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Home My WebLink Aboutpitkin.eh.273510201002 (1993).�.IIrN Pa ASPEN/Pi MN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM OSDS) PERMIT Nasrie of OWNER /�Bus. Phone # riZS -/If9 Mailing Address 11!)/_ L✓ �i s� ✓n ✓�: Home Phone # Name of AGENT 2/ Bus. Phone # Mailing AddressHome Phone # �� "4 Copy of Permit to be Sent to: IYt6ry PERMIT IS FOR: NEW INSTALLATION, () REPAIR, () ALTERATION NOT DUE TO FAILURE, or () EMERGENCY USE. for permit # STREET ADDRESS of Property: ICIC ti � ✓n r �y LEGAL DESCRIPTION of Property: i) P�>�� m 1 IJ P 5 �� lot Z block _, filing _, and subdiv. Size of Lot acres Type of Structure Proposed 5i rW le .,lyl /%/ # BEDROOMS i, #LOFTS, # GARBAGE DISPOSALS # DISHWASHERS I #CLOTHES WASHERS ! . Water Supply: () Private Well, () Spring, ( ) Stream, or ( ) System (Public or Private Name: IS PROOF OF ADEQUATE WATER ATTACHED? (C) YES or () NO HAS THIS PROJECT BEEN APPROVED BY PfTKIN COUNTY? S(') 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 Ptbdn 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 0✓? 1� k Date The application becomes invalid 120 days from the date signed. This Permit is valid only for the design as specified below. :rt><:t+a***+r:>tR;:*****+r*****:tBELOW FOR OFFICE USE INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT # 13D1i $150 fee paid 0 Yes. Date received �-� � �J Receipt # Received By DESIGN CRITERIA OF SYSTEM TO BE INSTALLED: Any changes must be submitted and approved in writing. # of Bedrooms: -a Percolation Rate: -34 mpi, Average Daily Waste Flow: I45V gallons. Is an Engineer Designed system needed? () Yes or K No (All plans and specifications of the engineer shall be followed. Any changes must be approved in writing and the engineer s;;all certify the final installation to the Environmental Health Department in writing.) (�2 0 J- /b Minimum Septic Tank Capacity �D4t" gallons Absorption Area � &: _O square feet minimum ( ) Absorption Bed, Absorption Field in Trenches, () Gravel -less system, ( ) Pumping/Dosing Chamber, () Absorption Pit If I ; w. tadad -less �ysi�v�t rs vsecl C Triw �yrtll. ►5 �S2S—s t Stages requiring inspection:- Before excavation, () Upon completion and prior to placement of gravel, () Before covering distribution system of absorption field, (,� Prior to backfill of arty component and any situation deemed necessary by Environmental Health Department Staff. Plans 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 Indicated 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 to the following additional terms and conditions if any: APPROVED FOR ISSUE BY: DATE OF ISSUE: Z� The above individual sewage disposal system has been inspected for use by the Aspen/Pitkin Environmental Health Department The owner assumes all responsibilities In case of failure or inadequacy of this system. Complete as -built drawing and all specifications of as -built are included with this permit 4e' �� DATE OF FINAL INSPECTION: FINAL INSPECTION BY: 6� :BOTH:UDD:JTCPC:WP:PERMIT 13o SOUTH GALENA STREET • ASPEN, COLORADO 81611 • PHONE 303.920.5070 • FAX 303.920.5197 A/PEHD 1/94 PRINTED ON RECYCLED PAPER ASPEN, KIN ENVIRONMENTAL HEALTH DEPAR ENT FINAL SYSTEM DESIGN FINAL SPECIFICS OF THE SYSTEM INCLUDED UNDER THIS PERMIT: (As -Built Conditions) Type of Tank or Treatment Unit: Tank Capacity: gallons Type of Absorption Field: Absorption Area: square feet DESCRIPTION, CONDITIONS, AND SPECIFICATIONS OF SYSTEM DESIGN: FINAL AS -BUILT PLOT PLAN: I� FINAL INSPECTION BY: er }/ w �R DATE OF INSPECTION: 130 SOUTH GALENA STREET - ASPEN, COLORADO 81611 • PHONE 303.920.5070 ` FAX 303.920.5197 PRINTED ON RECYCLED PAPER 735-1-��-cx�a. INDIVIDUAL SEWAGE DISPOSi.L 10EIL'1IT 110._�� TYPE OF PERMIT: +, ) initial Conotruction ( )Ffr<:rgancy Usa ( )Repair work,(Provioua Permit E ___ ') f (PreviousopcopiCnexisting syutem. I) or installation luau Permit as a result of Sale ( )othor' !'SSUED TO: DATE or I.ssLTE-. // �Sc� ate' c,��'S��_ �elso 0 Home Phone /// 9 Business Phone � Eit3(Aress_ �i0/ ay. �a /'►Y�, hC11 in g �-------^ Phone ASenJ`�_ 11!jdtess Sewage Disposal System Worts to be performed by ------- T Chie pc err only .it valid onl for prcmiscs )oration by tho •following 109.31 deb;� cripti ' // zto WATER SUPPLY 11 OLAT10:1 RItTF._ =sj•f" t WTSIZE •fhie lndiviuual Sewage olsposal Permit !a granted vitt regard to the following 'sso'�P.S S- Lofts__^� Garbage Oisposals�_ Dishwasher* Clothes M1:ashora 1•tuP.�Jxr off Dodreoms CALCUL&-ffM 1tVE UGE DAILY WASTE LOA!? BOO GRLLotiS. THF, NATURE OF THE SYSTEMINCL?JDED TJNDER THIS PERMIT: . -_-�_T� ------ G��.rG--.