HomeMy WebLinkAboutpitkin.eh.272920305049 (1983)-1 -'
04
ASPEN*PITKIN
a7;(. - a03 - 05`0V
ENVIRONMENTAL HEALTH D AR MENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
TYP
E OF PERMIT:
nitial Construction ( )Emergency Use ( )Repair Work,(Pievious Permit 1 .) ( )Alteration of an existing system,
or installation (Previous Permit 1 )
( )Use Permit as a result of Sale ( )Othort / C
ISSUED TO: DATE OF ISSUE'"/ �S �
Owner Ct�c�RC-C Home Phone Business Phone '
Mailing CG'S
Address
Agent /VIA
Phone
Address
--- O.2
VC
Sewage Disposal System Work to be performed by ewl'I
This permit valid only forpremiseslocation by the following�
/ legal davcrIptIons% ��3 LK / 0t)4&TA 1AS-,LoT
SItE_ �., 3 �t C1- , WATER SUPPLY (_� /_ L�___�_. AVERAGE PERCOLATION
ERATE.1-0 RAT�-�+ l - l n
This Individual Sewage Disposal Permit is granted with regard to the following use: k.
/V /i C G 3 C
11%raber of: Dodreoms '?-- Lofts C) Garbage Disposals_ Dishwashers_` 1 Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD c`-sK.�V GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
Type of Tank or Treatment Unit: c, !/ I� % Tank.Capaci y Callon minimum�'f
Method of Final Disposal: troo' AC c 171 Absorptiop Area �"i�7 Square Feet Minimum
Description (including brand name, if any) of other equipment or appurtnances$
..Otho Condition! or Specifications$ „� � ,` e CO 40/fi
��G% �/'1`i�%/�J f r �'//1%�-t�C�(J
ST2E AR� INSPECTION BY THE HEALTH DEPARTMENT: C�i`'/7�' l '
( )Aefore Excavation()F)upon completion of excavation and prior to p'aCement of gravel system covering tionrfof icid utionn
�p Prior to backfill of any component ( !Other, Specify: _N&1AJ
Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission
is hereby granted to the owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual
Sewage Disposal Re•tulntions in effect on the date of issue. In addition to general provisions set forth on the reverse hereof,
this Permit is subject to the following additional terms and conditions:
e
APPROVED FOR ISSUE BY L% (title) L
i The alxivo individual scuago disposal system installed by
t has been in:ipceted tor use by a representative of the Aspen Pit in kn ironrrcnta itca t ncpartmen�< uwnar asaumo3 a
�jthi ewala disposal system. Complete as -built drawing attached.
re t�onsibillty in case of failure or Inadequacy of
DATE OF NAL INSPECTI 7
BY: TITLE
130 South Galena Street Aspen, Colorado 81611 L3/925-202'0
ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR'All INDIVIDUAL SENAG DISPOSAL• PERMIT �EI
PHONE
Name of OWNER ,
Address of OWNER /?O /3o x Z Z
CANT
n i e � I PHONE � Z� 1 �
7 D
m
Nae of APPLI�o
FEFKIT TO BE: ( )Picked Up (' )Mailed to's/ TYPE OF PERMIT: ( New Installation ( )Repair
,
N*4D rner (")A?plicant _ )Emergency s)se ( )Alteration NOT due to failure
LOCATION OF PROFOSED SYSTEMSD ar S //
r6
- ::7-/ l = l 1�c MT I% S u /nopt obi iJ �S / �e X-
Rrgal Lescrlp ion � C,L_.1
S Block !!ling Subdivision /Y *C Size of Lot +-3 acres
Lot __.._..._
e
TTE OF STRUC^LRE: (4single Family Dwelling ( )Others ryou plan any further additions tc the
s;sidencel ( )YES ( )NO
No. of bedrooms IR No. of Lofts No. of Garbage Disposals _ No. of Automatic Dishwashersy
No. of Autonetic Clothes washers
Kh?ER SUPPLY: (private well, D^_pth or ( )Public, Name of system
i )Spring
( )Stream or Creek
SYp£s OF INDIVIDUAL SEtiAGE DISpOSAJ, SYSTE_M_PRGPOsFIcs '
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 moat be criarged +ith the Aspen/Pitkin Environmental Health Department (975-2010, 8:30-9:30 a.m.)
tCfore a permit can be issued. The individual sewage_ disuosal permit must be issued before a building perr..ic can be obtained.
FINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/^ITr,IN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACAFILLING ANY PORTION
OF THE SYSTEM.
k,pplication for an individual sewage disposal permit in hereby submi cd. The undersigned ackrowledges that the above information
it true and that false infcrmat o will invalidate/%Xj�e app: ca`io eny subsequent permit.
Signature of Applicant /� GATE S
(This application becomes. invalid 12 r nths from tho above date.)
NOTE: PLOT PLAN most be filed with this application.
Please locate the following items by measured distances:
1. Property lines and dimr-nsicns.
2. Proposed and existing water wells on subject property and
adjacent property.
3. Domestic water service 1_.^.^_s.
4. Proposed and existir:g 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 PRTOR TO CONSTRUCTION IF INSTALLATION IS TO
BE CHANGED f ROM ORIGINAL PLAN
The un r�s�i`)gnedd Rece'�hereby acknowledges receipt of this indivlduLl sewage disposal permit ap !cation and a permit fee in the amount
of=�—� r ipt Number Data Fee Received /d _1 .by
Adminlstrativo OfIicct
IIA GASNi� :5
130 South Galena Street Aspen, Colorado +81611 303/925-2020
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
. ;.
9-
PROPERTY OWNER , PHONE
MAILING ADDRESS
LEGAL DESCRIPTIOI
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
TEST HOLE No.1
TEST HOLE No. 2
TEST HOLE No. 3
Drop Time
Drop Time
Drop Time
2
1-2
i
Percolation Rate Each Hole
Average Rate
Comments on soil or site:
Signature
Date
April 9, 1992
Dear Mr. Nelson:
This letter is in reference to the septic system for lot #51 in
Elk Mountain Subdivision.
At present what remains left to complete is the setting of the
seYt.ic Lank with the lines to and from it. The drywell may
then have its final covering added.
At this time I would like to provide an explanation for the
delay in completion . First, monetary concerns leave limited
progress in finishing the concrete work. This in turn required
us to wait setting the septic tank out of concern that the
concrete trucks driving over it could cause it to collapse.
Also my relocation to Utah and my brother Mike's leg injury,
have also added to the delay.
Now that the concrete work is complete, we will be able to set
the tank this summer, thus completing the system. Hopefully,
to your approval.
Your patience in this matter is greatly appreciated.
Thank you
George Hill
ASPEN*PITKIN
EN'% : :IONMENTAL HEALTH DEPAeITMENT
FIELD TEST DATA SHEET ON PERCOLATION TEST
Legal description: _
Address of Property:
Name of Owner:
Address:
(# & St. / p.o. box)
Name of Agent:
(city) (state) (zip)
Lot Area: Water Supply:Public Utility Subdivision
Private Well Other
Distance to Nearest Surface Water Type
Dates Observations Made: Soil Borings: by
Percolation Tests: by
SOIL BORING TESTS
PERCOLATION TESTS
P-1 P-2 P-3
Depth
Diameter
Depth of Water
(left after 8 hr. presoak)
P-1
Total
Depth
Observed Depth
to Groundwater
Estimated Depth
to Groundwater
Character
of Soils
B-1
Drop Time
Drop Time
Drop
Time
PERCOLATION TESTS
P-1 P-2 P-3
Depth
Diameter
Depth of Water
(left after 8 hr. presoak)
P-1
P-1
P-2
P-2
P-3
P-3
Drop Time
Drop Time
Drop
Time
Drop
Time
Drop
Time
Drop
Time
Rate P-1 Rate P-2 Rate P-3
AVERAGE RATE: minutes/inch
Plan of the site and location of test holes on the back
Comments on Soil or Site:
Date
130 South Galena Street
Signature
Robert F. Nelson
Aspen/Pitkin Environmental
Health Officer
Aspen, Colorado 81611 303/920-5070
recycled paper
/D/ f "*4��)
RE
zoo �
A--V703y't6'
Yet 331.5d
�,�•�i l� l%,1��� �o,u"�a�� C2aSQ
�S 1M�trus� �ir►,a��
1
i
LOVt'YUG Vk—
LA 51
�S3o
to
0
Ln
• � . '�2 S �t ',('QY�' F CLL .,,,��y �.. �. 1 W � � � �.
I hereby certify that this plat accurately depicts a survey done .
under my direct supervision on November 26,1979, and that the same
is true and correc to the best of my knowledge and belief.
By: rnci ______Sy ley come L..�. 1111
/7 I L� •• •p � .-. t 'i, rs. r raar.+r.��rr -
• J
LINES #V'
SYDNEY LAWCOME MSlam`
BOX 121979 O.O303-96 8�
,'