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Home My WebLink Aboutpitkin.eh.264320101002 (2011)�nrttx[ COUNIri Pitkin County Environment, ' Health Department Onsite Wastewater Treatment SV.tem (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2643-201-01-002 OWTS Use Permit #: I 0036.2011.powu Date Issued: 9/21/2011 Issued By: Carla Ostberg Expiration Date: 9/21/2012 Owner(s): I David Daniels Property Address: 1599 Juniper Hills Rd Legal Description: Lot 8, Block 3, Brush Creek Village Licensed Inspector: Roger Maynard Inspection Date(s): January 26, 2011 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete, two-compartment tank 1250 gallons Secondary Treatment Unit Click here to enter text. Click here to enter text. Absorption Area Pipe and gravel 15'x75' (1125 sq ft) 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 #: 720348 Date of Issuance: 6/5/1975 Date of Final Approval: 10/3/1975 # of Bedrooms or fixtures served by OWTS: 3 bedrooms Operational Status: Although this system is aging, it appeared to be working properly at the time of the inspection. It consists of one 1250 gallon, two compartment tank, which was pumped, and a 15' x 75' pipe and gravel absorption area. Since the inspection was done in January, there was snow cover over the absorption area. Inspector Recommendations: None. Department Recommendations: This department recommends the installation of an effluent filter on the outlet tee of the septic tank. 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. 10OrKiN CAU N'I' Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 0405 Castle Creek Road, Suite 10 • Aspen, CO • 81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.com/ehnr Anulication for Continued Use of an Existina OWTS Parcel 1D# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.pitkinassessor.org : //� l ' (, Y q 2- -002- 02 City, State, Zip: Cell Phone: V - Purpose Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION ❑ US Mail Property Address: Lot: Block: Filing: Subdivision: Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)*. Email ddress: Q vi �ti�k� �S 7o�vj.. GCGhvI(� �S PSGvSupC Owner's Mailing Address: City, State, Zip: c Home Phon�� — O -7 � l Business Phone: �70-9C V,? -0.,7 'Contact information must be provided for the owner signinq this application Primary Contact Person/Applicant (if not owner): Company: Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: 2/ Email El Fax ❑ US Mail Licensed SysteIns , Phone Number Email Address: Fax Number: Mailing Address: City, State, Zip: PLEASE READ BEFORE SIGNING: I certify that the above information is complete and accurate and that 1 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 (Requi Date: Apph6ant Sig re. Date: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by Staff: Fee & Receipt #: Date: 90A-2 -POW �7 03/03/2011 00:37 9636070 B P. SEPTIC ` SEP. 22.2010 9:0AM Eh,,i0 HEALTH NAT RBOURCE NO. 502 P. fx K I N Onsite Wastewater Treatment Systems (OW 75) Use Permit Inspection Form Pitkin County Environmental Health Department MS Castle Creek Road, Suite 10, aspen, CO 91611 Phome; 970-920-5070 I= 970-920-5477 1iVebsi#e• www. e4,nr Inspection Form for continued use of an existing OWTS OWNERS NOMQ; Address: Parcel Number: Inspection Date: Records: there systtm records available fmm lite department? Yes No If Yes: Permit number._'7,�Q��_� Date of Instailation: //�, �- Tank size:,'== AbSarption area size: j74 Permitted Use: , Is this system ptrmate far its MrAt use? if no, describe the change in use. Pi MAC#" insp�d ien Was an As -Built drawing available? is the As -Built Drawing Accur9ta? ILefz— if No: Complete a drawing of the syrsmm 71asipaye of this form as occurately as possible if as -built was not available oris notaccurate. Site CondWons: . Ermlon p FAIL Improper Vegetative mar N YES Evidence of Compaction YES Improper Daeharges (r✓ FAIL High Ground Water' i YES Snow Cover NQ Property Vacant YES UNKNOWN TAMC was the tank pumped as part of the inspection? If No, skip to Tank Compotlents. if No: when was the tank last pumped? - If ttte tank has not been pumped in more than 2 years, please attach additional Information for justification. Infornr;Won to be included in juWfitation s nerpth of scum layer, Depth of sludge layer and/or varrricartivn smite e0cupancy, if Yes: Pumping Company; D'jscharWleakage FAIL Infiltration F FAIL Back flew after pumping hf0 YES 03/03!2011 00:37 9636070 B R SEPTIC SEP. 22. 