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HomeMy WebLinkAboutPitkin.EH.273511300004 (1985)o2755� H3 -oa —6) ASPEN*PITKIN ENVIRONMENTAL HEALTH DEP`IA TMENT INDIVIDUAL SEWAGE DISPOSAL PE"1IT N0. (� TYPE OF PERMIT: ( )Initial Construction ( )Emergency Use ( )Repair work$(pievloua Permit �9�� �y� or installation 1 .) ( Al Iteration of a c Latin to (Previous PermitnI "�.. — ( )Use Permit as a result of Sale ( )Othore ISSUED T0: DATE OF ISSUE .1 12 �? Owner, / Home Phone _Business Phone Nailing �}/-7 _ Address W N / I& I g>d 12 Agent /V�/I Phone '.ddress iM2-.tt2 IL14,11W AY gZ Sewage Disposal System Work to be performed by /\serf/ This permit valid only fore promises location by the following legal description[ LOT SIZE a0 (j APES WATER SUPPLY iY �� A� } f 1 PfL'A" AVEMf.E PERCOLATION RATE This Individual Sewago Disposal Permit is granted with regard to the following uso, - Ntn.+bcz oC, Bedrooms / Lefts © Ca rbagc Disposals 1 Dlshwashers_L Clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD THE NATURE OF THE SYSTEM INCLLU�DE/D UNDER THIS PERMIT: Tye: of Tank or Treatment Unit, SF.Pr l! (7 �� Tank. capaclt _Callon mtrimua Method of Final DIsp03313 CECPACI' cI7 �� -- C--�ST/Absorptfop Area — Square Peet Description (including brand name, if any) of other equipment or• appurtnaneesa - koN .Other Conditions or Specificationdt,4,olilrloAj44c_ e7lloo99l,47Tlt /77�e An�� 11EAt� -o/gr�,r�/,rot STAGES REQUIRING I14SPECTION BY THE HEALTH DEPARTMENT: ( )Before Excavation ( )Upon completion of excavation and prior to placement of gravel ( )Before coverin.1 d i strihur u system of absorptS�n f_r.. Krlor to backflll of any component ( )Other, Specify, •L(3/V C --- Plans and speciflcaeiona of the proposed sewage dlspo.+al system have born rev[ewed Ind are con idered satisfactory. l�-Cmis.+3 hereby granted to tho owner or his agenr. to perform the work indicated atanve Ln n ordancrwith the Pitkin County I rndivid+ Sewage Ui.spesal Pednuilations in effect on the date of ins In addltlon to general proviaiona set forth an thse nswers l+erec this Permit id subject to the followingadditionaltern/an 'I c nditions; APPROVED FOR ISSUE BY le l�LL�G (tit ) The alx+vc individual s rage disposal ey.+tom installed has hoc ln:�ncc[cd for u c by a rcprnscntltivc of the re:;pons+ibll, ty in ..u.se of (allure or inadequacy of chis a wage urspoxal system DATE OF FINAL INSPEC ION 8 Bi.�� ----- _ 'TITLE 130 South Galena Street Aspen[ Colorado E3*lMq 1 Cp j —n 30=3/S 50 EE9020 . �c(J�AQAJ fit' Ci • Coepl eto ax-bull[ drain n•7 eeeacneu. ,- ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN1 I/N_DIVI"DUAL SEWAGE DISPOSAL• PERMIT Name of OWNER � � i/ K� i��/� PHONE %a0 a�G 7 Address of OWNER ��aaa �Ct9Gi � �Z— Name of APPLICANT �FiNIE PHONE ' PERMIT TO BES �Plcked Up ( )Ma11ed tOt TYPE OP PERMITS ( )New Insta11at1on ( IRepelr ( )Ovnar ( )Applicant � 1 )Emergency vat ( )Alteration NOT due-io failure L(icATION OF PROPOSED SYSTEM nn'7����� / /�/p Legal Description � `� /1 / / r/ L'/! C..�� lot � Block Pl lSng S[ubdivin�lJon{�/p size oL Lot o•� [tree TYP E�OF STRUCI'U REi ( (Single Femlly Duelling (�Othett /,eif%✓M��(�// /� �nldeneeln (n)YESrth �NOStiOne to tha No. o[ Ixdroome� No, o[ Loftl ��-- No. d[ Cerbage Dleposals � No: o[ Automatic Dlahvaaher■ No, oC Automatic Clo rhea washers / �, HATER SUPPLY: ( )Private Ncll, Dopth Or �ubllc,-Name of System �� ( )Sprl ng ( )Strcem or Creek TYPES OF INDIVIDUAL SEWAGE D75pOSAL SYSTEM PROPOS F.DI '. �SePtSe Tank/Absorption Field ( (Aeration Plane/Absorption FSeld ( )Composting To13et ( lIncineretlon Toilet ( )Hound Recyell ng, potable use ( IRecyeling, other use ( )Vault Privy ( IOtheri The'lnitial Bite inspect ion munt 6c orranged with tho Aepen/Pl tk in'Enviroi:mental health Departman[ (915-2020, 8: 70 -9: 10 a.m.) l tosc a permit can be Saa ucd. Tno individual eevage dispoael perm![ muse be Sasucd before a building perm![ can bc. obcalnod. r'INAL INSPECTION APPROVAL HUS IBE GIVEN HY 2HE ASPEN/PITRIN ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY POATSON OF THE SYSTEM. ' AppTlcet ion Eor an lndivldal /ae 'ge �rmit i• hereby submitted. The underelgned aeknovledges thet the above Sn formation la true and Chat Ealsc in o m tin i`11 i v l da �ehe appll cat ion end any eubecqucnt p rmlt. - 6lgnature o! Applicant / C'1- � L� _ - - DATE � o� - (Thle application becomes. Snvnlid 1 months from the above data.) 