HomeMy WebLinkAboutpitkin.eh.264321304006 (2013)TIN Pitkin County Environmental ealth Department
Onsite Wastewater Treatment System (OWTS) USE PERMIT
4 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 #: 2643-213-04-006
OWTS Use Permit #: I 0041.2013.powu
Date Issued: 09/11/2013
Issued By: Bryan Daugherty
Expiration Date: 9/11/14
Owner(s): I Brendan Roberts
Property Address:
1568 Medicine Bow Rd
Legal Description:
Lot 6, Block 6, Filing 1, Brush Creek Village
Licensed Inspector:
Carla Ostberg
Inspection Date(s):
9/5/13
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Concrete 2 -compartment tank 1000 gallons (Black)
Secondary Treatment Unit
Absorption Area "ETA" Bed 1800 ft'
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 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 #: 89037 Date of Issuance: 6/28/89 Date of Final Approval: 8/4/89
Repair permit completed: 8/1/97
# of Bedrooms or fixtures served by OWTS: 5 bedrooms
Operational Status: The inspector indicates the system is functioning properly and there is no indication of failure. The
100 gallon 2 compartment concrete tank which was pumped during inspection was in good working condition and had
both inlet and outlet tees in place. The absorption area was in good condition and no liquid was seen in the observation
ports.
Inspector Recommendations: Inspector recommends adding an effluent filter to the outlet tee of the tank.
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.
Page 1 1
V1117KIN
COUNTV
Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
76 Service Center Rd
Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Application for Continued Use of an Existing OWTS
Parcel ID# (available from the Pitkin County Assessor's Office • ,� _
970-920-5160 or at www.pitkinassessor. orcl
_ �/"1�
Purpose of Use Permit:
PROPERTY TRANSACTION ❑ REMODEL/ADDrnON
City, State, Zip:
Property Addr// /� 1
0�r
o r1-1 _f
Lot: / Filing:� I Subdivision:
% k r ��
Residences: Other
# of Bedrooms: fixtures/uses:
❑ US Mail
Prop Owner(s)*: mail Addre
ret u,tcvobxY to e)
Owner's City, State, Zip:
Home Phone: Business Phone:
*Contact information must be provided for the owner signing 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 Pre red M thod of Per i ec pt:
Email ❑Fax
❑ US Mail
icens 4 System Inspector
/
Lt -e-1
umber:
Phone )NLu�m-bOer*
Email Address:
Fax Number:
flailing Address:t
f nM
ity, Sta ,Zip:3� fw� `p'o�l/
�
2
PLEASE ;D BEFORE SIGNING:
1 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 (Requir / Date:
Applicant Signature: Date:
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Received by EH Staff: Fee & Receipt #: Date:
T �
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�v � I
September 7, 2013
Brendan Roberts
Brend anroberts108(aD-yahoo.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
1560 Medicine Bow Road
Pitkin County, Colorado
Mr. Roberts,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 1560 Medicine Bow Road, Aspen, Colorado on September 5, 2013.
The permits and drawings associated with this property were provided by Pitkin County
Environmental Health Department (Parcel ID # 2643-213-04-006). The subject OWTS consists of
one 1500 -gallon, two-compartment Copeland concrete septic tank and a 75' x 33' engineered sand
filter (ETA) bed. The original system was installed in 1989 and in 1997 the system was experiencing
some problems. Another permit was obtained for the repairs which consisted of pumping the septic
tank, investigating the condition of the absorption area, and removing a filter wrap from the piping.
All associated documentation is attached.
The septic tank appeared to be in good condition. Both inlet and outlet tees were present. The
septic tank had recently been pumped by B&R Septic (August, 2013). The absorption area showed
no signs of saturation, and had no indication of failure. Observation ports/ vents were present.
Caps for the vents were not present. This evaluation is not a guarantee of future system
performance. This inspection is good for one year.
Recommendations:
• We recommend installing an effluent filter on the outlet tee; however, due to the placement of
the tee not being accessible from the manhole lid, this would require an extension of the tee.
• Install caps on vents. As these were intended to be vents and not simply observation ports,
the caps should allow air to enter the field. We recommend a "candy cane" or "tee" shaped
caps.
This report should be submitted to the Pitkin County Environmental Health Department. The
following links are the required application and application checklist.
Application:
http://www asp4npitkin com/Portals/O/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit%
20Application.pdf
Application Checklist:
http://www aspenpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use°/o20Perimt%
20Application%20Checklist.pdf
CBO Inc.
