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HomeMy WebLinkAboutpitkin.eh.264929101010 (2014)VITKIN COUNT� 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 #: 2649-291-01-010 OWTS Use Permit #: I 0032.2014.powu Date Issued: 07/21/2014 Issued By: Kurt Dahl Expiration Date: 07/21/2015 Owner(s): I Philip R Haines Property Address: 186 Cherokee Ln Legal Description: (t4 2 - Licensed Inspector: Licensed Jason Daubs Inspection Date(s): July 2, 2014 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment septic tank 1000 gallons Secondary Treatment Unit Absorption Area Rock and pipe soil treatment area 70'x 16' (1200 ftz) 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 #: 720322 Date of Issuance: 05/10/1975 Date of Final Approval: 07/17/1975 # of Bedrooms or fixtures permitted by OWTS: 3 Operational Status: The inspector indicates the OWTS appears to be operating properly and there is no sign of failure. Inspector Recommendations: none Department Recommendations: Annual maintenance. Add an effluent filter to the outlet tee of the septic tank. 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 DOSZ , 201qP©` L) Pitkin [_rnirnty Prtuirnrtrnnntial 1-! !atth r g%nia>#mont t` t Onsite Wastewater Treatment System (OWTS) Cot ' USE PERMIT APPLICATION 76 Service Center Rd Aspen CC SIC—!.1 Website: www1aspenpitkin.com/ehnr/ Arir�(in�tinrs fir i'nn+in�iotd l leo ttf �n G�i�tinn iRflUTC Parcel ID# (available from the Pitkin County Assessor's Office 2649 - 291 - 01 -010 1970-920-5160 or at www.pitkinassessor.org): 1rulpose of use refinic PROPERTY TRANSACTION ❑REMODEL/ADDITION (Property Address: 186 Cherokee Lane, Redstone Lot: 2 Beginning att a poilnt whence the East Quarter Corner of �elci16n 29, Township 9 South, SUbdIVIS10n: Crystal River Estates Range 88 West of the6th P.M, bears South 71°38'16" East 1535.39 feet; thence North 72°20'00" West 150.92 feet to a thirty foot roadway; thence North 17°40'00" East 140.00 feet along a thirty foot roadwa • thence South 72°20'00" East 150.92 feet• thence South 17°40'00" West 140.00 feet to Point of Beginning. Residences: Other # of Bedrooms: 3 fixtures/uses: PropertyOwner(s)': Philip R. Haines Email Address: mtntop186@gmail.com Owner's Mailing Address: City, State, Zip: 186 Cherokee Lane Carbondale, CO 81623-9437 ,Home Phone: (970) 704-5511 Business Phone: I 'Contact information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): Company: re e�Mten c�� r ea a:n� e afire City Sete, Zip Cell Phone: Business Phone: Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: Email Fax ❑ US Mail .icensed Systems Inspector: Phone Number: Email Address: Fax Number: Jason Daubs (970)471-1330 DDSepticServices@gmail.com Railing Address: City, State, Zip: PO Box 3681 Eagle, CO 81631 PLEASE READ BEFORE SIGNING: certify that the above information is complete and accurate and that 1 have provided complete and accurate information in all of the documents _ ... ievvR- •s uuuumu ui 1iry aNpni.iiiiviiN&cKaye. t acniiuwteuya unit uuy ueNatuuem uiay t: airy Nltiiiiit i i+i❑ iSsuGu a iiry BNNiicntiSu izi towiu w 101ita to city naccurate, false, or misleading information. honer Siqnature (Required)' Date: ,pplicant Signature: Date: % Please allow 3-5 business days for nrocessina of Use Permits_ FOR OFFICE USE ONLY Receivea by tri Marr: Fee & Receipt x: uate: n?� `5b 13 4-- j "Z l 2oly IN Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form OIrPitkin County Environmental health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.asoenpitkin.comjehnr inspection form for continued use of an existing OWTS Owner's Name: Ph,\ Address: �tM1c h( Cr£2 C)55VO _R *wL c- fiCt1C_A r Parcel Number: inspection Date: I 11 Inspector's Name: -TCL_ c,(� ply , Business Name: Phone Number CIIL> -x('71 - 1330 Email: c Pitkin County Systems Inspector license Number: A copy of this inspection report will be remitted to Pitkin Counly Environmental Health t2e artment b 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? 