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HomeMy WebLinkAboutpitkin.eh.246734100002 (2015)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. �OFKIN CU[INT� (c r) • 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: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2467-341-00-002 OWTS Use Permit #: I 0059.2015.POWU Date Issued: 12/22/2015 Issued By: KurtDahl Expiration Date: 1 12/22/2016 Secondary Treatment Unit Owner(s): I Nineteenth Street Trust Property Address: 805 Snowmass Creek Legal Description: 83' x 19.5' (1619 ftz) Licensed Inspector: Doug Warren Inspection Date(s): 12/10/2015 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Plastic septic tank 1000 gallons Secondary Treatment Unit Plastic dosing tank 1000 gallons Absorption Area Mounded soil treatment area (STA) 83' x 19.5' (1619 ftz) Other System Components 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 #: 93015 Date of Issuance: 05/21/1993 Date of Final Approval: 05/21/1993 # of Bedrooms or fixtures served by OWTS: 4 bedrooms. However the system serves a total of 5 bedrooms (4 main house + 1 guest house). The sizing discrepancy shall be addressed when the system is repaired or the house remodeled. Operational Status: The inspector indicates the OWTS appears to be functioning properly and there is no evidence of failure. Inspector Recommendations: Continue maintenance Department Recommendations: Continue maintenance, add an effluent filter to the outlet of the primary septic tank. Issuance of this O W7S 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, orrepresentation 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 noncompliant conditions. Estimated capacity of the system hos been listed on the permit and we recommend that you monitor and/or meter water use to prevent overuse andpossible failure. I of (3 �fTKIN +rd UNTi &q'( \7 a 15, Povj v Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnri Application for Continued Use of an Existing OWTS Parcel IDa (available from the Pitkin County Assessors Office Company: PdP<'.' SVO Jv.0.SS SO S 970-920-5160 orat www.oltklnassassor.orgl: " % {- 1 4 I - (� ' (.� , QQ 2 1 Purpose of Use Penh PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: �p5 Sv.D„Jvv.ASS CrtC+L Sv.o..uv.�aSS GO �C\(as`� Lot: Block. Filing: Subdivision: Residences: a mA�v \ny Jsc ! cx ,t "tj Other '1'lo--1a5-6oto0 • of Bedrooms: + \ Wures/uses: Email Address: VA -Cc ---5\1A&, C6M Indicate Preferred Method of Permit Receipt: ® Email 71 Fax ❑ US Mail Property Owner(s)': N1rr-e-e Trams � Email Address' bgreev I;,4ld o� 0"9s -\A. c ov\n Owner's Mailing Address: City, State, Zip: \9D0 Los cAAOoa-A Home Phone: Business Phone: I L\LV WOnA SV—CIS' Co Fr\tooa 3\o - AAA - goA°t 'Contact Information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): nN\PSS\'vr1 Company: PdP<'.' SVO Jv.0.SS SO S Contact/Applicant Mailing Address: City, State, Zip: -1\5 e. Fayw\A. P.Je psecv\, co, Cell Phone: Business Phone: -�j;LA-NA '1'lo--1a5-6oto0 Fax Number: K-0 -q2o-(.qa.S Email Address: VA -Cc ---5\1A&, C6M Indicate Preferred Method of Permit Receipt: ® Email 71 Fax ❑ US Mail Licensed Systems Inspector. Phone Number: Email Address: Fax Number. 00i V]Arre4 Qc�nQoD}K �t It) blk ir3\1 2tbJ .�rrev.��\oroo�e�c� vna.�.ca� Mailing Address: City, State, Zip: PU t'�ax Srou I L\LV WOnA SV—CIS' Co Fr\tooa PLEASE READ BEFORE SIGNING: I certify that the above Information Is complete and accurate and that 1 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 It my application Is found to contain any Inaccurate, false, or misleading Information. Owner Signature (Required): N�te�stk �'t><cct %st Date: 12111/2015 ,Applicant Si nature: Date: Please allow 3-5 business days for processing of Use Permits. ICE USEONL _ by EH Staff: Fee 6 Receipt* Dater W • • Mawr A ; '."", '"$ Je,b•-„,a. s IILIPROVEAMATSURVEYPMT ,toren ' Apererl o!lwdsituatedla 7}vct No. 75o/Sectlans 27and34, Township 8 South, RmW 86 West ol'the 6th P.M Lbuatya/HLfi% State oz bloroda. r d`�II .w.se rse u.. aJ.au 1 �ws.w.w..urrAm.a„m_ab...ra,.wb..A aae mwr awn m¢smaw .wewb n.w.a.«1.®ev_ I'I, MwA wai.r rrr MrAr �Lr.1�a+ �iwrrrrAr""L"'"' iwsa.. rr A�ar� 4ir�„Yrr,r, �_.wwr � Aw�rb_ MLI.t w.Y Ybr �rIWY , 1 /IrWrJIr tir b'm•rrmaww.ar_r II t_t `�Mv [� �rA �j _ryrMYTbri,AA�r.�I�Yalnl_ ¢WSAI�MwA.r . 1 I � � � 1 -«wa.Y If•"° I MeN:awww.YYrr��rfM.YY_M.w�.�.nYs.MMnYWF�wwnln SMb /.wFw Y�rr�l.ar4a_Y{wrYlw eL Y.tJYM1r 1YrM_I�!w�n rwrw.A / GRAPHIC sCA18 • r IIOOW �b w �, � i��ii. r�ti���A{-ibpii. M1a.i • 1 I � I � rR.'.ii r.wlYni lllA.Y� h.)¢_awlrl.K I,YA rl M1�_w.Y.. .r to .I�wr w MYIIY.