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Home My WebLink AboutPitkin.EH.264515300020 (2018)Page | 1 Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 www.aspenpitkin.com/EHNR Parcel ID #: 2645-153-00-020 OWTS Use Permit #: 0039.2018.POWU Date Issued: 08/20/2018 Issued By: Bryan Daugherty Expiration Date: 08/20/2019 Owner(s): Leonard and Barbara Forman Property Address: 334 Monastery Cutoff Legal Description: Licensed Inspector: Tavor Dunsdon Inspection Date(s): 7/31/18 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment septic tank 2000 gallons Secondary Treatment Unit Absorption Area Over-excavated sand beds 1953 ft2 Other System Components pump 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 #: 99064 Date of Issuance: 8/26/99 Date of Final Approval: 10/25/99 # of Bedrooms or fixtures served by OWTS: This system was designed for to 4 bedrooms. Operational Status: After repairs were made to replace the outlet tee on the tank, the system was in working order. The system was missing a pump that was designed to dose effluent to the field but the system was still functioning under gravity distribution. The field area did not show any signs of failure such as surfacing effluent. Inspector Recommendations: Replace broken inspection port tee. Department Recommendations: We recommend adding a pump in the 2nd compartment of the tank to make the system function as designed. Bring d-box access to grade for maintenance. 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 j'rK IN Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION GVNT 76 Service Center Rd Aspen, CO 81611 http:ilpitkincou my -corn/2481Wastewater-Treatment Application for Continued Use of an Existing OWTS Parcel ID# (available from the Pitkin County Assessor's Office 2645 153 00 020 970-920-5160 or at http:f/ iitkinassessorLorg/assessor/search. asp Purpose of Use Permit OpROPERTY TRANSACTION FIREIVIODEU Property Address: 334 Monastery Cutoff Road, Snowmass, CO 81654 Lot: Block Filing: Subdivision: IShield-O-Mesa Residences: Other # of Bedrooms: 4 fixturesluses: Property Owner(s)": Email Address, Leonard and Barbara Forman barbform@earthIink.net Owner's Mailing Address: City, State, Zip: 334 Monastery Cutoff Road Snowmass Co 181654 Home Phone Business Phone: (970) 922-0516 "Contact information must be provided for the owner signing this application PrimaryContact Person/Applicant (if not owner): Tom Carr Company: Berkshire Hathaway Flol'1'IeServices Contact/Applicant Mailing Address: City, State. Zip. 555 E Durant, Ste. 5A Aspen CO 181611 Cell Phone: Business Phone: (970)379-9935T 1 (970)925-5400 Fax Number: (970) 920-4549 Email Address: altitudeseptic@gmail.com Indicate Preferred Method of Payment ■ I Check LJCredii Cash Licensed Systems Inspector: Phone Number Email Address: Fax Number: Altitude Septic, LLC (970) 471-0913 altitudesepticCgmail.com Mailing Address: City, State Ti 530 McIntire Street Ill I CO 181631 PLEASE READ BEFORE SIGNING: I 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 if my application is found to contain any inaccurate, false, or misleading information. Owner Signature (Required): Digitally signed by Il forman fen forman Date: Date: 2018.08.0717:06:29.06'00' Applicant Signature: Date: Please allow 3-5 business days for processing of Use Permits. SBVe Form Clear Form Print Form FOR OFFICE USE ONLY Received by EH Staff. Fee & Receipt #: Date: i I - I ---T Effective Date 1/12/2017 Owner's Name: Address: Parcel Number: Inspection Date: Pitkin County Systems Inspector License Number: QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied?YES