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HomeMy WebLinkAboutpitkin.eh.246734400549 (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 J�l Pitkin County Environmentallth Department nsite Wastewater Treatment Sys (OWTS) USE PERMIT C� ry j 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 #: 2467-344-00-549 OWTS Use Permit #: 0020.2011.POWU Date Issued: 5/12/2011 Issued By: Bryan Daugherty Expiration Date: 5/12/2012 Owner(s): I Michael! Mines Property Address: 0075 Capitol Creek Legal Description: Gravelless chamber bed Licensed Inspector: Roger Manard - B&R Septic Inspection Date(s): 4/4/11 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 compartment 1500 Gallons Secondary Treatment Unit N/A N/A Absorption Area Gravelless chamber bed 9'x78' 701 sq. ft. Other System Components Pump Tank Pump 1000 Gallon Hydromatic .4 HP 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 #: 96002 Date of Issuance: 5/31/1995 Date of Final Approval: 3/27/1996 # of Bedrooms or fixtures served by OWTS: The system was designed to accommodate 3 bedrooms. The office was not intended to be used as a bedroom. Operational Status: The inspectors observed that the system was working properly at the time of the inspection. Accumulation of scum and sludge did not warrant pumping at the time of inspection for either tank. Both the 1500 gallon primary tank and 1000 gallon pump tank were in good working condition. The pump in the pump chamber was working and the high water alarm was functioning as well. The absorption bed was covered in snow during the inspection and the home had been vacant for some time before the inspection but the area is not show any signs of surfacing effluent or failure. Inspector Recommendations: None Department Recommendations: None Issuance of this OWTS 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, 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. I � � _ E Ll Pitkin County Environmental Health Department p `f flu t N Onsite Wastewater Treatment System (OWTS) a USE PERMIT APPLICATION �„47t 1 li't' ;I 0405 Castle Creek Road, Suite 10 Aspen, CO - 81611 ` Phone: 970.920.5070 Fax: 970.920.5077 Websitewww.aspenpitkin.com/ehnr Application for Continued Use of an Existing OWTS Parcel ON (available from the Pitkin County Assessor's Office ( �7 970-920.5760 or at www,oilkinassessor.one : oZ h� ` v / • 3 00 yA Contact/Applicant Mailing Address: City, Slate. Zip 1 Purpose of Use Permit: pROpERTY TRANSACTION ❑ REMODEUADDITION Fax Number. Email Address: Property Address: 75 CAP ttot_ cQe-K s1%416"1mx-zs co 8tv� Loi Block: Filing: Subdivision: ( E(rkk. vilf5c-f-kiT1on1 . 0 5�1e1 Residences. # 01 Bedrooms: Other 3 fixtures/uses: 0Email Licensed Systems Insrk: Phone Number: Email Address: Fax Number: g BPilt 411*g�3 b1 70 V3• e 0 Mailing Address: City. Slate, Zip: 0 0 �►gaok V4%VS Property Owner($)': Addreu: M%C.IrAA6 L- J PA%NJ ES NKkOG C51 FaNa.AlCLAL, ca ,114 Owners Mailing Address. City, Stale, Zip: 11_l -S NDee-x Y 8`t w? Home Phone : Business Phone: hod �9`- .���3 accurate Information in all of the documents included in my application package. I acknowledge that thls department may revoke any permit I am Issued N my application is found to contain 'Contact inromiat ion must be provided for the owner signing this appficalion. Primary Contact PersordApplicanl it not owner}. Company: Contact/Applicant Mailing Address: City, Slate. Zip Cell Phone: Business Phone: Fax Number. Email Address: /^ Indicate Preferred Method of Pennil Receipt: El Email ❑Faz I j US Mail j Licensed Systems Insrk: Phone Number: Email Address: Fax Number: g BPilt 411*g�3 b1 70 V3• e 0 Mailing Address: City. Slate, Zip: 0 0 �►gaok V4%VS cfktGboNoaLc o 81�� PLEASE READ BEFORE SIGNING: 1 rarefy 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 thls department may revoke any permit I am Issued N my application is found to contain any inaccurate, false, or misleadlrg Information. Owner Signature(Requined): - Date: / Applicant Signature. - Date: Please allow 3-5 business days for processing of Use Permits. d Receipt #: I Date: 05/08/2011 07:23 SEP. 22, 2010 9636070 B R SEPTIC 9:57AP2 INS HEALTH NAT RESOURCE ixYflN