¢ Jlj � staraAw� rr [��f ri�tiar.,awaa•(uw P+rr M uy MlYrYi rAl %r= J1aw � m �wwM �. �'• �a. �rw �a¢mar�..r• .I� J'r,_ar,... .� aZ': ru -O.au rrPN_.r.® mu,o •-- � ae�p,ac� t✓µ¢ev,ry mryy��¢� 1 fA �lY®YMa1W`IYT¢�M'ICfMYP'6ix.1 �wYa r�uN qaq vaaB/IS PM/Pp /¢¢tYM avu6viRM1PM .W oam4 a,q[anll(Cl 111/' Ibr � - �oOMM®¢KWIILL ML.S EMIrtNKMaM NYRv®ay..Ww.R mmn M xxaya blc auxmrM�.w>Ixnuo� I r1 h um�en (s,3 Ow4 .F - a,raao MawbvaalwaioPA u.v 4�II �wuP+� �r umP'r wamsw MYv2 wi!.i.,>uo �.om,uw�w a at��r��� grlN I muvuw vra/ ossa ort 6171 pp y} a V 1/wl Na'T u ¢wu n.WIJGIS - aw- a ar ^r IMPROVIsMENT SURVEY PLAT Bos Snolrmess Creek Road zxn 1 n��..>`aaai Snonmass, Colorado. 61654 1 • • frKrm ouivv; Owner's Name: Address: 0 0 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 _ Website: www.asoenoitkin.com/ehnr form for continued use of an existing OWTS Parcel Number Inspection Date: /p Inspector's Name: i �l✓Y.e. Business Name:l Phone Number _ %Q - 9 Email: Pitkin County Systems Inspeefor License Number: A copy of this ensoection report will be remitted to Pitkin County Environmental Health Department by the Licensed Systems Inspector within 60 days of the InsoecOon reaordless of whether the system passes or far7s. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YES If NO, how Fong has the home been vacant? k A How many bedrooms are in the home? f�.n udr�✓y If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? © NO If YES: Permit number: Date of Final Approval: 4 of bedrooms permitted: Was an as -built drawing available? ES NO Is the as -built drawing accurate? YE5 <:27P If NO: Complete a drawing of the system on last page of this form as accurotely as possible. Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? � FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? 0 YES Improper discharges such as straight pipes? AS FAIL Evidence of high ground water? 7NM YES Snow cover present? 62 YES Page 1 0 0 TANK: Tank 1 Tank 2 FAIL Does the pump/wiring/dosing siphon appear to be in good condition? Tank 3 Tank capacity (000 gallons WRo gallons e60 gallons Tank material NO Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN r 6.'P'Fc_ If there is no maintenance contract, a contract must be in place prfor to occupancy of the home. A tt of compartments Health Department. Distribution Box or ADV part of original design? YES NO UNKNOWN If YES, is it accessible from grade? YES Date of last pumping v[ zj 5^ FAIL 192zp Lids/risers In good conditfon QASS FAIL S FAIL FAIL Risers to grade KESD NO NO NO Riser height —. Riser condition/watertightness Inlet sanitaryT/baffle SS FAIL P FAIL ASS FAIL Outlet sanitaryT/baffle PASS FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL A PASS FAIL PASS FAI Condition of tank material FAIL FAIL QPASS 3 FA Tank was pumped for inspection YES YES YES If YES, list the pumping company If NO, when was the last pumping 6zs--- Scumlevel(istcompartment) Q inches inchesinches Sludge level (1st compartment) Q inches Q inches inches Sam level (2nd compartment) D inches L inches inches Sludge level (2nd compartment) b Inches O inches inches Baddlow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle AIL N/A FAIL N/A 9&D FAIL N/A Watertightness FAIL FAIL FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? 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? PASS FAI SECONDARY TREATMENT: Excessive odors? Is a secondary treatment unit present? YES 0 UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider. Phone: YES If there is no maintenance contract, a contract must be in place prfor to occupancy of the home. A copy of the contract must be submitted to Pitkin County Environmental Health Department. ABSORBTION AREA: Effluent surfacing? CIMSP FAIL Evidence of past surfacing? YES Surface dampness? 0 YES Excessive odors? YES Field location verified by observation ports or probing:Port Probing Liquid in observation port? YES If YES, record depth: inches Distribution Box or ADV part of original design? YES NO UNKNOWN If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 0 0 AnyyLRblems �yjth the system that were notpddressed in the inspection checklist? Please list any recommendations for the continued use of the system: � (.� /L1CNw�uns✓lLP. Were any repairs done as a result of this inspection? IQO YES If YES, please describe the repairs. o the best of my knowledge d training, the inf tion collected in t ' inspection Is accurate as of i 20�. Licensed Systems'nspector Signature: Additional Notes: Clearly label any Pictures and attach them to this form. I ,. Page 3 O605- 6-e,04 )�0'6, 9 e 0 E - an A4 X I! 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