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HomeMy WebLinkAboutpitkin.eh.272929201086 (2015)KIN 6' Couivir� Pitkin County Environmental h , dIth 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 #: 2729-292-01-086 OWTS Use Permit #: 0047.2015.P )WU Date Issued: 10/29/15 Issued By: Bryan Daugherty Expiration Date: 10/:29/16 Owner(s): Kevin Grady and M Colleen Grady Property Address: 92 Crystal Park Dr Legal Description: Lot 27 & 28 Fein Ammendment Lot A, Crystal River Park Licensed Inspector: Jason Daubs Inspection Date(s): 7/23/15 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 -compartment tank 1500 gallons Secondary Treatment Unit Absorption Area Gravelless Chamber Bed 1073 ft' Other System Components 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 #: 05011 Date of Issuance: 4/26/05 Date of Final Approval: 12/1/05 # of Bedrooms or fixtures served by OWTS: System is designed for 3 bedrooms. Operational Status: According to the inspectors observations the system was functioning properly at the time of inspection. One riser and lid were replaced as a result of the inspection. The tank was watertight and both inlet and out tees were in place. The field area did not show any signs of failure. Inspector Recommendations: Clean effluent filter yearly or as needed. Department Recommendations: 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. A t.... t'*,, ..4fr,.enr� I Ic,ei a^f nn 1=viCiinq C"iWT Parcel ilk# {available from the Pitkin County Assessor's Office 2729 - 292 _ 01 _ 686 970-920.51611 or at wvrw. i ,xina�sess ag rc}: P�:roose, of Use Permit: 'id PROPERTY TRANSACT ON ❑ A[MOCEIJADIDMON i &.P;v` Adoress 92 Crystal Park Drive, Redstone, CO 81623 I c. Blor K Firing: Subdivision 27 & 28 Fein Arnrmendrnent Lot A Crystal River Park Residences lather # of Bedrooms tixturesr''s' 3 bedrooms 2.5 bathrooms, 1 kitchen j Property Ownerfs)' ""— Email Address: Kelvin Grady anti M. Colleen Grad deceased kevinqaqradvmqt.com Owners Mailing Address: City, state, Zip. 3718 Queen Mal Drive Colne MD 21;832 Horne Prone Business Phone 301-495-1907 aftnntecl information must be ritvvided for lite ow •er signng this applioa?;0.0 Trim€Sry Contact PesonlApohcant (if no ow€iel ccmpa^y: Stace Bernot (daughter) CentacjApaicant Purling Address City` State, Z' Carbondale, CO 81623 831 Latigo Loop Ceti Phone B ;siness Phone 970-618-5789 Fax Number: Email Address staceyernot�ia gmail,com lndioate Preferred Nietnod of Permit Receipt Email Fax :1 us f'fdll L=cer<secs.e s 5na trr Phone Number Email Address Fax Number. grmai.com Jason Daubs, D&D Septic Services 970-471-1330 DDSeptirServices@gmai.com Mailing Acd,ess 630 McIntire Street C:ly. State_ Ziff Eagle, CO 81631 PLEASE READ BEFORE SIGNlNC,5' Icertify 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. 6 acknowledge that this department may revoke any permit i am issued it my application is found to contain any inaccurate, false, or misleading information. Owner Signature ;Required) , f� ; Date: APPIlcant signature i _ - ; n 10122/2015 Please allow 3-5 business clays for processing of Use Pern7its. FOR OFFICE USE ONLY Re' eived by EH staff Fee & Receipt # Date Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form r - � �it: Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 F f� 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: Mike Bernot CIO t2Uun b,&rju Address: 92 Crystal Park Redstone CO 81623 Parcel Number: 2729-292-01-086 Inspection Date: 7/23/2015 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 rTM If NO, how long has the home been vacant? 