�� f/ Tank. Capacity ��SO __Gallon Minisnta of Tank or Txeatrnent Unit: `"T" Kuare Feet Minimum .od of rinal disposal' ,414gar�0 •fipy trevKc1--e5 Rbaorptiop . Area 33UQ�_ �7 :ription (including brand narm, if any) of other L�juiprnent or appurtnancest SYsf-evn mks - be I✓t frevtcheS . UvVL,� in��}rwfu(' or Gown abbe syS�ew>, wt`EL /eel(-.ce iL.2 S�ZQ �v I�GS�t�Gf 2. . -r conditions or Specifications' t/ STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ltrfore Excavation ( )Upor: corpl0tion of excavation and prior to placement of gravel ( )rystem of°Ausozptlon fcld distribution ,SC)Prior to backfill of any component ( )Othcr, Speci_'Yc ?la°t and specifications,of the proposed snuage di f;— -1 1 syst^_•rt have been reviewed and are considerco satisfactory, perninsion i:: crc y crated to U,c owrer or his agcnr, to p^.riocrn the work indicated above in accordanc(: with the Pitkin County Individual. 5-:va'o Disposal tte,nrlations in effect on the date of issue. In addition to general provisionu set fort on the r.cvcrac hcr'ef, Lliia i'ecmi.t id sut-jest to the fo11rwing additional terms and conditions: APPROVED FOR ISSUE IiY _ �-- title) h., a:'tvc in:Sividual sCra,7o dlnpo ..+1 mystca inatallcd by---� — -- — u •�+� attached" Js:nc CtCd for u90 by 8 rc;)T n9CnC.tCi VC Cf the An,.cn P iY, Lnv1 CGOb'�: vial .ltCd rt.. 7Cp• rt+'�'nt. Th.: .,�'nur aanun:�s aTl o_:Jwnsit•11tty in case of Latlure or inad�y,,acy of thlu acwaye dis,>oa�1 uyntem. Completo as -built dr vi ng DATE OF FINAL INSPrCTTON BY: 930 South C*.alena Street TVfLE. Aspen, 1_:o!0rodo r3'1 x'19 303/320-5070 c�r v seg a ASPEN/PITKIN ENVIRONMENTAL HEALTH !DEPARTMENT CONTACT LOO SHEET APPLICANT NAME BUILDING PERMIT NO, DATE PERSON TALKED TO COMMENTS/ ACTION TO BE TAKEN INITIALS " ASPEN*PITKIN ° ENVIRC--MENTAL HEALTH DEPART . _.ENT r - APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER - _ PHONE Address of OWNER r ! c'- Z " Name of APPLICANT �w PHONE 2 -RyfT TO BEs V4Picked Up ( )!tailed tot _ TYPE OF PERMITs oNew Installation ( )Repair ( JOwner ( )Applicant 1 )Emergency Use ( )Alteration NOT dua to failure -.-iT*na imp PROPOSED SYSTEMS ,n _ _ n i1-1 n i ...". i gal Description v - _)t Block Filing Subdivision Size of Lot acres OF STRLTME: ("()Single Family ily Dwelling ( )Othert Do you plan anx further additions to the residence? ,Q�; } YES ( ) NO +a. of bedrooms No, of Lofts_No. of Garbage Disposals —_ f No: of Automatic Dishwashers _ ).c. of Automatic Clothes Mashers ��r .a.TER SUPPLY: ((Privata Well, Depth or ( 1Publie, Name of System ' ( )Spring ( )Stream or Creek ,fp" OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSEDt "'Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Cpmposting Toilet ( )Incineration Toilet ( )Hound e )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. 8:70-9s30 a.m.) 'c ucd. 'The individual sewage disposal permit must be issued before a building permit can be obtained. --fore a permit can be Sas IOR TO DACKFIL:.INC ANY PORTION !'.*IAL INSPECTION APPROVAL MUST BE GIVEN BY THE ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT PR "I' THE SYSTEM. Application for an individual: ge dig it hereby submitted. The undersigned acknowledges that the above information is true and that false info will va a plication and any subsequent permit. DATE 6ignatuze of Applicant f (T is 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: 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. S. Streams, lakes, ponds, irrigation ditches, and other water courses. 6. Proposed and existing individual sewage systems on subject property. , SUBMIT A REVISED PLOT PLAIN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL PLAN.- The undersigned hereby acknowledges receipt of this individual sewage disposal pe� t application and Receipt a permit fee 1A the amwun ipt Number , Date Fee Received /!� ( L -� Administtativo vo officer 130 South Galena Street Aspen, Colorado 81611 303/920-5070 ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT CONTACT LOG SHEET ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT CONTACT LOG SHEET APPLICANT NAME DATE PERSON TALKED TO L25() BUILDING PERMIT NO 60? COMMENTS/ ACTION TO BE TAKEN _INITIALS i t� Wa ►_� .Q -d u lwk kud .