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HomeMy WebLinkAboutpitkin.eh.246315400008 (2003)Document Layout (From Most Recent to Oldest Permit) Permit Application Log Sheet/Notes & Photos Communications As -built Design Engineer Design Soil Information Floor Plans Water Permit & Information Land Use Approvals Second System on property Third System etc (All relevant older documents in the same order as above) (A red sticker will be placed on both sides of the file tab when doc. is scanned) Pitkin L anty Environmental Health Departme. Permit for an Individual Sewage Disposal System 0405 Castle Creek Road, Suite 10, Aspen, Colorado 81611 Phone 970-920-5070 / FAX 970-920-5077 Permit # 03081 Parcel ID # 2463-154-00-008 Type of permit New( ) Repair( x replacement due to failure) Addition/Remodel to House( ) Name of Owner Judy Malievsky Street Address 0513 N. Thomas Road Property legal description Size of lot 3.88 acres Water source Private well # of bedrooms in house 4 Caretaker unit N/a # of bedrooms in caretaker unit Designed for what # rooms (list) Designed by Mailing Address Owner Total square footage of the house 3000 sq ft # of offices, lofts & similar sized rooms in house Total square footage of the caretaker unit # of offices, lofts & similar sized rooms in caretaker unit 4 bedrooms Perc rate 20 Profile hole depth Minimum Septic tank capacity 1750 gallons Permit information Depth to groundwater or bedrock Minimum Absorption area 876 Comments ft w/ 30% reduction Septic permit approved per compliance with a drawing faxed December 18, 2003. Any changes must be approved by this department and the design engineer prior to them being made. Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin County ISDS regulations. There must be a minimum 82 feet between the field and the river and 132 feet between the field and the well. The design is to use the existing 1000 gallon, two compartment tank followed by a new 1000 gallon, two compartment tank. There must be an effluent filter on the outlet of the second tank. The effluent will be distributed by a manifold to a bed with 56 gravelless chamber units (7 x 8). The bed must be level and buried with no more than 4 feet of cover. The existing failed drywell must be properly abandoned. This department does not endorse any brand of products. This permit must be kept on-site during installation. The engineer must do a final inspection of the installation and submit an as -built letter to this department. This department must also be called for an inspection with a minimum of 48 hours advanced notice. pP y L. Ida t LLLPermit a roved b iDate: 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 the agent to perform the work indicated in accordance with the Pitkin County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was issued unless system construction has commenced or an extension has been approved in writing by the Department. As -built drawin must be incl ed this permit before the final approval will be issued. ( l/ Ib,� Installer: te,(t 1r 000001 0 I C.r p0Q1 (! Final approval: Date: G' Zt-11 Dec 10 03 11:34a Pitkin Co Env. Health (970)920-5077 p.3 PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM 0405 Castle Creek Road, Suite 10, Aspen Colorado 81611 Phone (970) 920-5070 Fax (970) 920-5077 Name of OWNER Owner's Mailing Address Primary Contact Person (all communication rega Add Cell P Parral In this permit will go through this person) Phone : v„a--;our$ 01rIC9 at 920-5960 or at www.Ditkinassessor orn) 11 3 JLILr Street address of property CS -/2 A/ 3 u� AA n � e!) w Legal Description: Lot �— ,Block Filing Subdivision Size of lot — acres Total square feet of house Type of proposed structure: Caretaker Unit: Attached ( ) Detached ( Permit is for: New home ( ) Water: Private way ( ) Spring If Name of syster # of bedrooms (potentiei) in house # of Repair due to failure ( V/) Remodel/Addition ( Stream( ) CommunitylPublic Water System ( un Emergency use ( ) The fee for a ISDS application is $600 for a permit that takes 6 hours or less for the department to approve. If approval takes longer than 6 hours, a rzta of $100 per hour will be