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HomeMy WebLinkAboutpitkin.eh.264505404004 (2014)IN (ND Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS ParceFID#: 2645-054-04-004 OWTermit #: 0025.2014.powu Date 06/25/2014 IssueKurt DahlExpirate: 06/25/2015 Owner(s): TSusan H Schumann Family Trust Property Address. MRose Spur Rd Legal Descriptio Licensed Inspector: Carla Ostberg Inspection Date(s): May 29, 2014 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment tank 1000 gallons Secondary Treatment Unit N/A N/A Absorption Area Eva potrasnpiration Bed 1725 ftz 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 #: 92002 Date of Issuance: 03/04/1992 Date of Final Approval: 04/01/1992 # of Bedrooms or fixtures served by OWTS: 3 Operational Status: The inspector indicates the system is function properly and not in failure. The tank lids were replaced and a riser was added to outlet side of tank to bring access to a minimum of 8" to grade. Inspector Recommendations: Extend outlet tee to add effluent filter to outlet. Department Recommendations: Add an effluent filter and extend the inlet tee. 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. ) L2- i1ot5-�- oozS.zaiy,v,,u✓J Pitkin County Environmental Health Department �T K t11 Onsite Wastewater Treatment System (OWTS) *CAt9 N T � USE PERMIT APPLICATION 76 Service Center Rd i• �) Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Amrnlio-�finn fnr 1 nnfiniiarl IIcA of an EXIStina 0WTS Parcel ID# (available from the Pitkin County Assessor's Office _ 970-9205160 or at www.aitkinassessor.org): L L Purpose of Use Permit: ROPERTY TRANSACTION ❑ REMODEL/ADDMON Property Address: ContactlApplicantailing Address: Lot: Block: Filing: Subdivision: � L Cell Phone: Residences: Other # of Bedrooms: 7i fixtures/uses: Property Owner(s)': Email Address: _ �' G Owner's Mailing Address: City, State, Zip: z Home Phone: Business Phone: `Contact information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner ; Company: i . - akAi �- ContactlApplicantailing Address: City, ate. P: �1 �1 GA U � L Cell Phone: Business Phone: J�J LM V Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: ® Email ❑ Fax ❑ US Mail Licensed Systems Inspector. Phone Number. Email Address: Fax Number. Mailing Address: } Com. . 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. 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): Date: Applicant Signature: Date: ll Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: tit 41z 3U 6(1 k-�, G LAS C6+ VQIuSZ- CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 ' cell) 970-309-5259 office) 970-704-0484 carla.ostberg(_gmail. com June 13, 2014 Peter Obuhanick Obuhanick Construction, Inc. obuhanickconstruction(a)-a) Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 730 #4 Rose Spur Road Lot 4, JH McCabe Subdivision Pitkin County, Colorado Mr. Obuhanick, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 730 #4 Rose Spur Road, Snowmass, Colorado on May 29 and June 9, 2014. The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel ID #2645-05404-004). The subject OWTS consists of one 1000 -gallon, two-compartment concrete septic tank followed and an absorption area. Aspen Pitkin Environmental Health Department Individual Sewage Disposal Permit No. 92002 documents this system. The septic tank was pumped on June 9, 2014 by B&R Septic. Both inlet and outlet tees were present. The outlet tee does not sit under the manhole lid access, so the installation of an effluent filter would not be possible without extending the tee. There was some root intrusion through the seam for the septic tank lid; however, it does not appear to have any adverse impact on the integrity of the septic tank. The outlet side of the septic tank sits approximately 1 -foot below grade and must be raised within 8 -inches of grade. The absorption area is covered with native grasses. Two vents or observation ports were present and both were dry. The absorption area showed no signs of saturation, and had no indication of failure at the time of the inspection. This evaluation is not a guarantee of future system performance. This inspection is good for one year. Repairs completed on June 13, 2014: • Add one 6 -inch riser to outlet side of septic tank manhole access. • Replace both inlet and outlet manhole lids. This report should be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www asDeni)itkin com/Portals/O/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit% 20Application.pdf Application Checklist: http://www aspenpitkin com/Portals/O/docs/county/Com%2ODev/EHNR/OWTS%20Use%20Perimt% 20Application%2OChecklist. Pdf Please call with questions. Sincerely, (!61 C0 oma&'&IS Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # 11044ITC Exp. 2016 View of inlet access / outlet access buried at time of first visit — looking east Inlet tee Outlet tee Outlet tee Lids deteriorating (prior to replacement) 6 -inch riser on outlet side of tank Absorption area j ,f h I N Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form OU N Tt 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 er's Name: Address: Parcel Number: 1 L✓ Inspection Date: ! ('0 I t - rl Inspector's Name: Business Name: v �{ Ph N b ane um er „ Email: Win_ C u-) ,i-v'y Pitkin County Systems Inspector license Number: - p i -I Aconv 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? How many bedrooms are in the home? If secondary treatment is used, who is the maintenance provider? iti1 1 RECORDS: Were system records available from Pitkin County? YES NO If YES: Permit number: q z'D O Z Date of Final Approval: y Ii I �Y # of bedrooms permitted: Was an as -built drawing available? YES 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. Inv 