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HomeMy WebLinkAboutpitkin.eh.246717403002 (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. Pitkin County Environmental With Department nsite Wastewater Treatment Syst (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2467-174-03-002 OWTS Use Permit #: 0009.2011.POWU Date Issued: 2/25/2011 Issued By: Bryan Daugherty Expiration Date: 2/25/2012 Owner(s): I Carol Carbone Property Address: 40 Units, 892 sq ft 0265 Adams Way, Basalt, CO Legal Description: N/A Lot 2, Block 1, Bishop Subdivision Licensed Inspector: Roger Maynard Inspection Date(s): 2/15/2011 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit 2 Compartment Poly Tank 1250 Gallons Secondary Treatment Unit N/A N/A Absorption Area Gravelless Chambers 40 Units, 892 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 #: 98069 Date of Issuance: 10/19/1998 Date of Final Approval: 1/26/1999 # of Bedrooms or fixtures served by OWTS: System designed for 3 bedrooms Operational Status: According to the inspector's observations, the system appeared to be working properly at the time of inspection. The 1250 gallon 2 -compartment poly tank was in good physical condition and the field did not appear to have any problems with surfacing effluent and there was no standing water in the observation ports. Inspector Recommendations: N/A Department Recommendations: The department recommends adding an effluent filter to the outlet side of the tank to prevent any solids from reaching the field area. Issuance of this OW73 Use Permit is based solely on the conditions observed on the date of the inspection(s) and on Department records at the time of permitting. The issuance of this permit does not constitute o guarantee, warranty, or representation by the Department that the system will operate property or will not Jail. 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. of d-1 to -23-2011 22:30 FROM:OEUHRNICK 9709638279 TO:9205077 0 0 1 it, cot 1 r, Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 0405 Castle Creek Road, Suite 10 -Aspen, CO 81811 Phone: 970.920.5070 Fax' 970.920.5077 Websile. www.aspenpitkin.coMehnr Aoolication for Continued Use of an Existina OWTS P.1/1 Parcel IDs (available from the PItkln County Assessors Office 970.820-3160 or at Wrn..bltklnsas96sOr.oral: -/ ' / ..2q (L / 1 7'j �. Z O'3 Purpose of Use Permit (PROPERTY TRANSACTION n REMODEUADDFT ION Busineae Phone. Pmparty Addie rS Email Oreee. InatC le Pretomad Memod of Permit Peovat: LS}Enull (9FaY Lot Block' I F'Irryw gVt5divison RosrdencesOther a of Bedrooms. fixtufesluses' Email Address. Fax Number Mailing Addram City, Stale, Zip: Property Ownegep 1 'T Email Address OwneQ ailing Addreaa. n -City. Slate, Zip' Co _ Home Phone: Bllsineag Phone'. 'Gontnar inrormnfi,, must oe pmoo er mr rhe nwne/ signing this eppbreroon Pr maty Gonlea PersonlA t (If pot owner): Company . v OontacVAPplKanl Malling Ad rens. i ity, Stale, l t lL Call Phone. r r� Busineae Phone. FOX Number ok Email Oreee. InatC le Pretomad Memod of Permit Peovat: LS}Enull (9FaY ❑ US Mall Licensor Systems Inspector: Phone Number Email Address. Fax Number Mailing Addram City, Stale, Zip: PLEASE READ BEFORE SIGNING- I eorlify that the above Information Is complete and accurate and that I have pmvlded complete and accurate Information In all of the documonb ineludad in my appllCalton paekago, I acknowledge that this depertmant may revoke any Perrot I am Issued if my application le lound to contain any Inaccurate, false, or misleading Intormallon. Owner S nature (ReQurrodl: Onto Applicant r9 if, l Please allow 3-5 business days for processing of Use Permits. USE ONLY EH Staff: L� Foo a R000ipl a Date. J 03/19/2611 04:37 sEP.22.2010 9:51AM 9636070 B R SEPTIC ENV* HEALTH NAT RESOURCE * NO.502 PAGE 02 P. 1 K onsite Wastewater Treatment Systems (OWES) Use fPermit inspection Form T'QuNlr4 Pitkin