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HomeMy WebLinkAboutpitkin.eh.264929101006 (2012)am Pitkin County Environmental K-alth Department Onsite Wastewater Treatment System (OWTS) USE PEF Permit for Continued Use of an Existing OWTS 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.asDenr)itkin.com/EHNR Parcel ID #: 2649-291-01-006 OWTS Use Permit #: 0026.2012.powu Date Issued: 08/9/12 Issued By: Bryan Daugherty Expiration Date: 08/09/13 Owner(s): I Michael and Jennifer Hackney Property Address: 155 Cherokee Lane Legal Description: Tract 9, Metes and Bounds, Crystal River Estates Licensed Inspector: Roger Maynard Inspection Date(s): 11/9/11 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 Compartment tank 1250 gallons Secondary Treatment Unit N/A N/A Absorption ,Area Unknown Unknown size 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 #: 95038 Date of Issuance: Unknown Date of Final Approval: Unknown # of Bedrooms or fixtures served by OWTS: The system was designed to serve 3 bedrooms Operational Status: According to the inspector's observations, the system was functioning properly at the time of inspection. No septic system files were available for this property but a building permit search found that the system was permitted and built in 1995. The 1250 gallon 2 compartment tank was in good working condition and both the inlet and outlet tees were in place. This then flowed to a distribution box to evenly distribute effluent to the absorption area of unknown size. The field area did not show any signs of failure and there was no liquid in the observation ports. Inspector Recommendations: N/A Department Recommendations: The department recommends adding an effluent filter to the outlet of the tank to prevent solids from entering the absorption 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. itkin County Environmental Healt.. Jepartment �OprjKJN Onsite Wastewater Treatment System (OWTS) 71 COX) N lr� USE PERMIT APPLICATION 76 Service Center Rd * + Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Annlirafinn fnr Cnn+iniiprl L)Sp_ of an EXlstina OWTS Parcel ID# (available from the Pitkin County Assessor's Office Company: 970-920-5160 or at www.pitkinassessor.org): C 1 Purpose of Use Permit: EJ�PROPERTY TRANSACTION ❑ REMODEL/ADDITION ty, State, ip Property Address: ,�el r 3 ot: lock:` Filing: Subdivision ^� Email Address: i ` S (yam Residenc s: ,r Other # of Bedrooms: fixtures/uses: Property Owner(s)*: tA itAddr� A C, Owner's Mailing Address: ity, State, Zip: e Home Phone: Business P ne: *Contact information must be provided for the owner signing this application. Primary Contact Person/Ap li it (if not owner)( Company: C 1 Contact/Applicant Mailin A rens. ty, State, ip ,�el 3 Cell Ph 9 � 0 — - 3 Business Phon . Fax Numb r. qM _ IIUn q s -7 Email Address: i Indicate Preferred Method of Permit Receipt: Email ❑ Fax ❑ US Mail Licensed SyAe,ms Inspector: Phone Number: Email Address: Fax Number: i �'t Mailing Addres �,,,, _ \ `ty, State, Zif: 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. Please allow 3-5 business days f&procAsing of Use Permits. F�t3Fh = Received by EH Staff: Fee & Receipt #: Date: I --�" onsite WastewaterTreakm nt 5ysteM (t�V� T lyse " a i PPI'Ittltt inspection �Qit71 Fitkln County EnvirQnmentai Health Departmr?nt 0405 Castle Creek Road, Suite lit, Aspen, CO 91.61x. < phot1c:970-920.5070 Fan: 97D-920-5077 website: uwww.. en ;tes n shot tnsoeetian Form for tantir�uec3 use of an exi5t{ng OWNERS Ivarne: Address: Parcel Number. Records. Were system records avail?bte fr6m the departritent? If Yes: permit aumber: Date of Installation: AbSor- Inion area Si7e: e !_47•47- 1-, ��rTllliiet� I.iSC: is `hi. sy5tem permItt ed for its Curre If no, describe the change in Use. Yes No Tank size:. use?� 'Alas an As-Bullt drawing available? 