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Home My WebLink Aboutpitkin.eh.264327400014 (2013)�txx��v �ouxT� Pitkin County Environmental L _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: 970-920-5374 www.aspenpitkin.com/EHNR Parcel ID #: 2643-274-00-014 OWTS Use Permit #: I 0039.2013.powu Date Issued: 08/29/2013 Issued By: Kurt Dahl Expiration Date: 08/29//2014 Owner(s): I Frank Mead Metcalf Property Address: 2116 McLain Flats Legal Description: Absorption Area Licensed Inspector: Doug Warren Inspection Date(s): 07/26/2013 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 -compartment tank 2000 gallons Secondary Treatment Unit Concrete dosing tank 1000 gallons Absorption Area Standard Gravelless Chambers 48 total, 4 rows of 12 (700 ft') Other System Components Concrete distribution box 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 #: 07008 Date of Issuance: 03/07/2007 Date of Final Approval: 02/21/2008 # of Bedrooms or fixtures served by OWTS: 4 Operational Status: The inspector indicates the system is functioning properly and there is no indication of failure. Inspector Recommendations: regular maintenance Department Recommendations: regular maintenance 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 po 39, 2613, POO Pitkin County Environmental Healtn Department 117KiN Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION "'COU NT 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Annlicafinn fnr CnnfinuPcl llse of an EXlstinU OWTS Prop!Owner(s)': / Email Address: /- a Owner'sC� ling Address:. „5 City, State, to"�%i Home Phone: 7j 1 - 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: Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.pitkinassessor.orq): Cell Phone: Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: /1? Lot: Block: Filing: Subdivision: Residences: # of Bedrooms: Other fixtures/uses: Prop!Owner(s)': / Email Address: /- a Owner'sC� ling Address:. „5 City, State, to"�%i Home Phone: 7j 1 - 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 Preferred Method of Permit Receipt: ❑ Email Fax ❑ US Mail icensed SystemsInspector: Phone Number: Email Address: Fax Number: tailing Abdr ss: City, State, Zip: 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): //J � Date: v ,Lt !rre: Date: / Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: Y91) laa 3'-100 8 f2c� Izo� 1�+ TRUE DIMENSIONS 2116 McLain Flats P.O. BOX 10431 Aspen, CO 81611 July 25, 2013 ASPEN COLORADO 81612 MAIN LEVEL (970) 618-8351 1 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form COU N T' Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 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: Address: Parcel Number: Inspection Date: Inspector's Name: Business Name: Phone Number 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 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 dm:)4� If NO, how long has the home been vacant? How many bedrooms are in the home? y If secondary treatment is used, who is the maintenance provider? ? RECORDS: Were system records available from Pitkin County?TE �/ NO If YES: Permit number: 670 6 $r Date of Final Approval: !22 zt d� # of bedrooms permitted: G/ Was an as -built drawing available? � NO Is the as -built drawing accurate? 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? FAIL Improper vegetative cover? <15_0D YES Evidence of compaction such as heavy machinery or livestock? ® YES Improper discharges such as straight pipes? AS FAIL Evidence of high ground water? YES Snow cover present? YES Page 1 TANK: Tank 1 Tank 2 If YES, is the pump/dosing siphon functioning properly? Tank 3 FAIL Tank capacity Z49r!)p gallons `6b0 gallons FAIL gallons Tank material ,�� Is a secondary treatment unit present? YES GrL• UNKNOWN If YES, does the unit appear to be in good working condition? YES NO # of compartments Z N / Maintenance Provider: Phone: YES NO Date of last pumping YES NO Is it level and in good condition? PASS FAIL Lids/risers in good condition ® FAIL SS FAIL PASS