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HomeMy WebLinkAboutpitkin.eh.246734217003 (2017)VfJFKIN, �COUtVT� 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 m 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).; z/6 ownersLOAd,/!'1/�J'r 4,9 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 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/ JDDMON Property AddMw ML Lot Block: Fling: S awn J� s�/(y Res+denees Other B of sedrwnw- property (s).; z/6 ownersLOAd,/!'1/�J'r 4,9 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