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HomeMy WebLinkAboutpitkin.eh.2463341010008 (2016). - K I �J %KrNT ( Pitkin County Environmental Health 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: 970-920-5077 www. HNR Parcel ID #: 2463-341-01-008 OWTS Use Permit #: I 0050.2016.POWU Datelssued: 10/21/16 Issued By: Bryan Daugherty Expiration Date: 10/21/17 12'x 50' Owner(s): I Ramsey Fulton Property Address: 550 Seven Oaks Road Legal Description: Lot 7, Seven Oaks Subdivision Licensed Inspector: Carla Ost berg Inspection Date(s): 1 10/11/16 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment tank 1000 gallons Secondary Treatment Unit Absorption Area Seepage Bed 12'x 50' Other System Components ®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 #: 77035 Date of Issuance: 11/20/79 Date of Final Approval: 6/28/80 # of Bedrooms or fixtures served by OWTS: This system was originally designed to serve 2 bedrooms, there is currently 3 bedrooms in the home. Operational Status: After repairs were made to fix the outlet tee of the tank, the system appeared to functioning as designed at the time of inspection. The tank was pumped during the inspection. The field area did not show any signs of failure such as surfacing effluent, there was approximately 6" of standing effluent in the seepage bed area on one side seen from the observation ports. Inspector Recommendations: Add effluent filter to outlet of the tank, continued maintenance. Department Recommendations: 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 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 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. Pitkin County Environmental Health Department iV Onsite Wastewater Treatment System (OWTS) / USE PERMIT APPLICATION C(1Uwrti 76 Service Center Rd Aspen, CO 81611 WOOD: www.aspenpitkln.corn/ehnd Anolication for Continued Use of an Existing OWTS Parcel ID#(available from the Piikln County Assessor's Office 9709203100 or at wvny.nilklnassessor.oral: '1-Y63 - "�y / ` �'� ` �$ Purpose of Use Permit %PROPERTY TRAN$ACTION ❑ RENODEL/AgD1TION Business Phone: Property Address: 550 &1K-5 RQAb Email Address: Lol: Block: Filing: Subdtvisiow 'V�nl crEk S SuFib1�I151o+� Residences: Other poi Bedrooms: 3 fixturesluses: 3'i�SWKS 12 "niP�i t f pw t I WAhd NAtAIf`I� Number. ,corms Mailing Address: 33 PaL\\I1: Row City, Slate, Zip: Cg513aJb9t co, 6I623 Property Ovmer(s)': FAMW P(&Ai K (P Email Address: peetMS� ('. O AltL�"tM0.1I-LM Owners Mailing Address: o 00X I? gg) City, Stale, Zip: city. FYI NbA cb, 61bz3 Herm Phone: Maolt.v 170 T -H 25$ .Busk ess Phone: 5AMIr 'Contact information must be provided for the ownerafgning this application. Primary Contact PersorhApplicant (if not owner): Company ContactiAppllcmd Mailing Address: City. State, Zip: i Cell Phone: Business Phone: Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: NrEmall El Fax ❑ US Mall Licensed Systems Inspector: Phone Number: t?*ILA ??03 Email Address:Fax 5251 taS�kQ'��bef @ Mai Number. ,corms Mailing Address: 33 PaL\\I1: Row City, Slate, Zip: Cg513aJb9t co, 6I623 PLEASE READ BEFORE SIGNING: 1 certify that the above Information Is complete and accurate and that 1 have provided complete and accurate Information in oil of the documents Included in my application packago. 1 acknowledge that this department may revoke any permit I am Issued If my application Is found to contain any Inaccurate, false, or misleading information. , Owner Signature (Required): Date: to lip loX Applicant Signature: Dale: ro2e 2olb Please allow 3-5 business days for processing of Use Permits. -S-o . 2,016 , Po L') (-.) PcQ C ,C . CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 carla.ostberg (c).gmai I.com October 18, 2016 Ramsey Fulton ramsev(a?bldgseed.