2610 4: 8AM Eix,IRO HEALTH NAT 'RESOURCE Tank Components; Tank 1 - NP . fc i 0 j it a Lids PISS Tank integrity P Mid -Tank Baffles P Sanitary Tees/ inlet & Outlet Baffles P Effluent Fitter/Screens PASS Water Tight P Pump/Dosing Siphon PASS Tank Material FAIL Pump alarm yes Tenkcornponents, Tank2 FAIL Lids PASS Tank Integrity PASS Mid -Tank Baffles PASS Sanitary Tees/ inlet & Outlet Baffles PASS Effluent Filter/Scraens PASS Water Tight PASS Pump/Dosin® Siphon PASS • Tank Material PASS rump Afarm Yes If addiffional tanks are present, include reports for each. PAGE 03 NO, 502 P. 7 FAIL FAIL, FAIL FAIL. NP . fc i 0 j it FAIL N j Q�+T FAIL FAIL I�}p FAM FAIL No_ Tank Integrity FAIL FAIL FAIL NP FAIL FAIL NP FAIL FAIL NP FAIL No PIP SECONDARY T HUTMENT: Is P secondary treatment unit part of the system design? if Yes: Make/Model; - Lids PASS FAIL Tank Integrity PASS FAIL Media Container PASS FAIL HP Medi* Condition PASS FAIL NP mechanical Systems PASS FAIL NP Controls/Alarms PASS FAIL Expires: _ • Maintenance Agreement PASS FAIL Provider Name Provider Phone Number ABSORBTION AREA: Distribution BoxAecassible from grade? Yes (::g5 IVP Distribution Box (PA FAIL ADV Accemible from grade? __ �es—� No _ Autumatic Distributing Valve (ADV) P FAIL Observation Parts P FAIL Q EfPlueatSurfacing PA FAIL . • Evidence of Past Surfacing YES Surface Dampness YES Excessi+re odors N YES Liquid In observation port Nb ;es 03/03/2011 00:37 9636070 B R SEPTIC PAGE 04 JUN, 21. 2010 i,42PM L„TIRO HEALTH NAT RESOURCE NO. 417 P, � Any Problems with the systern that were notdressed rn the inspection checklist? Mease first any recommendations for the system to continue its current usage. Were any repairs dans d3 a rrsulR of this inspection? r(O YES If Yes, please describe the repairs. To the best of ray knpwled&a and trainIng, the information collected in this inspeciien is accurate as of �0 _ Inspector's signature: Business Name: Phone Number Address: Email: Pitkin County Inspector License Number: Additional Notes. A copy of this ieSpft-Son report well he remkxedto PPWLO Cc epty Environmental Health INfH7 50 ddys of the inspection. B3/03/2011 00:37 " "'JAN. 26. 2011 9636070 B R SEPTIC 4;21AM -NV IRO HEALTH NAT RESOURCE .7901aR PAGE 05 N0. 60r o'F. 1' �- 34'QS P PS T NUDE v qB COUNTY k3EAtTI'� =PARnMT f7 Phone # Ovnei-'a Mailing Ad@resg„�� tU �7Q7� Vel�i�Gl�gA 't'� 4&414 731 Contractor Phone # Addres s items Contractor's 1tan,eell Address l 54 n i ig-c3l�ru. Iie sl Des ex'i ti � ,ND ioc ize ^t Type of Building by Use Nttaa of Secirobms�`^ Type of Water Sit r ^ PP�,X' • tai � ..•, L /4',64. c- sj*pe of Individual Sewage Di. os aj Syst em S,ci;r- 7ZAl k Type oO Soil or Said, Classif ie ti r Proal Locati.om', of H8t3xb43C >�fd �� PmxlMa.L Location of G�rouad Water '-Table A/A-7- 114-7-I WA41A. ` l -r! a Signature ' PWM q;k J F#iWia47EiI•#iE dFiF'iiF9FlFlFridsi-IFiFi6iIFAaF+1FiEiidFai36i1'JiiiYi[•i ti$Mifi}#BF9E•�E9F#SF7F#iFiFlE�i�Fll9i+11.iF•R•�FiF�F•kIF1Fi19EdFiF3FaEill6�A�FifIFiFiFiFMdP iFiFi�AGi Percolation Test 1)at8 Minutes per inch' Minimum Recomended Absorption 5petem Siza �f .lA [.� rj" ( 1 /..se Minim m Recommended rank Remit a �. P pplica�ion valid one Bar from Date, A lication to became ermit and final only CONST UCITC-lWer portion is co=YlOted aa& Signed by, th* Sd=jtaxi,am, RBTASN THIS FDRX AT THE CONST�tCJCT2'C�' L75 D.ti % sanstarian !4- Ox system on 'back) .o 03/03/2011 00:37 963607P S R SEPTIC 'AN. 26. 2011 4 21AM LiyVIKO HEALTH NAT RESOURCE N PAGE 06 NO, 602 P. 2 41 OAJ i" _03/03/2011 00:37 963607P B & R Septic Service, Inc. Rooter & Jetting Service Video Inspection Service 0603 Handy Drive Carbondale, CO $1623 Bili TO David Daniels 4560 Frying Pan Rd, Basalt. CO 81621 B R SEPTIC P.O. No. PAGE 01 Invoice Date Invoice 1/26/2011 54.93 Terms Due on receipt Project Quantity Description Rate Amount 1,250 Pump & Inspect septic tank @ 1599 Juniper Hill Rd. 0.28 350.00 1,250 Dump Fee 0.15 187.50 Septic Inspection & report 250.00 250.00 SaIes Tax 3.90% 0.00 Thank you for your business. Carbondale AVen Fax 1(970)963-3814 (970)920-20591(970)963-6070 Total $787.50 cj� Jill a� e e ��sisl D 'I 0_-0m o <�T7 0 TU) C W � o 1Q� Y i Zo fn o �, rn o o NO. DATE BY REVISIONo ce�e�ai eo�es. 1 9-29-99 DPS LAYOUT 2 10-6-99 DPS EXISTING AS -BUILT DIMENSIONS 3 12-10-99 DPS NEW STAIR LAYOUT cj� Pup (f) $§ ■ ( / i = § / f 7 _| ƒ 2 )\{ - _ \\ -0 01. DATE BY REVISION( NO DPS LAYOUT G. / m G_:z DIMENSIONS Pup (f)