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 - .- � atructuresv _ _ 5. Streams, lakes, ponds, irrigation ditches, and other water courses: - - 6.-. Proposed and existing individual sewage systems on subject .-" - - property. -- � i SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL PLAN.' She und)eralgged hereby acknovledgea re<e 1pt a� h divldual eevage disposal parpmlt ppl lcetSon and a pc(rimlt ,Cie/9 !n the amount Of S /� L:'�I Receipt Number l l'� Date Fee Recelvad O �-�r� `/� �� . � by �` �, v Adminls iretivo OC[lcor '130 South C3alena Street Aspen, •Colorado �'161'1 3D3/925-2020. 7��z-zz CRtiI rayay to the of, /I�n.1i n A.R.U. A17.N P. O. BOX 791 20-2107 ASPEN, COLORADO 81612 First National �.. Bank Aspen, Colorado 81611 1264• 19 �/ 82-16411021 01 ripe u000 L 264l' �: LO 2 l0 L64 5r: 006 54 5 4ii' $600.00 ��IpE hoc, CiLF11-LED GFl n� SA u4DNc X _Y, RYWEfL A7 PF�'IMETER orm LXCAVAw LARD RWKK �i1STI atMGC BED X D'oI �ir�cL,E 1 nusc SFRucr MCA C,k- -1CM=/0FT a 735- //-? 66-60f� 7 2 02 4a 2 PITKIN COUNTY HEALTH DEPARTMENT PERMIT PLUMBER Owner L, PN Owner's Mailing Addr Contractor Address Systems Contractor's RECEIPT NUMBER_ I? 1 q7_ Phone ff Address `-' Legal Descrcri 1� ittionSBG Fold) 147 Lp Lot Size LQ.0 Type of Building by Use S�A1(,[,G �/�tit/L 7 lX 46 Number of Bedrooms Type of Water Supplyr>%21,V Type of Individual Sewage Disposal System..,S71C Type of Soil or Soil Classification Proximal Location of Bedrock Proximal Location of Ground Water Table Owner's Signature J PLOT PLAN: C �� Date=_ _C Percolation Test Data (27 (7 Minutes per inch Minimum Recommended Absorption System Permit application valid one year from Date. Application to become permit and final only after lower portion is completed and signed by the Sanitarian. RETAIN THIS FORM AT THE CONSTRUCIITON SITE. Datey � �\ \ �. , �,,. E�c�sr�� 8W`p/N6 �� �� � $Ei1JB,e �.INE .: r ,�;; - 4: i COLORADO STATE DEPARTMENT OF PUBLIC HEALTH DIVISION OF SANITATION Code :2 Section ACTIVITY REPORT County 57 FILE REFERENCE: p + 4a va Tl' cnncal INDIVH)UAL OR ESTABLISHMENT: ADDRESS: NARRATIVE: I went with Bob. to. Wendy Morris's place. I told him. I didn't see any need for the. bed to be quite as deep as it was. It was about S' deep on the low end and close to 7' deep on the other end. He was asking if we had specified 2! or 3' of rock on the bottom of the bed, and I said, that we specified only 12 inches minimum. LETTER TO FOLLOW: () OTHER RECOMMENDATIONS: DATE: August 23 19 74 REPRESENTATIVE: FS: 7 (g-53-50) I I..• :, I:..I 11 a.n. tI .II Its t; & nnm.l 1111111 tI...Ii�(I A parcelo;f land in the `E14 SW;4 of Section 11, To*eI 10 South, Range BS West of -A 6th P.'{., Pitkjn County, Colorado, described as follows. Beginning at the Northwest corner of the STWN of said SF tion 11 as shown by survey recorJed May 18, 1951, Ditch Book 2 A at F,i, 1'fi; thence East slang the North tine of said SW4 a distance of 31 act; fft _e on an angle to the right 61`?. ' a distance of.228.2 feet; tt.Ite an ang e to the right 40*55` a distance of T76.6 feet; thence on an an e the left 20°54` a distance of 259.:5 feet to the true. poin i ginn• . ; thence on an angle to the left with said last described lineU169. fl"1 ' a distance of 173.9 feat; thence on an an,;le to the right 88°2ce o 188 feet; thence on an angle to the right 88,'25'� a ddatancfeet; thence en an angle to the right of 90*28' a distanlee of 197.0e true point of beginning. County oP Pitkin, �itate of 1 Aol or;ze umersigneluo-e/ page 2 STF.WART TITLE GUARANTY COMPANY;.,.:_ "-•3'•- COLORADO DEPARTMENT OF HEALTH COUNTY REQUEST FOR SERVICE / RECEIVED BY PROGRAM _����'{ NAME LOCATION _ ADDRESS SH-M-71 (A-71-50