HomeMy WebLinkAboutpitkin.eh.272920305059 (1987)ASPEN#PITKIN L6t �) n a � a9 - a o 3 - os - os q
ENVIR MENTAL HEALTH HEPAR ENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
TYPE OF PERMIT:
X( ,Vnitia1 Construction ( )Emergency Use ( )Repair Work,(Pcevious Permit 1 .) ( )Alteration of an existing system,
r installation (Previous Permit 1 )
( )Use Permit as a result of Sale ( )Others �7
ISSUED TO: DATE OF ISSUE
O -,mer PJA �YfA Home Pho409 s - Business
Mailing/
Address ] A&UMI'D Aled frU%l .�d7o
r—
Agent �EF(J�2TZ Phone
Ma i l.in g
Address
Phone
Sewage Disposal System Work to be performed by llDQi9IS FXC'AUfITIAJ&
This permit valid only for premises location by the following legal deucriptiont tors`� CJ �1�/XOM
LJt s I tEt7/d► A0M4� , WATER SUPPLY W67L •. AVERAGE PERCOLATION RATF.
This Individual Sewage Disposal Permit is granted with regard to the following use:sS4Cze L.
Ntrabe r of: Dedicoms Lofts_ Garbage Di s Is Dishwashers Clothes Washers OF
CALCULATED AVERAGE DAILY WASTE LOAD GALLONS.
THE NATUIRE OF THE SYSTEM INCLUDED UNDER THIS PEMIT:
Typ._ of Tank or Treatment Unitt JQ� . IAAC
M thod of .Final DSSP03312 �E E 'HC.� Absorpiioa
Descriptign (including brand name, if any) of other equipment or appurtnancest
PUMPIAIG 0-11AM661e OF 750 G.9GLoNS,
Tank Capacity ? Callon .Minh%+uta
Area C) 0 Square Feet Min.trium
Other conditions or Specifications:
(Sem 42,w� dVJ-t�p�
STAGES REQUIRING qNSPECTION BY THE HEALTH DEPARTMENT:
( )Before Excavation Upon completion of excavation and prior to placement of gravel' Before of aAb distribution
\ system of sorl>ciou fi..ld
AA
ON Prior to backfill of any component ( !Other, Specifyt
Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Pernissl.on
is hcrcby gra:.ted to the owner or his agent to p•^rform the work indicated above in accordance with the Pitkin County Indivi ual
Sewa;c Disposal Revulations in effa•.t on the date of issue. In addition to general provisions ae.t forth on the reverie het'aoi,
this Permit is subject to the following additional terras and conditions:
APPROVED FOR ISSUE BY __ (title)
TI +.c• alv%vc individual sc•.ra•la disposal system installed by �W
h,.3b:en In::;+cord for use by a representative cf the Ail—en/ext n-n.vtcon,wnta >Icalc Dep•.ru"',nt. Tl,r owner +aau:noa aTi
rc pons:biltty in cane of failure or inad��juary of thtu JCwdqu�disppo%31 uystem. Complete ai-built drawing attached.
DATE O1 N L INSPJ' 'TI 1
BY: T T `i LIE
J !� t Gly . � �%� , w• w �- _ _ •
° 130 •South 4alen Street Aspen, Colorado 81611 30 25-2020
►' I
I.S Q I.5 C q Li
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,t. ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT
Name of OWNER 014 � �/ A'Y� PHONE 1-0?
Address of OWNER IC)4111711 ,tp 1-441164 d K6 Zoe
Name of APPLICANT Tyr 1Vtr/271z PHONE Sj& 3 s -7 z 6/a �G
PERMIT TO BE: ( )Picked Up ( )Mailed tot TYPE OF PERMIT: (' New Installation ( )Repair
(All'Owner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure
IDCATION OF PROPOSED SYSTTEMi �
Legal Description �; CLilt 6 % w` ," "' �✓�' W' P""M '
Lot V I•tt l Block I riling I Subdivisi
TYPE OF STRUCTURE: ( Single Family Dwelling ( )Other:
Size of Lot
Do you plan any further additions to the
residence? ( )YES ( )NO
acres
No. of bedrooms Lf. No. of Lofts No. of Garbage Disposals No. of.Automatic Dishwashers
No. of Automatic Clothes Washers �y q
WATER SUPPLY: (k)Private Well,
Depth D O —IG or ( )Public, Name of System
( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(I. 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 permit is hereby submitted. The undersigned acknowledges that the above information
is true and that false i'nformatin will #nvalidate the application and any subsequent permit.
