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Home My WebLink Aboutpitkin.eh.273302412001 (2010)Pitkin County Environmental Health 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 #: 2733-024-12-001 OWTS Use Permit #: 0003.2010.POWU Date Issued: 9/2/2010 Issued By: Bryan Daugherty Expiration Date: 9/2/2011 Owner(s): I Pobert C Trown Family Trust Property Address: 200 Ridge of Wildcat Legal Description: 1 Hidden Meadows @ S.V. Plat 24, Page 31, Book 627, Page 78 5 � 5 • t Pitkin County Environmental Health 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 #: 2733-024-12-001 OWTS Use Permit #: 0003.2010.POWU Date Issued: 9/2/2010 Issued By: Bryan Daugherty Expiration Date: 9/2/2011 Owner(s): I Pobert C Trown Family Trust Property Address: 200 Ridge of Wildcat Legal Description: 1 Hidden Meadows @ S.V. Plat 24, Page 31, Book 627, Page 78 Licensed Inspector: Tim Durand Inspection Date(s): 9/2/10 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit 2 compartment tank for main house and a 2 compartment tank for the pool house 1750 gallons Main House 1000 gallons Pool House Secondary Treatment Unit N/A Absorption Area N/A Other System Components Dosing Chamber 1000 Gallon 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 #: 96029 & 02077 Date of Issuance: 11/1/2002 Date of Final Approval 2/28/2003 Operational Status: The main home has 4 bedrooms and the pool house has a bathroom. The system appears to be functioning correctly. Inspector Recommendations: N/A Issuance of this OWTS Use Permit is based solely on the conditions observed 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. 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. �5o -z Pitkin County Environmental Health Department f'V,K i N Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION wNs 0405 Castle Creek Road, Suite 10 - Aspen, CO • 81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.com/ehnr Anniirmfinn fnr rr%nfinitarl llca of an Exintinn OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.pitkinassessor.org): _ _ _ c j City, State, Zip: Cell Phone: Business Phone: Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODELIADDITION Indicate Preferred Method of Permit Receipt: Email ❑ Fax Property Address: Address: D/�•� 1-2 Lot: Block: � Filing: n Subdivision: _ !�_f1[1 QAC/3i�V � � ,-7,Q Residences: Other # of Bedrooms: fixtures/uses: EM Pr rty wner(s)*:- _ �� ' Email Address: T O --r C.o O er's Mailing Address, t , Stat , Zip: r VJ fAA% �� Ga 8 6 H Phone: Business Phone b-,70(0 ?)o 7 _5 .^ / `Contac information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): Company: Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: Email ❑ Fax ❑ US Mail Licens d Systems Ins ector: Phone mb r:q ma Address: Fax Number: a70 / l ��_--Ill15J Mailing Address: Ci , State Zip: 6cpz, n5 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 Sign q 'r Date: Applicant Signature: Date: ` f )� / Please allow 3-5 business days for processing of Use Permits. ReceivedStaff: Fee & Receipt M9769276999- ICM GROUP LLC ��'K11V u co IJ N�� Ins OWNERS Name:_ Address: 02:48:04 p.m. 09-02-2010 7 7/51 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Pitkin County Environmental Health Department 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 Website: www.aspenpitkin,com/ehnr on Form for continued use of an existing OWTS S /"10 %,J 5) v V i i I Lt "I Q/ C U Parcel Number: Z'] 33 - Z4 —I Z - 0o l Records: Were system records available from the department? Yes No If Yes: Permit number: c7602, Y Date of Installation: �l /`i ` 11�� /u 'Z Tank size: 11 SO Absorption area size: Permitted Use: q &e� R win, , S% `i'l St - Is this system permitted for its current use? YZS If no, describe the change in use. Was an As -Built drawing available? Yes Is the As -Built Drawing Accurate? If No: Complete a drawing of the system on last page of this form as accurately as possible if as -built was not available or is not accurate. Site Conditions: PASS FAIL Erosion Improper Vegetative cover �/ YES Evidence of Compaction NO YES Improper Discharges ASS FAIL High Ground Water 0 YES Snow Cover YES Property Vacant O YES UNKNOWN TANK: N0 Was the tank pumped as part of the inspection? If No, skip to Tank Components. If No: When was the tank last pumped? &P?j.)� ✓t P W 1 U If the tank has not been pumped in more than 2 years, please attach additional information for justification. Information to be included in justification : Depth of scum layer, Depth of sludge layer and/or Verification of limited occupancy If Yes: Pumping Company: Discharge/leakage PASS FAIL Infiltration PASS FAIL Back flow after pumping NO YES W/1 M GROUP LLC Lij imponents: Tank 1 Lids Tank Integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlet Baffles Effluent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm Tank Components: Tank 2 Li ds Tank Integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlet Baffles Effluent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm 08:18 p.m. 09-02-2010 3/5 <hALS5_> FAIL FAIL ASS FAIL PASS �$S7 FAIL NP FAS FAIL No in W Vet Vaef.d` 1:.Ie PASS FAIL NP ASS FAIL PASS PASS FAIL NP A3S FAIL Expires: Yes 49) FAIL SS FAIL FAIL ASS FAIL PASS S FAIL CN P ASS FAI L NP PASS FAIL N 'SASS FAIL PASS PASS,__ FAIL NP ASS FAIL Expires: Yes PASS FAIL If additional tanks re present, include reports for each. TA n r4 3 - Pea I Hayse - KA , iu o-eis -Fd SECONDARY TREATMENT: Is a secondary treatment unit part of the system design? If Yes: Make/Model: M. MA PLI"yed d✓� Lids PASS FAIL Tank Integrity PASS FAIL Media Container PASS FAIL NP Media Condition PASS FAIL NP Mechanical Systems PASS FAIL Controls/Alarms PASS FAIL Expires: Maintenance Agreement PASS FAIL Provider Name Provider Phone Number ABSORBTION AREA: Distribution Box Accessible from grade? Yes No NP ` Distribution Box PASS FAIL N ADV Accessible from grade? Yes No NP Automatic Distributing Valve (ADV) PASS FAIL Observation Ports PASS FAIL NP Effluent Surfacing PASS FAIL Evidence of Past Surfacing NO YES Surface Dampness NO YES Excessive odors IVO YES Liquid in observation port NO inches 9709276999 ICM GROUP LLC 02:48:29 p.m. 09-02-2010 1 40 „L'roi Any problems with the system that were not addressed in the inspection checklist? COF5 If ,-ted �e rr 1 SGS L -/,P t, o,A "/ ,ra NJ 4- c.cr "f e Please list any recommendations for the system to continue its current usage. Were any repairs done as a result of this inspection? YES If Yes, please describe the repairs. To the best of my knowledge and training, the information collected in this inspection is accurate as of Se, 1,e w. e,, _ 20_LQ . Inspector's Signature: Business Name: Phone Number Address: Email: Pitkin County Inspector License Number: 7 -%ACCT tC+:or 77—C 176 7'(8 qS S Additional Notes: U(U A copy of this Inspection report will be remitted to Pitkin County Environmental Health with 60 days of the inspection. 4/5 970*3276999- ICM GROUP LLC 0 02:48:39 p.m. 09-02-2010 5/5 If no as -built drawing exist for this system or the as -built was inaccurate, please diagram the system as accurately as possible, being sure document all parts of the system, well locations and accurate distances. 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