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HomeMy WebLinkAboutPitkin.EH.264335101006 (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 #: 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 NAL INSPECTION APPROVAL ate ing of System on Back) 2- ISa9aLL.6,4"Coft4mD 00NCkLTE S3 rTr TANKrr WITNGvr 6*Ftet a7olt.. 2S1 -„ y m not x" VON on } s t t = F r 150 b toy 0 4 � a r