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HomeMy WebLinkAboutpitkin.eh.264321308011 (2014)OEM �'' .i% `t Pitkin County Environmental HeAh Department Onsite Wastewater Treatment System (OWTS) USE PERMIT Permit for Continued Use of on Existing OWTS 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2643-213-08-011 OWTS Use Permit #: I 0050.2014.POWU Date Issued: 10/7/14 Issued By: Bryan Daugherty Expiration Date: 10/7/15 Owner(s): I Joan Klar Property Address: 23 Upper Ranch Rd Legal Description: Lot 1, Block 2, Filing 2 Licensed Inspector: Jason Daubs Inspection Date(s): 9/17/14 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Two-compartment concrete tank 1000 gallons Secondary Treatment Unit Absorption Area Pipe and gravel bed 750 ft' 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 #: 76045 Date of Issuance: 8/31/76 Date of Final Approval: 3/26/80 # of Bedrooms or fixtures served by OWTS: 4 bedrooms. This system was designed to serve 3 bedrooms and is not large enough to accommodate the effluent flows under today's regulation. The system must be redesigned if a remodel were to occur. Operational Status: According to the inspectors observations the system was functioning properly. The tank was in good condition with tees and baffle in place. Field area did not show any signs of failure or surfacing effluent. Inspector Recommendations: N/A Department Recommendations: Add an effluent filter to the outlet tee of the tank to prevent solids from reaching the field area. 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. Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Afnr [_nntiniiafl I Ica of an FYiStinn OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.oitkinassessor.orq): Contact/Applicant Mailing Address: Purpose of Use Permit: Cell Phone: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address:tl Email Address: ' /c i Lot: Block: Filing: Subdivision: �f Residences: Other # of Bedrooms: j / fixtures/uses: Property O7r(s)`: Email Address: a & L I 10'rI)l ®Go p Owner's Mailing Address: City, State, Zip: Home Phone: X70 Business Phone: 'rnntart information must be orovided for the owner signinq this application Primary Contact Person/Applicant (if not owner): Company: Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: ❑ Email Fax ❑ US Mail Licensed Systems Inspector: Phone Number: Email Address: F Number. Mailing Address: City, State, Zip: 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. 1 acknowledge that this department may revoke any permit I am issued if my application is found to contain any inaccurate, false, or misleading information. Owner Signature (Required): ate: Applicant Signature: Date: Please allow 3-5 business days for processing of Use Permits. (FOR OFFICE USE ONLY �Fz. Received by EH Staff: Fee & Receipt #: Date: - ---n Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) COU11T4 USE 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: www.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(c)co.pitkin.co.us before the date of the pre -application conference. OWTS Use Permit Application (completed) Site Plan (11x17) F- Should include general location of each OWTS, buildings, water courses, domestic water source(s), and other pertinent information. _ Building Floor Plans ❑ Current floor plans for a property transaction; or ❑ 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 [- A list of Licensed Systems Inspectors can be found at www.aspenpitkin.com/ehnr An inspection report is good for one year. Applicable Fee E OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. 4 M Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form COUNT4 Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspenpitkin.com/ehnr Inspection form for continued use of an existing OWTS Owner's Name:.Joanie Klar Address: 0023 Upper Ranch Rd. Aspen, CO 81612 Parcel Number: 2643-213-08-011 Inspection Date: 9/17/2014 Inspector's Name: Jason Daubs Business Name: D&D Septic. Services Phone Number a70-471-13330 Email: DDSepticServices gmail.com Pitkin County Systems Inspector License Number: 19 A_ copy of this inspection report will be remitted to Pitkin County Environmental Health Department by the Licensed Systems 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? YES If NO, how long has the home been vacant? less than a month How many bedrooms are in the home? 4 If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County?E© NO If YES: Permit number: 76045 Date of Final Approval: 03/26/1980 # of bedrooms permitted: 3 Was an as -built drawing available? ES NO Is the as -built drawing accurate? (ZD 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 OMITS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? PAS FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? ® YES Improper discharges such as straight pipes? 4!MS) FAIL Evidence of high ground water? 0ED YES Snow cover present? ® YES Page 1 TANK: Tank 1 Tank 2 PASS Tank 3 Does the pump/wiring/dosing siphon appear to be in good condition? Tank capacity 1000 gallons PASS gallons SECONDARY TREATMENT: gallons Tank material Concrete NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO # of compartments 2 UNKNOWN Date of last pumping unknow Lids/risers in good condition FAIL PASS FAIL PASS FAIL Risers to grade NO YES NO YES NO Riser height 4' Riser condition/watertightness Good Inlet sanitary T/baffle AS FAIL PASS FAIL PASS FAIL Outlet sanitary Ty baffle 11!a� FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL (4/_4 PASS FAIL N/A PASS FAIL N/A Condition of tank material AS FAIL PASS FAIL PASS FAIL Tank was pumped for inspection E NO I YES NO YES NO If YES, list the pumping company B&R Se tic If NO, when was the last pumping Scum level (1st ccmpartment) inches inches 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) AS FAIL PASS FAIL PASS FAIL Midtank baffle AS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness AS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES 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: Phone: If there is no maintenance contract, a contract must be in place prior to occupancy of the home 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? AS 0 Ports NO FAIL YES YES YES robin YES inches YES YES NO PASS FAIL Page 2 UNKNOWN A Any problems with the system that were not addressed in the inspection checklist? NO Please list any recommendations for the continued use of the system: None 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 September 18 , 20 14 Licensed Systems Inspector Signature:�2p Additional Notes: Was not able to acq Are a picture of the inlet tee due to the angle and depth but I can verify that it is there. Clearly label any pictures and attach them to this form. Page 3 C OWTS DESIGN CALCULATIONS - for Pitkin Parcel ID #��1lI�III,��iVk Owner's Name House Size (sq. ft.) ® (75 gpd or 100 gpd) 75, Number of Bedrooms in Main House Number of Offices, Libraries, Studies, Similar -sized Rooms in Main House Number of Bedrooms in Detached Caretaker unit Number of Offices, Studies, Similar -sized Rooms in Caretaker Unit (If the caretaker unit is ATTACHED, treat as if part of main house.) Average Daffy Waste Flow 600 State Review Required? no Perc Rate (T) Design Flow (Q) = # potential bedrooms X 2 people/bedroom X gpd X 1.5 Q= 900 Minimum tank capacity 1125 gallons Absorption Area (=Q/5 X SQRT perc rate)(1.4 loading factor) A = 1,380 sq. ft. of absorption area required Absorption Area (=Q/5 X SQRT perc rate) WITH SECONDARY TREATMENT (no loading factor) A= 986 sq. ft. of absorption area required Abs. Area w/ loading factor (1325) Trench Bed Quick4 Trench Quick4 Bed Pipe and Gravel (-10%) 1242 no red. 1380 126 140 Dosing (-20%) 1104 (-20%) 1104 112 112 Chambers (-30%) 966 (-10%) 1242 98 126 Max Allowable 50% 690 (30%) 966 70 98 Secondary Treatment Abs Area w/ out loading factor (B28) Trench Bed Pipe and Gravel (-10%) 887 no red. 986 90 100 Dosing (-20%) 789 (-20%) 789 80 80 Chambers (30%) 690 (-10%) 887 70 90 Max Allowable (-50%) 493 (-30%) 690 50 70 100 SETBACK FROM WELL # of feet = 50 SETBACK FROM POND, STREAM OR IRRIGATION DITCH # of feet = 25 SETBACK FROM DRY GULCH # of feet = tM'