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HomeMy WebLinkAboutpitkin.eh.264335402003 (2011)�011MIN CovNT @1 /V '`<.1 J) Pitkin County Environments' Aealth Department Onsite Wastewater Treatment System (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 #: 2643-354-02-003 OWTS Use Permit #: I 0024.2011.powu Date Issued: 7/27,/2011 Issued By: Carla Ostberg Expiration Date: 7/27,/2012 Owner(s): I Eddie and Kinga Lampert(A[rLoc(t Pur�ner Property Address: 280 Danielson Drive Legal Description: Lot R74, Block 11, Starwood Licensed Inspector: Roger Maynard 007 Inspection Date(s): 7/15/11 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete single compartment 2000 gallons Concrete 2 compartment 1250 gallons Concrete single compartment 1000 gallons Secondary Treatment Unit n/a n/a Absorption Area Pipe and gravel 3190 sq ft Other System Components n/a n/a OWTS Use Status: ❑ In use at the time of the inspection. ❑Not in use at the time of the inspection.* (vacation home) *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 #: 86063 Date of Issuance: 11/24/1986 Date of Final Approval: 1/6/1987 Permit #: 97044 Date of Issuance: 8/13/1997 Date of Final Approval: 9/12/1997 # of Bedrooms or fixtures served by OWTS: 6 bedrooms (Exercise room is considered a potential bedroom) Operational Status: In 1987, a system was constructed to accommodate a 5 bedroom home. This system consisted of a 1250 gallon tank, 250 gallon tank, and a 1000 gallon tank with a dosing siphon. The absorption area consisted of 1390 sq ft of pipe and gravel. In 1997, an addition to the house required additional tank capacity. A new 2000 gallon tank was added and the 250 gallon tank, leaving the 1250 gallon tank and 1000 gallon tank with dosing siphon and existing field in place. At the time of the inspection, the system appeared to be working properly. Department Recommendations: Recommend brining risers of all tanks to grade. Also recommend periodic (yearly) maintenance inspections by a Pitkin County Licensed Systems Inspector of the dosing siphon and entire system to assure proper functioning. 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. Pitkin County Environmental Health Department r y 1 T IN Onsite Wastewater Treatment System (OWTS) CON ,rUSE PERMIT APPLICATION t; ,f 0405 Castle Creek Road, Suite 10 • Aspen, CO • 81611 Phone: 970.920.5070 Fax: 970.920.5077 Well www.aspenpitkin.com/ehnr Auulication for Continued Use of an Existina OWTS Parcel IDS (available from the Pitkin County Asseasoes Office 2-G 2 LJ 2Purp974920-5160 or at www.pitkinassessor.orgl: SOLI � _ �% S 1 02 - Purpose ose of Use Permit: ❑ PROPERTY TRANSACTION WREMODEL/ADDITiON Property Address: �i Z`c3C) tt'Ltv C I FF, (O Lot: pp Bloch: Filing: Subdivision: Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)': t Email Address: ��.t � k IwU K� 1,�+►��ar Owners Mailing Address: City. State, Zip: 2-00 Cq JZ 5e N wt( N tLH :- o G Home Phone: Business Phone: (Zd)0 -7 3- Yy l 'Contact intonation must be provided for the owner signing this apokcation, Primary Contact eamnlApplicant (if not owner): J 1., C 0k 0-- CompraJrry: tfAR-0 AC-- (Ctv Contact/Applicant Mailing Address- �.