HomeMy WebLinkAboutpitkin.eh.273314400001 (1987) Big BurnAgent 9.7 -re fyou AN Phone 92 3 -,20 g"'
Mailing
Address
Sewage Disposal System Work to be performed by.0 AAJO ACX Z"A:' leriezvIZZOAl,
This permit valid only for premises location by the following legal descrlption:-USFS I o %� W N n r „I ( {Sj
LOT SIZE___ }� , WATER SUPPLY /(/ /� AVERAGE PERCOLATION RATE. -�
This Individual Sewage Disposal Permit is granted with regard to the following uses�j�Ti�/e/ LB/��lli�i�I%l' /✓y%
Ntrabcr oft Dodreoms LoftsGarbage Disposals_ Dishwashers �� Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD _ "f �CALLONS.
THE NATURT OF THE SYSTEM INCLUDED UNDER THIS PER11ITT:
Tya.s of Tank or Treatment Unit[N POEr�/ZET+A/1�/}y��FLOw RED Tank. Capacity � 9 ^Callon HLnimua
N.cthod of Final Disposal: k� pfAd /4r� �f G D �(�/ Aboorptiop .Area Square Feet Hintnum
Description (including brSntrYiAOF 13� j��� Sher cglnipment oIVVJr(appurtnancca[
L+JUS / "IULTi�UI"I �- n MoD L �rI D y �;Zci e-00 TD afo Dao USS .
.Other Conditiond or specificationst
OO BED eF1VAS441R y SPINO 1/'p�r0 ��1�u� a�E��� 11 Wr1AJ V X/0
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: '
( )Refore Excavation Au
pon completion of excavation and prior to placement of gravel A-ystem
efore coverin.7 distribution
of absorption field
Prior to backfill of any component ( )Other, Specify: _
Plans and specifications of the proposed sewage disposal system have been reviewed and are consicicred satisfactory. Permission
ix hcrvl:y granted to te,e owner or his a:cnt to perform the work indicated above in a-ccordance with the Pitkin County iwiivi ual
Sewa;e Uispesal Revelations in effect on the date of issue. In addition to general provisions set forth on the reverse her--,er,
this Permit is subject to the following additional terns and conditions: /(lig o
APPROVED FOR ISSUE BY (title)
The a`nve inMvidual acwa.}o disposal system installed by w ine— 1 K�'��t
has b:sen ln::pacted for use by a representative cf the Aipe 1'tt in -iv:r *,-AnEallfealt. Dep.:rzmcnt. The ,wnor asau,:.aa ari
ret:;:onsibillty in rose of failure or roadwary of Gres Jewace disposal system. Complete as-Luilt drawing attached.
DATE O1 FI15AL 1NS1;CTI ;i �'
�`i%(�T TL
930 SoutF: Galena Streei Aspen, Colorado 81619 303/925-2020
t
2 7 3 3 —1*-,eo-(70
ASPENOPITKIN
ENVIRONMENTAL HEALTH OEPARTM�NT
INDIVIDUAL
SEWAGE DISPOSAL PERI -11T NO.�_
TYPE OF PERMIT:
Q/
i
( rntial Construction
/` or installation
( )Emergency Use
( )Repair Work,(Pievlous Permit /
.) ( )Alteration of an existing syatem,
( )use Permit as a result
ISSUED TO:
of sale
(Previous Permit 1 )
( )Other:
- DATE OF ISS02?4147
O1,lnerZ-2F/I SK)
�p,
Home Phone
Business Phone 12212-2-0
Mailing
Address
Agent 9.7 -re fyou AN Phone 92 3 -,20 g"'
Mailing
Address
Sewage Disposal System Work to be performed by.0 AAJO ACX Z"A:' leriezvIZZOAl,
This permit valid only for premises location by the following legal descrlption:-USFS I o %� W N n r „I ( {Sj
LOT SIZE___ }� , WATER SUPPLY /(/ /� AVERAGE PERCOLATION RATE. -�
This Individual Sewage Disposal Permit is granted with regard to the following uses�j�Ti�/e/ LB/��lli�i�I%l' /✓y%
Ntrabcr oft Dodreoms LoftsGarbage Disposals_ Dishwashers �� Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD _ "f �CALLONS.
