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HomeMy WebLinkAboutpitkin.eh.272929202011 (2017)�OfTKIN vl" Couxx� Pitkin County Environmental 4ealth Department Onsite Wastewater Treatment Syh,em (OWTS) USE PERMI- 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 #: 2729-292-02-011 OWTS Use Permit #: I 0037.2017.POWU Date Issued: 06/21/2017 Issued By: Bryan Daugherty _ Expiration Date: 1 06/21/2018 Owner(s): I Scott Stegall Property Address: 440 Crystal Park Drive Legal Description: Lot G Crystal Park Subdivision Licensed Inspector: Jason Daubs Inspection Date(s): 4/13/2017 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment septic tank 2000 gallons Secondary Treatment Unit Absorption Area Dry well 1184 ft2 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 #: 07087 Date of Issuance: 11/5/07 Date of Final Approval: 12/3/07 # of Bedrooms or fixtures served by OWTS: System is designed to serve 4 bedrooms. Operational Status: According to the observation at the time of inspection, the system was functioning as designed. The tank was in good condition, risers were accessible from grade and tees were in place. The dry well did not have standing water at the time of inspection and appeared to be in good condition. Inspector Recommendations: N/A Department Recommendations: Annual maintenance. 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 11�lyl. 2.0l -3, PdWu Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.conVehnr/ Annfir_atinn fnr r__AnGnss^rl 11__ —49 jFOR OFFICE USE ONLY I (Received by EH Staff: Fee & Receipt P Date: Parcel IDI (available from the Pitkin County Assessors office 970-920-5160 or at www-oitkinassessor orgl: of Use Permit: PROPERTY TRIdiSACTTON ❑ REmoi)EvADomoN Property Address: S Lot Block: Ing: bdivlston: Residences: O 6 of Bedrooms: IMMMsrus• jFOR OFFICE USE ONLY I (Received by EH Staff: Fee & Receipt P Date: W 11111110 K ! N Onsite Wastewater Treatment Systems (OWTS) Use / Permit Inspection Form 4)'C0tl NT 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: JCU j r S lie C Address:00 Ri ).vrp Y16 Parcel Number: c Inspection Date: Inspector's Name: Business Name: j/�—% ,yi C LL. C. Phone Number Email: 11 ' 7 -LI), -- Pitkin Pitkin County Systems Inspector License Nu ber: C A cony 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? C E J 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? /j✓fit RECORDS: Were system records available from Pitkin County? YE NO If YES: Permit number: 0 '%L) Date of Final Approval: l 2 .2ec '7 # 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 OMITS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? JNO FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? FAIL Evidence of high ground water? YES Snow cover present? YES Page 1 E TANK: Tank 1 NO Tank 2 PASS Tank 3 Does the pump/wiring/dosing siphon appear to be in good condition? Tank capacity FAIL gallons PASS gallons SECONDARY TREATMENT: gallons Tank material C+, �r. .-e 7-?— NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO # of compartments Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: YES UNKNOWN Date of last pumping y R5 NO Is it level and in good condition? PASS FAIL Lids/risers in good condition FAIL PASS FAIL PASS FAIL Risers to gradeES NO YES NO YES NO Riser height cP y '1 Riser condition/watertightness p93 5 Inlet sanitary T/baffle FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle W?FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) FAIL N/A PASS FAIL N/A PASS FAIL N/A Condition of tank material PAS FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES NO YES NO YES NO If YES, list the pumping company If NO, when was the last pumping 71 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) PAS FAIL PASS FAIL PASS FAIL Midtank baffle Watertightness PASS FAIL ASS N/A FAIL PASS FAIL PASS N/A—f FAIL I PASS FAIL PASS N/A FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES NO 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: YES Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO YES Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: YES UNKNOWN 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? PAS FAIL Evidence of past surfacing? YES Surface dampness? ANO YES Excessive odors? YES Field location verified by observation ports or probing: Por /� Probing Liquid in observation port? YES If YES, record depth: ince Distribution Box or ADV part of original design? YES UNKNOWN If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 Any ;oblems 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? NO YES If YES, please describe the repairs. To the best of my knowledge and training, the informa ' n Ilected in this inspection is accurate as of 20IJ . lice sed Systems Inspector Signature: Additional Notes: Clearly 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 the location of the system components for future reference. 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