�7565. le otht cpp -r-so � `t f- c" + s Ald l cc c - ASPEN/PITKIN ENVIRONMENTAL HEALTH DEPARTMENT 130 South Galena, Aspen, CO 81611 303-920-5070 Property address f 1 � ILI, Legal description �� ✓ '92 Property Owner: Name''G Address /! Phone v/ U% ' 111q Note: • Percolation Test Form, Site Plan and Grain Size Distribution Curve of the Sample must be submitted with this form. • For all Lots <5 acres the site plan must include the entire lot. Test locations must be accurately tied to lot corners or other permanent markers. * Location of perc and profile holes must be mapped adequately and identified with I- fla etc Profile holes must be staked as #1, #2, and #3. sta es, ggtng, Saturation and Swelling • Smeared surfaces removed: Yes No • Sand or gravel added: Yes No Date and time presoak water added: • Amount of presoak water added (gallons): • Date and time percolation test is started: • Did water remain in hole after the overnight swelling period: Hole 1 Yes No Hole 2 Yes No Hole 3 Yes No Percolation Rate Measurement Percolation Rate (min./in.) Hole i Hole 2 Hole 3 Average Groundwater: • Encountered @ feet. • Estimated depth to maximum seasonal water table if not encountered in profile: • Is area believed to be subject to seasonal fluctuations which could result in a seasonal water table within 8' of surface? Yes No Slope determination in absorption area: % to the (direction) Bedrock: • Encountered @ feet. • Estimated depth if not encountered in profile: • Type of bedrock: Sandstone Claystone Siltstone Other • Is bedrock fractured or weathered? Yes No • Is bedrock believed to be permeable? (perc rate <60 min./in.) Yes No -12- 2) Exterior backfill should be adjusted to near optimum moisture and compacted to at least 95% of the maximum standard Proctor density in pavement areas and to at least 900/0 of the maximum standard Proctor density in landscape areas. Free -draining wall backfill should be capped with about 2 to 3 feet of the on-site soils to reduce surface water infiltration. 3) The ground surface surrounding the exterior of the building should be sloped to drain away from the foundation in all directions. Ve recommend a minimum slope of 12 inches in the first 10 feet in unpaved areas and a minimum slope of 3 inches in the first 10 feet in paved areas. 4) Roof downspouts and drains should discharge well beyond the limits of all backfill. 5 Landscaping which requires regular heavy irrigation or features that pond water should be located at least 10 feet from foundation walls. PERCOLATION TESTING Percolation testing was performed on June 18, 1993 in a proposed leach field area near the northeast corner of the building envelope. One profile pit was excavated to a depth of 8 feet. The soils encountered in the profile pit consist of about 2.5 feet of topsoil lying 3.5 feet of reddish sandy, gravelly clay overlying gray sandy gravelly clay to the over h of e loration. Initial percolation tests in the deeper gray sandy gravelly clay did not dept xP table percolation rates. Additional percolation testing was conducted in three yield acce p rin s into the reddish sandy gravelly clay on July 23, 1993. These percolation test borings bo g Consulting Engineers and Scientists ChenoNorthern, Inc. were soaked the day before testing. The results of these percolation tests are presented in Table I and indicate the reddish sandy gravelly clay subsoils have a moderate percolation rate and should be acceptable for a conventional infiltration septic disposal system._ LIMITATIONS This report has been prepared in accordance with generally accepted geotechnical engineering principles and practices in this area at this time. We make no other warranty either expressed or implied. The conclusions and recommendations submitted in this report are based upon the data obtained from the exploratory borings drilled at the locations indicated on Fig. 1, the proposed type of construction and our experience in the area. Our findings include interpolation and extrapolation of the subsurface conditions identified at the exploratory borings and variations in the subsurface conditions may not become evident until excavation is performed. If conditions encountered during construction appear to be different from those described in this report, we should be notified at once so re-evaluation of the recommendations may be made. This report has been prepared for the exclusive use by our client for design purposes. We are not responsible for technical interpretations by others of our exploratory information which has not been described or documented in this report. As the project evolves, we should provide continued consultation and field services during construction to review and monitor the implementation of our recommendations, and to verify that the recommendations have been appropriately interpreted. Significant design changes may Chen *Northern, Inc. Consulting Engineers and Scientists M rn 00 M zz F+1 0 W F � Ti�tT W A 0 H O Q H � N "r M W e,' QO� a a a r ra r Ln N NN N N N W q O 4=1 o O o o O C o O A 3 x Wz� NTw", oA 0o c� oc wo" F d 3w d � u WO E O N N O 1n N O O � N Ln N kn Oho oo W 00 00 DD 00 00 00 [� W � W Q z 3 0 L, z IM