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HomeMy WebLinkAboutpitkin.eh.264316400039 (2014)LJ Pitkin County Environmental �..;alth 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: 970-920-5374 www.aspenpitkin.com/EHNR Parcel ID #: 2643-164-00-039 OWTS Use Permit #: I 0027.2014.powu Date Issued: 07/16/2014 Issued By: Kurt Dahl Expiration Date: 07/16/2015 Owner(s): I Duane Dumire Rev. Trust Property Address: 428 Woods Rd Legal Description: Licensed Inspector: Carla Ostberg Inspection Date(s): May 20, 2014 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete single -compartment tank 1000 gallons Secondary Treatment Unit Absorption Area Dry well 12' diameter x 6' deep (200+ ftz) Other System Components OWTS Use Status: ® In use at the time of the inspection. ❑Not in use at the time of the inspection.* *If the 0WTS 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 #: 77119 Date of Issuance: 11/16/1977 Date of Final Approval: 03/15/1978 # of Bedrooms or fixtures permitted by OWTS: 1 Operational Status: The inspector indicates the OWTS appears to be operating properly and there is no sign of failure. Access to the tank was extended to less than 8 inches below grade. The existing OWTS does not meet current code and will be required to be abandoned if/when an OWTS repair or alteration permit is applied for. Inspector Recommendations: none Department Recommendations: Due to the proximity of the septic drywell to the drinking water well and the septic tank being a single -compartment, this department recommends the well water be tested for the presence of fecal coliform. 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. Page 1 1 Pitkin County Environmental Health Department 11rK I N' Onsite Wastewater Treatment System (OWTS) IT Ail USE PERMIT APPLICATION i'11'><` � 76 Service Center Rd -- Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ onnlicatinn Mr Cnntintmd Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970-920.5160 or at www.pitkinassessor.org): _ _ / 4 10 �} wq :S I Latuail(.4 Contact/Appiicant Mailing Address: V Cell Phone: Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: Email Address: <? S ❑ US Mail Lot: Block: Filing: Subdivision: Residences: Other 0 fr� I u $-Q. # of Bedrooms: fiixturesluses: t i� W`e it Property Owner(sr: Email Address: Duane y I I Owner's Mailing Address: City, State, Zip: U /Z Home Phone: Business hone: 'Contact information must be provided for the owner signing this application Primary Contact Person/Applicant (if not owner): Company- Rj- Adams wq :S I Latuail(.4 Contact/Appiicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: �7 Fax Number: Email Address: <? Indicate Preferred Method of Permit Receipt: mail ❑Fax ❑ US Mail Licensed Systems Inspector: Phone Number. Email Address: Fax Number. f}— OQ�;Z 5 F D ltl V? Mailing Address: City State, V �3' (pd,d 81727 'LEASE 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): Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: Date: Date: put*, Z o I'Y, (0 L,) May 26, 2014 Tony Dumire tonydumire@comcast. net Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 428 Woods Road Pitkin County, Colorado Mr. Dumire, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 428 Woods Road, Aspen, Colorado on May 20, 2014. This 2.2 acre property has a 1 - bedroom single family residence and an accessory structure with a loft, toilet, sink, and shower. Records were provided by you, the property owner, and by Pitkin County Environmental Health Department (Parcel ID #2643-164-00-039). Records included a permit for the original system from 1971, an "Activity Report" from 1974, Permit 77119 for a composting toilet for the accessory structure, and letter dated July 24, 1987 regarding the removal of the composting toilet. The subject OWTS consists of one 1000 -gallon, single -compartment concrete septic tank followed drywell, described by the August 16, 1974 "Activity Report" as a "300 cinder block cone, 12 -feet in diameter, and over 6 -feet in depth". The septic tank appeared to be in good condition, with the inlet tee made of clay and the