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HomeMy WebLinkAboutpitkin.eh.264316100026 (2017)g ri fr 4 Imo. Pitkin 7€. Environmental Hi I t Department Onsite PERMIT Permitfor Continued Use 1 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2643-161-00-026 OWTS Use Permit #: I 0018.2017.POWU Date Issued: 3/13/2017 Issued By: Kurt Dahl Expiration Date: 3/13/2018 Owner(s): I Kevin Patrick Property Address: 7950 Upper River Rd Legal Description: Absorption Area Licensed Inspector: Jason Daubs Inspection Date(s): 1/31/2017 Components Type Capacity/Size Primary Treatment Unit Two-compartment septic tank with pump (main house) 2000 gallons Secondary Treatment Unit Two-compartment septic tank with pump (studio) 1000 gallons Absorption Area (2) Gravelless chamber soil treatment beds 195 Quick -4 chambers total (1795 ft2) Other System Components Distribution box ®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 #: 08002B Date of Issuance: 9/16/2009 Date of Final Approval: 06/05/2009 # of Bedrooms or fixtures served by OWTS: The system was designed to serve 6 bedrooms. There are currently 3 bedrooms in the main house and 1 in the studio Operational Status: The inspector indicates the system is in good condition and there is no evidence of failure. Both septic tank manhole lids were replaced and a light on the control box. Inspector Recommendations: none Department Recommendations: Annual Maintenance 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. I T h I N Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) �,' USE PERMIT CHECKLIST CO N f Permit for Continued Use of an Existing OWTS , ` 76 Service Center Rd • Aspen, CO • 81611 Phone: 970.920.5070 Fax: 970.920.5374 http://pitkincounty.com/248/VVastewater-Treatment Some items listed on this checklist may already exist in the Department files. Please contact this department to collect any necessary documentation, using the parcel ID# to identify the property, prior to scheduling an OWTS Use Permit inspection and/or submitting the OWTS Use Permit application packet. A complete application package must be presented at the time of your pre -application conference for acceptance. To schedule a pre -application conference, please call (970) 920- 5070. PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION Only one copy of each item is necessary. Electronic versions of any or all of the documents identified below may be emailed to ehnrCa_co.Pitkin.co.us before the date of the pre -application conference. OWTS Use Permit Application (completed) Site Plan ❑ Should include general location of each OWTS, buildings, water courses, domestic water source(s), and other pertinent information. Building Floor Plans E rcurrent floor plans for a property transaction; or E] Proposed floor plans for an addition/remodel that does not increase potential bedroom count or water usage of the structure served by the existing OWTS. Inspection report by a Licensed Systems Inspector [] A list of Licensed Systems Inspectors can be found at http://pitkincounty.com/DocumentCenter/HomeN!ew/rol7 An inspection report is good for one year. Applicable Fee F] OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. Save Form Clear Form Print Form Effective Date 1/12/17 lg. zoc �� po W L) Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 http://pitkincounty.com/248ANastewater-Treatment Application for Continued Use of an Existing OWTS Parcel ID# (available from the Pitkin County Assessor's Office Sue Howarth 970-920-5160 or at htt :// itkinassessor.org/assessor/search. Compass (Real Estate) Purpose of Use Permit: FE I PROPERTY TRANSACTION REMODEL/ Property Address: State, Zip: Owner's Mailing Address: Waterlaw, 197 Prospector Rd 7950 Upper River Road, Woody Creek Aspen Lot: 181611 Block: Filing: Business Phone: Fax Number: Subdivision: (970) 379-5458 Email Address: M/B I I I F Residences: # of Bedrooms:' Other 3 fixtures/uses: r \ Property Owner(s)": Sue Howarth Email Address: Compass (Real Estate) Contact/ApplicantMalling Address: Kevin Patrick patrickCCwaterlaw.com State, Zip: Owner's Mailing Address: Waterlaw, 197 Prospector Rd City, State, Zip: Aspen CO 181611 Home Phone: (970) 925-6063 Business Phone: Fax Number: (970) 925-6064 (970) 379-5458 Email Address: (970) 920-1030 *Contact information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): Sue Howarth Company: Compass (Real Estate) Contact/ApplicantMalling