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HomeMy WebLinkAboutpitkin.eh.264929400006 (1987)ASPEN*PITKIN ENVIR MENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. 60 2(ogll —29q— 60 —006 �TYPE OF PERMIT: �O -Ir Construction ( )Emergency Use ( )Repair Work,(Pievious Permit i .) ( )Alteration of an existing system, installation (Previous Permit i ) ( )Use Permit as a result of Sale ( )Othor: 11ih7 ISSUED TO: DATE OF ISSUE•. d O-,meri,jfJ(;C�JH1eICciC Home Phone Business Mailing Address 0'2 Ili' ��AfL l JL 6QA;0fi� �V b��2 Phone Agent JJ JA Phone Address 013V Sewage Disposal System Work to be performed by—DMAiS �XCAtiAi/�� This permit valid only for premises location by the following legal description: A A c r /tj C lyz — See 21? LOP S t2E 2c 1 A1C •5 . WATER SUPPLY �0g011iiSjtVA//',ei&C AVERAGE PERCOLATIO. RATF. .20 This Individual Sewage Disposal Permit is granted with regard to the, following use:�1ACCC/�/H%L- �� • Nu.ibcr of: Dodreoms _ Lofts �� Garbage' /Disposals__ Dishwashers / Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD Y5 GALLONS. T11F: NA'ti'UP.F. OF THE SYSTEM INCLUDED UNDER THIS PEP.2IIT: ry .na of Tank or Treatment Units P�%(� /ft/�'K,.. '`` Tank Capacity / �yt1 Callon t•iinimu:a Mct.hod of Final Dispo3al: PAGr �D J CX 04 115fK Absorptiop Area 132J Square Feat Mintrrurn OQrcription (including brand name, if any) of other equipment or appurtnanceas %V©tiI6 , Other Conditions or Spccificationas STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( Etc fore Excavation ( )Upon completion of excavation and prior to placement of gravel Before covering distribution system of absorpt'_ors fi.nld Prior to backfill of any component ( )Other, Specify:._ _ Plans and specifications of the proposed sewage disposal system have been reviewed And are considered satisfactory. Pern(ssi.on i„ hcrci;y.granted to the owner or his agent to por;nrm the work indicated above in a.-cord-nce with the. Pitkin Co.:nty Indivi ual Sowa,;•, Disposal RCVulations in effect on the date of issue. In addition to general provisions Pct forr_h on the --averse heYeoe, this Permit i:a sut,ject to the following additional terms and conditions: a APPROVED FOR ISSUE BY (title) ���--------- The above in:iividual se•.rarlo disposal system installed by s le�c��! hes been In❑p,�ctecl for use h}' a representative of the As .en 1':t in !'nvirunc,nta r.cr.ponsibility in case oC failure or inadequacy ofjtthtt4 sewag d(�isposal sys em. DATE • O1 II41lL INSP C IOir---`�� ' �© _ E't : 130 South Galena Street Aspen, Colorado E 1E cc 0 Hca1[rOcpnrtmtnt. Tho uwnur +a•t ufnoa all . Completa ax -built drawing attached. TITLE C,-�-- .11 30 /925-2020 ASPEN*PITKIN ` ©0-®D4 ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER Address of OWNER Name of APPLICANT PHONE _ s,Z 23Z PF.RMfT TO BE: ( )Picked Up )Mailed tot TYPE OF PERMIT: X) New Installation /(`)Emergency ( )Repair .Owner )Applicant Use ( )Alteration NOT dto fail r LOCATION OF PROPOSED SYSTEMt - L "C r ' 1 �,Ali Legal Description )W YL� �i�. �i lei V i t Lot gl k Filing Subdivision Site of Lot ,t q acres TYPE OF STRUCTURE:()Single Family Dwelling ( )Other: Do you plan any further additions to the residence? ( )YES ONO No. of bedrooms ._./ _ No. of Lofts No. of Garbage Disposals No. of Automatic Dishwashers _ No. of Automatic Clothes washers WATER SUPPLY:4tream rivate I1, Depth or ( )Public, Na of Sy$.tefm pring %S'g' or Creek J TYPES OF INDIVIDUAL SEWAf£ DISPOSAL SYSTEM PROPOSED$ )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 PORTION OF THE SYSTEM. Application for an individual sewage disposal P it hereby submitted. The undersigned acknowledges that the above information is true and that false inf mai n will invali e t 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: 0-1. 