HomeMy WebLinkAboutpitkin.eh.264320403003 (2017)OU NT�
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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.aspenpitkin.com/EHNR
Parcel ID #: 2643-204-03-003
OWTS Use Permit#:
I 0011.2017.POWU
Date Issued: 2/7/2017
Issued By: Bryan
Daugherty
Expiration Date: 2/7/18
Owner(s): I Susan Hershey
Property Address:
1780 Juniper Hills
Legal Description:
Lot 24, Block 2, Filing 2, Brush Creek Village
Licensed Inspector:
Carla Ostberg
Inspection Date(s):
12/27/16
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete 2 -compartment tank
1000 Gallons
Secondary Treatment Unit
Absorption Area
Seepage Pit
430 ft2 (11'x11'x10')
Other System Components
Fin use at the time of the inspection. ®Not in use at the time of the inspection.*
*If the OWLS was not in use at the time of the inspection, it is recommended that the system be re-evaluated when it is in use fora more accurate
System Records:
Permit #: 81053 Date of Issuance: 10/20/81 Date of Final Approval: 4/28/82
# of Bedrooms or fixtures served by OWTS: System was designed to serve 4 bedrooms
Operational Status: After repairs were made to bring the risers of the tank to grade the system was in good working
order at the time of inspection. The tank was in water tight condition and tees were in place. The tank gravity flowed to
a dosing tank with dosing siphon. Dosing tank was not accessible during inspection. The dosing siphon then gravity
dosed a lined "ET" bed. The bed area did not show signs of failure.
Inspector Recommendations: Find and inspect dosing tank to confirm dosing siphon is functioning, continued
maintenance.
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 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.
ova► ,Zo r�.Po�JV
Pitkin County Environmental Health Department
h I N Onsite Wastewater Treatment System (OWTS)
r USE PERMIT APPLICATION
COltN7ti
76 Service Center Rd
Aspen, CO 81611
http.lipitkincounty.mnV248/Wastewater-Treatment
Anolication for Continued Use of an Existino C(WTS
Parcel IDM (available from the Pitkin County Assessor's Office
970-9M5160crat http:l/phkinassessor.org/assessoci�arch.asp
�� 't(J
Purpose of Use Pemih: ® PROPERTY TRANSACTION ®REMODEL,/
Company:
Property Address
o t1j,I C� GL &O�i��
of
2-4
Block:
�
Filing
Subtlivis n:
�r^ 1 �p e&L , 1
1 V�y��/—".Yr Vl
Residences:
M of Bedrooms
(
L�
l
Other
fixtures/uses:
Email Address'
Indicate Preferred Method of Payment EffCheck
OCradlilDebt Cash
Property Owner(s)'
U�au 6
Email Address:
s-� ers wlai
bout
Owner's Mailing Address:
Unt
C' State Zi
City, State, Zip:
p
Srllol(
Home Phone:
Business Phone:
wnma nnarroarwn raasr oe wuwo o ror me owner signing mrs apprrcanon.
Primary Contact Person/Applicant (fl not owner)-
Date:
Company:
3� 1
Contact/Applicant Mailing Atltlress
Date:
City, State, Zip
Cell Phone
Business Phone:
Fax Number:
Email Address'
Indicate Preferred Method of Payment EffCheck
OCradlilDebt Cash
Licensed Systems Inspector:
Phone Number: Email Address: Fax Number.
ar a5
3o S c K4Aj-
Mailing Address:
C' State Zi
3 ooe
p
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 Signature (Required):
Date:
3� 1
Applicant Signature.
Date:
Please allow 3-5 business days for processing of Use Permits. Save Form Clear Form Print Form
IFOR OFFICE USE ONLY
Received by EH Staff: Fee & Receipt #: Data
Effective Date 1/17/2017
L1s% lam— W —=1J
Y
/\y
Ew -t 4
to,
Altitude Septic, LLC
PO Box 1534
Eagle, CO 81631
970-471-0913
AttitudeSeptic@gmail.com
AltitudeSeptic.com
Biu TO
1780 Juniper Hill
INVOICE
Date Invoice #
1272017 1254
Due Date
1272017
Quantity
Description
Unit Price
Amount
2
12" Riser
64.765
129.53
2
Lid
29.435
58.87
1
Rub'r Nek
15.47
15.47
1
Delivery and Installation
300.00
300.00
Any balance not paid in 30 days will incur a 3% interest charge.