County Environmental Health Department D405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 F= 970-920-5477 yyplte;_M-8 opitkin,cprtilehnr Inspection Form fix mntimred use of an e%istinr OWTS /f L� i 6WNEItS Name: Address; Parcel Number: — 7 Inspection Date: Records= were system records available from the departme If Yes: Permit number. q Date of installation:/ Absorption area size: Permitted Use: Is this system permute for its current if no, describe the change in use. _ _ _ It? No i Tank Was an As -Built drawing available? Is the As -Built Drawing Accurate? If No: Complete a drawing of the systemrloost-;ge of this furor as occurorely as possible if as -built was Trot available or is not accurate. Site Condibons: Eros[an P FAIL Improper Vegetative rover N YES Evldence of Compaction YES Improper Discharges P FAIL High Ground Water YES Snow Cover <ffD Property Vacant p YES UNKNOWN TANK: Was the tank pumped as part of the inspection? If No, skip to Tank Components. If No: When was the tank last pumped? ' l5 S a,+ 0 lEnS �Yr 1 If the tank has not been pumped in more than 7 years, please attach additi al information for justification. Information to be included in justification ! Depth of scum layer, Depth of sludge layer and/or Verificationof it oowpan If Yes: PumpirngCompaW Discharge/leakage FAIL Infiltration P FAIL Back flow after pumping YES J 03/19/2011 04:37 W-22-2010 4:500080 9636070 B R SEPTIC cNY0FEA_T4 NAT RESOURCE 1 J PAGE 03 NO. 502 P. 2 Tank components: Tank 1 if Yes: Make/Mcdel: Lids P FAIL TankirrtegrRy Tank Integrity (PAW FAIL PASS MWTank Baffles PASS FAIL NP Sanitary Tees / inlet & Outlet Baffles PASS FAIL Controls/Alarms Effluent Fifter/Screens PASS FML PASS Wsteriight _ C� FML Pump/oosing Siphon FAIL (Wj Tank Materia! PASS FAIL Pump Alarm Yes No Tank Componerim, Tank 2 Lids PASS FAIL Tanklmagrity PASS FAIL Mid -Tank Baffles PASS FAIL NP Sanitary Tees / Inlet & Outlet Baffles PASS FAIL FffluentFilter/Scraens PASS FAIL NP WOWTight PASS FAIL Pump/Losing Siphon PASS FAIL NP Tank Material PASS FAIL PurnpAtarm Yes No NP if additional tanks are present, include reports for each - SECONDARY TRFATMENT., ach_ SECONDARYTRFATMENT: is a secondary treatment unit part of the system design? 4 n. if Yes: Make/Mcdel: Lids PASS FAIL TankirrtegrRy - PASS PAIL Media Container PASS FAIL NP Media Condition PASS FAIL NP Mechanical systems PASS FAIL NP Controls/Alarms PASS FAIL Expires: Maintenance Agreement PASS FAIL Provider Name Provider Phone Number ABSORBTION AREA: Distribution Box Accessible from grade? Dish Mlon Box ADV Accessible from grade? Automatic Distributing Valve (ADV) Observation Port Effluent Surfacing Evidence of Past Surfacing Surface Dampness Excessive odors Liquid in Observation port 11 Yes (A) NP PAS FAIL as No a -' PAS ^ FAIL P FAIL P FAIL YES )% YES B1CfIe3 03/19/2011 04:37 "MI JUN, 21. 2010 1:41PM S R SEPTIC EN O HEALTH NAT RESOURCE • Any problems with the system that were not addressed in the inspection Checklist? pease us any remmmenaatrons Tor the system to continue its Current usage. Were any repairs done as a result of this inspection? yFS If Yes, please describe the repairs. PAGE 04 NO. 411 P. To the best of my knowledge and tra iniing, the hrfornWon collected in this inspection is accurate as of mo^i...._ 26-4)—, Inspector's Signature: 8usinesa Name: Phone Number Address: Email: Pitkin County Inspectar License Number, Additionir Notes: A copy of thts inspedfoa report Wilike remitted to Pitkla County environmenmf Health with ED days of the inspection. 03/19/2011 04:37 9636070 FEST 2011 20:55 FFOM: CBA-PNI! B R SEPTIC 9789638279 0.7,6.4' I' mfe: TaKK fo de- UL.LY RaPI tQC4 w%X0 P 44 12 e 0261 PAGE 05 P. 0117 LA f �`2 � �� .�l' of :� •�. •/ _i -iv. �`, is t '. w. .- S HL - _fir` •.-ti�''' _w. .- _1- `��. y 9.K IN, - A r , t 0 I( -C f. E 0 lip 0 { s T i ' ♦ 'q..+f:' :1 'moi. � .c ''�'�,::. '�. �� I�( r � A. E