charged. The maximum fee is $1000. The ba time of application. The remainder, if any, will be due in Nvo stages: first, at the tim6t70 is due at the e of issuance of the sic fee of Of $$ permit; second, before final approval of the ISQS permit. Application for an individual sewage disposai system is hereby submitted. I hereby certify that the above information is true and accurate and that I have provided true and accurate information on locations of all existing and proposed wells, contour intervals, buildings, property lines, ditches, slopes, waterlines, springs, suction or irrigation lines, drinking water cisterns, drain tiles, irrigation ditches, lakes, water courses, streams, floodpiains, dry gulches, and e)asting septic systems. i hereby certify that any such features not shown on attached site map are not present, issuance of the permit does not imply the approval of any other permit required for construction pursuant to Pitkin County codes. No construction may be undertaken until all approvals ,and permits have been obtained. The Pitkin County Environmental Health Department, Pitkin County and employees of these agencies will be held harmless should the individual sewage disposal system fall or malfunction. The permit to construct Is Issued on information submitted by the applicant or his/her representatives. The owner assumes full responsibility in case of failure of the system. Signature of applicant Date /Z�-3 Received by—C ��Receipt _9 I_ Date I_//_1 GAisdslisds app'lcVsdsaPp Rev06C103 do,, 000002 �a«1 #pati - DcJrs "Yoo•av _ .. ,_..,. 1/-zx/ 0} Pic a oa - o,,►" rano oq, 1 S 2003 COUPJTY "ITAL HEALTH Pitkin County Environmental Health Department Contact Log Sheet � �/ !�5 --1 Y - c> U 000003 Parcel ' Ad/dress: / Person SpokenTo Comments Action to • ' Taken ®. `V WO __ 110,1111.1 INAT-WRINIM MM NMI MA= /I III R . M,, ,.,.." MM MINIM MMM fir lffi _ . IS .. MM MOLAX �. •. �_ eSIM .. .,. ... " .. 111 rte= CAI=- .� 000003 DEC -18-2003 04:24 PM --- •" "" -,.--r rj yin Vo anv. Health (970)920-5077 Pitkin County Environmental Health OWNERIBUILDER ACKNOWLEDGMENT 4.10.1 Permit Application required: If the ISDS is designed by the owner/builder, he/she must sign an acknowledgment assuming full responsibility for costs or delays incurred because of errors resulting from his/her lack of knowledge of the pertinent Regulation, or failure to properly design and build an ISDS in conformance with the Regulation. I assume full responsibility for costs or delays incurred because of errors resulting from my lack of knowledge of the pertinent Regulation, or failure to properly design and build im ISDS in conformanoe with the Regulation. Owner/ Builder Signatu e 000004 P.01 p.2 /Z./ice/o3 Carla Block, 03:45 PM 12/11/2¢0 , judy m Page 1 of 1 X -Sender: carlab@commons X -Mailer: QUALCOMM Windows Eudora Pro Version 4.2.0.58 Date: Thu, 11 Dec 2003 15:45:05 -0700 To: nancym@ci.aspen.co.us From: Carla Block <carlab@ci.aspen.co.us> Subject: judy m X-MailScanner-Information: Please contact the ISP for more information X-MailScanner: Found to be clean She called. did you get the fax from her daughter with the house plans? I asked her to look for a survey on the property. She has called duane and left messages. She asked if she could split the payment up - I said yes. She will send in $200 with her application and then hopefully pay the rest in the next 2 months. I said that would be OK because hers was a special situation - failed system, and something she didn't anticipate. cb Carla Block, REHS Pitkin County Environmental Health 970-920-5438 000005 Printed for Nancy MacKenzie <nancym(aco.pitkin.co.us> 12/12/2003 To: Judy Malievsky From: Nancy MacKenzie Fax: 963-3770 Pages:2 (Including cover sheet) Phone: 963 - 3770 Date: 6/3/04 Re: ISDS Permit — 0513 N Thomas Rd cc: Please find following your ISDS Permit which has received final approval from the Environmental Health Department. Phone 970-920-5070 Fax 970-920-5077 0405 Castle Creek Road, Aspen CO 81611 -d� DEC -18-2003 12:49 FROM:ROARINGFORKCOOP 9707044239 TO:970 920 5077 P.001,003 ' / U ---�7� CA P� ��v 5kcl Dvam 310( - 3zqg 0(63 - 3,-10 duky,5 f-ay- q43 - 156W Dwane's