Total $503.87
Payments/Credits $0.00
Balance Due $503.87
December 28, 2016
Susan Hershey
sthe rshevag ma il. com
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg(a)gmail.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
1780 Juniper Hill Road
Pitkin County, Colorado
Susan,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 1780 Juniper Hill Road, Aspen, Colorado on December 27, 2016. The legal description of
the 2.15 -acre property is Lot 24, Block 2, Filing 2, Brush Creek Village Subdivision.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2643-204-03-003). The subject OWTS consists of one 1000 -gallon, two-compartment concrete
septic tank. A note on the record drawing indicates a dosing siphon was installed in 1987. Effluent is
dosed to a lined evapo-transpiration (ET) bed. Individual Sewage Disposal System Permit 81053
documents this system. The system was sized to accommodate 3 bedrooms. The permit received
final approval on April 28, 1982. As mentioned above, there is an additional note on the record drawing
describing the addition of the dosing siphon in 1987.
The septic tank is located to north of the residence. No clean out between the house and the septic tank
was observed at the time of the inspection. The manhole lids on the septic tank were located
approximately 1 -foot below grade. Risers and new lids must be added so access to the septic tank
is accessible from grade. This work must be performed by a Pitkin County OWTS Licensed Contractor.
Liquid levels in the septic tank appeared normal at the time of our inspection. B&R Septic pumped the
septic tank in the summer of 2016. Concrete baffles are present at both the inlet and outlet sides of the
septic tank, although the outlet concrete baffle is showing signs of deterioration.
Pruitt's Rooter and Drain used a camera to verify the presence of the dosing tank. The dosing tank is
located approximately 12 -feet from the outlet side of the septic tank (to the north) and 7 -feet below the
surface (which included 1 -foot of snow cover). The dosing tank was not accessible for inspection, and
excavation of the tank as this time is not feasible. A siphon functions on a prime, and is not powered by
electricity. If the siphon is not dosing, it simply reverts to a trickle -mode. There was no indication of any
blockage or issue that would not allow effluent to pass through the dosing tank to the soil treatment area
(STA) at the time of our inspection. We recommend this tank be uncovered and the dosing siphon
tested, if and when it is feasible to mobilize equipment in that area.
We walked the clearing in the vegetation to the approximate location of the ET bed, which is east of the
residence. There was over 1 -foot of snow cover at the time of our inspection in the area of the ET bed.
We walked the area, but did not observe any vents or inspection ports that are noted on the record
drawing. We found no evidence of surface saturation or failure at the time of our inspection. This
evaluation is not a guarantee of future system performance. This inspection is good for one year.
An addition to the house occurred in 2006, receiving proper county permits. At that time, it was not
required that the OWTS be upgraded, although a bedroom was added, resulting in a total of 4
bedrooms. The OWTS was sized to accommodate only 3 -bedrooms; however, the system appears to
be working properly with no signs of failure at the time of the inspection.
Required Repairs:
1 -foot of risers and new lids must be added to bring septic tank access to grade.
Recommendations:
• Uncover dosing tank for inspection and check siphon for proper functioning.
• Continue to monitor the condition of the concrete baffles in the septic tank that are showing signs
of deterioration.
This report, documentation of the required repairs, and a completed OVVTS Use Permit
Application must be submitted to the Pitkin County Environmental Health Department. Applications may
be submitted to Pitkin County Environmental Health Department electronically. The following are links to the
required OWiS Use Permit Application and Checklist.
Application: hftp://www.pitkincounty.com/DocumentCenter/HomeNiew/621
Application Checklist: http://www.pitkincounty.com/DocumentCenter/HomeNiew/620
Also enclosed are instructions on how to apply for an OWTS Use Permit electronically. All questions
regarding permit submission can be directed to Pitkin County Environmental Health Department, 970-920-
5070.
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,
e,aA La DS-t&kLS
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 110441TC Exp. April 2018
Lids of septic tank ap
•
Approx STA (ET bed)
m
` AW ei
V
septic tank
MW
We"
,1 p
Swale above ET bed
�Ff
I Onsite Wastewater Treatment Systems (OWTS) Use
Improper vegetative cover?
Permit Inspection Form
�gpga�
}ti Pitkin County Environmental Health Department
Improper discharges such asstraight pipes?
76'Service Center Rd, Aspen, CO 81611
Evidence of high ground water?
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:
1
Parcel Number:
Inspection Date:
Inspector's Name:
Business Name:
Phone Number
IEmail:
Pitkin County Systems
passes or fails.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? YE NO
If NO, how long has the home been vacant?
