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Home My WebLink Aboutpitkin.eh.264316103001 (2015)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. , %1rKIN COUNT (L. *I' ...I) Pitkin County Environmentaloalth Department •Onsite Wastewater Treatment Sy (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2643-161-03-001 OWTS Use Permit #: I 0055.2015.POWU Datelssued: 12/4/15 Issued By: Bryan Daugherty Expiration Date: 12/4/2016 Owner(s): Wayne and Marjorie Landis Property Address: 104 River Rock Lane Legal Description: Absorption Area Licensed Inspector: Jason Daubs Inspection Date(s): 11/11/15 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit 2 compartment plastic tank 2 compartment concrete tank 1000 gallons 1000 gallons Secondary Treatment Unit Absorption Area Unknown Unknown 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 #: N/A Date of Issuance: N/A Date of Final Approval: N/A # of Bedrooms or fixtures served by OWTS: System serves 3 bedrooms Operational Status: The inspector indicates that both grey and black water systems are functioning properly and there is no evidence of failure. Risers were added to both tanks, damaged lids were also replaced. No permits were on file for this system. Absorption/treatment area was located by the observation ports, there were no signs of effluent surfacing. Inspector Recommendations: Add an effluent filter to the outlet of each tank to prevent solids from entering the field area. Department Recommendations: N/A Issuance of this OWTS Use Permit is based solely on the conditions observed and reported by the inspector to the Department on the dote of the Inspection(s) 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 properly or will not fall 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 of 10 Pitkin County Environmental Health Department �fOUNTK i N Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION CT 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Anolication for Continued Use of an Existina OWTS Parcel ID# (available from the PitkinCounty Assessor's Officea (y 3 _ 1(o 970.www.pitkinassesso,.org or et .oitkinassesassessor.orgl: Company 604 Ible— Purpose of Use Permit PROPERTY TRANSACTION ❑ REMODEL/ADDITION Cell Phone: Property Address 16q 4IVER ROCK !JC l,t,)ooD CRE K CO I.&- Ckek--Filing- - ❑ 115 Mao 5U Su ivision e Landis a ( Residences: Other So - (_V Il r # of Bedrooms. fixturestuses. Zip: 1 1011 PLEASE READ BEFORE SIGNING: Property Owner(s)':Email I have provided complete and accurate Inlormation In ail of the documents Address: Inaccurate, false, or misleading Information. Y) -e- rI-e- rj IS 10tX\AnE L. Yl 1SRq Owner's Ma ing Add s: city, Statb, zip: IZE Nome Phone Buslrross P T7 0 - - 0- ) w.nraa mrormarron musr qe PMw rw ina owner srl ing nus appacarnon. Primary Contact Persor✓Applirant Uf not owner): Company 604 Ible— C7Applicant Mailing Add revs: E . State, Zip: Cell Phone: I-� V Business Phone: � G {" 1C) - Fax NumberO _ /Tr�`-?A q _ �-/1 Email Address E r N Indicate Preferred Method of Permit Receipt: .56mall El Fax ❑ 115 Mao Licensed Systems Inspector Phone Number Email Address: Fax N So - (_V Il r Mailing Address: O rI City, State, Zip: 1 1011 PLEASE READ BEFORE SIGNING: I certify that the above Information Is complete and accurate and that I have provided complete and accurate Inlormation In ail 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. Oy\1StgJ aj�Vrre (Rey'LirE(11 rrt..`:,!.- 6 Awe Dale. i _ l{ 47 11/26/2015 Applicant Signature Date Please allow 3-5 business days !or processing of Use Permits. FOR OFFICE USE ONLY,. _ JNJJL Received by EH Staff Fee d Receipt A Date OC�Sh ,Zit/7 .Powli hi -0rr jTKIN Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) CovNT� USE PERMIT CHECKLIST Permit for Continued Use of an Existing OWTS ---- 76 Service Center Rd Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 Website: www.aspenpftkin.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, prior to 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(&co.pitkin.co.us before the date of the pre -application conference. - OWTS Use Permit Application (completed) Site Plan (11x17) Should include general location of each OWTS, buildings, water courses, domestic water source(s), and other pertinent information. 