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Home My WebLink AboutPitkin.EH.246734400014 (2019)7/2/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application https://mail.google.com/mail/u/1?ik=c2c72bb885&view=pt&search=all&permmsgid=msg-f%3A1637897164820543104&simpl=msg-f%3A16378971648…1/3 Bryan Daugherty <bryan.daugherty@pitkincounty.com> Online Form Submittal: Property Sale/Remodel Use Permit Application noreply@civicplus.com <noreply@civicplus.com>Mon, Jul 1, 2019 at 4:34 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 24673440014 Physical Address 1472 Snowmass Creek Road Residences 1 No. of Bedrooms 2 Square Footage of each Residence 1050 Purpose of Use Permit Property Transaction Closing Date Field not completed. Lot Field not completed. Block Field not completed. Filing Field not completed. Subdivision Field not completed. (Section Break) Primary Contact Information Primary Contact First Name Jennifer Primary Contact Last Name Chrysler Primary Contact Email Address ctcjjchry@aol.com Primary Contact Address 518 East 88th Street Primary Contact Phone Number (917) 608-2637 Primary Contact City Apic New York Primary Contact State New York 7/2/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application https://mail.google.com/mail/u/1?ik=c2c72bb885&view=pt&search=all&permmsgid=msg-f%3A1637897164820543104&simpl=msg-f%3A16378971648…2/3 Primary Contact Zip 10128 (Section Break) Owner Information Primary Contact is Owner?Yes Indicate Preferred Method of Payment Check Payment Contact Email for Debit/Credit Payment ctcjjchry@aol.com (Section Break) Licensed Inspector Information Primary Contact is Licensed Inspector? No Inspector First Name Joseph Inspector Last Name Zamora Inspector Email Address gerryzamora@msn.com Inspector Mailing Address P.O. Box 754 Inspector City Carbondale Inspector State Colorado Inspector Zip 81623 Inspector Phone Number (970) 379-7171 Inspector Fax Number (970) 963-1399 (Section Break) Uploads Pitkin County Inspection Form Scan_07-01-2019.pdf Site Plan Scan_07-01-2019.pdf Floor Plans Scan_07-01-2019.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 7/2/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application https://mail.google.com/mail/u/1?ik=c2c72bb885&view=pt&search=all&permmsgid=msg-f%3A1637897164820543104&simpl=msg-f%3A16378971648…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. ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) n USE PERMIT INSPECTION FORM �1 76 Service Center Rd Aspen CO 81611 970-920-SO70 Fax 970-920-5077 www.PitkinCount .com Inspection for Permit Number: POWU ob Address (provide proof of application for an address if there is currently no address) Address Application ab street: 11472 Snowmass Creek Road I job city: Old Snowmass Job State: Colorado lob zip 81654 )caner First Name: iennlfer )wner Mailing Address: )caner Phone: t917) 608-2637 Permit Contact -ontact First Name: ennifer -ontact Mailing Address: Contact Phone: (917) 608-2637 Licensed Inspector Inspector First Name: Poseph Inspector Mailing Address: Owner Last Name: 18 East 88th Street o' Owner Cell Phone: Contact Last Name: 18 East 88th Street ., Contact Cell Phone: Inspector Last Name: .O. Box 754 Inspe ector Phone: (970) 963-1399 Inspector Cell Phone: pector's License Number: 132631TC -cel ID rysler city: oic New York owner Corporation Name: owner State: N.Y. owner Email: +riirhrirr ontact Business Name: New York contact State: N.Y. ContactFinaik: friir•hn,r/ ra Inspector Business Nat arbondale Inspector State 379-7171 inspector Email: Igerr Owner zip: 10128 .com Contact zip:10128 )1.Com fora Excavating, Inc. Inspector zip: $1623 ra@msn.com -egal Description Parcel of land in Tract 82 Sec 34 T8S R86W of the 6th P.M. % copy of this inspection will be remitted to Pitkin County Environmental Health Department by the Licensed Systems Inspector within 60 days of the nspection regardless of whether the system passes or fails. Questions For Property Owner PRIOR To Inspection: Is the home currently occupied? es If N: Haw long has it been vacant? How many bedrooms are in the home? Were system records available from Pitkin County? IYes 1 - f Y: Permit Number IlDate of final approval: 07/27/84 No. of bedrooms permitted: 1 Alas an as -built drawing available? es s the as -built drawing accurate? es f N: Complete and upload a drawing of the system as accurately and possible ❑ nPcrrihP chanee in use/differences: CONDITIONS Any questions marked FAIL or NO will require correction before an OWTS Use permit is issued. Proper grading, no evidence of erosion: PASS Proper vegetation cover: No evidence of compaction such as heavy machinery or livestock: No discharges (no straight pipes): PASS v cover is NOT present: No Conditions Pass/Fail: PASS NO evidence of high ground water: No ITA ruVic I TANK 4 TANK 2 TANK 3 1 Tank Capacity (gallons) 1000 Tank Material Concrete Number of compartments 2 Date of last pumping Lids/risers FAIL FAIL FAIL Risers to grade Riser height NO 12" NO NO Riser condition/water tightness Inlet Sanitary T/Baffle PASS FAIL FAIL outlet Sanitary T/Baffle Effluent Filter (if part of design) PASS Lj FAIL FAIL NIA NIA N/A Condition of Tank Material PASS FAIL FAIL Tank was pumped for inspection If Y: List Pumping Company YES Independent Env. Service NO NO If N: Date of last pumping Scum level (1st compartment) inches 1 Sludge level (1st compartment) inches Scum level 2nd compartment) inches 81f 0 Sludge level 2nd compartment) inches Backflow (if pumped) Midtank Baffle 4" FAIL FAIL FAIL N/A NIA N/A Water Tightness FAIL FAIL FAIL NG SIPHONS Is a pump or dosing siphon present? -E s If Y: Is the pump/dosing siphon function properly? Does the pump/wiring/dosing siphon appear to be in good condition? / � rj Is the high water alarm working; both visibly and audibly? l i c / Pumps/Dosing Siphon Pass/Fail: J j,7Sj CIEs TREATMENT Is a secondary treatment unit present? Unko-" If Y: Does the unit appear to be in good working condition? No Does the owner have a current maintenance contract for the unit? Unkovv Maintenance Provider Phone Email Secondary Treatment Pass/Fail: NIA 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? NO Evidence of past surfacing? NO Surface dampness? Excessive odors? NO Field location verified by observation ports or probing: NO Liquid in observation port? NO If Y: Recorded Depth (inches) Distribution Box or ADV part of original Design? No If Y: Is it accessible from grade? NO If Y: Is it level and in good condition NO Absorption Area Pass/Fail: PAS Any problems with the system that were not addressed above? There is no alarm at the dump station. st any recommendations for the continued use of the system: arm must be installed with an alarm float. An alarm wired must be buried from the tank to the house. sers from both tanks must be brought to grade. sere any repairs done as a result of this inspection? Y: Describe repairs i s isers were placed oh both tanks and brought to grade. Aditional Notes: recommend that an alarm be installed prior to final approval. label any pictures and upload them. o the best of my knowledge and training the information collected in this inspection is accurate. Si Sarre Form for Submittal Reset this forrtt Date: RE Print this form