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Home My WebLink Aboutpitkin.eh.264335104002 (2014)Pitkin County Environmental "ealth Department Onsite Wastewater Treatment Sys.em (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 #: 2643-351-04-002 OWTS Use Permit #: I 0008.2014.powu Date Issued: 4/11/2014 Issued By: Bryan Daugherty Expiration Date: 4/11/2015 Owner(s): I Anlujo Capital Inc. Property Address: 298 Johnson Drive Legal Description: Absorption Area Licensed Inspector: Doug Warren Inspection Date(s): 3/26/14 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit 2 compartment concrete tank 2 compartment concrete tank 2000 gallons 1000 gallons Secondary Treatment Unit Absorption Area Pressurized chamber beds (3) 136 Chambers (2108 ftZ) Other System Components Pump 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 #: 01050 Date of Issuance: 8/9/01 Date of Final Approval: 10/28/02 # of Bedrooms or fixtures permitted by OWTS: 6 bedrooms total, 5 in main house and 1 in attached CDU Operational Status: From the inspector's observations, the system was functioning as designed at the time of inspection. All tanks were in good working condition with tees and baffles in place. The pump and automatic distributing valve were functioning. Inspector Recommendations: Annual Maintenance Department Recommendations: We recommend making the automatic distributing valve accessible from grade so it can be maintained. 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 Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.corrdehnr1 rkmr,1:.-!nf;^n fnr r_nnfintiod lice of an EXistina OWTS Parcel lD# (available from the Pitkin County Assessor's Office 970-92"490 or at www.aitkinassessor.orn): Z6c3 _ ":53�_ Purpose of Use Permit PROPHt7Y TRANSACrlON ❑ REMODELJADDMON Property Address: Lot: Block: Firing: Subdivision: 'e-39 i Lf7� Residences: Other # of Bedroo : kWreshlses: 'v i2 /ifGl� -A % Q hi e-1i11-dC �t��' �ci ✓c�drro Primary Contact Person/Applicant (h not owner): �iS� OC �!-'•t�ii�! Company: ContacNApplicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number. Email Address: Indicate Preferred Method of Permit Receipt ❑ Email ❑Fax ❑ US Hall Licensed Systems Inspector Phone Number Email Address: Fax Number. Mailing Address: City, State, Zip: I 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 1 am issued if my application is found to contain any inaccurate, false, or misleading information. Owner Signature (Required): _ Date: 413-2014 Applicant Signature: Date. Please allow 3-5 business days for processing of Use Permits. OFFICE USE ONLY ived by EH Staff: Fee & Receipt #: Date: ,.. Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form coVNT8 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: co ' r- Parcel Number:—Ci0- Inspection Date: i Inspector's Name:�E�4cL yZ Business Name: Phone Number ,- cy Email: a✓a L-&�.r• A . Pitkin County Systems Inspector License Number: A coov of this inspection report will be remitted to Pitkin Countv Environmental Health Department b 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? ES NO If NO, how long has the home been vacant? _ How many bedrooms are in the home? ; *ti5 5 r� }-(c 1,[,�,, yc, 1- 1 liz<C(� cl z'4' 1e % If secondary treatment is used, who is thec{,+) maintenance provider? RECORDS: Were system records available from Pitkin County? ES NO If YES: Permit number: O<OSO Date of Final Approval: /0Z� DZ # of bedrooms permitted:_� Was an as -built drawing available? NO Is the as -built drawing accurate? E 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?PASS FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? 0 YES Improper discharges such as straight pipes?FAIL Evidence of high ground water? 