outlet tee 3 -inch PVC. We typically recommend the installation of an effluent filter on the outlet tee; however, this tee is 3 -inches in diameter rather than the typical 4 -inches and retro -fitting the tee with a filter would not be possible without replacement of the tee. The lids were buried greater than 8 -inches below grade. Lids must accessible within 8 -inches from grade. The septic tank was pumped as part of the inspection by B&R Septic. This tank is a single -compartment tank, which was approved when the tank was installed in 1971. Today, two-compartment septic tanks are required. The drywell was not accessible from grade. The drywell showed no signs of saturation, and had no indication of failure at the time of the inspection. The well is located approximately 60 -feet from drywell. The fact that the tank has only a single compartment and the distance to the drywell to the well does not meet the minimum 100 -foot setback; no additions to the existing OWTS would be permitting. Prior to submitting for an OWTS Use Permit Application with Pitkin County, evidence of brining the lids within 8 -inches of grade must be provided. This can be in the form of a photograph, or this office can be called to verify. This evaluation is not a guarantee of future system performance. This inspection is good for one year. CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 'u cell) 970-309-5259 office) 970-704-0484 carla.ostberg(a_gmail.com May 26, 2014 Tony Dumire tonydumire@comcast. net Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 428 Woods Road Pitkin County, Colorado Mr. Dumire, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 428 Woods Road, Aspen, Colorado on May 20, 2014. This 2.2 acre property has a 1 - bedroom single family residence and an accessory structure with a loft, toilet, sink, and shower. Records were provided by you, the property owner, and by Pitkin County Environmental Health Department (Parcel ID #2643-164-00-039). Records included a permit for the original system from 1971, an "Activity Report" from 1974, Permit 77119 for a composting toilet for the accessory structure, and letter dated July 24, 1987 regarding the removal of the composting toilet. The subject OWTS consists of one 1000 -gallon, single -compartment concrete septic tank followed drywell, described by the August 16, 1974 "Activity Report" as a "300 cinder block cone, 12 -feet in diameter, and over 6 -feet in depth". The septic tank appeared to be in good condition, with the inlet tee made of clay and the outlet tee 3 -inch PVC. We typically recommend the installation of an effluent filter on the outlet tee; however, this tee is 3 -inches in diameter rather than the typical 4 -inches and retro -fitting the tee with a filter would not be possible without replacement of the tee. The lids were buried greater than 8 -inches below grade. Lids must accessible within 8 -inches from grade. The septic tank was pumped as part of the inspection by B&R Septic. This tank is a single -compartment tank, which was approved when the tank was installed in 1971. Today, two-compartment septic tanks are required. The drywell was not accessible from grade. The drywell showed no signs of saturation, and had no indication of failure at the time of the inspection. The well is located approximately 60 -feet from drywell. The fact that the tank has only a single compartment and the distance to the drywell to the well does not meet the minimum 100 -foot setback; no additions to the existing OWTS would be permitting. Prior to submitting for an OWTS Use Permit Application with Pitkin County, evidence of brining the lids within 8 -inches of grade must be provided. This can be in the form of a photograph, or this office can be called to verify. This evaluation is not a guarantee of future system performance. This inspection is good for one year. This report and evidence of bringing access to manhole lids within 8-inches of grade should be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit% 20Application.pdf Application Checklist: http://www aspenpitkin