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Home My WebLink Aboutpitkin.eh.246721202010 (2012)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. �ITKIN COUNT i AW Pitkin County Environmental Ft_alth Department Jnsite Wastewater Treatment Syste.a (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2467-212-02-010 OWTS Use Permit #: I 0018.2012.powu Date Issued: 7/5/2012 Issued By: Bryan Daugherty Expiration Date: 7/5/13 Owner(s): I Thomas and Wendlyn DiVenere Property Address: 14'x44'x8' 70 River Bend Road Legal Description: N/A Lot 11, Samuelson Subdivision Licensed Inspector: Jeff Warren Inspection Date(s): 7/3/12 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 Compartment tank 2000 gallons Secondary Treatment Unit N/A N/A Absorption Area Drip irrigation field 14'x44'x8' 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.* *lf the OWTS was not in use at the time of the inspection, itis recommended that the system be re-evaluated when itis in use fora more accurate System Records: Permit #: 04097 Date of Issuance: 11/30/04 Date of Final Approval: 12/20/04 # of Bedrooms or fixtures served by OWTS: 4 bedrooms Operational Status: At the time of inspection the system was working properly. The inspector observed that the tank was in good working condition, the inlet tee was in place and effluent filter was in good condition in the outlet tee. This tank flows into a large dry well that had no signs of surfacing effluent or other signs of failure. Inspector Recommendations: Inspector recommends yearly cleaning of the effluent filter. Department Recommendations: N/A 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 an 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 and/or meter water use to prevent overuse and possible failure. hof L' Pitkin County Environmental Health Department t I h i M1 Onsite Wastewater Treatment System (OWTS) eUSE PERMIT APPLICATION Gt•I\"r� 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Aoolication for Continued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970.920.5160 or at www.oitkinassessocore): 2 /� _ 10 2 I❑ _ _ 2 Q Z ( Q Purpose of Use Permit ftYPROPERTY TRANSACTION �9 REMODEL/ADDITION / (,0 8 la l Property Address: —10 S Lot Block: Filing: I I Subdivision. n ce Svr� Residences: Other # of Bedrooms: Wuresluses: Address: l S wvt�trYYA , rM C-rYm Indicate Preferred Method of Permit Receipt mail ❑Fax ❑ US Mail Property Owner(s)': OmGIS p( Vn-)e 'e- Wenij I Email Address: Vi I cif— d IV ` V C jr rrq Owners Mailing Address: JQ Ivfr- Q nGi c)n(� I City, State, Zip: D1v✓nGiSS CO ei(-05+ Home Phone: Business Phone: Mailing Address: -(;ontaa imormaaon must oe prowaeo ror me owner signing rms appacanon. Primary Contact Person/Applicant (if not owner): 1564 TUKZh10 rC I It Company: I t )'n Ci t'1 n.P TrDre Al (T Contact/Applicant Mailing Address: /r O City, State, Zip: S P. l0 j'1 / (,0 8 la l O \ an S Cell Phone: rI0 I8 Business Phone: D -" -3'17 Fax Number.Email l7 -5 U - 311 Z Address: l S wvt�trYYA , rM C-rYm Indicate Preferred Method of Permit Receipt mail ❑Fax ❑ US Mail Licensed Systems Inspector. Phone Number. Email Address: Fax Number: Poto Pr 1933 Mailing Address: CCi/i''ty, State, Zip: //''^^ C11 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. Please allow 3-5 business days for processing of Use Permits. by EH Staff. Fee & Receipt if: Date. ,3 -12 - Please 3-/Z .Orf I goo 11/25/2008 20:16 97024387948 ROTOROOTER • PACE 01/06 �iXKIN Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form COUNT Pltldn County Environmental Nealth Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970.9203374 Website: WM.as pen i)itkin.com/ehnr inspection form for wntinued use of an existing OWLS Owner's Name: Address: Parcel Number. Inspection Date: — Inspector's Name: _- �d'Ar-reA Business Name:�� t2 oo3t� Phone Number Email: J ularre', I Piatyroofrqp 9Me/ Pitkin County Systems Inspector Ucense Number: �5! A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by the ticensed Systems Inspector within 60 dovs of the inspection eeaurdless of whether the system passes or foils. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? ES NO If NO, how long has the home been vacant? 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? ® NO If YES: Permitnumber:OgOgr] Date of Final Approval: fyZ 4 fl of bedrooms permitted: 4 Was an as -built drawing available? C_'FED NO Is the as -built drawing accurate? YES 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? ASS FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? P FAIL Evidence of high ground water? 0 YES Snow cover present? NO YES Page 1 11/'25/2008 20:16 970243879 ROTOROOTER • PAGE 02/06 TANK: Tank 1 Is a pump or dosing siphon present? Tank 2 If YES, is the pump/dosing siphon functioning properly? Tank 3 Does the pump/wiring/dosing siphon appear to be In good condition? Tankcapacity Is the high water alarm working, both visible and audible? gallons SECONDARY TREATM ENT: gallons Is a secondary treatment unit present? YES gallons Tank material NO Does the ownerhave a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider; Phone; NO H of compartments Inches Distribution Box or ADV part of original design? YES rff6) UNKNOWN If YES, is It accessible from grade? Date of last pumping NO Is It level and in good condition? PASS FAIL Lids/risers in good condition FAIL PASS FAIL PASS FAIL Risers to grade YE NO YES NO YES NO Riser height tp' Riser condition/watertightness C5/GCVA inlet sanitaryT/baffle FAIL PASS FAIL PASS FAIL Outlet sanitaryT/baffleASS FAIL PASS FAIL PASS FAIL Effluent filter if part ofdesi I ASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Condition of tank material P FAIL PASS FAIL PASS FAIL Tank was pumpedfor Inspection QUO NO I YES NO YES NO If YES, list the pum In company R156e"V1 If NO, when was the lest pumPing Scum level (1st compartment) Lf '' Inchesi inches Inches Sludge level (Istcompartment) 2..N" Inches inches Inches Scum level (2nd compartment) " Inches Inches inches Sludge level 2nd compartmtnt) t' Inches inches inches Backflow (d pumpad) PASS FAIL PASS FAIL PASS FAIL Midtankbaffle PASS FAIL A PASS FAIL N/A PASS FAIL N/A Watertighmess PA FAIL PA55 FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES NO If YES, is the pump/dosing siphon functioning properly? FAIL Does the pump/wiring/dosing siphon appear to be In good condition? P FAIL Is the high water alarm working, both visible and audible? D FAIL SECONDARY TREATM ENT: YES Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Does the ownerhave a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider; Phone; NO 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. ASSORBTION AREA: Effluent surfacing? PASS FAIL Evidence of past surfacing? YES Surface dampness? ® YES Excessive odors? ��rrJn YES Field location verified by observation ports or probing: Ports ro Ing Liquid In observatlon port? NO If YES, record depth: Inches Distribution Box or ADV part of original design? YES rff6) UNKNOWN If YES, is It accessible from grade? YES NO Is It level and in good condition? PASS FAIL Page 2 L' 11/'25/2008 20:23 970243879 ROTOROOTER • PAGE 03/06 Any problems with the system that were not addressed in the inspection checklist? RuT WDP-k4". 0-n)T ALLq Please list any recommendations for the continued use of the system: VkAti>1)6 9:toI F t. U lrt A 06 v-� 91M 4 Were any repairs done as a result of this inspection? NO VES If YES, please describe the repairs. To the best of my knowledge and training, the r1-' 20J1.. Licensed Systems Inspector Signature: Additional Notes: in this insRxoN6n Is accurate as Uaarly label any nicturoc and attach them to this form. Page 3 D