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HomeMy WebLinkAboutpitkin.eh.246327300010 (2011)Document Layout (From Most Recent to Oldest Permit) Permit Application Log Sheet/Notes & Photos Communications As -built Design Engineer Design Soil Information Water Permit & Information Second System on property Third System etc. Floor Plans Please See Building and Land Use Approvals Files for additional information. ,{�""K' KI N COUNT 1pl yR7 -- 0 l90� Pitkin County Environmentardealth Department Onsite Wastewater Treatment System (OWTS) USE PERMIT Permit for Continued Use of on Existing OWTS 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 ma"A^I NR 1 Parcel ID #: 2463-273-00-010 OW75 Use Permit #: I 0018.2011.powu Date Issued: 4/15/2011 Issued By: Carla Ostberg Expiration Date: 4/15/2012 Owner(s): I Stephen and Stacey Degouveia Property Address: 6601 Hwy 133 Legal Description: Click here to enter text. Licensed Inspector: Roger Maynard 007 Inspection Date(s): April 13, 2011 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two compartment 1000 gallons Concrete single compartment 1000 gallons Secondary Treatment Unit n/a Click here to enter text. Absorption Area Gravelless chamber bed 651 sq ft Other System Components Click here to enter text. Click here to enter text. OWTS Use Status: ® In use at the time of the inspection. [—]Not in use at the time of the inspection.* *If the OWTS was not in use at the time of the inspection, it is recommended that the system be re-evaluated when itis in use for a more accurate evaluation of the system. System Records: Permit #: 98048 Date of Issuance: 8/24/1998 Date of Final Approval: 12/30/1998 # of Bedrooms or fixtures served by OWTS: 2 bedrooms, although the system was designed to accommodate 3 bdrms. Operational Status: The system appeared to be working properly at the time of the inspection. Both tanks were pumped as part of the inspection. Inspector Recommendations: none Department Recommendations: Recommend periodic (yearly) maintenance inspections by a Pitkin County Licensed Systems Inspector of the pump and entire system to assure proper functioning. Effluent filters should be cleaned as needed. Issuance of this OWTS Use Permit is based solely on the conditions observed and reported by the inspector to the Deportment on the date of the inspection(s) and on Department records at the time ofpermitting. The issuance of this permit does not constitute a guarantee, warranty, or representation by the Department that the system will operate properly or will not fail or that the system will not be subject to future enforcement action to correct non-compliant conditions. Estimated capacity of the system has been listed on the permit and we recommend that you monitor and/or meter water use to prevent overuse and possible failure. NON /� 001$.P!l.PDW4 lqw Pitkin County Environmental Health Department 10ITKIN Onsite Wastewater Treatment System (OWTS) Gr USE PERMIT APPLICATION �OUNT� 0405 Castle Creek Road, Suite 10 • Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.corrdehnr Annlication for Continued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970.920.516D or at www.oitkinassessor.ornl: 6A Purpose of Use Permit: XPROPERTY TRANSACUON ❑ REMODEL/ADDITION Property Address: Lot: Block: Filing: Subdivision: Residences: Other # of Bedrooms: fixturesluses: Property Cwner(s)': Email Address: s�h"75W o r`T7zJy o�4ouv�i<f �&ll A" . Owner's Mailing Address: City, State, Zip: 6�0/ /nvl'133 corc/1vr✓O� Co fS//z3 Home Phone: Business Phone: 379—/7 VI 'Contact information must be provided for the owner signing this application. Primary Contact PersonlApplicam (if not owner): Company: Contact/Applicant Mailing Address: /a, O?X /371 City, State, Zip: If 071" co Cell Phone: Business Phone: G/g- 3 S9fl Fax Number: ?'