HomeMy WebLinkAboutpitkin.eh.264929101011 (2016)P ITK[N
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Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS) USE PERMIT
Permit for Continued Use of an Existing OWTS
Parcel ID #: 2649-291-01-011
OWTS Use Permit #: I 0029.2016-POWU
Date Issued: 8/2/2016
Issued By: Bryan Daugherty
Expiration Date: 8/2/17
Owner(s): I Jerry Opperman
Property Address: 160 Cherokee Lane
Legal Description: Lot 1, Crystal River Estates
Licensed Inspector: Carla Ostberg
Inspection Date(s): 6/16/16 & 6/22/16
76 Service Center Road, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
www.aspenpitkin.com/EHNR
SYSTEM INFORMATION
Components Type
Capacity/Size
Primary Treatment Unit Concrete 2 -compartment tank
1000 gallons
Secondary Treatment Unit
Absorption Area Unknown
Unknown
Other System Components
Oln use at the time of the inspection. ®Not in use at the time of the inspection.*
*lf 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: Building permit from 1974 states a home with 2 bedrooms, floor plan shows
3 bedrooms
Operational Status: After repairs were made to replace a damaged riser and lid, the system was functioning properly at
the time of inspection. The tank was in good watertight condition, inlet and outlet tees were in place, and risers were
accessible from grade. The field area was assumed to be in a clearing near the tank, this area did not show any signs of
surfacing effluent or other indications of failure.
Inspector Recommendations: Annual Maintenance
Department Recommendations: Add an effluent filter to the outlet of the tank to prevent solids from entering the
drywell.
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 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.
Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
6 Service Center Rd
Aspen. CO 81611
Website www aspenpitkin corn/ehnr/
Annlication for Continued Use of an Existina OWTS
Parcel ID# (available from the Pitkin County Assessor's Office
Company
ContactlApplicant Maung Address
970-920.5160 or at www pitkinassessor.orq):
Cell Phone
BUSi)esS Phone
Purpose of Use Permit
XPROPERTY TRANSACTION J REMOUELlAUUITIODd
Email Address
Property Address
Fax ❑ US Mai!
ILC CtILCCKCC L/�
�r3IL'/'xNUt�
slG
Lot Biock Filing
Subdivision
S7L
Residences Other
# of Bedrooms f,>Rures. uses
Property Owner(s)' Email Address
TeP-L , -) ( j2 i Y 161 1r rrZ I t- c r1''1�CJ")
Owner's Mailing Mdress -,ty. State. Z p
(� (fL 12 t. ' / ' G L- ( ) r)
Home Phone Business Phone
7,-) C 6- 2 (1' L -5 C J
'Contact information must be provided for the owner srgninq this application
Primary Contact Person Applicant (if not owner.
Company
ContactlApplicant Maung Address
C!ty State, Zip
Cell Phone
BUSi)esS Phone
Fa= Number
Email Address
Ind -tate Preferred Method of Perr^it Receipt
mail
Fax ❑ US Mai!
L tensed Systems Ins er_tor
C,� L: / nC CI
Mailing Address
-
TES
(01)
Phone Number Email Address Fax Number
2 c -D V Cal /6 C We ic(
City. State. Z,p
12 1ham' C �?/� /�jc
I certify that the above information is complete and accurate and that I have provided complete and accurate information in all 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.
tine' S gnahire r Re,i; red — - / Da!e
7
)phcant Signature Date
Please allow 3-5 business days for processing of Use Permits
FOR OFFICE USE ONLY
r"":e d by EH Staff Fee & Receipt #
Date
-L. S'1 -
Pitkin County Environmental Health Department
Vf1r]KIN
COUNT�
Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
76 Service Center Rd
Aspen, CO 81614
Website: www.aspenpitkin.comlehnrl
Annlication for Continued Use of an Existina OWTS
Parcel ID# (avallable from the Pitkin County Assessor's Office
970-920-51130 or at www.pitklnassessonorg):
-:7 E/ZQ
Purpose of Use Permit:
PROPERTY TRANSACTION ❑ REMODWADDITION
Property Address:
271 a. ,2D(
Itpo C-Hek64E
L -W Cn�z
Lot: Block:
Filing: Subdivision:
Fax Number.
Residences:
Other
# of Bedrooms: 3
foduresluses:
Property Owner(s)': Email Address:
1,2ViA/G-frz-V h -r P mom/ o CDm
Owners Mailing Address: City, State, Zip:
Home Phone: Business Phone:
48o . 43 1. (0 5
Contact Imbnnatlon must be provided for the owner signing this application.
Primary Contact PersorgApplicant (if not owner):
Company:
-:7 E/ZQ
ZMact/ApplicanI Mailing Address:
City, State, Zip:
271 a. ,2D(
CaP-aan cit CO X1102
Cell Phone:
Business Phone:
7
Fax Number.
Email Address:
J -err v o -er m an IQuc co
Indicate Preferred Method of Permit Receipt:
Email ❑ Fax
❑ U5 Mail
PLEASE READ BEFORE SIGNING:
I eerUty that the above Information Is complete and accurate and that I have provided complete and accurate Information In all of the documents
Included In my appticatlon package. I acknowledge that this department may revoke any permit I am Issued it my application Is found to contain any
Inaccurate, false, or misleading Information.
