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HomeMy WebLinkAboutPitkin.EH.246716301002 (2019)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 #: 2467-163-01-002 OWTS Use Permit #: 0078.2019.POWU Date Issued: 11/20/19 Issued By: Bryan Daugherty Expiration Date: 11/20/20 Owner(s): Alex Burchetta Property Address: 647 Holland Hill Rd Legal Description: Licensed Inspector: Brian Flynn Inspection Date(s): 11/13/19 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit 2 compartment concrete tank 1250 gallons Secondary Treatment Unit Absorption Area Pipe and Gravel Trenches 495 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 #: 88020 Date of Issuance: 5/31/88 Date of Final Approval: 7/21/88 # of Bedrooms or fixtures served by OWTS: This system was originally designed to serve 3 bedrooms, however the sizing of the system was reviewed prior to the approval of an ADU and it was determined to be large enough to accommodate 4 bedrooms. (BOCC Reso #92-98 #344180) Operational Status: According to the inspector’s observations on site during the inspection the system appeared to be functioning as designed. The tank was in good, watertight condition with tees in place. The field area did not show signs of failure. Inspector Recommendations: Clean effluent filter at 6-12 month intervals as needed. Department Recommendations: N/A 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. 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 18, 2019 at 7:50 AM 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 246716301002 Physical Address 647 Holland Hills Rd Residences 1 No. of Bedrooms 3 Square Footage of each Residence 2363 Purpose of Use Permit Property Transaction Closing Date 12/16/2019 Lot 43 Block Field not completed. Filing Field not completed. Subdivision Holland Hills (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 Colorado Primary Contact Zip 81623 (Section Break) Owner Information Primary Contact is Owner?No Owner First Name Alex Owner Last Name Burchetta Owner Email Address alexburchetta@gmail.com Owner Mailing Address 647 Holland Hills Owner City Basalt Owner State CO Owner Zip 81621 Owner Phone 9703092317 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 647 Holland Hills Use Permit 2019.pdf Site Plan 647 Holland Hills Use Permit 2019.pdf Floor Plans 647 Holland Hills Floor.pdf Additional Reports, etc.467 Holland Hills Pics.docx 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. 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. ��(TK I N Onsite Wastewater Treatment Systems (OWTS Permit Inspection Form COU ry f Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 I Inspection form for continued use of an existing OWTS Owner's Name: Address: Parcel Number: Inspection Date: Inspector's Name: Business Name: Phone Number Email: Pitkin County Systems Alex Burchetta 647 Holland Hills Rd 2467 163 01 002 November 13 2019 Brian Flynn All Valley Resource B300-3309 nn245@comcast.net Inspector License Number: 122 Use A coey of this inspection rt willbe emitted tPitkin LountyE 1 t l HealthDepartment b the Licensed Systems Inspector within 60 days of the instjon mqardless of whether the system Passes or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? OYES [:]NO If how long has the home been vacant? How many bedrooms are in the home? 3 If secondary treatment is used, who is the maintenance provider? I n/a RECORDS: Were system records available from Pitkin County? [DYES [:]NO If YES: Permit number: 02.0 Date of Final Approval: 7/21/88 # of bedrooms permitted:0 Was an as -built drawing available? OYES ❑NO Is the as -built drawing accurate? ❑• YES []NO If NO: Complete a drawing of the system on lostpage of this form as accurately as possible. Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? • PASS PFAII 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 Page 1 Effectlw Date 1/12I2017 TANK: Tank 1 Tank 2 Tank 3 Tank capacity 1,250 Igallons gallons gallons Tank material concrete #of compartments 2 Date of last pumping 11-13-19 Uds/risers in good condition Pass Select One Select One Risers to grade Yes Select One Select One Riser height 12" prim 16" seed Riser condition/watertightness yes Inlet sanitary T/baffle Pass Select One Select One Outlet sanitary T/baffle Pass Select One Select One Effluent filter (if part of design) Pass Select One Select One Condition of tank material Pass Select One Select One Tank was pumped for inspection Yes Select One Select One If YES, list the pumping company All Valley Resource If NO, when was the last pumping Scum level (1st compartment) inches inches inches Sludge level(lst compartment) inches inches inches Scum level (2nd compartment) inches inches inches Sludge level (2nd compartment) inches inches inches Backflow (if pumped) Pass Select One Select One Midtankbafje Pass Select One Select One Watertightness Pass Select One Select One PUMPS/DOSING SIPHONS Is a pump or dosing siphon present? If YES, is the functioning • YES NO pump/dosing siphon 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? Does the owner have a current maintenance contract for the unit? HYES YES NO NO❑UNKNOWN Maintenance Provicler;[no I Phone: 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. 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 YES, record depth: Distribution Box or ADV part of original design? If YES, is it accessible from grade? Is it level and in good condition? PASS FAIL ❑• NO BYES YES PNO[:IYES robing YES hes NO YES • NO PASS FAIL Page 2 Effective Date 1/1212017 'lease list any recommendations for the continued use of the system: clean outlet filter every 6 and 12 months Were any repairs done as a result of this inspection? '❑NO ❑ YES To the best of my knowledge and training, the information collected in this inspection is accurate as of 11-13 ME] Licensed Systems Inspector Signature: Clearly label any Pictures and attach them to this for.. Save Form Clear Form Ed Page 3 Effective Date U1212017 r . PN ABPEN*PITKIN ybi-43-61-00&, EP4 MENTAL HEALTH DEPA ENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO- SPJ�<D TYPE OF PERMIT: l tlal Canneruetlon (leoergenq Yu ( IAePalr week.(Pinvlaus Pere[t 1 .) 1 )SI[ne.tlon of a existing .Yrten, 1 )Ys as . u Pe[nit at [.twit of Sala ( IOtDan g ISSUED TO: _ DATE OF ISSOE-.5-3I -88 Owner DoUGLA 5 K + Sus„t, �LCKilame Phrmega7 -330 , Business PhoneCi a.t- l �!_I _qj I Ma Prn 3304 - A -SD" 816( a Mailing Address Sewage Disposal System Work to be performed by This perelt vvolld only in' Pre.I.e. Inc.tlon by the ta'lXwi"Illegal doerrlptl[nes N(JLi4[In 11.1/{ , <L16 Wf Silt MATCH BDPPLY M']I' aL10 M S MI. W RKRM.0 ICIKOGTim, RATR tt � "'a Individual Beuoga 01spos•1 Perult I. granted with regard to the following u el 5i4CI4 F4lnn_y )Zaps da+ALQ. ' butlgr or. Budr.. 3, loft._t1 Dacbag'e1 Disposal. �� Ofahu—nora 1 Clothe. washer. } CALCUNTfa Avrthu DAILY heart LAAp Y`l1. (:AOhs. THE NATURE OF THE SYSTEM INCLUDED UNDER TRIS PERMIT: TYPO of Tank or Tceatnsnt suit, Lfaucufe r*pg— Tank rayarlt .us _Wllon aLni Mthnd of yin.[1 el.posala 44F. ' lr"AJ[,Itt> mus."le6 Me.�L � Bqu [e fete alnlmm fAese[lptlon Ilneludiny brvnd naMe It aaYl et other squlpeent or a1lWiteaegaat E Other Conditions or Speelfle.t[wu NAW0i4N) SbfB•Qf;Li fepN X-94A .eriWs) DITc.M I VAT-dit. L.IP+4{ qN/I UEIC. SEE 0ebl)uYnaa�s� STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: 1 ).for. ...—ti.h ( )Upon ruDlecion Of eteavatlov and pr[gr to pl.U[•ant of g,.