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HomeMy WebLinkAboutpitkin.eh.272909200021 (2013)Pitkin County Environmental , 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 #: 2729-092-00-021 OWTS Use Permit #: I 0025.2013.powu Date Issued: 06/03/2013 Issued By: Kurt Dahl Expiration Date: 06/03/2014 Owner(s): I Phillip and Carolyn Gaylord Property Address: 606 Dorais Wy Legal Description: Absorption Area Licensed Inspector: Carla Ostberg Inspection Date(s): 05/13/2013 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment tank 1500 gallons Secondary Treatment Unit N/A N/A Absorption Area Dry Well 1440 ftZ 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 #: 99032 Date of Issuance: 06/01/1999 Date of Final Approval: 05/10/2000 # of Bedrooms or fixtures served by OWTS: The system was designed for 3 bedrooms. The exercise room and study are not considered bedrooms for the purpose of this permit. Operational Status: The inspector indicated the system appears to be functioning properly and not in failure. The septic tank is in good condition and there is no evidence of saturation or surfacing effluent from the soil treatment area. Risers and new manhole lids were added to bring the access closer to grade. Inspector Recommendations: Although difficult, add an effluent filter. Pump tank in the next year. Department Recommendations: Add an effluent filter and pump tank in the next year. Do not connect the drain from a therapy pool to the septic system. Please call this office if there are any questions about proper disposal of water from a therapy pool. 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 ©C)Zs, Zola• iP0\1jv Pitkin County Environmental Health Department i'rK I N Onsite Wastewater Treatment System (OWTS) +� CO >vNT� USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ _A! _— r__ n_..a:.......1 I I-- . f -.. Gvic+inn IrivuTS Atf tf■. VGla.v.■ ■v• __ __ -- - _ Parcel ID# (available from the Pitkin county Assessors Office_ Z � 2 �� 2 OZ 970-920-5160 or at www.pitkinassessor.org): Purpose of Use Permit: ❑ PROPERTY TRANSACTION Ej REMODEL/ADDITION Property Address: (0 0 c' l 0. e -i's f 0 /� Ud ra 1 s C� Y Lot: Block: Filing: Subdivision: P-,rce,l _Z -d -2 7a9 - 09.?-- 0 o - n d-1 Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)*: /0/,,'H1-42 I Caro L-, Owner's Mailing Address: 6c; I)arcu. 6Jay Home Phone: 970 9 6 ? /d-- *r,...a—f inf—tine mast he nmvided for the owner City, State, Zip: e-P'/'Ile , (-o Primary Contact Person/Applicant (if not owner): Company. L / /+ AML Contact/Applicant Mailing Address: City, State, Zip: C3":111 / (.D f Cell Phone: '� %D Busi ess Phone: 970 9 6 - 9` -2-o Fax Number. Email Address: 0 Indicate Preferred Method of Permit Receipt: ® Email Fax ❑ US Mail EAD BEFORE SIGNING: 1 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. Miner a equired): ate pplica,nt Signature: ate: Please allow 3-5 business days for processing of Use Permits. IFOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date:ZC� eA-9 $loo 3`11(0 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 :� w^ 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: A. 1hi, Address: Wo Pj Parcel Number: 3cl Inspection Date: YV,A j I P,) Inspector's Name: CA rt 0 _(jz , Business Name;- 04 Phone Number GI:j I}525:� Email: f�, f �:(.� . 05 l' f lel lam. 'y ,I.4 �' � , (b...iy) Pitkin County Systems Inspector License NumbW.- O 1--7 A cry of this JLn_s2Cgft report will be remitted to Pitkin County Environmental Health Department by the Licensed Systems tnwWakr whft 60 bays ctf the inspection regardless of whether the system passes or fails. QUESTIONS FOR PROPERTY OWNER PRIOR To NSor4CTION: Is the home currently occupied? YES 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? RECORDS: Were system records available from Pitkin County? DYE NO If YES: Permit number: 0`190-7J2 Date of Final Approval: (3 1.00 # 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 isstsecl. SITE CONDITIONS: Proper grading, no evidence of erosion? PASS FAIT. Improper vegetative cover? N YES Evidence of compaction such as heavy machinery or livestock? 0 YES Improper discharges such as straight pipes? k.P FAIL Evidence of high ground water? NU YES Snow cover present? r NiT 1 YES Page 1 TANK: Tank 1 Does the pump/wiring/dosing siphon appear to be in good condition? Tank 2 Is the high water alarm working, both visible and audible? Tank 3 Tank capacity NO gallons �NO D UNKNOWN gallons NO gallons Tank material P, Liquid in observation port? 