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HomeMy WebLinkAboutpitkin.eh.272909200009 (1982)-,-4a9- 09Q - as - 00 9 ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT C1 INDIVIDUAL SEWAGE DISPOSAL PER21IT NC. 9-0,7 TY E OF PZRMIT: Snitidl Construction ( )Emergency Use ( )Repair Work, (Previous Permit f .) ( )Alteration of an existing system, r installation (Previous Permit i .� ( )Use Permit as a result of Sala ( )Othort ISSUED TO: DATE OF ISSIIE 0wne-Nat )r ij' Home Phone6jj45q _3 Business Phone Mailing r^.3ci re s s 0 t D OE-GtI f1L L.--- - 6eC-t Al 1%`l I. LC TEX/} c' % Td d i pi Ko4 oC Phone 26 Agent 13:".,25'e.CZf Mafiling Address Sewa;;^ Disposal System Work to be performed by 11,1./ L Z'`T� %a Md %Y 6F �Eer9 To J. This permit valid only for premises )ocation by tho following legal descriptient k ►7 t.0T 5It. E :t /, © AC -0-6-S WATER sUPPLY RVERA:E PER^OLATION RATE 2---S M f i. T')is lndividual Sewage Disposal Permit is granted with regard to the following uses C L_// ��g.G / /p/r/�f y Ntrabor oft Dodreoms Lofts 0 Garbage Disposals Dishwashers / Clothcs Washore _ ___l-• CALCULATED AVERAGE DRILY WASTE LOAD 4�1./ c�CALLONS. TnE PI:"".TU E 01' THE. S'i_STE�':�1}yTVCI UDED UNDER THIS PERMIT: �'� Typ of Tar.Y. or Treatment Units SG/ / ie•C%�< Tank Capacity ��(/ _Gallon minimum Absorptloo. hoes PSctho9 of rfinal Disposal& CcoAc,6 E GGndnve,/�if / %�[5 Square Feat 141ninum I 0c.cr.ptio:: (Including brand any) of other equi,:-+ent or appurtnancr:at MoNe Otber Ccndlticns or Specificationst tj0Ajt:- S"'A "'�S kE1UiIZiNG I'_NSPFCTTON BY THE HEALTH DEPARTMENT: ' ( 1^�fore Excavation ( )Upon completion of excavation and prior to pEaement of gravel Deforo ocf fraring distribution field Eyster of absorFtioa field ^rior to :.ackfill of any component ( )Other, Speeifyt Plans an,l specifications o, the proposed ecwane disposal system have barn r.aview,d and are ecnsidcred satisfacte)ry. Permission fir.b,ra.i;r grJ::ti.: ti,a� oa.rer or :.ts agcr.t tc perform the work.rahnve in=ccrdjnc- vita the r�tkin i.>unty Inrrividval S^wa;^ Jirpesal Fc•rr:t.itions in etfL-t on tno d:tc of issue. In addition to y ne;al rovisiona set forth on the reverse hereof, tiaa i°crmlt t� sur•jc^t to sac following additional tors and conditioasi ,,vQ • p �! s APPROVED FOR ISSUE BY The alive in.iirl)uaJ sctra-70 disposal Rysten installed by :1,a9 born in:;,cctcd for use by n repro3ent.:tive of Che A"por/,'it ;virc.n::.nil it�t4 a.:p.art.a,:nt. Ta.r r,�-�na: a;.iur:c- s sTi-_. rccix,ns_1•tlity in case of failure or tradyu.icy of th:r bewwdyuQlSi�sa1 ayatcmm . Cwrlato as-:ui': CrcvS:�g attached. iTE or F' IN ' IN PCCTI 1i f0"'f / � O 'Z"_` EY: TITLE _, T 130 South Galena Street Aspen, Colorado 81611 303/925-2020 + i 1 ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT 1Z`t�Ix�. A. A. rlp :-,N ePERI"IT Narrae of OWNER ,�"`�f r L�j�z;� ai, PfiGNE Address of OWNE'_? - & C� "3 `' � ` Y °�i~ � � , �• ,`('�1 (Li�.