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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 #: 2643-351-06-004
OWTS Use Permit #: 0003.2020.POWU
Date Issued: 1/29/20
Issued By: Bryan Daugherty
Expiration Date: 1/29/21
Owner(s): Colorado Max Re Trust 1
Property Address: 606 S Starwood Dr
Legal Description:
Licensed Inspector: Jason Daubs
Inspection Date(s): 1/8/20
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit 2 compartment concrete tank 1000 gallons
Secondary Treatment Unit
Absorption Area unknown unknown
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 #: N/A Date of Issuance: N/A Date of Final Approval: N/A
# of Bedrooms or fixtures served by OWTS: System records not available, system is currently serving 3 bedrooms.
Operational Status: According to the inspector’s observations on site, the system appeared to be functioning as
designed. Due to the depth of the tank installation it is very difficult to add missing inlet and outlet tees. The field area
is unknown but the general area assumed to be the field area did not show signs of failure.
Inspector Recommendations: It is recommended to add inlet and outlet tees to the tank.
Department Recommendations: If tees are added an effluent filter should also be installed.
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.
1/14/2020 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%3A1655677160550544319&simpl=msg-f%3A16556771605…1/3
Bryan Daugherty <bryan.daugherty@pitkincounty.com>
Online Form Submittal: Property Sale/Remodel Use Permit Application
noreply@civicplus.com <noreply@civicplus.com>Mon, Jan 13, 2020 at 9:39 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 264335106004
Physical Address 606 s starwood
Residences 1
No. of Bedrooms 3
Square Footage of each
Residence
2314
Purpose of Use Permit Property Transaction
Closing Date Field not completed.
Lot R-66 STARWOOD NINE
Block Field not completed.
Filing Field not completed.
Subdivision Starwood
(Section Break)
Primary Contact Information
Primary Contact First Name Jason
Primary Contact Last Name Daubs
Primary Contact Email
Address
altitudeseptic@gmail.com
Primary Contact Address PO Box 1534
Primary Contact Phone
Number
9704711330
Primary Contact City eagle
Primary Contact State co
1/14/2020 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%3A1655677160550544319&simpl=msg-f%3A16556771605…2/3
Primary Contact Zip 81631
(Section Break)
Owner Information
Primary Contact is Owner?No
Owner First Name COLORADO MAX RE TRUST 1
Owner Last Name Field not completed.
Owner Email Address kbspence@compass.com
Owner Mailing Address 300 N LASALLE ST #5350
Owner City Chicago
Owner State IL
Owner Zip 60654
Owner Phone 9706185352
Owner Fax Field not completed.
Indicate Preferred Method of
Payment
Debit/Credit Card
Payment Contact Email for
Debit/Credit Payment
altitudeseptic@gmail.com
(Section Break)
Licensed Inspector Information
Primary Contact is Licensed
Inspector?
Yes
(Section Break)
Uploads
Pitkin County Inspection
Form
606 S Starwood Dr. Inspection 2020.pdf
Site Plan pitkin.eh.264335106004 (2015) Site plan.pdf
Floor Plans pitkin.eh.264335106004 (2015) Floor plans.pdf
Additional Reports, etc.Field not completed.
Comments or additional
information:
Site Plan and House plans on file.
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
1/14/2020 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%3A1655677160550544319&simpl=msg-f%3A16556771605…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.
[Quoted text hidden]
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
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If no as -built drawings exist for this system or the as -built was inaccurate, please diagram the system as
accurately as possible. Be sure to document all system components and the location of any well on the
property. Using markers such as corners of the house, exact measurements can be used to triangulate
the location of the system components for future reference.
Page 4
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