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HomeMy WebLinkAboutpitkin.eh.273509201001 (1994) Barn-CDUPi 13x> ma JAo7 4l ASPEh/t�ll �N ENVIRONMENTAL HEALTH rtT DEPARTMt APPI 1CATION FOR AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM VSDS) PERMIT Name of OWNER Pe, liet 6, `�� Bus. Phone # qZ s = Mailing Address YK) 411�v j4eck r 6�0/X��+'1 Home Phone # _ Name of AGENT Wit_ Cay, 51L co Bus. Phone # Maiiing Address Z W !1 B� Home Phone # Copy of Permit to be Sent to: __641 � �N I. ".'ERMIT IS FOR: O NEW INSTALLATION, O REPAIR, ALTERATION NOT DUE TO FAILURE, or O EMERGENCY USE. for perrnit # 70 STREET ADDRESS of Property: .Z 3 36) Ord C %+� i!C / J1, {t �tEGAL DESCRIPTION of Property: _ ( Z 6L ke", `/y lot _, block _, filing _, and subdiv. Size o' Lot __ acres Type of Structure Proposed t7 _c: itn r Z_ # BEDROOMS I , # LOFTS _, # GARBAGE DISPOSALS _, # DISHWASHERS _, # CLOTHES WASHERS — .Jets Supply: Private Well, O Spring, O Stroam, or O System (Public or Private Name: _ ) 'S PRO, --)F OF ADEQUATE WATER ATTACHED? �(r YES or () NO HAS THIS PROJECT BEEN APPROVED BY Pn'IQN COUNTY? Q(j, YES or () NO App:i ration fo, an individual sewage disposal system permit is hereby submitted. The undersigned acknowledges that the above information is true and that false infomtaticn will Invalidatethe application and )ny subsequent permit Issuanca of the permit does not explicitly or Implicitly imply the approval of any other permit required for construction pursuant to PMr. County codes. No censtcction maybe. undertaken n^tl all approvals and pera.ft have been obtained. The owner assumes all responsibilities in case of failure or inadequacy cf this system. SIGNATURE OAF APPLICANT ,-vtrktri d Date _ The aaplication be•.omes invalid -,20 days from the date signed. This Permit is valid only for the design as specked below. •:**tt:*** <"*****************BEL.OW FOR OFFICE USE ONLYwaa*R*r**r.**a*:***r.********•** INDI` ID(JA1_ SEWAGE [)ISPOSAL SYS 1 -ELI PERMIT # i Y a if X ''150 fee paid Yes. Date received _ _�J �l 7Receipt # 0,0 Received By DESIGN CRITERIA OF SYSTEM TO BE INSTALLED: Any changes must be submitted and approved in writing. # of Bedrooms: _ 3._, Percolation Rate: k.)'T mpi, Average Daily Waste Flow: C. "t__ gallons. s an tea ineer Designed system needed?fes or No (Ail plans ands rations cf the engineer shall be followed. Any changes must be approve,' in writing and the engineer >haJl certify the final installr,tion to the Environmental He tth Department in writing.) Septic Tank Capacity IOCI � gaiions Absorption Area <! 'E% square feet minimum ;) Abs.;rption Bed,. ,'$ Absorption Field in Trenches, O Gravel -less system, O Pumping/Dosing Chambar, ( ) Absorption Pit J' h5 peti egiin2ts &sr�h / ?an ii OF :z,4/4 -A-® t_N. tworoxss ',-r `Mages requiring inspection: ( ) Before excavation, ( ) Upon completion and prior to placement of gravel, ( ) Before covering distribution system of absorption elcl, I ) Prior to backfill of any component and any situation deemed necessary by Environmental Health Department Staff. - an!; 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 '_Icated above in accordance with the Pitkin County individual Sewage Disposal Regulati sin effect on the date of issue. In addition to general provisons set forth In any attachments, this Permit is subiec' t7e following additional terma and conditions if any: '`J"PROVED FOR ISSUE BY: /' �! L DATE OF ISSUE: ne above individual sewage disposal system has been inspected for use by the Aspen/Pitkin Environmental Health Department. 5r>�+rr,rr assumes all responsibilities In Casa of failure or Inadequacy of this Tatem. Complete as -built drawing and all specifications of as -built are included with this peril: F=INAL_ INSPECTION BY: (.�%�G� __ DATE OF FINAL INSPECTION: 5OrH:IiDD:JTCPC:VIP:PERMiT 130 SOUTH GALENA STREET - ASPEN, COLORADO 61611 • PHONE 303.520.5070 - I'M 303.920.5197 r!I'EHD '!94 PRINTED ON RECYCLED PAPER ASPL . XIN ENVIRONMENTAL HEALTH DEP. �-,ENT FINAL SYSTEM DESIGN FINAL SPECIFICS OF THE SYSTEM INCLUDED UNDER THIS PERMIT: (As -Built Conditions) �" Type of Tank or Treatment Unit: Cl°N4tMi *4A 4 K Tank Capacity: 100 0 gallons �'bdi fTon ,�„ Type of Absorption Field: 07Cottj � 1gocC absorption Area: 3 06 _ square feet DESCRIPTION, CONDITIONS, AND SPECIFICATIONS OF SYSTEM DESIGN: Aci k c- oyk fo S V sle m O f 2 4^Gvi c du S o f h r,, //n, fw, a All r- a or &/ Of Inv k 41d I. ,�ov eft .uw FiNAL AS -BUILT PLOT PLAN: 5 u.