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HomeMy WebLinkAboutpitkin.eh.247113201002 (1987)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. I'I'KIN COUNT Pitkin County Environmentallth Department atment nsite Wastewater TreSys (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 Parcel ID #: 2471-132-01-002 OWTS Use Permit#: I 0039.2014.POWU Date Issued: 09/2/2014 Issued By: Bryan Daugherty Expiration Date: 09/2/2015 Owner(s): I Jessica and Adam Robison Property Address: 23030 Frying Pan Rd Legal Description: Other System Components Licensed Inspector: Kelly Gessele Inspection Date(s): 8/29/14 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Two compartment septic tank 2000 Gallons Secondary Treatment Unit Absorption Area Quick -4 gravelless chambers 70 chambers (1073 ft') Other System Components Dosing Tank w/ Siphon 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 #: 01072 Date of Issuance: 10/22/01 Date of Final Approval: 4/10/02 # of Bedrooms or fixtures served by OWTS: 4 bedrooms Operational Status: According to the inspector's observations, the system was functioning as designed at the time of inspection. All tanks were in good working condition with baffles and tees in place. The dosing siphon was functioning. The field area did not show any signs of failure or surfacing effluent. Inspector Recommendations: Department Recommendations: Clean the effluent filter annually. 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 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 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. 141-1 I Pitkin County Environmental Health Department Cp Cs T K I N Onsite Wastewater Treatment System (OWTS) UNT'� USE PERMIT APPLICATION 76 Service Center Rd I Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Application for Continued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office �1 970-920-5160 or at www.oitkinassessor.oral: _/e -n I 13 CJC - Purpose of Use Permit: OPERTY TRANSACifON ❑ REMODEL/ADDITION Properly dress 030 �h� Cell Phone: Business Phone. haIrk Lot: Block: Fil g: Subdivision. a'19113Zo1Oo Z qy ` Residences: Other # of Bedrooms: fixtures/uses: Mailing Address City, Stale, Zip: 'Mai L. cO yi,, fi7 ' Property Owner(s)': Email Address: Ga d i e b( I caul Owner's Mailing Address: City, IsZip: 2 2 P n meq -e 1tit I� Z Home Phone: Business Phone: q 192 3'it 3 09 33 uuniea nnunrnauon nmsr oe pmwoeu ror me owner mgning rms appncanon Primary Contact Person/Applicant (if not owner): nw V1 e4, Company: Contact Applicant Mailing Address. City, State, Zip: Cell Phone: Business Phone. Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: ❑ Email E] Fax ❑ US Mail Licensed Systems -1.Y�d cn Tor Evl� Phone Num p@h 0 Email Address: Fax Number: er�lC.e �('i y c g Oq Mailing Address City, Stale, Zip: 'Mai L. cO yi,, fi7 ' 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 if my application is found to contain any inaccurate, false, or misleading information. Owner Signature (Required): Dale: Applicant Signature: Dale: Please allow 3-5 business days for processing of Use Permits. Received by EH Staff Fee 8 Receipt #: Date: M39_ Zo I V1Ocv /� cjl9 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-92G-5070 Fax: 970-920-5374 Website: I Inspection form for continued use of an existing OWTS I Owner's Name: Address: J f . 3 C c, vi [;r: t� Parcel Number. Inspection Date: Inspector's Name: Business Name: Phone Number Email: Pitkin County Systems Inspector 1 ♦ ) I Number. -z,c(=?I-13ZLCXC)� Chew P IO� trUtCV.L the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system aasses or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? 6S' 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? Ttolrli_)�l Were system records available from Pitkin County? NO If YES: Permit number: Q 1 a 'IAN, Date of Final Approval: Du Irl L # of bedrooms ermitted• V Was an as -built drawing available? NO Is the as -built drawing accurate? NO If NO: Complete a drawing of the system on last poofthis 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? 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? 3 Page 1 PASS FAIL 0 YES O YES FAIL YES YES %4 TC V °Iui m - s i M� M m a Q, H t � 1 V °Iui m - s i -) II 14' 'T'"' BATO W1 MT ROMAN TUB Mr. MAIM QV am 9411M IDAHO 11 G. NICIM5 SiAl E., OF 600)ft:aj,l F)MG10-114 or- 11000. ii t r STD MASTER BATH IA -11 12°x 2 0 I� ��m '�����. _.\j �'I Il1,lu �iii�iii$iYiii �Y'Sii �Ynnuu wnun w,nYun�.unwu� Slaw IRE,Tp6s M r !WY VART• . GWlfy u,Rr) ! 6,rE, W'.. "n, IDG, aro 94xE. RWE mFM, rnvroslTe wwan, srm 110¢1tY x+o caeiR,rivas rfi emx W COPoIER aFFr,RnrEo CR 9ET-M1IIX wtcY,RATeo sww! 11 F Eli ■f- m Dc mER iTw M sa-aha r -WA 51OWN .r w A. -W HID?") A*kftr. As 6AR READY) f n IRtVISFp EIEVATI(N 9TNNARpS µF �p/sTq IGueIY!(on AN, ioNro I G"", NIGIOLs I OPTION ELEVATION5 I! ruRUEAcruQn+gl wrrR 02122 UBC A2871A 11 121-2 k )o • ' 1 F TA4 FwAL%9u= fASTOM au. . , I. TLP ELATE AND ROTTD] PLATE TO 5TU35: (5) EA, M . 3' RA,S OR (4) FA. )/K' . ] V2' . Eia STARES. 0. INTERIOR ErH191 TO FRAIRG: N0. IS GALGE . 1 YO' LOG .ICAC' uFAO 2. COT9DE TOP PLATE TO WAVE TLP PLATE: 13I a 3' NAILS OR TAG' . 2 I2' . 1690. STAPLES AT 1210.a. OR .090' WITHER . 1 1/4' 1" MA UR RING OR 55 COOLER OR 3. 001SE STU05:.131 . 3' NN -5 AT Ba, OR 1A6' . 2 I/7 . ISp. STALES AT 5bs. HALL BOARV NNL AT 7e.c EDGES AND IY¢c FIELD OR 3AP r 1' . Ibp, STAPLES 4. TRIPLE NEAOFRS 131 . 3' NAILS AT W.I. ALONG FAOH EDGE OR TA6' . 2 V7 . Figr. STAPLES AT Wes. AT V.x. EWES AND Obs, FIELD, 5. HEADER TO 510O (4) 131 . 3' "IS OR (6) 716' . 2 17 . Ery. 5TARES, 6 O7TYW RATE FOR FLOOR NO. 01 . 3' NALS AT bbs. OR 7A6' . 2 V7 . SGA STALES AT V", T. SIDING TO FRA@NG PER fWWFAOTLIAMS IXSTNKTRNS. 272 eraoo09/15/0+1d a KITCNEN LAYOUT 70Rt wL I I II I 1 u "I"41EALc.—. CENTER K-A2B71-1I l � m • 0