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HomeMy WebLinkAboutpitkin.eh.246717401039 (2013)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. ,(�fTKIN COIJNT� (C' _ `') 40 Pitkin County Environmental alth Department Onsite Wastewater Treatment System (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 www.aspenpitkin.com/EHNR Parcel ID #: 2467-174-01-039 OWTS Use Permit #: I 0015.2013.powu Date Issued: 4/23/2013 Issued By: Bryan Daugherty Expiration Date: 4/23/14 Owner(s): US Bank National Association Property Address: 45 Crossland Drive Legal Description: Lot 4, Holland Hills at Basalt Licensed Inspector: Carla Ostberg Inspection Date(s): 4/11/13 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete Two-compartment tank 1500 gallon Secondary Treatment Unit N/A N/A Absorption Area Gravelless Chamber Trenches 1950 sq. ft. Other System Components N/A N/A 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 it is in use for a more accurate evaluation of the system. System Records: Permit #: 89081 Date of Issuance: 10/31/89 Date of Final Approval: 8/24/90 # of Bedrooms or fixtures served by OWTS: System was designed for 5 bedrooms Operational Status: According to the inspectors report, the system was functioning as designed at the time of inspection. The 1500, 2 compartment tank was in good working condition with the baffle intact and both inlet and outlet Ts in place. The tank was pumped after the inspection. The tank flowed to a gravelless trench absorption field. There were no signs of failure or surfacing effluent in the field area. Inspector Recommendations: The inspector recommends adding an effluent filter to the outlet of the tank to prevent solids from reaching the field area. Department Recommendations: N/A Issuance of this OWTS Use Permit Is based solely on the conditions observed and reported by the inspector to the Department on the date of the Inspection/s) and on Department records at the time of permitting. the issuance of this permit does not constitute a guarantee, warranty, or representation by the Department that the system will operate property 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 andlor meter water use to prevent overuse and possible failure. J C/ 0 Mike Jenrette Services LLC Bx 9932 • ASPEN CO, 81612 • Cell 970-456-6005 fax 970-429-8118 Submitted to: Lani WebbDate proposed: 45 Crossroads Basalt 4-18-13 ALL WORK IS GUARANTEED FOR ONE YEAR AFTER COMPLETION This bid includes all materials and labor necessary to complete the job described below, and as described in the PLANS AND SPECS, if any. Pump and dispose septic tank All materials will be as specified or of comparable quality as initially specified and as approved by both parties. Payments will be made: Draws as work is completed and invoices are submitted upon signing contract Bid / Estimate $600 Contractor/Owner agrees to pay according to the following schedu Invoice 2399 Owner's signature Date M Pitkin County Environmental Health Department 111YIN Onsite Wastewater Treatment System (OWTS) (', urrr ( USE PERMIT APPLICATION iii 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.comfehnrf Application for Continued Use of an Existing OWTS Parcel IDN (available from the Pitkin County Assessor's Office 970520-5160 or at www.oitkinassessororal: Purpose of Use Permit: I PROPERTY TRANSACTION ❑ RWODH/ADDMON Property Address: 145 T VrtV Lot: Block: Filing: Subdivision. Residences: Other # of Bedrooms: 5 fixtures/uses: Property Owner(s)': Email Address: 5 i til ice r Owner's Mailing Address: -7-301 City, State, Tip. a1 j i n'L 3 lll Home Phone: Business Phone: Contact information must be prowled for Me owner signing this application. Primary Contac PersentApplicant (f not owner) Company: a 11+ Contact/Applicarn Mailing Addre{s: City, State, Tip. 3� t s a��e Cell Phone. Business Pho1Le Fax Number Email Address(':I) R --O' O r Intlicate Prefemetl Method of Permit Receipt. YErnall ❑Fax F1 us Mail C6 M Licensed Systems In r:O I Phone Number Email Address: Fax Number Meiling Address: City, Stale, Zip: 3 Fol, Ly -h' r 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. 1 acknowledge that this department may revoke any permit I am issued if my application is found to contain any Inaccurate, false, or misleading information. Please allow 3-5 business days for processing of Use Permits. ryy i T H IN Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form COU N TY Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920.5374 • Website: www.asoenpitkin.com/ehnr Inspection form for continued use of an existing OWTS Owner's Name: "`{y Hyl � kAA_ }'j 0 , NR"f 42:+a W AA(D (sl- TCt(9 -- Address: e..