HomeMy WebLinkAboutpitkin.eh.273503300010 (1985)0
ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. < 60
TYPE OF PERMIT:
Initial Construction ( )Emergency Use ( )Repair Work,(Previous Permit t .) ( )Alteration of an existing system,
or installation (Previous Permit 1 )
(
)Use Permit as —& result of Sale
ISSUED TO: DATE OF ISSUE.
C;iP� e
Owner Home hon ,�1 070 Business Phone
Mailing I b� l � (E '• ALLY �)� — J i ��� f
Agen t__�
Mailing
Address
Sewage Disposal System -Work to be performed by/"v &:',/SOU/�G -
This permit
t valid only for premises location by the following legal descriptions LDT— 9 V CSA "IDG E
7 C J/'Li i , (./L���— AV£RAC E PERCOLATION RATE
LO2 SItE • 3f �- MI�T£R SUPPLY ,
This Individual Sewage Disposal Permit is granted with regard to the following use:
NtxaL>-r of Dodreoms ` Lofts Garbage Disposals Dishwashers^�^ Clothes Hashers _.
CALCULATED I.VERAGE DAILY WASTE LOAD ®�l.J GALLONS.
THE NATUI E OF 'THE SYSTEM INCLUDED UNDER THIS PERI -11T:
./p., a£ Tank or Treatment U its l�I�r ""' `��`i �_ 1 W% jank Capacity (J Callon HinimuaZ''
_r-rhod of Final Disposals � i16� . Absorptiop Area Square Feet Hinirousa
.cscrip.-Jon (including brand name, if any) of other equipment or appurtnancess � -�'p yTEA
Cther Condlt,Ons or Spccificationss _
—rb TWO
/ro
�o��� c��u ��'� -yam ics �,Wv�L P
STAGE fUIRING INSPECTION BY THE HEALTH DEPARTMENT:
t ]before Excavation k"pon completion of excavation and prior to plaCem.nt of gravel (/''%Deform cowering distribution
� �ys[em of absorption field
( ]Prior to backfill of any component ( )other, Specifys r __—
Plans and specifications of the proposed sewage disposal system have been reviewed and are ccnsitfered satisfactory. Permission
is hereby granted to the owner or his agent to perform the work, indicated above in accordance with the Pitkin County Indivi ua.l
Scwa;c Ui,pesal Revnla eons in effect on the date of issue. In additiono q al provisions set forth on the reverse het'^_ef,
this Permit is subject to the following additional terms and conditions:�64r— -
1.PPROVED FOR ISSUE BY . --- (title) of, t�
Phone- L?2�S—96�—I7� - �
The ahxive in:iividual ec%iago disposal systom installed by
has b,cn nPin:ipocted for use by a representative of the Ass:eit Cnvironr�nta Hca t.• Ueparuncnt. The owner oseurwa aTl
reaponsibiltty in case of failure or inadequacy of tfiu ways isposal system. Complete as -built drawing attached.
DATE 01'?FINAL INSPIWUON -
TITLE
'130 Sou,` Ga end Street Aspen; 'LTora o 818'1
ASPENOPITKNV
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL PERMIT
Name of OWNER Hal A. nroeger PHONE (314) 921-7070.
Address of OWNER 16815 New Halls Ferry Rd.,Drawor AB Florissant N0.63031
AJ S c 06
Name of APPLICANT s PHONE (303) 925
-4765
PERMfT TO BE: ()OPicked Up ( )Mailed tot . TYPE OF PERMIT: Y)New Installation ( )Repair
( jowner ( )Applicant . 1 )Emergency Use ( )Alteration NOT due to failure
LOCATION OF PROPOSED SYSTEM: '
Legal Description Lot B, Oakridge Lots, Vest Buttermilk
Subdivision Oakridge LotSSize of Lot 5.689 acres
Lot B Block filing
TYPE OF STRUCTURE: (x)Single Family Dwelling ( )Others Do you plan any further`�dditions to the
residence? ( ) YES (e) NO
No. of bedrooms 5' No. of Lofts_ No. of Garbage Disposals 0 No: of Automatic Dishwashers 1
No, of Automatic Clothes Washers
YY-- \
MATER SUPPLY: ()Private Well, Depth Undetermined or ( )Public, Name of System
( )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
()ISeptic 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 MUS BE GIVEN BY THELI-R
/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTIO.
OF THE SYSTEM. Application for an individua w ge dis gal is he eby submitted. The undersign d ackn ledges that the above informal on
is true and that false in i i i valihe a lication and any subsequc
DATE
Signature of Applican 5
(This application becomes. invalid mont s from the above date.) -
NOTE: PLOT PLAN must be filed with this application.
