HomeMy WebLinkAboutpitkin.eh.264933300002 (1983)ASPEN*PITKIN
• ENVIRONMENTAL HEALTH P RTMENT �a—
M-1VIDUAL SEWAGE DISPOSI!L PEIMIT NO. p�
ME OF ?'ERMIT:
49Init!al :on.:truczicn ( )rzeraaney us* ( )Repair work.(Pcevious Permit 1 .) ( )Alteration of an esistini system,
or installation (Previous Permit 1
j )Una Permit as s result of Sala ( )Othors
ISSUED TO: DATE OF ISSUE
Manner. EgWiniCWAA)C-C Home Phone )k5 -231(S Business Phone
Mailing �% Q
Address-/0/9-��/�H�s�Y 133 (�RB�NO�F� T l; v�p23
Agent & A• Phone
NIL -i? in
Address
Sekao,e Dispos._i Systcm Work to 5e perfornn ed by 401k)AICoe
This permit valid only .for Prrmiacs location by tho following legal doscriptions-i %ieAe-r or ZA-Vo g1/JaC IT����i([h
LOT SIZE :±V6 ACiee—a WATER SUPPLY JH'AJZC-rD ,t,,JF - L- . AVERAGE PERCOLATION RA-rr 2 ( M PZ
T11s :adivldual Sewayo Disposal 'arcit is granted with regard to the following usoz! /,OJCLF IiFM/t7 �F:5trCVC-C
N%v.lbcr of bodreoms Z Lofts Z1 Carbage Disposals i�_ Dishwashers / Clothes washors
CALCULATED l.VERAGE DAI:Y WASTE LOA:; GALLONS.
THE NATUPF Cc THE SYST:E f iNCLUJED UNDER THIS PEIRMIT:
rype of Tark or Treatment Units PTiC ��+/li�- Tank Capacity 75o, _Callon Minimum
r':thod cf Einar Z�iscaaals/,BSOw-ta-rlm y-�-NC1-4EC Absorptioq Area Square Fe t iiinlnua
Description iinclu3ing brand name, if any) o! other equipment or appurtnaneess
Other Condition! or Specificationsr
STAGES RrQUIR.ING INSPECTION BY THE HEALTH DEPARTMENT,' '
j IAC tore Excavation Upon completion of excavation and prior to pJaCement of gravel �Hefore coverinq distribution
system of absorhtian fieLd
'Prior to backfill of any component ( )Other, Speeifys /J D.1/Je —
Plans and specifications of the proposed acwage disposal system have b,en reviewed tnd are considered ^atfsftctory. Pcrnis;ion
i!t hcrety granted to ti,a owner : ::s agent r, perform the work, rndicatea above in accordance with thr. Pitkin County Individual
Sewa,e Disposal Revelations in effect on the date of issue. In rldition to general provisions set forth or. tl,c ruverac hereof,
this Permit ii subject to the following additional terms and con,1it1ons-. J psJ e
APPROVED FOP. ISSU,. r. BY / , (title)
. Gf��� / `�
The aN-%ve in,iividual a,�tIago disposal systom Installed by
i has bccrr in:r,,cctcd ter use ty a represcntattvc of the Aspcn Pitkin L'nvironcrrnta H.alt� [ic.P•truncnt. Tt,7wnnr a''rW*'•'�y ai
rr::Ponsibility in Cana of failura or lnad.•quacy of than scw•igc dispo■al aystcm. Coa.picta as -bull[ drawing attachod.
DATE OF FINAL INSF ECT.ION
BY: TITLE
130 South Galena, Street Aspen, Colorado 811311 303/925-2020
ASPENOPI.TKIN
ENVIRONMENTAL HEALTH DEPARTMENT
,fV:'L�J-i1 L..ATl.Oi\I F011 AN INDI Vr_ DUP,-L DISPOSAL. PER1111I1
owl4Fa !/N a4/%ii &; PHONE W -T ' Z -T -f
=alit. o :`1'-irONL
TtViil a TO !�r:z tic f )J~vil^d tot TYPE_ OF PrRMTT: r. installation ( ) Repair
v ( )owner ( )Appl.ci t ( )_'margency L'se ( )..Iteration tloi dun to failute
rrk_F• }i•: c? pRG?osen�^SYSTEKtt
:.nyal^rt_ iivtl�ta �✓_ I..�-%O / �� `,J
i.:A__ %»lark, Til.fng -_ SutdivisionSire of Lot
Lr c ^+;:7 AV: ( -ingio £tinily Dwelling ( )Othsrs _ Do you plan any further aediti:-.rA to the
residence? ( )YES (A4,1 y
liI c>: brclr^an;r�Y � t:o. : f Tisf.t.Jr Wo. of Garbage Disposals _ No: of Automatic Dish:eashery
of A:;tr!1.J;ic C)001i6. Wash;!!a
t2R;� �SU.'rLµ ( )rriv,ztt; Well, 0,-pth� _ _ Gr ( 1Public; Name of System , _y
Y f`tn,
( }Strez::a of czeek
lyp�s Oil
t►t a:tip ^a .l:%A:se.; :,un :ield S ;Acratiu.: Fiar..inbaorpttor Field )compoetirg Toilet ( lT., L.urat,3.•n %,oilet f )Mound
( ):ccycliry, pots;:le. time { )P,ncycl!ng, -^thnr uao ( )'eau!E Privy
luf.t:i„t ri".B :t"P^Ction mart he arranged with the Lsn•c.n."1'_k?r.'�nvi;n::mcurtal tJealth w-n.artment (425-'!0:[v• d: _'C -9:.3C s....)
`.<:fo-o a rr.s bf: ivzue . The indivi^va' sewage. di:;Fcizai }•dirt::: ..,usc be issued b-forc a building pczr^:tt car he e1,zair.ed.
IK,Lt, siJSPFfT;
16* 40
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER`''— ' PHONE
MAILING ADDRESS
LEGAL DESCRIPTION OF PROPERTY
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" minimum)
O
Diameter of Test Holes
Water remaining after 8 hour soak
TEST HOLE No.1 TEST HOLE No. 2
TEST HOLE No. 3
Drop Time Drop Time
Drop Time
Q
r
I iv
7
i y, tS
Percolation Rate Each Hole
Average Rate j
Comments on soil or sites.
4 eow-t
r
Signature"
Date