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HomeMy WebLinkAboutpitkin.eh.264527300004 (2014)DE Pitkin County Environmental i.,!alth 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: 970-920-5374 www.aspenpitkin.com/EHNR Parcel ID #: 2645-273-00-004 OWTS Use Permit #: I 0006.2014.powu Date Issued: 3/13/14 Issued By: Bryan Daugherty Expiration Date: 3/13/15 Owner(s): I Holly McLain Property Address: 8276 Snowmass Creek Rd (House) Legal Description: Licensed Inspector: Doug Warren Inspection Date(s): 2/28/14 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit 2 -compartment concrete 1000 gallons Secondary Treatment Unit N/A Absorption Area Unknown Other System Components 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 #: Unknown Date of Issuance: Date of Final Approval: # of Bedrooms or fixtures permitted by OWTS: System was most likely constructed prior to the departments permitting program. The system design size is unknown. The system currently serves a 3 bedroom home. Operational Status: After required repairs to the risers and lids of the tank, the system was functioning appropriately. The tank was in good condition and the field area did not show any signs of failure. Inspector Recommendations: N/A Department Recommendations: The department recommends adding an effluent filter to the outlet of the tank to prevent solids from reaching the field area. 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. Page 1 1 VM Pitkin County Environmental i —alth 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: 970-920-5374 www.aspenpitkin.com/EHNR Parcel ID #: 2645-273-00-004 OWTS Use Permit #: I 0006.2014.powu Date Issued: 3/13/14 Issued By: Bryan Daugherty Expiration Date: 3/13/15 Owner(s): I Holly McLain Property Address: 8276 Snowmass Creek Rd (Barn) Legal Description: Licensed Inspector: Doug Warren Inspection Date(s): 2/28/14 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit 2 -compartment concrete 1000 gallons Secondary Treatment Unit 2 -compartment concrete 1250 gallons Absorption Area Unknown Other System Components 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 #: Unknown Date of Issuance: Date of Final Approval: # of Bedrooms or fixtures permitted by OWTS: This system serves the barn. Operational Status: After required repairs to the risers and lids of the tank, the system was functioning appropriately. The pump was functioning. The tanks were in good condition and no surfacing effluent or other signs of failure were observed. Inspector Recommendations: N/A Department Recommendations: The department recommends adding an effluent filter to the outlet of the tank to prevent solids from reaching the field area. 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. Page 1 1 Pitkin County Environmental Health Department 4u IN Onsite Wastewater Treatment System (OWTS) G111 USE PERMIT APPLICATION UN It 76 Service Center Rd <�) Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Ar�v�lin.�tinr� fnr f`rnntiniiinrl I Ica of nn FxiCtinn OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at AV w.pitkinassessor.orgl: Purpose of Use Permit: [� PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: Z -) u S t\ trw �XAOSs G lc ,` ��lO�jJr`C\LCSS , C Lot: Block: Filing: Subdivision: Residences: # of Bedrooms: Other fixtures/uses: Prop�(rty Ot iner(s)`: �r-� ` Email Address: i• ")1L 1 1 ,C�\G` \---, c�C1oGs�1'UY� 5� t'tS CIS�Y Owner's Mailing Address: City, State, Zip: p 0-0 Home Phone: , n Business Phone: •-nnmrr Information must be provided for the owner signing this application. Prim ry C`o` JnJt''act Person/Appliciant (if not owner): Company: ^� - f-�\Ca 1s71 1 r 7�Gx�1e�C`- LW rx- Contact/Applicant Mailing Address: ,y City, State, Zip: 0-0 `avo-QL� Cell Phone: q Business Phone: °I�o q�� 3k Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: ® Email ❑ Fax ❑ US Mail Licensed Systems Inspector: Phone Number: Email Address: Fax Number: )LEASE READ BEFORE SiGNiNG: certify that the above information Is complete and accurate and that I have provided complete and accurate information in all of the documents ncluded In my application package. I acknowledge