by4",
Percolation Tests: by ,y-_
SOIL BORING TESTS
N: T�'n£�}:ri '/�:C `A2 fit, .'tom.
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RT OR %T 1R fat AR AC 7�R27Q
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RR mt A¢SR f+R
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TOT,I DEPT.
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SINCE MOL.J.
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PERCOLATION TESTS
is O�O. SZ Sd A2
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9A A¢Rt 7N
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SINCE MOL.J.
JST w,CT
IM HOLE
O�T.MICMI
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M MIMUr [S
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Average Rate: minutes/inch
Plan of the site on the back
Date ASignature
ASPEN/PITKIN
SANETARIANI
130 S. GALENA
A;;r E- IN, C0 815 i I
► a
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L
4KOOO�� x 7�
r 1 Std . � f --- - -
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,
l04/ MINOR HAZARD REVIEW SITE
PITKIN COUNTY, COLORADO
a 1MA�CCxles
J
PLAN
FOR LIGGITT
X29 \(
1 (�
rM weS
CONDITIONS OF APPROVAL:
1.
All dogs shall be
kenneled
or leashed.
2.
Native vegetation
shall be
maintained outside of
the building envelope.
3. Fencing shall be 42" or less in height.
4. Utilities shall be placed under the existing road
and proposed driveway.
5. Prior to the issuance of a building permit, the
applicant shall receive a setback variance to
accommodate siting of the building envelope.
Scale: A 20'
t:�.)a1 DP :1'1'1��ljll
Trach 22 and 23. Swi�c Villa2n Tract Pitkin Cnunt,. Ccloradn.
r�
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:
Pitkin County Planning Director
APPLICANT'S NAME: Charles William I i�pitt and Fli7ahnih Cchnrrl I iggLt
Surveyor's Certificate
I, Sydney Lincicome, do hereby certify that I am a registered land surveyor licensed
under 'lie laws of the State of Colurado, that this Site PIan 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. 1990.
By:
Sydney Lincicome
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. 1990
in Plat Book at Page as-7e-ception No.
1 hereby certify that on March 14, 1990 � topographic sury-, way
performed by me on the building site siinwn heronn. Tire napping
of this topographic survey shown herenn is trun ,1nd .orrnct to
the best of my knnwladge and belief. "'M1111111111"'.
By:
Conn Y.L.J. 1411= 'c
JA111 c
Clerk and Recorder
T�cLAS 22 =&& "2'3, SwiSS V I t lOqen Trads
L/IVES IN SPA E
SYDNEY LINCICOME (L.S.I4III)
BOX 121 CAARBONDALE, COLORADO 81623 303-963-3852
DATE 8 YeC. 4C18q
SCALE. 1'= 20,