NO If NO, how long has the home been vacant? How many bedrooms are in the home? RECORDS: Were system records available from Pitkin County?YES NO If YES:Permit number: ___________ Date of Final Approval: _________ # of bedrooms permitted: ___________ Was an as-built drawing available?YES NO Is the as-built drawing accurate? YES NO If NO: SITE CONDITIONS: Proper grading, no evidence of erosion?PASS FAIL Improper vegetative cover?NO YES Evidence of compaction such as heavy machinery or livestock?NO YES Improper discharges such as straight pipes?PASS FAIL Evidence of high ground water?NO YES Snow cover present?NO YES Any question marked FAIL will require correction before an OWTS Use permit is issued. If secondary treatment is used, who is the maintenance provider? Complete a drawing of the system on last page of this form as accurately as possible. Email: Inspector's Name: Business Name: A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system passes or fails. Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Inspection form for continued use of an existing OWTS Website: Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Phone Number Page 1 TANK: Tank capacity gallons gallons gallons Tank material # of compartments Date of last pumping Lids/risers in good condition Risers to grade Riser height Riser condition/watertightness Inlet sanitary T/baffle Outlet sanitary T/baffle Effluent filter (if part of design) Condition of tank material Tank was pumped for inspection If YES, list the pumping company If NO, when was the last pumping Scum level (1st compartment)inches inches inches Sludge level (1st compartment)inches inches inches Scum level (2nd compartment)inches inches inches Sludge level (2nd compartment)inches inches inches Backflow (if pumped) Midtank baffle Watertightness PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present?YES NO If YES, is the pump/dosing siphon functioning properly?PASS FAIL Does the pump/wiring/dosing siphon appear to be in good condition?PASS FAIL Is the high water alarm working, both visible and audible?PASS FAIL SECONDARY TREATMENT: 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:________________________ ABSORBTION AREA: Effluent surfacing?PASS FAIL Evidence of past surfacing?NO YES Surface dampness?NO 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 NO UNKNOWN If YES, is it accessible from grade?YES NO Is it level and in good condition?PASS FAIL 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. Tank 1 Tank 2 Tank 3 Page 2 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. Licensed Systems Inspector Signature: Additional Notes: To the best of my knowledge and training, the information collected in this inspection is accurate as of __________________, 20____. Clearly label any pictures and attach them to this form. Page 3 ASO S. Galena ASPEN* P1 `IN COMI�UNlTY DEVELOPMF o "`T DEP RTMENT General Aspen, CO 81611 .-. PERIVI�T APPCf aT1i7N 7 t (4� Permit 97h7 20-5090 \� 920-5448 Inspection line PITKIN COUNTY CITY OF ASPEN 0 0ja3 26Q Applicant to complete numbered spaces only. No. J ,IOBAnDRE s 1. LEGAL 2. oesc. OT 0. BL K TR R B VISION (� ( SEE ATTACHEDSHEET)$BD 11 `Ga�C1� CCVD DE OWNER `. mw � RESS - ZIP - PHONE 3. ° D 4 51�-7 61 FD� CONT `OR-iv1ASLADDRESS 4. PHONE LICENSE NO t FN • AR HITECT OR ENGINEER OF RECORD - MAI ADDRESS - - ONE L CENSE NO ''� MH MS 6. DESIGNER.. MAILADDRESS PHONE LICENSE NO RF CLASS OF WORK 7• NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ / ENERGY CODE FEE / 3 USE TAX CENSUS CODE 8. u F BUILDING / � - ... ~1d f/O� - `t u"t•- PLAN CHECK FEE PERMIT FEEZONING �� / ✓ems FEE ' .moo VALUATION OF WORK SQUARE FOOTAGE - 9. $ > 10.