HomeMy WebLinkAboutpitkin.eh.246734308005 (2013)Document Layout
(From Most Recent to Oldest Permit)
Permit
Application
Log Sheet/Notes & Photos
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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.
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4
COUNT
0 Pitkin County Environmental Ath 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
Parcel ID #: 2467-343-08-005
OWTS Use Permit #:
I 0035.2013.powu
Date Issued: 07/23/2013
Issued By: Kurt Dahl
Expiration Date: 07/23/2014
Owner(s): I Robert P. and Tommi Ann White
Property Address:
229 Light Hill Rd
Legal Description:
Lot 7, Block 1, Filing 3 Gateway of Snowmass Mesa
Licensed Inspector:
Carla Ostberg
Inspection Date(s):
07/09/2013
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete tank
1000 gallons
Secondary Treatment Unit
Concrete 2 -compartment tank
1000 gallons
Absorption Area
Seepage pit
600 ftz
Other System Components
12 Standard Gravelless Chambers
230 ft'
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 reevoluated when it is in use for a more accurate
evaluation of the system.
System Records:
Permit #: 97046 Date of Issuance: 08/15/1997 Date of Final Approval: 10/03/1997
# of Bedrooms or fixtures served by OWTS: 4
Operational Status: The inspector indicates in her report that the system is not in failure and functioning properly. The
inlet "Y' in not visible from the manhole and was verified to be in place by use of a video camera.
Inspector Recommendations: add effluent filter and replace the outlet manhole lid if deterioration continues.
Department Recommendations: add effluent filter and replace the outlet manhole lid if deterioration continues.
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 Inspectionts) and
on Department records at the time of permitting. The Issuance of this permit does not constitute o 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.
I b� Q Page 1 1
At t x n Pitkin County Environmental I Malth Department
Onsite Wastewater Treatment System (OWTS)
COUNTt USE PERMIT CHECKLIST
Permit for Continued Use of an Existing OW>-S
c�
76 Service Center Rd Aspen, CO 81611
Phone: 970.920.5070 Fax 970.920.5374
Website: www.aspenpNin.com/ehnr
Some items listed on this checklist may already exist in the Department files. Please contact
this department to collect any necessary documentation, using the parcel ID# to identify the
property, priorto scheduling an OWTS Use Permit inspection and/or submitting the OWTS Use
Permit application packet.
A complete application package must be presented at the time of your pre -application
conference for acceptance. To schedule a pre -application conference, please call (970) 920-
5070.
PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION
Only one copy of each item is necessary. Electronic versions of any or all of the documents
identified below may be emailed to ehnr(a)co.pitkin.co.us before the date of the pre -application
conference.
OWTS Use Permit Application (completed)
/_;)j Site Plan (11x17)
I Should include general location of each OWTS, buildings, water
courses, domestic water source(s), and other pertinent
%information.
r " Building Floor Plans (11x17)
Current floor plans for a property transaction; or
Proposed floor plans for an addition/remodel that does not
increase potential bedroom count or water usage of the structure
served by the existing OWTS.
Inspection report by a Licensed Systems Inspector
Li A list of Licensed Systems Inspectors can be found at
www.aspenpitkin.com/eh nr
An inspection report is good for one year.
Applicable Fee
OWTS Use Permit: $100
Please make checks payable to Pitkin County Environmental
Health Department.
IV
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'qm' Pitkin County Environmental HeaTh Department
j'r K t N Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
COUNT'
76 Service Center Rd
Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
ADDlication for Continued Use of an Existina OWTS
Parcel IDN (available from the Prddn County Assessors Office �/
970-9203160 or at, avnv.pitkinasserssonorg 2Z - �/ G 7 - 3 / 3 -
0 S - 00,5
Purpose of Use Permit:
TRANSACTION
WREMODft/ADDIT[ON
Business Phone:
Property Address: oz-�7 / Lj
/ /❑/PROPERTY
,L , fi Y
// tie/
5;V" ,714 55 co
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Lot: Block:
Licensed stems fI apnxtor
,AA2 - O ��
Fling: j
Subdivision:
GACbo < c) d
PLEASE READ BEFORE SIGNING:
I caNfy that the above Information Is complete and accurate and that I have provided complete and accurate Informetim In all of the documents
included in my application package. 1 acknowledge that this department may revoke any permit I am Issued if my application Is found to contain any
Inecburete, false, or misleading inlormatlon.
rOther
droorna: 1/
fixtures/uses:
Properly Owner(s)•: rEmail
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Address: // // t
& ComcA5l< N-e0f"
rile
Atcv�,nt!
