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HomeMy WebLinkAboutpitkin.eh.264326402003 (2013)Pitkin County Environmenta alth Department Onsite Wastewater Treatment Sys m (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 #: 2643-264-02-003 OWTS Use Permit #: I 0004.2013.POWU Date Issued: 1/30/13 Issued By: Bryan Daugherty Expiration Date: 1/30/14 Owner(s): I Mike McCoy Property Address: Min. 1200 sq. ft. 75 N Starwood Drive Legal Description: N/A Lot R-10, Starwood Subdivision Licensed Inspector: Carla Ostberg Inspection Date(s): 1/25/13 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 compartment tank 1250 Gallons Secondary Treatment Unit N/A N/A Absorption Area Absorption Bed Min. 1200 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.* */f 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 #: 89064 Date of Issuance: 10/5/89 Date of Final Approval: 2/21/90 # of Bedrooms or fixtures served by OWTS: 4 Operational Status: From the inspector's observations, the system was working properly at the time of inspection. The 1250 gallon, 2 compartment concrete tank was in good working condition with both inlet and outlets in place. This tank flowed into a pipe and gravel absorption bed. The absorption area did not show any signs for failure or surfacing effluent. Inspector Recommendations: Inspector recommends adding an effluent filter to the outlet of the tank to prevent solids from entering the absorption field area. 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. Onsite Wastewater Treatment Syst -q (OWTS) USE PERMIT APPLICATItoW 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Anolication for Continued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office Company: 970-920-5160 or at www.oitkinassessor.ora): A?Wi l f clti 1/ el Q `(f Purpose of Use Permit: /" Cell Phone. J PROPERTY TRANSACTION] REMODEL(ADDITION Properly Address:: Fax N,;mber Email Add,ess. - i /u % l� Lot: Bloc; : Filing: Subdivision - Sr Residencies: Other # of Bedrooms: fixturesluses: Ig rr Properly Owner(sp: Email Address: rtrgr Owner's Mailing Address City, State, Zip: 0 T -/Cs / Home Phone: Business Phone: yIr Contact intortnation must be provided for the owner signing this application. A" Primary Contact Person/Applicant (if not owner): Company: - A?Wi l f clti ontactfApplicant Mailing Address City, State, Zip. /" Cell Phone. Busindss Phone. —cga/c Fax N,;mber Email Add,ess. Indicate Preferred Method of Permit Receipt AEriail �] Fax LJ US Mail Licensed Systems Inspector Phone Number Email Address: Fax Number. — /v — CNN CNilu mo Q Mailing Address: City, State. Zip: 3 a PLEASE READ BEFORE SIGNING: I certify that the above information is complete and accurate and that t 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 ruisleading information. Please allow 3-5 business days for processing of Use Permits, FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: M Onsite Wastewater Treatment Systems (OWTS) Use l y , Permit Inspection Form N Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 C ) Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspenpitkin.comLehnr Inspection form for continued use of an existing OWES Owner's Name: Address: cj - VV0 171fi­Ai Parcel Number: i4ja - inspectiion Date: ZCJ Inspector's Name: r) Business Name: (µ a 1121c .i Phone Number ( -- Email: _� - ( n f,* l Pitkin County Systems Inspector License Num r. tJ n I- A copy of this inkpection t port 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 PROPERT' OWNER PRIOR TO INSPECTION: is the home currently occupied? YES NO If NO, how long has the horne been vacant? o How many bedrooms are it the home? r If secondary treatment is u:;ed, who is the p maintenance provider? _' N RECORDS: Were system records availz ble from Pitkin County? !YES NO If YES: Permi[ number IND 64 Date of Final AK proval: --olit Q # of bedrooms permitted: A Was an as -built drawing available? YES NO Is the