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HomeMy WebLinkAboutpitkin.eh.272909200014 (2014)Pitkin County Environmental N^iIth Department onsite Wastewater Treatment SysL_n (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 #: 2729-092-00-014 OWTS Use Permit #: I 0015.2014.powu Date Issued: 04/30/2014 Issued By: Bryan Daugherty Expiration Date: 04/30/2015 Owner(s): I Larry and Sheryl Bogatz Property Address: 115505 Highway 133 Legal Description: Other System Components Licensed Inspecto+-:4/18/14 oug Warren Inspection Date(s SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 Compartment tank 1000 gallons Secondary Treatment Unit N/A N/A Absorption Area Unknown Unknown 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 #: N/A Date of Issuance: N/A Date of Final Approval: N/A # of Bedrooms or fixtures served by OWTS: 3 bedrooms Operational Status: After repairs to the system it was functioning properly. Sewer lines from the house to the tank were found damaged and were replaced. An inlet tee was added to the tank. There are no records of the system on file, absorption area was not located as part of the inspection but there was no surfacing effluent or other signs of failure. Inspector Recommendations: Continued maintenance of the system Department Recommendations: We recommend adding an effluent filter to the outlet tee to prevent solids from entering 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. Pitkin County Environmental HE h Department ,Pj T x I N Onsite Wastewater Treatment System (OWTS) C1)t)tvT�' USE PERMIT APPLICATION 76 Service Center Rd '} Aspen, CO 81611 Website: vwwv.aspenpitkin.com/ehnr/ Annlicatinn fnr CnnfiniiCfi 1 len of nn lwic+i.,.. r%1A/T0 Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.pitkinassessor.ora): q 2�-2-c> Q) ``ll Purpose of Use Permit: - 1 City, tate, Zi &N [I IiPROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: Business Phon ..._ Lot: Block: Filing: Subdir'on* Email Address: D? C Residences: Other r r # of Bedrooms: 1-3 fixtures/uses: Email 12 Property Owners)*: mai ddress: Lnrv-(j �I� �rS111400 Owner's MailingAddress: _ ty. State, zip: I l� � Home Phone: l� _ _ Business Phone: U -L must be pro 1-7 br the owner signing this application. Primary Contact Person is t (if not owner): C p ny: t Contact/Applicant licant Mailin Address Pp g 1 City, tate, Zi &N Cell Phone: � Business Phon ..._ Fax Number: -Lo E Email Address: � r r Indicate Preferred Method of Permit Receipt: Email 12 ax ❑ US Mail License1t yste s Insp r: Phone Nu ber: Email Address: Fax Number: a� I M- �� � 1� (� n Mailing Address: © City, State, Zip: PLEASE READ BEFORE SIGNING: I certify that the above information is complete and accurate and that 1 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. Owner Signature (Required): Date: Applicant Sicnat re: 1 n Date: I Please allow 3-5 business d vs for processing of Use Permits. !R OFFICE lS ceived by EH Staff: Fee & Receipt #: Date: ��.�� I Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form COUNT 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: Address: Parcel Number: Inspection Date: Inspector's Name: Business Name:U Looms �, V14 it Phone Number 74 z: ,S/6. / /Ij Email:yv�i�✓a i-, Rro/0 /Yx3r J t7tt t/> 1 e"o,.1t Pitkin County Systems Inspe'dor License Number: A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by the licensed .5 stems Inspector within 60 davs o the ins ection regardless o whether the system asses or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YES If NO, how long has the home been vacant? SO _S' 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 00 If YES: Permit number: Date of Final Approval: #t 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 OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? ASS FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock?O YES Improper discharges such as straight pipes? ASS FAIL Evidence of high ground water? YES Snow cover present? N YES Page 1 IAIVK: Tank 1 Tank 2 Is a pump or dosing siphon present? Tank 3 Tank capacity OV gallons PASS FAIL gallons gallons Tank material' PASS FAiL SECONDARY TREATMENT: Is a secondary treatment unit present? # of compartments Z 