��— , Type of Construction :0 - Occupancy Group Lot Area 11. IS there lood service in this building ❑ vEs• NO Size ofBildlln ) Square. Ws'x No. oiStories ooc.Load 1 . Is LPG used? Es ❑ NO " NO.OF BEDROOMS Use UZ C J •,r ' �, _ (J Fire Sprinklers Required? ❑Yes ❑No Alum System Required? ❑Yes ❑No 13. Remarks EXISTING I A(OT /`/] t No. of Dwelling Units OFFSTREET PARKING SPACES Covered Uncovered Ct�/-�•'L-�i ,) CT 9 0 ( 1 I ECNIN IAL APPROVALS REQUIRED -- - AUTHORIZED BY - DATE - - io a -2 • PAR SEE CATION ENVIRO HIM PRESUBMITTAL APPLICATION ACCEPTED BY 18 PLANS CHECKED BY ��" APPROVE OR ISSUANCE 8Y ENGINEERING PARKS DATE J�-{2 DATlS/il FIRE MARSHAL 4�zt DATE J fY�I WATER TAP s� r- .. _ - NOTICE PARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIOMNG. ASPEN CONSOL. SAM. DIST. OTHER THIS PERMIT BECOMES NULL AND VOID IF WORK, OR CONSTRUCTION AUTHORIZED IS NOTC OM ENCED WITHIN 180„DAYS, OR IF CONSTRUCTION OR OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 1S'COMMENCED.MONTHLY PAYMENT OF PITKIN COUNTY USE TAX OR QUARTERLY RETURNS WILL BE SUBMITTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS_ TYPE OF WORK WILL 3 COfyPPLIED WITH WHETHERSPECIFIED"HEREIN OR NOT. THE GPANYING�bF Al OMIT DOES NOT PRESUME TO GIVE AUTHORITY TO" VIOLATE.OR CANCEL TFiE"PFfO= ❑ DEPOSIT METHOD 3.5 % OF 25% OF THE PERMIT VALUATION PAID AT ISSUANCE, A...F.INAL REPORT ON TOTAL. ACTUAL COST MUST BE FILED WITH IN 90 DAYS OF SUBSTANTIAL COMPLETION OF WORK AND! OR ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. VISIONS OF ANY OTHER STATE OR LOCALlAW REGU_ EATING CONSTR17CTlON OR THE PERFORMANCE OF'CONSTRUCTION:IT IS MY RE8PONSIBIGITV TO ❑ EXEMPT: EXEMPT ORGANIZATION REVIEW THE APPROVED PLANS"ANi COMMENTS THAT TH�AND THAT THE STRUCTUREAND/OR PROJECTIS'Eii IN ICABLE CODESwfiA,e} _ ,a5C1 ( 9 'ATE) ❑ RESALE: STATE& PITKIN COUNTRY RESALE NO. ANYONE WHO USES AND / OR CONSUMES BUILDING MATERIALS AND FIXTl1RES IN PTTKIN COUNTY iS SUBJECTTO THE 3.5% USE TAX. PROPERTY LIENS MAY ALACED ON THE OWNER'S AND /OR THE COW TRACTOR'S PROPERTY WHEN USE TAXIS NOT PAID SIGNA RE F C C R � (DATE) - SIGNATURE OF OWNER OF OWNER 8VIU ER) (DATE) THIS FORM IS A PERMIT ONLY WHEN VALIDATED WORK STARTED I E WILL p Energy Code Validation Plan Cheek Validation Zoning Validation Permit I n ." Se p it Validation MA a WHITE -FILE COPY CANARY -APPLICANT PINK -BUILDING DEPARTMENT GOLD -ASSESSOR ItoMUlxm31cu22Qm > 00Or >-inZ > z1 -n00mza' nLj] CmCUCl =1m (J) moHmCl) uzX0D0MZm0U) Em < 0MrrzM'. 0zG) Arkou > Zrmm13TU) MmzOCD- 0cuMxIIInG) cmmC) _LCA) -4z0oom0zU) cmzCD00069o0m3 \ .mmmm 17 ACRES SCALE 0334 MONESTARY CUT %. 4-7 1"=200' PITKIN COUNTY, COLORADO TOPOGRAPHIC ONES PROVIDED BY SMFrH AND SMFrH ENTERPRISES INC. F ---j J DRIVE PROPOSED 4--, BEDROOM WELL RESIDENCE P30 SITE PLAN AND LOCATION OF PERCOLATION HOLES FIGURE 1 JOB NO. 11429 C- 0a) z0K) 40hcon5CmmIN) WK0rm-7nlipOmE40to0MZlipOmE all •A14 LAI'-*); DOUBLE HUN MARVIN-CLAD: DOUBLE HUN W III - MARVIN-CLAP. DOUBLE HUN FIXEDPOU15LE 6LAZED r6RE55 NINDON :2@2'5 5/aX4'-O",, MARVIN-CLAD: CA5EMIENT!5 wzIt tmII 0. PAINT TRAVERTINE LAV. TOP TEXT. CONC• TEXT. CO PALN P DOOR 5C.,HEDULF- T'T'PE — A .51ZE ----- MATERIAL. FINISH FRAME FINISH COMMENTS A00v STAIN HOOD 5TAIN NOOD 5TAIN 5TAIN FOUR PANEL MTL. _,__ FAINT NOOD FAINT ----------- MTL FR05TED CvLAS5 E F AOOv YqOOD AOOv ;Noor,> P4001:) PNOOD,— HOOD NOOD FLUSH H 6_011x&-off INOOD P400D SATIN SATIN :2-7-6lix 4_" it MIRROR AOOD 6TAIN STAIN SLIDIN6/MIRROR!5 MI RROR ONE- 5 iVE ''NOOD STAIN N1 CUSTOM 6ARAC7E/ k4/op-- ENER E 11 u u FR TEMP, l� I!I�i' � IL 6L SS II . xv