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Home My WebLink Aboutpitkin.eh.264929102005 (2015)Pitkin County Environmental Health 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 #: 2649-291-02-005 OWTS Use Permit #: 0022.2015.POWU Date Issued: 7/16/2015 Issued By: Bryan Daugherty Expiration Date: 7/16/16 Owner(s): I Nathaniel and Amber Taylor Property Address: 268 Apache Trail Legal Description: Lot 3, Swiss Village Licensed Inspector: Doug Warren Inspection Date(s): 7/13/15 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Plastic 2 -compartment tank 1000 gallons Secondary Treatment Unit Absorption Area Infiltrator bed 556 ft2 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 #: 94043 Date of Issuance: 8/19/94 Date of Final Approval: 6/14/95 # of Bedrooms or fixtures served by OWTS: This system is designed to serve 3 bedrooms Operational Status: According to the inspector's observations the system was functioning properly at the time of inspection. The tank was pumped and looked in good condition, there were no signs of failure in the field area. Inspector Recommendations: Continue maintenance as required. Department Recommendations: Add an effluent filter to the outlet T of the tank to prevent solids from reaching the filed 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. Pitkin County Environmental Health Department " Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 61611 Website: www.aspenpitkin.com/ehnr/ Annlicatinn fnr Cnntimipri tlsp of an Existing OWTS Parcel(available from the Pitkin County Assessor's Office 970-920-5-6 160 or at www.pitkinassessor.ora): O 2 _ O O S Contact/Applicant Mailing Address: City, State, Zip: Purpose of Use Permit: JZ PROPERTY TRANSACTION ❑ REMODEL/ADDITION Business Phone: Property Address: 2-62) \ Email Address: Lot: Block: Filing: Subdivision: 2 ❑ US Mail Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)': Email Address: Owner's Mailing Address: City, State, Zip: 3otQ C-C� Home Phone: Business Phone: `Contact information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): Company: Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: Email Fax ❑ US Mail Inspector: Fax Number: PL'EASE READ BEFORE SIGNING: I crtify that the above information Is complete and accurate and that I have provided complete and accurate information in all of the documents in luded In my application package. I acknowledge that this department may revoke any permit I am issued If my application Is found to contain any In, ccurate, false, or misleading Information, 3-5 business days for processing of Use Permits. Fee & Receipt #: Date: L1 41) 1'1'k 1 N Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form c1l1tI NTti! 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 Owner's Name: I_a ./ Address: �i7/ SI Z�. - . VVII�/ L -CJ Parcel Number: Inspection Date: (f S Inspector's Name: Business Name: Phone Number. Email:.., Pitkin County Systems llnspe;ii�kense Number: A cony 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 INSECTION: Is the home currently occupied? lrE 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? �g ✓�-Li RECORDS: Were system records availabl from Pitkin County? YE NO If YES: Permit number: �1 _ Date of Final Approval�v i fS #I of bedrooms permitted: Was an as -built drawing available? YE' NO Is the as -built drawing accurate? - NO If NO: Complete a drawing of the system on t:r.st pare of this form as accurately as possiale. Any question marked FAIL vvi,i require corrz-aion before an OMITS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? AS FAIL Improper vegetative cover? VO YES Evidence of compaction such as heavy machinery or livestock?0 YES Improper discharges such as straight pipes? FAIL Evidence of high ground water? YES Snow cover present? 0 YES Page 1 a i Tank capacity Tank material Tank 1 'G gallons lank l gallons Tank 3 gallons # of compartments FAIL Does the pump/wiring/dosing siphon appear to be inocrcl condition? PASS FAIL Is the high water alarm working, both vi ible and audile e.? PASS Date of last pumping SECONDARY TREATMENT: ti -c- p.- A-1Liquid Is a secondary treatment unit present? YES NO UNKNOWN Lids/risers in good condition AS FAIL PASS FAIL PASS FAIL Risers to grade NO YES NO YES NO Riser height Riser condition/watertightness Inlet sanitary T/baffle SS FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle SS FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PA All. A PASS FAIL N/A PASS FAIL N/A Condition of tank material Tank was pumped for inspection p ES FAIL NO PASS YES FAIL NO PASS YES FAIL NO If YES, list the pumping company If N0, 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) (—(OAS_V FAIL PASS FAIL PASS FAIL Midtank baffle AS' FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness ASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES FAIL If YES, is the pump/dosing siphon functionin; properly? PASS FAIL Does the pump/wiring/dosing siphon appear to be inocrcl condition? PASS FAIL Is the high water alarm working, both vi ible and audile e.? PASS FAIL SECONDARY TREATMENT: 610 -c- p.- A-1Liquid Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO inches UNKNOWN Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: YES If there Is no maintenance covin--, a, a contract must be in place prior to occupancy of the home. A copy of the contract must `.ic submitted to Pitkin County Environmental Health Department. ABSORBTION AREA: Effluent surfacing? FAIL Evidence of past surfacing? Torts YES Surface dampness? YES Excessive odors? YES MA Field location verified by observation ports or probing:Probing -c- p.- A-1Liquid in observation port? NO YES If YES, record depth: — inches UNKNOWN Distribution Box or ADV part of original design? If YES, is it accessible from grade? YES Is it level and in good condition? PASS FAIL C1 /L cti6tv%✓l— 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: 0 Were any repairs done as a result of this inspection? N0 YES If YES, please describe the repairs. t best of�y knowledg/e< straining, the iMormat' n collec in this inspection is accurate as of 20. licen ed Systems Inspector Signature. Additional Notes: Clearly label any Pictures and attach them to this form. Page 3 Wuk 96 7 S� Go,a (�SS� X5.8