0 YES Snow cover present? NO ES Page 1 TANK: Tank 1 If YES, is the pump/dosing siphon functioning properly? Tank 2 Does the pump/wiring/dosing siphon appear to be in good condition? Tank 3 Is the high water alarm working, both visible and audible? Tank capacity pQ gallons ( 0 gallons Does the owner have a current maintenance contract for the unit? YES gallons Tank material a �IGrc. If there is no maintenance contract, a contract must be in place prior to occupancy nLrG�G copy of the contract must be submitted to Pitkin County Environmental Health Department. 0 # of compartments If YES, record depth: f Distribution Box or ADV part of original design? ES NO Date of last pumping ttz,r- w.:K0t& j -- Is it level and in good condition? PASS Lids/risers in good condition 5 FAIL ASS FAIL PASS FAIL Risers to grade YES YES 0 YES NO Riser height .-l•— 3,0 - Riser condition/watertightness CA 00a C4 611 C1 Inlet sanitary T/bafFle S FAIL S FAIL PASS FAIL Outlet sanitary T/baffle ASSFAIL FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL APAS FAIL N/A PASS FAIL N/A Condition of tank material 41§S FAIL SS FAIL PASS FAIL Tank was pumped for inspection NO S NO YES NO If YES, list the pumping company gip v� r.1 If NO, when was the last pumping Scum level (1st compartment) inches Q 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 AS FAIL N/A PA FAIL N/A PASS FAIL N/A Watertightness AS FAIL ASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? e—dEES NO If YES, is the pump/dosing siphon functioning properly? A FAIL Does the pump/wiring/dosing siphon appear to be in good condition? S FAIL Is the high water alarm working, both visible and audible? 4tASS FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? YES NOKNOWN 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: Field location verified by observation ports or probing: 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? SS FAIL Evidence of past surfacing? <2ET) YES Surface dampness? 0 YES Excessive odors? 0 YES Field location verified by observation ports or probing: orts Probing Liquid in observation port? 0 YES If YES, record depth: inches Distribution Box or ADV part of original design? ES NO If YES, is it accessible from grade? YESEO Is it level and in good condition? PASS FAIL Page 2 UNKNOWN .r: x Any problems with the system that were not addressed in the inspection checklist? 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 hest ofohy nowledge and training, the infor collet in this inspection is accurate as of Z 20_ Licensed Systerrs Inspector Signature: Additional Notes: Clearly label any pictures and attach them to this form. Page 3 IMPROVEMENT SURVEY PLAT A PARCEL OF LAND BEING TRACT R-34, 9TARWOOD FOUR, SECTION 35, TOWNSHIP 9 SOUTH, RANGE 85 WEST OF THE 6TH P.M. COUNTY OF PITKIN, STATE OF COLORADO R•35 STARWOOD 4 GRAPHIC SCALE t avnxl x aRn - m n LEGEND D rE[EPNa{ REDESiI u sERu ctERx-ar IRE xTnRaxi Et .1 YfMR ;;: mRlBenaR eox (t-r.xxR7 acaa Ox.T1 PROPERTY DESCRIPTION ISI]TORNW- 7RLE_IN9URANCE I�O6NCY OF A9PE_N�_LLC COMMRMENT NO. 14oO32190ATCO MARCH 17 1014) n Bai. y .r PRP yx. PnRw cwxr., raPxay rKUP lacworo Puwsr .roes .x PROPERTY ADDRESS: :gtx'0x"caa.w neu NOTES: a KMWS rP MS SURav a . BWa, a x,B.Y�.xY e[Mfx M[ SdrMx[Br rauxB Y Pr.m PrE .w rK xPtKxv rnlBmt a tBr R -M. . raga Y CNKB wK 4Na0 Ux Vx RS PNM xtKBx- P Pa,(v. uu,w xf, x0�x y, u I u• o r R Ma Pax[+ xEK V.S. SM+R+rt[* x MIS S�MetT a RPSlO M m uM1xi P fiMWCO rwlR .we —IRS P -E M e PNM w ira` nE [ CCMwMMiPWgvAR[B B. RraPafi nR[ ba[xiwMC rKaav Y�ava,RutnE WwMnr x0. 1N0.1x1, (MPo uuaN Ix. M�.1 IMPROVEMENT SURVEYSTATEMENT .r.:. �u�"�.ai+M[.I+ ua _- It— vwc.s anc v.wB nieB[almPz s s n. r"ct`Rosr'rircersxa10NcnsTMRaru P.R. 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