=Y
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
,. "=
carla.ostberg(p)-gmail.com
September 7, 2013
Brendan Roberts
Brend anroberts108(aD-yahoo.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
1560 Medicine Bow Road
Pitkin County, Colorado
Mr. Roberts,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 1560 Medicine Bow Road, Aspen, Colorado on September 5, 2013.
The permits and drawings associated with this property were provided by Pitkin County
Environmental Health Department (Parcel ID # 2643-213-04-006). The subject OWTS consists of
one 1500 -gallon, two-compartment Copeland concrete septic tank and a 75' x 33' engineered sand
filter (ETA) bed. The original system was installed in 1989 and in 1997 the system was experiencing
some problems. Another permit was obtained for the repairs which consisted of pumping the septic
tank, investigating the condition of the absorption area, and removing a filter wrap from the piping.
All associated documentation is attached.
The septic tank appeared to be in good condition. Both inlet and outlet tees were present. The
septic tank had recently been pumped by B&R Septic (August, 2013). The absorption area showed
no signs of saturation, and had no indication of failure. Observation ports/ vents were present.
Caps for the vents were not present. This evaluation is not a guarantee of future system
performance. This inspection is good for one year.
Recommendations:
• We recommend installing an effluent filter on the outlet tee; however, due to the placement of
the tee not being accessible from the manhole lid, this would require an extension of the tee.
• Install caps on vents. As these were intended to be vents and not simply observation ports,
the caps should allow air to enter the field. We recommend a "candy cane" or "tee" shaped
caps.
This report should be submitted to the Pitkin County Environmental Health Department. The
following links are the required application and application checklist.
Application:
http://www asp4npitkin com/Portals/O/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit%
20Application.pdf
Application Checklist:
http://www aspenpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use°/o20Perimt%
20Application%20Checklist.pdf
Please call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # ITC 11042010 Exp. 2014
looking north.
inlet tee
Outlet tee
Absorption area
Clean outs
-row 1,
Observation portstvents
M
n
Owner's'Name: �JT� In t .t� to V-0 QP
Address:,Gn:n cJ 1 Sly r rJ
Parcel Number:
Inspection Date:
Inspector's (Name: P -P, If (cl , f ^�
Business Name: CR50 (hr_.
Phone NumberP-j fj -- — cj�.. 9
Email:
Pitkin County Systems Inspector License Number:
A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by
the Licensed Svstems Inspector within 60 days of the inspection regardless of whether the system
posses or falls.
QUESTIONS FM PROPERTY OWNER PRIOR TO
Is the home currently occupied?
If NO, how long has the home been vacant? _
INStECTION:
SES,) NO
How many bedrooms are in the home?
If secondary treatment is used, who is the
maintenance provider?
RECORDS:
Were system r cords available from Pitkin County? YES NO
If YES: Permit number: ? i 7 0( 0,3_1
Date of Final Approval: g1 n Ol Ixt' CrrjVQ{ f Ia
# of bedrooms permitted: L J
Was an as -built drawing available? NO
Is toe as -built drawing accurate? NO
If NO: 6mplete a drawing of the system on lost page of this form as accurately as
passible.
Any question marked FAIL will require correction before an OWTS Use permit is issued.
SITE CONDITIONS:
Proper grading, no evidence of erosion?
Improper vegetative cover?
Evidence of compaction such as heavy machinery or livestock?
Improper dischjarges such as straight pipes?
Evidence of hio ground water?
Snow cover present?
Page 1
Onsite Wastewater Treatment Systems (OWTS) Use
PASS
_ IN
NO
Permit Inspection Form
f NO
`�
N T7G Pitkin County Environmental Health Department
'.�ASSj
76 Service Center Rd, Aspen, CO 81611
NO
Phone: 970-920-5070 Fax: 970-920-5374
Website: www.aspenpitkin.com/ehnr
inspection form for continued use of an existing OWTS
n
Owner's'Name: �JT� In t .t� to V-0 QP
Address:,Gn:n cJ 1 Sly r rJ
Parcel Number:
Inspection Date:
Inspector's (Name: P -P, If (cl , f ^�
Business Name: CR50 (hr_.
Phone NumberP-j fj -- — cj�.. 9
Email:
Pitkin County Systems Inspector License Number:
A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by
the Licensed Svstems Inspector within 60 days of the inspection regardless of whether the system
posses or falls.
