Loading...
HomeMy WebLinkAboutpitkin.eh.272929201047 (2013)Pitkin County Environmental E'-alth Department Onsite Wastewater Treatment Systr,n (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 www.aspenpitkin.com/EHN R Parcel ID #: 2729-292-01-047 OWTS Use Permit #: I 0006.2013.POWU Date Issued: 2/21/13 Issued By: Bryan Daugherty Expiration Date: 2/21/14 Owner(s): I Aurora Bank FSB Property Address: 28 CrystalRiver Park Dr. Legal Description: Lot 31A, Crystal River Park, First Addition Licensed Inspector: Paul Rutledge Inspection Date(s): 12/6/12 & 1/22/13 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 compartment tank 1500 Gallons Secondary Treatment Unit N/A N/A Absorption Area Mound System 2625 sq ft Other System Components Dosing Pump 1000 gallons 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 #: 97051 Date of Issuance: 11/17/97 Date of Final Approval: 12/17/97 # of Bedrooms or fixtures served by OWTS: 3 Operational Status: From the inspector's observations, the system was working properly at the time of inspection. The 1500 gallon, 2 compartment concrete tank was in good working condition with both inlet and outlets in place. This tank flowed to a dosing tank which is shared by the neighboring property. The pump then dosed the "Wisconsin Mound" type absorption area which is also shared by the neighboring property. There was no evidence of failure or surfacing effluent at the mound area and no liquid was seen in the observation port. Inspector Recommendations: Inspector recommends inspecting the septic and dosing tanks every 6 months. Department Recommendations: We recommend bringing the tank lids to grade with risers for easier access to the tanks. 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 JVJ ► Onsite Wastewater Treatment System (OWTS) COIIJNTt USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Annlinatinn for Continued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.pitkinassessor.org): �� � ! is w :�•� N Contact/Applicant Mailing Addr s: City, tate, Zip: Purpose of Use Permit: ROPERTY TRANSACTION ❑REMODEL/ADDITION Business Phone: Property Address: i Fax Number: Email Address: 2 a r�i v c s o�v c D G 23 Lot: Block: Filing: Subdivision: � cs� v ✓� a� /' i i'.s Residences: Other # of Bedrooms: fixtures/uses: ct /'o m Property Owner(s)*: Email Address: v- o,v� f% Co J a•4f�r occ�u o Owner's Mailing Address: City, State ip: ar �:a L $ o 6> O 2 Home Phone: Business Phone: 'Contact information must be provided for the owner signing this application Primary Contact Person/Applicant (if not owner): Company: � ! is w :�•� N Contact/Applicant Mailing Addr s: City, tate, Zip: O Cell Phone: Business Phone: 4z 7 f f 7 Ao 0 7o 0711 Fax Number: Email Address: D7a f 03 3 .- to Indicate Preferred Method o` Permit Receipt: Email El Fax ❑ US Mail Licensed Systems Inspector: Phone Number: Email Address: Fax Number: t/1` c it w w s 9Jo7d3'a3�t i"v J e d Mailing Address: ICity, State, Zip: / 23 PLEASE READ BEFORE SIGNING: I 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. Owner Signature (Required): Date: Applicant Signature: Date: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONL Received b H Staff: Fee & Receipt #: Date: . Pitkin County Environmental Health Department It Onsite Wastewater Treatment System (OWTS) .a USE PERMIT CHECKLIST 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, prior to 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. ' �I OWTS Use Permit Application (completed) Scc �prj�os�Y Site Plan (11x17) s�� �' a�%C� C'' --Should include general location of each OWTS, buildings, water courses, domestic water source(s), and other pertinent information. Building Floor Plans (11x17) Sic a lli� de,� Q 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 jr G A list of Licensed Systems Inspectors can be found at www.aspenpitkin.com/ehnr An inspection report is good for one year. -� Applicable Fee [!�_OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. ,K IN Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form OUNT� Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 C«f t" ~ ) 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:y 00e Q ga Al h 1�.SL3 / �c ;���n Address: �p p , I 4l- t# l/ /' -A ZLI 4. AJZ_ 10 r--1_3/2¢ e,& I-Jve- Parcel Number: 2 7 7 4 2 !ZZ o/ 4 94 7 Inspection Date: Z —a -./Z / —,z Z— /-? Inspector's Name: Pa 79lcala Business Name: Phone Number y7 o Email: Pitkin County Systems Inspector Licens umber: A copy 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 INSPECTION: Is the home currently occupied? YES NO If NO, how long has the home been vacant? ,� %,,,A How many bedrooms are in the home? .3 If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? NO If YES: Permit number: 9 70 Date of Final Approval: -7 ! 