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? ' Na YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? PASS' FAIL Evidence of high ground water? YES Snow cover present? —NO YES Page 1 TANK: Tank i Tank 2 Is a pump or dosing siphon present? Tank 3 NO Tank capacity O gallons Does the pump/wiring/dosing siphon appear to be in good condition? gallons FAIL gallons Tank material I SECONDARY TREATMENT: NO YES �! Is a secondary treatment unit present? YES # of compartments UNKNOWN If YES, does the unit appear to be in good working condition? YES NO NO ° UNKNO Does the owner have a current maintenance contract for the unit? YES NO Date of last pumping Maintenance Provider: Phone: PASS FAIL risers in good condition PASS SAIL: PASS FAIL PASS FAIL sers to grade YES NO YES NO YES NO Riser height 2� y ^ Riser condition/watertightness ( , Inlet sanitary T/baffle PASS FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle PASS FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL, N/A, PASS FAIL N/A PASS FAIL N/A Condition of tank material PASS FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES NO J YES NO I 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) 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 FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness PAS'S FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: PASS FAIL 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: NO YES �! Is a secondary treatment unit present? YES CNO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO NO ° UNKNO Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: PASS FAIL If there is no maintenance contract, a contract must be in place prior to occupancy of tix :home. A copy of the contract must be submitted to Pitkin County Environmental Health Department. ASSORSTION AREA: Effluent surfacing? PASS FAIL Evidence of past surfacing? NO YES Surface dampness? NO YES Excessive odors? NO YES Field location verified by observation ports or probing: C Ports , Probing Liquid in observation port? NO YES �! If YES, record depth- inches Distribution Box or ADV part of original design? YES NO ° UNKNO If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 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 E5 if YES lease describe the repairs To the best of my knowledge .and training, the information collected in this inspection is accurate as of 20 Licensed Systems Inspector Signature: Additional Notes: Clearly label a pictures and attach them to this form. Page 3 If no as -built drawings exist for this system or the as -built was inaccurate, please diagram the system as accurately as possible. Be sure to document all system components and the location of any well on the property. Using markers such as corners of the house, exact measurements can be used to triangulate the location of the system components for future reference. 0 Page 4 06 , ASPEP-J#PITKIN v _ OF X-) { EIVVIRO..iMENTAL HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. TYPE OF PERMIT: (XInitial Construction ( )Emergency use ( )Repair work.(Pievious Permit 1 .) ( )Alteration of an existing system.) or Installation (Previous Permit 1 ( )use Permit as a result of Sale ( )Othort 5 ISSUED T0: DATE OF ISSUE Owner j-oR� ���%H U�'�Rome Phone Business Phone Mailing Address___ �� ���t 11I C' H i�' S t✓ Agent Phone Mailing Address Sewage Disposal System Work to be performed by, S {�Fi� �/`� h'! tW 0 V/AUG , This permit valid only for premises location by tho•f[o'llowing legal descriptions I % � LH I��— 0 LOT S1tE � / r� • WATER SUPPLYSIM4 516tJ ���/�G•"• AVERAGE PERCOLATION RATr./y/�1 .ice This individual Sewage Disposal Permit is granted with regard to the following uses/IV(�lEt'AMIcY/C iiyFAleF W%YAW r oft Dodicoms 3 Lofts © Garbage Disposals_ Dishwashere_J___.!, Clothes Washers .�. CALCULATED AVERAGE DAILY WASTE LOAD GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER TRIS PERMIT:. </O r"�� /J Tank.CapacityGallon Minimum /pe of Tank or Treatment units / � Square Feet Minimum or �0� rinal Di • flN ! . .,/ r W /��orptlop Area ��__....'yy..����ii..-- g :acri tion (Including brand name, if any) of other equipment or appuctnances# 1 72—S p &Ja,j':�:- :they Conditions (( or Specifications# STAGES REQUIRING INSPECTION BY THE HEALTH ur rtlKrrlC.P11 ��. ( erin )Refore Excavation Upon completion of excavation and prior to placement of gravel 9k.y stem offore vabsorption fold distribution Kprior to backfill of any component ( /Other, Specify# plans anti specifications of the proposed sewage disposal syntem have been reviewed and are considered satisfactory. Permission in hcreL•y granted to the owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual sewage disposal Rc:rulations in effect on the date of issue. In addition to general provisions act forth or. the reverse her•.ef, this Permit is subject to the following additional terms and coed tion t Aspen/Pitkin Environmental PPROVED FOR ISSUE BY G _ (title) JHealth Offi A cer Tilt, at�wc individual selra:lo disposal syatca Inatallcd by /%6PC-N tiv"�Tl �MQt/�N� has been lnapcctcd for use by a representative of the Aspen 1'it in CnvSronmanta .Ilea t. Department. The ownur as:tumos a of th ar wage disposal system. Complete as -built drawing attached. rosponsiblltty in core of failure or lnad�yuacy DATE 01 NAL INSPEC I L" • Aspen/Pitkin Environmental TI 'TLE Health Officer II>; • � _ 130 South Galena Street Aspen, Colorado 81611 303/Se0-5070 Q.I u ' s5 -L q2 0 (o7 y Ll 30 ito Ll Ll (v$ 7.X45-0� l(O /6 Bingo rrr F r rr �r r ° c • i i - t No 0 ONES MOMEMMEN E■®M!®MMEN MOMMOM.®■O . � .ONNNOMMMON r 0000008MOR '- 0 WOMMOG ice/ M►01l1►111►iMMMMOOM _ ►1►/►1i1/l►�►1►1►1►/ INS - ,r ►111/1►1►1►,/1►1M®: G►1►1►.01O.1►1►1►� ►t►�►/►ice/►1►:1�1►'�+!®® .F