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HomeMy WebLinkAboutpitkin.eh.264929101011 (2016)P ITK[N ocou. NT () 5I 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 jj I (07- � •� l 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 f J V3 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 FT '- -4-N�- i F 1'71 11 ; •� ' - 1.1 1�4 _i. 1 ' _ 1 __r_ I _! - �_Yi J- 1 I J 1 _f J }[ �- _[ 1�__ f _�r-E t.1c if ..{. ifs»-E�: ITT Page 4 l i� �'� • " 160 Cherokee L°n • n Googlce'arth ----------------------