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HomeMy WebLinkAboutpitkin.eh.246726100009 (2011)(EDU)Document Layout (From Most Recent to Oldest Permit) Permit Application Log Sheet/Notes & Photos Communications As -built Design Engineer Design Soil Information Water Permit & Information Second System on property Third System etc. Floor Plans Please See Building and Land Use Approvals Files for additional information. �11MIN COUNT' Pitkin County Environment alth Department Onsite Wastewater Treatment Sym (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcell!) #: 2467-261-00-009 OWTS Use Permit #: 0038.2011.powu Date Issued: 10/14/2011 Issued By: Bryan Daugherty Expiration Date: 10/14/2012 Owner(s): I Galardi Group Property Address: Gravelless chamber trenches 1621 Lower River Road dltQk ne Legal Description: Lot 13 Aspen River Valley Ranch Subdivision Licensed Inspector: Roger Maynard Inspection Date(s): 10/12/11 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete, two compartment tank 1500 gallons Secondary Treatment Unit n/a n/a Absorption Area Gravelless chamber trenches 750 square feet (42 Standard Infiltrators) 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 #: 94022 Date of Issuance: 4/27/1994 Date of Final Approval: 5/2/1994 # of Bedrooms or fixtures served by OWTS: 3 bedrooms in the new ranch house, plus 2 bedrooms in the 2 story ranch house and 1 bathroom in the barn. The office in the 2 story ranch house was never intended to be used as a bedroom. Operational Status: At the time of the inspection the system appeared to be working properly. The 1500 gallon 2 compartment tank was not pumped at the time of inspection because it had been pumped recently (10/1/09). The tank was in good condition with both inlet and outlet tees in place. The tank flowed to a distribution box which is not accessible from grade which evenly distributed the effluent to the infiltrator field. The field did not show signs of failure or surfacing. The system serving the main home was not inspected at this time. Inspector Recommendations: None Department Recommendations: This department recommends adding an effluent filter to the outlet of the tank to prevent solids from entering the field area and causing a premature failure of the system This department also recommends periodic (yearly) inspections be performed on this system by a Licensed Systems Inspector to assure proper functioning. Issuance of this OWrS Use Permit is based solely on the conditions observed and reported by the inspector to the Department on the date of the inspectionlsf 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 property 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. C; I J Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION COLI N TY t • �� 0405 Castle Creek Road, Suite 10 - Aspen. CO 81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.com/ehnr Application for Continued Use of an Existing OWTS Parcel IDH (available tram the Pitkin Cmfdy Assessors Office 970-9205160 or at www.Pitkinassessor.orq): _ // _ 2 / � � 2 (4 1 _ ��rn1 O © V © Q' ContacUV pplirant Mailing Address: City, Stale, Zip' i ` Purpose of Use Permit ❑PROPERTY TRANSICIION ❑ REMODEUADDIfION Cell Phone: 0170 OVA 122 Property Address Lowe — �,veJZ (� Q Qc,ACI Email Address G 2 o`i cot's Indicate Preferred Method of Permit Receipt. Email ❑ Fax El US Mail Lot: Block: Filing. Subdivision: - Plane Number Email Address'. 13AlL (34 2 S +%`ln� 970 9ZD Z0601 Residences'. Other /✓1.� Wa�`1 G2� '� # of Bedrooms: 3 fixtures/uses. REAn RFFORF SICNING: I certify that the above Informed Is complete and accurate and that I have provided complete and accurate information in all of the documents Included In my application pac I ac owledge that this department may revoke any permit I am issued if my application is found to contain Property Owner(s)" Email Address. Owner Signature (Requi {} f QOIr Dale' Ovmefs Mailing Address: "7700 eul e C %e Rtu Ciry, State, Zip: #6so a ': 2z Home Prone: A— pplicant Signature: Business Phone: Date'. 'Contact inMrmation must be provided for the owner signing this application. Primary taU PersaVApplicam (R rat owner): Company ContacUV pplirant Mailing Address: City, Stale, Zip' o . a 3-7 A s0eK-,) Go 6 l Cell Phone: 0170 OVA 122 Business Phone: 9 63 6ra�3 Fax Number 976 9G3 `RC1 Email Address G 2 o`i cot's Indicate Preferred Method of Permit Receipt. Email ❑ Fax El US Mail Licensed Systems Inspector: Plane Number Email Address'. Fax Number (34 2 S +%`ln� 970 9ZD Z0601 Mailing Address: (b o3 aro �Q State, Zip: C.A��o A Co i51 23 REAn RFFORF SICNING: I certify that the above Informed Is complete and accurate and that I have provided complete and accurate information in all of the documents Included In my application pac I ac owledge that this department may revoke any permit I am issued if my application is found to contain i ead g I ad any Inaccurate, false, or "7"' Owner Signature (Requi Dale' NZI/11V IK A— pplicant Signature: Date'. Please allow 3-5 busi d for( Dg of Use Permlts. FOR OFFICE USE ONLY i ived by EH Staff: Fee 8 Receipt At: Date '0 11%18/2011 ::' � AN. 30. ': :'■' 18:12 9636070 B R SEPTIC 2011 4:01 FM E*0 HEALTH NAT RESOURCE • N0. 