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HomeMy WebLinkAboutpitkin.eh.264335106004 (2015)�iTKIN CtIU 1V'f • Pitkin County Environmental: dth 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 #: 2643-351-06-004 OWTS Use Permit #: I 0060.2015.POWU Date Issued: 12/24/2015 Issued By: Kurt Dahl Expiration Date: 12/24/2016 Owner(s): I David Effress Property Address: 606 S. Starwood Drive Legal Description: R66 Starwood 9 Licensed Inspector: Jason Daubs Inspection Date(s): 12/21/2015 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two compartment septic tank 1000 gallons Secondary Treatment Unit Absorption Area unknown unknown 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 of the time of the inspection, it is recommended that the system be re-evoluated when it is in use for a more accurate evaluation of the system. System Records: Permit #: N/A Date of Issuance: N/A Date of Final Approval: N/A # of Bedrooms or fixtures served by OWTS: 3 bedrooms. This department does not have a file on the OWTS which is due to the age of the building (1969) and likely the OWTS was constructed prior to the existence of the Pitkin EH Department. Operational Status: The inspector indicates the system appears to be functioning properly and there is no sign of failure. The septic tank is missing inlet and outlet tees. Due to the depth of the tank (6 feet) replacing the tees will be difficult without digging up the tank. This department strongly recommends replacing the tees as soon as possible to bring the tank back to optimal performance. If the system is repaired or the house remodeled, replacement of the tees and a greater assessment of the size and performance of the OWTS will be required. Inspector Recommendations: install inlet and outlet tees and an effluent filter on the outlet tee Department Recommendations: install inlet and outlet tees and an effluent filter on the outlet tee 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. ,tiiR GIJNT� z Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Annliratinn fnr r.nntinuprl lJse of an Existing OWTS - -1- - - - - - Contact/Applicant Mailing Address: Parcel ID# (available from the Pitkin County Assessor's Office 2 970-920-5160 or at vwvw.pitkinassessor.orq): S �J b w c Business Phone: Fax Number: Ck-1C, • Ci a.S — la o lc Email Address: S:3 cC 42� SHAtSE-Psp Purpose of Use Permit: AOROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: 6 ol0 5 - Date: Lot: Block: Lot: Filing: Subdivision: '�lolo STPRwooD G Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)*: Eail Address: Owner's Mailing Address: City, State, Zip: Ba%1, \ CCS Home Phone: Business Phone: c-, -A c-�, , Ck . S� 5,5 C, --101 . G • S© S S *Contact information must be provided for the owner signinq this application Primary Contact Person/Applicant (if not owner): Svc 1�cy w p,tZT•� Company: S\-\P� E tP.SPc rJ 'R �/��— �. STAT Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Ck-1C, • Ci a.S — la o lc Email Address: S:3 cC 42� SHAtSE-Psp Indicate Preferred Method of Permit Receipt: ail El Fax ❑ US Mail .icensed Systems Inspector: Phone Number: Email Address: Fax Number: PTS C- sep\vkLE 5 `'i` -)o `iced c)G,-c4r^kL Aailing Address: City, State, Zip: 9-o• - l E�Pt� Cc> 191631 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. Owner Signature equirRd): j\ \' Date: L Applicant Signature: Date: 'Z2 l Please allow 3-5 business days for processing of Use Permits. 'OR OFFICE USE ONL' teceived by EH Staff: Fee & Receipt #: Date: 3q 1550 % W KIN Onsite Wastewater Treatment Systems (OWTS) Use iPermit Inspection Form COUNVPitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspenr)itkin.com/ehn- inspection form for continued use of an existing OWTS Owner's Name: pavid EffreSS Address: F;()C, S Starwood Dr. Aspen, CO 81611 Parcel Number: 2643-351-06-004 Inspection Date: j?