�o t , Ca l� City, State, Zip: r3A-.5i-L-t Ca Cell Phone ( C1I Z7 -q - It. S"Ji t Buginess one: o) 72--f Fax Number. Email Address: I I ( Indicate Preferred Method of Permit Receipt mall El Fax ❑ US Mai Licensed stems Inspector Pnyne Nu her Email Address Fax Number. Koi,>;t2: i�Ir�ttl���rD `103 -3�(Y Mailing Address: /C,ity, Slate. Zip: ()(o03 Hawes -i l�`�17i�Lry CO 5 ( (o Z 3 PLEASE READ BEFORE SIGNING' 1 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 11my application Is found to contain any Inaccurate, false, or misleading information. Owner Signature (Required); Date: Applicant Signatu Date: ()+,'2-0 I Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received) EH tall: /- _ Fee b Receipt t. Date: 4 1 00 03L2- v7 0 azq.2of 1. PO VV L4 08121/2011 10:039636070 B R SEPTIC PAGE 01 JUN -30-20H 4:01RM E90 HEALTH NAT RESOURCE N0, 749 P. b ,KK I N Onsite Wastewater Treatment Systems (OWTS) Use �YtPermit Inspection Form iUl� Pitkin County Environmental Health Department 4405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 Website: www-asaenVtKnmml_ehnr Inspection form for continued use of an existing OWTS �ON ..W, - � �1:L' '►II�i 3��L� - Email: Pitkin Coun%ySysterns inspector Iicen9e Number: A copy ofthis msoectioo report w!1! be rerJ9 Ed o P;#krn County Eiov7rson r ia! Heatth Deegrrment 6v e L'eBns ,Sdrstems lnspettor unZh &R days ofthe h7Sj0ecti n regardless of whether fb9 systrm ,arises orfEds. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YES N 16 If NO, how long has the home been vacant?— Now mariy bedrooms are in the home? When was the tank last pumped? Name of pumping company: 1f secondary treatment is used, .who is the maintenance provider?> RECORDS: Were system records available from Pitl n County? YES NO If YES; Permit number: L`� �L Date of Final Approval: L77 dt cf bedrooms permitted,—. Wss an as -built drawing available? NO Is the as -built drawing accurate? Y 5�) NO If N0: Complete o drawing of the system on lost page of this form as cccurarely as possible. Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS,. Proper grading, no evidence of erosion? P s FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? YES improper discharges such as straight pipes? AS FAIT. Evidence of high ground water? YES Snow cover present? NO YES Page I 0812112011 10:03 9636070 B R SEPTIC JUN. 30. ?011 4:01 PM EP' ''0 HEALTH NAT RESOURCE NO. 749 TANK: Tank 1 Is a pump or dosing siphon present? Tank 2 If YES, is the pump/dosing siphon functioning properly? Tank 3 Doesthe pump/wiring/dosing siphon appear to be in good condition? Tank capacity is the high water alarm working, both visible and audible? gaIIons SECONDARY TREATMENT: gallons Tank material YES No Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider d z1z) -0--. Phone: ll✓ if there is no maintenance contract, a contract msn5t be in place prior to occupancy of the home. A 4# of compartments A6501115TION AREA.- REA:Effluent Effluentsurfacing_ P FAiL d YES Date of last pumping YES Excessive odors? YES Field location verified by obse"tion ports or probing= Ports Probing AITI- (DAewojj�ji Liquid in observation port? NO • Lids/riswrs in good condition if YES, record depth: FAIL Distribution Box or ADV part of original design? YES FAIL P FAIL Risers to grade FAIL &,, YES Q90 - Riser height IN _ -31-11 Riser Condfion,�water'Ci hmess Inlet sanitary T,(bafllo FAIL FAIL FAIL Outlet sanitary T baffle Effluentfilter (if part of design) PASS FAIL FAIL NfE PASS FAIL FA0. P PASS FAIL FAIL Condition of tank material FAIL P PAIL FAIL Tank was pumped for inspection YES YES YE5 Scum level (lstcom aranent) 2 inches f'y inches _ cinches Sludge level