HomeMy WebLinkAboutPitkin.EH.264522400007 (2019)6/26/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application
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Bryan Daugherty <bryan.daugherty@pitkincounty.com>
Online Form Submittal: Property Sale/Remodel Use Permit Application
noreply@civicplus.com <noreply@civicplus.com>Mon, Jun 24, 2019 at 4:04 PM
To: schuyler.clay@pitkincounty.com, ehapps@pitkincounty.com
Property Sale/Remodel Use Permit Application
Please Note: Each OWTS System must be submitted individually. If there are
additional systems on the property, additional applications are required.
Job Parcel ID 2645-224-00-007
Physical Address 50 Old Pond Way
Residences 1
No. of Bedrooms 4
Square Footage of each
Residence
5400
Purpose of Use Permit Property Transaction
Closing Date 6/28/2019
Lot 7A
Block Field not completed.
Filing Field not completed.
Subdivision Shield O Terrace
(Section Break)
Primary Contact Information
Primary Contact First Name Brian
Primary Contact Last Name Flynn
Primary Contact Email
Address
brianflynn245@comcast.net
Primary Contact Address 239 arapahoe
Primary Contact Phone
Number
9703092425
Primary Contact City Carbondale
Primary Contact State CO
6/26/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application
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Primary Contact Zip 81623
(Section Break)
Owner Information
Primary Contact is Owner?No
Owner First Name Amy
Owner Last Name Doherty
Owner Email Address amy.doherty@elliman.com
Owner Mailing Address 50 Old Pond Way
Owner City Snowmass
Owner State CO
Owner Zip 81654
Owner Phone 9709305733
Owner Fax Field not completed.
Indicate Preferred Method of
Payment
Debit/Credit Card
Payment Contact Email for
Debit/Credit Payment
brianflynn245@comcast.net
(Section Break)
Licensed Inspector Information
Primary Contact is Licensed
Inspector?
Yes
(Section Break)
Uploads
Pitkin County Inspection
Form
50 Old Pond Way.pdf
Site Plan 50 Old Pond Way.pdf
Floor Plans 50 Old Pond Way.pdf
Additional Reports, etc.50 Old Pond Way.pdf
Comments or additional
information:
Field not completed.
PLEASE READ BEFORE SELECTING SUBMIT:
By selecting SUBMIT, I certify that I am the owner or representative with the legal
authority to agree to the conditions of this permit, 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
6/26/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application
https://mail.google.com/mail/u/0?ik=c2c72bb885&view=pt&search=all&permmsgid=msg-f%3A1637261129607583865&simpl=msg-f%3A16372611296…3/3
department may revoke any permit I am issued if my application is found to contain
any inaccurate, false, or misleading information.
Building Permit Instructions
If this application is part of a building permit application, please bring a copy of this
application to your building Pre-Submittal meeting. To get a copy, either enter your
email address to receive a copy of your application, or select "Submit and Print"
below.
Email not displaying correctly? View it in your browser.
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 #: 2645-224-00-007
OWTS Use Permit #: 0034.2019.POWU
Date Issued: 6/26/2019
Issued By: Bryan Daugherty
Expiration Date: 6/26/2020
Owner(s): Amy Doherty
Property Address: 50 Old Pond Way
Legal Description:
Licensed Inspector: Brian Flynn
Inspection Date(s): 5/30/19 & 6/3/19
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Two Compartment Concrete Tank
2000 Gallons
Secondary Treatment Unit
Absorption Area Chamber Bed 888 ft2
Other System Components
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 #: 03082 Date of Issuance: 12/19/03 Date of Final Approval: 3/1/05
# of Bedrooms or fixtures served by OWTS: System was designed for 3 bedrooms
Operational Status: From the observations of the inspector on site, the system appeared to be functioning as designed.
The tank was in good, water-tight condition with tees and baffle in place. An effluent filter was added during the
inspection. The field area did not show any signs of failure such as surfacing effluent.
Inspector Recommendations: N/A
Department Recommendations: Continue maintenance as needed
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.
�+.'.y�g, ONSITE WASTEWATER TREATMENT SYSTEM (OWTS)
�+ S
O
USE PERMIT INSPECTION FORM
76 Service Center Rd Aspen CO 81611
970-920-5070 Fax 970-920-5077
www.PitkinCounty.com
Inspection for Permit Number:
POWU
Fob Address (provide pmofofappllcatim foranaddressif there is currently no address) Address Aoolication
lob stree¢50
Id Pond Way Job Co:Snowmass
Job
State: F0 Job Zip 1654
Name:
my
ownerlastName:Dohety
Owner corporation Name:
ngAddress:
P
50 Old Pond Way owner
city:
nowmass
wnerState:
O
OwnerZip:81654
e:
Owner Cell Phone:
Owner Email:
Permit Contact
Contact First Name:
my
contact Last Name:DOherty
on[act Business Name:
Conran Ma li, Address:
PO Old Pond Way °nlart
Crt, nwomass
contact state:CO
Contact zip: 1654
coct ntaphone: -
contact cell Phone:(970)
930-5733
contact Email:
Licensed Inspector
Inspector First Name: Ray
Inspector last Name:
Davila
Inspector ausmess Name:
Il Valley Resource
Inspector Mailing Address:
239 Arapahoe IInspector
city:Carbondale
I Inspertorstne: O
hrspector Zip:
1623
Inspector Pnam.:970)300-3309
Inspector cell Phone:
Inspector Email:
rianflynn245@comoast.net
Inspector's License Number: 2
Parcel ID
Leeal Description ILot /A, shield O Terrace
A copy, of this inspection 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.
Questions For Property Owner PRIOR To Inspection:
Is the home currently occupied? EB
If N: How long has it been vacant?
How many bedrooms are in the home?
RECORDS
Were system records available from Pitkin County? es
If Y: Permit Number 03082 Date of final approval: 3/01/05
No. of bedrooms permitted:
Was an as -built drawing available? EM
Is the as -built drawing accurate? EM
If N: Complete and upload a drawing of the system as accurately and possible ❑
Describe thane in use differences:
Effluent filter added as
part of the inspection
SECONDARY TREATMENT
Is a secondary treatment unit present? No If Y: Does the unit appear to be in good working condition? FNo
Does the owner have a current maintenance contract for the unit? Unko
Maintenance Provider Phone O Email
Secondary Treatment Pass/Fail: N/A
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
ARSORRTION AREA
Effluent surfacing? FNO Evidence of past surfacing? FNO Surface dampness?
NO
Excessive odors? FNO
Field location verified by observation ports or probing: ES
Liquid in observation port? EU If Y: Recorded Depth (inches) D.D
Distribution Box or ADV part of original Design? No
If Y: Is it accessible from grade? FNO If Y: Is it level and in good condition NO
Absorption Area Pass/Fail: PAS M
Any problems with the system that were not addressed above?
None
List any recommendations for the continued use of the system:
nstall Effluent Filter
Were any repairs done as a result of this inspection?
If Y: Describe repairs
none
Additional Notes:
Clearly label any pictures and upload them.
o the best of my knowledge and training the information collected in this inspection is accurate.
(0 -a�r-
Inspectors Rnatu Date:
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