HomeMy WebLinkAboutpitkin.eh.264929102020 (2014),f�f�['K11V
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Pitkin County Environmental ;' ,alth Department
Onsite Wastewater Treatment Systrrn (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 #: J 2649-291-02-020
OWTS Use Permit #: 0066.2014.POWU
Date Issued: 11/18/14
Issued By: Kurt Dahl
Expiration Date: 11/18/15
Owner(s): James and Katherine L. Hesse
Property Address: 125 Apache Trail
Legal Description: Tract 19, Book 3, Page 13, 6/4/70 Swiss Village Tracts
Licensed Inspector: Jason Daubs
Insoection Date(s): 11/1/14
SYSTEM INFORMATION
Type Capacity/Size
Components 1000 allons
Primary Treatment Unit Concrete 2 -compartment tank g
Secondary Treatment Unit 750 ft2)
Absorption Area Pipe and gravel trenches
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 #: 78098 Date of Issuance: 9/26/78 Date of Final Approval: 7/18/79
# of Bedrooms or fixtures served by OWTS: System is designed for 3 bedrooms
as designed
ter
irs
Operational Status: According to the inspectors observations, as in good Condit on after repairstem was , thegield area did nfot showany
were made to the outlet tee in the tank. The tan g
signs of failure or surfacing effluent.
Inspector Recommendations:
Department Recommendations: Add an effluent filter to outlet of tank.
Issuance of this OWTS Use Permit is based enoTheissuance of this permit does notreported
const tut inspector
a guarantee the
warranty, or representation by the Department and
on Department records at the time of permitting. re enforcement
liant conditions.
utu
that the system will Operateaystem has been/ll notfail or that listed on the permit and we re system ecommend that youll not be subject to fmon for and/or metertwater correct e to prevent overuse and possible
Estimated capacity of the y
failure.
TK IN
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itkin County Environmental Hea,.,i Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
76 Service Center Rd
Aspen, Co 81611
Website: www.aspenpitkin.com/ehnr/
— . —u 9--r el
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Received by EH Staff:
Fee & Receipt #:
Date:
Onsite Wastewater Treatment Systems (OWTS) Use
,.V%IIN Permit Inspection Form
rK
Pitkin County Environmental Health Department
CO'tJ 76 Service Center Rd, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5374
` Website: www aspenpitkin.com/ehnr
Incnection form for continued use of an existing OWES
Owner's Name: Jim Hesse
Address: 125 Apache Tr Carbondale CO 81623
Parcel Number: 2649-291-02-020
Inspection Date: 11/01/2014
Inspector's Name- Jason Daubs
Business Name:
Phone Number �jrnait
Email: DDSe ticServicescom
Pitkin County Systems Inspector License Number: _ 19 c.,.,:..,....,ontn! Health Dep
A copy ot this in5pecPvn rc �• •••.. �� . _..----
he Licensed Systems Inspector within 60 da �s of the inspection r aardless of whether e system
-
the
passes or falls.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: NO
is the home currently occupied?
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:NO
Were system records available from Pitkin County? YES
If YES: Permit number: 78098
Date of Final Approval: 7/18/1979
# of bedrooms permitted: 3_ ___— � NO
Was an as -built drawing available? NO
Is the as -built drawing accurate? YES
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: FAIL
Proper grading, no evidence of erosion? NO YES
Improper vegetative cover? N YES
Evidence of compaction such as heavy machinery or livestock? FAIL
Improper discharges such as straight pipes? NO YES
Evidence of high ground water? NO YES
Snow cover present?
Page 1
TANK:
Tank capacity
Tank material
# of compartments
Date of last pumping
lids/risers in good condition
Risers to grade
Riser height
Riser condition/watertightness
Inlet sanitary T/baffle
Outlet sanitary T/baffle
Effluent filter (if part of design)
Condition of tank material
Tank was pumped for inspectior
If YES, list the pumping compam
If NO, when was the last pumpir
Scum level (1st compartment)
Sludge level (1st compartment)
rNffidrEtank
m level (2nd compartment)
el (2nd compartment
(if pumped)
baffle
Tank 1
1000 gallon
Concrete
2
04/13/2013
FAIL
YES <39M
No risers present
FAIL
PASS FAIL
PASS FAIL
A FAIL
YES
Tank 2 Tank 3
eallons Ballo
PASS FAIL I PASS FAIL
YES NO YES NO
PASS
FAIL
PASS
FAIL
PASS
FAIL N/A
PASS
FAIL
YES
NO
4/13/2013
FAIL
ppm
it
inches
inches
„
inches
inches
1/2"
inches
inches
Yv
inches
inches
PASS
FAIL
PASS FAIL
'p FAIL
N/A
PASS FAIL N/A
PASS
FAIL
PASS FAIL
PASS
FAIL
ppm
FAIL
PASS
FAIL N/A
PASS
FAIL
YES
NO
inches
inches
inches
PASS FAIL
PASS FAIL N/A
PASS FAIL_
PUMPS/DOSING SIPHONS:
YES
Is a pump or dosing siphon present?
PASS FAIL
If YES, is the pump/dosing siphon functioning properly?FAIL
YES
Does the pump/wiring/dosing siphon appear to be in good condition?
PASS FAIL
Is the high water alarm working, both visible and audible?
o
SECONDARY TREATMENT: YES
NO _' UNKNOWN
Is a secondary treatment unit present.
to be in good working condition? YES
NO
If YES, does the unit appear
for the unit?
NO UNKNOWN
Does the owner have a current maintenance contract
Phon e
NO
Maintenance Provider:
a contract must be in place prior to occupancy of the home. A
If there is no maintenance contract,
be submitted to Pitkin County Environmental
Health Department.
copy of the contract must
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
YES
BO
0
YES
Q
YES
Ports
o
NO
YES
inches
YES
N,Q UNKNOWN
YES
NO
PASS
FAIL
Page 2
Any problems with the system that were not addressed in the inspection checklist?
Nos stem is older but appears in good sha e and tctioning Property
Please list any recommendations for the continued use of the system:
Were any repairs done as a result of this inspection? NO
If YES, please describe the repairs.
The outlet we had deteriorated some so we applied a h draulic cement to it to make a bit taller. It was at
border line of beingto short on top. Asa recaution this work was done.
To the best of my knowledge and training, the information collected in this inspection is accurate as of
11/01 -20 .14
Licensed Systems Inspector Signature: C",- `^
Additional Notes:
Clearly label any pictures and attach them to this form.
Page 3
Fam