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 550 Seven Oaks Road Pitkin County, Colorado Ramsey, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 550 Seven Oaks Road, Carbondale, Colorado on October 11, 2016. The legal description of the 1.0 -acre property is Lot 7, Seven Oaks Subdivision. The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel ID #2463-341-01-008). The subject OWTS consists of one 1000 -gallon, two-compartment concrete septic tank and a 12'x 50' pipe and gravel soil treatment area (STA). The STA is located west of the subdivision road. Pitkin County Health Department Permit 77035 documents this system. The permit was given final approval on June 28, 1980. The system was sized to accommodate 2 bedrooms. There are currently 3 bedrooms in the residence. The STA is located outside of the subject property and the Permit 77035 notes an easement from the Homeowner's Association has been recorded with the county Clerk and Recorder's Office. The reason the STA is located off the property is because the subdivision water well is located on the subject property, making meeting the required 100 -foot setback from the water well to the STA difficult. A double -sweep clean out is located between the house and the septic tank. The septic tank is located approximately 42 -feet east of the subdivision road. The actual distance differs from the record drawing provided by Pitkin County. Both septic tank lids were accessible at the time of the inspection. The inlet tee was present, and there was sludge and debris on the riser walls, indicating the septic tank had been over -full at some point. At the time of our inspection, liquid levels in the septic tank appeared to be normal. No outlet tee was present. The septic tank was pumped by All Valley Resource at the time of our inspection. The outlet side of the septic tank was badly deteriorated above the water line. It does not appear to have affected the water- tightness of the septic tank at this point. Two septic tank lids and the outlet tee were discovered at the bottom of the septic tank after pumping. All Valley Resource replaced the outlet tee by digging outside of the septic tank and attaching a new section of PVC pipe to the existing cast iron pipe. The following is noted in Permit 77035... "2) Must use 4" ductile iron pipe to cross subdivision water line and encase joints in concrete. Crossing must be inspected prior to backfill and pipe must extend 20' in either direction." Cast iron pipe is prone to clogging and deterioration, and was a pipe material commonly used in the late 1970's. The current condition of this pipe is unknown. We walked the approximate STA west of the subdivision road. There were two "vent" pipes visible. There was approximately 6 -inches of standing water in the inspection port on the front end of the STA. The inspection port on the back end of the STA appeared to have some dirt packed into the bottom. There was no standing water in this port. The inspection ports extended approximately 6 -feet below native grade. There were no signs of surface saturation and no indication of failure at the time of the inspection. This evaluation is not a guarantee of future system performance. This inspection is good for one year. Recommendations: ® Install effluent filter on outlet tee of septic tank. If this filter is installed, it must be cleaned annually, or as needed. ® Monitor condition of outlet side of septic tank for increased deterioration. At the point the septic tank is no longer water -tight, it must be replaced. ® Be aware the conveyance pipe from the septic tank to the STA is cast iron, which is prone to clogging and deterioration. • Monitor effluent levels in inspection ports in the STA. This report and a completed application packet must be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www.pitkincounty.com/DocumentCenter/HomeNjew/62l Application Checklist: httD://www.Ditkincountv.com/DocumentCenter/HomeNiew/620 Disclaimer., This inspection is intended only as an evaluation of the present condition of the OWTS based upon what was observed and the Licensed Inspector's expertise in onsite wastewater technology. The Inspector has not been retained to warrant or guarantee the proper functioning of the system for any period of time in the future. Because of numerous factors which may affect the operation of an OWTS, as well as the inability of the Inspector to supervise or monitor the use or maintenance of this OWTS, this report shall not be construed as a warranty by the Inspector that the system will function properly for any particular prospective buyer, and the Inspector disclaims any warranty, either expressed or implied, arising from the inspection of the OWTS or this report. The evaluation does not ascertain the impact the system is having on groundwater. Please call with questions. Sincerely, Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # 11 0441T Exp. April 2018 Looking east toward subdivision road (see clean outs) Onsite Wastewater Treatment Systems (OWTS) Use Permit inspection