HomeMy WebLinkAboutpitkin.eh.246734303003 (2016)j'f'K 11V
CJOU NTS
Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS) USE PERMIT
Permit for Continued Use of an Existing OWTS
76 Service Center Road, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
www.aspenpitkin.com/EHNR
Parcel ID #: 2467-343-03-003
OWTS Use Permit #: I 0007.2016.POWU
Date Issued: 4/6/2016
Issued By: Bryan Daugherty
Expiration Date: 4/6/2017
Owner(s): I Dennis and Alice Cirillo
Property Address:
1311 Gateway Rd
Legal Description:
Lot 13, Block 4, Filing 2, Gateway of Snowmass Mesa
Licensed Inspector: Jason Daubs
Inspection Date(s): 5/21/15
Other System Components
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete 2 -compartment tank
1000 gallons
Secondary Treatment Unit
Absorption Area
Dry Wells
1005 ft2
Other System Components
❑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 #: 83038 Date of Issuance: 7/29/83 Date of Final Approval: 8/12/83
# of Bedrooms or fixtures served by OWTS: System is designed for 3 bedrooms
Operational Status: After repairs were made to the tank lids and risers, the system was functioning as designed. The
tank was water tight and both tees were in place. The dry well was in good working order.
Inspector Recommendations: N/A
Department Recommendations: We recommend adding an effluent filter to the outlet of the tank to prevent solids
from reaching the dry well.
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 Swvlo-- Genter Rd
Aspen, Co s161 I
Website: WWkaSPenPftkin,Comiohnr1
Please ,a/lot& 3-5 business, (Pays forproce$sfno of
F0fZ OMCE USE ONLY
Received by EH Staff
Fee & R-relpt a Pate.
Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
U I1i'° 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: Dexter Cirillo
Address: 1311 Gateway Rd
Old Snowmass, CO 81654
Parcel Number: 2467-343-03-003
Inspection Date: 5/21/2015
Inspector's Name: Jason Daubs
Business Name: nrtn Septic Services -
Phone Number 970-471-13330
Email: DDSepticServices@gmail.com
Pitkin County Systems Inspector License Number: 19
A copy of this inspection report will be remitted to Pitkin Count Environmental Health De artment b
the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system
posses or fails.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? Q NO
If NO, how long has the home been vacant?
How many bedrooms are in the home? 3
If secondary treatment is used, who is the
maintenance provider?
RECORDS:
Were system records available from Pitkin County? ®
NO
If YES: Permit number: 83038
Date of Final Approval: 8/12/83
# of bedrooms permitted: 3
Was an as -built drawing available? YE S
NO
Is the as -built drawing accurate? ®
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 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?
® FAIL
Evidence of high ground water?
® YES
Snow cover present?
® YES
Page 1
TANK:
Tank 1
CM
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
®
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NO
# of compartments
2
UNKNOWN
Maintenance Provider: Phone:
Date of last pumping
11/2014
Lids/risers in good condition
PA
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
CM
NO
YES
NO
YES
NO
Riser height
18"
Riser condition/watertightness
Good
Inlet sanitary T/baffle
FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitary T/baffle
Effluent filter (if part of design)
PASS FAIL
FAIL
PASS
PASS FAIL
FAIL
N/A
PASS
PASS FAIL
FAIL
N/A
Condition of tank material
Tank was pumped for inspection
FM
YES
FAIL
PASS
YES
FAIL
NO
PASS
YES
FAIL
NO
If YES, list the pumping company
If NO, when was the last pumping
Scum level (1st compartment)
0
inches
inches
inches
Sludge level (1st compartment)
1 1/2"
inches
inches
inches
Scum level (2nd compartment)
0
inches
inches
inches
Sludge level (2nd compartment)
0
inches
inches
inches
Backflow (if pumped)
PASS
FAIL
PASS
FAIL
PASS
FAIL
Midtank baffle
M FAIL
N/A
PASS FAIL
N/A
PASS FAIL
N/A
Watertightness
FAIL
PASS
FAIL
PASS
FAIL
PUMPS/DOSING SIPHONS:
Is a pump or dosing siphon present?
YES
CM
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:
inches
YES
Is a secondary treatment unit present? YES
®
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?
