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HomeMy WebLinkAboutpitkin.eh.272929200006 (1995)Parcel # r ASPEN/Pl. - ..N ENVIRONMENTAL HEALTH DEPARTM. . f sC -7 3 APPLICATION. FOR AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PERMIT Name of OWNER "f 1 I 6Z 61e Bus. Phone # �� ;� Jetr,,v/li �.� Home Phone Mailing Address ®6 4S- /Yf4/, t l�� , -7 CO. ?0021 Name of AGENT Bus. Phone # Mailing Address Home Phone # O Copy of Permit to be Sent to: PERMIT IS FOR:INEW INSTALLATION, () REPAIR, () ALTERATION NOT DUE TO FAILURE, or () EMERGENCY USE. for permit # STREET ADDRESS of Property:0©� /3.f�`Pn' ��t✓-J�� �-�/ r-�vxV7- .JC 74( 40r/11-1 7 ct LEGAL DESCRIPTION of Property: 5c -c, 2!9 f T 7(0S .Q BLc� lot block _, filing _, and subdiv. Size of Lot . acres Type of Structure Proposed 2t.. �� j* 0145 Sl t oZ� 5 FT # BEDROOMS- LOFTS # GARBAGE DISPOSALS �, # DISHWAS Y ERS L/ # CLOTHES WASHERS Water Supply: Xprivate Well, O Spring, O Stream, or O System (Public. or Private Name: ) - IS PROOF OF ADEQUATE WATER ATTACHED? () YES or () NO HAS THIS PROJECT BEEN APPROVED BY PITKIN COUNTY?..�YES or () NO Application for an Individual sewage disposal system permit is hereby submitted The undersigned acknowledges that the above information Is true and that false Information will Invalidate the application and any subsequent permit Issuance of the permit does not explicitly or implicitly imply the approval of any other permit required for construction pursuant to Pitkin County codes. No construction may be undertaken until all approvals and permits have been obtained. The owner assumes all responsibilities in case of failure or Inadequacy of this system. SIGNATURE OF APPLICANT The application becomes invalid 121 the date signed. This Permit is valid 7 Date the design as specified below. ««««««««««««««BELOW FOR OFFICE USE INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT # 2�T o Receipt # S 3 Received By L v $150 fee paid Yes. Date received DESIGN CRITERIA OF SYSTEM TO BE INSTALLED: Any changes must be submitted and approved in writing. # of Bedrooms: _�, Percolation Rate: mpi, Av Z% gallons. Is an Engineer Designed system needed? () Yes or ,J)� No (All plans and specifications of the engineer shall be followed. Any changes must be approved In writing and the engineer shall certify the final installation to the Environmental Health Department in writing.) Minimum Septic Tank Capacity 50 gallons Absorption Area IC _/ square feet minimum () Absorption Bed, () Absorption Field in Trenches, () Gravel -less system, () Pumping/Dosing Chamber, () Absorption Pit Ci YrLt�t vnu+,n✓ -3 c ` it Stages requiring inspection: () Before excavation,.tl Upon completion and prior to placement of gravet,Before covering distribution system of absorption ,,;eld, (i) Prior to backfill of any component and any situation deemed necessary by Environmental Health Department Staff. =:arts and specifications of the proposed individual sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the owner or his agent to perform the work ,dicated above in accordance with the Pitkin County Individual Sewage Disposal Regulations In effect on the date of issue. In addition to general provisions set forth in any attachments, this Permit is subject the following additional terms and conditions if any: APPROVED FOR ISSUE BY: 41.4 _ ' DATE OF ISSUE: J - 2 The above inpected foa by the Aspedividual sewage disposal system has been InsNPitkin Environment ealth Department The owner assumes all responsibilities in case of failure or inadequacy of this system. Complete as -built drawing and all specifications of as-buitWe included with this permit FINAL INSPECTION BY: "� DATE OF FINAL INSPECTION: tO AOTH:UOO:JTCPC:WP:PERMIT.B.1 130 GALE ET ASPEN, COLORADO 1611 PHONE 303.920.5070 FAx 309.920.5197 A.