lstcompartment) " inches / inches yU Inches Scum level 2nd compartment) inches inches inches Sludge level (2nd compartment) a o inches 9D inches 'a inches Backflow if pumped) <LPW FAIL TAM> FAIL FAIL Midtank baffle Q6AIL FAIL N/A PASS FAIL N Watertightness CIA FAIL FAiL A55 2 FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? NO If YES, is the pump/dosing siphon functioning properly? P FAIL Doesthe pump/wiring/dosing siphon appear to be in good condition? PAS FAIL is the high water alarm working, both visible and audible? < FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? YES (N�,- 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 d z1z) -0--. Phone: ll✓ if there is no maintenance contract, a contract msn5t be in place prior to occupancy of the home. A copy afthe contract must be submitted to Pitkin County Environmental Health Department A6501115TION AREA.- REA:Effluent Effluentsurfacing_ P FAiL Evidence of past surfacing? YES Surface dampness? N YES Excessive odors? YES Field location verified by obse"tion ports or probing= Ports Probing AITI- (DAewojj�ji Liquid in observation port? NO • YES tVot-- if YES, record depth: inches Distribution Box or ADV part of original design? YES NO <1KNO if YES, is it accessible from grade? YES NO is it level and in good condition? PASS FAIL &,, Page 2 PAGE 02 P. 7 A ..00or s/, jos; `n 08!2112011 10:03 9636070 B R SEPTIC PAGE 03 JUN. 30. 2011 4:01PM EP"'10 HEALTH NAT RESOURCE N0, 749 P. 8 Any problems nrith the system that were not addressed in the Inspection checklist? Meese list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? YES If YES, please describe the repairs. I , _ To the best of my knowledge and training. the inform ion collected In this Inspection is accurate as of Licensed Systems Inspector Signature: Ad Additional Nates: Clearly label anv_aictures and ata th them to this form.. Page 3 AE UPITKIN ENVIRONMENTAL HEALTH DEPAI .ANT APPLICA" "N FOR INDIVIDUAL SEWAGE DISPOSAL r STEM 130 S. Galena St., Aspen Colorado 81611 Phone 97G-920-5070/Fax 970.920-5039 Permit Ir ��) `�L Parcel IDN��- Permit For. New Installation ( ) Repair ) Remodel ( Emergency Use O Name of OWNER Street Address ^7 Llacif (' v t.v 00 Owner's Mailing Address , <'7 1 i CA -LA.; y% rr'7 f' •�/i t' i � 4, r f ;_'LCA! % %_ % ) l- C-3 C- '% Business Phone; Home Phone ? 7 �J �� % % �!r` `'x Legal Desc ipGon: LotLe / Block Subdivision S :ah C ! Jr5rDr Site of Ivt: L�� acres Type of proposed structure _WX Size of bldg. envelope: ��. M•S^'�� F� Total areaAivinq space (sq. ft): / �2'3 a of Bedrooms, airlines and similar size rooms: Caretaker Unit i 1Ahached ( )Detached t I Total areallivind space of caretaker unit(s0 ft.) { I # of Bedrooms, offices and similar size rooms__ Primary Contact Person r 1 t'�YYt ct "17 �3 Y1 f i/� Q✓) r i ct i 7 Vii, 1 ' N %ll +7 '7 /. 3 0 l 7 Contact Mailing Address k lo'0; f��e-'l �u Business Phone : CJ 7 'Z r,7<_ Call Phone Fax' Water I,,hPrivate well ( )Scinng ( )Stream ( ) Community/Public (Name of is Proof of Adequate Water Attached uired ? ( ) Yes ( ) No (A water quality test and well pump test or approval letter from community system) i Has this pmlect been approved by Pitkin County ? (-))Yes ( ) No is a copy of the floor plan attached ( Reouired )?