HomeMy WebLinkAboutpitkin.eh.246734217003 (2017)VfJFKIN,
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Pitkin County Environmental Health 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: 970-920-5374
www.asi)enpitkin.com/EHNR
Parcel ID #: 2467-342-17-003
OWTS Use Permit #: 0060.2017.POWU
Date Issued: 9/8/17
Issued By: Bryan Daugherty
Expiration Date: 1 9/8/18
Owner(s): I Mark and Karen Johnson
Property Address:
53 Gateway Road (CDU)
Legal Description:
Lot 1 Sky River
Licensed Inspector: Joe Zamora
Inspection Date(s): 1 8/19/17
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete two-compartment tank
1000 Gallons
Secondary Treatment Unit
Absorption Area
Gravelless Chamber 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 #: 96034 Date of Issuance: 7/8/96 Date of Final Approval: 8/26/96
# of Bedrooms or fixtures served by OWTS: System was sized to serve 2 bedrooms in the CDU, main home is served by
another septic system.
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 did not show
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 1 1
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Pitkin County Environrr
Onsite Wastewater Tire
USE PERMIT
76 Sen
Website: www
ntat Health Department
toren# System (OWTS)
iPPLICATION
e Center Rd
CO 81811
r_ _ .,_tel! ...J -i I N— -S lm CwmwAnn nWTS
property (s).;
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ownersLOAd,/!'1/�J'r
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Home Phone: Phone:
1577 i
emvmr siemoo this awka4on.
Pnmary Cones# PersonrApplicanl (it not owner): Camps
CWWng Adtlres3 City, V. Zip:
Cell Phone: Busane Phone;
Fax Number Email
Irdmate Prefer Od MOW of Permit Receipt: V'`Email Q fu LJ US K -A
licensed Systems Irtapedor:EM
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Wfing Address:City Sta
PLEASE READ BFFORE SIGNING:
I that the above Information Is complete and accurate iwd that I have provided Cal
P% ! Uastus1 1V3 %A%i
certify
Included in any applitatian I acknowledge that this deparititent play revolt* arty
Parcel 1D/ (available From the PlOdn County Assessor's Office
aftklressaeaaor orti):
N/
97"20.6184 or at www
Purpose of Use Permit
J PROPERTY TRMSACFMN ❑ REIAODEt/
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Property AddMw
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Lot
Block: Fling: S
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Res+denees
Other
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property (s).;
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ownersLOAd,/!'1/�J'r
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Home Phone: Phone:
1577 i
emvmr siemoo this awka4on.
Pnmary Cones# PersonrApplicanl (it not owner): Camps
CWWng Adtlres3 City, V. Zip:
Cell Phone: Busane Phone;
Fax Number Email
Irdmate Prefer Od MOW of Permit Receipt: V'`Email Q fu LJ US K -A
licensed Systems Irtapedor:EM
rax nwnger
t v 3 7-' —719)
Xj',_
Wfing Address:City Sta
PLEASE READ BFFORE SIGNING:
I that the above Information Is complete and accurate iwd that I have provided Cal
ipleto and accurate information in all of the documents
to any
certify
Included in any applitatian I acknowledge that this deparititent play revolt* arty
perm It I on issued if my application is found contain
inaccurate, false, or mist ng in ation.
Owner I }:
time'
c %�
Date;
Pte aN'OW 34bu sa days for promsing of use Per Ms.
FOR OFRCE t73E
Fee Receipt
Received by EH Staff; &#
08/31/2017 11:26 FAX
[a 002
„. Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
Pltkin County Environmental Health Department
4:..%
76 Service Center Rd, Aspen, CO 81611
v
Phone: 970-920-5070 Fax: 970-920-5374
Website: hllp;//pilkincounly.Com/248/Wa6leweler-Treatment
Inspection form for continued use of an existing ODUTS
Owner's Name.,
Address:
Parcel Number:
Inspection Date:
Inspector's Name:
Business Name,.
Phone Number
Email;
Mark Johnson
3 Gatewe Road
nowmass Colorado 81634
/19/17
ose h B. Zamora
amara Excavating,Inc,
870 379-7171
e mora msn.com
DIA -In County Systems Inspector License Number: 13263 ITC
A —to ni min incnarrinn rvoorr will be remitted to Pitkin County Environmental Health Departg1ent by
the Licensed 5v f(ZMS Insne4 or w/rn/n nu aays or WE rnsprcus
passes or fulls.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION -
Is the home currently occupied? 1 - ,.YES ONO
If NO, how long has the home been vacant?
How many bedrooms are in the home? 1
If secondary treatment is used, who is the r
maintenance provider? L
RECORDS:
Were system records available from Pitkin Cousin-t-yt? ❑YES ❑NO
If YES: Permit number: I
Date of Final Approval; I I
ti of bedrooms permitted:
Was an as -built drawing available? YES PqNO
Is the as -built drawing accurate? DYES NO
If NO: Complete a drawing of the system an lost 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?