Please locate the following items by measured distances: _
1. 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. - - --
5. 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 amoun
QL , Receipt Number . Date Fee Received L-20Date
o! $ / eceAdministrative Officer
130 South Galena Street Aspen,-. Colorado B1611 X03/925-2020
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TELEDYNE MST N3w94
LEGAL DE5CKIPTION
DEGINNING
AT THE WE.5T %4 cm-ir_r. OF SECTION '3, TOWN5HIP 10
SOUTH, FA E_ 65 WEST
OF THE. GTH FM., ?ITKIN COUNTY, COLOFAACO,
THENCE
N
CCP2b'OI" E
92.39 FEET;
THEI'CE
N
ra8. 19' IV E
G5✓.50 FEET;
THENCE
5
23° 95100' E
!01.84 FELT;
THENCE
5
45° WOO" E
223.79 FEET;
THENCE
5
34'05' Q7" E
W. 14 FEET;
THEr-K-L
5
18.56' OO" E
102.00 FEET;
TH Et -C -E
5
81 "Cio' 5," W
899.20 FELT;
THET-ICE
N
Cts°23'01" E
9o.G0 FEET TO THE POINT OF PbEGINNING,
MNTA" I
NG
5. 689 A -RFS t JOFL Cr, LIE-%.
WA V E: -#z
APPI.ICA!'47 THPaT i3i�TJ
JWCF21`iA�5D 5Y Frrwl.l CDUNJ t of TF- pcK�-NC-t� Or-
it I D44 HA Z o A�zr� " -MA-T- Nt i c-vr Ami- THS ��?Y,
AND ANi I IutPRW�Mt=t\ff�� AND THe Ute• AND oCcAAPAWY T f�C'(
I/
WEST %4 CUK _,5a--.
T. 10 5* K ?n Y✓
OF THE GTN P.M
NOTICE. According to Colorado law you must commence any legal action based
upon any defect In this survey within three years after you first discover such defect.
In no event may any action based upon any defect In this survey be commenced
more then ten years from the date of the certification shown hereon.
4
C04 P IT -10W..7 41 P�'pRoV�.L
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NOTE51.
I.'FOUNO" INDICATES A FOUND REP!yVC t C.Ar, L.S. 21776
2 UTILITIES TAKEN FK611 rr4VI0U5 5URVE'T (82-50)
UNLESS OTHERWISE_ NEOTEf
4k]
O q W f0 7D I:O 150 FT.
SCALE ° I"' �O'
P -y4515 OF PtARING - FOUH0 MONUMENTS AS SHOWN
I7,ATUh1 PLATE. , ASSUMED, li, 'AT FCCK A5 SHOWN.
5UKVE`(OK' 5 CERTIFICATE
I KFI\F-M CERTIfT THAT THIS MAP ACLUWE_LY DEPICTS A . rWE-Y
MADE UNOM MY _-UPEKVISION ON AFICIL 4-, 1990 OF THE FgoPERTT
5HGNN AND DE66-ICI5ED HEICEON.
ALPINE i5JrW .Y5, If-.
,AFI'\IL 16, 1990
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A,- .
TM
_
$�;11 LDI li-U i�N\AF-L�
G5G.50 t
/11Q
74\` }
11,
19' ' 22 E 1
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8
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t
NOTICE. According to Colorado law you must commence any legal action based
upon any defect In this survey within three years after you first discover such defect.
In no event may any action based upon any defect In this survey be commenced
more then ten years from the date of the certification shown hereon.
4
C04 P IT -10W..7 41 P�'pRoV�.L
KRO F--& EP.,
IcxH e7ff7� rI..AN
NOTE51.
I.'FOUNO" INDICATES A FOUND REP!yVC t C.Ar, L.S. 21776
2 UTILITIES TAKEN FK611 rr4VI0U5 5URVE'T (82-50)
UNLESS OTHERWISE_ NEOTEf
4k]
O q W f0 7D I:O 150 FT.
SCALE ° I"' �O'
P -y4515 OF PtARING - FOUH0 MONUMENTS AS SHOWN
I7,ATUh1 PLATE. , ASSUMED, li, 'AT FCCK A5 SHOWN.
5UKVE`(OK' 5 CERTIFICATE
I KFI\F-M CERTIfT THAT THIS MAP ACLUWE_LY DEPICTS A . rWE-Y
MADE UNOM MY _-UPEKVISION ON AFICIL 4-, 1990 OF THE FgoPERTT
5HGNN AND DE66-ICI5ED HEICEON.
ALPINE i5JrW .Y5, If-.
,AFI'\IL 16, 1990
`
TM
AFPFZOV EP 1041 HASP F;FV I r --w fn Y:
$�;11 LDI li-U i�N\AF-L�
G5G.50 t
7C.
74\` }
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CHAIRPEF�_�'NE PITKIN COUMT�( Pl f�NIJ INLr �1ZOj IINCTCOMMI�ION
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NATE : Tl-tlGi PLAN IG✓ Gt1ecIEGT 7b PfU--fV-Rlv1%i AND GOI`IPIT(OW-1
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Alpine Surveys, Inc.
Post Office Box 1730
Aspen, Colorado 81611
303 925 2688
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Title T0r0CFAiPHIC 5URVE.1
M i f7 TF AGT
SEG. 3, T. io s ., K . 86 W. CF THE GvrH P. r1.
PITKIN C0Ut-i7_f, COLOFAV--)O
Job No 8z - 50 - 3
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