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HomeMy WebLinkAboutpitkin.eh.246734217003 (2017) (Main House)��xx�N CUU IV T� Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS K llD #: 2467-342-17-003 Use Permit #: 0060.2017.POWU ssued: 9/8/17 Issued By: Bryan Daugherty Expiration Date: 9/8/18 Owner(s): I Mark and Karen Johnson Property Address: 53 Gateway Road (Main Home) Legal Description: Lot 1 Sky River Licensed Inspector: Joe Zamora Inspection Date(s): 8/19/17 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 www.aspenpitkin.com/EHNR SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment tank 1250 Gallons Secondary Treatment Unit Absorption Area Seepage Bed 1200 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 #: 89089 Date of Issuance: 12/21/89 Date of Final Approval: 8/29/90 # of Bedrooms or fixtures served by OWTS: System is designed to serve 3 bedrooms in the main home. Operational Status: After repairs were made to the risers on the tank the system was functioning as designed at the time of inspection. A new effluent filter was also installed at the repaired outlet of the tank. The field area was found by probing and did not have any signs of failure such as surfacing effluent. Inspector Recommendations: Department Recommendations: Continue annual maintenance or as needed 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 I 1 16:49 FAX Q001 Onsite Wastewater Treatment Systems (OWTS) Use k Permit Inspection Form % Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 9 Phone: 970-920-5070 Fax: 970-920-5374 Website; I hllp://pilkincounty.com/248=ariewater-Treoirnent Inspection form for continued use of an existing OWTS Owner's Name Address: Parcel Number: Inspection Date: Inspector's Name: Business Name: Phone Number Emalk jG__ on Road Colorado 81634 Zamora cavatio Inc. 171 ra msn.com Pitkin County Systems Inspector License Number. 11M3 ITC A copy of this Inspection report will be remitted to Pltkin County Environmental Heath Department by the Licensed Systems Inspector within 6Qdays. of the Inspection regardless of whether the system sasses or falls, QUESTIONS FOR PROPERTY OWNER PRIOR 70 INSPECTION: Is the home currently occupied? ❑YES EINO 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? OYES ONO If YES: Permit number: Date of Final Approval: # of bedrooms permitted: Was an as -built drawing available? DYES ❑ NO is the as -built drawing accurate? MYES [:]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? NO YES Evidence of compaction such as heavy machinery or livestock? ' NO YES Improper discharges such as straight pipes? PASS ■ FAIL Evidence of high ground water? ■ NO YES Snow cover present? ■ NO YES Page 1 Effective Date 1/1212017 09/11/2017 16:49 FAX TANK: Tank 1 FAIL YES YES Tank 2 Excessive odors? Tank 3 YES Tank capacity 1,250 allons Liquid in observation port? YES HN gallons Tank material concrete Distribution Box or ADV part of original design? NO If YES, Is it accessible from grade? # of compartments 2 FAIL Date of last pumping 8/16/17 Lids/risers In good condition Fall Select One Select One Risers to grade Yes Select One Select One Riser height 12" Riser condition/watertightness Inlet sanitary T/baffle Outlet sanitary T/baffle Pass Fell ElSelect w One Select One Select One Select One Effluent filter (if pant of desl n) Fall Select One SeleAut One Condition of tank material Pass Select One Select One Tank was pumped for inspection if YES, list the pumping company Select One B & R Septic Select One Select One If NO, when was the last pumpin Scum level 1st compartment) inches inches 1 inches Sludge level (lst compartment) 2 inches Inches Inches Scum level (2nd compartment) Sludge level (2nd compartment) 1 Inches Inches Inches Inches Inches Inches Backflow (if pumped) Midtank baffle Select OneASelect ass Select One Select One Select One Select One Watertightness Pass One ISelect One PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES ' 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 • NO 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? HYES NO ®UNKNOWN Maintenance Provider: 1 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? FAIL YES YES Excessive odors? YES Field location verified by observation ports or probing:robing Liquid in observation port? YES HN If YES, record depth: hes Distribution Box or ADV part of original design? NO If YES, Is it accessible from grade? NO Is It level and in good condition? FAIL Q002 UNKNOWN Page 2 Effective Date 1/12/2017 M 09/11/2017 16:49 FAX Please list any recommendations for the continued use of the system: Were any repairs done as a result of this Inspection? ❑ N0 M YES It YES lease descrfoe the repairs. Risers on the Inlet and outlet manholes were deteriorating and both were replaced. Outlet side of lid was broken and was replaced. Outlet T was pitched to the outside of the tank and tight to the corner. It was not visible. Outlet T was replaced with a new biotube fliter. To the best of my knowledge and training, the information collected in this Inspection is accurate as of u ust 19 1, Z 17 Licensed Systems Inspector Signature: FZ ,4y Additional Notes: This Inspection was completed for the main house. Clearly label any pictures and attach them to this form. Save Form Clear Form Page 3 Print Form Effective Date 1/12/2017