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