HomeMy WebLinkAboutpitkin.eh.264503401001 (2011) (CDU)PirKIN,
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Pitkin County Environmental *.!alth Department
Onsite Wastewater Treatment System (OWTS) USE PERMIT
Permit for Continued Use of an Existing OWTS
0405 Castle Creek Road, Suite 10, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
www.aspenpitkin.com/EHNR
Parcel ID #: 2645-034-01-001
OWTS Use Permit #: I 0029.2011.powu (2)
Date Issued:
8/12/2011
Issued By:
Carla Ostberg
Expiration Date:
8/12/2012
Owner(s): I Alan Bagliore / High Chaparrel Properties, LLC
Property Address: 560 Lazy O Rd, CDU
Legal Description: Lot 1, Lazy 0 Ranch
Licensed Inspector: Kurt Kelly
Inspection Date(s): 7/25/2011
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
concrete
750 gallons
Secondary Treatment Unit
n/a
n/a
Absorption Area
mound
Sand area = 552 sq ft
Basal area = 736 sq ft
Other System Components
n/a
n/a
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 #: 99054 Date of Issuance: 7/21/1999 Date of Final Approval: 10/25/1999
# of Bedrooms or fixtures served by OWTS: 2 bedrooms
Operational Status: At the time of the inspection, the system appeared to be in good working condition. The tank was
not pumped; however, there were no sludge or scum layers.
Inspector Recommendations: The inspector has recommended a cleanout be installed on the sewer line. This cleanout
should be located within 5' of the house and sweep in both directions. The inspector has also recommended cleaning
dirt from the riser lids to assure a tighter seal.
Department Recommendations: Recommend installing 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.
Jul 20 11 02:07p Alan Bagliore
-469-0213 p.3
Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
0405 Castle Creek Read, Suite 10 • Aspen, CO - $1611
Phone: 970.920.5070 Fax 970.920.5077 Website: www aspenpitton.cornlehnr
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PITKIN COUNTY COMMUNITY DEVELC.. MENT
Permit Receipt
RECEIPT NUMBER 00031234
Name: Carol Dopkin Real Estate, Inc.
Project Address: 560 LAZY O RD
Type: check # 28027
Permit Number Fee Description
0029.2011.P0WU OWTS Use Permit Fee
Total:
Date:7/28/2011
Amount
100.00
100.00
Jul, 26. 2011 8:53AM
M
71
No, 5651 P. 1
ofJVK IN Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
�OUN T y Pltkin County Environmental Health Department
0405 Castle Creek Road, suite 10, Aspen, CO 81611
Phone: 970-920-5070 Fax- 970-920-5077
Website' www.asoenoitkin.com/ehnr,
Inspection form for continued use of an existing OWTS
Owner's Name:
Address: 64,46 Lazv-
Parcel Number: a6y, - p�tr— p/— 1W
Inspection Date;
Inspector's Name:
Business Name:
Phone Number �91;22)&/9 _ 7
Email; , Oe
Pltkin County Systems Inspector LlcensiFNumbelr: 00
A cony of this Inspection report will be remitted to Pitkin County Environmental Health Department by
the Licensed Systems inspector within 60 days of the inspection reaardless of whether the system
Passes or falls.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? YES NO
If NO, how long has the home been vacant?
How many bedrooms are in the home?
When was the tank last pumped? �•�
Name of pumping company:
If secondary treatment is used, who Is the
maintenance provider?
RECORDS:
Were system records available from Pitkin County? ES NO
If YES: Permit number: x
Date of Final Approval: 10 — :2, S7 - 99,,••r,..
g of bedrooms permitted:
Was an as -built drawing available?'EP NO
Is the as -built drawing accurate? eTM NO
If NO: Complete a drawing of the system on 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? PA FAIL
Improper vegetative cover? YES
Evidence of compaction such as heavy machinery or livestock? YES
Improper discharges such as straight pipes?PAS FAIL
Evidence of high ground water? N YES
Snow cover present? NO YES
Page 1
Cp�
J u 1. 26. 2011 8: 53AM No. 5651 P. 2
TANK:
Tank 1
MJ
Tank 2
YES
Tank 3
If YES, Is the pump/dosing siphon functioning properly?
Tank capacity
Z
gallons
PASS
gallons
Is the high water alarm working, both visible and audible?
gallons
Tank material
SECONDARY TREATMENT:
Is a secondary treatment unit present? YES
NO
UNK OWN
If YES, does the unit appear to be in good working condition? YES
NO
# of compartments
NO
UNKNOWN
Maintenance Provider: Phone'
If there Is no maintenance contract, a contract must be In place prior to occupancy of the home. A
Date of last pumping
Department.
Lids/risers In good condition
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
ES
NO
YES
NO
YES
NO
Riser height
Riser condition/watertightness
Inlet sanitary T/baffle
FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitary T/baffleTAM')FAIL.
PASS
FAIL
PASS
FAIL
Effluent filter (If part of design)
PASS FAIL
PASS FAIL
N/A
PASS FAIL
N/A
Condition of tank material
FAIL
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
scum level (1st compartment)
YES
AIA
0
inches
YES
NO
Inches
YES
NO
inches
Sludge level (1st compartment)
inches
inches
inches
Scum level (2nd compartment)
inches
inches
Inches
Sludge level (2nd compartment)
inches
inches
inches
Backflow (if pumped)
PASS
FAIL
PASS
FAIL
PASS
FAIL
Mldtank baffle
PAS All.
N/A
PASS FAIL
N/A
PASS FAIL
N/A
Watertightness
AS5
FAIL
PASS
FAIL
PASS
FAIL
Sit Woks.
swf S O
—' wo V P `&WL'P4 d
PUMPS/DOSING SIPHONS: T
MJ
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
UNK OWN
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
FAIL
YES
YES
(50) YES
Ports Probing
NO YES
inches 1,
YES NO KN
YES NO
PASS FAIL
Page 2
J u 1. 26. 2011 8 : 53AM
No. 5651 P, 3
Any problems with the system that were riot addressed in the inspection checklist?
Please list any recommendations for the continued use of the system:
No & o oa t" of t d t � Ca✓•,e &/ t . (2
Al f
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
Licensed Systems Inspector Signature: fir•
Additional Notes:
ad e ,'r J`
s. /
Clearly label any pictures and attach them to this form.
Page 3
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