that this department may revoke any permit I am Issued if my application is found to contain any naccurate, false, or misleading Information. )caner Signa re (Re V Date: I C) rC] kpplicant Signature: Dale: Please allow 3-5 business days for processing of use Permits. by EH Staff: Fee & Receipt #: Date: -1 N Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form 3U11iT" Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspenpitkin.comlehnr Inspection form for continued use of an existing OWTS Owner's Name: Address: Parcel Number: 7,1, y 0000 Inspection Date: Z /q Inspector's Name: p 40­-yr-- Business u yC—Business Name: ` tri b �1 Phone Number 0 _ /�� � / Email 1 tYYv` R11YJ (Z9a G' CLrta i Cuv� Pitkin County Systems Inspe or License Number: 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? 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? RECORDS: Were system records available from Pitkin County? YES NO If YES: Permit number: Date of Final Approval: # of bedrooms permitted: 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 last page of this form as accurately as possible. Any question marked FAIL will require correction before an OMITS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? PASS 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? NO ffs Page 1 TANK: Tank 1 N Tank 2 YES Tank 3 If YES, is the pump/dosing siphon functioning properly? Tank capacity FAIL gallons PASS gallons Is the high water alarm working, both visible and audible? gallons Tank material SECONDARY TREATMENT: Is a secondary treatment unit present? YES NO UNKNOWN # of compartments Z Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: _ Phone: Date of last pumping 7i ZPv / Lids/risers in good condition PASS Al PASS FAIL PASS FAIL Risers to grade YES NO YES NO YES NO Riser height 3 �+- Riser condition/watertightness Inlet sanitaryT/baffle ASS PASS FAIL PASS FAIL Outlet sanitary T/baffle FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PAS FAIL /A PASS FAIL N/A PASS FAIL N/A Condition of tank material AS FAIL PASS FAIL PASS FAIL Tank was pumped for inspection Y NO YES NO YES NO If YES, list the pumping company � o��� 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) q inches inches inches Sludge level (2nd compartment) inches inches inches Backflow (if pumped) P FAILPASS FAIL PASS FAIL Midtank baffle ASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness S FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: N 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? PASS FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? YES NO 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? PASS FAIL O YES YES YES 'POFt3— Probing (M NO YES inches _ YES N�yN Wf� YES NO PASS FAIL Page 2 Any problems with the system that were not addressed in the inspection checklist? A' Please lista reco ndations for tth71 continued use of th system: �1 ��G?✓G Were any repairs done as a result of this inspection? YES If YES, please describe the repairs. To the est o my knowledge nd training, the infor, r anion toll d in this inspection is accurate as of 20 - Licensed Systems Inspector Signature: Additional Notes: Clearly label any 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. J ........................... . ................ Page 4 0 Moon Run Ranch 8276 Snowmass Creek Road c/o Holly McLain Snowmass CO 81654 Quote Roto Rooter Plumbing P.O. Box 1800 Glenwood Springs CO 81602 970-945-5519 FAX: 970-243-8794 Quote # 365717 Date: 03/10/14 Page # 1 of 1 Service At: Moon Run Ranch 8276 Snowmass Creek Road c/o Holly McLain Snowmass CO 81654 Job # 274820 OUR PLEDGE TO YOU: IF OUR PLUMBERS SMOKE OR SWEAR IN YOUR HOME, ARE NOT DRUG FREE, DO NOT WEAR SHOE COVERS, OR LEAVE WITHOUT CLEANING UP- YOU DO NOT PAY. Description Excavate the septic tank at the main house and the outlet side of the tank on the upper tank of the barn and replace the old concrete risers and replace with new plastic lids and risers so that the tanks are water tight from any outside water source. We will then back fill to proper compation and rough grade. Roto Rooter is not responsible for finish landscaping. Proposed Work