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Home My WebLink Aboutpitkin.eh.272710400058 (1986) Lamphouse�2727,/0 -V0-0S ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.... (%A;2�2 TYPE 0r PERMIT: Xnitial Construction ( )Emergency Use r installation ( )Use Permit as a result of Sale ISSUED TO: Olaner_, Mailing Address ( )Repair Work,(Pievious Permit / .) ( )Alteration of an existing system, (Previous Permit 1 ( )Othor: / DATE OF ISSUE IO � .Home Phone Business Phone Agent &rv.' 1 o uc 9jo&��mzq Phone / (0 3 •Z� l Mailing Address Sewage Disposal System Work to be perfoIned by Q(,� A16e Zo Dishwashers Clothes Washors CALCULATED AVERAGE DAILY WASTE LOAD GALLONS. THE iJ lJ This permit valid only for premises location by the foll////o ing legal descriptions LOT SIZE L.AtcsS//� , WATER SUPPLY �`N��rV?/)�� ,AVERAGE PERCOLATION RATE This Individual Sewage Disposal Permit is granted with regard to the following use: ANiQ/"�DUgE Nut.,ber oft Dodreoms Lofts Garbage Disposals THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Tank or Treatment Unitt Sepr/e 1A,09-_ Tank Capacity _Callon Minimua rk thod of Final Disposal ,49 �/O �/ /,(i C �/ Absorptiop Area 190-' Square Feet Minimum Description (including brand name, if any) of other equipment or appurtnancess Other Condition! or SpecificationstAIZOi,L'�-/,OA)A/e6-'q 1667-70M jA) IIAT!VE SD/LS CV17HoOr FILA_ STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation ( )Upon completion of excavation and prior to placement of gravelBefore covering distribution system of absorption field (x Prior to backfill of any component ( )Other, Specifyt Plans and specifications of the proposed sewage disposal system have been reviewed and are considered Satisfactory. Permission is hareby granted to tt,a owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sewage Disposal Revulations in effect on the date of issue. In addition to general provisions act forth on the reverse hereof, this Permit is subject to the following additional terms and conditions: APPROVED FOR ISSUE BY*23"�(title) The above individual scvago disposal system installed by � V O/iET S G �w 7 E hes bren imipected for use by a representative of the Aspen i':t in Env:ronm.•nta Ilea t. Department. The owner aadumos a rvoponsibiltty in case of failure or inadequacy of th seway isposal system. Complete as -built drawing attachod. DATE O1 INAL INSPEC I0 4ko a-.- k. a TITLE 130 Sw V.s outh Galena Street Aspen, Colorado 81611 303/925-2020 ' THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Type of Tank or Treatment Unitt Sepr/e 1A,09-_ Tank Capacity _Callon Minimua rk thod of Final Disposal ,49 �/O �/ /,(i C �/ Absorptiop Area 190-' Square Feet Minimum Description (including brand name, if any) of other equipment or appurtnancess Other Condition! or SpecificationstAIZOi,L'�-/,OA)A/e6-'q 1667-70M jA) IIAT!VE SD/LS CV17HoOr FILA_ STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation ( )Upon completion of excavation and prior to placement of gravelBefore covering distribution system of absorption field (x Prior to backfill of any component ( )Other, Specifyt Plans and specifications of the proposed sewage disposal system have been reviewed and are considered Satisfactory. Permission is hareby granted to tt,a owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual Sewage Disposal Revulations in effect on the date of issue. In addition to general provisions act forth on the reverse hereof, this Permit is subject to the following additional terms and conditions: APPROVED FOR ISSUE BY*23"�(title) The above individual scvago disposal system installed by � V O/iET S G �w 7 E hes bren imipected for use by a representative of the Aspen i':t in Env:ronm.