as -built d -awing accurate? YES 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 orrection 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 su --h as heavy machinery or livestock? O YES Improper discharges such its straight pipes? PASS'? FAIL Lj ! Evidence of high ground w ater? YES `T r�IXtt Cid K! Snow cover present? NOYES j Page 1 r. TANK: Tank 1 Tank 2 YES NO Tank 3 Tank capacity t2 gallons PASS gallons Is the high water alarm wo -king, both visible and audible? gallons Tank material SECONDARY TREATMENT: Probing (,kL) - b U -i Y_QL Liquid in observation port, Is a secondary treatment uiit present? YES �UO UNKNOWN # of compartments NO Distribution Box or ADV part of original design? Does the owner have a cur,ent maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: Date of last pumping Is it level and it 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/watertight less Inlet sanitary T/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 —IPAS-S— FAIL PASS FAIL PASS FAIL Tank was pumped for inspection 5 r NO' YES NO YES NO If YES, list the pumping company ' J' If NO, when was the last primping Scum level (1st compartm( nt)I " inches inches inches Sludge level (1st compartrr ent) 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 PA FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness AP FAIL 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 wo -king, both visible and audible? PASS FAIL SECONDARY TREATMENT: Probing (,kL) - b U -i Y_QL Liquid in observation port, Is a secondary treatment uiit present? YES �UO UNKNOWN If YES, does the unit appea • to be in good working condition? YES NO Distribution Box or ADV part of original design? Does the owner have a cur,ent maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: NO Is it level and it good condition? If there is no maintenan _e contract, a contract must be in place prior to occupancy of the home. A copy of the contract -rust be submitted to Pitkin County Environmental Health Department. ABSORBTION AREA: Effluent surfacing?tom FAIL Evidence of past surfacing; YES Surface dampness? ! -mr- YES Excessive odors? YES Field location verified by amervation ports or probing: Ports Probing (,kL) - b U -i Y_QL Liquid in observation port, NO YES If YES, record d apth: inches Distribution Box or ADV part of original design? YES � `` UNKNOWN If YES, is it accessible from grade? YES NO Is it level and it good condition? PASS FAIL i Page 2 W Any problems 24 the cyst ?m that were not addressed in the inspection checklist? Please list any recommend;itions for the continued use of the Were any repairs done as a result of this inspection? NO YES If YES, please describe the repairs. To the best of my knowledge and training, the information collected in this inspection is accurate as of 20 Licensed Systems Inspector Signature: ('+ Additional Notes: early label any pictures and attach them to this form. Page 3 C,� 3d(oy - 0�.�OU3 ASPEN#PITKIN E1ViV1RONMENTAL HEALTH 13EPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERI -11T NO. TYPE OF PERMIT: t Xni%141 Conutructiop ( )Emergency use r inatallation ( )Use Permit as a result of Sale ( )Repair Work,(Piavious Permit )Alteration of an existing system, (Previous Permit 1 ,? i )Othort ISSLrD T0: DATE OF ISSUE.: _ 011fle&A /� Home Phone Business Phone `%LO -J/ l�F► �i MaiIini tj/ % /q Address /lf L��PIC)14�� /, '11: ti' ��' Z,&-5 T- IVIA/A/ Is -�L°(tom Agent JAS+- �j AyiA'i O Phone Mailing Address SewaZe Disposal System Wo_k to be performed by ���> ilI f'iNM,p€�intC r%5�1L/jp This permit'7valid only for premise! Location by tho followingL•- [[ legal &:script Ion: t j � /O . ���c IL!(Iy !� TUJi -;(,E: 2, CI rI(- CS WATER SUPPLY _ „r/i�i YJ�(>Iu� AVERAGE PERCOLATION BATF ?;+le Individual Scwayc Dlsposal Pe;nit is granted with regard to the following use:- "S'iA--J-Iry jQ(yj�L� ;jij (ItiO 74u:alk r off Dodreoms Lc Lts� Garbage Disposals_ Dishwashers f Clothes Washors CALCULATED AVERACP 'AFLY WASTE LOAD _ _ bo U GALL,3NS. _ HE NATURE OF 'THE SYSTEM -. iNCLUDF,D LPNDER THIS PER111T: S t 1 A'VK 2 7yya of Tank or Treatment Units S, -PT l ri ^ ?ank Capaciity `'t Callon Rinimi.