•Z �-537 Email Address: srz�e�/�i.1�F��ilit�-�orr�.ai�9 cvr>" Indicate Preferred Method of Permit Receipt: XEmall ❑ Fax ❑ u5 Mail Licensed Systems Inspect r. Phone Number Email Address: Fax Number N2 SSG/4,0,ou �/rill�Afte %4 -;,W /Lsc'I'AGUlIflLGvJH 7 3--t(07d Mailing Address: 0403 pr ", City, State, Zip: PLEASE READ BEFORE SIGNING: I certify that the above Information is complete and accurate and that I have provided complete and accurate Information In all of the documents Included In my application package. I acknowledge that this department may revoke any permit I am Issued if my application is found to contain any Inaccurate, false, or misleading Information. Owner Signatu � equired): Date: Date: ` ' // L Applicant Sig i Please allow 3-5 business days for processing of Use Permits. FOR .OF.' -- Received bv.EH Staff: Fee 8 Recelpt #: 000002 05/15/2011 13:51 9636070 B R SEPTIC SEP -22,2010 9:57AN ORO HEALTH NAT RESOURCE �yTKJN COUNT4 Wastewater N0.502 P. 1 Permit Inspection Form Pitkin County Environmental Health Department 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 Website: www.asoenortkin.com/ehor ,Z _ Address: �'%/�/ .r G'/r, . �E . � _� �'/y�•i Parcel Number; lf�G 7t — Ln�j G 10 7 Inspection Dom: /0 Records: were system records available from the department? ves` No If Yes: Permit number ��., � � Date of Irimllation:�y Tank size' A sore ion area r e- . Permitted Use: Is this system permitted for its cudent use? If no, describe the change in use. Was an As -Built drawing available? Is the As -Built Drawing Accurate? if No: Complete a drawing of the system on lost page of this form as occurarely as possible if as -built woo not available or is not accurate. Site Conditions: TANK; Erosion FA1L Improper Vegetative cover qPAS YES Evidence of Compaction :) YES Improper Discharges� FAIL High Ground Water YES Snow Cover D YES Property Vacant it)) YES UNKNOWN Use was the tank pumped as part of the inspection? If No, sk;pto Tank Componems. If No: When was the tank last pumped? % If the tank has not been pumped in more than 2 years, please attach additional information for justification. Information to be included in Justification: Depth of scum layer, Depth of sludge layer and/or Verification of limited occupancy If Yes: Pumping Com E P g Panv� Discharge/leakage rASL fnfittratiun P FAIL Back flow after pumping YES 05/15/2011 13:51 9636070 B R SEPTIC SEP -22-2010 9:58AM E®RO HEATH NAT RESOURCE Tank Components: Tank /[ C/(/ 74/- Lids v Tank Integrity Mid Tank Baffles 5anitaryTees / Inlet & Outlet Baffles Effluent Filter/Screens Water -Fight Pump/Dosing Siphon Tank Material Pump Alarm Tank Components. Tank 2 � J� Lids Tank integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlat Baffles Effluent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm u If additional tanks are presont, include reports for each. PACE 04 NO. 502 P, 2 FAIL Na FAIL Lids FAIL NP FAIL PASS FAIL NP FAI L FAIL NP FAIL PASS FAIL Mechanical Systems FAIL / FAIL r FAIL NP FAIL FAIL NP FAIL FAIL NP FAIL (r No NP SECONDARY TREATM ENT: Is a secondary treatment unit part of the system design? —,41za__ If Yes: Make/Model: Na �Sr� Lids PASS FAIL Tank integrity PASS FAIL Media Container PASS FAIL NP Media Condition PASS FAIL NP Mechanical Systems PASS FAIL NP COrrtral5/Alarms PASS FAIL EXl ires: Maintenance Agreement PASS FAIL Provider Name Provider Phone Number ABSORBTION AREA: Distribution Box Accessible from grade? Distribution Box ADV Accessible from grade? Automatic Distributing Valve (ADV) Observation Ports Effluent Surfacing Evidence of Past Surfacing Surface Dampness Excessive odors Liquid in observation port 000001 yes Na �Sr� FAIL Yes No