Form if i 45 iI I IL "'( Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 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: Address: Parcel Number: Inspection Date: Inspector's Name: �➢71t � t Business Name: (1,{1�t"� l} -,r' r , l !'' � `�~ `� Phone Number Email: (i r u r, r (!'t Pitkin County Systems Inspector License Number: 1-7 A copDv of this inspection rc,aort will be remitted to Pitkin County Environrventdl Mealeh 0enartment b the Licensed Svstct-n-s. Inspector Lvithin GO days a(theinsaectiott reardles whether the system passes or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? Y j NO if NO, how long has the home been vacant? How many bedrooms are in the home? 3 If secondary treatment is used, who is the maintenance provider? (\� I ✓� RECORDS:C 1 t Were system records available from Pitkin County? AYES NO f \� If YES: Permitnumber.. Date of Final Approval: [ `. fee # of bedrooms permitted:_ Was an as -built drawing available? �Y S No Is the as -built drawing accurate? ! Y S NOi';,. If NO: Complete a drawing of the system on last page of this form as accurately as possible. Any question marked PAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? PAS PAIL Improper vegetative cover?,ISO` YES —7 Evidence of compaction such as heavy machinery or livestock? �� O - YES i f -1 Improper discharges such as straight pipes? 1ASS FAIL Evidence of high ground water? -'NOS YES c. Snow cover present? NO,� YES Page 1 TANK: �InletsanitaryT/baffle Tank 1 Tank 2 FAIL Tank 3 Tank capacity /0()o gallons FAIL gallons Probing gallons Tank material r P. -P L Inches YES (NOS YES H of compartments f, Date of last pumping 1}�.�`? Lids/risers in good condition PAS FAIL PASS FAIL PASS FAIL Risers to grade V-6cNO YES NO YES NO Riser height ' Riser condition/watertightness [� �.,PAS5� FAIL PASS FAIL PASS FAIL Outlet sanitaryT/baffle PASS``AF IL.� PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Condition of tank material PASFAIL m PASS FAIL PASS FAIL Tank was pumped for inspection ` YE NO YES NO YES NO If YES, list the pumping company ,,.„ /i: L '+, (M. if NO, when was the last pumping Scum level (1st compartment) rAj -n 1 fv,.o.I inches inches inches Sludge level (1st compartment) inches inches inches Scum level (2nd compartment) C.,/i, inches inches inches Sludge level (2nd compartment) inches inches inches Backflow (if pumped) -PASS` FAIL PASS FAIL PASS FAIL Midtank baffle PAS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness S y FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? If YES, is the pump/dosing siphon functioning properly? Does the pump/wiring/dosing siphon appear to be in good condition? Is the high water alarm working, both visible and audible? SECONDARY TREATMENT: Is a secondary treatment unit present? YES If YES, does the unit appear to be in good working condition? YES Does the owner have a current maintenance contract for the unit? YES YES' FAIL PASS FAIL PASS FAIL PASS FAIL i NO� UNKNOWN NO 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? PASS FAIL 4 YES r NO YESYES QYES Ports, Probing NO `VES ( Inches YES (NOS YES NO PASS FAIL Page 2 Ci., q � UNKNOWN Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? NO C YES' If YES, please describe the repairs. To the b st of my knowled and training, the information collected in this inspection is accurate as of 204— LicensedSystems Inspector Signature: nJ�j�;j/f� if�'•i"�r n .I C,1 Additional Notes: Clearly label any pictures and attach them to this form Page 3 r t 1..4'_9 r) 10/21/2016 14:30:50 Your transaction is complete > Download & Print Your transaction is complete. Please note that your payment is successful when your financial institution renders payment for this transaction. Your receipt identification number is 64265844. Please reference this number in any correspondence regarding your transaction. Payer Information Ramsey Fulton 550 Seven Oaks Road Carbondale, CO 81623 Phone: 970-274-2589 ext. Email: ramseyfulton@gmail.com Account Information ""'7513 Payment type: Visa Order Summary DescriptionQuantity Total Amount Colorado.gov Order Total (includes price of the item(s) below): $103.02 0050.2016.POWU 1 Notes The following amounts have been charged to your credit card. Your credit card statement will show the following merchant name(s) and amount(s) for this transaction. Merchant Amount Pitkin County $103.02 The total amount charged to your credit card is $103.02.