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Home My WebLink Aboutpitkin.eh.264327400002 (2012)Pitkin County Environmental , _alth Department Onsite Wastewater Treatment System (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 #: 2643-274-00-002 OWTS Use Permit #: 0037.2012.powu Date Issued: 11/06/2012 Issued By: Kurt Dahl Expiration Date: 11/06/13 Owner(s): Christopher M Pheifer Property Address: 372 Sunnyside Ln Legal Description: Lot 13 Block 2 White House Springs Licensed Inspector: Carla Ostberg Inspection Date(s): 10/23/2012 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 Compartment tank 1500 gallons Secondary Treatment Unit Absorption Area N/A Seepage pit N/A 1104 sq ft2 Other System Components N/A N/A OWTS Use Status: ❑ In use at th� 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 #: 94069 Date of Issuance: 11/14/1994 Date of Final Approval: 06/12/1995 # of Bedrooms or fixtures served by OWTS: This system was designed to serve 5 bedrooms. Operational Status: According to the inspector observations that system was working properly at the time of inspection. The 1500 gallon, 2 compartment tank appears to be water tight and in good condition. The field area did not show any signs of failure or surfacing effluent . Inspector Recommendations: Add effluent filter to outlet "T" of septic tank. Department Recommendations: Add Effluent filter. 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. Af. r f`nnfinr rnri I1¢o of nn FYictinn OWTS Parcel ID# (available from the Pitkin County Assessor's Office O D _ � O 970-920-5160 or at www.pitkinassessor.org): L Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL%ADDITION Propfy Address: Lot: Block: Filing: Subdivision: Residences: Other # of Bedrooms: fixtures/uses: Pro erty Owner( )' Email Address: M` Own Ma' ing Addres : C y, State, Zip:p — lPhone: p ( usiness Phone: Contact information must be provided for the owner signing this application. Priary Contact P on/Applicant (if not owner): Company. \�/✓` `JU S - &&L�,�a "' Contact/Applicantailing Address: City State, Zip,Ll �? t (1,0 75 1 is i 4 C S S. Cell Phon3 Bus' ess Phong, Fax Numb e • Qzo•G�z� Email Address: Indicate Preferred Method of Permit Receipt: mail ❑ Fax ❑ US Mail Licensed Systems In ctor, Phone Number: Email Address: Fax Number: LA 9`•3aq• C�6 2(R Ib ��vo Cct�t Mailing 3ddre- U , n City, State, Zip �� !_ 33 w �, k.� rl�.tr�. � �t'TJ � � N.a g / lK 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. IOwner Signature (Required _ -a ` r u/ Ir / I ature: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ON Received by EH Staff: Fee & Receipt #: Y -I. loo,(Do 3 Date: Date:l ( I � I ( Z cA vlq Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) f6UK1111 USE PERMIT CHECKLIST Permit for Continued Use of an Existing OWTS 76 Service Center Rd - Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 Website: www.aspenpitkin.com/ehnr Some items listed on this checklist may already exist in the Department files. Please contact this department to collect any necessary documentation, using the parcel ID# to identify the property, priorto scheduling an OWTS Use Permit inspection and/or submitting the OWTS Use Permit application packet. A complete application package must be presented at the time of your pre -application conference for acceptance. To schedule a pre -application conference, please call (970) 920- 5070. PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION Only one copy of each item is necessary. Electronic versions of any or all of the documents identified below may be emailed to ehnr-co.pitkin.co.us before the date of the pre -application conference. OWTS Use Permit Application (completed) Site Plan (11x17) Should include general location of each OWTS, buildings, water courses, domestic water source(s), and other pertinent information. Building Floor Plans (11x17) Current floor plans for a property transaction; or Proposed floor plans for an addition/remodel that does not increase potential bedroom count or water usage of the structure served by the existing OWTS. Inspection report by a Licensed Systems Inspector - A list of Licensed Systems Inspectors can be found at www.aspenpitkin.com/ehnr An inspection report is good for one year. Applicable Fee OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. t- tll k *0 ,V onsite Wastewater Treatment Systems (OWTS) Use YES ""Cou.Nio; Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 �N_� Website: www.asPenPitkLtn.comLehnr Inspection form for continued use of an e)dsting OWTS Parcel Number: Ll'> Phone Number 0��n-:JOLJ-OQF, Pitkin County Systems Inspector License Nu , rnbe'r: (2) t -7 the Licensed Systems laseector w1thin 69 days_of the inspection regardless of Whethqr th em gaggs 2r fails. QUESTIONS FOR PROPERTY OWNER PRIOR T0INSPECTION: (sthe home currently occupied? YES `=� °~ |fNO, how long has the home been vacant? How many bedrooms are mthe home? |fsecondary treatment isused, who |s the maintenance provider? RECORDS: Were system records available from Pitkin [ounty?NO If YES: Permit number: -- Date ^fFinal Approval: _��_�� #ofbedrooms permitted: E)____ Was anas-built drawing avai|ab}p7ND |sthe as -built 6mvvingaccurate? �_�E�) NO If NO: Complete odrawing of the system on lastpage of thisform as accurately as possible. Any ques0on marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, noevidence cferosion? Improper vegetative cover? Evidence ofcompaction such aoheavy machinery orlivestock? Improper discharges such aostraight pipes? Evidence ufhigh ground water? 5nnwcover present? PASi FAIL YES CXCO YES FAIL YES �N_� YES TANK: YES Tank 1 If YES, is the pump/dosing siphon functioning properly? Tank 2 FAIL Tank 3 PASS Tank capacity Is the high water alarm working, both visible and audible? gallons FAIL gallons Ports gallons Tank material NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO inches Does the owner have a current maintenance contract for the unit? YES # of compartments UNKNOWN Maintenance Provider: Phone: YES `- Nib Is it level and in good condition? PASS Date of last pumping G Lids/risers in good condition "PASS., FAIL PASS FAIL PASS FAIL Risers to grade J� NO YES NO YES NO Riser height ` _i11 Riser condition/watertightness Inlet sanitary T/bafflePA3S �P FAIL PASS FAIL PASS FAIL Outlet sanitaryT/baffiie FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL N/ PASS FAIL N/A PASS FAIL N/A Condition of tank material Tank was pumped for inspection , � PASS FAIL YES t NO PASS YES FAIL NO PASS YES FAIL NO If YES, list the pumping company If NO, when was the last pumping Scum level (1st compartment) { inches inches inches Sludge level (1st compartment) 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 ' ASS —FAIL FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness I -,,-,:P–_ASS,> FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES NC) l 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: Ports YES Probing Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO inches Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: YES `- Nib 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? 6pA ~ FAIL Evidence of past surfacing? YES Surface dampness? YES Excessive odors? Field location verified by observation ports or probing: Ports YES Probing Liquid in observation port? YES If YES, record depth: inches Distribution Box or ADV part of original design? YES e"996' ) UNKNOWN If YES, is it accessible from grade? YES `- Nib Is it level and in good condition? PASS FAIL Page 2 11 the system that were not addressed in Please list any recommendations for the continued use of the system: Were any repairs done asnresult ofthis inspection? YES If YES, please describe the repairs. Tothe best of my knowledge and training, the information collected in this inspection is accurate as of