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Home My WebLink Aboutpitkin.eh.246720101003 (2016)KIN COUNT�( 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 #: 2467-201-01-003 OWTS Use Permit #: I 0013.2016.POWU Date Issued: 5/25/2016 Issued By: Kurt Dahl Expiration Date: 5/25/2017 Owner(s): I Erika Baker Property Address: 28 Holland Hills Legal Description: Lot 10 Holland Hills at Basalt Licensed Inspector: Jason Daubs Inspection Date(s): 5/19/2016 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 -compartment tank 1250 gallons Secondary Treatment Unit Absorption Area Rock and Pipe Soil Treatment Trenches (4) 67' X 3' trenches, 1456 ftz Other System Components Distribution box ®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 #: 86030 Date of Issuance: 07/11/1986 Date of Final Approval: 07/21/1986 # of Bedrooms or fixtures served by OWTS: 4 bedrooms. However, the OWTS was sized to serve 3 bedrooms (see letter from Pitkin County Environmental Health dated July 31, 2007, indicating the system is adequately sized to serve 3 bedrooms). The sizing discrepancy shall be addressed in the future when the OWTS is either repaired or modified. Operational Status: According to the inspector's observations, the system was functioning as designed at the time of inspection and there was no evidence of failure. Inspector Recommendations: None. Department Recommendations: Annual Maintenance, add riser for surface access to outlet compartment of the tank, add effluent filter. 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. �IT'KIN COUNT'� cog. zo( 6, Pow v 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/ dnnlir_atinn fnr Cnntinued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office _ 970-920-5160 or at www.pitkinassessor.org : 2, (V -2 Ci V Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: / /L'( U9 r Lot: Block: Filing: Subdivisi n: f i Indicate Preferred Method of Permit Receipt: Email F1 Fax Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)': Email Address: LL Owners Mailing Address: City, ate, Zip: Home Phone: Business Phone: •f-nntart infnrmatinn must be provided for the owner sianina 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 F1 Fax ❑ US Mail Licensed Systems Inspeor: Phone Number: Email Address: Fax Number: J �scrn . 0�>,� his 70 I / j33 Mailing Address:City, State, Zip: P6 Lry . ;/ (�'o <-1t 3 c� l � (� F 3 dp ccs PLEASE READ BEFORE SIGNING: I certify that the above Information is complete and accurate and that 1 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. Signature (Required): Date: nt Signature: Date: Please allow 3-5 business days for processing of Use Permits. IFOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: i 117K IN Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form COUNT 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: Chris & Erika Baker Address: 28 Holland Hills Dr. Basalt CO Parcel Number: 2467-201-01-003 Inspection Date: ,/19/2016 Inspector's Name: Jason Daubs Business Name: D&D Septic Services, LLC Phone Number 970-471-1330 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 NO If NO, how long has the home been vacant? 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? ® NO If YES: Permit number: 86030 Date of Final Approval: 7/21/86 # of bedrooms permitted: 4 Was an as -built drawing available? ® NO Is the as -built drawing accurate? ® NO If NO: Compiete 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? ASS FAIL Improper vegetative cover? NO 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 rrm Tank 2 PASS Tank 3 Does the pump/wiring/dosing siphon appear to be in good condition? Tank capacity 1250 gallons PASS gallons SECONDARY TREATMENT: gallons Tank material Concrete ® UNKNOWN If YES, does the unit appear to be in good working condition? YES NO inches # of compartments 2 UNKNOWN Maintenance Provider: Phone: YES Is it level and in good condition? Date of last pumping 5/12/16 Lids/risers in good condition FAM11 FAIL PASS FAIL PASS FAIL Risers to grade f7M NO YES NO YES NO Riser height 12" Riser condition/watertightness Good Inlet sanitary T/baffle FM FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle t= FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL VM PASS FAIL N/A PASS FAIL N/A Condition of tank material PASM FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES I NO YES NO YES NO If YES, list the pumping company B&R Septic If NO, when was the last pumping Scum level (1st compartment) 0 inches inches inches Sludge level (1st compartment) 0 inches inches inches Scum level (2nd compartment) 0 inches inches inches Sludge level (2nd compartment) 0 inches inches inches Backflow (if pumped) FAIL PASS FAIL PASS FAIL Midtank baffle 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 rrm 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: IMMIs Probing Is a secondary treatment unit present? YES(—NM ® UNKNOWN If YES, does the unit appear to be in good working condition? YES NO inches Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: YES 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? f1M YES Surface dampness? F011 YES Excessive odors? ® YES Field location verified by observation ports or probing: IMMIs Probing Liquid in observation port? ® YES If YES, record depth: inches Distribution Box or ADV part of original design? ® NO UNKNOWN If YES, is it accessible from grade? YES Is it level and in good condition? ® FAIL Page 2 w' 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: 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 May 1 E_, 2016_. Licensed Systems Inspector Signature: Additional Notes: Clearly label any pictures and attach them to this form. 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