/2j/9njr, 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? YES Owner present maybe a few If NO, how long has the home been vacant? days every 2 monthes 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? YES rM If YES: Permit number: Date of Final Approval: # of bedrooms permitted: Was an as -built drawing available? YES Is the as -built drawing accurate? YES 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? FA—SSI FAIL Improper vegetative cover? ® YES Evidence of compaction such as heavy machinery or livestock? ® YES Improper discharges such as straight pipes? ® FAIL Evidence of high ground water? NO YES Snow cover present? NO Page 1 L M TANK: Tank 1 Tank 2 Tank 3 Tank capacity 1000 gallons gallons If YES, is the pump/dosing siphon functioning properly? gallons Tank material Concrete PASS FAIL Is the high water alarm working, both visible and audible? PASS FAIL # of compartments 2 Is a secondary treatment unit present? YES ® UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Date of last pumping 12/21/2015 YES NO UNKNOWN Maintenance Provider: Phone: Lids/risers in good condition Risers to grade AS f-17EM FAIL NO PASS YES FAIL NO PASS YES FAIL NO Riser height 61 Riser con ditio /watertightness — --_-Pas �r In anitaryT/bafFle Outlet sanitary T/baffle Effluent filter (if part of design) PASS PAS PASS -FAtL FAIL PASS PASS PASS FAIL FAIL FAIL N/A PASS PASS PASS FAIL FAIL FAIL N/A Condition of tank material FM FAIL PASS FAIL PASS FAIL Tank was pumped for inspection f7M NO YES NO YES NO If YES, list the pumping company D&D Septic Services If NO, when was the last pumping Scum level (1st compartment) inches inches inches Sludge level (1st compartment) Scum level (2nd compartment) inches inches inches inches inches inches Sludge level (2nd compartment) inches inches inches Backflow (if pumped) Midtank baffle Watertightness PAS FAIL FM FAIL N/A FAIL PASS PASS FAIL PASS FAIL N/A FAIL PASS PASS FAIL PASS FAIL N/A FAIL 1 I � I/ t- �2L T � Cvn8 WOVIC ��f'. V ()e` �Ck5pn 1 j� X17 5 -Cf icl ah %5 VJ-0- d vc) V � O (�S } a 1l -fee s PUMPSi/DOSING SIPHONS: 1 YES NO Is a pump or dosing siphon present? 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 rffn YES NO YES Ports r i ® YES inches YES NO NKN WN YES NO PASS FAIL Page 2 W Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: Inlet and outlet tees need to be installed on the tank None are present. 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 DecPmher 21 . 201 Licensed Systems Inspector Signature: c 7 -- Additional Additional Notes: As seen above there are no tees present. I recommend that the tees be installed and that an effluent filter also be installed. Clearly label any pictures and attach them to this form. Page 3 C O 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. Page 4 C PT PIWWON5 \,-curate Calulations for 5cluare food, aqe �I 5 5fm",Woop ATM CO m • FT 121W ON5 Iccwate CAaAion5 for 5gAare footage CERTIFICATE OF MEASUREMENT Property: 606 S. Starwood Aspen, CO 81611 The undersigned hereby certifies that we have measured the property described above, on October 28, 2014 and our findings are as follows: Total Heated / Livable Square Footage: 2,980 square feet Total Finished Square Footage: 2,686 square feet (ANSI Guidelines) The above findings for "Finished Square Footage" have been calculated in accordance to the guidelines from the American National Standards Institute (ANSI— Z765-2003), applicable to the City of Aspen, County of Pitkin, State of Colorado. The on-site/as built calculation for finished square footage is for a detached single family home. The calculation for finished square footage includes levels 2-4 of the residence which are heated, sheet rocked, and which are considered finished and livable space. It is to be noted that level 1 is unfinished and is heated and considered livable space, therefore an additional "Heated / Livable Square Foot- age" calculation is noted. Levels 1 and 2 are below grade and were measured and calculated to the exterior face of the foundation walls and the finished face of the exposed exterior walls. Levels 3 and 4 are above grade and measured and calculated to the exterior finished face of the exterior walls. True Dimensions has exercised its best efforts to perform an on-site/as built measurement of the property as accurately as possible. It is understood however that there can be some uncertainty with respect to the accuracy of any square footage measurement due to variations in finished surfaces as well as interior and exterior wall construction, as well as other factors. Certificate dated: October 28, 2014 TR(,t& ]�)IMENSICNIS by: Leslie Miller C 904 50. Ff. !J1 Nc W, LFM 2 294 5Q, Ff, 2,980 50, Ff, (HWF-P/ HVAM5Q, Ff,) 2,686 5Q, Ff, (FIN15H�p 5Q, Ff.) (AN51 6UMLINF5) 294 5Q. Ff, AFM I TRUE DIMENSIONS OX 10431 606 S. Starwood POB 1121E PIMEWON5 .. Aa en, c(AcreAQ OAQbtr 2014 ASPEN, COLORADO 81612 A, --,t, C,41A F (970) C16-6351 lim , .