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Home My WebLink Aboutpitkin.eh.264309200003 (2015)y LOU NT4 Pitkin County Environmental "Aalth 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 #: 2643-092-00-003 OWTS Use Permit #: I 0062.2015.POWU Date Issued: 12/29/2015 Issued By: Bryan Daugherty Expiration Date: 12/29/2016 Owner(s): I Howie Mallory Property Address: 616 Allen Way Legal Description: Absorption Area Licensed Inspector: Jason Daubs Inspection Date(s): 12/21/15 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment septic tank 1250 gallons Secondary Treatment Unit Absorption Area Dry Well 600 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 #: 80036 Date of Issuance: 8/25/80 Date of Final Approval: 8/27/80 # of Bedrooms or fixtures served by OWTS: 3 bedrooms Operational Status: The inspector indicates the system is properly functioning and there is no evidence of failure. Tank and dry well were in good functioning condition. Inspector Recommendations: Department Recommendations: We recommend adding an effluent filter to the outlet of the tank to prevent solids from entering 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. k %b Pitkin County Environmental Health Department ' I N Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION Co tj N r iif 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ A...-1:...•.+:. " fi %- I leo of an r:vlCtinn 0VVTS Property Owner(s)*: Email Address: l 1 (avt eC t �1 vt,L c, Otic x� 1 iiLtCe— . c J bt-, L Owner's Mailing' dress: / Cit , SGtate, Z 2.31) ��}�1� �W01—� Home Phone: _ Business Phone: *Contact information must be provided for the owner signing this application. Primary Con ta t Person/Applicant (if not owner): Company: Parcel ID# (available from the Pitkin County Assessor's Office is m 2,� Q 970-920-5160 or at www.pitkinassessor.org): City, State Zip: s� , Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: Email Address: Lot: Block: Filing: Subdivision: Residences: Other # of Bedrooms: fixtures/uses: r, c1� L Property Owner(s)*: Email Address: l 1 (avt eC t �1 vt,L c, Otic x� 1 iiLtCe— . c J bt-, L Owner's Mailing' dress: / Cit , SGtate, Z 2.31) ��}�1� �W01—� Home Phone: _ Business Phone: *Contact information must be provided for the owner signing this application. Primary Con ta t Person/Applicant (if not owner): Company: j 0-,,) (E' Vk kc-i_LD CV I— Contact/Applicant Mailing Addre t 230 ` 13 u r-- r-1 Lel- City, State Zip: s� , Cell Phone: r ll D ' `lv Pell Business Phone: ^7 9 l() �j b Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: -Email Fax ❑ US Mail icensed Systems Inspe tor.� / Phone Nu be : Email Address: Fax Number: 47t- 03c) tailing Address: City, State, Zip: PLEASE READ BEFORE SIGNING: 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. iwner Signature (Required): lxl Date: I Z76__— 12./30/2015 ,pplicant Signature: Date: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLYt Received by EH Staff: Fee 8 i T K I N Onsite Wastewater Treatment Systems (OWTS) Use COUNTI� Permit Inspection Form Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 C`i'7*C\7 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: Howie Mallory Address: 616 Allen Way W ody Creek CO 81656 Parcel Number: 9643_na2_00_003 Inspection Date: 12/21/2015 Inspector's Name: Jason Daubs Business Name: D&D Septic Services, LLC Phone Number 970-471-1330 Email: DDSepticServices@gmail.com Pitkin County Systems Inspector License Number: 19 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? ® NO If NO, how long has the home been vacant? How many bedrooms are in the home? 3 If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? ® NO If YES: Permit number: 80036 Date of Final Approval: 8/27/80 # of bedrooms permitted: 3 Was an as -built drawing available? ME—SI 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? ® YES Evidence of compaction such as heavy machinery or livestock? r—N-01 YES Improper discharges such as straight pipes? ® FAIL Evidence of high ground water? ® YES Snow cover present? NO Page 1 62.2�i`� . pc -.)o 0 rJ TANK: Tank 1 r NO Tank 2 PASS Tank 3 Tank capacity 1250 gallons Is the high water alarm working, both visible and audible? gallons FAIL gallons Tank material Concrete Is a secondary treatment unit present? YES ® UNKNOWN If YES, does the unit appear to be in good working condition? YES NO # of compartments 2 NO UNKNOWN Maintenance Provider: Phone: Date of last pumping 2014 Lids/risers in good condition FAM FAIL PASS FAIL PASS FAIL Risers to grade YES NO YES NO YES NO Riser height 12" Riser condition/watertightness Pass Inlet sanitary T/baffle Outlet sanitary T/baffle FXSM PASS FAIL FAIL PASS PASS FAIL FAIL PASS PASS FAIL FAIL Effluent filter (if part of design) PASS FAIL rWM PASS FAIL N/A PASS FAIL N/A Condition of tank material M FAIL PASS FAIL PASS FAIL Tank was pumped for inspection If YES, list the pumping company YES NO YES NO YES NO If NO, when was the last pumping 2014 Scum level (1st compartment) ill inches inches inches Sludge level (1st compartment) 4" inches inches inches Scum level (2nd compartment) 011 inches inches inches Sludge level (2nd compartment) 0.1 inches inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffleASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES r 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: Is a secondary treatment unit present? YES ® UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: 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? Evidence of past surfacing? Surface dampness? Excessive odors? Field location verified by observation ports or probing Liquid in observation port? If YES, record depth: Distribution Box or ADV part of original design? If YES, is it accessible from grade? Is it level and in good condition? ® FAIL ® YES ® YES ® YES Ports Probing MM inches YES ® UNKNOWN YES NO PASS FAIL Page 2 C 0 Any problems with the system that were not addressed in the inspection checklist? No problems 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 best of my knowledge and training, the information collected in this inspection is accurate as of December 21 2015 . Licensed Systems Inspector Signature: 4 Additional Notes: The drawina from the 1980 permit is correct Clearly label any pictures and attach them to this form. Page 3 Ll 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 the location of the system components for future reference. itki Page 4