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Home My WebLink Aboutpitkin.eh.2164326201001 (2015)VITKIN Pitkin County Environmental hCalth Department Onsite Wastewater Treatment System (OWTS) USE PERMIT COUNT�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 #: 2643-262-01-001 OWTS Use Permit #: I 0023.2015.POWU Date Issued: 07/22/2015 Issued By: Kurt Dahl Expiration Date: 07/22/2016 Owner(s): I Bricol Corp. NV Property Address: 565 N. Starwood Legal Description: R17 A Original Starwood Licensed Inspector: Paul Rutledge Inspection Date(s): 07/13/2015 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Single Compartment concrete tank 2000 gallons Secondary Treatment Unit Two compartment septic tank 1000 gallons Absorption Area Gravelless chambers 84 chambers (2514 ft2) Other System Components Effluent filter 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 #: 02052 Date of Issuance: 07/23/2002 Date of Final Approval: 12/09/2002 # of Bedrooms or fixtures served by OWTS: 6 Bedrooms. 4 bedrooms and 1 office in main house and a 1 bedroom CDU. Operational Status: The inspector indicates the system appears to be in good shape and not in failure. There is effluent/water in the inspection ports indicating possible saturation of the field. The inspector also observed a constant trickle flow through the d -box and this may be the cause of the saturation in the field. Inspector Recommendations: The inspector recommends evaluating the plumbing in the house and CDU for leaks and monthly inspections of the liquid levels in the inspection ports. Department Recommendations: same as the inspector. 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. oe5Z3.2015. P6wv Pitkin County Environmental Health Department 0, K I N Onsite Wastewater Treatment System (OWTS) Fcto k USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www,aspenpitkin.com/ehnr/ onnlicatinn fnr Cnntinued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office �� Company 970-920-5160 or at www.Ditkinassessor.org): V b�GTQN Gr al" , R+ e Contact/Applicant Mailing Address: Purpose of Use Permit PROPERTY TRANSACTION ❑ REMODELfADDITION Property Address S�� / / N- �0'Gr Gvooa� Business Phone C.cw,ld,ce - 920- 39 :� Lot / Block Filing Gd'i /Na/ Subdivision �o'r/'w ooci ' Residences:U Other ❑ Fax ❑ US Mail # of Bedrooms. fixtures/uses: Property Owner(s)*:/ / Email Address ,�r` Owner's Mailing Address City.. State. Zip Home Phone. Busiro6ss Phone 'Contact information must be provided for the owner signing this application Primary Contact Person/Applicant if not o r) / Company d N �6N� V b�GTQN Gr al" , R+ e Contact/Applicant Mailing Address: Cd ate, Zip. N61 Cell Phone D s"45�; 2 -93 Business Phone C.cw,ld,ce - 920- 39 :� Fax Number: Email Address: CctA Com. CID Indicate Preferred Method of Permit Receipt, Email ❑ Fax ❑ US Mail Licensed Syst ms Inspector Phone Number: Email Address Fax Number cta .� i' �t+ ,Co %OHO Mailing Address: VCity. State Zip , G 2 l�li1 e. �r/ �.L/'cc f G 6 r 4_a Ott / (:f - PLEASE 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. Oinr Signature (Rgquir ): ~ Date: 179 141, AoDlicant anature'- Date _ 1 Please allow 3-5 busines days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date 4 3A5-31 -41161�s N Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form ouNT'� Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspenpitLin.com.Lehnr Inspection form for continued use of an existing OWTS Owner's Name: Address: p G✓` v: t2 O fL7CAJ e b 0<// Parcel Number: 2— 6 14 3 ? 2 Q (j CJ / Inspection Date: — s Inspector's Name: Business Name: " I e J%A I 14JiU rcr /.;v a Phone Number f ;P O Email: p r+ 7-/C n1% �So,O/`%s eN9� G OGti! Pitkin County Systems Inspector LicenseAmber: /3 A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by the Licensed Svstems 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? YE NO If NO, how long has the home been vacant? How many bedrooms are in the home? If secondary treatment is used, who is the maintenance provider? 