HomeMy WebLinkAboutpitkin.eh.264308103026-028 (2012)_EXPIREDSITE WASTEWATER TREATII( VT SYSTEM (OWTS)
EH/NR CONSTRUCTION PERMIT
76 Service Center Rd. Aspen, CO - 81611
Phone: 970.920.5070 Fax: 970.920.5374
Permit #: 001.2012. pow2
Parcel ID #:
Permit Issued: ❑NEW []REPAIR ❑REMODEL/ADDITION ❑TANK ONLY
Owner(s): Pitkin Iron HOA
Property Address: Units G, H, and I Pitkin Iron Road i4 ff C
Legal Description: Lot 3 U',4,- --17 --
Size of Lot: 1.15 Acres Detached Ac sso
Size of Building: Sq. Ft. Size of Accesso
The system is designed for: 7 bedrooms (G = 2 bedrooms
Designed By: N/A
Phone #:
Fax #:
Perc Rate:
Minimum Tank Capacity:
existi
2643-081-03-026 to 2643-081-03-028
[]FIELD ONLY ®AMENDMENT
i I� f�i,� % rte► / - D oP,6
ry Unit: ❑YES ®NO
Unit:
Project #:
Mailing Addres
Email Addres
Profile Hole Depth:
= 3 bedrooms, I = 2 bedrooms)
Dated:
to Groundwater or Bedrock:
Minimum A sorption Area: existing
Perin it Conditio
Sq. Ft.
Permit 99095 is being amended to include theinstakeo-r,16f a .375 RetroFast unit. The absorption area
is currently experiencing saturated co tQditions.
This OWTS Construction Permit is approved on the condition of c!,e
Hancehe engineer design as submitted with the application and the specifications
cited above. Changes must be approved by this Department andngineer prior to construction.
This Permit must be kept on-site during installation. The st do final inspection of the installation and submit an "as -built" letter to this
Department within 30 days of the final inspection, unles a longer pe od of time has been agreed upon, in writing. This Department must also be called for
the final inspection with a minimum of 48 hours notice.
Minimum horizontal distances between components of the system a)Cgular
physical features shall conform to the requirements of the Pitkin County OWTS
Regulation.
This Permit is conditioned upo the property owner(s) providing r r inspection, cleaning, and maintenance of the system by qualified personnel, in
accordance with the manufa urer's recommendations and the r ements of the Pitkin County OWTS Regulation. Issuance of this OWTS Construction
Permit does not constitute a uarantee, warranty, or representation he Department that the system will operate properly or will not fail.
THIS PERMIT IS XPRESSLY CONDITIONED UPO OMPLIANCE WITH ALL REQUIREMENTS OF THE PITKIN
COUNTY OWT REGULATION, IN UDING BUT NO IMITED TO THOSE CONDITIONS SPECIFIED ABOVE.
Plans and specificatio s for proposed OW teen reviewed and are considered satisfactory. Permission is hereby
given to the property o n s to pe a work ' dicated in accordance with the Pitkin County OWTS Regulation. This
Permit will expire 1 year fro the date of issuanc u ss construction on the system has commenced. An "as -built" drawing
must be submitted and appr ved by EH before nal a6hroval of the system will be issued.
Issued By: l CSC_ �> ate: - c, Expires: 2 �2 J
Installer: _license #:
Reactivation Authorized by:
Final Approval Issued By: Date:
New Expiration Date: Elfime Pe d
REQUEST FOR AN AMENDMENT TO AN
CEH/NR� OWTS CONSTRUCTION PERMIT
76 Service Center Rd • Aspen, CO • 81611
Phone: 970.920.5070 Fax: 970.920.5374
This form should be used for requesting an amendment to an OWTS Construction Permit if there have been significant
changes to an OWTS design that differ from what was approved as part of the OWTS Construction Permit. An hourly fee
of $162/hour will be invoiced upon review of the new design and reissuance of the amended permit. The system
requirements must conform to the current OWTS Regulation, which can be found at
htto:llwww.asoenpitkin.com/gdfs/d``ects/l2/owtsreg.pdf.
Permit Number for Which Amendment is Requested:
Parcel ID# (available from the Pitkin County Assessor's 2-04 3-- 08 L 025'' C) L ",C)
Office 970-920-5160 or at www.pitkinassessor.ora): 2-b k4 3 GS 1 03 d
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Property Address:
Lot: Block: Filing: Subdivision:
Building Permit #:
N
Property Owner(s): Email Address: ,
e n -r 6-Y1 i i ��.\i tii Uk 0 CtC C
Owner's Mailing Address: City, State, Zip: r�
1-- LL Cl P, i z t n T� r1 V—C-f R,-=, Q -L n , GO 1?,
Home Phone;
0- 4 e Uli -
Loi 3
S
Primary cq ntact Person/Applicant (if not owner):
JJG1,v ? r--"-
Company:
_.Sr11 tkV"+ CnN
Contact/Applicant Mailing Address:
City, State, Zip:
Cell Phone:
Business Phone:
Fax Number:
Email Address: 71
PLEASE READ BEFORE SIGNING:
I certify that the above information is complete and accurate. I acknowledge that EH/NR may revoke any permit I am
issued if my application is found to contain any inaccurate, false, or misleading information. I understand that no
construction may be undertaken on the OWTS until the OWTS Construction Permit is amended or a new permit is
issued.
Owner/Applicant Signature
OFFICE 6SfONLY: I
Qi tlOz `ecLc,�
Date
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