Address: �7City, [117 S. Monarch St State, Zip: Aspen CO 181611 Cell Phone: 1(970) 379-8334 F -s - k. \-X Business Phone. (970) 925-6063 FOR OFFICE USE ONLY Fax Number: (970) 925-6064 Date: Email Address: v J� J��, r 1� C Indicate Preferred Method of Payment ■ Check Credit/Debit Cash Licensed Systems Inspector: Phone Number: Email Address: Fax Number: Jason Daubs (970) 471-0913 Mailing Address: Ci State Zi altitudeseptic@gmail.com 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: j Applicant Signature: Date: F -s - k. \-X Please allow 3-5 business days for processing of Use Permits. Save Form Clear Form Print Form FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: Effective Date 1/122017 �, KIN Onsite Wastewater Treatment Systems (OWTS) Use i Permit Inspection Form CouNTN 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: Kevin Patrick Address: 7950 Upper River Rd Woody Creek, CO 81656 Parcel Number: 2643-161-00-026 Inspection Date: 1/31/2017 Inspector's Name: Jason Daubs Business Name: Altitude Septic, LLC Phone Number 970-471-0913 Email: altitudeseptic@gmail.com Pitkin County Systems Inspector License Number: 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 fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YES NO If NO, how long has the home been vacant? J How many bedrooms are in the home? 04 t A k-*O,-3�� If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? YES NO If YES: Permit number: 08002B Date of Final Approval: 6/5/09 # of bedrooms permitted: 6 Was an as -built drawing available? YES NO Is the as -built drawing accurate? YES NO If NO: Complete a drawing of the system on last page of this form as accurately as possible. Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? PASS FAIL Improper vegetative cover? NO YES Evidence of compaction such as heavy machinery or livestock? NO YES Improper discharges such as straight pipes? Evidence of high ground water? Snow cover present? Page 1 PASS FAIL NO YES NO YES TANK: Tank 1 NO Tank 2 PASS Tank 3 Does the pump/wiring/dosing siphon appear to be in good condition? Tank capacity 2000 gallons 1000 gallons SECONDARY TREATMENT: gallons Tank material Concrete NO Concrete If YES, does the unit appear to be in good working condition? YES NO # of compartments NO UNKNOWN Maintenance Provider: Phone: Date of last pumping Lids/risers in good condition PASS FAIL PASS FAIL PASS FAIL Risers to grade YES NO YES NO YES NO Riser height 41 31 Riser condition/watertightness Pass Pass Inlet sanitary T/baffle PASS 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 PASS FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES NO YES NO YES NO If YES, list the pumping company Altitude Septic, LLC If NO, when was the last pumping Scum level (1st compartment) inches 011 inches inches Sludge level (1st compartment) inches 311 inches inches Scum level (2nd compartment) inches 0" inches inches Sludge level (2nd compartment) inches 0" inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle PASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: 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: 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 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. ABSORB u ON 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 NO NO NO Ports NO FAIL YES YES YES Probing YES inches YES NO YES NO PASS FAIL Page 2 UNKNOWN Any problems with the system that were not addressed in the inspection checklist? One of the fiberglass lids is broken and need replaced. One of the concrete lids is broken and needs reDlaced and the loobt nn the control box at the barn 6s broken 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. We replaced both lids and replaced the light on the control box. To the best of my knowledge and training, the informati n collected in this inspection is accurate as of February_, 20�. /I Licensed Systems Inspector Signature: csii, Additional Notes: Clearly label any pictures and attach 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 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. See attached form from Pitkin County. Page 4 y � f -•F � 4.i' , � h � Willi M Sk IS U 11 ux rj{ x, c- N"• r � t T rn C ;o b p' t ' �`"`�Y, x: 00 a/ / .... mak, .R• i C) .Yc) 4r+ t_.r f t ) y f 1 P r 6"...ii / 17.1 •w ^3 t' ! ` �� tax Q � � 1. f V • Ig l 4dk ` ^ Y e1 i 3 k� w la..... i a . r M Ste! u .n ,..-... f I -i vf\