15 the ids -Built Drawing Actur=? if NO: Complete G drerwirig of the system on lost ptsgc tnf chis fo(rn as occurorely as passible tf os_bU7): ,v= nat vvailable or is not accurore. site Conditions: Erosion QASS,) FAIL Improper Vegetative cover Yfi5 Evidence of Campartion _ YFS Improper Discharges r�PRS FAIL High (iround \Vat^r YES Snow Cnuer NO �1 YES Property Vacant NOt YES UNKNOWN TANK: Was the tank purnped as part of the inspe tlon? If No, skip to Tank Components. If No. When was the tar:k last pumped? - I` the tank has not been Pumpers in more than 2 years, please attach additional inforinatlon far justification, Information to be included ill justification : Depth of scrim layer, Depth of sludge layer and%or verification of limited occupancy ;"Yes; Pumping Cnrnpany; Elsr`harge/Ieaka�e PASS FAIL Infiltration, PASS FAIL 5acK nuw dRvr purnplrig NO YES Tank Components: Tank I 'FAlL If Yes: make/model- i, PA FAIL ADV Accessible from grade? P PASS FAIL LadsFAIL P FAIL Media Container Tank Integrity PASS FAIL f NP Mid -Tank Baffles PAS? FAIT, PAIL Sanitary Tees / Inlet & ClutIct Baffles PASS FAU, Expires: Maintenance Agreement Effluent Filter/Screens 55 FAIL Provider Phone Number Water Tight PASS FAIL ��_��•,, Siphon Pump/Dosing, PASS fAIL !v'1 Tank Material .S FAIL PumAAlarm e5 ivo Tank components: Tank 2 Lids PASS FAIL Tank Integrity PASS FAIL vtid Tank Baffles PASS FAIL NP sanitary Tees / Inlet & Outiet Baffles PASS FAIL Effluent Fitter/Screens PASS FAIL NP Water Tight PASS FAIL Pump/Dosing Siphon PASS FAIL NP Tank Material PASS FAIL Pump Alarm Yes ND If additional tanks are present, include reports for each. SECONDARY TREATMENT'- is; REATMENT: !$ a secondary treatment unit part of the sysLern design? _.., Yes Ntt NP If Yes: make/model- i, PA FAIL ADV Accessible from grade? Lids PASS FAIL Tank Integrity PASS FAIL Media Container PASS FAIL NP Media Condition PASS FAIL NP MQc;,anica13ystems PASS PAIL Controls/Alarms PASS FAU, Expires: Maintenance Agreement PASS FAIL Provider dame Provider Phone Number ASSORBTIOM AREA: Ustribution aox Accessible from grade? Yes Ntt NP Distribution Sax i, PA FAIL ADV Accessible from grade? Yes IUD Automatic Distributing Valve (ADV) PASS FAIL observation Ports PAS FAIL Effluent SurFacing FAIL Evidence of Past Surfacin€; YES Surface Nkmpness YES Excessive odors YES, �fr, Liquid in observation Hort -1 �encFYui3 BL Y 5M E96 OLE 11scb4 : z 1� :r'j-bCl-l: 09/02/2012 06:56 9636070 B R SEPTIC —+ PAGE 01 Any problems with the System that were not addressed in the inspection checklist? Please list any recommend tions for the system to continue its current usage. ;2 _ Were any repairs done as a result of this inspection? i1d$ YES If Yes, please describe the repairs. To the best of my knowledge and training, th information collected in this inspection is accurate as of Inspector's 5ignat Business Name: Phone Number Address: Email: Pitkin County Insp Additional Notes: A copy of thls inspection report will be remitted to pirkin County E»vironmento/ Health with 60 detys Of the inspection, 61. /96 # 600 E96 Mf � CERTIMA ' as THLs cum THE DA TE Of WUANC& THE mwucn)RE M BELOW WAS Iff 09 Use classM;�ttlon: Single Family Residence Building Permit:, 5-362 Legal Descripti OW.. Lot 9, Crystal River Estates Building Address: 0155Cherokee.L.ane__.. owner of Building: Judith Elting owner Address: 5�77$.LouthanSt. Group: R -3/U-1 Type Cons"etion: V -N. Use Zone: RS -30 Description: 2,827 square feet �in u in three bedrooms, one full bath, two 3/4 baths, one kitchen, and an attached two -car Spectrum Super 27. Minor 10,41 BK 36 PG:.8.51 cial Date Note: In all occupancies, except R. this certificate iftust be posted in a conspicuous place near the main exit an the premises for premises or portion thereof. without the Yrritte.n aPP-roval-of the Building Official shall negate this C.O. and subject it to revocation. ,' 8 ,6 +7 n �� I