Owners Mailing Address:
O
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City, State Zip:
61CC Ft o'1a)4 4
M / Y95 -2-
Nome Phone:
7
Business Phone:
Cel/ -
5- loo
contact information must be provided rot the owner Wing this application.
Primary Contact PeraonlAppkant (ti not owner):
Company:
Contact/Applicant Mailing Address:
City, State, Zip:
Cell Phone:
Business Phone:
Fax Number.
Email Address:
Indicate Preferred Method of Permit Receipt:
❑ Email ❑ Fax ❑ US Mail
Licensed stems fI apnxtor
,AA2 - O ��
Phone Number Email Address: Fax Number.
7a 30 _ S C,+4/a. bis / tr co re
:
Mailing .53 av /�icr
GACbo < c) d
PLEASE READ BEFORE SIGNING:
I caNfy that the above Information Is complete and accurate and that I have provided complete and accurate Informetim In all of the documents
included in my application package. 1 acknowledge that this department may revoke any permit I am Issued if my application Is found to contain any
Inecburete, false, or misleading inlormatlon.
Owner Signature (Required): Date:
2a�3
Applicant Signature: v Date: '
Please allow 3-5 business days for processing of Use Permits.
by EH Stag
O o=
Fee 8 Receipt * Date:
loo. 3y3b7
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0 0
Onsite Wastewater Treatment Systems (OWTS) Use
+p Permit Inspection Form
COUNT'f Pitkin County Environmental Health Department
_ 76 Service Center Rd, Aspen, CO 81611
Phone: 970.920-5070 Fax: 970-920-5374
Website: www.as en itkin.com ehnr
Inspection form for continued use of en existingOWES
Owner's Name:
Address:
Parcel Number: 74(. -7-
Inspection Date: i q I13
Inspector's Name: I^ (f A f)-<gTh p
Business Name: CkO ir1L
Phone Number or'I f}--?lO�lr- 62fA
Email: C")lf-iAfYaaj'S A r+� C>-"A.i
Piddn County System I:.spee yr Lliinta N nrie L- i; 1-7
A c09 of this inspection report will be remitted to Pitkin County Environmental Health Department by
the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system
passes or fails
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? ; ES NO
If NO, how long has the home been vacant?
How many bedrooms are in the home?
If secondary treatment is used, who is the n
maintenance provider? (\J f Fl
RECORDS:
Were system records available from Pitkin County? NO
If YES: Permit number: '�, 10
Date of Final Approval: �. \GJ 011
# of bedrooms permitted:
Was an as -built drawing available? NO
Is the as -built drawing accurate? NO
R NO: Complete a drowing of the system on fast page 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? JPASSE FAIL
Improper vegetative cover? YES
Evidence of compaction such as heavy machinery or livestock? YES
Improper discharges such as straight pipes? FAIL
Evidence of high ground water? YES
Snow cover present? YES
Page 1
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TANK
Tank 1
Tank 2
YE
Tank 3
Tank capacity
gafions
Op•
gallons
Is a pump or dosing siphon present?
gallons
Tank material
If YES, is the pump/dosing siphon functioning properly?
i
FAIL
Does the pump/wiring/dosing siphon appear to be in good condition?
PASS
# of compartments
t 2
-gyp
FML
SECONDARY TREATMENT:
Date of last pumping
i ,
(�D
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NO
Lids/risers in good condition
P FAB.