9f9f # of bedrooms permitted: , ? =a -r- Was Was an as -built drawing available? ES NO Is the as -built drawing accurate? YES CJ& If NO: Complete a drawing of the system on lost page of this form as accurately as possible. SCC ::214ec4co' oloov Any question marked FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: �� Proper grading, no evidence of erosion? Com' FAIL Improper vegetative cover? C.TJd1:P YES Evidence of compaction such as heavy machinery or livestock? Cjj53 YES Improper discharges such as straight pipes? <:FEig_P FAIL Evidence of high ground water? �1 YES Snow cover present? 2 -G—L Z <10 YES Page 1 k k -,7114 TANK: Tank 1 Tank 2 Tank 3 If YES, is the pump/dosing siphon functioning properly? Tank capacity 00 gallons Does the pump/wiring/dosing siphon appear to be in good condition? gallons FAIL gallons Tank material cry SECONDARY TREATMENT: Is a secondary treatment unit present? YES �N # of compartments 2 NO Does the owner have a current maintenance contract for the unit?1W YES NO UNKNOWN Date of last pumping W114 Lids/risers in good conditionCPA-SpFAIL PASS FAIL PASS FAIL Risers to grade (105, gph NO YES NO YES NO Riser height Z Riser condition/watertightness Inlet sanitaryT/baffle AS FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle PA FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL jW PASS FAIL N/A PASS FAIL N/A Condition of tank material FAIL PASS FAIL PASS FAIL Tank was pumped for inspection (VE7> NO YES NO YES NO If YES, list the purnping company If N0, when was the last pumping LV Scum level (1st compartment) Xr inches Cj inches inches Sludge level (1st compartment) fit inches / = Z n inches inches Scum level (2nd compartment) inches inches inches Sludge level (2nd compartment) 6 /r inches Q inches inches Backflow (if pumped) AS FAIL PASS FAIL PASS FAIL Midtank baffle ASS FAIL N/A PASS FAIL N/A I PASS FAIL N/A Watertightness A FAIL PASS FAIL I PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? NO If YES, is the pump/dosing siphon functioning properly? AS FAIL Does the pump/wiring/dosing siphon appear to be in good condition? AS FAIL Is the high water alarm working, both visible and audible? PAS FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? YES �N UNKNOWN If YES, does the unit appear to be in good working condition? 1'0-f,o YES NO Does the owner have a current maintenance contract for the unit?1W YES NO UNKNOWN Maintenance Provider: &/14 Phone: W114 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? FAIL Evidence of past surfacing? YES Surface dampness? �GJ-�- YES Excessive odors? ( YES Field location verified by observation ports or probing: <:FoNF Probing glA, 5f//j ,, 'j,) Liquid in observation port? YES If YES, record depth: inches Distribution Box or ADV part of original design? YES C:::&� UNKNOWN If YES, is it accessible from grade? YES NO Is it level and in good condition? ,(/�/.� PASS FAIL Page 2 t 0 Any problems with the system that were not addressed in the inspection checklist? A/ ` 60C. G it/ S l f 6a+�t.aW a -- Z L / w N 41 0" w, CRS d' Z l �or's� ! ' 1 scam. ©Od a a✓ 1/ 1 @ GlGt �,S ��e� 4/`IN E=T F"� <Aj/-l�jGUfi�,.JI $Ge0Q. Please list any mendations for th(e continued uof the system: l� / v Were any repairs done as a result of this inspection? N YES If YES, please describe the repairs. /j�Q � _ QC0 4, µe4,4 + r�awtr �l�G-rCW To the est f my knowledge and training, the information collected in this in ection is accurate as of L 200 Licensed Systems Inspector Signature: 6 Orlrlitinnal Nntac- Clearly label any pictures and attach them to this form. Page 3 tom . 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. Page 4 UPPER FLOOR -1" =10' z 0 M H (f) Z O 0 Q O LLI 0:: 7 O 0 o Q-' z w Q :D LU a 0 a J Z C7 Q z F `1 c O � m co C14 DATE: 2/6/2013 III JOB NO. 12176 SHEET 1 OF 1 I� LOT 31A 28 CRYSTAL PARK t EXISTING 1500 DRIVE } L. SEPTIC TANK PARCEL # APPROX EXISTING 272929201047 SEPTIC FIELD EXISTING DECK CORNER EXISTING ELECTR AL BOX EXISTING OBSERVATION PORT EXISTIN 000 GAL DOSING TANK /SIMPLEXLOW HEAD EWAGE PUMP EXISTING 1500 GAL. SEPTIC TANK LOT 30A 48 CRYSTAL XISTING PARK DRIVE GARAGE PARCEL# CORNER 272929201045 GRAPHIC SCALE zo o 10 20 40 ( IN FEET ) 1 inch = 20 ft w O D Y < off O = d O UL g J } Y Q U a Z U)0 F- vw O 0 - Lu L U z C/) cO L v F- 00 CV JOB NO. 12176 SHEET 1 OF 1 GENERAL NOTES: APPROX LOT LINES PER PITKIN CO. GIS 1. ALL LOCATIONS ARE APPROXIMATE 2. EXISTING OWTS PERMIT#97051 EXISTING 3. PITKIN COUNTRY GIS MAPING HAS BEEN ECK USED FOR THE BACKGROUND OF THIS OFINER DRAWING. EXI TING 4. SWING TIES WERE MEASURED IN THE _ PRO RTY FIELD. CORN R S. OTHER REFERENCES INCLUDED AN IMPROVEMENT LOCATION CERTIFICATE PERFORMED BY LINES IN SPACE REVISED EXISTING 6/2/97 AS WELL AS THE PLAT FOR THE UTILITY POLE CRYSTAL RIVER PARK SUBDIVISION REVISED IN 1966. EXISTING GARAGE CORNER GRAPHIC SCALE zo o 10 20 40 ( IN FEET ) 1 inch = 20 ft w O D Y < off O = d O UL g J } Y Q U a Z U)0 F- vw O 0 - Lu L U z C/) cO L v F- 00 CV JOB NO. 12176 SHEET 1 OF 1