Howmany bedrooms are in the home? �—
If secondary treatment Is used, who is the
maintenance provider? NIA
I — I
RECORDS:
Were system r cords available from Pitkin County? YES NO
If YES: Per mit number.
Date of Final Approval: �4 L 82
N of bedrooms permitted:
Wats an as -built drawing available? C NO
Is the as -built drawing accurate? ES NO
If NO: Complete a drawing of the system on fast page of ibis form as accurotely as
Ipossible.
wt 2t -i
F7I b -no Z
bru51 Crrj-i<-
2 - l5 -acre, c::,
Any question marked FAIL will require correction before an OWTS Use permit is issued.
Proper grading', no evidence of erosion?
PASS FAIL
Improper vegetative cover?
r,_O1 YES
Evidence of cofnpaetion such as heavy machinery or livestock?
_ YES
Improper discharges such asstraight pipes?
PAS FAIL
Evidence of high ground water?
N -YES__
Snow cover present?
Page 1
TANK:
Tank?
Tank 2,
-,
Tank'3
NO
Tank capacity
C)gallons
'FAIL
gallons
-
gallons
Tank material
fAf) yI e?'iT
FAIL
SECONDARY TREATMENT:
Distribution Box or ADV part of original design?
YES
# of compartments
- 7
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NO
Date of lait pumping
(nn_0 .
_) Q
Maintenance Provider: Phone:
Lids/risers in good condition
,PASS AI
PASS
.FAIL -
- PASS -
FAIL
Risers to grade _
YES N -q
YES
NO
, YES
NO
Riser height
.. Z'
Riser condition/watertightness
- 0 s
Inlet sanitaryT �-�.
PA$S FAIL
PASS
FAIL .,.
PASS -FAIL
Outlet sanitaA affl
PAS FAIL
PASS -
FAIL
PASS
FAIL
�Effluent filter (if part ofdesign)
PASS FAI N
PASS FAIL
N/A
PASS FAIL
N/A.,
Condition of tank material i
--PASS,, FAIL
PASS
,FAIL
PASS
FAIL
Tank was pumped for inspection
YES N
YES
; NO,
YES
NO
If YES, list the pumping company
if NO, when was the Iasi pumping
_ ..
Scum level (lst 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)
PASS ----FAIL
PASS
FAIL
PASS
FAIL
Midtank baffle
S FAIL N/A
.PASS FAIL
N/A
PASS FAIL
N/A_
Watertightness
JJPASS7 .FAIL
PASS
FAIL •
PASS ,:FAIL
PUMPS/DOSING SIPHONS:
Effluent surfacing?
—� 1s a pump or dosing siphon present?
YES
NO
If YES, is the pump/dosing siphon functioning properly?
PASS
'FAIL
Does thepump/wiring/dosing siphon appear to be in goodcondition?
PASS
FAIL
Is the high water alarm working, both visible and audible?
PASS
FAIL
SECONDARY TREATMENT:
Distribution Box or ADV part of original design?
YES
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: Phone:
If there is no maintenancecontract, a contract must be in place prior to occupancy of the home. A
copy of the contractmust be submitted to Pitkin County Environmental Health Department.
ABSCIRBTION AREA:
Effluent surfacing?
Evidence of past surfacing? -
^
�?
Surface dampness?
Excessive odors?
NO
Field location verified by observation ports or probing:
Ports
Liquid In observation port?
NO
If YES, record depth:
Distribution Box or ADV part of original design?
YES
If YES, is it accessible from grade?
YES
Is itleveland in good condition?
PASS
Page 2
.FAIL
YES
YES -
YES.
Probing iS611)�)
YES
inches
UNKNOWN
NO
FAIL --
46N 1
Any problems
Please list any
Were any
If YES, please
To the best
Licensed S
Additional
Q O~
the system that were not addressed in the inspection checklist?
for the continued use of the system:
done as a result of this inspection?
the repairs.
NoYES
e and training, the information collected in this Inspection Is accurate as of
Signature: j '.�k, .i .�:'
clearly label any pictures and attach them to this form.
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 location of any well on the
property. Using markers such as corners of the house, exact measurements can be used to triangulate
the location of the system components for future reference.
� 1
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.
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CW
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Page 4
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130 South Galena Street Aspen, Colorado 81611 303/S25-2020
_
posln�G SJP� - ��
TAOPCLAIJJ)
Ars
approx. iocauon
of dosing tank approx. location approx. location of lined ET
and siphon of septic tank Bed