(/-Yes( ) No of the site No Application for an individual sewage disposal system is hereby submitted. I hereby certify that ine above nformation is true and accurate and that I have provided true and accurate Informatinn an locations of atl existing and proposed wells, contour intervals, buildings, property lines, ditches, slopes, waterlines, springs, suction or irrigallon hues, dunking water ctstams, drain tiles, irrigation ditches, lakes, water courses, streams, lloociplalns. dry gulches, and existing septic systems. i acknowledge that any false or incomplete information will invalidate the application and any subsequent r t. Issuance o ate permit does not imply the approval of any other permit required for construction pursuant to Pitkin County codes. No construction may be undertaken unt l II provals an d shat have been obtained. The owner assumes as responsibilifies in case of tailuro a inadequacy of this system. i l/ _ t� `�- I.�. i ��-- _ « Date Signature of applicant cls ". ----___---- I-------------------------- FarmiirtmarnUipe16W------------ ---------------------------- PERMIT EOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM Parc Hale , L� min per indt .J4 W 4 r Septic tank capacity: -,_ -3 :S C, P gal Hole Depth feet Absorpbon area. ( :,� % Z'i sq. tt• �� :(� •.r. •r Cr ;;rJ.� �_: P� r.!/L .i t'''`{^ar t� ..<I•CiLltt�:rr?•..`>~ / (�!�-rC't �1(: l.• -r_ v (lei t•'r«:'=/ /'�� ,C�,_�•r ' � �r"t _ r !�/;, (i�-C ir.lrc r � r•-!-/� --(�r /rh r..0 �,.,,,J� • � � �/ 4 � �1j r.fF -•� .vh, f'_. !j'7.C� ri•�+^�zl- /i1 L;r!•w�.e1 (� . IrJ LFor'l.l:r'.t!)" S( l/ : �. Q "i:c� ct. r --ref �"•�: �.r....,(' - An Inspection Is required prior to backtilt of any component of the distribution system. Design by Engineer Required ? ( ;Yes ( ) No All plans and specifications of the engineer must be followed. Any changes must be approved by the Aspai ilkin Envlrommintal Health Department in writing and the engineer must certify the final installation to the Environmental Health Department '.n writing.! ff Permit approval by: /�. E 1 L' .• %X-- I t Date )1 `% 4 l Plans and specifications of the proposed individual qe a disposal system have r reviewed and are considered saiWactory Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin County !SOS Regulation in effect at the time of issue. This permit becomes Invalid 6 months from the dale that the permit was issued unless system construction has commenced or an extension has been approved in writing by the Department - As -Built drawings finust be Included with thi permit before the final approval will be issued. Installer. Hk_=z� I (bL Receipt # ~ 3 - Date received Site Plan Floor plan Well Permit and Soils Test Water Quality Test or tate Into Comptets _ Received by Comm Del Approval Water System Letter '' Ictal Iii RMpested/ yTuo"il •a ;f 1 11 } Rnal Inspection Apoval-- Date: 9 _ l ri. —9 ! tr AMOj 111919111 ti /,.} , .Q<L iT rp~ i�[n t.�l,l,'t. �/>� j �r.dn'r .Z ,( rt'�Aj-i /.Ctt''- I; lr•� .l 5/ •�f.L C•`. _ _ 1!•''� ' !�i •� �17._i�!•!•.!:!'.,f' 411t' y //.o_ _ y' r /; %^, L :•.