HomeMy WebLinkAboutpitkin.eh.264322301006 (2014)CouNx�
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Pitkin County Environmental F'- alth Department
Jnsite Wastewater Treatment Syst,_.tt (OWTS) USE PERMIT
Permit for Continued Use of an Existing OWTS
76 Service Center Road, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
www.aspenpitkin.com/EHNR
Parcel ID #: 2643-223-01-006
OWTS Use Permit
#: I 0058.2014.POWU
Date Issued:
10/31/14
Issued By:
Bryan Daugherty
Expiration Date:
10/31/15
Owner(s): I Michael Rosenbaum
Property Address:
740 ft2
46 McLain Flats Rd�
Legal Description:
Lot 18, W/J Ranch Homes
Licensed Inspector:
Tom Zancanella
Inspection Date(s):
10/7/14
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Two compartment concrete tank
1250 gallons
Secondary Treatment Unit
Absorption Area
Dry Well
740 ft2
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 #: 81065 Date of Issuance: 10/26/81 Date of Final Approval: 11/9/81
# of Bedrooms or fixtures served by OWTS: This system was designed to serve 4 bedrooms, 2 bedrooms in each duplex.
Operational Status: At the time of inspection the system was working properly. The 1250 gallon tank was in good
condition with tees and baffle in place. The dry well did not show any signs of failure.
Inspector Recommendations: N/A
Department Recommendations: We recommend adding an effluent filter to the outlet tee of the tank to prevent solids
from reaching the dry well.
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.
a
'AlfIrKIN Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
ouNTI; Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
CID -!?*CI -141 - 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: Michael Rosenbaum
Address: 5250 E. Cornell Avenue
Denver, CO 80222-6824
Parcel Number: 264322301006, 46 Mclain Flats Road
Inspection Date: October 7, 2014
Inspector's Name: Thomas Zancanella
Business Name: Zancanella & Associates
Phone Number 970-945-5700
Email: tzancanella(a)za-engineering.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?
How many bedrooms are in the home? 2
If secondary treatment is used, who is the
maintenance provider?
RECORDS:
Were system records available from Pitkin County? YES NO
If YES: Permit number: 81065
Date of Final Approval: 10-26-81
# of bedrooms permitted: 4
Was an as -built drawing available? 'E$7 NO
Is the as -built drawing accurate? (aD 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? PASS FAIL
Evidence of high ground water? NO YES
Snow cover present? N YES
Page 1
TANK:
Tank 1
NO
Tank 2
PASS
FAIL
Tank 3
Tank capacity
1250
gallons
PASS
gallons
SECONDARY TREATMENT:
gallons
Tank material
Concrete
NO
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NO
YES
# of compartments
2
UNKNOWN
Maintenance Provider: Phone:
YES
NO UNKNOWN
If YES, is it accessible from grade?
Date of last pumping
_Mjay 2014
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
24"
Riser condition/watertightness
Good
Inlet sanitaryT/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
If NO, when was the last pumping
May 2014, B&R Septic
Scum level (1st compartment)
0
inches
inches
inches
Sludge level (1st compartment)
6
inches
inches
inches
Scum level (2nd compartment)
0
inches
inches
inches
Sludge level (2nd compartment)
2
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 I
ASS
FAIL I
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:
NO
YES
Is a secondary treatment unit present? YES
NO
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NO
YES
Does the owner have a current maintenance contract for the unit? YES
NO
UNKNOWN
Maintenance Provider: Phone:
YES
NO UNKNOWN
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?
PASS
FAIL
Evidence of past surfacing?
NO
YES
Surface dampness?
NO
YES
Excessive odors?
NO
YES
Field location verified by observation ports or probing:
Ports
Probing
Liquid in observation port?
NO
YES
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?
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.
To the b st of my knowledge and training, the information collected in this inspection is accurate as of
G / v C/ , 20j*.
Licensed Systems Inspector Signature: A1).1Aj& M,�*
Additional Notes:
This system has a 1250 gallon septic tank based on pumping records from
B&R septic. The tank flows into a dry well that is 20 feet away. The dry well
has a lid that is at ground level. The dry well is in good condition and appears
to be operating properly.
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
Page 4
Pitkin County Environmental Health Department
"11� Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
�Ut
76 Service Center Rd
*CN4) Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Annlication for Continued Use of an Existina OWTS
Parcel ID# (available from the Pitkin County Assessor's Office
970-920-5160 or at www.pitkinassessor.org):
Purpose of Use Permit:
x❑ PROPERTY TRANSACTION ❑REMODEL/AD DITION
Property Address:
46 Mclain Flats Road
Lot: Block: Filing: Subdivision:
18 W/J Ranch Homes
Residences: Other
# of Bedrooms: 2 fixtures/uses:
Property Owner(s)': Email Address:
Michael Rosenbaum thurman@sopris.net
Owner's Mailing Address: City, State, Zip:
5250 E. Cornell Ave Denver, CO 80222 6824
Home Phone:
'C;nntact information must be Drovided for the owner sianina this application.
Business Phone:
Primary Contact Person/Applicant (if not owner):
Company:
Tom Zancanella
Zancanella & Associates
Contact/Applicant Mailing Address:
City, State, Zip:
1011 Grand Ave
Glenwood Springs, CO 81601
Cell Phone:
Business Phone:
970-945-5700
Fax Number:
Email Address:
970-945-1253
Indicate Preferred Method of Permit Receipt:
® Email El Fax
❑ US Mail
icensed Systems Inspector: Phone Number: Email Address: Fax Number:
Tom Zancenlla 70-945-5700 zancanella@za-engineering.com 970-945-1253
failing Address: City, State, Zip:
1011 Grand Ave, Glenwood Springs, CO 81601
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.
)wner Signature (Required): Date:
,pplicant Signature: Date:
Please allow 3-5 business days for processing of Use Permits.
OR OFFICE USE:0N,_-
.eceived by EH Staff: Fee & Receipt #: Date:
8/2/2017 Parcel Detail
Pitkin County Assessor
Parcel Detail Information
Assessor Property Search I Assessor Subset Query I Assessor Sales Search
Clerk & Recorder Reception Search I Treasurer Tax Search Search
GIS Map I GIS Help
Basic Building Characteristics I Value Summary
Parcel Detail I Value Detail I Sales Detail I Residential/Commercial Improvement Detail
Owner Detail I Land Detail I Photographs
Tax Account Parcel Property Type 2016 Mill
Area Number Number Levy
F095 R015141 264322301006 HOUSING 75.674
AUTH
Primary Owner Name and Address
IDEEP DAVID J JR
PO BOX 12184
ASPEN, CO 81612
Additional Owner Detail
Legal Description
Subdivision: W/J RANCH HOMES Lot: 18 DEED RESTRICTED
Location
Physical Address:
146 STEVENS ST ASPEN
Subdivision:
W/J RANCH HOMES
Land Acres:
0.234
Land Sq Ft:
0
2017 Property Value Summary
Actual Value Assessed Value
Land: 100,000 7,200
Improvements: 204,800 14,750
http://pitkinassessor.org/assessor/Parcel.asp?AccountNumber=RO15141 1/3