QUESTIONS FM PROPERTY OWNER PRIOR TO
Is the home currently occupied?
If NO, how long has the home been vacant? _
INStECTION:
SES,) NO
How many bedrooms are in the home?
If secondary treatment is used, who is the
maintenance provider?
RECORDS:
Were system r cords available from Pitkin County? YES NO
If YES: Permit number: ? i 7 0( 0,3_1
Date of Final Approval: g1 n Ol Ixt' CrrjVQ{ f Ia
# of bedrooms permitted: L J
Was an as -built drawing available? NO
Is toe as -built drawing accurate? NO
If NO: 6mplete a drawing of the system on lost page of this form as accurately as
passible.
Any question marked FAIL will require correction before an OWTS Use permit is issued.
SITE CONDITIONS:
Proper grading, no evidence of erosion?
Improper vegetative cover?
Evidence of compaction such as heavy machinery or livestock?
Improper dischjarges such as straight pipes?
Evidence of hio ground water?
Snow cover present?
Page 1
r NO '7 YES
PASS
FAIL
NO
YES
f NO
YES
'.�ASSj
FAIL
NO
YES
r NO '7 YES
TANK:
Tank 1
TvA* 2
Tank 3
If YES, is the pump/dosing siphon functioning properly?
Tank capacity
IC—�00
gallons
gallons
1s the high water alarm working, both visible and audible?
gallons
Tank material
SECONDARY TOEATMENT:
- -
is a secondary treatment unit present?
YES
NO UNKNOWN
# of compartments
2—
NO
Does the owner
have a current maintenance contract for the unit?
YES
NO UNKNOWN
Date of last pumping
Date
2D I
Phone:
If there is no
maintenance contract, a contract must be in place prior to occupancy of the home. A
Lids/risers in good condition
P
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
YES
NO
YES
NO
YES
NO
Riser height
��!
NO
YE5
YES
t r
Excessive odor?
v
Riser condition/ atertightness
' -3ra tD
Liquid in obserNation port? 0
YES
If YIES, record depth:
Inlet sanitaryT/baffle
PASS
FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitaryT/baffle
Pte-'
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 pump d 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)
I
inches
inches
inches
Sludge level (1 compartment)
inches
inches
inches
Scum level (2ndlcompartment)
Sludge level (2nO compartment)
i
i
inches
inches
inches
inches
inches
inches
Backflow (if pumped)
Midtank baffle
r P
4.
FAIL
PASS
PASS FAIL
FAIL
N/A
PASS
PASS FAIL
FAIL
N/A
Watertightness
PASS_)
FAIL
PASS
FAIL
PASS
FAIL
PUMPS/DOSINf, SIPHONS:
is a pump or dolsing siphon present?
YES NO
If YES, is the pump/dosing siphon functioning properly?
PASS tA,L
Does the pump/wiring/dosing siphon appear to be in good condition?
PASS FAIL
1s the high water alarm working, both visible and audible?
PASS FAIL
SECONDARY TOEATMENT:
- -
is a secondary treatment unit present?
YES
NO UNKNOWN
If YES, does thei 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 oft
a contract must be submitted to Pitkin County Environmental Health Department.
ABSORBTION AREA:
_ ---
Effluent surfac�ng?
PASS
FAIL
Evidence of pot
surfacing? NO
YES
Surface dampness?
��!
NO
YE5
YES
t r
Excessive odor?
v
Field location verified by observation ports or probing: Ports
Probing
Liquid in obserNation port? 0
YES
If YIES, record depth:
inches
'
Distribution Box or ADV part of original design? YES
NO_,.2
UNKNOWN
If y'ES, is it accessible from grade? YES
NO
Is 4 level and in good condition? PASS
FAIL
Page 2
LIP]
X
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations for the ontinued use of the system:
Jr,
or
ack
Were any repai done as a result of this inspection? CNO) YES
If YES, please describe the repairs.
Tothe best rr y knowledge and training, the Information collected in this inspection is accurate as of
7200
Licensed Systems Inspector Signature:
A
If no as -built dwings exist for this system or the as -built was inaccurate, please diagram the system as
accurately as ptssible. Be sure to document all system components and the location of any well on the
property. Usinlg markers such as corners of the house, exact measurements can be used to triangulate
the location of the system components for future reference.
-ILA P8.
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IL f
t
_ _
JS
-ILA P8.
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