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Home My WebLink Aboutpitkin.eh.264309300021 (1983)(2)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. Onsite Wastewater Treatment Systems (OWTS) Use Gp Permit inspection Form GgJmry Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.asoennitkla.rno,/ci.o. form for continued use of an existing OWTS Owner's Name: Address: Parcel Number; Inspection Date: _ 1--13 l') Inspector's Name: _ 1 A/,--jjZiLC: ) Business Name: -,�Htwin? –IL_ /'fury, C?'ir,} C. Phone Number _ 'Ell p — .– l C3 3 Email: C4 rC iuiro i-lY <'sipl" d C�Mq Pitkin County Systems Inspector License Number: / th�ensed systems Inspector within 60 days of the inspection regardless of whether the system Posses or falls. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YES If NO, how long has the home been vacant? –? How many bedrooms are in the home? 'Z„ If secondary treatment is used, who Is the maintenance provider? RECORDS: Were system records available from Pitkin County?YES NO If YES: Permit number: 33 01 (G Date of Final Approval: e, --is-- 813 tl of bedrooms permitted: Was an as -built drawing available? (YE NO Is the as -built drawing accurate? YES NO If NO: Complete a drawing of the system on last page of this 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? QJP7� FAIL Improper vegetative cover? <W> YES Evidence of compaction such as heavy machinery or livestock? NYES Improper discharges such as straight pipes? `PAS FAIL Evidence of high ground water? NO YES Snow cover present? NO YES Page 1 TANK: Tank 1 If YES, is the pump/dosing siphon functioning properly? Tank 2 Does the pump/wiring/dosing siphon appear to be In good condition? Tank 3 Tank capacity r V gallons SECONDARY TREATMENT: gallons Is a secondary treatment unit present? YES gallons Tank material CO,aC-ZLTIC Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: _ Phone: YES H of compartments Z, inches Distribution Box or ADV part of original design? YES / 1) Date of last pumping YES NO Is It level and In good condition? PASS FAIL Lids/risers in good condition ��SS J FAIL PASS FAIL PASS FAIL Risers to grade NO YES NO YES NO Riser height (' Riser condition/watertightnessEOpr� Inlet sanitaryT/baffle FAIL PASS FAIL PASS FAIL Outlet sanitaryT/baffle FAILPASS FAIL PASS FAIL Effluent filter (If part of design) PASS FAII-c 1. / PASS FAIL N/A PASS FAIL N/A Condition of tank material P FAIL PASS FAIL PASS FAIL Tank was pumped for Inspection ES D NO YES NO YES NO If YES, list the pumping company 2,De'rftf If NO, when was the last pumping Scum level (1st compartment) Inches inches inches Sludge level (1st compartment) -e inches Inches Inches Scum level (2nd compartment) ,y'' " Inches Inches Inches Sludge level (2nd compartment) S'r Inches inches inches Backflow (if pumped) FAIL PASS FAIL PASS FAIL Midtank baffle PASS FAIL PASS FAIL N/A PASS FAIL N/A Watertightness FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? ES NO If YES, is the pump/dosing siphon functioning properly? A FAIL Does the pump/wiring/dosing siphon appear to be In good condition? AS FAIL Is the high water alarm working, both visible and audible? PASS FAIL SECONDARY TREATMENT: Excessive odors? Is a secondary treatment unit present? YES NO 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 prior to occupancy of the home. A copy of the contract must be submitted to Pitkin County Environmental Health Department. ABSORSTION AREA: Effluent surfacing? PAS FAIL Evidence of past surfacing? O YES Surface dampness? 