•nta Ilea t. Department. The owner aadumos a rvoponsibiltty in case of failure or inadequacy of th seway isposal system. Complete as -built drawing attachod. DATE O1 INAL INSPEC I0 4ko a-.- k. a TITLE 130 Sw V.s outh Galena Street Aspen, Colorado 81611 303/925-2020 a ASPEN*PITKIN ENVIRONMENTAL HEALTH' DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL• PERMIT Name of OWNER RESooRCES 1W PHONE 9 03 ` 2581 Address of OWNER P �K S$ C 14RB�N Did-c.� C gla' Z.3 Name of APPLICANT PHONE _943-.25781 PERMIT TO BE: ( )Picked Up ( )Hailed tot 0(J%�lC ^ TYPE OF PERMIT: (Kew Installation ( )Repair ( jowner ( )Applicant i )Emergency Use ( )Alteration NOT due to failure I,fY'AT10N OF PROPOSED SYSTEM; Legal Description 4s5 M(LES WE37 OF 4c0S7 WE T /D S. A.89 W. ScC IO Loot_ Block Filing Subdivision Size of Lot acres TYPE OF STRUCTURE: ( )Single Family Dwelling (r)Other:M1N E 1 A MP N a USE Do you planan] further additions to the residence? (II YES ( )NO No, of bedrooms No_ of Lofts No, of Garbage Disposals No: of Automatic Dishwashers No. of Automatic Clothes Washers WATER SUPPLY: * (YfPrivate Well, Depth S O or ( )Public, Name of System ( )Spring ( )Stream or Creek TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (V 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, 9:30-9:30 a.m.) t�cfore 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 informajtjon will invalidate the application and any subsequent permit. Signature of Applicant �i.0 DATE V7 8& (This application becomes. invalid 12 months from the above date.) NOTE: PLOD 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. {. 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 eby acknowledges receipt of this individual sewage disposal pezmi ep lication and a Permit _� the amount of S � 8 Receipt Number , Date Fee Received 7/,? DY K Administrativo Officer 130 South Galena Street Aspen, Colorado 91611 303/S25-2020 ONSPEN06PITKIN ENVIRONMENTAL HEALTH DEPARTMENT FIELD TEST DATA SHEET Legal decription: Uo/iG Name of Owner: Address: (# & st. / p.o. box) (city) (state) (zip) Name of Agent: l/V 06 6aX4AJ 6VV1 QALA ITAG- *bAj>iAhgTo,Q aoTTI-eto Water Supply: Public Utility Subdivision Private Well Lot Area: �, Distance to Nearest Surface Water�ft. Dates Observations Made: Soil Borings: -711y by /� Percolation Tests: by SOIL BORING TESTS It" u... TOTAL OCPTN PE[T IOCPTw TO OAOUND WATER. CEET N. OvSEAVCD [[TIMATEO CHARACTER Of [OIL "TN TNIE KNEE! IX /[[T B-1 �.d � I 1 2D FILL 'M S1C?Y STarY LOAM 3.0 NOW., WAT[N TEST TIME DROP IN WATER LEVEL. INCHES -�-�- SECOND TO HE.T TO MO�1ggDeRAa�T�1ggl-Y1MO (1 S-�r Sift is 9�n`f�f%k2��Sa: At Ri Rn'fa27R Ri 70TAi RT 1aC A'. Pk A2 AR AR Tft fR 1R 10t 94 A2%c Rt At 9.¢A2R¢fR PR AR AR AC 1atf&R2lat flt At fR SR Sot Ad S:t 9^. R: Yn'�ti kti r%:G: :23<?: PERCOLATION TESTS Average Rate: 16? minutes/inch Plan of the site on the back Date tG Signature isOB NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 816 1 1 NOW., WAT[N TEST TIME DROP IN WATER LEVEL. INCHES MINUTE! SECOND TO HE.T TO LAST TEST DEPTH CHARACTER O/ SOIL SINCE NOIN NOLO IN T[AVAL TO FALL NUM SCP INCHES THICKNESS IN INCHES SST WET OVCRIIIGHT IN MINUTES LAST PERIOD LAST PERIOD PERIOD ONE ..CJ Dp4 ' P-1 I20 S'OtY STONY L0AM 5' ,2- /0 P-2 P-3 P-4 ik Ai £2 At A At ig 1K 1N 9C 9A )R PK K K 1Mi 1 0 19 1R 9 tat AR A AR 9 NR 9 )K Rt A 9¢ Ai 39 AR N� 7A39 Rt Average Rate: 16? minutes/inch Plan of the site on the back Date tG Signature isOB NELSON ASPEN/PITKIN SANITARIAN 130 S. GALENA ASPEN, CO 816 1 1