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HomeMy WebLinkAboutpitkin.eh.264504201011 (2013)DE UM Pitkin County Environmental u alth Department Onsite Wastewater Treatment Sy.m (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.aspenpitkin.com/EHN R Parcel ID #: I 2645-042-01 Ds -Y OWTS Use Permit #: 001I 2013.powu Date Issued: 4/10/2013 Issued By: Bryan Daugherty Expiration Date: 4/10/14 Owner(s): I Sherri Spykerman Property Address: 310 Little Elk Creek Legal Description: Lot 12, Block 3, Filing 2, Little Elk Creek Village Licensed Inspector: Carla Ostberg Inspection Date(s): 3/27/13 & 4/3/13 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit concrete Two-compartment tank 1250 gallon Secondary Treatment Unit N/A N/A Absorption Area Rock and Pipe bed 1842 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 #: 88070 Date of Issuance: 10/10/89 Date of Final Approval: 10/17/89 # of Bedrooms or fixtures served by OWTS: The original permit is for 3 bedrooms. Operational Status: At the time of the inspection the system was operating as designed. The tank was holding liquid as at its proper level. The inlet and outlet baffles had deteriorated and were replaced during the inspection. The tank flowed to a pipe and gravel bed system that did not show any signs of failure. There were no signs of high groundwater during the inspection. Inspector Recommendations: N/A Department Recommendations: The department recommends adding an effluent filter to the outlet tee to prevent solids from entering the field. 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 T K 1 Onsite Wastewater Treatment System (OWTS) V COUNT4 USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Annlicatinn fnr Cnntinued Use of an Existing OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.pitkinassessor.org : Purpose of Use Permit: ® PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: 31Q L, �4 -ilk cY--e e /�v� �v�ow aSS CO 1� (05q. Lot: Block: i a Filing: Subdivision: 0 L.,� Residences: # of Bedrooms: Other fixtures/uses: Property Owner(s)': Email Address: S � ri `t�rfv�Q rfrC�.nr-r� fro Owners Mailing Address: City, State, Zip: : v) L=r L 1L c �. S� � �S1 Cc� �R i (o Home Phone: Business Phone: g'a-7--HILI,C7 csLkt a-1LI-331O `Contact information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): Company: ContactlApplicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: ❑ Email E] Fax ❑ US Mail icensed Systems Inspector. Phone Number. Email Address: Fax Number: ec�'rlc\ Os -�ie�t1 3©�-5as9 CoAak os� rc�®� ;1 cavy - failing Address: City, State, Zip: y ` �3 ��ur ly � Df`tvQ RA CC��r�D���da`Q, G L� 'L(oa3 PLEASE READ BEFORE SIGNING: I certify that the above information is complete and accurate and that I have provided complete and accurate information in ail 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. Owner Signature (Required): � / .�� r.✓� f Date: Signature: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: Date: W W KIN Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Cot) IN ' 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: Address: Parcel Number: 14 L_( - 4 Inspection Date: 1$ ;: Inspector's Name: Business Name: L - Phone Number Email: rry0 ZAO f- c r .r Pitkin County Systems Inspector License I`u ld o t A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by the Licensed Systems Inspector within 60 dans, of the inspection regardless of whether the system passes or tails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YE11 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? NJ RECORDS: Were system records available from Pitkin County?YES NO If YES: Permit number: �} Date of Final Approval: 0 - L (el # of bedrooms permitted: z Was an as -built drawing available? YES NO Is the as -built drawing accurate?YES 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? PASS FAIL Improper vegetative cover? YES 411,41 CU -4-4 f. Evidence of compaction such as heavy machinery or livestock?) YES Improper discharges such as straight pipes?yNP� A S� FAIL Evidence of high ground water? l NO G YES g � __ � � snow cover present? NO ! "YES !i)1f Page 1 C� TANK: Tank 1 Tank 2 Effluent surfacing? Tank 3 Tank capacity tNO gallons YES gallons If YES, is the pump/dosing siphon functioning properly? gallons Tank material ; PASS FAIL Is the high water alarm working, both visible and audible? PASS FAIL # of compartments If YES, record depth: Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES Date of last pumping YES Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: Lids/risers in good condition PA FAIL .i PASS FAIL PASS FAIL Risers to grade NO YES NO YES NO Riser height Riser condition/watertightness Inlet sanitaryT/bafFle PASS FAIL PASS FAIL PASS FAIL Outlet sanitaryT/baffle PAS FAIL PASS FAIL PASS . FAIL Effluent filter (if part of design) PASS FAIL (fi-/k PASS FAIL N/A PASS FAIL N/A Condition of tank material PASS F PASS FAIL PASS FAIL Tank was pumped for inspection ES N YES NO YES NO If YES, list the pumping company If NO, when was the last pumping Scum level (1st compartment)_'' inches-/ inches inches Sludge level (1st compartment) J 1 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 Midtank baffle PASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL 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? PUMPS/DOSING SIPHONS:` Evidence of past surfacing? tNO 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: If YES, record depth: Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO YES 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? FAIL Evidence of past surfacing? tNO YES Surface dampness? YES Excessive odors? YES Field location verified by observation ports or probing: Ports Probing Liquid in observation port? NO YES If YES, record depth: inches Distribution Box or ADV part of original design? YES �O If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 UNKNOWN Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? NO DES 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: � ( �..1� Clearly label any pictures and attach them to this form. Page 3 'MS-OYa - W -01 ENVIR01MMENTAL HEALTH DEPARTMENT •INDIVIDUAL SEWACt DISPOSAL PERMIT NO. TYPE OF PERMIT: I*.lnitial construction ( )Emergency Vat i )nepair work, (Pievious Permit ; .