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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 #: 2643-351-01-006
OWTS Use Permit #: 0073.2018.POWU
Date Issued: 11/30/2018
Issued By: Bryan Daugherty
Expiration Date: 11/30/2019
Owner(s): Butch Buchholz
Property Address: 498 S Starwood Dr
Legal Description:
Licensed Inspector: Jason Daubs
Inspection Date(s): 11/12/18
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Concrete single compartment tank
Concrete single compartment tank
750 Gallons
750 Gallons
Secondary Treatment Unit
Absorption Area Pipe and Gravel Bed 1250 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 #: 77012 Date of Issuance: 4/23/79 Date of Final Approval: 8/28/79
# of Bedrooms or fixtures served by OWTS: This system was designed to serve 5 bedrooms
Operational Status: According to the inspector’s observations on site, the system appeared to be functioning as
designed. Both tanks only have 1 access and have 6-7 feet of risers, making access and cleaning difficult. Both tanks
were in good watertight condition with observable tees in place. The field area did not show any signs of failure such as
surfacing effluent.
Inspector Recommendations: Inspector recommends adding risers to access the other sides of both tanks to confirm
tees are in place.
Department Recommendations: Continue annual 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.
11/14/2018 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&permthid=thread-f%3A1616970768179585173&simpl=msg-f%3A16169707681…1/3
Bryan Daugherty <bryan.daugherty@pitkincounty.com>
Online Form Submittal: Property Sale/Remodel Use Permit Application
1 message
noreply@civicplus.com <noreply@civicplus.com>Mon, Nov 12, 2018 at 3:58 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 2643-351-010-06
Physical Address 498 S Starwood Dr, Aspen CO 81611
Residences 1
No. of Bedrooms 6
Square Footage of each
Residence
6,720
Purpose of Use Permit Property Transaction
Closing Date 11/30/2018
Lot R-31 STARWOOD TWO
Block Field not completed.
Filing Field not completed.
Subdivision STARWOOD
(Section Break)
Primary Contact Information
Primary Contact First Name Penney
Primary Contact Last Name Carruth
Primary Contact Email
Address
penney.carruth@sir.com
Primary Contact Address 300 S Spring Street, Ste 100
Primary Contact Phone
Number
970-379-9133
Primary Contact City Aspen
Primary Contact State Colorado
11/14/2018 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&permthid=thread-f%3A1616970768179585173&simpl=msg-f%3A16169707681…2/3
Primary Contact Zip 81611
(Section Break)
Owner Information
Primary Contact is Owner?No
Owner First Name Butch
Owner Last Name Buchholz
Owner Email Address butch.buchholz@gmail.com
Owner Mailing Address 188 Governors Road
Owner City Ponte Vedra Beach
Owner State FL
Owner Zip 32082
Owner Phone (786) 623-1084
Owner Fax Field not completed.
Indicate Preferred Method of
Payment
Check
Payment Contact Email for
Debit/Credit Payment
butch.buchholz@gmail.com
(Section Break)
Licensed Inspector Information
Primary Contact is Licensed
Inspector?
No
Inspector First Name Jason
Inspector Last Name Daubs
Inspector Email Address altitudeseptic@gmail.com
Inspector Mailing Address PO Box 1534
Inspector City Eagle
Inspector State CO
Inspector Zip 81631
Inspector Phone Number 970-471-0913
Inspector Fax Number Field not completed.
(Section Break)
Uploads
11/14/2018 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&permthid=thread-f%3A1616970768179585173&simpl=msg-f%3A16169707681…3/3
Pitkin County Inspection
Form
498 S Starwood Inspection.pdf
Site Plan pitkin.eh.264335101006 (1977).pdf
Floor Plans 498 S Starwood house plan set.pdf
Additional Reports, etc.Field not completed.
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
department may revoke any permit I am issued if my application is found to contain
any inaccurate, false, or misleading information.
Email not displaying correctly? View it in your browser.
Inspection for Permit Number:POWU
Job Address Address Application
Job Street:Job City:Job State:Job Zip:
Owner
Owner First Name: Owner Last Name:Owner Corporation Name:
Owner Mailing Address:Owner City:Owner State:Owner Zip:
Owner Phone:Owner Cell Phone:Owner Email:
Permit Contact
Contact First Name:Contact Last Name:Contact Business Name:
Contact Mailing Address:Contact City:Contact State:Contact Zip:
Contact Phone:Contact Cell Phone:Contact Email:
Licensed Inspector
Inspector First Name:Inspector Last Name:Inspector Business Name:
Inspector Mailing Address:Inspector City:Inspector State:Inspector Zip:
Inspector Phone:Inspector Cell Phone:Inspector Email:
Inspector's License Number:
Parcel ID
Legal Description
Is the home currently occupied?If N: How long has it been vacant?