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. If YES, record depth: # of compartments Distribution Box or ADV part of original design? YES NO UNKNOWN If YES, is it accessible from grade? YES NO Date of last pumping PASS FAIL Lids/risers in good condition P FAIL PASS FAIL PASS FAIL Risers to grade NO I YES NO YES NO - Riser height 1/ Riser condition/watertightness Inlet sanitaryT/baffle PASS FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle PASS FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Condition of tank material PASS" FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES � N61, YES NO YES NO If YES, list the pumping company If NO, when was the last pumping Scum level (1st compartment) 12- inches inches inches Sludge level (1st compartment) `d inches inches inches Scum level (2nd compartment) " inches inches inches Sludge level (2nd compartment) '' inches inches inches Backflow (if pumped) PASS f ) FAIL PASS FAIL PASS FAIL Midtank baffle "PAS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES N". -r 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: NO Is a secondary treatment unit present? YES �NO D 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: Liquid in observation port? 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: 4 6V- Effluent surfacing? `PASS FAIL Evidence of past surfacing? NO' YES Surface dampness? NO YES Excessive odors? YES Field location verified by observation ports or probing: Ports Probing 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 Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: 1, 'K Urd - •$'/' LP 'g ;t 6g u ' — �a 1:- % Were any repairs done as a result of this inspection? NO YES If YES, please describe the repairs. To the best of my knowledge and training, the information collected in this inspection is accurate as of 20_L3_. Licensed Systems Inspector Signature: a, U21- z� , x Additional Notes: Clearly label any pictures and attach them to this form Page 3 Aspen/Pitkin Environmental Health Department Permit for an Individual Sewage Disposal System 130 S. Galena St. Aspen, Colorado 81611 Phone 970-920-5070 / FAX 970-920-5197 Permit # 99032 Parcel ID # 2729-092-00-021 Type of permit New( X ) Repair( } Addition to House( } Name of Owner Thomas & Sherry Rubin Street Address Dorias lane, Redstone Property legal description Size of lot 0.741 acres Total square footage of the house 2,400 Water source Private Well If of bedrooms in house 3 # of offices, lofts & similar sized rooms in house 1 loft Caretaker unit 0 Total square footage of the caretaker unit 0 # of bedrooms in caretaker unit 0 # of offices, lofts & similar sized rooms in caretaker unit Designed for what # rooms (list), THREE. Septic system is NOT sized for loft tor be used as a bedroom Permit information Designed by High Country Engineering Mailing Address 923 Cooper Avenue, Glenwood Springs, CO 81601 Perc rate 47 mpi Profile hole depth 24 it Depth to groundwater or bedrock + 24 ft Septic tank capacity 1,500 gallons Absorption area 1,.440 sq ft Comments Septic permit approved per compliance with the engineer design and specifications dated 5/17/99. Design is for a 1,500 gallon two compartment concrete tank and a 1440 sq It drywell. 1 G � Permit approved by: i Date: Plans and specifications of the profs sed individual sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was issued unless system construction has commenced or an extension has been approved in writing by the Department. As -built drawings must be included with this permit before the final approval will be issued. i Installer: Final inspection approval: � �_�` Date: � o o A fit.' z t71 � S i r�cn ti a rf.. Arn ih m a�rn y 67� jj 4Z {T p l LJ� h' S3 � D u 'a � Q 00 7 a r tS7 A sa m� LO m m m �- Di+ — t C7on 3 T G 6 r• n �7 tri D � Q m 2 m A fit.' z t71 � SHERRY RUBN PiTK(N COUNTY. COLORADO {NDMDUAL SEWAGE DISPOSAL SYSTEM! RESIDENCE SOUTH OF REDSTONE i r�cn ti a xY D m t7 ih a�rn jj 'a tS7 A sa m� c7 D c� �7 tri � m �j nJ i UyY -ryM08 O2 j P !moi a zb - = e t >zo d 10> 0 7 rl t*t (t U fT5 1(-�''ry �0 i t i* S* b f�*1 wrn zr m>U`..0 � r t* p�5 !u; nW vc'7C r vsC m z _i A CI O m m P SHERRY RUBN PiTK(N COUNTY. COLORADO {NDMDUAL SEWAGE DISPOSAL SYSTEM! RESIDENCE SOUTH OF REDSTONE i r�cn ti a xY D m t7 ih May 14, 2013 Phil and Carolyn Gaylord 606 Dorais Way Redstone, CO 81623 Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 606 Dorais Way Pitkin County, Colorado Mr, and Mrs. Gaylord, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 606 Dorais Way on May 14, 2013. The permit and proposed drawing was provided by Pitkin County Environmental Health Department (Parcel ID #2729-092-00-021). The subject OWTS consists of one 1500 -gallon two-compartment septic tank. Effluent gravity flows to a drywell with 1440 square feet of infiltrative area (according to Pitkin County's ISDS Permit). The septic tank appeared to be in good condition. Both inlet and outlet tees were in place and visible. There was minimal sludge and scum in the first compartment of the septic tank; however the second compartment of the tank had a larger accumulation of sludge due to not