PASS
FAIL
PASS
FAIL
Risers to grade
NO
YES
NO
YES
NO
Riser height
Riser condition/watertightness
QQ
b0
Inletsani[aryT/bafBe
j P FAIL
PASS
I
ASS
FAIL
Outlet sanitary T/baffle
PASS #Aft
'PASS
FAIL
PASS
FAIL
Effluent filter (if part of design)
PASS FAIL. N _
_PASS FAIL
N/A
PASS
FAIL N/A
Condition of tank material
PASS FAIL
P
FA
PASS
FAIL
Tank was pumped for inspection
YES NO
–Na—,
VES
NO
R YES, list the pumping company
If NO, when was the last pumping
Scum level (1st compartment)
0 inches
inches
inches
Sludge level (1st compartment)
3 Inches
inches
inches
Scum level (2nd compartment)
Q inches
Q
inches
inches
Sludge level (2nd compartment)3
inches
,7j
inches
inches
Backflow (If pumped)
PASS FML
PASS
FAIL
PASS
FAIL
Midtank baffle
4PASS FML N/A
4PASS FML
N/A
PASS
FML N/A
Watertightness
PASS FML
PASS
FML
PASS
FAIL
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.
ARSORBTION 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?
Pyp��'
FAR
YE
LtlO�
YES
YES
PUMPS/DOSING SIPHONS:
Probing
NO
Is a pump or dosing siphon present?
YES
NO
If YES, is the pump/dosing siphon functioning 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
FML
SECONDARY TREATMENT:
Is a secondary treatment unit present? YES
(�D
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: _ 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.
ARSORBTION 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?
Pyp��'
FAR
YE
LtlO�
YES
YES
Ports
Probing
NO
YES
Inches
NO
YES
PASS
FAIL
Page 2
UNKNOWN
0
Ll
Any problems with the system that were not addressed in the inspection checklist?
T f,h Q to
k1.".^. (;M if --.D nla iii ri � 11 -I-t')yo v-, a
Please list any recommendations for the
�1n
d use of the system:
re I rn AMA
=•L
J.0 r 0 V'A' 't .. ' n I /S' Ck.0 I f 8--1 2�)"r r, vy f S 0 0
Were any repairs done as a result of this inspection? NO YES
If YES, please describe the repairs.
To the best of my knowledge and training, the information collected In this inspection is accurate as of
Licensed -systems Inspector Signature: �_�� A
Additional Notes:
Clearly label any pictures and attach them to this form.
Page 3
0
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla. ostberg(a)g mail.com
July 10, 2013
Pat White
patwh ite(cDcomcast. net
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
229 Light Hill Road
Pitkin County, Colorado
Mr. White,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 229 Light Hill Road on July 9, 2013.
The permit and record drawing was provided by Pitkin County Environmental Health Department
(Parcel ID # 2467-343-08-005). The subject OWTS consists of two 1000 -gallon septic tanks, a
drywell, and a gravelless chamber bed. One of the septic tanks and the drywell were original from
1978 and in 1997 the second tank was added along with the gravelless chamber bed. A distribution
box, not accessible from grade, distributes effluent between the 600 square foot drywell (3/4 flow)
and the gravelless chamber bed (1/4 flow) with 13 Standard Infiltrator@ chambers.
The septic tanks appeared to be in good condition. The inlet tee of the first tank was not visible from
the manhole lid. I was able to take a camera video of the void space between the sewage in the
tank and the tank lid. The inlet tee appears to be present (see photo below). An outlet tee was
present on the second tank in the series. Sludge and scum accumulation in the tanks are minimal
and neither tank needs to be pumped at this time. The absorption areas showed no signs of
saturation, and had no indication of failure. Observation ports were present on the chamber bed.
There was no visible access to the drywell. This evaluation is not a guarantee of future system
performance. This inspection is good for one year.
Recommendations:
• Add an effluent filter to the outlet tee of the second tank.
• Replace manhole lid on the outlet of second tank if deterioration continues.
This report should be submitted to the Pitkin County Environmental Health Department. The
following links are the required application and application checklist.
Application:
http://www.asi)enpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OV TS%20Use°/`20Permit%
20Application.pdf
Application Checklist:
http://www.asi)enpitki n.com/Portals/0/docs/count/Com%20Dev/EHNR/OWTS%20Use%20Perimt%
20Application%20Checklist. pdf
Please call with questions
Ll
Sincerely,
Ow, (a oatbv LS
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # ITC11042010 Exp. 2014
•
Outlet tee
Inlet of 1" tank
manhole, snapshot from
camera video)
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