� PHONE yC �-� Name of APPLICANT' � � �f � t�„ -- - a' L Tf ?ERkt To BE: ( )Picked Vp CJ;iMalied los TYPE Or PEiL4TT: New lnatallatson ( )Repair ( )'Owner {-.LFplicant i :`t+ergency Sine ( )Alteration NOT due to failure :2T20`i or Pn0'OSEDDLYSTEM:A f /,( l ;,egal rescriptfon N /� /V i&I-// / Lot Sloek tiling _ Subdivision _Size of Lot t 1. acres 'TYPE or SITILIC'GRr: { Sang i! Famlly Da:::aq )Cther: Do !cm plan any further additions to the residence? ( )YES t )NO t xa. of bedrooms -_2 No. of Lofts No. of Garbaca Disposals („ No. of Automatic Dishwashers :Go. of Automatic Clothes Washer: WNTER SUPPLY: 0()Private Well, Depth or i ?Public. Name of SYst" i )Spring - - ( )Stream or Creak I_:Y?Ea CF IND'.VIOL'nL °1Wt�C£ CISPC4AL SYS -EM oanPOSE01 Septic Tank;Absorption Field t )Aeration Plar.t/Abiorp_ion field ( )_ompoRtinc Toilet f )Incineration Toilet ( )!Sound t )Recycling, potable use ( )Recycling, other use i )Vault Privy ( )Other: •She initial site iaspectioc must. b,+ arranacd with tha Atrc^iPit:cir. £n%"rer_^.•cntal '?,-11th nopartacnt (925-2020. 9:30-9:30 a.n.j refo:c a per -it car ce issued. :he i.3dividua1 sewage dispusa: psrmit must be isrw d -.,afore a b•uldinq permit can be obtalnod. P'.NAL INSPECI'13:1 R?,RO`tAL MUST :JE GIVEN dY THF. ASPEN/:/Tx/N ENV:RO.:ME?iT?:. HEAL:H'T:�. EIIARENT PT -10R TO BACNFILLItNG AVY PORT10% Di THE SYSTSVI. .lpplication for an indirfdval sewage diswsal rersit is ncreby submitted. Tae unde:s:gned acknowledges tnat the above information is true and that _alse informac.cn wil` inv liij_a�teche pplication and any aubseGucnc Permit. -SSgnature of Appli.:ant ! i �- — DATE (This Application b -cones. invalid 12 u+onths frcm'the above date.) NOTE: PLOT PLAN must be filed with this application. ?lease locate the following items by mea_i:ared distaaces: 1. Pro: erty lines and dimen_ lens . 2. p.-oposed and existiag water wells on subject property and adjacent property. 3. ;,om.stic water service lines. 4. ProposeP'. and existing bJ ildings, driveways, and other strVctures . S. Streams, lakes, pon3s, irrigation ditcj:es, and otIer water coarses. S. Propcsed and existing individual sewage systems on Subject property. SUB 11T A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL. PL.IAN ,he undersigned hereby acknowleages receipt t 's individual rev.xge disposal permit ep* tion and a prrmiyl��n the amount Cf s ' � , lteeoipt Number ---- ' Data Fee Recti ved---by (�� Administrative Officer 130 South Galena Street Aspen, Colorado 81611 303/S25-2020 SCALE: I"'= 3o• N 2 cl PITKIN COUNTY ENVIRONMENTAL HEALTH Fi Id Test Data Sheet on Percolation Test PROPERTY OWNER / �c4idi PHONE ` 15 y 17.1 U //1) MAILING ADDRESS ,/ S6)j1t1tj0— �'� `' L�X� " !�✓7OG1 LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) Diameter of Test Holes Water remaining after 8 hour soak N </ TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 t✓ Z�L Drop Time Drop Time A6 -- Drop Time 1 7y ys O Percolation Rate Each Hole Average Rate 2S., Comments on soil or site: 115-6 Signature ✓ 3 t" Date w./'-w.."Ievu S� r� a �Z,cp go- l PSiC To, K L T�-e3-,C53°N3'UJ 9Gz.o5 � 41.0 .f" C. Rs sed rt�rkact L-• 5. 1 ► t �o�.�.n ci. wooc�evt, most Legal Description A tract of land situated in the N2NWI of Section 9, Township 10 South, Range 88 West of the 6th Principal Meridian, Pitkin County, Colorado, and being more particularly described as follows: Beginning at a point whence the Witness Corner to the Northwest Corner of said Section 9 bears N 53143' W 962.05 feet; thence N 44°23'30" E 221.08 feet; thence S 74006100".E 233.00 feet to the center of the Crystal River; thence S 48°05'30" W 231.73 feet along the center of the Crystal River; thence N 73°37'00" W 215.00 feet to the point of beginning, containing 1.0 acre more or less. ' V-LUt 155360A�u.i33 BY. L/NES /N SPACE SYDNEY L/NC/COME (L.S. /4///) BOX 121 CARBONDALE COLO. 303-963-3852 f 0 Sc . 082- 1 SCALE:I U'