6 RECORDS: Were system records available from Pitkin County? ES NO If YES: Permit number: 02-052 Date of Final Approval: �d2 # of bedrooms permitted: 6 Was an as -built drawing available?L�T�YNO Is the as -built drawing accurate? C CE�, S NO ,SCl�lfc l�S DN,�j Yv�✓�' �v�`�/�S.S 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? ® FAIL Improper vegetative cover? r:QD YES Evidence of compaction such as heavy machinery or livestock? (-9_0�) YES Improper discharges such as straight pipes? tV_A7S7D FAIL Evidence of high ground water? YES Snow cover present? YES Page 1 TANK: Tank 1 Tank 2 Tank 3 PASS Tank capacity Does the pump/wiring/dosing siphon appear to be in good condition? PASS / (570jogallons Is the high water alarm working, both visible and audible? gallons Tank material J20009allons ,a G NG/`G G Is a secondary treatment unit present? YES NO # of compartments 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 Date of last pumping a 10/,3 2 O / Lids/risers in good condition S FAIL FAIL PASS FAIL Risers to grade Riser height E 40- / NO NO YES NO Riser condition/watertightness��; Inlet sanitary T/baffle S FAIL ASS FAIL PASS FAIL Outlet sanitary T/baffle C1rKS- 5> FAIL FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL N/A SS FAIL N/A PASS FAIL N/A Condition of tank material PAS FAIL SS FAIL PASS FAIL Tank was pumped for inspection YES (:ED� YES�J03 YES NO If YES, list the pumping company �i� 'Zed''sem' s ,vc.L IA -x If NO, when was the last pumping 'Walz 2 Scum level (1st compartment) G1 inches inches inches Sludge level (1st compartment) inches inches inches Scum level (2nd compartment) inches Q inches inches Sludge level (2nd compartment) inches c'�- inches inches Backflow (if pumped) / PASS FAIL PASS FAIL PASS FAIL Midtank baffle PASS FAIL S FAIL N/A PASS FAIL N/A Watertightness PAS FAIL I gAS FAIL PASS FAIL PUMPS/DOSING SIPHONS: y1W 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: A--/// 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: 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? i U Gv�d � �vrvc✓ eve a)) PAS FAIL VO� YES Q YES YES e / _ ort Probing �✓�p/�f �Q p,4• r'.M�'G�psrr0�+` /Al -4 NO YE / 2 ,3 ¢ -!r- 0-1,e, !r -Q— 8 inches 0 t44-1 Z/ ES NO UNKN WN ES NO ASS FAIL Page 2 k *90 Any problems with the system that were not addressed in the inspection checklist? /y Gc� � � sai v�v`� � od`!� /`a /w✓f D d' .0001 /-,4 11/1 e,v Plea list any recommendations for the continued use of the system: d ' e" — r t O 6F c 18a /v go 04 'r o Al Were any repairs done as a result of this inspection? NO YES If YES, please describe the repairs. To the best of y knowledge and training, the information collected in this inspection is accurate as of 20/<' Licensed Systems Inspector Signature: Additional Notes: Clearly label any pictures and attach them to this form. Page 3 11KIM Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) CO'UUSE PERMIT CHECKLIST Permit for Continued Use of an Existing OWTS 76 Service Center Rd - Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 Website: wvwv.aspenpitkin.com/ehnr Some items listed on this checklist may already exist in the Department files. Please contact this department to collect any necessary documentation, using the parcel ID# to identify the property, priorto scheduling an OWTS Use Permit inspection and/or submitting the OWTS Use Permit application packet. A complete application package must be presented at the time of your pre -application conference for acceptance. To schedule a pre -application conference, please call (970) 920- 5070. PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION Only one copy of each item is necessary. Electronic versions of any or all of the documents identified below may be emailed to ehnr(cb-co.pitkin.co.us before the date of the pre -application conference. OWTS Use Permit Application (completed) L/ Site Plan (11x17) sc G 4�5�v Should include general location of each OWTS, buildings, water courses, domestic water source(s), and other pertinent "uilding information. Floor Plans (11x17) Current floor plans for a property transaction; or i Proposed floor plans for an addition/remodel that does not increase potential bedroom count or water usage of the structure served by the existing OWTS. Inspection report by a Licensed Systems Inspector i A list of Licensed Systems Inspectors can be found at www.aspenpitkin.com/ehnr An inspection report is good for one year. Applicable Fee i OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. 411111110 SOPRIS ENGINEERING, LLC Pitkin County Environmental Health Depart CLIENT COST OF SALE:REIMBURSAB Permit 7/14/2015 5954 100.00 CHECKING -BANK OF 100.00