HomeMy WebLinkAboutpitkin.eh.264328201004 (2012)t a a . "�
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yy Pitkin County Environmental c�< Department
d,, t eWastewater Treatment t t (OWTS)
f v� ,t USE PERMIT
t t
Permitfor Continued Use of an Existing OWTS
76 Service Center Road, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5374
www.aspenpitkin.com/EHNR
Parcel ID #: 2643-282-01-004
OWTS Use Permit #: I 0039.2012.powu
Date Issued:
12/6/2012
Issued By:
Bryan Daugherty
Expiration Date:
12/6/13
Owner(s): I Robert Cornish Rev. Trust
Property Address:
551 Brush Creek Rd
Legal Description:
Lot 6, Block 2, Brush Creek Village
Licensed Inspector:
Carla Ostberg
[Inspection Date(s):
10/30/12
0IM111111 0 1 felsNW190L
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete 2 Compartment tank
1250 gallons
Secondary Treatment Unit
N/A
N/A
Absorption Area
Absorption bed
10'x80'
Other System Components
N/A
N/A
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 #: 720074 Date of Issuance: 10/12/73 Date of Final Approval: 10/12/73
# of Bedrooms or fixtures served by OWTS: This system was originally designed for 4 bedrooms
Operational Status: According to the inspector observations that system was working properly at the time of
inspection. The system originally had an aeration tank but it had been replaced with a regular 1250 gallon 2
compartment tank sometime in the past. This tank was in good condition but the inlet was tilted and an effluent filter
was not installed at the outlet. Both of these deficiencies were corrected after the inspection. The tank was also
pumped after the inspection per recommendation of the inspector. The field area appeared to working properly, no
surfacing effluent or any other signs of failure were present.
Inspector Recommendations: All recommendations were addressed after inspection.
Department Recommendations: none
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.
r 1i I N Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
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
.1 .-
Owner's Name: p ��yr �� ' Y '�
Address: D5 t r ur,>F:
An 110 0 1? 1(n ,
Parcel Number: Z(o4 p -- 2F-1
Inspection Date: l n(� f) i 2_
r
Inspector's Name: ; Irt r
Business Name:
Phone Number�(�
Email:
Pitkin County Systems Inspector License Num`btr:
A copy 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 falls.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? YES NO
If NO, how long has the home been vacant?
How many bedrooms are in the home? c�
If secondary treatment is used, who is the
maintenance provider? {
i
RECORDS:
Were system records available from Pitkin County? YES NO
If YES: Permit number:
Date of Final Approval: b112J-13 l
# of bedrooms permitted: Y\<"')l nal Get fj""z� V•_QAVV_'
Was an as -built drawing available?YES NO
Is the as -built drawing accurate? YES Nd
T_-} 4
If NO: Complete a drawing o the system on last page o this orm as accurate! as
p 9 f Y P 9 f Y r
possible. � , : �` R`? f v,' -),h
Any question marked FAIL will require correction before an OWTS Use permit is issued.
SITE CONDITIONS:
Proper grading, no evidence of erosion?P
!
FAIL
Improper vegetative cover?
YES
Evidence of compaction such as heavy machinery or livestock?
NO-
�T
YES
Improper discharges such as straight pipes?
' -.,P„9.7
FAIL
Evidence of high ground water?
N_ 0
YES
Snow cover present?
NO
YES
Page 1
TANK:
Tank 1
Tank 2
Tank 3
NO'
Tank capacity
fir
gallons
Does the pump/wiring/dosing siphon appear to be in good condition?
gallons
FAIL
gallons
Tank material
t
SECONDARY TREATMENT:
YES Y,_q
Is a secondary treatment unit present? YES
NO;
# of compartments
YES
NO,UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NNO
Date of last pumping
,t-ry)
UNKNOWN
Maintenance Provider: Phone:
Lids/risers in good condition
„;P !p
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
YES
NO
YES
NO
YES
NO
Riser height
Riser condition/watertightness
Inlet sanitary T/baffle
PA
FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitary T/baffle
PASS °
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
CPASS
FAIL
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
YES
NO
YES
NO
YES
NO
If YES, list the pumping company
If NO, when was the last pumping
Scum level (1st compartment)
y
inches
inches
inches
Sludge level (1st compartment)
inches
inches
inches
Scum level (2nd compartment)
inches
inches
inches
Sludge level (2nd compartment)
Z
inches
inches
inches
Backflow (if pumped)
PASS
FAIL
PASS
FAIL
PASS
FAIL
Midtank baffle
'PASSE FAIL
N/A
PASS FAIL
N/A
PASS FAIL
N/A
Watertightness
'PASS)
FAIL
PASS
FAIL
PASS
FAIL
1. r'-`4 1,-, t " -1
PUMPS/DOSING SIPHONS: lu
FAIL
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
FAIL
SECONDARY TREATMENT:
YES Y,_q
Is a secondary treatment unit present? YES
NO;
UNKNOWN
YES
NO,UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NNO
Does the owner have a current maintenance contract for the unit? YES
FAIL
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?