749 ;SKIN Onsite Wastewater Treatment Systems (OWTS) Use Permit inspection Form COUNTS Pitkin County Environmental Health Department 040S Castle Creek Road, Suite 10, Aspen, CO 31611 ..... ��.CV-----_"" Phone: 970.920-5070 Fax: 970.920-5077 Ownar's Name: CL- FN - pttZQ a -l> Address; I (/;—) ( Lr7lel; F rf2 _ I iI F P P A. Parcel Number. Inspection Date: inspector's Name: Business Name: Phone Number Email: Pitkin County Systems Inspector Licensd Number: Al eopy-orthis inspection renort will he remitted to Pitkin County Environ nrnlHealth Dena. nt by the Ucensed Svstems Insocctarwithia 60 days of the Inspectfon_reanrdh= 2f whgyLgr the system posses of fans. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: is the home currently occupied? YES N If NO, how long has the home been vacant? (?j lLicxN How many bedrooms are in the home? When was the tank last pumped? Name of pumping company: if secondary treatment is used, who is the ) "� maintenance- provider? RECORDS: t Were system records available from Pilon county? NO If YES: Permitnumber.9�0�� Date of Final Approval N of bedrooms permitted: Was an as -built drawing available? VE NO Is the as -built drawing accurate? YE NO If NO: Complete o drawing of the system nn IoSrpoge of thivform os accurat0y as possible. Any question marked FAIL will require correction before an OMITS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? FAIL Improper vegetative cover? YES Evidence Of compaction such as heavy machinery or livestock? NO YES Improper discharges such as straight pipes? P FAIL Evidence of high ground water? YES Snow cover present? YES Page 1 PAGE 01 P. 6 11/18/2011 18:12 9636070 B R SEPTIC JUL,21.201i 10:52AM EO0 HEALTH NAT RESOURCE • PAGE 02 NO. 766 P, 3 PUMPS/DOSING SIPHONS; Tanks Tank2 YESNO Tan k3 Tank ca acity Tank material PASS gallons Does the pump/wiring/dosing siphon appear to be in good condition? gallons FAIL gallons g of compartments FAIL SECONDARY TREATMENT: YES UNKNOvvN Isa;econdary treatment unit present? YES NO Doteoflast pumping M— NO Does the owner have a current maintenance contract for the unit? YES No UNKNOWN Lids/risers in good condition FAIL PASS FAIL PASS FAIL Risers to grade YES NO YES NO YES NO Riser height Riser condition/watertightness Inletsanita T Me FAIL PASS FAIL PASS FAfL Outlet sanitaryT/baMe FAIL PASS FAIL PASS FAIL Effluent filter (if part of desi ) PASS FAIL PASS FAIL N/A PASS FAiL N/A Con4ition of tank material FAIL PASS FAIL PA55 FAIL Tank was umped for inspection YES' YES NO VES NO Scum level (1st compartment) I Q inchesl inches Sludge level (ist compartment) Z"' inchesl inches Scum level (2nd compartment © inches Inches inches Sludge level (2nd compartment) O inches Inchosl inches Backflow (if pumped) P FAIL I PASS FAIL I PASS FAIL Midtankbaffle S' FAIL N/A IPASS FAIL N/A PASS FAIL N/A Watertightness PAS FAIL I PASS FAIL I PASS FAIL PUMPS/DOSING SIPHONS; Is a pump or dosing siphon present? YESNO YES If YES, is the pump/dosing siphon functioning properly? PASS FAIL Does the pump/wiring/dosing siphon appear to be in good condition? pA,SS FAIL Is the high water alarm working, both visible and audible? PASS FAIL SECONDARY TREATMENT: YES UNKNOvvN Isa;econdary 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: Al n Phone: Ifthert is no maintenonc Contract, a contract must be in place prior to occupancy of the home. A COPY of the contract most be submitted to Pitkin County Environmental Health Department AB50RBTION AREA: Effluent surfacing? Evidence of past surfacing? Surface dampness? Excessive odors? Field location verified by observation ports or probing: Liquid in observaticn port? If YES, record depth: Distribution Box m ADV pert of original design? If YES, is it accessible from grade? Is it level and in good condition? Page 2 FAIL YES N YES N YES Probing /Piyyy�� YES inches YES UNKNOvvN YES (:IND D PASS PASS FAIL Page 2 11/18/2011 18:12 9636070 B R SEPTIC • JULo 21.2011 10-52AM EG O HEALTH NAT RESOURCE S PAGE 03 • NO. 766 P. 4 Any problems with the system that were not addressed In the inspection checklist? A Please list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? I No / YES If YES, please describe the repairs. To the best of my knowledge and training, the Wormati collectedin his Inspection accurate as of 20-ZL. Licensed Systems Inspector signature: Additional Notes: (aaady anv ni x and attach them to this to , Page 3 OCAS& 1 S4A t kgl D N D 0 D w V Improvement Survey Plat Emsnnc 1J46 AC+- EYISE OEK[Q9YCNiENK(P�F RE I�" �« ' .,I9:=' W . 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