Improper vegetative cover?
Evidence of compaction such as heavy machinery or livestock?
Improper discharges such as straight pipes?
Evidence of high ground water?
Snow cover present?
• PASS FAIL
• NO YES
NO YES
❑PASS • FAiL
NO Q YES
NO ❑ YES
Page 1 Efrectivo oat• 1/1212017
08/31/2017 11:27 FAX
TANK:
Tank 1
PASS HFAIL
Tank 2
Tank 3
Tank capacity
1,000 Igallons
Excessive odors?
allons
gallons
Tank material
concrete
YES
HN
If YES, record depth:
hes
# of compartments
2
NO
If YES, is it accessible from grade?
NO
Is It level and In good condition?
Date of last Rumping
8/16/17
Lids/risers in good condition
Fail
Select One
Select One
Risers to grade
es
Select One
Select One
Riser height
-12" risers
Riser condition/watertightness
Inlet sanitary T/baffle
Outlet sanitary T/baffle
ass
Fall
—
Select OneSelect
Select One
One
Select One
Effluent filter (If part of design)
Fall
•
Select One
elect One
Condition of tank material
ass
Select One
Select One
Tank was pumped for Inspection
If YES, list the pumping company
es
& R Septic
.
Select One
Select One
If NO, when was the last pum Ing
Scum level (1st Cam ertment
Inches
Inchesi
Inches
Sludge level (1st compartment)
3
Inches
—inchesi
Inches
Scum level (2nd compartment)
1
inches
inches
inches
Sludge level (2nd compartment)
inches
Inches
Inches
Backflow (if pumped)
Select One
Select One
Select One
Mldtank baffle
Watertightness
Pess
IPASS
Select One
Select One
Select one
Select 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? YES NO ❑UNKNOWN
Maintenance Provider:F I 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?
'
PASS HFAIL
Evidence of past surfacing?
NOYES
Surface dampness?
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
[a) 003
UNKNOWN
Page 2 Effective Date 1/12/2017
08/31/2017 11:27 FAX Q1004
Please list any recommendations for the continued use of the system:
Were any repairs done as a result of this Inspection? ❑ NO M YES
s5 lease describe the re airs.
the outlet side of tank 4-1' risers were replaced as the risers were deteriorating. The lid on the
t side was broken and was replaced with a new lid. The outlet T was pitched towards the
let side of the tank. The pipe on the outlet side of the tank was replaced as the pipe was
ken. After repairing the outlet pipe a new biotube filter was installed in the outlet side of the
k.
To the best of my knowledge and training, the Information collected in this inspection Is accurate as of
ugust 19 20M
Licensed Systems Inspector Signature:
s Inspection was completed for the guest house.
glCarly label anv pi n ares and attach them to > hI$ fQM
Save Form Clear Form
Ed
Page 3 Effective Date 111212017
08/26/2017 08.10 FAX I�00
August 25, 2017
mark Johnw
P.Q. i3ax 555
Snowmass, Colorado 82654
RE: 53 Gateway Road
Pitkin County, Colorado
As requested i have inspected the septic tank and leach field forthmain home at the above referenced
property. The septic tank was full and the inlet T was visible. The ilutlet T was not visible.
i%pairs were made. tfotl+ risers and one lid nem replacement✓ utlet T needed to be replaced with i
biotube filter. Regulations now "Ire filters on outlets of septic, nks.-
The tank was pumped by 8 & R Septk. The baffle in Ow tank was si iund and the walls in the tank
appea red to be in good condition.
The leach field appeared dry and in working order. No visible lealL4 were found. There vrefe also no
visible leaks in the kitchen and bathroom WOO$.
The system now app4arsto be working property.
if you have any questions regarding this matter please feel fare W
Thank you.
Joseph i!. Femora
Zamora Excavating, iris.
NAWT Certification #13263 ITC
me at (970)879-n71.
08/28/2017 08:10 FAX
August 25, 2017
Mark Johnson
P.O. Box 555
5nowmass, Colorado 81654
RE: 53 Gateway Road
Pitkin County, Colorado
As requested I have inspected the Septic tank and Bach field for the ;
referenced property. The septic tank was full and both Inlet and out
Repairs wen made. The risers on the outlet side of the tank were da
new risers wW lids. As the outlet T was not properly placed it was
Regulations now require filters on outlets of septic tanks.
The tank was pumped by B & R Septic. The baffle in the tank was si
good condition.
It 002
est house at the above
Ts were Visible.
rating and were replaced with
aged with a blotube filter.
and the wells in the tank were in
The leach field elaprared dry and in working order. No visible leaks w ere found. There were also no
visible leaks in the kitchen and bathroom areas.
The system now appears to be working properly.
if you have any Questions regarding this matter please feel free to
Ttw* you.
oseph B, 4amara ,
Zamora Excavating,!Inc.
NAW! Certifications ITC
me at (910) 319-7171.
i