3 months How many bedrooms are in the home? 4 If secondary treatment is used, who is the maintenance provider? N/A RECORDS: Were system records available from Pitkin County? © NO If YES: Permit number: 05011 Date of Final Approval: 17/05 # of bedrooms permitted: 3 Was an as -built drawing available? ® 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 Tank 2 YES Tank 3 If YES, is the pump/dosing siphon functioning properly? Tank capacity 1500 gallons PASS gallons Is the high water alarm working, both visible and audible? gallons Tank material Concrete Is a secondary treatment unit present? YES ® UNKNOWN # of compartments 2 Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: Date of last pumping 7/15 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. Lids/risers in good condition Risers to grade Riser height r7m 24" FAIL NO 6" PASS YES FAIL NO PASS YES FAIL NO Riser condition/watertightness Good Inlet sanitary T/baffle FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle Effluent filter (if part of design) FAIL FAIL N/A PASS PASS FAIL FAIL N/A PASS PASS FAIL FAIL N/A Condition of tank. material FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES YES NO YES NO If YES, list the purnping company If NO, when was the last pumping Scum level (1st compartment) 7/2015 by B&R Septic 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) Midtank baffle FAIL FAIL N/A PASS PASS FAIL FAIL N/A PASS PASS FAIL FAIL N/A Watertightness ® FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES 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? ® FAIL SECONDARY TREATMENT: 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 Boy: or ADV part of original design? If YES, is it accessible from grade? Is it level and in good condition? FAIL YES YES YES Probing YES inches ® NO YES rMn ® FAIL Page 2 UNKNOWN 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: 1 New lid 1-6" riser, and one inspection port cap Were any repairs done as a result of this inspection? NO If YES, please describe the repairs. 1 New lid. 1- 6" riser, and one inspection vort car). To the best of my knowledge and training, the information collected in this inspection is accurate as of July 23 20 15 r Licensed Systems Inspector Signature: : -✓t✓=h f Additional Notes: Tank was pumoe:d and had not refilled at time of ins ection. Clearly label any pictures and attach them to this form. Page 3 W %1011 0 A IL 13*C. FM n loo, Qujq o AV, rS WGil 't-rds -o' Pcirt her, 4: T slope :s p`s�silble, witin the properly boufdcry. .01 MOP WAH- A—BIilt! I.ng -,v 4.s7 �iqh, th Pressr(, rented iDlywc,-1, fcced th Croce I— a ri Vv"'— Sh I'll, Za NOTES: 1) WE SURVEYBY RIVER CITY SURVEYS, MAY 5th, 2004, JOB #4114. Waii extends 4'± pass d4 box. Excavation reveoied the southerly end of the ,absorption field.to J1 77-:777-777!!:!!WX - koj ,nnoers allows the gr-vity lines to pass over Unes, this area without compromising slope or function, 2) DESIGN IS WED ON PERCOLATION TESTS CONDUCTED BY HEFWRTH-PAWLAK GEOTECHNICAL (H,P, GEOTECH) MAY 7th, 2001, By DANIEL HARDIN, P,E., JOB 4 RESULTS ATTACHED TO APPLICATION. 3) PERCOLCATION TESTS PERFORMED BY GAMBA & ASSOCIATES, Inc. ON JULY 2Mi 2OD4 WERE IN AREA OUTSIDE SITE OF PROPOSED ABSORPTION FIELD, 4) THE PITKIN COUNTY ASSESSOR'S OFFICE PARCEL NUMBER is: 272 $29 201086, recommendsl- ms of the �eco'd. ffs-, is ircm. m water) re —sernent, bdVnqirq property owner - I t 6 Waii extends 4'± pass d4 box. Excavation reveoied the southerly end of the ,absorption field.to J1 77-:777-777!!:!!WX - koj ,nnoers allows the gr-vity lines to pass over Unes, this area without compromising slope or function, 2) DESIGN IS WED ON PERCOLATION TESTS CONDUCTED BY HEFWRTH-PAWLAK GEOTECHNICAL (H,P, GEOTECH) MAY 7th, 2001, By DANIEL HARDIN, P,E., JOB 4 RESULTS ATTACHED TO APPLICATION. 3) PERCOLCATION TESTS PERFORMED BY GAMBA & ASSOCIATES, Inc. ON JULY 2Mi 2OD4 WERE IN AREA OUTSIDE SITE OF PROPOSED ABSORPTION FIELD, 4) THE PITKIN COUNTY ASSESSOR'S OFFICE PARCEL NUMBER is: 272 $29 201086,