Loading...
HomeMy WebLinkAboutpitkin.eh.246527200004 (2016)F f �# f Ad �... Pitkin r i �,. �, { € 4 County s_ € '/ I �� o ( � ? 1 '._ �. Health Department Onsite Wastewater Treatment System (OWTS) USE PERMI P I , Continued I^, 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitl<in.com/EHNR Parcel ID #: 2465-272-00-004 OWTS Use Permit #: I 0065.2016.POWU Date Issued: 11/18/2016 Issued By: Bryan Daugherty Expiration Date: 11/18/2017 Owner(s): I Bill Lueck Property Address: 2555 West Sopris Creek Rd Legal Description: Licensed Inspector: Doug Warren Inspection Date(s): 10/14/16 Components Type Capacity/Size Primary Treatment Unit 2 compartment concrete tank 2500 gallons Secondary Treatment Unit Absorption Area Gravelless chamber beds 1018 ft2 Other System Components ®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 M 99003 Date of Issuance: 1/12/99 Date of Final Approval: 2/29/00 # of Bedrooms or fixtures served by OWTS: This system is designed to serve 5 bedrooms Operational Status: After repairs were made to the lids and risers of the tank, the system was operating as designed at the time of inspection. The tank was in water -tight condition and tees were in place. The tank gravity flowed to a distribution box that was not accessible from grade and distributed to 2 chamber beds. There was no standing effluent in the observation ports and no evidence of failure in the field area. Inspector Recommendations: Continued maintenance. Department Recommendations: 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. Pitkin County Environmental ealth Department 1 Onsite Wastewater Treatme t System (OWTS) 'USE PERMIT APPL CATION C4111k !Ai`t't 76 Service Gen er Rd Aspen, GO 81 11 Website: www.aspenpit} in.com/ehnr/ Annlirratinn Mr r--nntinttpri I lcr- of an ExIistino OWTS Parcel ID# (available from the Pitkin County Assessor's Office�}A 970-920-5160 or at wwwm4kinassessor.oral: Q� �� vL,/ Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Purpose of Use Permit. PROPERTY TRANSACTION ❑REMODEL/ADDITIO Fax Number Email Address: Property Address: ,z�� r ❑ Us Mail Lot. Block: Filing: Subdivision: !yl fP t�QSCri ar/y�/ ( s Lf G�S' r Residences: Other # of Bedrooms: A(t fixtures/uses: / / foil �� S Property Owner(s)': Eail mAddress: Owner's Mailing Address: City, Stat ip: �22�f--04��.%� ems_ v a Home Phone: _ Business Phone: 'Contact information musl be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner) Company. i Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: i Fax Number Email Address: Indicate Preferred Method of Permit Receipt: XEmall ❑ Fax ❑ Us Mail Licensed Systems Inspe,or Phone Number: Email Address: Fax Number Marling Ads: City, State, Zi PLEASE READ BEFORE SIGNING: I certify that the above information is complete and accurate and that I have provided complete an accurate information in Al of the documents included in my application package. I acknowledge that this department may revoke any permit I m issued if my application is found to contain any inaccurate, false, or misleading information. Owner Signature (Required): Date 10/20/2016 44116 luec,� Applicant Signature: Date: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: ree & Receipt #: Date: i Z�w f h IN Onsite Wastewater Treatment Systems (OWTS) Use a Permit Inspection Form Co 11 1 i N, Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www. aspenoitkin.com/ehnr Inspection form for continued use of an existing OWTS Owner's Name: Address: Parcel Number: Inspection Date: Inspector's Name: Business Name: Phone Number Email: Pitkin County Systems Inspector License Number: " A coi2v of this inspection re ort will be remitted to Pitkin County Environmental Health Department b the Licensed Systems InsgaMr within6 rd a ether the system R„ussgs or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO I PE ION• Is the home currently occupied? NO If NO, how long has the home been vacant? How many bedrooms are in the home? If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? YE5 NO If YES: Permit number: Date of Final Approval? 4 of bedrooms permitted: Was an as -built drawing available? ES NO Is the as -built drawing accurate? YES NO If NO: CompleFe 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? ASS FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? A S FAIL Evidence of high ground water? YES Snow cover present? I� YES Page 1 TANK: Tank 1 Tank 2 Is a pump or dosing siphon present? Tank 3 NO Tank capacity gallons FAIL gallons PASS gallons Tank material p✓tlrCi�� FAIL SECONDARY TREATMENT: # of compartments NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Date of last pumping +J,n A, UNKNOWN Maintenance Provider: _ Phone: Lids/risers in good condition S FAIL PASS FAIL PASS FAIL Risers to grade NO YES NO YES NO Riser height Riser condition/watertightness Volk Inlet sanitary T/baffle S FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle ASS FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PA FAIL PASS FAIL N/A PASS FAIL N/A Condition of tank material P FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES O YES NO YES NO If YES, list the pumping company If NO, when was the last pumping ibC1c.N.- Scum level (1st compartment) inches inches inches Sludge level (1st compartment) inches inches inches Scum level (2nd compartment) Q inches inches inches Sludge level (2nd compartment) inches inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle CIAW FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness AS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: --inches YES 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. 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? FAIL YES YES YES Probing YES UNKNOWN --inches YES NO r V PASS FAI L' Page 2 Any problems with the 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 To th be of my knowledge and training, the information coll ed in this inspection is accurate as of ,� zo 1-ic nse Systems Inspector Signature: If YES, please describe the repairs. Additional Notes: Clearly label anv pictures and attach them to this form._ Page 3 r C OUTLFT TR C)I"JCRETF OIS NOUPON COX V,/ BAFFLL---\, 25,00 GAL, CONCRETE SEPTIC TANK (TWO COMPAP\-FMF—NT)--\' PCONER ClfANOIJ I pi N'. :-z < cy RF WLO�F 09. 04'/ 41, /Z "LOCAMON ----------------------------i a £}lit I C) 1 I I \ ^• 1 I - I ------------- Ln -o c O n ? CD EL qy� awl ffif m nig gm 1"f:3 1111--c1tg a Illy R gg $$` a s 'a�`• � F em "d }fl� •� €fld 2�AY:d -g s' � �_; 4� = �3:4>: jg=`�y 33 p�m NA! fl�9 Fs fl9g ���� s9�o 0,, •a r -1-'Y�S --fiji, 3t? !ail 9s az g 11-§- �A�s yag 3 gfie j'ap �aApy' P�fls ig$s�3'�r° S�s3 i"sa�•@=9gi333aig : SSs �/As$sp0..a3 9g. �gg�d 1°�= s_�a�'. i�� 343' IVB �^- A>> r'i�}yP.� a9� Y1�Irm�IL) U � i/4" PROJECT NORTH REV: 4-1q-99 PERMIT: 1 1- 1 1-98 1 MA/N LFYEL PLAN LIPPED LEVEL PLAN 1/4" 114' PROJECT NORTH PROJ F2 E NORT