-_4
CI
FAIL
YES
YES
YES
Ports
Probing V, %
Ulu b," (�
NO
YES Y,_q
inches_
'4.
YES
NO,UNKNOWN
YES
NO
PASS
FAIL
Page 2
4nv »/uNems with the svaem that were not addressed in the insoecUon checNist
Please list any recommendations for the continued use ofthe m:
J/"+
Were any repairs done as a result of this inspection? NO Y E
If YES, please des cribe the r ep airs.
To the besi t of my knowledge and training, the information collected in this inspection is accurate as of
20
Licensed Systems Inspector Signature:
Clearly label any pictures and attach them to this form.
Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
76 Service Center Rd
Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Annlii-nfinn fnr r..nntinued Use Of an Existina OWTS
Parcel ID# (available from the Pitkin County Assessor's Office
970-920-5160 or at www_pitkinassessor.org):
_
-2U, `-1 %> �:
Contact/Applicant Mailing Address:
Purpose of Use Permit:
OPERTY TRANSACTION
❑ REMODEL/ADDITiQN
Property Address:
(� ,1
Fax Number:
Lot: Block:
Fling:
Subdivision:
1: y -o bilk C T_P_� V, f
Residences:
# of Bedrooms:
Other
Wures/uses:
Property Owner(s)*: Email Address:
Owner's Mailing Address: i City, State, Zip:
Home Phone.- Busitiess. Phone:
AContact information must be provided for the owner signing this application.
Primary Contact Person/Applicant (if not owner):
Company: ff
Contact/Applicant Mailing Address:
City, State, Zip:
CT��_R((r)fj
h2d�,Ly)
:L 1 9 .
,
Cell Phone:
C1,og ��
usin ss Phone:
-10— a2 --13(6
Fax Number:
Email Address:
CA-] p- Cl ZCr -70 Z -j
rC
Indicate Preferred Method of Permit Receipt:
Email [-I Fax
❑ US Mail
Licensed Systems Inspector_ Phone Number_ Email Address: Fax Number:
cbo z�ct ag
okx- �0__ %1-1
Mailing Address: c City, State, Zip:
it J
PLEASE READ BEFORE SIGNING:
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.
Owner i nature ( uired): Ul Date:
A i=ure: l� ,y� Date:
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Received by EH Staff: Fee & Receipt #: Date:
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) ) 970-309-5259 office 970-704-0484"\
cbo2610@yahoo.com
October 31, 2012
Shael Johnson
Caldwell Banker Mason and Morse Real Estate
shael(o-)-masonmorse.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
551 Brush Creek Road
Pitkin County, Colorado
Ms. Johnson,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use
Permit inspection at 551 Brush Creek Road.
The as -built drawing was provided by Pitkin County Environmental Health Department.
(Parcel ID # 2643-282-01-004). The existing septic tank does not appear to be the original
tank described as a "Caultette Plant" on the 1972 permit. The subject OWTS consists of
one 1250 -gallon septic tank and an absorption area, measuring approximately 10' x 80'
according to the as -built.
The septic tank appeared to be in good condition with both inlet and outlet tees present and
visible from the manholes. Water was run in the house and was observed entering the
septic tank. The absorption area showed no signs of saturation, and had no indication of
failure. No observation ports were present in the absorption area.
The inlet tee was tilted upward coming into the tank indicating settling of the sewer pipe
outside of the tank which could lead to line breakage. It is recommended that this line be
repaired. It is also recommended that an effluent filter be added to the outlet tee to prevent
solids from migrating to the absorption area. Sludge and scum levels in the tank exceed
25% of the tank capacity; therefore, pumping of the tank is required prior to obtaining an
OWTS Use Permit. A receipt from the tank pumping must be submitted, along with this
report, to the Pitkin County Environmental Health Department.
This evaluation is not a guarantee of future system performance. This inspection is good for
one year.
The following links are the required application and application checklist.
Application:
http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dey/EHNR/OWTS%20Use%20
Perm it%20Application.pdf
Application Checklist:
http://www aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20
Perim t%20Application%20 Checklist.pdf
Please call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # ITC11042010 Exp. 2014
Cleanout next to house
absorption area.
View of outlet side of tank and cleanout and
Inlet tee (tilted severely upward — indicates
pipe settling - should be repaired to prevent breakage)
Outlet tee — recommend adding effluent filter