-a r�_C.ho1 of Final Disposals �,/�iNC�tt�jL;tilf� Ilbaorptiop Area `�L�Q Squares Feet Hint=tum Dcmcclption (including brand name, if ane) of other equipment or•appurtnancesi i V��ti+� n. /^ !-- •';tom) ��' /i{\� Other Conditions or Specificationslp(�_/,V�� ��/ ( %r f ��Ll� Gtr G�f)�i�. ►✓t�'���`7�.v�St�M VC �IF'W 0� xtiiMEUSEIC � eQ00A.;/ /`��YC;� �fI"l C'�-�1-F`l 1��'�/�l} -7-o ac Pm'-'W—ML? /IS v WZAIJ STAGES REQUIRING I14SPECTION BY THE HEALTH DEPARTMENT: { )Defore Excavation { )Upon --or_pletion of excavation and prior to p1seement of gravel { )Before covering distribution system of absorptio+t field ( )Prior to backfill of any compon.:nt { )Other, rpecifyt Plans and speCiflcattons of the proposed sewagt_ dteposal system have b.xn cevicwed and r.re consi.tered sa[lsfnctory, PrCntn:;).on is hcrcl:f q. -anted to tt:e owner or hie a:enr to n•^-fnrm the work inn;cared above in a:c•ordance with the Pitzin ccju..ty In.livi +eal Sewn;.• btepcsal Re•mlations'in cffc•:t on the tt+te of is.ur. rn addit-ton to general provtsinna e -t :art` cr. .-vvorye this r•arrsit is sut•Lect to the foltowtn.r..additionai terms and,.60ntlicion3: • _ 1\spen/Pitkin Environmental APPROVED FOR ISSU$ BY � Health Oficer(title) Tile tt ev, tnatvidunl scua.)O dia(xw,a1 s-nt.m inatallcd by/ ' h.+s been ln-:ncctcd for use by n repros•-ntativc of t)+c Aapcn 1•ttk1. Cnvr ronm,.-nt� a�Icalt�.�cp••r tmrnt. Th.! .,..our aq••umos esti ry::;>un::.bilily in cane OF Lailure or it Juicy of f'fl:CT1A1- 12-- /'3-- Uuv xewa+le disposal system. Complete as-iuilt drawing attaehoJ, �� VAIL 01INAL PI'PI.0 Aspr_�rj/Pitkin Envirunmehtal TITLE Health Officer 136. :: oath Galena E La's -et A�(.�r+, Cr ine ade) BIB°l°( 4. f $o YDS 6,P. 061T January 27, 2013 CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 cbo2610@yahoo.com Trevor Everett Regan Construction teverett(a-)-reclanconst. com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 75 N. Starwood Drive Pitkin County, Colorado Trevor, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 75 N. Starwood Drive on January 25, 2013. The subject OWTS consists of one 1250 -gallon two-compartment septic tank. A pipe and gravel absorption area with approximately 1200 square feet exists, as indicated on the attached as built drawing. The as -built drawing was provided by Pitkin County Environmental Health Department. (Parcel ID # 2643-264-02-003) The septic tank appeared to be in good condition. Both inlet and outlet tees were visible. There was minimal accumulation of sludge and scum in the tank indicating the tank does not need to be pumped at this time. There was snow cover present at the time of the inspection; however, the absorption area showed no signs of saturation, and had no indication of failure. There are no observation ports present. There is also a nearby depression which could be the curtain drain indicated on the as -built drawing. This evaluation is not a guarantee of future system performance. This inspection is good for one year. 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.aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20 Perm it%20Application.pdf Application Checklist: http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dey/EHNR/OWTS%20Use%20 Perimt%20Application%20Checklist.pdf Please call with questions. Sincerely, OAA Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # ITC11042010 Exp. 2014 View of I Inlet tee ookinq north View of outlet tee / position under tank lid will make addition of effluent filter difficult (tee must be extended to manhole opening) u absorption area) Cleanout located between tank and absorption area View of depression, looking east (runs north and west of the Views of absorption area