How many bedrooms are in the home?
Were system records available from Pitkin County?
If Y: Permit Number Date of final approval:No. of bedrooms permitted:
Was an as-built drawing available?
Is the as-built drawing accurate?
If N: Complete and upload a drawing of the system as accurately and possible
Describe change in use/differences:
(provide proof of application for an address if there is currently no address)
ONSITE WASTEWATER TREATMENT SYSTEM (OWTS)
76 Service Center Rd Aspen CO 81611
970-920-5070 Fax 970-920-5077
www.PitkinCounty.com
RECORDS
Questions For Property Owner PRIOR To Inspection:
USE PERMIT INSPECTION FORM
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.
Any questions marked FAIL or NO will require correction before an OWTS Use permit is issued.
Proper grading, no evidence of erosion:Proper vegetation cover:
NO evidence of compaction such as heavy machinery or livestock:
Proper discharges (no straight pipes):NO evidence of high ground water:
Snow cover is NOT present:
Site Conditions Pass/Fail:
TANK(S)TANK 1 TANK 2 TANK 3
Tank Capacity (gallons)
Tank Material
Number of compartments
Date of last pumping
Lids/risers
Risers to grade
Riser height
Riser condition/water tightness
Inlet Sanitary T/Baffle
Outlet Sanitary T/Baffle
Effluent Filter (if part of design)
Condition of Tank Material
Tank was pumped for inspection
If Y: List Pumping Company
If N: Date of last pumping
Scum level (1st compartment) inches
Sludge level (1st compartment) inches
Scum level 2nd compartment) inches
Sludge level 2nd compartment) inches
Backflow (if pumped)
Midtank Baffle
Water Tightness
PUMPS/DOSING SIPHONS
Is a pump or dosing siphon present?If Y: Is the pump/dosing siphon function properly?
Does the pump/wiring/dosing siphon appear to be in good condition?
Is the high water alarm working; both visibly and audibly?
Pumps/Dosing Siphon Pass/Fail:
SITE CONDITIONS
SECONDARY TREATMENT
Is a secondary treatment unit present?If Y: Does the unit appear to be in good working condition?
Does the owner have a current maintenance contract for the unit?
Maintenance Provider Phone Email
Secondary Treatment Pass/Fail:
ABSORBTION AREA
Effluent surfacing?Evidence of past surfacing?Surface dampness?
Excessive odors?
Field location verified by observation ports or probing:
Liquid in observation port?If Y: Recorded Depth (inches)
Distribution Box or ADV part of original Design?
If Y: Is it accessible from grade?If Y: Is it level and in good condition
Absorption Area Pass/Fail:
Any problems with the system that were not addressed above?
List any recommendations for the continued use of the system:
Were any repairs done as a result of this inspection?
If Y: Describe repairs
Additional Notes:
Clearly label any pictures and upload them.
To the best of my knowledge and training the information collected in this inspection is accurate.
Inspectors Signature Date:
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
PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBER 77012,
Owner Joe E. L
RECEIPT NUMBER
Phone No.
Owner's Mailing Address
Contractor )"
rn A/ PF Phone No.
Address _
4 it l? 5_ ) , - n rg
System's Contractor's Name
Address
Legal Description ill
Lot Size S;- A r -E5
L06t0
7 Srf1R wcso irk
S/0
2.o /
Type of Building by Use Si,;CtE
Number of Bedroo a of Water Supply
Owner's Signatu ^ Date
AXW35,6 7
4Z
S -
PLOT PLAN: ATTACHED AS REQUIRED
7
Type of Individual Sewage Disposal System - 0EF '#%;- t- r'^' - `-' '„ I"
Type of Soil or Soil Classification 4AYEy
Proximal Location of Bedrock '> OF
Proximal Location of Ground Water Table
EA/G/A/E&l/AIG
Percolation Test Date . - Z Minutes Per Inch EPD T
Minimum Recommended Absorption System Size 1250
Minimum Recommended Tank Size i or, A L LD
Special Conditions of Issue:
nioTlce
p When properly signed for issuance, this application
becomes your permit. Application valid one year from
date. If an individual sewage disposal permit Is issued
for property on which no building permit hes been
issued, the individual sewage disposal permit shall
expire 120 days after its issuance If construction has
not been commenced. Any change in plans or speci-
fications after the permit has been issued invalidates
the permit, unless approval is secured from the Health
Officer for uch changes
DateApprovedforIssuanceBy
3
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