6 YES Excessive odors? NO YES Field location verified by observation ports or probing: Ports Probing Liquid in observation port? NO YES If YES, record depth: inches Distribution Box or ADV part of original design? YES / 1) If YES, is It accessible from grade? YES NO Is It level and In good condition? PASS FAIL Page 2 11% UNKNOWN Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? NO YES If YES, please describe the repairs. -f r11-0— 2laLD k TIE -92 T Y} 14 j 111c u2 s QLA 'T ��T A-hJQ r1rNJ Pum t^ rlv�nl �1 ��r;;n1 1 NELJ /Nv-z� /1/I<in1 I/JZ�n Ti i !4- C +-Q; f k1L f S To the best of my knowledge and training, the information col ed in this in n is accurate as of �- ( 3 zo j_Z_ Licensed Systems Inspector Signature: - Additional Notes: Clearly label any pictures and attach them to this form Page 3 3 ASPEN+PITKIN ENVIMONMENTAL HEALTHD TMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO, TYPE OF PERMIT: ( (Initial Construction ( )Emoegoncy UseRepair Work, Wovious remit f I��' ,) ( )Alteration of an existing system, er Installation X (Previous Permit i ,) ( )Use Permit as a result of sale 1 )OthoY, ISSUED TO: DATE OF ISSUE*. /JV Owner �Q$,Ely YeAkS Home Phone771 05 -Business Phone Nailing Address6g/B .1. //ET.PeiTl.i�C'l?LF_ L/iTrlr=rr�A� l n,zeAnAA StJ�t2 S Address "--- Phone Sewage Disposal System Work to be performed by fp Me-cx I")/ A-rRstcrOG Li4Vp /wJ $e`triepJs This permit valid only for promisee location by the following legal doucrlptlont_T Se o% S �NG Xv Z"p- 1 T"PM , LOT site WATER SUPPLY AVERAGE PERCOLATION RATA. ZZmealhnvea , This Indlyidunl SovAgo Dlspoanl Permit is granted with regard to the following uses Wunbor oft Dodecoms _2 Lofts O Garbage Disposals _ I Dishwashers O Clothes Washers �• CALCULATED AVERAGE DAILY WASTE LOAD GALLONS, THE NATURE OF TIIE SYSTEM INCLUDED UNDER THIS PERMIT: TYPO of Tank or Treatment Unitl SeenC 4AJV—lora Tank CaPa l!Y _Gallon Nlnlmum Method of Elnal Dispoaaltt�/rAr/T/�N�a/FR7LTAQF�/ s(,(� Absotptlog _ heaa Callon feet Ntninun Description (including brand name, It anyl of other aqulpmunt or appurtneneost POMPNGCfWA18 Q OF 37570Ateeus MjA/I'!`HJM -rb 8F 1A1SrAe.c€--b Other Conditions or Spaoificationst STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ' ( )nufora Excavation (Aupon completion of excavation and prior to placement of gravel ( )Before covering distelhution 1�({I system of Abnorption field llllprlor to backfill of any component ( 10ther, Specify, ,/ilDwlE Ppocificatlono of the pre POICd sewage disposal system have been reviewed and are eonsldered eatlof.,ctory. PCrminaieA Ls hereby granted to the uwner or his agent to par G+rm the work indicated abnve In aeeordanco with the Pitkin County Individual Sevoge, Disposal Renulitiona in olfuct on the data of leauc, In aldltlon t9y general provisions act forth on the caverse hereof, thla Permit la subl,ct to the following additional terms and cord i Lions i'I& lr- APPROVED FOR ISSUE SY The Ahnvo Individual xouage disposal systom inby VIECYiF t hoe bmn inopected Our use by a reprnacntatl ve of the Aapen I' t In L'rn` Wt 14 to Ica I t h 0 F7 un—Ln t, T6�t nwnnr eenunwe ■ eouponsibitity 1n cafe of fall,,, oe inadequacy of tt�h/Jl)D� 33 sewage dlopo l ya to m. Complets as-bu/It dealing etteohoJ. ' DATE //OFF'7 1FFINAAL INSPECTIONS / C/ V^ IIY:_�O��LI�__. TIx1.0 130 South 0alene Street Aspen, Colorado E31611 303/926-2020