Quantity Unit Price Extended Price Tax INSTALL 9 RISERS AND 3 LIDS 1 $2,994.00 $2,994.00 Total Quote $2,994.00 THIS REPAIR OR REPLACEMENT COMES WITH A WORRY FREE WARRANTY FOR THE PERIOD OF YEARS. ANY PROBLEMS OR CONCERNS AND WE WILL RESPOND QUICKLY TO RESOLVE ANY AND ALL ITEMS. I HEREBY AGREE TO THIS PROPOSAL. I UNDERSTAND THAT PAYMENT WILL BE AS FOLLOWS: PRIOR TO STARTING AND REMAINING UPON COMPLETION. (ALL BIDS GOOD FOR 30 DAYS) Acceptance (Customer) Date Approval (Company) Date %jrKIN y COUNT'' Owner's Name: Address: Parcel Number: Inspection Date: Inspector's Name: Business Name: Ins • Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form 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 form for continued use of an existing OWTS Phone Number 9 P - &IT — SS/ 7 Email: i , , Fo A0 0 Pitkin County SystemsInln p or License Number: 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 gasses or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? a 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? RECORDS:; Were system records available from Pitkin County? YES If YES: Permit number: Date of Final Approval: # of bedrooms permitted: 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 last poge of this form as accurately os possible. Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion?SS " FAIL Improper vegetative cover? Q YES Evidence of compaction such as heavy machinery or livestock? 0 YES Improper discharges such as straight pipes? PASS FAIL Evidence of high ground water? 0 YES Snow cover present? NO YES Page 1 X TANK: Tank 1 Tank 2 Effluent surfacing? Tank 3 FAIL Tank capacityL%FSG Evidence of past surfacing? gallons S gallons Surface dampness? gallons Tank material (6"Vv Excessive odors? YES r Field location verified b observation ports or robin Y P probing: # of compartments Z , �--,�'c, TT -C! cl,�`«`'°i Liquid in observation port? NO YES Date of last pumping inches Distribution Box or ADV part of original design? YES Lids/risers in good condition PASS FAIL PASS NO PASS FAIL Risers to grade ES) NO 6S NO YES NO Riser height Z i U6 t -e_ -s Riser condition/watertightness Inlet sanitaryT/bafFle FAIL FAIL PASS FAIL Outlet sanitaryT/bafFle FAIL FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL PASS FAIL N/ PASS FAIL N/A Condition of tank material FAIL FTZS71FAIL PASS FAIL Tank was pumped for inspection S NO E NO YES NO If YES, list the pumping company v l If NO, when was the last pumping Scum level (1st compartment) Q inches inches inches Sludge level (1st compartment) tff inches 36 inches inches Scum level (2nd compartment) inches / inches inches Sludge level (2nd compartment) , inches i L— inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle FAIL N/A <94§91> FAIL N/A PASS FAIL N/A Watertightness FAIL S FAIL PASS FAIL PUMPS/DOSING SIPHONS: Law„y Is a pump or dosing siphon present?NO If YES, is the pump/dosing siphon functioning properly? A S ' FAIL Does the pump/wiring/dosing siphon appear to be in good condition? eVA'SS, FAIL Is the high water alarm working, both visible and audible?PEAS FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? YES NO NKNOWN If YES, does the unit appear to be in good working condition? <15 NO Does the owner have a current maintenance contract for the unit? YES NO N N W 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? AS FAIL Evidence of past surfacing? YES Surface dampness? YES Excessive odors? YES r Field location verified b observation ports or robin Y P probing: Ports Probing g , �--,�'c, TT -C! cl,�`«`'°i Liquid in observation port? NO YES If YES, record depth: inches Distribution Box or ADV part of original design? YES (�g UNKNOWN If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 err • • 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? XO YES If YES, please describe the repairs. To the b ' t of my knowledge and training, the in mation colle in this inspection is accurate as of 20/. Licensed Systems Inspector Signature: Additional Notes: Clearly label any pictures and attach them to this form. Page 3 0 if no as -built drawings exist forth is 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. Page 4