} ( mteration of an existing system, yr installation (Previous Permit i ) ( )Use Permit as a result o1 Salo ( )others ISSUED TO: DATE OF ISSUE Olmer ,� r'� �� i1>? Home Phone' Business Phone Mailing Address Agent Phone Afa i l.in g Address Sewage Disposal System Work to be performed by l /" This permit valid only for premises location by tho following legal deucriptiont t ,1 � �cn G_i.a'�� 6.�t.0–. J RV j' t r zr " �—r--- L7I StZF. J,!Y L�2 . WATER SUPPLY (; R t'��#_. AVERAGE PEFCOIhTIOi BATF. T,As Individual Sewage Disposal Permit is granted with regard to the following use jj,u,((.,L�10l(i�kP Neraber ofz Dodreoms Lofts (j• Garbage Disposals 4. Dishwashers l Clothes flashers CALCULATi.0 AVERAGE DAILY WASTE LOAD � GALT -ONS. THE NATUn.E OF THE SYSTEM IA:CLUDED UNDER THIS PERMIT: Ty1.z of 'tank or Treatment Un(ree ttt G- ac- t t�1Prv�Ln t, s Tank. Capacity l _Gallon Minimum Iaathod of rinal Di3po331s taifj�7014rWAJ• ta��E Absorptioa Area ( yt� Square Feat Hint.. Oe.cription (including brand name, if any) of other equipment or appurtnancest .Other Condition9 or S eeifieationet }j-TMA� ( f e t p -��S fY•�� P•S�E;. C�a(�rt) ��� �HvttL�L'.SC'.�'f L?L��dt3.c� 1!'��y2- ..�•.ciC-.������ P%s c AM eivd 4ie t{ le+4-�A t 'te t rN (k4A0--t-?c STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: I� - ( )Before Excavation ( )Upon completion of excavation and prior to pintement of gravel ( )Before covering distribution ystel of absorption field 1(77rt'ior to backfill of any component `ViOther, Specityz_jjff.J Plans and specifications of the proposed "rage disposal system have born reviewed and are ecnsidcred satisfactory. Perninsi.on in hereby gra:acal to tt,e Owner or his a.ient to n.-7rtorm the work. irlicated abovein accordance with the Pitkin County In.fiviclaal 5e.:o•7e Disposal Re•ltilations in ctfe•.t on the d.,te of ts.uc. In addition to general provisinna _ mt ;Orth on ..n. _-everse ':etaet:, thrs Permit i. subject to the following additional terras and conditions: APPROVED FOR ISSUE BY � � � " � _ -_ ---�- (title) t • The- e.`.<-vc insiividval ac..o.lo dfapo—1 synt— Ina Lslled by _ r ilas b."rri k.:.;prctcd tqC IISC l.y a repre3ent.Tttvc Cf rhe\9LC:J'1L Y,:tt L'svl rcnf-.•n t.a iteeit n.^.psrcr�•:+it Th!' ,vnue a•.9u.:.(In a . re::l,ons.b111ty in cd:ie of iatlurc or 1naJcvlu.,Cy of tt,ta acwo.tc d13(,oral ryytcm. Comple.0 ax•-l.ulit. Jrauing pttachad. DATE Ol FINAL INSPECTION ) DY: 130 South Galena Street Aspen, Colorado $16.11 303/960-5070 ��%i�S41 CC, p,,Ar- t CBO Inc. 33 Four Wheel Drive Road - Carbondale, CO 81623 �y cell) 970-309-5259 office) 970-704-0484 carla.ostberg(a-gmaii.com April 5, 2013 Sherri Spykerman spykermansherri(c)gmail. com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 310 Little Elk Creek Avenue Pitkin County, Colorado Sherri, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 310 Little Elk Creek Avenue, Snowmass, CO. Pitkin County Environmental Health Department provided a permit and record drawing for the system on the property (Parcel ID # 2645-042-01-011). The subject OWTS consists of one 1250 -gallon two-compartment septic tank. There were no observation ports in the absorption area, but an open area to the east of the house is consistent with the record drawing on file. It is described as a 30' x 62' pipe and gravel system for a total of approximately 1890 square feet. Although there was some deterioration of the concrete material (specifically the concrete baffle on the outlet of the tank), the septic tank was holding liquid at a normal level. Inlet and outlet tees were installed on the tank and an effluent filter added to the outlet tee. The septic tank was also pumped. Water was run through the system for approximately 20 minutes and flow through the system appeared to be normal. The absorption area showed no signs of saturation, and had no indication of failure. This evaluation is not a guarantee of future system performance. This inspection is good for one year. This report, as well as the inspection form, receipt for repairs to the system, and pumping receipt should be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www.aspenpitkin. com/Portals/0/docs/county/Com%20Dev/EH NR/OWTS%20Use%20 Permit%20Application. pdf Application Checklist: http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EH NR/OWTS%20Use%20 Perimt%20Application%20Checklist.pdf Please call with questions. Sincerely, Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # ITC11042010 Exp. 2014 s Inlet before pumping (3/27/13) Inlet after repair and pumping (4/3/13) View of tank lids, looking toward house Concrete baffle (3/27/13) Deteriorated outlet baffle removed and replaced with PVC tee and effluent filter (4/3/13) 0 n Opening in mid -seam baffle Outlet side after pumping, see opening in mid -seam baffle. 0 -4pr k View of field area (3/27/13) View of field area (4/3/13) Block s CURVE DELTA ANGLE C 1 57°16'39' F D CHORD BEARING 94 5 14"16'56'W N W+ E S 0 6' 30' i!"711760, SCALE: I"m30' kL DESCRIPTION BLOCK 3. 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