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HomeMy WebLinkAboutpitkin.eh.264504200003 (2012)Y Pitkin County Environmental H, zh Department Onsite Wastewater Treatment System (OWTS) USE PERU 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 #: 2645-042-00-003 OWTS Use Permit #: I 006.2012.powu Date Issued: 4/10/2012 Issued By: Bryan Daugherty Expiration Date: 4/10/2013 Owner(s): I John and Susanne Clark Property Address: 5809 E Sopris Creek Legal Description: Licensed Inspector: Tim Petz, All Service Septic Inspection Date(s): 3/27/12 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit 2 compartment Concrete tank Single compartment Concrete tank 1250 gallons 250 gallons Secondary Treatment Unit n/a n/a Absorption Area E.T.A. bed 2595 sq. ft. Other System Components Dosing Tank 500 gallon tank w/ pump 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 #: 88033 Date of Issuance: 6/28/1988 Date of Final Approval: 8/23/1988 # of Bedrooms or fixtures served by OWTS: This system was designed to accommodate 5 bedrooms. Operational Status: According to the inspectors report, the system was functioning properly at the time of inspection. The first 2 tanks were pumped as part of the inspection and both tanks were in good working order with both inlet and outlet tees in place. This series of tanks flowed into a 500 gallon pump vault that was also in good working order. The tank did not need pumped because the solids and scum had not accumulated in the tank. The pump dosed the evapo- transpiration/absorption bed that did not show any signs of failure or surfacing effluent. Inspector Recommendations: None Department Recommendations: N/A 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 He -"h Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION N lr'� +ice Center Rd - Aspen, CO - 81611 Phone: '0.920.5070 Fax: 970.920.5374 Website: www.aspenpitkin.com/ehnr Anniicatinn fnr ICnntinuPcl USP of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office Company: 970-920-5160 or at www.oitkinassessor.org): City, State, Zip: Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: a � * 5 e -w Lot: Block: Filing: Subdivision. Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)`:Email Address: �.I t �� C,� ,1G � a rl ru 6 Cl Owner's Mailidress: Ci y, State, Zip: 511, R, o V l �.J�i n /ww y7-)41.r1,X-1 ('.o 'kl � Home uj r� 1 --- r--)-L9U l 'Contact information must be provided for the owner signing 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 El Fax ❑ US Mail Licensed Systems Inspector: G� Xe Number: Email Address: Fax Number fil 4, / �l+h PL 1 00 Mailing dress: City, State, Zip: 1 a�t�i� �� (/l i �rxxxf� r �, CD 1Gr1_ a PLEASE READ BEFORE SIGNING: I c i that the above information is complete and accurate and that I have provided complete and accurate information in all of the documents in m I my application package. I acknowledge that this department may revoke any permit I am issued if my application is found to contain any ina u te, false, or misleading ir"rmation. er gn re (Requi d): Date: Aoolican Signature: Date: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received byS{taafff- Fee & Receipt # 1",l ". iL770— ) _21A `lt,5 Date: /I Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Pitkin County Environmental Health Department 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 Website: www.aspenpitkin.com/ehnr Inspection form for continued use of an existing OWTS Owner's Name: Address: Cg Selp Cie. 1K.J645 Parcel Number: A&P''ib" O`iL-Ce� -00 Inspection Date: .Z "Z 2012' Inspector's Name: Business Name: , 4 c- LLC Phone Number qw) 618. 