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Home My WebLink Aboutpitkin.eh.272929202016 (2010)Of1rKI111 Y COUhT*I '1111111110 Pitkin County Environment ' Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2729-292-02-016 OWTS Use Permit #: I 0005.2010.powu Date Issued: 9/20/2010 Issued By: Carla Ostberg Expiration Date: 9/20/2011 Owner(s): I Patti Bartelstein Property Address: 65 Ruby Mountain Drive, Redstone Legal Description: Lots 3, 15, 16, 17, 18 & 19 Crystal River Park Licensed Inspector: Keith Mitchell, Warren Industries (008) Inspection Date(s): September 13, 2010 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Two Concrete tanks 1000 gallon single compartment followed by a 1250 gallon two compartment tank Secondary Treatment Unit Click here to enter text. Click here to enter text. Absorption Area Infiltrator bed 80 Standard Infiltrator Units (5 rows of 16) Other System Components Concrete Distribution Box — not 5 outlets accessible from grade 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 #:98009 Date of Issuance: 4/21/1998 Date of Final Approval: 2/8/1999 Inspector Recommendations: Sewer line from house to the 1000 gallon single compartment tank has settled and is holding 2-3" of water at all times. Suggest repairing. Issuance of this OWTS Use Permit is based solely on the conditions observed 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. 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 Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 0405 Castle Creek Road, Suite 10 - Aspen, CO 81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.com/ehnr Annlirafinn rffnr t^nnfinillpel L1SP of an Existina OWTS Parcel IDH (available from the Pitkin County Assessor's Office l ,� C) assessoorg); ` i l 970.920.5160 or at vnvw.nitkinr. z �f� Purpose of Use Permit: L3PROPERTY TRANSACTION REMODEL/ADDITION City, State, Zip: Property Addres r 6 5- xu - d40U 1VP"W T,)Au V# % Lot / Block: Filing: Subdivision: 16/ 1'7ds", 6 f l� Residences: Other # of Bedrooms: xturesruses: ❑Fax ❑ US flail Email Address: Property Ovmer(s)`: � , �%riav a /�713.t? m-1 G+:l�� /L/ Pba`-CJs . C.�ii�/ f�✓f _ Owners Mailing Address: City, State, Zip: Home Phone: f'Business Phone: "Contact information must be provided for the owner signing this application Primar�,Con ct PersonlAppli t (if not owner): ,E�I�R$2�7-/�irf%>' Compan ,�) �'/%T/ Contact/Applicant Mailing Address: TOL58 City, State, Zip: Cell Phone: Business Phone: Fax Nu er. �r Email Address:, Indicate Preferred Method of Permit Receipt Email ❑Fax ❑ US flail Licensed Syste s Inspector: hone Number: Entail Address: Fax Nuntb r. �(j lt';U �J t'1 %O OI`� EI %it✓j �.11� e'. 11 V)(5-4,1, •. /)1 Mailing Address: City, State, Zip: 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. t acknowledge that this department may revoke any permit I am issued if my application is found to contain any inaccurate, false, or misleading information. Own r Sig ure (Required): Date: Applicant Signature: Date: Please allow 3-5 business (lays for processing of Use Permits. FOR OFFICE USE ONLY Received b EH Staff. Fee & Receipt #: Date: j� rIN 11117K I N Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form COUNT�f Pitkin County Environmental Health Department 0405 Castle Creek Road, Suite 10, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 Website: www.aspenpitkin.com/ehnr Inspection Form for continued use of an existing OWTS OWNERS Name: �GZ'f1'� L-� 0— -iJ SIC 1J Address: Parcel Number: Records: Were system records available from the department? No If Yes: Permit number: G Z1110 Date of Installation: �?/ Tank size: /a?J`�,�/(' , Absorption area size: Permitted Use: '/ BC %k2e,-6�5 oar clam cr h-% kw PY4 r%' - Is this system permitted for its current use? �..�}7 .Q"► If no, describe the change in use. Was an As -Built drawing available? Is the As -Built Drawing Accurate? rE-5 If No: Complete a drawing of the system on last page of this form as accurately as possible if as -built was not available or is not accurate. Site Conditions: Erosion PASS FAIL Improper Vegetative cover YES Evidence of Compaction NO YES Improper Discharges PASS FAIL High Ground Water NO YES Snow Cover NO YES Property Vacant NO YES UNKNOWN TANK: Was the tank pumped as part of the inspection? If N�, skip to Tank Components. If No: When was the tank last pumped? LZ -) / – I `' If the tank has not been pumped in more than 2 years, please attach additional information for justification. Information to be included in justification : Depth of scum layer, Depth of sludge layer and/or Verification of limited occupanc If Yes: Pumping Company:z Discharge/leakage C SSS FAIL InfiltrationASS� FAIL Back flow after pumping 0 YES M Tank Components: Tank 1 Lids Tank Integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlet Baffles Effluent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm Tank Components: Tank 2 Lids Tank Integrity Mid -Tank Baffles Sanitary Tees / Inlet & Outlet Baffles Effluent Filter/Screens Water Tight Pump/Dosing Siphon Tank Material Pump Alarm AS FAIL AS FAIL design? aAS FAIL NP PASS PASS FAIL FAIL NP CPA FAIL N -ON PASS FAIL 'NP L._- ASS_,- FAIL Media Container Yes No NP If additional tanks are present, include reports for each. SECONDARY TREATMENT: FAIL FAIL design? aAS FAIL NP FAIL PASS FAIL N -ON A FAIL PASS FAIL Media Container PASS FAIL NP e'OASS FAIL FAIL Yes No PASS If additional tanks are present, include reports for each. SECONDARY TREATMENT: Is a secondary treatment unit part of the system design? nil If Yes: Make/Model: Lids PASS FAIL Tank Integrity PASS FAIL Media Container PASS FAIL NP Media Condition PASS FAIL NP Mechanical Systems PASS FAIL Controls/Alarms PASS FAIL Expires: _ Maintenance Agreement PASS FAIL Provider Name Provider Phone Number ABSORBTION AREA: NP Distribution Box Accessible from grade? Yes No Distribution Box PASS FAIL ADV Accessible from grade? Yes No Automatic Distributing Valve (ADV) PASS FAIL Observation Ports AA S"ZR'-1 FAIL Effluent Surfacing �ASS,, FAIL Evidence of Past Surfacing N 6 YES Surface Dampness NO YES Excessive odors 0 YES Liquid in observation port 0 inches Any problems with the system that were not addressed in the inspection checklist? ,� f v; C L,,i C -V 0 k •v 4, #j TD S � f"\ L �t ^ I, if I� a J S.'- t-;- ,A C �\ S a - d C;1 I e S. c Please list anq ( commendation for the s stem to continue its current usage. 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 9-13 ,20 /C. Inspector's Signature: Business Name: Phone Number el C12S - t 9'33 Address: P (3- x ss00 LIJ _S C c` j / (o o Email: 6,0ca C z1vic..2AlvtmG-kIS. S: Pitkin County Inspector License Number: C 4ic Additional Notes: 4 A copy of this inspection report will be remitted to Pitkin County Environmental Health with 60 days of the inspection. i � G i