HomeMy WebLinkAboutpitkin.eh.273503200016 (1976)PITKIN COUNTY HEALTH DEPARTMENT
76051
PERMIT NUMBER RECEIPT NUMBER
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Owner ACIL er Phone No.
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Owner's Mailing Address r /
Contractor J.)""T U,tFVnVQ,5- coo/ 2� Phone No. 12s- 7a&
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Address
System's Contractor's Name
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Address
Legal Description
Lot Size 5 4c -Re -5
Number of Bedrooms �? W/WYVIs
5/'1*4 ,
Owner's Signature
PLOT PLAN: ATTACHED AS REQUIRED
Type of Building by Use 'Llq /e��-
Type of Water Supply �Jef
Date 6117176
J _
T e of Individual Sewa a Disposal System
Yp g
Type of Soil or Soil Classification
Proximal Location of Bedrock
Proximal Location of Ground Water Table
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Percolation Test Date
Minutes Per Inch
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size 75_6) G14LL 0AIE 7—
NOTICE
Special C nditions of Issue: when properly signed for issuance, this application
becomes your permit. Application valid one year from
[li�C date. If an individual sewage disposal permit is issued
for property on which no building permit has been
issued, the individual sewage disposal permit shall
expire 120 days after its issuance if construction has
not been commenced. Any change in plans orspeci-
fications after the permit has been issued invalidates
the permit, unless approval is secured from the Health
Officer for such changes.
Approved for Issuance B Date
pp Y
FINAL INSPECTION N APPROVALS 2:� ate
(Drawing of System onplar PAA)
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t
Section
Ic COLORADO DEPARTMENT OF HEALTH
DIVISION OF ENGINEERING AND SANITATION
A C T I V I T Y R E P O R T
FILE REFERENCE: Private S-twage Disposal
INDIVIDUAL OR
ESTABLISHMENT: Aspen Metro --Clink Sampson
ADDRESS:
NARRATIVE:
Code 12
County 57
I talked to Clint Sampson about the Aspen Metro Sanitation
District. Dave Slemon, who owns a piece of property on West Buttermilk, was a
topic of discusSi,on. Clint indicated that if conditions were acceptable for an
individual sewage disposal system, and if they would agree that as soon as a
central collection system was available to them that they would abandon the
individual system, then the District would be in a position to issue a letter
of approval for an individual system to be built within the confines of the
District. Presently a coantral collection line there is a long way off.
LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS:
DATE: 2/4
ES: 7 (Rev. 6-70-100)
, 19 75 . REPRESENTATIVE:
James t. Roark
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER 5L-EMen1 �� S%�L�' PHONE
MAILING ADDRESS
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 24 hour soak
2-7
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TEST HOLE TEST HOE No. 2
TEST HOLE No. 3
Drop Time Drop Time
Drop .,z Time
5 %
5 Z7
e k
Ole �m
( z
(%
.00
Percolation Rate Each Hole
Average Rate
Comments on soil or site:
4x,vIL C ce�
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Signature
Date �� ��
( ASPEN PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
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(970) 920-5070
1SOSOUTH GALENA STREET
ASPEN,COLORADOH1611
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I.NAS20LDW J0IaN50tJ,(JO1.1NS0N-LONGFELLOW&A550CIATE5.INC.), ARE05TERED
SURVSYorz IN TUE ST4TE OF COLORADO, DO UEREBY CERTIFY -rHA-C UN THE 21ST DqY
OF MAY, I97ro, A SURVEY WA5 MODE UIJDER MY DIRECT 5UPEt2V1510N OFA BUILDING
LOCATION STAKED ONT"- : GQOUND OND TUE LOC4TION 15 A5 sNOWN ON THIS PLA-.
TU IS CERTIFICATE EXTEND5 ONLY -TO T4{E LOCATION 4S STAKED ON TI 1E GROUND AND
1N NO WAV GUARANTEES -THE LOCATION OF TUE FINAL STRUC-TURE-.
J0t4N150N-L0NGFELL0W & A55OCIATE5, INC, \
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t, HAROLD \N -J0 WN50N, CJOUN50N-LONC:FE L LOW & ASSOCIATES, t NC ). A
REGI5TCRED SURVEYOR INTLlE ST4TE OFCOLARA,DO, D011E2E8Y C1=R-
TIFY TI-IpT ON THE 14TH DAY OF APRIL, 197 , A SutcvEY WAS MOt)E UNDER -
MY DIRE=CT SuPERViSIoN OF T1IE- PROPE2TY SWOWN L-LI_REON- CORNERS
WERE FOUND L,S SHOWN ONTHtS PLAT. ALL E4SEMC--NTS OR EwcRUACt-I-
Mt=IN, FVIDF-"CE- OR KNOWN TO ME 442E SNOW N- SLaID SURVEY
I'S -TRUE ANO ACCUR/ATC- TO -rW E: P5EST OF MY KNUWLEOC.E ANS _
LIEF.
JOH►J�SO/tJ-LONGFELLOW & ASS�CIa.TES, LNG•
HAROLD W Jd SAN L.S.9018
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OF TUE SW%4,NWA & LOT 19, SEG.
3,7. 105 -, R.55W. OF THE 6TH P. M.
JOI--INSON-LONGFELLOW 5cl�5SOCIAXES, INC.
BOX 5547, WEST VILLAGE, COLO P-ADOB1ro15
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DPT E' APRIL 1 ,19-7 DR4wN: W t< S.