^* 5'q/ &V FINAL INSPECTION BY: ,& = C I e&.4a4, f 30 (0 -rt Z foi. I DATE OF INSPECTION: 130 SOUTH GALENA STREET • ASPEN, COLORADO 81611 • PHONE 303.920.5070 . FAX 303.920.5197 PRINTED ON RECYCLED PAPER i410 ASPEN/PrMN ENVIRONMENTAL HEALTH DEPARTMENT **INFORMATION FOR APPLICANTS** THIS PERMIT MUST BE ISSUED BEFORE A BUILDING PERMIT CAN BE OBTAINED. THE INITIAL SITE INSPECTION MUST BE ARRANGED WITH THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT AT LEAST TWO WORKING DAYS IN ADVANCE OF INSPECTION. FINAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO THE BACKFILLING OF ANY PORTION OF THE SYSTEM. A SITE PLAN MUST BE FILED WITH THIS APPLICATION. PLEASE LOCATE THE FOLLOWING ITEMS ON THE SITE PLAN AND INDICATE MEASURED DISTANCES: 1. PROPERTY LINES AND DIMENSIONS 2. PROPOSED AND EXISTING WATER WELLS ON THE PROPERTY AND ADJACENT PROPERTIES 3. DOMESTIC WATER SERVICE LINES 4. PROPOSED AND EXISTING BUILDINGS AND ROADWAYS 5. STREAMS, LAKES, PONDS, IRRIGATION DITCHES, AND OTHER WATER COURSES h. PROPOSED AND EXISTING INDIVIDUAL SEWAGE DISPOSAL SYSTEMS ON THE PROPERTY AND ADJACENT PROPERTIES SUBMIT A REVISED SITE PLAN FOR APPROVAL PRIOR TO EXCAVATION IF INSTALLATION IS TO BE CHANGED FROM THE ORIGINAL PLAN GENERAL PROVISIONS OF AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT This permit must be retained and made available for inspection at the above location upon request. This permit shall not be transferred without approval of the issuing agency. This permit shall expire 120 days after its issuance if construction has not commenced and a valid building permit has not been obtained. Any change in plans or specifications after the permit has been issued invalidates the permit, unless approval is secured from an Environmental Health Officer for such changes. This permit is temporary until final approval is granted by the issuing agency in writing. Final approval cannot be granted until construction, repair, and/or operation have occurred in conformity with the conditions of this permit. This permit is valid only for the individual sewage disposal system and/or equipment specifically identified herein. Before issuing final approval of this permit, the issuing agency reserves the right to impose conditional terms and conditions required to meet its applicable regulations on a continuing basis. Monitoring and testing requirements may also be imposed. The issuing officer shall be notified not less than 24 hours prior to backfilling or closing up the work which would prevent inspection of components installed in places otherwise inaccessible following such backfilling or closure. This permit may be revoked or suspended by the issuing agency for reasons set forth in the regulations of said agency or of the Stato Board of Health, cis applicable, including failure to meet any term or condition imposed thereon during temporary approval or upon final approval. Each and every condition of this permit is a material part hereof and is not severable. Any challenge to, or appeal of, a condition hereof shall constitute a rejection of the entire permit and upon such occurrence this permit shall be deemed denied ab initio. This permit is issued and accepted with the understanding that a fee in the amount of $ may be charged for each of no more than two annual effluent samples routinely collected and tested from subject system as deemed necessary by the issuing agency to monitor said system for compliance with the provisions of Article 10, Title 25, C.R.S. 1973, as amended, and the rules and regulations which implement said Article; and that a like fee may be charged for each such sampling taken in conjunction with the determination of compliance of subject system with a cease and desist order issued pursuant to C.R.S. 1973, Section 25-10-107(1)(k). The issuance of this permit does not imply compliance with other state or local regulatory or building requirement, nor shall it act to certify that the subject system will operate in compliance with applicable state and local regulations adopted pursuant to Article 10 of Title 25, C.R.S. 1973, as amended, except for he purposes of establishing final approval of an installed system for issuance of a local occupancy permit pursuant to C.R.S. 1973, 25-10-111(2). 