FAIL Risers to grade YES YES <IV YES NO Riser height d - Riser condition/watertightness S dd S Inlet sanitaryT/baffle 5 FAIL FAIL PASS FAIL Outlet sanitary 7/baffleAS FAIL FAIL PASS FAIL Effluent filter (if part of design) S AIL N/A PASS FAIL &W PASS FAIL N/A Condition of tank material ASS FAIL ASS FAIL PASS FAIL Tank was pumped for inspection E NO NO YES 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) J inches inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffleS AIL N/A PASS FAIL <Z[ZA) PASS FAIL N/A Watertightness FAIL AS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? ® NO If YES, is the pump/dosing siphon functioning properly? ° FAIL Does the pump/wiring/dosing siphon appear to be in good condition? A S FAIL Is the high water alarm working, both visible and audible? PA FAIL SECONDARY TREATMENT: 0 YES Is a secondary treatment unit present? YES 0 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 N UNKNOWN Maintenance Provider: Phone: YES NO If there is no maintenance contract, a contract must be in place prior to occupancy of the horse. A copy of the contract must be submitted to Pitkin County Environmental Health Department. ABSORBTION AREA: Effluent surfacing?�. ° FAIL Evidence of past surfacing? OR YES Surface dampness? YES Excessive odors? 0 YES Field location verified by observation ports or probing: or Probing Liquid in observation port? NO YES If YES, record depth: inches Distribution Box or ADV part of original design? YES NO If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 UNKNOWN 0 Any problems with the system that were not addressed in the inspection checklist? —o Please list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? YES If YES, please describe the repairs. To the est of my knowledge and training, the infor on collect n this ins a urate as of 20 Licensed Systems Inspector Signature: Additional Notes: Clearly label any pictures and attach them to this form. Page 3 h J l� Y HE FRS t0TJHI I WI rH 1E NI WNS1 2'i AON (� .. . _.. .._.. _ .. _..... i...{pew. _......-.�..�...ee�.... " . t 35x DUAL TRENCH 2 - 2" R CENCORE LINES i FOR R L CA ON WATER AND 1 FOR SEWER. IPE, 2" WATER LINE TO BE TO DI MAIN INSTALLED INSIDE 4" SCH40 \ PVC CASING PIPE. 5 DEEP WITH 2" OF INSULATION EX GAL WATER J TLY INSTA D NEW 1.000 G CONC - CONVERTED DOSiN T PUMP AN CONTR S IN SECO CHAMBER T OF TAN �Z$.16 VENT PI ACROS DRIVEWAY TO N IN TREES. FROM ED G F LID. WATER D F CE N IN DUAL NCH O MIDDLE F YARD' INZTALL NFW 2.000 GAN -01, SEP C MATCH EXIS G INL ELEVA76ONS.1 TALL NEW 4" PVC FROM HO E TO NEW TANK. (NST 4"01A ULET D ER INSTALL GD, Fj 1-1 O�R OF 12 INFI TRATOR TACH ROW - TOTAL S. ll�STALV PLASH PLA -17E E O EACH RC AND C TAT1 END CH ENGINEER VE ELEVATION O CH MIN COVER IS 1 COVER IS 3'. 5 �RLI! ,.KIN Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT CHECKLIST ou NT 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, prior to 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(j�co.pitkin.co.us before the date of the pre -application conference. OWTS Use Permit Application (completed) V� 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 V An inspection report is good for one year. Applicable Fee OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. d � �� `: ` . .�� Dc 0 i IMPROVEMENT SURVEY LOT 14 a WHITE HORSE SPRINGS RANCH PITKIN COUNTY, COLORADO �•a]Ia �P V = 40' J : NOM ... ]ex PD au / ^) uw �DEs� �e� N wT t) ov sccnox v uo w*tar sccr�Dr a., Na � uw:'c �,./' ° ' c"'aE«.na'xoEs"rn� ms r�'o'uom"srxE arx. PomwPu .Ema�w. Pomx N / BEaNwNa el a PUNT EEE)ICE tK SNmFAlJ CANER a SMD SECTaR x) eEN15 � W mY i SeaT'u'E tM).N FEET: loi i3 /� � 9Y%'00Y )�a.]a rEE) KWD nE xtlfM441E%v UXE a nE vw 4fiK . B[MG U S YNGM RgvEY x0 ee32 aEAVE �9p'mY 0.l>.m PEEr eLaNa rxE xanrt/.ltE%v lNE a SeD vex \ eSl'JJ'L Bean RET ro e PONT N nlE CENTER Ci e b faDT PpN.ev EelFMDIT� 1• _ 20 w=m) _ _ / /� j MNIZ NJDCS']ST 12.N RET LLaxC JK CLHJFR of SYD RDMMer E/.SEYFNn N, .). 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