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HomeMy WebLinkAboutPitkin.EH.264522400007 (2019)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…1/3 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 https://mail.google.com/mail/u/0?ik=c2c72bb885&view=pt&search=all&permmsgid=msg-f%3A1637261129607583865&simpl=msg-f%3A16372611296…2/3 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: Print this form