3 If secondary treatment is used, who is the maintenance provider? RECORDS:' Were system records available from Pitkin County? LYES NO If YES: Permit number: qLQav z fl Date of Final Approval: cb qlar # of bedrooms permitted: 3 Was an as -built drawing available? 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 OWTS Use permit is issued. SITE CONDITIONS: _ PASS Proper grading, no evidence of erosion? - FA improper vegetative cover? AMP Evidence of compaction such as heavy machinery or livestock? YES improper discharges such as straight pipes? S FAIL Evidence of high ground water? YES Snow cover present? NO YES Page 1 TANK: Tank 1 Tank 2 Is a pump or dosing siphon present? Tank 3 NO Tank capacity 1 gallons FAIL gallons PASS gallons Tank material y-tC r4Vje` FAIL SECONDARY TREATMENT: Ports Probing �Ac, t C. _A11,, } £",c{ # of compartments WC) UNKNOWN If YES, does the unit appear to be in good working condition? YES NO inches Date of last pumping NO UNKNOWN Maintenance Provider: Phone: YES NO Lids/risers in good condition FAIL PASS FAIL PASS FAIL Risers to grade YES' NO YES NO YES NO Riser height N [A W, Riser condition/watertightness Nl€k Inlet sanitary T/baffle P FAIL PASS FAIL PASS FAIL outlet sanitaryT/baffie' PA FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL N PASS FAIL N/A PASS FAIL N/A Condition of tank material TAW FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES. NO YES NO YES NO If YES, list the pumping company i 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) 3 inches inches inches Backflow (if pumped) P S FAIL PASS FAIL PASS FAIL Midtank baffle P FAILN/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: 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: Ports Probing �Ac, t C. _A11,, } £",c{ Is a secondary treatment unit present? YES NO 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 NO 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: FAIL Effluent surfacing? P Evidence of past surfacing? YES YES Surface dampness? Excessive odors? N YES Field location verified by observation ports or probing: Ports Probing �Ac, t C. _A11,, } £",c{ Liquid in observation port? NO YES If YES, record depth: inches Distribution Box or ADV part of original design? YES NO UNKNOWN ,,� If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 0 Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: C` iE CL v��nF Etc lv�Cili IMPROVEMENT LOCATION CERTIFICATE Power Rae 30 0 15 30 Reber & CAp Beers N15'04'14'E 20.03 1 inch = 30 ft. Rm No. 437379 d", 5 Ito V 0, 4.84'Concrete PAW & Q . I �� Retaining I,,/ A COP Wau 3&41' Sil Fence concrete Wa t p .� torsffa DrfvewW I Story Home Steps W/ WaamA 155.431 b, BoWdal concrete Lower lewd %PVNIMNR . / ---I W/ Ud* 13 Q; no. S Rea SW 71fad 1 PROPERTY DESCRLMON a W*Jk tone Locallm Septic Tank A"ma"n"'c R F. Tract 2 0.495 Acres ISAY Utatty Fasement l ' Rec. No. 437379 1.7f 0, .9 Reber b Cop Ls 140.9337 P.0JL Heins 835W43'9 Wa A TRACT OF LAND SF7UA7ED IN TRE S 1/2 NB 114 OF SECTION 29, 7OWNWMI 9 SOErM RANGE 88 WEST OF 7M 62H PJL, BP"G TRACT 2 OF CRYSTAL RIVER ESTATES, A SEnWIVISM, RECORDED MYTHS PrrMW CMNTY ClOWITIC)USE AS DOC IEW NO. 140M AND MORE PARMULARLY DES CRL=vn.!,z pnr Yq� BM NMG AT A POINT WHENCE THE EAST Q UARTBR CORNER OF SAID SECTION -9 SCMN 29, 7UVMSW 9 S OErl K RANGE 88 WEST OF THE 6TH P. K BEARS SOUTH 71 tjWl 6 * EAST 1535.89 FEET; Th ENCE NORTH 72 -2000' WEST 150.92 BEST TOA IM RTY FOOT ROADWAY; THENCE NOR7 H 17-40'00 - EAST 140. 00 FEET ALONG A IMMY FOOT RC M DWA Y; THENCE SWm 72°20'00" EAST 150.92 QED 1 � T? � �m C � F S � � 777--r 17 * 4 C', C- � " , -,,: 7 ---,z T 41r"` -'v-'_3'•". 2 VT C ? Rff G o"Ty OF Pnxw, SD= CP COLORAIX). . .......... . .... . . O O N O �i ca J N O L U co co r m E 0) ca ca m T 0