com/Portals/0/docs/countV/Com%20Dev/EHNR/OWTS%20Use%20Perimt% 20Application%20Checklist. pdf Please call with questions. Sincerely, � , C Oaf Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # 11044ITC Exp. 2016 May 20, 2014 Approx. location of drywell View of septic tank lids and drywell area, looking northwest. View of septic tank lids, looking southeast, toward the residence. Inlet side of septic tank Clay tee Outlet tee (3 -inch PVC) No mid -tank baffle Outlet tee cleaned off KIN Onsite Wastewater Treatment Systems (OWTS) Use �jojjf Permit Inspection Form "COUN T 1 Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 t` 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:_ t1/1"i i��' Address: � jj 01-.),ji c �� r-, I ('An 9,1` ' ? Parcel Number: Z(p C{ 3- ( loci-- 00- 1 Inspection Date: Inspector's Name: , Business Name: y�'1 7 (y7 C Phone Number _;± _7 f}� Email: Pitkin County Systems Inspector License Number: -� t� i A cony of this inspection repart 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 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? / If secondary treatment is used, who is the maintenance provider? RECORDS: Y Were system records available from Pitkin County? ( NO If YES: Permit number:��r r,T= , # �; � `, _,�/ E71244 I I I Date of Final Approval: # of bedrooms permitted: oZ Was an as -built drawing available? YES Is the as -built drawing accurate? YES NO r,- r-DTrn VU 60a - `PD1, 14-1 71 ltC) If NO: Complete a drawing of the system on last page of this form as accurately as possible. Any question sharked FAIL will require correction before an OMITS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? PASS FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? Na YES Improper discharges such as straight pipes? P FAIL Evidence of high ground water? N YES Snow cover present?�NO YES Page 1 cA 0.,-/ TANK: Tank 1 Tank 2 If YES, is the pump/dosing siphon functioning properly? Tank 3 Tank capacity (� 0 gallons FAIL gallons PASS gallons Tank material 0 YES Is a secondary treatment unit present? YES �� NOS, UNKNOWN If YES, does the unit appear to be in good working condition? YES NO # of compartments Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: Distribution Box or ADV part of original design? YES Date of last pumping If YES, is it accessible from grade? r NO is it level and in good condition? PASS FAIL Lids/risers in good condition PASS FAIL PASS FAIL PASS FAIL Risers to grade YES NO', YES NO YES NO Riser height Riser condition/watertightness ^ r Inlet sanitary T/baffle P FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle P 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 _ If NO, when was the last pumping Scum level (1st 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 PASS FAIL ` N/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS--:, FAIL PASS FAIL PASS FAIL i PUMPS/DOSING SIPHONS: I VL S 'Nos) 0+v r s 'ItA as 0�. ti:-' 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: 0 YES Is a secondary treatment unit present? YES �� NOS, UNKNOWN If YES, does the unit appear to be in good working condition? YES NO NO Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: Distribution Box or ADV part of original design? YES If there is no maintenance contract, a contract must be in place pric; to occupancy of the home. corer of the contract must be submitted to Pitkin County Environmental Health Department. ASSORBTION AREA: Effluent surfacing? - PP FAIL Evidence of past surfacing? T NO YES Surface dampness? N f YES Excessive odors? 0 YES Field location verified by observation ports or probing: Ports Probing rfo 3 C,; rd Liquid in observation port? NO YES NO 00� C-0-55 If YES, record depth: inches Distribution Box or ADV part of original design? YES ` NO UNKNOWN If YES, is it accessible from grade? YES NO is it level and in good condition? PASS FAIL Page 2 Any problems with the system that were not addressed in the inspection checklist? r ) "7 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. Q'`� Use [ N To the best of my knowledge and training, the information collected in this inspection is accurate as of Licensed Systems Inspector Signature: n Additioal Nates: _ M-77 , V r P S tori JA 61 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. �( w'7 'a I Page 4 f 0() o:s PTTKIN COUNTY DEP.IRT I;SNI' OF;P;'/IF ONVIVU- AT hEEAL'T'H Box. Aspen City Hall Aspen,^.o:i_ora.do 925-2020 P F ��,il T _ System Location Conrractor, 1. Construction approval: Plans and location are 'rereb • a prove". Perc. rate inches inminutes=1�CN sq. feet of absorption area per bedroom. Y 140 sq. feet = .