HomeMy WebLinkAboutpitkin.eh.272929201025 (2016)���rxiN
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Pitkin County Environmental Wealth Department
%6 Onsite Wastewater Treatment Sy�_(OWTS) USE PERMIT
Permit for Continued Use of on Existing OWTS
76 Service Center Road, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
www.aspenpitkin.com/EHNR
Parcel ID #: 2729-292-01-025
OWTS Use Permit #: 0041.2016.POWU
Date Issued: 9/26/2016
Issued By: Bryan Daugherty
Expiration Date: 9/26/17
Owner(s): I Nicholas and Lydia Senn
Property Address:
13 Chair Mountain Dr
Legal Description:
Lot 35, Crystal River Park
Licensed Inspector: Carla Ostberg
Inspection Date(s): 9/16/16
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Concrete two-compartment tank 1500 gallons
Secondary Treatment Unit
Absorption Area Dry well 473 ft'
Other System Components
®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 #: 02018 Date of Issuance: 4/10/02 Date of Final Approval: 8/16/02
# of Bedrooms or fixtures served by OWTS: This system was designed to serve 3 bedrooms
Operational Status: According to the inspector's observations, the system was functioning as designed at the time of inspection.
The tank was in good, watertight condition with tees and effluent filter in place. The dry well did not have access but ground near
the absorption area were dry and showed no signs of failure.
Inspector Recommendations: Add risers to the tank so it is accessible from grade, clean effluent filter yearly or as needed.
Department Recommendations: N/A
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 h_ Ith Department
,01 T K I N Onsite Wastewater Treatment System (OWTS)
COUNT'� USE PERMIT APPLICATION
76 Service Center Rd
Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Annlirt-atinn fnr Cnntinued Use of an Existina OWTS
r .
Company:
Parcel ID# (available from the Pitkin County Assessor's Office
F
�, Z Z. Q 0 Z J
1
970-920-5160 or at www.pitkinassessor.org):
Business Phone:
Purpose of Use Permit:
19 PROPERTY TRANSACTION
❑REMODEL/ADDITION
Property Address:
D rt--
L 'tt-taSTaat � t,a $ 1 <j
Lot: Block: Filing:
Subdivision:
Residences: Other
# of Bedrooms: fixtures/uses:
Property Owner(s)': Email Address:
I•l•C,aOLA ♦ LvD�A 5�in �S�nn@,C��.C.d�
Owner's Mailing Address: City, State, Zip:
S 5 %%-" Gi,. F'F L GL&Pj,.P -0 Ob S'tc. oj45
Home Phone: Business Phone:
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*r'nntar:t information must be provided for the owner signinq this application
Primary Contact Person/Applicant (if not owner):
t.4% C- %A OA- rr5
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
icensed Systems Inspector: Phone Number: Email Address: Fax Number:
C h ts. v N O Si t-iL- V5 L"G 41 '"t -5 257
Failing Address: City, State, Zip:
PLEASE READ BEFORE SIGNING:
I certify that the above information is complete and accurate and that I
included in my application package.//I acknowledge that this departme
inaccurate, false, or misleading inf'vZion.
provided complete and accurate information in all of the documents
V revoke any permit I am issued if my application is found to contain any
Owner Signature (Required): Date:
Zo SL. P T
Applicant Signature: Date:
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Received by EH Staff: Fee & Receipt #:
mi
Date:
irKIN Pitkin County Environmentooealth Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT CHECKLIST
LI Permit for Continued Use of an Existing OWTS
76 Service Center Rd Aspen, CO .81611
Phone: 970.920.5070 Fax: 970.920.5374
Website: www.aspenpitkin.com/ehnr
Some items listed on this checklist may already exist in the Department files. Please contact
this department to collect any necessary documentation, using the parcel ID# to identify the
property, priorto scheduling an OWTS Use Permit inspection and/or submitting the OWTS Use
Permit application packet.
A complete application package must be presented at the time of your pre -application
conference for acceptance. To schedule a pre -application conference, please call (970) 920-
5070.
PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION
Only one copy of each item is necessary. Electronic versions of any or all of the documents
identified below may be emailed to ehnr(a)_co.pitkin.co.us before the date of the pre -application
conference.
OWTS Use Permit Application (completed)
Site Plan (11x17)
❑ Should include general location of each OWTS, buildings, water
courses, domestic water source(s), and other pertinent
information.
Building Floor Plans (11x17)
Y Current floor plans for a property transaction; or
❑ Proposed floor plans for an addition/remodel that does not
increase potential bedroom count or water usage of the structure
served by the existing OWTS.
Inspection report by a Licensed Systems Inspector
❑ A list of Licensed Systems Inspectors can be found at
www.aspenpitkin.com/ehnr
/ An inspection report is good for one year.
,y/ Applicable Fee
❑ OWTS Use Permit: $100
Please make checks payable to Pitkin County Environmental
Health Department.
September 18, 2016
Nick and Lydia Senn
lydiasenn outlook.com
nsenn rfta.com
L
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg(c_)gmail.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
133 Chair Mountain Drive
Pitkin County, Colorado
Nick and Lydia,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 133 Chair Mountain Drive, Redstone, Colorado on September 16, 2016. The legal
description of the 0.23 -acre property is Lot 35, Crystal River Park.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2729-292-01-025). The subject OWTS consists of one 1500 -gallon, two-compartment concrete
septic tank with an effluent filter on the outlet tee. Effluent gravity flows to a 15' x 7' x 12' deep drywell.