being pumped with the rest of the tank in 2011. Pumping is recommended in the next year. A 12" riser was added to the first compartment lid and a 6" riser was added to the second compartment lid for easier access to the tank in the future. The area of the drywell showed no signs of saturation, and had no indication of failure. There is no access to the drywell. This evaluation is not a guarantee of future system performance. This inspection is good for one year. This report should be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit% 20Application.pdf Application Checklist: http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Perimt% 20Application%20Checklist.pdf CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 4`'' cell) 970-309-5259 office) 970-704-0484 carla.ostberg(a_gmail.com May 14, 2013 Phil and Carolyn Gaylord 606 Dorais Way Redstone, CO 81623 Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 606 Dorais Way Pitkin County, Colorado Mr, and Mrs. Gaylord, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 606 Dorais Way on May 14, 2013. The permit and proposed drawing was provided by Pitkin County Environmental Health Department (Parcel ID #2729-092-00-021). The subject OWTS consists of one 1500 -gallon two-compartment septic tank. Effluent gravity flows to a drywell with 1440 square feet of infiltrative area (according to Pitkin County's ISDS Permit). The septic tank appeared to be in good condition. Both inlet and outlet tees were in place and visible. There was minimal sludge and scum in the first compartment of the septic tank; however the second compartment of the tank had a larger accumulation of sludge due to not being pumped with the rest of the tank in 2011. Pumping is recommended in the next year. A 12" riser was added to the first compartment lid and a 6" riser was added to the second compartment lid for easier access to the tank in the future. The area of the drywell showed no signs of saturation, and had no indication of failure. There is no access to the drywell. This evaluation is not a guarantee of future system performance. This inspection is good for one year. This report should be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit% 20Application.pdf Application Checklist: http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Perimt% 20Application%20Checklist.pdf Please call with questions. Sincerely, Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # ITC 11042010 Exp. 2014 Inlet tee Outlet tee (slightly angled downward/ watch for future settling) View of tank lids looking northwest View of tank lids looking southwest B & K Septic Service, Inc. Rooter & Jetting Service Video Insvection Service 0603 Handy Drive Carbondale, CO 81623 Sill To --- Philip Gaylord 606 Dorias Way Redstone, CO 81623 Quantity Description Pump septic tank - solid tank only 1,0001 Dump Fee Sales Tax i P.O. No. Invoice Date Invoice # 4/15/2011 5892 Terms Due on receipt Rate 250.00 0.15 3.90% Project Amount 250.00 150.00 0.00 Thank you for your business. Carbondale Aspen Fax Total $400.00 (970) 963-3814 (970) 920-2059 (970) 963-6070 LX i 1 s i 1 Septic, Rooter & Jetting Service 0603 Handy Drive Carbondale, CO 81623 a 963-3814 920-2059 uusTomer S Order No. Date _ 20 {1P Name t �1 `n t Cit Address SOLD BY CASH C.". CHsA?E" 'ON `'R11DSE. PAID�OUT ACCT. RETD. QUAN. DESCRIPTION PRICE v v _ , TOTALi/? All claims and returned goods MUST be accompanied bytbis'bill. Ary GS46 QUICK VALLEY PRINTING INC.- GLENWOOO SPRINGS, CO 8160P 045-6230 31058447 8-3 ; i B & R Septic &; Rooter Service 0603 Handy Dr. Carbondale, CO 81623 (970) 963-3814 BILL TO Philip Gaylord 606 Dorias Way Redstone, CO 81623 Invoice JOB SITE Philip Gaylord 606 Dorias Way Redstone, CO 81623 Invoice Number: 144718 Invoice Dat 07 -Aug -200 Order Num: 23651 Serviced 07 -Aug -2006 P.O. Number: Jab Description: 144718 Quantity C ServiceType Extension +,L—Tax , x2 rkers� 1 Pumping $566.00 No No 1 Digging $200.00 No No 1 Risers -12 inch $55.00 Yes No 1 Lids $45.00 Yes No 1 Delivery Charges $80.00 No No Subtotal NonTaxed: $846.00 Subtotal Taxed: $100.00 @ 3.4% $3.40 Pitkin Users Tax Tax: $3.40 Subtotal: $949.40 Less Payment: $0.00 Please Pay; $949.40 Payment Terms: Net 10 r CBO Inc. —fir_ 33 Four Wheel Drive Road "� �` • Carbondale, CO 81623 Phil Gaylord 606 Dorais Way Redstone, CO 81623 M .c t 1 5/13/2013 136 Mn z 2 m n642o�� n O D { � r m x U) -- IE �J MEDICAL HYDROTHERAPY UNIT ENCLOSURE for PHILIP GAYLORD 0606 DORAIS WAY N ( rt REDSTONE, COLORADO 81623 E D K O z D R R XD N D m O z --I 0 R R XD N D 3 > cnXzn T m z z r c O v r M z Z D G) G) m x D N D z G7 X z A N m O v - En o w ID II II II it 0 0co 0 1 o II II II T N w f^'„ W w l.Il w 10 ro o .�. 10 rn o T T T m (A m m T r N nLLn w rt MEDICAL HYDROTHERAPY UNIT ENCLOSURE for PHILIP GAYLORD 0606 DORAIS WAY REDSTONE, COLORADO 81623 a