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 Date of last primping / f 19W1 Z� If there is no maintenance contract, a contract must be in plate prlor to occupancy of the horhe: A copy of•tbe contract must be submitted to Pltkiii County Envlronrxienta. l: Health Q'epartment. Lids/risers in good condition <fPASJ FAIL PASS FAIL PASS FAIL Risers to grade E NO YES NO YES NO Riser height Field location verified by observation ports or probing: Ports Probing Liquid In observation port? YES Riser condition/watertightness y f�, J;A U Distribution Box or ADV part of original design? YES NO _ NNOW If YES, is it accessible from grade? YES Inlet sanitary T/baffle S FAiL PASS FAIL PASS FAIL 0utietsanitaiyT/baffle AS FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL (N -7A PASS FAIL N/A PASS N/A Condition of tank material ASS FAIL PASS FAiL PASS —FAIL FAIL Tank was pumped for inspection YES 0 YES NO YES NO If YES, list the pumping company If NO, when was the last pumping 1144 Z Scum level (1st compartment) Q inches inches inches Sludge level (Ist compartment) inches inches Inches Scum level (2nd compartment) D inches inches inches Sludge level (2nd compartment) 0 inches inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle S FAiI N/A PASS FAIL N/A PASS FAIL N/A Watertightness ASS FAIL PASS FA11 PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES �IO� 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 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 plate prlor to occupancy of the horhe: A copy of•tbe contract must be submitted to Pltkiii County Envlronrxienta. l: Health Q'epartment. ABSORBTION .AREA: Effluent surfacing? ASS FAIL Evidence of past surfacing? YES Surface dampness? YES '�ao Excessive odors? 0 YES _.. Field location verified by observation ports or probing: Ports Probing Liquid In observation port? YES If YES, record depth: inches Distribution Box or ADV part of original design? YES NO _ NNOW If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 Any —problems, with the system that were not addressed In the Inspection checklist? Pleasp list/any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? e1O YES If YES, please describe the repairs. Toth best I' my knowledge nd training, the info etion colt ted in this Inspection is accurate as of 2oY. Licensed Systems Inspector Signature: Additional Notes: Dearly 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 k the location of the system components for future reference, N ...... -`._-. ..� ...... _ ' ••_ _ _� .Y•+._.•.... — –� _tet Page 4 A► Invoice .rl Roto Rooter Plumbing P.O. Box 1800 Glenwood Springs CO 81602 970-945-5519 FAX: 970-243-8794 Invoice # 356028 [Account# 120469 Date: 11/26/12 Paaw f! 1 nF 1 Mason & Morse 0290 Hwy 133 CARBONDALE CO 81623 aerviae uaie 1L/UXIL rV 9 Job # 263700 Service At: Larry Bogatz 15505 Hwy 133 Carbondale CO 81623 REMOVE AND REPLACE ALL FAILING CAST IRON PIPE IN DOWNSTAIRS AREA TO WALL OF EXCERCISE ROOM. AT WALL OF EXCERCISE ROOM USE CIPP (CURED IN PLACE PIPE) TO REPLACE CAST IRON AFTER DESCALING AND CLEANING. THIS PROCESS DOES NOT REQUIRE ANY EXCAVATION AND IS VIRTUALLY A NEW PIPE. PUMP SEPTIC TANK AND DISPOSE OF WASTE AT TANK ATTACH NEW BAFFLE TEE WHICH IS BROKEN AND UNABLE TO FIX WITH NEW PIPE INTO TANK. ALL CONCRETE REPLACED AND BROUGHT TO EXISTING GRADE. TREATED SEPTIC TANK OUTLET LINE TO LEACHFIELD WITH BIO -REMEDIATION KIT. ALL NEW SEWER LINES COME WITH A LIFETIME WARRANTY TRANSFERABLE WITH HOUSE. Description Of Service Quantity Unit Price Extended Price Tax CONCRETE REMOVAL AND PIPE REPLACEMENT 1 $9,875.00 $9,875.00 CIPP SEWER LINE REPLACEMENT 1 $3,980.00 $3,980.00 APPLY BIO REMEDIATION KIT TO LEACH FIELD 1 $375.00 $375.00 PUMP SEPTIC TANK 1 $345.00 $345.00 WASTE DISPOSAL 1 $170.00 $170.00 DISCOUNT PUMPING AS PART OF LARGER JOB I ($150.00) ($150.00) Total $14,595.00 12/3/2012 Payment $5,000.00 12/17/2012 Payment $5,000.00 1/24/2013 Payment $4,595.00 Balance Due $0.00 Paid in Full. We appreciate your business'. 5] E IMPROVEMENT LOCATION CERTIFICATE A TRACT IN SECTION 9, T. 10 S. R 88 Y OF THE 6TH P ff.. PITKIN COUNTY, COLORADO clZM�5p off- .INCH = 50 FEET � 0 10 � �W P IS F0 G �m 1�wr W I lorw.l9.a .. 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