-,1 � Ct _ 0q• feet •ni nimum require- --est I Su��est .'j J1i 1,� c% It, /�`:. «1 �I „��•" �a ,< r i Date .� - / Inspector�_a1 2. Final approval of SyS%a.': No systuam shall be doe: ed to be in compliance :xrith the Sewage Disoosa? Laws unti? the assem�bl ed systen) is anoro1ied Di�ior to covering any Dart. $'f septic tank Clcanou`v vith was seal E71 Proper materials and assembly Adequate absoro�ion area Adcquato concrete cover (dry _•:ells only) _— L�oxes�ant----- Date�_��� IrsPector—�E'' *xaetain tiri.th perm L records at con, tructi.on site. If at any time this system fails a new permit must be obtained and repairs made immediately. AI'PRC-T[LV~L' SYS -M -f IOCA` IOid- Gine dist, in feet J' 66 x - Type of system applied for dimensions to be filled in upon permit issuance. Septic & Bed Septi c �• `� �..._.__- � � .. Sal.' i•` 1.11 2'Op Soil 4" Straw To Septi e 6111" Gravel 4" Gravel - + Sealed HolcUr-p, Septic & L'ry I-fell{s 1 - ti I" Gravel �`r`''�•�� _ Cender Bloc -- Septic _ ,_ ` �i�-�Y..: 2" Gravel Af 1-------- 811 clean out Concrete co :-e -7 CV! oc= f 4 = i o- ti ILS J i-- Mechanical + Dimensions Bed Dry Well Nordac Holdi no .pond ti� r• 1 Chlorinated dis. Septic T1ink- See Pa,- ]6 of-Seaag,e Disposal System %- ! Pit Privy Septic. & I+ordak _ tit depth atl: : A j•• - + Sealed HolcUr-p, Septic & L'ry I-fell{s 1 - ti I" Gravel �`r`''�•�� _ Cender Bloc -- Septic _ ,_ ` �i�-�Y..: 2" Gravel Af 1-------- 811 clean out Concrete co :-e -7 CV! oc= f 4 = i o- ti ILS J i-- Mechanical + Dimensions Bed Dry Well Nordac Holdi no .pond ti� r• 1 Chlorinated dis. Septic T1ink- See Pa,- ]6 of-Seaag,e Disposal System %- ! Pit Privy COLORADO DEPARTI.1ENT OF HEALTH DIV M OF ENGINEERING AND SANITATIC A C T I V I T Y R E P O R T _ion FILE REFEFENCE : flivabrZ INDIVIDUAL OR Jim Bradley y ADDRESS: NARRATIVE: Code 12 County I did an inspection of the premises for verification of water and sewage facilities. The owner indicated that the system consisted of a 1,000 gallon Copeland concrete tank, and a drywell which wasa - 300 cinder block cone, 12 feet in diameter, and over 6 feet in depth. One problem is that the system is located approximately 60 feet from the well. I asked that a water sample be taken from the well. The well is 42 feet deep. I also asked for invoices for materials supporting the -size of the system, and a statement from the excavator as to the size of the system before I would make any furhher comment.. LETTER TO FOLLOW: ( ) OTHER RECOMENDATIONS: DATE: Aug;46% 16 _ 19� ES: 7 (Rev. 6-70-100) REPRESENTATIVE: PITKIN COUNTY NEALTtl U PARTMVRIT PEAMI T NUiljiE3EH 77119. _---_- RECEIPT NUMBER. Owner ._._.aeborah Smith - Henry Hite Pix7nc No. • -_ 923-2377 Owner's Mailing Address P.O. Box 155, Woody Creek, CO 81656 Contractor J0 ,A�%_ C _® T� Phone No....... Address System's Contractor's Name OW/UC-- 25180 Address-- _ _ �f ;�z R_ f), Le(Ial Descl-iption A�--- VW Lot Size"'`-- �!�-1G f __.�__. __ Type of Building by Use- Number se Number of Bedrooms .. _.__v__._u__ Tvpe of Water Supply /;r1AJ6 11dj4Z&::a - Owner's Signature_____._. _.__�.__ _ _ �_ Date November 16, 1977 PLOT PLAN: ATTACHED AS REQUIRED :***ti...?:-#::••••`i ti ?`^:i s.*v#i: -%•'.c 4S n < i.* Y.:;**i'***-n 9t** Type of Individual Sewage Disposal System Type of Soil or Soil Classification Proximal Location of Bedrock - 141i, Proximal Location of Ground Water Table IX!tS-%xi.Ls'1.r.x.74.::..;c17fc�:fiF;.-z:!-�iF ::-a ^-i:: .. .. ,. •�;i �E C -:•'fit'.: -4r it is ir'. i.•it .•u it "X 15 !F#-Y'i; tl Percolation Test Date �. __., _.