HomeMy WebLinkAboutFile Documents.309 Oak Ln.0021-2022-BRES (32) prom
rCOVNI4 PITKIN COUNTY SPECIAL WASTE APPROVAL FORM
SOLID WASTE CENTER
This form is to be used to describe soils and/or cleanup materials which have been contaminated. The material being
delivered for disposal at the Pitkin County Solid Waste Center can contain no free liquid and cannot be a hazardous
waste under state or federal authority. All of the following information must be supplied:
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Name of Generator: l.Jv'i S GuYT woorke- ask -- 051-
Mailing Address: c=oc;k Oqk 11 v Q City: Ave" State:Co Zip: g«/j
Address of Contaminated material: 3Cn, Oak. City: /'C'S
Telephone:11 R-c9-9 et Fax: Email:
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Contact Person: C oui h e?'c rill.$ Company: � �'1tx Unvt WO KS
Signature: _�: � \ _ Date: tI ($1 �,2
� L . 1 \
Truck company hauling in:Yv41 WK.S Date expected to start haulin I -2:.
Charge to Account*: I' ki k/'c • or check* Name on check:
*Charge accounts must be set up prior to hauling. Check must be at landfill with first haul but may be left open to run for a week at a time.
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ALL materials* must have Analytical Lab Data submitted and approval given before material arrives at
landfill. Date submitted: D via email Cathy.Hall@PitkinCounty.com D via f x 970-923-2043
*Soil from the Smuggler Superfund Site does not need labs submitted unless the City of Aspen has r quired additional
testing. We require a signed approval copy of COA's "Smuggler Mountain Superfund Site Soil Rem val Permit"
Date Received:
Volume or Tons of Waste: 9-50 ,, Yards ❑Tons
Description of Waste: Erf-sWo•MOIN riiV-¢.t-tau(
Date(s)of Waste Generation:
Source of Waste: ❑Spill ❑UST ❑AST ❑Non-friable Asbestos ❑Other:
If bringing in used Waste Containers have they been triple rinsed; D Yes ❑NA
Reviewed and approved by Pitkin County by: Date:
Notes/Conditions: •
A copy of this approved form will be returned to you. Fax or Email:
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1st Date Accepted at Pitkin County Solid Waste Center: Last Date:
Run report for project. Total Tons: RECEIV Copy the report to Tom Dunlop(Pitkin County)and Aaron Red(City of Aspen) RECEI V D
01/19/202
ASPEN
BUILDING DEPARTM NT
City of Aspen and Pitkin County
SMUGGLER MOUNTAIN SUPERFUND SITE SOIL REMOVAL PER IT
Building Permit Number:__
No person shall undertake or conduct any activities or development withi i the
Smuggler Mountain Superfund Site (Site) involving the excavation or expo.ure of
more than one (1) cubic yard (cu yd) or 1.125 tons of soil without first obti fining a
permit from the Director of the City of Aspen Building Department or the l irector of
the Pitkin County Building Department. They shall be subject to the requirements.
set forth in Institutional Controls, Section 7-143 in the City or Section 8-1 i the
County.Activities or development involving excavation of less than the amount of
soil mentioned above shall also require a permit,but with less handling
requirements than soil volume equal to or in excess of 1 cu yd or 1.125 ton..
Contaminated soils removed from the Site may only be taken to the Pitkin ounty
Landfill for disposal. Reference the Pitkin County Special Waste Approval Form-
attached.The owner or owner's representative must complete Affidavit's 1 and 2
with a notarized signature- attached.
Property owner: Chris Campaigne
Phone number(s): 719-293-0513 •
Mailing address:
Contractor name:_SH BUILDING GROUP
Describe activity that will take place: Remove existing construction, foundation,
fence, shrubs,landscape and gravel. Build a new single family home and landscape
Depth of excavation:`t'PSurface area disturbed (cu yds or tons)
Cubic yards/tons of material to be excavated: D50\r(.S
Cubic yards/tons.of material to be retained on property: 0 ••
Cubic yards/tons of material to be disposed of off property: DSO LA) NioS
How long will excavated material be exposed on surface? 14 j'- 4 WEEKS r
RECEIVE
101/19/202
ASPEN
BUILDING DEPARTMENT
How will the applicant identify and segregate clean soil (soil with a total lead
content of 999 parts per million [ppm] or less) from contaminated soil (soil with a
total lead content of 1,000 ppm or higher) during the excavation or development
• period?
How does the applicant plan to backfill, cover,and re-vegetate contaminated soil left
on the property?
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I applicant agree to comply with all 'er ormance tan.ards, Sol s esting, an.
• Inspection and Maintenance as described in the Institutional Controls adopted by
the City of Aspen and Pitkin County:YES X NO •
vEHiCLES I Submit an updated version of this entire form complete with •
SOIL TO EF affidavit #1 and #2 including signatures and notarization. Please
also complete all spaces on page 2 of the submitted application .
VEHICLES'.The form can be found on
EXACT SIR https://www.cityofaspen.com/DocumentCenter/View/623/Dirt-Movin
CONTAMIN g-Permits-PDF?bidld=
Director/Manager). •1,
Applicant's Signature:
Date: l r4 �2— •
•
RECEIVE )
61/19/2022
• ASPEN
BUILDING DEPARTMENTS