I
Please allow 3-5 business days for processing of Use Permits.
-OR OFFICE
Received by EH Staff: - - Fee & Receipt M. - - --- Date:
12-,?_o1�,PoL,>L)
t.
i
,.s•,Esi CBO Inc.
"= + 33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
# carla.ostber mail.com
July 7, 2016 1
Irving Hill
irvhille .gmail.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
160 Cherokee Lane
Pitkin County, Colorado
Irving,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 160 Cherokee Lane, Carbondale, Colorado June 16 and 22, 2016. The legal description of
the 0.53 -acre property is Lot 1, Crystal River Estates.
A request was made to Pitkin County Environmental Health Department (Parcel 1D #2649-291-01-011);
however, no documents regarding this parcel were available. Pitkin County Assessor's website
documents the residence as being built in 1974 (effective year built 1979) and having 3 bedrooms.
No clean out was observed near the residence. The septic tank is located southeast of the residence.
One manhole lid (outlet) was accessible at the time of our first inspection (June 15, 2016). Water levels
in the septic tank were slightly below the outlet tee. The house had been vacant for approximately 1 year
prior to recent occupancy. We requested water from the house be run into the septic tank. After
approximately 5 minutes, the water level began to rise and stabilized at the proper level of the outlet tee,
exiting the septic tank. The outlet tee appears to be 3 -inches in diameter rather than 4 -inches. We
typically recommend installing an effluent filter on the outlet tee; however, in this case the tee would need
to be replaced in order to install the effluent filter.
Without a drawing of the OWTS, we are not certain of the exact location or size of the soil treatment area
(STA). An area to the southeast of the septic tank is cleared and seems to be an obvious location for the
STA. We walked the approximate STA and found no signs of surface saturation or evidence of failure.
No inspection ports were observed.
We returned to the property for a second inspection on June 22, 2015. The inlet side of the septic tank
had been uncovered. The lid was very heavy and the handle was not completely attached to the lid,
making lifting the lid very difficult. We were able to observe the inlet tee. Solids in the septic tank
measured greater than 24 -inches on both the inlet and outlet side of the septic tank. Accumulation of
solids warranted pumping of the septic tank. At the time of this inspection, the levels in the septic tank
were normal. We walked the STA again, and found no evidence of surface saturation or signs of failure.
On July 6, 2016, B&R Septic Services pumped the septic tank. They reported that the liquid level was
normal prior to pumping, and that the side walls and bottom appeared to be in good condition with no root
intrusion into the septic tank.
We recommend adding risers to both sides of the septic tank to bring access to grade. The inlet side
requires approximately 18 -inches and the outlet side could be left as -is; however, we recommend a 6 -
inch riser. The lid on the inlet side MUST be replaced, and the lid on the outlet side may be replaced if a
riser is added for proper fit. This work is being arranged, and may not be possible prior to closing.
This evaluation is not a guarantee of future system performance. This inspection is good for one year.
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:
httn:llwww.oitkincounty.com/DocumentCenter/HomeNiew/621
Application Checklist:
httr):ilwww.r)itkincounty.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 # 110441TC Exp. April 2018
Looking at septic tank (outlet lid exposed)
Both manhole lids exposed
rein
Crow bar used to tip lid to view clay inlet pipe
Mid tank baffle
Approximate STA
Onsite Wastewatet Treatment Systems (OWS) Use
Permit Inspection Form
COU N T 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,corM- hued use of an existing.OWfS
Owners Name;
Address:
the Licensed Systems inspector within 60 days of the Inspection regardless of whether thesystem
Passes or -falls,
QUESTIONS FOR PROPERTY OWNER PRIOR TO IN§PE&ION:
Is the -home currently occupied? YES NO
If NO,'how long has the home been vacant? ijQ ��fi�a- fpr �i 1Y b ' O LL' -4. loth(
How many bedrooms are in the home?
If secondary treatment is used, who is the f
maintenance provider? �'f N
RECORDS:
'Were system records available.from Pitkin County? YES NO
If YM Permitnurriber
Date of Final Approval:
# of bedrooms permitted:
Was an as -built drawing available? YES NO
Is the as -built drawing accurate? YES ND
If.NO., complete -a drawing of the system on last page of this form as.uccurately as
.passible.
. Any question marked PAIL will require correction before an OWTS Use permit is issued.
,SltE CONDITIONS:
Prop6i& grading, no evidence of erosion? ASS FAIL
improper vegetative cover? NO YES
Evidence of compaction such as.heavy machinery or livestock? NO YES
.Improper discharges'such as straight pipes? PASS . FAIL
Evidence of high ground water? N0 YES'Snow cover present? NO YE5
Page 1
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Parcel Number:
—ZR { — C)--- D j
Inspection Date:
1 Gj
Inspector's Name:
_
Business Name:_
CA0 ln)
L,0 -QJ -05
Phone Number'
Email.