COUNT4J ov JCC l OWNERS Name: • PAGE 02 N0, 502 ?, 1 nt Permit Inspection Form Pitkin County Environmental Health Department 0x05 Castle Creek Road, Suite 10, Aspen, CO 91611 Phone: 970.920-5070 Fax: 970.920-5077 Address: Parcel Number co — r� Inspection Date; -- — / / Records: were system records available from vt�hee department? No If Yes: Permit number-�,`i Gq_ p Date of Installation: -,2%f— r /,/-7+ Tank size; 16-66 ( fc� �L� Absorption area sem: p 1 Permitted Use: T 7/ Is this system perms d for its cur44t use? If no, describe the change in use. 01 Was an As -Built drawing available? Is the As -Built Drawing Accurate? If No: Complete o drawing of the system o lost page of this form as accurately as possible if as -built was not available or is not accurate. Site Conditions: TANK: Erosion P S FAIL Improper Vegetative cover YES Evidence of Compaction N YES Improper Discharges PAS FAIL High Ground Water O Snow Cover N6 OTS7 Property Vacant NOES UNKNOWN Was the tank pumped as part of the inspection? If No, skip to Tank Components. If No: When was the tank last pumpetl?6 If the tank has not been pumped in more than ears, please attach additional information for justification. Information to he included in justification! Depth of scum layer, Depth of sludge layerand/orC Verification of Iimk d occupancy Y If Yes: Pumping Company: �fq�, Discharge/leakage PASS FAIL Inftltrdtioo PASS FAIL Beck flow after pumping NO YES 05/08/2011 07:23 9636070 'SEP, 22.2010 9;58AM C) B R SEPTIC ENS HEALIH NAT RESOURCE TankComponetdw Tank Lids Tank Integrity Mid -Tank Baffles SanitaryTees / Inlet & Outlet Baffles Effluent Filter/ScreW water Tight Pump/Dosing Siphon Tank Material PumpAlann Tank Components: Tank 2 Lids Tank Integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlet Baffles Effluent Fiker/Screens Water Tight Pump/Dosing Siphon Tank Materiyl Pump Alarm de?aerl PAGE 03 40 00. 502 P. 2 FAIL FAIL FAIL NP FAIL FAIL FAIL FAIL NP FAIL No NP If additional tanks are present, include reports for each. SECONDARY TREATMENT:_ Is a secondary treatment unit part of the system design? FAIL If Yes: Make/Model; A FAIL Lids PASS FAIL NP P FAIL Media Container PASS FAIL NP PASS FAIL Mechnnkal Systems P FAIL NP PA FAIL Maintenance Agreement PASS No NP If additional tanks are present, include reports for each. SECONDARY TREATMENT:_ Is a secondary treatment unit part of the system design? _azo_ If Yes: Make/Model; Lids PASS FAIL Tank Integrity PASS FAIL Media Container PASS FAIL NP Media Condition PASS FAIL NP Mechnnkal Systems PASS FAIL NP Controls/Alarms PASS FAR Expires: Maintenance Agreement PASS FAIL Provider Name Provider Phone Number ABSORSTION AREA: Distribution Box Accessible from grade? Yes N NP Distribution Box `PA r FAIL ADV Accessible from grade? Yes No Autornatk Distributing Valve (ADV) P FAIL Observation Ports 4P FAIL Effluent Surfacing FAIL Evidence of Past Surfacing ® YES Surface Oampness NO YESw� Excessive odors YB5 Liquid in observation part ;spa 05/08/2011 07:23 9636070 B R SEPTIC PAGE 04 • JUN. 21. 2410 1:42PM ENO HEALTH NAT RESOURCE N0. 411—P. Any problems with the system that were not addresed in tie inspection checklist? Please list any recommendations for the system to continu rcs ge. 5current usa - .. were any repairs done as a If Yes, phase deseribe the repair. To the Inspector$ Signature: Business Name: Phone Number Address: Email: Pitlan County ["pada Additional Notes: accurate as 20,Lj . A copy of this inspection report Why he remitted 00 Rtidn County Envfionnerrm! Health "Oft 60 days of theiaspecditn. 5 I 05/08/2011 07:23 9636070 B & R Septic Service, Inc. Rooter & Jetting Service Video Inspection Service 0603 Handy Drive Carbondale, CO 81623 Bill To Micbael Mines c/o Levericb & Carr 555 E. Durant Ste. 4A Aspen, CO 81611 B R SEPTIC • PAGE 01 Invoice Date Invoice 4/4/2011 1 5797 M P.D. No. Terms Project Due on receipt Quantity Description Rate Amount Septic inspection @ 75 Capital Creek Rd. 250.00 250.00 Locate & dug up lids 125.00 125.00 Sales Tax 3.90% 0.00 C�1^JOP . Tkitw4 Lr-o'vl C- CD KO CDK. Thank you for your business. Carbondale Aspen Fax Total $375.00 (970) 963-38141(970) 920-2059 (970) -963607() M