130 SOUTH GALENA STREET * ASPEN, COLORADO 81611 * PHONE 303.920.5070 * FAX 303.920.5197 PRINTED ON RECYCLED PAPER Name of Address ASPEN40PITKIN ENVI, 'MENTAL HEALTH DEPAI APPLICATION FOR AN INDIVIDUAL SEWAGE OWNER��J� of OWNER � l Name of APPLICANT .ENT DISPOSAL - PERMIT PHONE PERMIT TO BE: )Picked Up { )Mailed tot TYPE OF PERMIT: )New Installation ( )Repair ( IOwner ( )Applicant j )Emergency use ( )Alteration NOT due'to failure LOCATION OF PROPOSED SYSTEMt Legal Description? Lot Block filing Subdivision Size of Lot acres TYPE•OF STRUCTURE: ( )Single Family Dwelling )Others A &6% U47— Do you plan any further a tions to the residence? ( )YES (ANO No. of bedrooms No. of Lofts *—� No. of Garbage Disposals No: of Automatic Dishwashers No, of Automatic Clothes Was rs WATER SUPPLY: ( Private Well, Depth Or ( )Public, Name of System ( )Spring ( )Stream or Creek TYPES14 INDIVIDUAL SEWArE DISPOSAL SYSTEM PROPOSED. Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field t )Composting Toilet ( )Incineration Toilet ( )Mound i )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Others 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 individuaa sewage disposal permit must be issued before a building permit can be obtained. FINAL INSPECTION APPROVAL MUST 11E OF THE SYSTEM. ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY PORTION Application for an individual yeGag%'A Armit is hereby submitted. The undersigned acknowledges that the above information is true and that false i; 10 !date the application and any subsequent perm Signature of Applicant DATE j (This application becomes. invalid 1 mon hs 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. <. Proposed and existing buildings, driveways, and other strubtures., 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 applice ion and a permit fee in the amour. of S^ (.9 C% , Receipt Number % lP 5 , Date Fee Received oz by YZ �- "��7�" Administrative Officer 130 South Cialena Street Aspen, Colorado 81611 303/920-6070 MW - ASPEN+PITKIN ENVIRONMENTAL HEALTH DEPARTMENT 1 - APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMST of OWNER "V.PF PRONE Name . -Address of OWNER PHONE Name of APPLICANT . gip t!!Es ( Picked UP t )Nailed tot _ TYPE or PERMIT: ( 14 Installation ()Rt�air ()Alteration NOT due .to failure - ( jovner t )Applicant . 1 )Doergency use regal Description - �► — liliaq Subdivision _ Size of Lot acres of Block,__- p � ls Family pwallLtg t )othest�r/ FC�t1`( i��.LrL; Do you Plan any further additions to the !YP¢•O!' >UCTUREt - residence? . ( )YE? t ) 4,= to. of bedrooms No. of Lofts- © _ No. o! Garbage Disposais No: of 1Luto.atic Dishwashers iJ to. of Automatic clothes wa asshers 0 / Q � [ATER StlPPLYt ivato Veil. Depth -ort )Ytsblie, Name of system ( )spring ( )stream or Creek TYPES o! IHDIViOUAL $_ENAt:E DISPOSAL SYSTEM PROPOSEDt = sting Toilet ()Incineration Toilet t )Hound ( Septic Tank/absorption Fielc! t )Aeration Plant/Absorption Field ( )Vault Iia potable —4 ( )VA1CYcliag1 other ase )Vault Privy ( )Others t )ReeYe 9. Permit must be issued before a building permit can be obtained. lctoreia peermitecansbbissued.stTbe he individual sewage disposal pea it musirot is Health Department (925-2cmi can be: b a.m. EALTH DEPARTMENT PRIOR TO gACKFIL:.ING ANY YORTIO.Y FrKAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITAIN ENVIRONMENTAL H OF THE SYSTEM. Application for an Indi+►id ewage disposal permit is hereby submitted. The undersigned acknowledges that the above Information is true and that fa a inf ton wi i validate the application and any subsequent permit. www DATE l/- 6 -92 Signature of Appli ant -f application becomes. invalid 12 months from the above date.) (This 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 • atructure:s . 