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. 5. 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 f�hereby acknowledges receipt of this individual sewage disposal permit ppli ation and a per it 'e'vin the amount of S 0 q _. Receipt Number , Date Fee Received _s by Administrativo Officer 130' South Galena Street Aspen, Colorado 81611 303/925-2020 OOOSC fAt"%rr 12' 30 LLOJ APJ CAC,% MAID KOVE SEEPAGE 8C -D UATH 12''o F AV EL (60 YDS). 'SEL DI S Jaonod I. I acs ;AVC 'ASPEN06PITKIN ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET Legal decription: J!12- � I,ne Name of Owner: Address: (# & st. / p.o. box) (city) (state) (zip) Name of Agent: Water Supply: Public Utility Subdivision Private Well Lot Area: 2119 O -Q.— Distance to Nearest Surface Waterg(D ft. Dates Observations Made: Soil Borings: /S 8 % by R ` Percolation Tests: by ,,,L, SOIL BORING TESTS 9 h DEPTH TO SHOVND WATCH, FEET 7(ST TOTAL DEPTH }� NUM •[A /[(T CHARACTER Of [OIL WITH TNTC RN [[• IM I[[T }y i02 O(3[IIV[O ESTIMATED NIGH :h <71 B-1 6 �0 ''TYLD IF SA-W-QZSICT 2.SAI SILT k PERCOLATION TESTS Average Rate: 2,C minutes/inch Plan of th p site on the back Date D 0 Signature % BOB NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 81611 milli 1119 9NMANRE99 Ufl� �tlg MOS1R3 WATER T[7T TIME DROP IN WATER LEVEL. INCHES MINUTES SCCOHO TO NCST TO LAST TESTDCPTM CHARACTER OF SOIL I SINCE NO IN HOLE NT[R VAL TO TALL HUM SCR INCHES THICRNES3 IN INCHES IST WET DVERNIGNT H NINVTC LAST PERIOD LAST PERIOD PERIOD ONE IN CN Y 3rd P-1 0 L� 6- '3S tLy 40A m 3v I 5116 S/ P-2 �1D %d -e4 tTy 13VIk P-3 0 D L Average Rate: 2,C minutes/inch Plan of th p site on the back Date D 0 Signature % BOB NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 81611 500 m j`, — � �, RnCi�y ����� �RcA \ t milky I(r 0 rDv G1�L11L �j7 O..Y SCALE: I"= 40' 0 IO 20 30 40 60 / ✓D � G S ,L�-�1 WA L L A C EE PARKER IMPROVEMENTS SURVEY SURVEYED BY: Registered Land Surveyor 9337 September 4, 1987 { 933 �" \j, LEGAL DESCRIPTION A parcel of land situatec in the E'h of Section 29, Township 9 South, Range 88 West of the Sixth Principal Meridian, lying Westerly of the Westerly right-of-way line of State Highway No. 133, and Northerly and Easterly of an existing access road to said Highway (Ute Trail), said parcel of land being described as follows: Beginning at a point on the Northerly line of said existing access road, whence the East Quarter Corner cf said Section 29 bears N. 660 10' 32" E. 1269.15 feet; thence N. 29° 23' E. 91.8 feet to a point on the Westerly right-of-way of said Highway; thence N. 26° e3' E. 307.6 feet along the Westerly right-of-way line of said Highway; thence N. 29° 15' E. 313.1 feet along the Westerly right-of-way of said Highway; thence N. 720 20' W. 204.7 feet to a point on the Easterly line of said access road; thence S. 170 40' W. 630.9 feet along the Easterly line of said access road to a point of curve; thence along a curve to the left having a radius of 69.64 feet and a central angle of 940 13' 22" an arc distance of 114.52 feet to the point of beginninc_. The above described parcel of land contains 2.19 acres, more or less. WAIVER Applicant acknowledges that he has been informed by Pitkin County of the existence of "1041 Hazard Areas" that might affect the property, any improvements, and the use and occupancy thereof. APPROVED 1041 Hazard Review By: DATE: