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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
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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
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KITCNEN LAYOUT
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