50.3a Email: -1-7peT`1-t & C0AtC-AST . Pitkin County County Systems Inspector License Number: A copy of this inspectic , 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 INS C ON: 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? :3-Z-7-1 7 - Name Name of pumping company: ff-fC VP1 CK9-!S s4✓Q� If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? NO If YES: Permit number: 803 Date of Final Approval: .% -2_3 -$9 # of bedrooms permitted: - Was an as -built drawing available? NO Is the as -built drawing accurate? S NO If NO: Complete a drawing of the system on las ge 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? YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? r—jA:S)> FAIL Evidence of high ground water? YES Snow cover present? YES Page 1 V 4 TANK: Tank 1 Tank 2 Evidence of past surfacing? Tank 3 YES Tank capacity 150 gallons Z Q gallons 10 gallons Tank material C.oWC . cerwc . Liquid in observation port? CON G. YES # of compartments a inches Distribution Box or ADV part of original design? l coUNKNOWN Date of last pumping • n 26 zo iZ OPt1 40LU Lids/risers in good condition PAS FAIL &1S2 FAILP FAIL Risers to grade Y NO E NO NO Riser height 9 ' Riser condition/watertightness d� Inlet sanitary T/baffle SS FAIL FAIL AS FAIL Outlet sanitary T/baffle =A ASS F AS F6LL., PASS FAIL Effluent filter (if part of design) PASS FAIL PASS FAIL N PAS FAI N/A Condition of tank material FAIL PASV FAIL PASS FAIL Tank was pumped for inspection YES NO ES NO YES CND.2 Scum level (1st compartment) " inches M inches Q inches Sludge level (1st compartment) inches inches inches Scum level (2nd compartment) inches G inches D inches Sludge level (2nd compartment) inches inches inches Backflow (if pumped) Midtank baffle PAS FAIL S FAIL N/A PASS PASS FAIL FAIL A ASS FAIL FAIL N Watertightness ASS FAIL AS FAIL AS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES NO If YES, is the pump/dosing siphon functioning properly? S FAIL Does the pump/wiring/dosing siphon appear to be in good condition? PAS FAIL Is the high water alarm working, both visible and audible? ASS FAIL SECONDARY TREATMENT: Is a secondary treatment unit present?Nd ,� 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'? AS FAIL Evidence of past surfacing? YES Surface dampness? YES Excessive odors? YES Field location verified by observation ports or probing: Probing pp(Z'i�j Liquid in observation port? NO P YES If YES, record depth: inches Distribution Box or ADV part of original design? YES coUNKNOWN If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 ow�can.ET' TeE5 Any problems with the system that were not addressed in the inspection checklist? NONE Please list any recommendations for the continued use of the system: N CW Q�' Were any repairs done as a result of this inspection? y Z YES If YES, please describe the repairs. To the best of my knowledge and training, the information collected ' is inspection is accurate as of 3 -Z? 2 IZ' 14 Licensed Systems Inspector Signature: •-+�—+' C� Additional Notes: IRE W6RION& FtEc,'D 1N1kS Ged)z) m tX tO1J Clearly label any pictures and attach them to this form. Page 3 EXISTING /250 GALLON \ SEPTIC TAA \ .3m£ACE — INSTALL ADD/T/ONAL 250 GALLON • SEPTIC TANK WHEN 5TM 8£OROOM IS ADDED SEE NOTE A x AO MOML DOtS,WG F_X/ST^6 TAA K Sr-- DETAL DOSING UAW 0 uw YG TO BE 70 8£ A$4NDOAED \ \\ o _ 11A EXISTbSAG DRYW£LL �-� 7015F AB,4NDONE0 �. Itjo'T '"moi 1, SCK. �t�G6t) G r-� 2" PLC PPE �rE�rxArr 'i � ET/A BED SEE \ \ \ \ \ D£TAL PROMS SNWLE TO V �' D/VERT R.ALOFF AR"" ` £T/A BED y / GENERAL PLAN EVAPO- TRANSPIRATION ✓ ABSORP; N. T.S. /C457M /2W GALLON SEPTC TANK \ RES®£A+C£ —1 A/STAGG ADD/TAONAG Z50 GALLON -... __ SEPW TAA6Y OMW 3w SEDROOAI !S ADDED JIZ;I�WrE A AD,01MMAL DY. WW EX/STIw^ TAM( SEE OEM DOSaAS TANY V � ' t t �t ,ftp 0=,—AC SED----�'� M S£ A64NDOAED EA76Txv^ DRY369Z4 TO M nED "-r NfR TAAll MA SED SEF D£TAL PROV/D£ 59944E 70 £T/ERr R4JV-OFF ARO4AV 5F-9 i �. ,/ ,x GENERAL PLAN EVA PO- TRA NSP/RATION / KT.S. gy=ps F6al aln 64CL 5�7-q