Signature of Applicant PL -/,7 DATE -//, � 7
limo
(This application becomes. invad 12 nths from the above date.)
NOTE: PLOT :PLAN must be filed with this application.
Please locate the following items by measured distances:
I. 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.
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 undersignne hereby acknowledges receipt of this individual sewage disposal per �cationnd a pe�tfe in the amount
of 37 , Receipt Number Date Fee Received '7/by
Administrativo Officer
130 South 13alene Street Aspen, Colorado 81611 303/925-2020
4
d
ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
FIELD TEST DATA SHEET
Legal decription: LIZ
Name of Owner:
t
Address:
(# & st. / p.o. box) (city) (state) (zip)
Name of Agent:
Water Supply: Public Utility Subdivision Private Well
-k-
4
Lot Area: % 2, Distance to Nearest Sur Water ft.
Dates Observations Made: Soil Borings: / byr/v
Percolation Tests: 46fj by c
SOIL BORING TESTS
PERCOLATION TESTS L
'�c x��at �#
:� �i
�i��iEfI�t�:�
DEPTH TO \POVNO WAT[A. FEET
sa >•'si tc Sic#c
It"
NUN •(A
TOTAL OEPTM
FEET
CHARACTER OV \OIL WITH TMIC KM [\• IM FEET
OS![RV[D
[•TIMAT[O NIGN
TEST TIME
CROP IM WATER LEVEL. IMCME\
MI.UTKI
SECOND TO
LAST
PERIOD
TEST
DEPT.
CHARACTER OP 3011
S\NCC MO
IN MOLE
INTER VAL
TO PALL
OMC IMC I
MUMDEP
""ES
B-2
IST WET
oV,R.I..T
I. MINUTES
LAST PERIOD
LAST PERIOD
PERCOLATION TESTS L
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�i��iEfI�t�:�
���.��������u:
sa >•'si tc Sic#c
MOrAS
WATER
TEST TIME
CROP IM WATER LEVEL. IMCME\
MI.UTKI
SECOND TO
N[[T TO
LAST
PERIOD
TEST
DEPT.
CHARACTER OP 3011
S\NCC MO
IN MOLE
INTER VAL
TO PALL
OMC IMC I
MUMDEP
""ES
TMICKMES3 IM INCHES
IST WET
oV,R.I..T
I. MINUTES
LAST PERIOD
LAST PERIOD
A, ► / �
_ o�
I f
P-1�
!;
/U
g� 734"
P-2t
11q-
P-32�
P-4
I
Average Rate: minutes/inch
Plan of the site on the back
Date Signature
bOb NELSON
ASPEN/PITKIN
SANITARIAN
130 S. GALENA
ASPEN, CO 81 61 1
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017-7�
7?Z
47
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MEMORANDUM
TO: Cindy Houben, Planning Department
FROM: Bob Nelson, Department of Environmental Health
DATE: June 25, 1987
RE: Lynn 1041 Hazard Review
This department has evalt
sewage disposal system, a
mental implications of tt
determine compliance witl
tions, local regulations,
County Land Use Code
following :review comments
1. WATER SUPPLY
sated the proposed water supply system,
nd other anticipated health or environ -
ie referenced development in order to
i Colorado Department of Health regula-
and those requirements of the Pitkin
under our jurisdiction. We offer the
for your consideration:
Water to the proposed residence is to be supplied from a well.
While there are no specifications presented regarding the
proposed well or any supplemental information concerning the
water supply, we believe that a well can be drilled to produce
sufficient water of good quality for the single-family residence.
The adjacent residences have been able to develop wells. We have
no reason to believe that a well cannot be developed on the
property.
2. SEWAGE DISPOSAL
This department has already performed percolation tests and
issued a permit for an on-site wastewater disposal system. No
problems are anticipated to construct a septic tank -pump chamber -
absorption trench system as required by Pitkin County regula-
tions.
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