PASS FAIL P FAIL ASS FAIL Nq YES �N, YES N , VES NP I J inches 05/15/2011 13:51 9636070 B R SEPTIC PAGE 05 JUN. 21, 2010 1:42PM GIRO HEALTH NAT RESOURCE ny NO. 417`P. Any problems with the system that wee not addressed in the inspection checklist? Please list any recommendations for the system to continue its current usage. Were any repairs done as a result ofthis inspegion? NO YES If Yes, please describe the repairs. /I%!172 To the best of my knowledge and training, the Information collected in this inspection is accurate as of Inspector's Signature: Business Name: Phone Number Address: Email: P Itkiin County Inspector license Nu tuber: Additional Notes: A copy of this inspection report wi!!be remitted to Pitkin County En vironmental fieahh with 60 days aj the inspecuon. 000005 05/15/2011 13:51 9636070 B R SEPTIC PAGE 06 6601 HIG14WAY 133 TRACT 14, SECTION 27, TBS, R88W, 61H P.M. I P17KIN COUNTY, COLORADO iI i 4 1 ` i lr` F NORTH --� SCALE 7" = 30' f ----"" CONTOURS = 2' EXIS7ING W£LL _~-^ y 1 Il i7 1 t i OPTIONAL 5EP71C TANK AND UFT TATION LOCA77ON PROPOSED 3 BEDROOM ' a RESIDENCE t OR n MINIMUM 500 GALLON UFT STA7ION MTH PUMP: RECOMMEND 1 1000 GALLON TWO J COMPARTMENT 4' PVC PIPE j PRECAST CONCRETE ! SEPTIC TANK WITH ,PUMP 1000 GALLON TWO COMPARTMENT PRECAST CONCRETE SEP71C TANK WITH AN FFFLUENT FILTER j i O 2' PVC PIPE NOTES: l 1 1, PROPOSED FIELD MUST BE GREATER THAN t PRESSURE DIS7RiBU1Li7 CHAMBER FIELD 1 i loo FEET FROM DUS7INC WELL 6 ROWS OF 7 CHAMBERS 12. SEPTIC TANK AND UFT STATION MUST BE 42 CHAMBERS TOTAL 'GREATER THAN 5 FEET. FROM RESIDENCE 18'X43 75', l AND b FEET FROM PROPOSED FIELD. ` . A 1500 GALLON TWO COMPARTMENT I P ECAST CONCRETE SE'PAC TANK W17H A t `MP IN A 0107UBE FILTER MAY BE 11Lf19• tBSIMTEU FOR THE YP17C TANK AND L#1 STATION. I LOCATION OF PROPOSED �e FTG. 2 JOB NO. 9926 b0000s C99 ON MV -18 1VN HllV3H WAN3 W1:01 MZ -8 '8dV 05/15/2011 13:51 9636070 • B & R Septic Service, Inc. Rooter & Jetting Service Video Inspection Service 0603 Handy Drive Carbondale, CO 81623 Bill To Steven De Gouveia 6601 Hwy 133 Carbondale, CO 81623 B R SEPTIC N PAGE 02 Invoice Data Imroics # 4/12/2011 5832 000007 P.O. No. Terms Project Due on receipt Quantity Descxiptlon Rate Amount Septic Inspection 250.00 250.00 2,000 Pumped 2 septic tanks & lift station 0.23 460.00 2,000 Dump Fee 0.15 300.00 Sales Tax 3.90% 0.00 Thank you for your business. Carbondale Aspen Fax Total $1,010.00 (970) 963-3814 (970) 920-2059 (970) 963-6070 000007 05/15/2011 13:51 9636070 B R SEPTIC PAGE e 0 0--j�en/pktkdn Environmental Health Depr -'ment p' tit for an Individual Sewage Disfacsa, /stem 130 S. Galena St. Aspen, Colorado 91611 Phone 970-923-5070.; PAX 970.920-5197 Permit # rlE t Parcel ID of 0'U Type of permit LMi,� Name of Owner �j FCYLV p� 1l i�W D Street Address Property legal description - �� ��'f �G par-QL�' -ltoy 1 a3 - Size of lot Total square footage of the house Wamr source # of bedrooms in Mouse `� - # of offices, lofts & Similar seed rooms m house I Caretaker unit Total square footage of the caretaker unit ft of bedrooms in caretaker unit # of offices, lofts. & similar sized rooms in caretaker unit Designed for what : bedrooms. i2� Permit information Designed by �4P Fes' YT �.C�, l�`.uiYC� r•- . Mailing Address Pero rate Z_ Profile hole depth ` -- Depth to groundwater or bedrock N(t� Septic tank caaacity C-t'?)4 S Absorption area aLSoR.,� U r°,�.cxl-iovl -�Y � -ayjglvae.el-'s. )'es n JtveS 3 a l°12+ na�tu2 .s -(ter-� r�'k �P�t�-E- 'mow f�'t�tsMUP✓I G`tr 0., Iia �,al(4yt '�`;�..vl� f1s �(L2�v E� 7 chi S amt c� . P P_� Gri�P 5 -•TO Trt� p�Sl ti 4 p� 'Fp fM�C Permit approved b !i f { fQ I� /n r. /Date: _ Plans and specificab m&oL*t 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 indloated in