fax 0000o� PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 0405 CASTLE CREEK ROAD, SUITE 10 ASPEN, COLORADO 81611 PHONE 970-920-5070 FAX 970-920-5077 DATE: 12/10/03 TO: JUDY MALIEZSKY FROM: NANCY MACKENZIE RE: 0513 N. THOMAS RD, FAILED SEPTIC SYSTEM, EFFLUENT SURFACING Dear Judy, On December 8th I stopped by your house and viewed the area where your drywell is located. Effluent was surfacing which is an immediate potential health hazard. I spoke with you yesterday, and informed you that I would not send you a Notice Of Violation letter if you would immediately start correcting this problem including the following: 1) Complete and return an `Application For Individual Sewage Disposal System' with the permit fee within 3 days. 2) Immediately fax a sketch of the floors plans so we can work on the sizing and designing the new system. 3) Have your installer, Duane Piffer, call me by today so we can work out details of getting your system replaced immediately. Thanks, Nancy, 920-5076 .,. 0- 1'--,b - 1S,b 00000 PITKIN ENVIROCIENTAL HEALTH DEPARTMEN . ISDS DESIGN CALCULATIONS Owner's Name Parcel ID # :_ ,A House Size (sq. ft.) � (75 gpd, 100 gpd, or 130 gpd) 100 Number of Bedrooms in Main House Number of Offices, Libraries, Studies, Similar -sized Rooms in Main House Number of Bedrooms in Detached Caretaker unit Number of Offices, Studies, Similar -sized Rooms in Caretaker Unit (If the caretaker unit is ATTACHED, treat as if part of main house.) Average Daily Waste Flow 800 State Review Required? no Perc Rate - (T) Design Flow (Q) = # potential bedrooms X 2 people/bedroom X gpd X 1.75 Q= 1400 Minimum tank capacity 1750 gallons Absorption Area (=Q/5 X SQRT perc rate) A = 1252.1981 sq. ft. of absorption area required 81 gravelless chamber units without reduction # of Perc Holes Required: 3 1 in every soil type? Spaced uniformly over proposed area? A maximum: 50% only if the lot size and soil conditions are optimal. If a reduction is being proposed, describe why lot size and soil conditions are optimal: A = 626.09903 sq.ft. with 50% reductionTRENCHES 876.53865 sq ft 30% reduction BED 40 gravelless chamber units with reduction 57 chamber units with reduc. Type of system: []Absorption trenches []Absorption bed [] Graveness chambers []Dry well []Seepage Pit []Other (type) SETBACK FROM WELL # of feet = 132 SETBACK FROM POND, STREAM OR IRRIGATION DITCH # of feet = 82 SETBACK FROM DRY GULCH # of feet = 57 DEC -18-2003 12:49 FROM:ROARINGFORKCOOP ; 1 000010 9707044239 5 ,/V/'A� TO:970 920 5077 P.002/003 0� L.Z7�z Dov J -nr'I-,— DEC -18-2003 12:49 FROM:RORRINGFORKCOOP 9707044239 TO:970 920 5077 P.003,003 0 i OC! CILM. a G� J '&Tam u�9�j %S S., 7Z. 8E 'a•_ 14111 000011 NUaq �-fyyL 1t l� I _8y LINES IN SPACE ,SYDNEY LINCICOME (L.5 14110 BOX 121 CAk60NDALE COLO. 303-9637 15 G�c dN i9e1 I SCALE:I`c 10 000012 000013 10.11 WH £Z:OT £09Z -0i -33Q �oo - odd PITKIN COUNTY HEALTH DEPARTMENT r-�� a ' PERMIT NUMBER RECEIPT NUMBER Owner N/. C r— . . Phone Address /J E n v j �O o n �a / ��2L Contractor k-4 V 6 NC.9 Phone Address CD►JAALG- Location of system —? r,,, ; , - n -r /I -. 4.. „/ /.,-Lot Size Legal desc iption SCC C1 Date j Siganture of owner Percolation test data o minutes per inch Minimum recommended absorption system size Minimum recommended tank size Permit application valid one year from date. Application to become permit and final only after lower portion is completed and signed. Retain this form at the construction site. DRAWING OF SYSTEM 4-fa�G k 1 X Date Sanitari 20 NO 000014 N X C1 d COLORADO DEPARTMENT OF HEALTH DIVISION OF ENGINEERING AND SANITATION A C T I V I T Y R E P 0 R T Section FILE REFERENCE: INDIVIDUAL OR ESTABLISHMENT - ADDRESS: Code County NARRATIVE: _,7 o -e- -r-r_ '4L Af '4 -T7 4 f'4 LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE: 191, REPRESENTATIVE: ES: 7 (Rev. 6-70-100) 000015 SERVICE REQUESTE ACTION REPORT ACTION BY DISPOSITION 000016 DATE SH -M-71 (4-71-50) �^ COLORADO DEPARTMENT OF HEALTH �.s r COUNTY REQU FOR SER CE PROGRAM L RECEIVED BY DATE LOCATION , NAME REPORTED BY ADDRESS TELEPHONE SERVICE REQUESTE ACTION REPORT ACTION BY DISPOSITION 000016 DATE SH -M-71 (4-71-50)