�: i .r-� � �.t Iqt f^ !'r F• �-C _ 0 ASPEN40PITKIN ENV�IMNMENTAL HEALTH MEPA TMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. !r' n PE OF PERMIT: ,Initial construction ( )Rmorgorlcy, Uae f )Repair work,(Previous Permit f .) ( )Alterationof an existing system, or Installation (Previous Permit 1 C )Use Permit as a ressiit of Sala ( )Others / ISSUED TO: DATE OF ISSUE—A . /2. S r ' _ I —2— Owner Vr'iJ.Sc�r�1 t401w i P!. SI Hatlle Phone Business Phone( -) 4%"]t Z Mailing r �j tr /� / 2 { ' Address ,} .7U &1 �z4IiL=;�/-}L i1�c �+ l Ls}�/-1 6/U"' U/�l D/� >. �`1 �l Agent s 1 �iiH�fI/`ll a141ff L Phone M1 iling Address Sewage Disposal System Work to be performed by This permi valid only for promises location by the following legal deveriptiont_�� LOT 5120 WATCR SUPPLY JL'.ni(�/ (II /D�(J AVERhf:C PERCOLATION MTC () A1i/�y/1/0,1L /i This Individual Sewage Disposal Permit is granted with regard to the following uses. ��(/r� Nul.d�cr off IIodreom# fS Lofts Garbage Disposals Dishwashers Clothes washers CALCULAUD AVERAGE DAILY WASTE LOAD _ r (: CALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: Typo of Tank or Treatment units J� F'T��/r��r ir�+l� Tank Capacity � � � Callon lHlnim+aa V*thod of Final Disposals jt £('/;C � •I�C� Abaorptiop Area -'7) 13`�f. Square Feet Minimum Description (including brand name, if any) of other equipment or•appurtnancess R6 0 ) C C D -'L i� F���— ���� %tA;0, !('fto&I Other Conditions or Spccifi�tlonsr Scc�.�v r J�.�(' • :•<<t /`> Eti/j 7'001;Ci/`�; /Icr�c�0 �J(._'C'cli 1?iiL'G 'TU /'4/,Wi 70 77rc.5r 1')J IJA%S STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ' ( )Before Excavation f )Upon completion of excavation and prior to placement of gravel afore envorin•1 distribution ystem oC absorption ricld I'01'rlor to backfill of any component I )other, speelfyt Plans and xpaelficatfons of the proposed sp.+age disposal systom have been revicwcd and are eonnidered satisfactory. Pecnisoion ix hereby granted to tl,n awrer or his agent to parfarm the work indicated above in accordance with the Pitkin County Individual Saua•7c Disposal Bc,sttlntions in etfect on the date of issue. In addition to general provisions set forth on the reverse hereof, this Permit is suhjcet to the following additional terms and conditions= _ APPROVED FOR ISSUE (title) 4177lZr Tho ahnve individual acui,io disposal system installed by has twen inafx ctcd for use by a reprosentative of the As�+en pi rusinadequacy of tlronsibiliiy in case of railure or /hir slew )e DATE Or,41NAIA INSPECTIOU, J It) 0 BY: "7130 Stam r)��r ), Q Galina I treat Rin FnVironmantal 11calth ncpartment. Tne „wnar axaum diaposal system. complete as -built drawing attached. 7 TITLE t_ Aspe-, C: olorsdo 81611 303/925-2020 -F-,,4 0-1- Its.., UW e ILJ 1 (tea" 51C 4 a Pi Erz ! Inl/ 2 LI Ct Mfh 515E pE'rAIL I/A2 Hcyr5 r Ir1IFtfJ-t T10H cN ri s l vuav Is rh�C F TON�.gA4F14v- su9-v6Y. �rrt-74, sTARw� I� PIT 4H C,OulvT G060RdeDo- p4i�±a ,yp�q p 1Z 19x3, PRE1�¢tsD 6T ikL.A1NFs yJrLV@Y'S� � L7MIIEL. MCYgNZJE &" sro-I pp0 V2' a3c4'7 1- LIlrH r fo � STOti'_' 4" G M LI 12"T12 GM 1eRvuTEp 4#4 uuwE --,W-8 A zits- SITS R.•ay k�lelFp Ice' e.�D N s 6dILCINCo URGt.E t IV `�` Io2�#i lo(o t ; a� 7,_ AIL Ho TO rcu VO � `� \ `� \ J '�t r�' � ��' �' �,� \r'•: -ami �\\ {`\ � \Jr`vJN baa: \ - - ►OHO V G S (1 L4- IL c t a 16 5� K�0�0 e� ¢oq (,�*QP MULL TEE TO EXIST'iiNG LATERAL - (FOR EXPANSION) �&D �_ ry 4 -- �\ NEW DISTRIBU 1 3' SPACWG A !MATE ARIA`�ppf FIELD 1 / R£ RED fNEFFECTII�E' DUE } Tt7 E ESS FILL ODER �EPAGE BED _ 0 0 4 " OSMm W4LLPW 4 r NEW DIS -W4 F 9 �9�y0 7N I- M_5, 3 4'• D14 :E sEcriGw A -A) �f=r!„CE�ffDIf�ATED PY.C, �`�\�y �sFory.�r Ax EPL 4CE 90 • ELBOW o i TH TEE \ R EXPANSION) STAFs Ae m $4 ISSUE HISTORY NO, DATE FENKW mrnV1>�aY r LAwunn Lampert Residence 290 DwIdow D&^ BWr* DC TIRE Tg0.T@IACOBR ®IOILUMTLV1 T+ISIPOS®VIMFLMI SCAM ASNM am PRATE Fw= DATE ISSUED TIS]DAq DRAWING PAGE A100