aecordanee 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 approv9d in wli5ng by the Department. As -built drawings must be included with this permit before the final approval will be issued. Installer. Final ins -0000031 Date: 12- .3D.4,� d 09 UN 30FOSH iVN H_1H3H MAN] WHET:0l 'i [Ol B 180 a _ 2 a La a u oil A Wt Pt O t rt Zt 1 / ill / / / / / / - / / / / / ()0CMI, &OwI - - m / o w '00 o a a W o Y o to I G w OD / w �♦ ���- / /O Ur / wLLJ 4611 y CD M LIJ 9,55 - n; �� ,L F ----------- -------- i t w o0 ko w90.87' o 0 ----------- 07'32'00" o ---- to Q w --- w0 Q y / r r C9 W - -- ____-__ � r •� r 01In w M w N 1 - 510_ '-'C oCut�"� z — 000010 HOBG00 IMPROVEMENT SURVEY A PARCEL OF LAND IN THE SW1/4 OF SEC. 27, T.8S., R.88W., OF THE 6TH P.M., COUNTY OF PITKIN, STATE OF COLORADO. an^�N` aaa��t to F �qpJ% sag, cwt°�`wva'N.ar us y58.ta� -058.80 rw.N wear Ieesn-igw mzm.I real .I,B Nw ®10.12' Fwae �a aF RS tB59B PROPERTY DESCRIPTION A toot Of land sltuated In Ne SWI/4 of Section 27, To eontp 8 South. Range SB Wast of Me Sixth Principal M.Idlan. County of Makin. State of Colorado. ly/ng Westerly of Ne Weslarly right of way Has of Calnodo Stale Hi,hway No. 133 and bear, more particularly deecnbed as (dines Commencing at a point on Me Southerly boundary Me of sold Seclin 27, when a Braes Cap frond In place and properly marked for Me South. ort comm of said Se.U. 27 bear. Wast 2272.00 feet; ' Mann. North 07'32'W Wert 428./8 feel thence South 9228'00' West 50.00 feet thence North OT32'00' West 225.00 Net: Mance North 8228'00' East 50.00 feet: Menne North 07WOO' West 90.87 feet to a paint an the W.lewy right of way line of void Highway No. 133 thaw W., the Westerly A ht of way line of said State Highway No. 133 an the fallowing courses Man. South 2197' East 91.1?5 Net; then. SaAh 18'52' East 188.40 fcwC Mn. North 75W East 50.00 feet: Mn. 225.00 Net along the arc of a 758.60 fact radius wr.W to Me righL Me chard of which bears South 0429' East 253.90 feed: Menta South 0851'30' West 19250 fest; Mn. South 14'4530' Wand 44.20 feet to a point at Me M.D. of 0. Southerly boundary lane of sold Seaton 27 .ad Me westerly right of way line of sold State Highway Na 133; Mn. Inning Me Westerly right of way line of sold State Hlgbway No. 133 an a mune bearing West for 22.41 Ml Nn, the Southerly boundary Ire of said Section 27 to Me Part of BegNlnr4 0 NOTES - SURVEY ORIENTATION IS THE AP ON WEST UNE A ROM AND CAP PLS ,f 22580 AND THE SE CORNER A REBAR M0 CAP LIBELED COOT OF SAID PROPERTY AS DESCRIBED. - EASEMENTS Is ADDITIONAL INFORMATION SHOWN ME FROM TITLE COMMITMENT PROVIDED BY PITKIN COUNTY TITLE, INC BASALT, CO ORDER NO. 83MX - THIS DOES NOT REPRESENT A TITLE SEARCH BY THIS FIRM OR SURVEYOR. 0 - INDICATES FOUND REESM k CM UNLESS OTHERWISE NOTED. v. - INDICATES UTIUTY POLE -a- - INDICATES OVERHEAD UT UTY UNE A - INDICATES CONTROL PONT THE SEXTON SURVEY COMPANY 128 WEST 3RD STREIT RIFIE, COLORADO 81650 870-825-3711 OR "S-4700 W S] • WW Azeee GRAPHIC SCALE (arae) t Imh � 1a R SURVEYOR'S CERTIFICATE I HEREBY CERTIFY N THAT THIS MAP ACCURATELY DEPICTS AN IMPROVEMENT SURVEY PLAT PERFORMED UNDER MY SUPERVISION AND DIRECTION ON DECEMBER 19, 2003, OF THE HEREON DESCRIBED PARCEL W LAND. THE LOCATION AND DIMENSIONS OF ALL BUILDINGS, IMPROVEMENTS, EASEMENTS, RIGHT-OF-WAY IN EVIDENCE OR KNOWN TO ME AND ENCROACHMENTS BY OR of THESE PREMISES ME ACCURATELY SHOWN PITKIN COUNTY TITLE, INC. CONasITMENT CASE NO R335X WAS USED IN PREPARING THIS SURVEY. • NARY MINE HOBIM11, KENNETH I HOBGDOD SR. b PITKIN COUNTY TITLE, INC. iz ' $�S31944 --/ D�1ATjEz zw 3 ��-------- III;* S1944 g a[€ aaa HOBGOOD IMPROVEMENT SURVEY NO.: BY: KS A PARCEL OF LAND IN THE SM/4 1 S 27, TAS., R.88W, OF THE 5TH P.M., of COUNTY OF PITKIN. STATE OF COLORADO.