®
FAIL
®
YES
®
YES
®
YES
Ports
Probing Drywell
NO
YES N/A
inches
YES
NO
YES
NO
PASS
FAIL
Page 2
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:
Were any repairs done as a result of this inspection? NO YES
If YES, please describe the repairs.
We replaced the outlet side risers and installed a steel manhole lid.
To the best of my knowledge and training, the information collected in this inspection is accurate as of
May 21 2015
Licensed Systems Inspector Signature:
Additional Notes:
Notes:
The septic tank is located in the driveway. When this septic tank was installed "driveway rated" tanks
were not made. So although this tank is not "driveway rated" it is in good condition and has held up
iust fine.
Clearly label any pictures and attach them to this form.
Page 3
71
. olwoo—
TYPE Or PERMIT:
initial Construction ( 1&mor+,fancy us* ( )Repair Work.(Piovioua Permit 9 .) ( )Alteration of an existing system,
r installation (Previous Permit 1 .)
( Was Permit as a result of Sale
ISSUED TO:
( )Other$
7
Owner NINly Home Phone
Mailing � l
Address
Agent
DATE OF ISSUE`.
Business Phone
r
Phone
Address
Sewage Disposal System Work to be performed b OLAW MA EKLAV
This permit valid only for premises location by the following legal daucriptions s
LOI" SI$E tow? . WATER SUPPLY &J'fCfVAr SAVERAGE PERCOLATION RATE
This Individual Sewage Disposal Permit is granted with regard to the following usot t t 40.11
{ �..
N%r.ibar oft Dodicoms Lofts 0 Garbage Disposals l Dishwashers T Clothes Washara
CALCULATED AVERAGE DAILY WASTE LOAD CALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
n.a of Tank or Treatment Unita 07 TA-! Tank Capacity Gallon Minimu.-a
thod of rinal Disposals�a{ {ti , Abaorptioa Area � _ Square Feet Hintr-tum
acription (including brand name, it any) of other equipment or•nppurtnanceao
7 -
ther C,ond itiona or Specificationst
kuwk
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )nvfore Excavation ( )upon completion of excavation and prior to pjttoement of gravelefore covering distribution
y.,tem of obsorptiog fi,rid
t ,j�Prior to backfill of any component ( )other, Specify$ AWIC
Plans an,i specifications' of the proposed sewage disposal sysitem have b,:en reviewed And tEro connWerad satisfactory. Perminaion
in hereby granted to t(,,, owner or his agent to perform the wor:i indicated above in accordance with.the Pitkin County intlividtral
Snwa,,x Din,posal Ra<mlations in effu:.t on the date of issue. In adt{itiont general provisions sat forth on then reverse hereoi,
this P.!rmit is subject to the (allowing additional terns anti conditionsz ; ,
r
(title)
Health ncpartentrnt.'Ant+ Ownur aaeuman a
Complete as -built drawing attachod,
TITLE ._ y'Cx A
Galena130 South Street Aspen, Colorado303/925-2020
4/5/2016
Gmail
1311 gateway
1 message
Jason Daubs <ddsepticseryices @gmail.com>
To: ddsepticservices@gmail.com
4 attachments
Gmail - 1311 gateway
20150616_193212.jpg
3537K
20150616_193159.jpg
2718K
20150514_151340.jpg
6220K
20150514_151350.jpg
5330K
Jason Daubs <ddsepticservices@gmail.com>
Wed, Jun 17, 2015 at 8:31 AM
https://m ai l.googl e. com/m ai I/u/0/?ui =2&i k=9d55c86acb&view= pt&q=1311 %20gateway&qs=true&search= query&th=14e01 ee9c5b83ba6&s i m I =14e01 ee9c5b83ba6 1/1
4/5/2016 . Gmail - 1311 gateway rd #2
Jason Daubs <ddsepticservices@gmail.com>
1311 gateway rd #2
message
Jason Daubs <ddsepticservices@gmail.com>
To: ddsepticservices@gmail.com
2 attachments
20150514_152344.jpg
7890K
20150514_151430.jpg
8781 K
Thu, Jun 18, 2015 at 8:36 AM
https:Hmail.google.com/mail/u/0/?ui=2&ik=9d55c86acb&view=pt&q=1311%20gateway&qs=true&search=query&th=14e07194edbb155b&siml=14e07l94edbbl55b 1/1
F=