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. it application and a permit fee in the nmol: The undersigned hereby acknowledges receipt of this individual sewage disposal Prm e pP r• Receipt Number • Date Fee Received Of S by Administretivo Officer 130 South Galea Street Aspen, Colorado 81611 3o3/920-8070 193 09: 54AM GARF= � & HECHT P. C (7 P. Is *OFFICE OF THE %" -o c ENGINEER COLORADO DIVISION OF WATER RESOURCES 81e Canternnlal Bldg., 1313 Sherman &t, Donver, Colorado 80ZC9 (303) 8684561 - WELL PERMIT NUMBER t72177 ' PPLICAN I DIV. 5 CNTY. 49 WD 38 DES. BASIN MD 1095 Lot: Slack: Fling: 3ubdiv: APPROVED WELL LOCATION PnXIN COUNTY NW 114 NW 114 Section 9 GUHER FAMILY TRUST Twp 10 S RANGE 85 W 61h P.M. 96 ANDREW V HECHT 6u1 E HYMAN AVE DISTANCES FROM SEC7_L N L1NE6 ASPEN CO 81611 757 Ft. from North Section Line ( 303)925-1936 1284 FL from West Section Line PERMIT To USE AN EXISTING WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDMONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the applicant that no injury will occ.l1 to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors In accordance with Rule 17. 3) Approved pursuant to CRS 37.82-802(3)(b)(Il)(A) for the use of an existing well, constructed as a monitoring hole under file no. MHA 8223, and as the only well on a tract of land of 49.34 acres described as that portion of the NW 114 of the 114 of Sec. 9, Twp. 10 South, Rng. 85 West of the 6th P.M., Pitkin County, being more particularly described on the attached exhibit IK. 4) The use of ground water from this well is limited to fire protection, ordinary household purposes inside three (3) single family dwellings, the irrigation of not more than one (1) acre of home gardens and lawns and the watering of domestic animals. 5) The maximum pumping rate shall not exceed 15 GPM. 6) The return flow from the use of this well must be through an individual waste water disposal system of the non -evaporative type where the water is returned to the same stream system in which the well is located. specified on this permit. This well shall be constructed not more than 200 feet from the location P NOTE: Water from this well is to be used on a parcel of 85.43 acres, being described on the attached exhibit "A". pWNER'S COPY APPROVED J02 ev J Stex Esa.eer n?Fn'J1nG DATE ISSUED AUG 2 5 1993 EXPIRATION LATE AUG 2 5 1995 \PPUCANT OFFICE_ OF THE F�-. T ENGINEER COLORADO DMS ,1,4 OF WATER RESOURCES 818 Centennial Bldg.. 1313 Sherman St.. Denver, Colorado 80203 (303) 866-3581 rDAUG f e0upm INC_ LIC WELL PERMIT NUMBER _ 1721E O DIV. 5 CNTY. 49 WD 38 DES. BASIN MD wa. mww. r'tllrl8: JUOWV: APPROVED WELL LOCATION PIT14N COUNTY GUBER FAMILY TRUST NW 1/4 NW 1/4 Section 9 C/O- RESOURCE ENGINEERING Twp 10 S. RANGE , 85 W 6th P.M. 802 GRAND AVE #302 GLENWOOD SPRING CO 81601 DISTANCES FROM SECTION LINES 660 Ft. from North Section Line ( 303)945-6777 630 Ft from West Section Line EXPANSION OF USE OF EXISTING WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the appCcant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction and Pump Installation Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 17. 3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 36.09 acres described as that portion of the NW 1/4 of Sec. 9, Twp. 10 South, Rng. 85 West of the 6th P.M., Pitkin County, being more particularly described on the attached exhibit 'A'. 4) Approved for the expansion of use and change in the legal description of anexisting well, permit no. 86067 (canceled). The issuance of this permit hereby cancels permit no. 86067. _ 5) The use of ground water from this well is limited to fire protection, ordinary household purposes inside three (3) single family dwelrngs, the irrigation of not more than one (1) acre of home gardens and lawns and the watering of domestic animals. 7 The maximum pumping rate shall not exceed 15 GPM. 7) The return flow from the use of this well must be through an individual waste water disposal system of the non -evaporative type where the water is retumed to the same stream system in which the well is located. 8) This well shall be constructed not more than 200 feet from the location specified on this permit NOTE: Water from this well is to be used on a parcel of 85.43 acres, being described on the attached exhibit 'A'. br—a 3 APPROVED J02 �i' • MAW Engvw" Receipt No. 0358187 DATE ISSUED AUG 2 5 1993 OWNER'S COPY EXPIRATION DATE AUG 2 5 1995