—I 1 )..faro rnvering distribution ryt[o of e4fo[ptlgn (bid J161lor to backflll of any m.ponent 1 )ethers sf,eei[y[ . Plans an.l apeglf )ref loos of `M Pmne.ad r wee die, t eyeton navq ben. ne,ew6 and R. mnrltlered antlalnetern. Pennlsnlen .erebY gran Mp I. tl,n o r M1u ..... t P"fora tM vo[k [n.11cated aMva I. a 14—eu ui Ih the Ptttin [a eY I., ,dual Bawgn U[n(gaal e•ndnttewnJ. q(f,t q t,, aa[e of latw. In addlt[an to 9enerel Pravlsiena set (grtM1 on [Im rave a M1etcerr Mid Parml[ L eunleee to the I. lovtngnstld[elgnLL tn[nr and eun,"Reel APPROVED FOR ISSUB BYaa - (title) 6)01 )itEU'Ip(, I- 11 (J/PCfJL The aMve Individual •a —, di.pas•1 yet.. installed b use even L.onet:ygetgd 1.ra . ny • reprremut.w .f tea n rwpuillly in R... ai fall... or ...dvymey of tote DATE OX.FIt;AL INSPECTION '71 B'f a ayt[q. to.11.1..rLolll droving attnehod. 130 SDueh Golbnn Sweet An,—, Cal ... do 8161, 300'525-2020 ASPENdSPITKIN y#2-163 ENVIRONMENTAL HEALTH OEPAq ENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL• PERMIT Name of OWNER ,�„ a 1, -��I-�l,�t� {�c.5 PHONE 3 ,�2 % 3 -36Q Address of OWNER Name of APPLICANT `'�12 PHONE 9a51a'aoeK�4 RMfT i0 pE. (i[Plttrd 1, 1 Ilmilad to. zz,yr ar ppplR. pew Imtallmtlon ( )Repair I )Door[ f )"",))cant . i IfaergencY Ose ( )Alteration NO, due to [shuts t4CXT1M M pecposm) STSIM, fe0a1�.1M-r lct'LPtlen See -K Y SI.k .))lope pubdlvialon It sit. of tub TYPE my STUXTURtt 1 4 SIMI* really Swelling 1 )Others Im YOU plan any further additlena to the `• r� ...I".? ( )YES P00 ) M. of *o seas_ M. Of Wt" CJ M. of Garbage DEspeula _1� M. of AutOmetic Dishwashers / a0. of AntWLtic clothe. MiMr[t I 'Il.'IV'-� /� 1' WATER SOPItTt I )Privets sell, Depth er 1 Imli.. pane of ST... k U.ffl t ["M. f lePrLnq 1 )swam. or croak TREs p INDIVIDUAL Scan. OISPOSAL STSTEn PROroSnn 0Septle Tank/Abtarptien Field I )Aeration Plant/AMarption (Laid 1 lConamating Toilet 1 )Incineration Toilet I )Am ed I )McycILM, Potable US* 1 IMryclinq, other M. 1 iv..It "Awy 1 )Other, Spa initial site inspection mutt he arienged with the /open/Pltkin Environmental Health Department 1935-1020, 1t30-900 a.m.) Wort t pormlt can M Issued. The individual ...go di.Po .1 marsh must be Issued befora a ""ding permit can be obtained. FINAL, IKSPehlON APPROVAL must pa Close pT THE ASPEp/PITSIR .1,, ,,T" %,,," DUM,,,, MIOR To pAERPiL'.1ND My "ATIOS OT THE STSTEN. Application for an Indlvidwa{ up. disposal permit I. hereby .uMitted. The uMoroi ... d acknowledge. that the am. Lnfarmatlen 1. true end that (.lw IOfOTmpt�an w nvdldato the application and any Subsequent parmlt. Siputur. o1 A"ILr.., �•Il\I \Y)1) sare p ITCis .,Pit ... I.. betwes. Invalid it aam from tb..eeve do...) NOTE: PLOT PLAN must be filed with this application. Please locate the following it.. by measured distances[ 1. Property lines and dimensions. ]. Proposed and existing water molls on subject property and adjacent property. 1. Domestic water service lines. 4. Proposed and existing buildings, driveways, and other structures. S. Streams, lakes, ponds, irrigation ditches, and other water courses. S. Proposed and existing individual semago systems an subject property. SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL PLAN. TM Undersigned MASSY aeknewledges r*ceipt of this individual naves* dlape.al permit application and a permit too In the mosent of S TJ 6f. °� Mcalpt "weer Mt. roe MCOLVAd C�.by i' /., C M administration Officer T30 B..ch Oalann a ... Or Ampmn, Colorado 8161, 303/925-2020 Del � SG acaco6?B.SBVAC. TAAL _Ai 3f T'wip6 YA 5spkfir1 PD i� --P+ — SaALC- t =Zo' Outlet Inlet – water level normal Lids and filter umpedoa wipadsul Buipl!ng 0yx 5 6 di W i W is W Eli r S r�Y CL +� val(aumol� L�1 A �-_-- ✓j V a r�'-a W a W o ce O m_ rn a �- 1 0 in W E �r 10. ca- 0 Sil LA-. try 4:w ' = ref • � t,7 b l�. •�� +r bco ©� ,o Z 12