`PEKO 1194 PRINTED ON RECYCLED PAPER �} I at -AM rih rfr l ASPEN*PITKIN r ENVIRONMENTAL HEALTH DEPARTMENT WOODBURNING DEVICE PERMIT APPLICATION OWNER NAME , 14141 / C' OWNER PHONE # (H) (0) OWNER MAILING ADDRESS y (Street or Box) (City) (Zip) JOB ADDRESSl�� LEGAL DESCRIPTION int- © 5 �Ok n./ CJ '141_ _SCC D' . T l Parcel ID # �Z :1 •dol - ©�_ (for office se only ARCHITECT NAME AND ADDRESS CONTRACTOR NAME AND ADDRESS ` IS THIS APPLICATION PART OF A VARIANCE? J Variance Name USE CLASSIFICATION Single Family HomeX, Duplex Multi -family Other Remodel New Construction`4'` DkSCRtiI E DE ES BE INSTAI�ED ( include ake and model,,n rs) , "9 �T LIST WHERE DEVICES WILL BE LOCATED IN BUILDING✓�/11iG3 Ida LIST FIREPLACES AND STOVES (type and tQQtal number) IN BUILDING, OTHER THAN DEVICES TO BE INSTALLED DUD WQ WILL GAS LOGS BE INSTALLED IN ANY OF THESE DEVICES? N Ih NOTE: This permit application is to determine compliance with applicable woodburning regulations only. Approval indicates that the installation as described above by the applicant complies with City and/or County woodburning regulations. A Building Permit is also needed for installation, relocation, or alteration of any woodburning device. This permit application is subject to the following conditions: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing woodburning devices will be complied with whether specified herein or not. nature of Owner or Authorized Agent V i9a Environmental Health bept. Approval Original:Health Dept. 130 South Galena Street V '� B1ue:Building Dept. Aspen, Colorado 81611 Green:Appli 303/925-2020 Aspen / Pitkin Environmental Health Department Contact Log Sheet Name: J j,� O 3 — i16, i ' 7/ Parcel ID#: — p— p Vk Address: 30 D Date Person Spoken To Comments / Action to be Taken Initials .�z, S 1� A POP -TOW OF T H E SE 1%4, N V4 I /4, eEC .29. T�OS.,R.88►�I.,�PM. P I TKJ N GN T Y, C OKRA DCO PLOT PLi'\N a A POP -TOW OF T H E SE 1%4, N V4 I /4, eEC .29. T�OS.,R.88►�I.,�PM. P I TKJ N GN T Y, C OKRA DCO PLOT PLi'\N r HOUSE SIZE 2 i ,�- O C7 _ 75 gpd L 100 gpd — 130 gpd NUMBER OF BEDROOMS TANK SIZE REQUIRED NAME_ A �J DATE WORKSHEET <2,000 sq ft >2,000 sq ft to 6,000 sq ft >6,000 sq ft "t" = PERC RATE AVERAGE mp i "Q" (Design Flow) #of bedrooms X 2 people/BR X jb D gpd • X 1 7 0 -5 = Q ABSORPTION AREA CALCULATIONS A = "Q"/5 X sq root of "t" � V (.' / sq ft of absorption area required SET BACK FROM WEL "Q" relates to set back from well Add 8 ft additional distance for each 100 gal pe.r day ga �a over 1,000 gallons per day. feet = ("Q" - 1,000) / 100 A maximum 30% reduction is allowed for use of deep g�wel or graveless/chambered system. units of chambered system Iv -71 scl ft X, .7 : '757 O t Please have your contractor or excavator submit a Pref t �r�:raary "- as -built" drawing of the proposed septic system befog r� f: iv work is started. PR -2:2-91S WED 0 4 4 P. 0 1 <Or• A P R- 2 2- 13 3 W E D 0 --.4.4 upPnr�- . 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