-/h7`�`,... Minutes Per Inch Minimum Recommended Absorption System Size Minimum Recommended Tank Size. __ �61 Special Conditions of Issue: NOTICE When property sitined for issuanco, this application _ ��.t+ hocomes your purntlt. Application valid one year from �f•%P© ,� �—Dl ��7-- /�� 1 I� �i Ply^ fEif/f�,(/ data. If on individual sownpe disposal permit Is Issued / ! `- � "',^v " , l for property on which no building permit hos been �� . '% •-r'ZJy' ��/�-y'"' pI issued, the individual _owago disposal permit shall 1- /7 C. 4 �V / 0J J ' 7 oxpiro 720 days after its Issuance If construction has { T not hoan cornmanccd. An chap o In plans or spoci- �L{!/ oc) G� �ILU'f/� l tications atter the pormit has boon issued invaiidotos �� ©_ ,r� r�i r��t w ; j / ! s �1 ^�-- s f the permit, unless approval is socurad from the Health Y r � �j 1 /` / L l9 /�f L� /j� Officer for such changes. f'Nl"117"/tiiv��` G7� /Approved for Issuance Py ': ii {i .i •. n.;c {c •Y• i:v5:::-i:•�i ii w•!Fu#ii .'*+`: •Y.•;F r..:'.`. .!'. t!4 't .1. •�r �f •x �?S +,t -X-.-:•4 41 4k K.v. Fl NAI. INSPECTION APPROVAL L t-iSate Wra ing of System qn Bac/) fJ� 4� ��s�t:�2JL� � �fLi�( �Zj'Cf<(� u• L-�IIKt Fr./� • C% t�z� .11:%.1 1�4 L•� r ! -7'/ 7 I /t'i lc��i d ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT July 24, 1987 Tony Dumire c/o The Flower Shop 601 E. Hopkins Aspen, CO 81611 RE: A Tract of Land in Section 16, Township 9S, Range 85W, known and numbered as 0428 Woods Road Dear Tony: On July 22, 1987, this department conducted an inspection of the referenced property, owned by Henry Hite, for the purpose of evaluating the on-site wastewater disposal and water supply systems serving the existing dwelling. The inspection was done at your request. This letter is our opinion of the suitability and compliance of the systems with local and State public health codes and accepted sanitary practices. A review of our office records indicates that the sewage disposal system consists of a 1,000 gallon concrete septic tank and 200+ square feet of seepage pit absorption area constructed in 1971. A compost toilet installed in the studio in 1978 has been removed and the studio tied into the existing system. A copy of the individual sewage disposal permit is enclosed. It indicates that this department inspected and approved the construction of this system before it was placed in operation. A visual inspection of the premises indicates that the sewage system is apparently functioning satisfactorily at this time. However, we wish to emphasize that this letter is not to be interpreted as implying any warranty regarding this sewage disposal system. Water to this residence is supplied from a private well. A water sample was collected on June 1, 1987, and analyzed at the certified laboratory of the Snowmass Water and Sanitation District for microbiological contaminant levels. The enclosed report indicates that the water supply meets established standards for maximum contaminant levels of coliform bacteria established as acceptable by the Colorado Department of Health in the Primary Drinking Water Regulations. An inspection of this source revealed that it was properly constructed and located a sufficient distance from obvious sources of contamination. If you have any further questions regarding this letter or if we may provide additional assistance, please call. Respectfully submitted, p,, _ • 1 �,i� 1 Robert F. Nelson / 13o South Galena Street Rspen, Eealt36 P�JS_ao woe MAIN LML " Dorf LML 426 WOGV5 VV G��NNOuS�/ COT1'AG� nA1�; SCAI,�, WOOnY C��K, CO JUNE 201 I/ WWWhSPENf EbIN�N510N5 COM FMINO F1101 428 WOODS ROAD WOODY CREEK, CO 19258 SQ. FT. Offered by: BJ Adams taiMM Office: 970-925-2111 Gi4'EVSILNS MMUM Email: bj@bjac.net UVY-7a4 AspenSnowmassProperties.com PU W S GRAPHIC SCALE (am}) V Me w � wia� mN°�w vv alae IMPROVEMENT SURVEY PLAT A TRACT TOS SHIP 9 SOUTH, OF RANGE 85 , STATE ES SECTIONI/4SEl/4 OF 16 COLORADO 6TH P.M. un.w>rnrmu�mm.mn..,aA"a�ai.� •••"'""�w.ry ,,w.». M,. GRAPHIC 9CAIE via vmin PEAK Surveying, tnc. mAYa.14 MANI A. OOMIn REV01-ARLETRCS1 MKIN MINTY, COLORAW IW3I JWROVEb(ENf SURVEY PLAT SIT. IN NW I/49E1/4, S16, T9S, R95W 428 WOODS ROAD I OF t