HomeMy WebLinkAboutPitkin.EH.272904300007 (2019)
ONSITE WASTEWATER TREATMENT SYSTEM (OWTS)
CONSTRUCTION PERMIT
76 Service Center Rd· Aspen, CO · 81611
Phone: 970.920.5070 Fax: 970.920.5374
Permit #: 0028.2019.POWT Parcel ID #: 2729-043-00-007
Permit Issued: NEW REPAIR REMODEL/ADDITION TANK ONLY FIELD ONLY AMENDMENT
Owner(s): Sheila Gray
Property Address: 15237 Hwy 133
Legal Description:
Size of Lot: 2.3 Acres Detached Accessory Unit: YES NO
Size of Building: 1612 Sq. Ft. Size of Accessory
Unit: Sq. Ft.
This system will serve 4 bedrooms
Designed By: N/A Project #: Dated:
Phone #: Mailing Address:
Fax #: Email Address:
Perc Rate: Profile Hole Depth: Depth to Groundwater or
Bedrock:
Minimum Tank Capacity: 1250 gallons Minimum Absorption
Area:
ft2
Permit Conditions:
This OWTS Construction Permit is approved on the condition of compliance with the engineer design as submitted with the application and the
specifications cited above. Changes must be approved by this Department and the engineer prior to construction.
The existing tank has collapsed and must be replaced. The old tank must be pumped prior to being wither removed to
crushed in place. A new 1250 gallon tank will replace the old tank. Inlet and outlet tees must be in place with an effluent
filter in the outlet tee. Risers must be accessible from grade. New tank should be placed near the general location of the
previous tank. New tank must maintain minimum setbacks, 10’ to property line, 50’ to any well, 5’ to the home, and 100’ to
a waterway.
This Permit must be kept on-site during installation. The engineer must do a final inspection of the installation and submit an "as -built" letter to this
Department within 30 days of the final inspection, unless a longer period of time has been agreed upon, in writing. This Department must also be called
for the final inspection with a minimum of 48 hours notice.
Minimum horizontal distances between components of the system and physical features shall conform to the requirements of the Pitkin County OWTS
Regulation.
This Permit is conditioned upon the property owner(s) providing for regular inspection, cleaning, and maintenance of the syst em by qualified personnel, in
accordance with the manufacturer's recommendations and the requirements of the Pitkin County OWTS Regulation. Issuance of this OWTS Construction
Permit does not constitute a guarantee, warranty, or representation by the Department that the system will operate properly or will not fail. Issuance of
this permit does not imply compliance with Pitkin County building and/or land use regulations, nor guarantee issuance of building and/or land use permits.
THIS PERMIT IS EXPRESSLY CONDITIONED UPON COMPLIANCE WITH ALL REQUIREMENTS OF THE PITKIN
COUNTY OWTS REGULATION, INCLUDING BUT NOT LIMITED TO THOSE CONDITIONS SPECIFIED ABOVE.
Plans and specifications for the proposed OWTS have been reviewed and are considered satisfactory. Permission is
hereby given to the property owner(s) to perform the work indicated in accordance with the Pitkin County OWTS
Regulation. This Permit will expire 1 year from the date of issuance unless construction on the system has commenced.
An "as-built" drawing must be submitted and approved by EH before final approval of the system will be issued.
Issued By: Bryan Daugherty, REHS Date: 9/16/19 Expires: 3/16/19
Installer: License #: Reactivation Authorized by:
Final Approval Issued By: Date: New Expiration Date:
EH
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Septic (OWTS) Construction/Repair Permit Application
Job Parcel lD* Physical Address* System Type*
07 1.._5._ 237 Highway 13"327290430fl0_i0_1_f_S (Septic) '
Residences* Repair Type*
_Tank Only
Lot Block Filing
Attached descriptioi
Is this a multi-
family structure?
0 Yes
* No
Lot Size* Living Area Square Footage
2.3 acres_
11,612
Uploads
Site Plan* Building Floor Plans*
Browse... Browse...
Septic Soil Report
I Browse...
Soil Testing Notification and Report (must
be provided by a competent technician as
defined in OWTS regulations). Soil Testing
Reports are necessary for field area
installations, but are not necessary for
tank installations.
Type of Permit*
Existing System i j
No. of Bedrooms*
14
Subdivision
None
System Design*
Browse...
A separate soils report is not necessary if
included in the System Design document.
Select Language
Additional Reports, etc.
Browse... I * indicates a required field
Primary Contact Information
Primary Contact First Name* Primary Contact Last Name (Or Company
Name)
Sheila �-
Gray
Primary Contact Email Address*
206sg@comcast.net
Primary Contact Primary Contact
Phone Number* City*
17203632425 ! Delta
Primary Contact Address*
11231 1650 Road
Primary Contact Primary Contact
State* Zip*
_13 181416
Primary Contact Information (If other than Owner)
Primary Contact is Owner?
,,4i� Yes
No
Indicate Preferred Payment Contact Email for
Method of Debit/Credit Payment*
Payment*_--_--
206sg@comcast.net
O Check
V Debit/Credit Card
Designer Information
Primary Contact is Designer?
Yes
No
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.
... ....................
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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.
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0 Receive an email copy of this form.
Email address
206sg@comcast.net
This field is not part of the form submission.
Select Language V
EXHIBIT "A"
That part of the SE 1/4 SW 1/4 of Section 4, Township 10 South, Range 88 West of the Sixth
Principal Meridian lying Westerly of Colorado State Highway #133 more particularly described
as follows:
Beginning at the NW corner of SEI/4SW 1/4, Section 4, Township 10 South, Range 88 West of
the Sixth Principal Meridian, thence Easterly along the Northerly Line of said SEI/4SW1/4 to a
point on the Westerly right-of-way line of State Highway 133, thence Southerly and Westerly
along the West right-of-way line of said right-of-way to a point on the Westerly line of said
SEI/4SWI/4, thence Northerly along Westerly line of said SEI/4SW1/4 to the NW corner of
said SE1/4SW1/4 to the Point of Beginning.
COUNTY OF PITKIN, STATE OF COLORADO
TAP SEW
Septic Tan ^^ffy
2 ti
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'�ei 68,E
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Nth HTT
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1250 Gallon
vIEW ---"
SIDE 24"
4. LL-1 Thickness 4' Outlet
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14" kir Space
ra
4-3.5<-igUid
=�.C�417 Gallons
839 Gallons 3^
3SFtvtu Ti±irs�ess Monolithic Poured Concrete
2-112" Taper
This is proprietary information, and remains the property
of Del Zotto Products of MinnesoM, Inc. 'These Drawings
and Dimensions have been drawn especially for:
#i& Time Tam
r 8640 Hwy 50
. 91425
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