Individual Sewage Disposal System Permit 02018 documents this system. The system was sized to
accommodate 3 bedrooms and the permit was finalized on August 16, 2002.
We did not observe a clean out in the location noted on the as -built drawing provided by Pitkin County.
The septic tank is located to the south of the residence, at the boundary of the yard and native grasses.
The inlet side of the septic tank was accessible from grade, and the outlet side of the septic tank was
uncovered and found to be 8 -inches below grade. We recommend adding a 6 -inch riser to the outlet side
of the septic tank.
The septic tank was pumped by B&R Septic at the time of the inspection. The effluent filter was cleaned
at the time of pumping.
Effluent gravity flows to a drywell, located east of the septic tank. There was no access to the drywell;
therefore, the drywell was not able to be inspected. Photographs provided by Pitkin County indicate the
drywell does not consist of manhole rings. There is only a pit with gravel and distribution piping on top,
with the distribution piping located approximately 4 -feet below grade. There were no inspection ports
visible at the time of the inspection, although there are indicated on the as -built drawing and in the
photographs. There was no backflow into the septic tank at the time of pumping. We walked the
approximate area of the drywell and there was no surface saturation and no evidence of failure at the
time of the inspection.
This evaluation is not a guarantee of future system performance. This inspection is good for one year.
Recommendations:
Clean effluent filter annually, or as needed.
Add 6 -inch riser to outlet side manhole lid.
14
k
This report and a completed OTWS Use Permit Application packet must be submitted to the Pitkin
County Environmental Health Department. The following links are the required application and
application checklist.
Application:
http://www.pitkincounty.com/DocumentCenter/HomeNiew/621
Application Checklist:
http://www.pitkincounty.com/DocumentCenter/HomeNiew/620
Disclaimer: This inspection is intended only as an evaluation of the present condition of the OWTS
based upon what was observed and the Licensed Inspector's expertise in onsite wastewater technology.
The Inspector has not been retained to warrant or guarantee the proper functioning of the system for any
period of time in the future. Because of numerous factors which may affect the operation of an OWTS,
as well as the inability of the Inspector to supervise or monitor the use or maintenance of this OWTS, this
report shall not be construed as a warranty by the Inspector that the system will function properly for any
particular prospective buyer, and the Inspector disclaims any warranty, either expressed or implied,
arising from the inspection of the OWTS or this report. The evaluation does not ascertain the impact the
system is having on groundwater.
Please call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 11 0441T Exp. April 2018
Arrows point to inlet side manhole lid
0
Outlet manhole lid 8 -inches below grade, recommend ti-incn riser.
Outlet tee and effluent filter
T K I N Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
COUNV 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:
Phone Number
Email:
�� 35
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Pitkin County Systems Inspector License Number. 017
A copy of this insaection report will 6e remitted to Pitkin Countv Environmental Health nepart,n�nt _�_,
the Licensed Systems Inspector within Eft days of the inspection reaardlacc of whPthvr the cvct.-1--
posses or fails.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? YES
If NO, how long has the home been vacant? ' 3 11 Z.J t
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?YE NO
If YES: Permit number: l7 _W
Date of Final Approval: i j /,,? ,p
# of bedrooms permitted: a 3 r W" 1 v "A
Was an as -built drawing available? YE NO v 9, � $ 1� I (\0
Is the as -built drawing accurate? S= NO { 3
If NO: Complete a drawing of the system on last Odge 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?
PASS"
FAIL
Improper vegetative cover?
c9d;
YES
Evidence of compaction such as heavy machinery or livestock?
(--NO
YES
Improper discharges such as straight pipes?
PASS•
FAIL
Evidence of high ground water?
NUJ'
YES
Snow cover present?
NO
YES
Page 1
TANK:
Tank 1
If YES, is the pump/dosing siphon functioning properly?
Tank 2
Does the pump/wiring/dosing siphon appear to be in good condition?
Tank 3
Tank capacity
j
gallons
gallons
NO UNKNOWN
gallons
Tank material
�+ r
NO UNKNOWN
Maintenance Provider: Phone:
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
# of compartments_
Date of last pumping
r�
;
Lids/risers in good condition
PASS
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
YES
NO
YES
NO
YES
NO
Riser height
Riser condition/watertightness
Inlet sanitary T/baffle
Outlet sanitary T/baffle
PASS
FAIL
FAIL
PASS
PASS
FAIL
FAIL
PASS
PASS
FAIL
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 -'
NO
YES
NO
YES
NO
If YES, list the pumping company
4
` _
'
-
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)
inches
inches
inches
Backflow (if pumped)
PASS
FAIL
PASS
FAIL
PASS
FAIL
Midtank baffle
PASS FAIL
N/A
PASS
FAIL N/A
PASS
FAIL N/A
Watertightness
PASS
FAIL I
PASS
FAIL
PASS
FAIL
PUMPS/DOSING SIPHONS:
Is a pump or dosing siphon present?
YES
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
NO UNKNOWN
If YES, does the unit appear to be in good working condition? YES
O
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 place prior to occupancy of the home. A
copy of the contract must be submitted to Pitkin County Environmental
Health Department.
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
NO
.NQ--�
Ports
NO
FAIL
YES
YES
YES
Probing
YES
inches
YES �NO
YES NO
PASS FAIL
Page 2
UNKNOWN
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations for the continued use of the system:
Were any repairs done as a result of this inspection? N ) 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
�0 20 .
Licensed Systems Inspector Signature: �,, C r°'►
Additional Notes:
A 01
t�
Clearly label any pictures and attach them to this form.
Page 3
n
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
the location of the system components for future reference.
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