THE NATURT OF THE SYSTEM INCLUDED UNDER THIS PER11ITT:
Tya.s of Tank or Treatment Unit[N POEr�/ZET+A/1�/}y��FLOw RED Tank. Capacity � 9 ^Callon HLnimua
N.cthod of Final Disposal: k� pfAd /4r� �f G D �(�/ Aboorptiop .Area Square Feet Hintnum
Description (including brSntrYiAOF 13� j��� Sher cglnipment oIVVJr(appurtnancca[
L+JUS / "IULTi�UI"I �- n MoD L �rI D y �;Zci e-00 TD afo Dao USS .
.Other Conditiond or specificationst
OO BED eF1VAS441R y SPINO 1/'p�r0 ��1�u� a�E��� 11 Wr1AJ V X/0
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: '
( )Refore Excavation Au
pon completion of excavation and prior to placement of gravel A-ystem
efore coverin.7 distribution
of absorption field
Prior to backfill of any component ( )Other, Specify: _
Plans and specifications of the proposed sewage disposal system have been reviewed and are consicicred satisfactory. Permission
ix hcrvl:y granted to te,e owner or his a:cnt to perform the work indicated above in a-ccordance with the Pitkin County iwiivi ual
Sewa;e Uispesal Revelations in effect on the date of issue. In addition to general provisions set forth on the reverse her--,er,
this Permit is subject to the following additional terns and conditions: /(lig o
APPROVED FOR ISSUE BY (title)
The a`nve inMvidual acwa.}o disposal system installed by w ine— 1 K�'��t
has b:sen ln::pacted for use by a representative cf the Aipe 1'tt in -iv:r *,-AnEallfealt. Dep.:rzmcnt. The ,wnor asau,:.aa ari
ret:;:onsibillty in rose of failure or roadwary of Gres Jewace disposal system. Complete as-Luilt drawing attached.
DATE O1 FI15AL 1NS1;CTI ;i �'
�`i%(�T TL
930 SoutF: Galena Streei Aspen, Colorado 81619 303/925-2020
t
( ASPEN*PITKIN
ENVIRO MENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT
Name of OWNER Asi)en Ski Comj)any PHONE g2S_122n _
Address of OWNER 40 Carriage Way Aspen, CO
Name of APPLICANT 13eter Hnffman PHONE _2�_2S
PER.MtT TO BE: ( )Picked Up ( )Mailed to: TYPE OF PERMIT: ( )New Installation ( )Repair
( )Owner ( )Applicant ( )Emergency Use ( )Alteration NOT due to failure
LOCATION OF PROPOSED SYSTEM:
Legal Description >T3Qak
Lot Block Filing Subdivision Size of Lot acres
—P£ Cr ST URE: ( )E.ngle ryr..ily ..._.ling^ ( )Other:Ski Area Warminr you plan any fsrther additicns to the
iesidence? ( )YES ( )NO
Ro. of bedrooms PJA No. of Lofts PJA No. of Garbage Disposals PJA Hilt No: of Automatic Dishwashers TT�1
No. of Automatic Clothes Washers PJA
kATER SUPPLY: ( )Private Wall, Depth r-j2a or ( TPublic, Name of System
- ( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(.)Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field kComposting Toilet ( )Incineration Toilet ( )Mound
( )Recycling, potable use ( )Recycling, other use ault Privy (other: C o mp n G h i n g
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020. 6:30-9:30 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 inf m tion ill invalidate the application and any subsequent permit.
Signature of Applicant ^� /�qh DATE e `+
(This application becomes. invalid 12 months 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 undersigned hereby acknowledges receipt of this individual sewage disposal permit application and a permit fee in the amount
vv
of S � ,� G' Receipt Number Date Fee Received k l / (/� f . .by —
4 (
Administrativo officer
930 South Galena Street
Aspen, Colorado 89699
303/925=2020
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