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Home My WebLink Aboutpitkin.eh.246734302005 (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. �tTKIIV y COUNT Pitkin County Environmental Ith Department Onsite Wastewater Treatment Sys m (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 #: 2467-343-02-005 OWTS Use Permit #: 04.2011.POWU Date Issued: 1/27/2011 Issued By: Bryan Daugherty Expiration Date: 1/27/2012 Owner(s): I BANK OWNED �u r -01 -CL L C Property Address: 407 Gateway Road, Snowmass, CO Legal Description: Lot 4, Block 2, Filing 1, Gateway of Snowmass Mesa Licensed Inspector: Tim Petz, All Service Septic Inspection Date(s): 1/17/11 and 1/21/11 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 Compartment 1250 Gallons Secondary Treatment Unit N/A N/A Absorption Area Infiltrator Gravelless Chambers 96 Units, 1735 sq. ft. Other System Components Concrete Dosing Tank 1000 Gallons 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 #: 95020 Date of Issuance: 1/31/1996 Date of Final Approval: 4/18/1996 # of Bedrooms or fixtures served by OWTS: 3 bedrooms Operational Status: According to the inspector the system is working properly. The tank was pumped and is in good condition, the pump is functioning properly and absorbtion field did not have any surfacing issues. Inspector Recommendations: Inspector recommends adding risers to the primary tank for easier access. Department Recommendations: N/A Issuance of this OWTS use permit is based solely on the condltions 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 a guarantee, warranty, or representation by the Department that the system will operate properly or will not fall. Estimated capachy 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. 14 b Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 0405 Castle Creek Road, Suite 10 -Aspen, CO 81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.com/ehnr ADDlication for Continued Use of an Existing OWTS Parcel ID# (available from the Pitkin County Assessor's Office /� 970.9205ww 180 or at w.uitkmassessor.orn): �l6� 2C/ - Jl � - QZ QOS Purpose of Use Permit D1 PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: Qa S/ OvJ u 1 6 S`/ Lot: Bloc : Filing: Subdivision.. 1CW eVLAS 2 S Residences: # of Bedrooms: 2 Other fixtures/uses: �) I oy 7 i 3 a Indicate Preferred Method of Permit Receipt. ❑ Email ❑ Fax ❑ US Mail Property Owner(s)'. D Al LJ Email Address: Owner's Mailing Address: 2 17D-(01 City, State, Zip: Home Phone: df Business Phone: Primary Contact PersonlApplicant (if not owner). Company. 14Or—ac—he-f— NIp. ContacVApp1r;tt Mailing Address- lFS City, State, Zip: 11UU [ a o Z, e-✓� e �l L 12— Cell Phone: J-jo- 379- 7Li6lo Business Phone: q70- ya- Fax Number: Email Atltlress. �) I oy 7 i 3 a Indicate Preferred Method of Permit Receipt. ❑ Email ❑ Fax ❑ US Mail LicensedSystems Inspector: Ph+one Number Email Address: Fax Number: 7 2 17D-(01 • 50 tT 1 2 C011t Mailing Address. fJ �{ df City, State, Zip: y P-vl W o e C-0 8td o PLr_ASC: ReAo 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 Signature (Required). Date. Applicant Signature: Date. Please allow 3-5 business days for processing of Use Permits. OFFICE USE ONLY ived by EH Staff. Fee 8 Receipt #: PIeF52 ee� real es 3A hrro�r Date 5-A)l1 SL, -1 ey-vnan- ht 61,_x- 9Y6. j (om S r �I rvJald I Soot SAID � Sa.l ly s�ii,u-kmQn, c..or>n 36 0 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Pitkin County Environmental Health Department 0405 Castle Creek Road, Suite 11), Aspen, CO 81611 Phone:970-920-5070 Fax: 970-920-5077 Website: www.as en it ,in.com/ehnr Inspection Form for continued use of an existing OwTS Snow Cover UQE OWNERS Name: Address: Parcel Number: Inspection Date: Records: AP ZNCW ML1b - t_,V 1 5 A441- 31-1,3. OZ-onS 1-0-11 t 1-21-11 Were system records available from the department? If Yes: Permit number: g 15OZO Date of Installation: 9 -% 1-9(Q Absorption area size: X32J&s F Permitted Use: Re$1qDekM#kL- Is this system permitted for its current use? If no, describe the change in use. Tank me Was an As -Built drawing available? Is the As -Built Drawing Accurate? N_ If No: Complete a drawing of the system on last page of thi form as accurately as possible if as -built was not available or is not accurat . Site Conditions: Erosion A FAI Improper Vegetative cover YE Evidence of Compaction YE Improper Discharges A FAI High Ground Water 0 YE Snow Cover UQE Property Vacant NO YE TANK: Was the tank pumped as part of the inspection? If No, skip to If No: When was the tank last pumped? If the tank has not been pumped in more than 2 years, please for justification. Information to be included in justification of sludge layer and/or Verification of limited occupancy If Yes: Pumping Company: ' CADATION Discharge/leakage CPASS F Infiltration AS F Back flow after pumping /Id6 UNKNOWN Components. YSS additional information of scum layer, Depth r Ld • Tank Components: Tank 1 Tyk I r1j Lids Tank Integrity Mid -Tank Baffles Sanitary Tees/ Inlet & Outlet Baffles Effluent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm ^� M Tank Components: Tank 2 Lids Tank Integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlet Baffles Effluent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm rP&U FAI NP FAI SS PASS PASS FAI ASS FAI 1(C.lY/J ^ PASS FAI PASS (!D>FAI Yes No NP LT PASS FA FAI PASS FAI PASS FAI S FAI PASS FAII NP S FAI Yes No�,,,_J PASS FAIL NP If additional tanks are present, include reports for each. SECONDARY TREATMENT: Is a secondary treatment unit part of the system design? If Yes: Make/Model: Lids PASS FAIL Tank Integrity PASS FAIL 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 Nui iber ABSORBTION AREA: Distribution Box Accessible from grade? Y NP Distribution Box FAIL NP ADV Accessible from grade? Yes No Automatic Distributing Valve (ADV) PASS FAIL Observation Ports No NP Effluent Surfacing FAIL Evidence of Past Surfacing YES Surface Dampness NO YES Excessive odors YES Liquid in observation port 0 inches 0 Any problems with the syst that were not addressed in the inspection ch A kS -Im plINM cklist? TAN U..E o pge Please list any recommendations for the syste to continue its current usage. Were any repairs done as a result of this inspection? YE If Yes, please describe the repairs. To the best of my knowledge and training, the information collected in this �aJ Z5 20 �. Inspector's Signature: �w- Business Name: WtCE GeortL Phone Number - So Address: V GiLouviocyoZ Email: Ccs T_ "err Pitkin County Inspector License Number: z_- Additional Notes: nspection is accurate as of A copy of this inspection report will be remitted to Pitkin County Environm of the inspection. ntal Health with 60 days 0 If no as -built drawing exist for this system or the as -built was inaccurate, accurately as possible, being sure document all parts of the system, well distances. RM rz . diagram the system as ns and accurate