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 A list of Licensed Systems Inspectors can be found at www.aspenpitkin.com/ehnr An inspection report is good for one year. Applicable Fee X OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. L-, 0 0 maA111,K I N Onsite Wastewater Treatment Systems (OWTS) Use y) Permit Inspection Form COUNT Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Q_)��C�19 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspenpitkin.com/ehnr Inspection form for continued use of an existing OWTS Owner's Name: Wayne & Madorie Landis Address: 104 River Rock Lane Parcel Number: 2643-161-03-001 Inspection Date: 1111112015 Inspector's Name: Jason Daubs Business Name: D&D Septic Services, LLC Phone Number 970471-1330 Email: DDSepticServices@gmail.com Pitkin County Systems Inspector License Number: 19 A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by the Licensed Svstems 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? f —YESI NO If NO, how long has the home been vacant? Improper vegetative cover? How many bedrooms are in the home? 3 YES If secondary treatment is used, who is the r1M maintenance provider? Improper discharges such as straight pipes? RECORDS: FAIL Were system records available from Pitkin County? YES IMM If YES: Permit number: Snow cover present? Date of Final Approval: YES is of bedrooms permitted: Was an as -built drawing available? YES MM Is the as -built drawing accurate? YES NO If NO: Complete a drawing of the system on last page of this form as accurately as passible. Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? FAIL Improper vegetative cover? rNO1I YES Evidence of compaction such as heavy machinery or livestock? r1M YES Improper discharges such as straight pipes? FAIL Evidence of high ground water? YES Snow cover present? ® YES Page 1 0 0 TANK: Tank 1 rM Tank 2 PASS FAIL Tank 3 Tank capacity 1000 gallons 1000 gallons SECONDARY TREATMENT: gallons Tank material Plastic ® Concrete If YES, does the unit appear to be in good working condition? YES NO # of compartments 2 UNKNOWN 2 Date of last pumping Within the last 3 years 11/11/2015 Lids/risers in good condition Risers to grade FM r7m FAIL NO rM FAIL NO PASS YES FAIL NO Riser height 15" 3 1/2' 3' Riser condition/watertightness Good Good Inlet sanitaryT/baffle Outlet sanitaryT/baffle RM tMI FAIL FAIL FM t= FAIL FAIL PASS PASS FAIL FAIL Effluent filter (if part of design) PASS FAIL = PASS FAIL = PASS FAIL N/A Condition of tank material FM FAIL FAIL PASS FAIL Tank was pumped for inspection f7M NO r7M NO YES NO If YES, list the pumping company D&D Septic Services If NO, when was the last pumping Scum level (1st compartment) inches inches inches Sludge level (1st compartment) inches inches inches Scum level (2nd compartment) inches inches inches Sludge level (2nd compartment) inches inches inches Backflow (if pumped) Midtank baffle I FFM FAIL FAIL N/A F= FAIL FAIL N/A PASS PASS FAIL FAIL N/A Watertightness I IPM FAIL Arm FAIL I PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES rM 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, bath visible and audible? PASS FAIL SECONDARY TREATMENT: YES Is a secondary treatment unit present? YES ® 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. ABSORBTION 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? ® FAIL ® YES ® YES ® YES 1StPon 2nd rMM3 ® YES YES inches NO YES rM FAIL S Page 2 UNKNOWN 0 0 Any problems with the system that were not addressed in the inspection checklist? No. Please list any recommendations for the continued use of the system: I would highly recommend that effulent filters be installed. Were any repairs done as a result of this inspection? NO r 'YE S If YES, please describe the repairs. Gray water system (which is in the front yard) lids were dug up and brought to the surface. We added new lids and risers and brought the lids of the black water system (which is in the back yard) to the surface. To the best of my knowledge and training, the information collected in this inspection is accurate as of November 11 2015 . Licensed Systems Inspector Signature: rg1� Additional Notes: The inlet tee on the gray water system in the front yard, it tucked up underneath and enters the tank through the side, not the end. 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