Loading...
HomeMy WebLinkAboutpitkin.eh.264335105001 (2011)PirKIN '11V COUIvTi (I J) Pitkin County Environmental health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2643-351-05-001 OWTS Use Permit #: I 007.2011.POWU Date Issued: 1/31/2011 Issued By: Bryan Daugherty Expiration Date: 1/31/2012 Owner(s): I Pelham Corporation Property Address: 801 S Starwood Dr Legal Description: Lot R-64,13Iock 8, Starwood Subdivision Licensed Inspector: Roger Maynard B&R Septic Service Inspection Date(s): 12/29/10 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete Single compartment Concrete Two compartment 1250 gallons 1250 gallons Secondary Treatment Unit N/A N/A Absorption Area Pipe and Gravel Bed (x2) 2400 + 1026 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.* *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 #: 96058 Date of Issuance: 9/3/1996 Date of Final Approval: 5/29/1998 # of Bedrooms or fixtures served by OWTS: 5 bedrooms Operational Status: According to the inspectors observations the system appeared to working properly and was in good condition. Both tanks were pumped as part of the inspection and appeared to be in good working order and in good condition. The absorption area, 2 pipe and gravel beds, appeared to working correctly, there were no signs for surfacing effluent or failure. Inspector Recommendations: N/A Department Recommendations: We recommend adding an effluent filter to the outlet of the second tank to prevent solids from entering the absorption area. Issuance of this OWTS Use Permit is based solely on the conditions observed on the date of the inspections) 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. Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 0405 Castle Creek Road, Suite 10 - Aspen, CO 81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.com/ehnr ADDlication for Continued Use of an Existing OWTS Parcel ID# (available from the Pitkin County Assessor's Office Company: 970-920-5160 or at wi. .pitkinassea ): Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: So S ilo it ll Phone: Cell ,� Lot: Block: fling: Subdivision: l Residences: Other A�*R.wvrjL gl h Id,`u c # of Bedrooms: Jj fixtures/uses: Property Owner(s) `: Email Address: d -Aug. - Owner's Mailing Address: State, Zip: Home Phone: Bu&vmd Phone: v 42-3 3 YG 4 -- "Contact informatiion must be provided for the owner signing this application_ Primary Contact Person/Applicant (if not owner): Company: Contact/Applicant Mailing Address: City, State, Zip: 'T144 P v Iii" 11-i k G 6 P412- 4t2Ce' ll Phone: Cell Business Phone: Fax Number. Email Address: A�*R.wvrjL gl h Id,`u c Indicate Preferred Method of Permit Receipt: Email El Fax ❑tits Mai Licensed Systems Inspector: Phone Number Email Address: Fax Number. ,!Q 0 is.Z P1 N- i N Arz d q7d Zip: GL 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. 1,13 ill Date: t1-71111 Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: 'IEP.22.2010 9:57AM ENVIR0 HEALTH NAT RESOURCE NO. 502 P. 1 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form C4UNT Pitkin County Environmental Health Department 0405 Castle Creek Road, Suite 10, Aspen, CO 51611 C_/_11t117 � """' Phone: 970-920-5070 Fax: 970-920-5077 Website: www.Aspeni3itkin.com/ehnr inspection Form for continued use of an existing OWTS OWNERS Name: Address: Parcel Number: Inspection Date: Records: Were system records available from the department?Ye ) No If Yes: Permit number. �- Date of Instailation: Tank size'ey� Absorption area size: >Cn• Permitted Use: f. ��u Is this system permitted for its curre t use? If no, describe the change in use. Was an As -Built drawing available? ydZL Is the As -Built Drawing Accurate? ip _ If No: Complete a drawing of the system on last page of this form as accurately as possible if as -built was not available or is not accurate. Site Conditions: Erosion FAIL Improper Vegetative cover YES Evidence of Compaction JPA YES improper Discharges FAIL High Ground Water YES Snow Cover (�YES) Property Vacant NO YES UNKNOWN TANK:Imo. Was the tank pumped as part of the inspection? If No, skip to Tank Components. If No: When was the tank last pumped? If the tank has not been pumped in more than 2 years, please attach additional information for justification. Information to be included in justification : Depth of scum layer, Depth of sludge layer and/or Verification of "mit occupancy If Yes: Pumping Company: Discharge/leakage ASS FAIL Infiltration PASS FAIL Back flow after pumping NO YES «° 22, 2010 9:56AM ENVIRO "EALTH NAT RESOURCE Tank Components: Tank 1 Lids Tank Integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlet Baffles [- rIvent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm Tank Components: Tank z Lids Tank Integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlet Baffles Effluent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm N0.502 r. 2 PASSE FAIL S FAIL VP FAIL NP PASS FAIL PASS FAIL CPjAP FAIL FAIL (JNh (VAi'�>-- FAIL Yes W NP PAS FAIL design? PAS FAIL PAS FAIL NP PAS FAIL PASS PASS FAIL � PAS FAIL PASS PASS FAIL PASS PA FAIL PASS Yes No a If additional tanks are present, include reports for each. SECONDARY TREATMENT: Is a secondary treatment unit part of the system design? l/ If Yes: Make/Model: Lids PASS FAIL Tank Integrity PASS FAIL Media Container PASS FAIL NP Media Condition PASS FAIL NP Mechanical Systems PASS FAIL NP Controls/Alarms PASS FAIL Expires: Maintenance Agreement PASS FAIL Provider Name Provider Phone Number ABSORBTION AREA: Distribution Box Accessible from grade? Yes NP Distribution Box (tL95,J7 FAIL ADV Accessible from grade? Yes No USP Autocratic Distributing Valve (ADV) (:j!W FAIL Observation Ports rkit> FAIL Effluent Surfacing FAIL Evidence of Past Surfacing �O YES Surface Dampness N YES Excessive odors Cid YES Liquid in observation port (�igp inches JUN. '21.2010 1:42PM ENViRO HEALTH NAT RESOURCE Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the system to continue its current usage. Were any repairs done as a result of this inspection? NO YE If Yes, please describe the reanirc. NO. 417 P. j i o me nest of my icnowledge and training, the information collected in this inspection is accurate as of Inspector's Signature: Business Name: Phone Number Address: Email: Pitkin County Inspecto Additional Notes: A copy of this inspection report will he remitted to Pitkin County Environmental Health with 60 days of the inspection.