}�1 C,frY l CI to A l ( 1 gr YaLsa-Ur t^) 81h21 Parcel Number. Z_q(„—I—r]Q-01_n Inspection Date: Inspector's Name: Business Name: Phone Number Email: Pitkin County Systema Inspector License Numbek" a 01-1 A copy of this inspection resort will be remitted to Pitkin County Environmental Health Department by the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system Passes or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YESNO If NO, how long has the home been vacant? ,5j r\ (e 2011 How many bedrooms are in the home? If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? YES NO If YES: Permit number: B °IO$ I Date of Final Approval: 212-411 CID If of bedrooms permitted: 5 �LF1_W �FY r\0 rf ct-tnl1�0 Was an as -built drawing available? YES NO is the as -built drawing accurate? E ] NO If NO: Complete a drawing of the system on lost page of this form as accurately as possible. Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? PASS Improper vegetative cover? Evidence of compaction such as heavy machinery or livestock? Improper discharges such as straight pipes? Evidence of high ground water? Snow cover present? iqu Page 1 FAIL YES FE r tiE C°'JJI '�t YES Sy ��tt Ci5�1 n nS. FAIL YES YES 0 0 TANK: Tank 1 NO ) Tank 2 PASS Tank 3 Does the pump/wiring/dosing siphon appear to be in good condition? Tank capacitygallons FAIL Is the high water alarm working, both visible and audible? PASS gallons SECONDARY TREATMENT: gallons Tank material Cpl �1 (_��O UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Liquid in observation port? A of compartments NO UNKNOWN Maintenance Provider: _ Phone: inches Date of last pumping YE NO UNKNOWN if VES, is it accessible from grade? YES Lids/risers in good condition CPASS FAIL PASS FAIL PASS FAIL Risers to grade YES NO YES NO YES NO Riser height Riser condition/watertightness Go Inlet sanitaryT/baffle P FAIL PASS FAIL PASS FAIL Outlet sanitaryT/baffle FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL N PASS FAIL N/A PASS FAIL N/A Condition of tank material ASS FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES ! NOS YES NO YES NO If YES, list the pumping company If NO, when was the last pumping Scum level (1st compartment) inches inches inches Sludge level (1st compartment) " k inches inches inches Scum level (2nd compartment) " inches inches inches Sludge level (2nd compartment) 40 inches inches inches Backflow (If pumped) PASS FAIL PASS FAIL PASS FAIL Midtank bafflePASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES NO ) If YES, is the pump/dosing siphon functioning properly? PASS FAIT— Does the pump/wiring/dosing siphon appear to be in good condition? PASS FAIL Is the high water alarm working, both visible and audible? PASS FAIL SECONDARY TREATMENT: / NO ) ma VES Probing (t Is a secondary treatment unit present? YES �1 (_��O UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Liquid in observation port? Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: _ Phone: inches If there is no maintenance contract, a contract must be in place prior to occupancy of the home. A copy of the contract must be submitted to Pitkin County Environmental Health Department. ABSORBTION AREA: Effluent surfacing? �/ PASS FAIL Evidence of past surfacing? _. YES Surface dampness? ! NNOO YES Excessive odors? / NO ) ma VES Probing (t L Field location verified by observation ports or probing: rts -➢ p—iry-' , Rp,q t�tfS T ' Q fD Liquid in observation port? NO YES L1 .C" .' f If YES, record depth! inches Distribution Box or ADV part of original design? YE NO UNKNOWN if VES, is it accessible from grade? YES Is it level and in good condition? PASS FAIL Page 2 LJ 0 0 Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? O YES If YES, please describe the repairs. To the best of my knowledge and training, the information collected in this inspection is accurate as of 20-LO. Licensed Systems Inspector Signature: � �, Ogrk)l,^4:z�, Additional Notes: Clearly label any oictures and attach them to this form. Page 3 uklm (ed. 0 � 0 0 Page 1 of 1 Nancy Mackenzie From: Nancy Mackenzie Sent: Monday, May 05, 2008 2:21 PM To: Lance Clarke Cc: Rose Ann Sullivan Subject: Mark Kwiecienski - 12 -Crossland 2467-174-01-039 H5 Lance, Our files indicate a septic was finaled in 1990 for 5 bedrooms. The diagram of the system shows that there are three 130 ft long trenches running parallel to Highway 82. The first trench starts about 80ft from the house. Each trench is 3 ft wide with 6 ft inbetween. So they take up a width of about 21 feet. It looks like the last trench is 10 ft from the property line along Hwy 82. There should be nothing bermed on top of the trenches .... oops The last note in our file is from 10/1/07. Mark called and said he is planning to demo the house and he wanted to be able to use the old system Nancy Nancy MacKenzie Environmental Health Specialist 970-920-5076 Pitkin County Environmental Health & Natural Resources 0405 Castle Creek Rd, Suite 10 Aspen, CO 81611 5/5/2008 0 0 Pitkin County Environmental Health Department Contact Log Sheet