Pitkin County Systems Inspector. License Number:
the Licensed Systems inspector within 60 days of the Inspection regardless of whether thesystem
Passes or -falls,
QUESTIONS FOR PROPERTY OWNER PRIOR TO IN§PE&ION:
Is the -home currently occupied? YES NO
If NO,'how long has the home been vacant? ijQ ��fi�a- fpr �i 1Y b ' O LL' -4. loth(
How many bedrooms are in the home?
If secondary treatment is used, who is the f
maintenance provider? �'f N
RECORDS:
'Were system records available.from Pitkin County? YES NO
If YM Permitnurriber
Date of Final Approval:
# of bedrooms permitted:
Was an as -built drawing available? YES NO
Is the as -built drawing accurate? YES ND
If.NO., complete -a drawing of the system on last page of this form as.uccurately as
.passible.
. Any question marked PAIL will require correction before an OWTS Use permit is issued.
,SltE CONDITIONS:
Prop6i& grading, no evidence of erosion? ASS FAIL
improper vegetative cover? NO YES
Evidence of compaction such as.heavy machinery or livestock? NO YES
.Improper discharges'such as straight pipes? PASS . FAIL
Evidence of high ground water? N0 YES'Snow cover present? NO YE5
Page 1
M --A
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pA
TANK;
Tank 1
PUMPS/DOSING SIPHONS: emoy +D LGti4Y Y`� �
V
Tank 2
yy ��I
- ra-y) WC,11 �f } � ly r ! S
Tank 3
NO
Tank capacity
If YES, is the pump/dosing siphon functioningproperly?
gallons
PASS
gallons
?
gallons
Tanis material,
PASS FAIL
SECONDARY TREATMENT.
Is a secondary treatment unit present?
#'6f compartments
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
Date,of last,pumping
If there is no malntenance coritract, a contract must be in place Orloeto occupancy of the home. A
copy of the contract must be,submitted to Pitkin County Environmental Health Department.
Lids/risers In good condhian
PASS
FAiL 3
PASS
FAIL
PASS
FAIL
Risers to grade
YES
N0.
YES
NO
YES
NO
k&r height
1�
Riser condition/watertightness
Inlet sanitaryT/baffle 0jay
FAIL
PASS
F41L ,
PASS
FAIL
Outlet sanitary T/baffle
FAIL
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
PASS,
FAIL.
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
NO
Y8 ,
NO
YES
O
NO
If YES, list the pumping companyi<
f, 1 n
r`�i 6 TL -
p 1110,
If N0, when,was the last pumping
Scum levet (1st compartment)
inchesinches
inches
Sludge level (1st compartment)
V'*.
inches
inches
inches
Scum level (2nd compartment)
inches
j
inches
inches
Sludge level (2nd compartment)
V`+=
inches
inches
inches
Backflow (if pumper#) .
PASS,,_,
FAIL
PASS,,;
FAIL
PASS,
FAIL
Midtank baffle
P FAIL
N/A
PASS AIL
N/A
PASS KAIL
N/A
Watertightness
,PAS
FAIL
PASS
FAIL ,
PASS
FAIL
level 117W ini c�����,,w} -- �s
recti N/arA. NI AY Lr r
PUMPS/DOSING SIPHONS: emoy +D LGti4Y Y`� �
V
YES
yy ��I
- ra-y) WC,11 �f } � ly r ! S
Isla pump or dosing siphon 'present?
NO
YES I D,
If YES, is the pump/dosing siphon functioningproperly?
inches
NO UNKNOW .
PASS
Does the pump/wiring/dosing siphon appearto be in good conditio
?
PASS FAIL
.Is the high water alarm working, -both visible and audible?
PASS FAIL
SECONDARY TREATMENT.
Is a secondary 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. -1 Phone:
If there is no malntenance coritract, a contract must be in place Orloeto occupancy of the home. A
copy of the contract must be,submitted to Pitkin County Environmental Health Department.
ASSORBTION AREA: 1
Effluent surfacing? 1
Evidence of past surfacing?
Surface dampness?
Excessive odors?
Field location verified by observation ports or probing:
Liquid in observation,)ort?
.If YES, record'depth:
Distribution Box or:ADV,part of original design?
If YES, Is it accessible from grade?
Is it level and good condition?
C-11-11)
� FAIL
I YES:
Page 2
YES
YES
Ports
Probing�^1.'QH-L 717ra ,
NO
YES
YES
inches
NO UNKNOW .
YE5
NO
PASS
FAIL
Page 2
I
Any prbbleins with thEi 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 YES
If YES, please describe the repairs.
7o the best of my knowledge and training, the information collected in this inspection is accurate as of
A 20-L.
Licensed stems Ins pettor;Signature:
Additional Notes. E,
Owll
Clearly label any pictures and a#tach them to this form.
Page 3
If no as -built drawings exist for this system or the as -built was inaccurate, please -diagram the system;as
accurately as possible. Be sure to document all system components and the locatidn of any well on the
property. Using markers such as corners ofthe.house, exact measurements can be used to triangulate
the location of the system components for future reference.
Page 4
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