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HomeMy WebLinkAboutpitkin.eh.273503200021 (2012)%IrKIN COUNIri Pitkin County Environmental " 3Ith 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: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2735-032-00-021 OWTS Use Permit #: I 0031.2012.powu Date Issued: 09/07/2012 Issued By: Bryan Daugherty Expiration Date: 9/7/1-3 Owner(s): Mutual of Omaha Property Address: 39 Polecat Dr. Legal Description: Lot 10, Shapiro Subdivision Exemption Licensed Inspector: Carla Ostberg Inspection Date(s): 9/4/12 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 Compartment tank 1000 gallons Secondary Treatment Unit N/A N/A Absorption Area Gravelless chamber bed 42 chambers, 604 sq ft2 Other System Components Pump 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 #: 03052 Date of Issuance: 9/17/03 Date of Final Approval: 5/28/04 # of Bedrooms or fixtures served by OWTS: System was designed to serve 3 bedrooms. Operational Status: According to the inspectors observations the system is in good working condition at the time of inspection. The tank was structurally sound with both inlet baffle and pump in the second chamber in place and working properly. The tank had 11" of scum in the bottom of the tank, close to 25% of the tank capacity which indicates pumping of the tank is required. The pumped effluent was distributed to a gravelless chamber bed which did not show any signs of failure of surfacing effluent. Inspector Recommendations: Inspector recommends cleaning the effluent filter annually to prevent sludge build up. Department Recommendations: We recommend pumping the tank because the sludge level has reached 25% of the capacity of the tank. 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 Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Annlirnfinn fnr (nnfinnprl I Isp of an EXlstina OWTS Parcel ID# (available from the Pitkin County Assessor's Office --f _ 77 j 9 t '-� `< 2 -0� G 970-920-5160 or at v,^vw.oitkiriassessor.orc j: l Purpose of Use Permit ROPER7Y TRANSACTION ❑ REMODEL/ADDITION Property Address P1 tC --i il- .� i Lot: j Block: Filing: Subdivision: Cell Phone: Business Phone: Residences: Other # of Bedrooms fixtures/uses: nan Address: Home Phone" Business Phone: �p 'Contact information must be provided for the ownersigning this application. ; hj t yv�R l k Primary Contact Person/Applicant (if not owner): Company: -t N ; -1 -.1� ,'�' C` k l; Cis t-9 LtY- Contact/Applicant Mailing Address: '� i'w6��� � City, ,tate, Zip: ?0 �� �C) tcZ Cell Phone: Business Phone: Fax Number. Email At ress: t , uct X11_ ,V1 Indicate Preferred Method of Permit Receipt. Ulfmail ❑ Fax ❑ US Mail Licensed Systems Inspector: Phone Number Email Address' Fax Number: n ,�. ir. I fA rl c -f � rr: -�, -, C) -C'] � - r k r) 7 (,) I (-% ; U ri L .10 - 1 0 INA Pt_EASE READ BFr-,;R-= SiaW41� ..: certify that the above information is complete and accurate and that I have provided complete and acW rate information in all of the documents included in my application package. I acknowledge that this department may revoke any permit 1 am issued if my application is found to contain any inaccurate, false, or m1sleading information. wrier Signature (Required). 444 a / (o 004 17 Date: i ie 0 A? Zr • pplicant Signa re Date. On Please allow 3-5 business days for processing of use refmtts. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: September 5, 2012 Bill Small Bill(D_Friasproperties.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 39 Polecat Drive Pitkin County, Colorado Mr. Small, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 39 Polecat Drive, Aspen, CO. The subject OWTS consists of one 1000 -gallon two-compartment septic tank with a Biotube pump vault in the second chamber. Effluent is pumped to a gravelless chamber bed. The bed consists of 4 rows of 10 standard Infiltrator chamber for a total of 620 square feet. The as -built drawing was provided by Pitkin County Environmental Health Department. (Parcel I D # 2735-032-00-021) The septic tank appeared to be in good condition. The pump was operating properly, with an audible and visual high water alarm. The absorption area showed no signs of saturation, and had no indication of failure. Observation ports were present. 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 Ilinks are the required application and application checklist. Application: http://www.as )enpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20 Permit%20Application.pdf Application Checklist: http://www.as )enpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20 Perimt%20Application%20Checklist.pdf CBO Inc. 33 Four Wheel Drive Road Carbondale, Carbondale, CO 81623 f, cell) 970-309-5259 office) 970-704-0484 cbo2610@yahoo.com September 5, 2012 Bill Small Bill(D_Friasproperties.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 39 Polecat Drive Pitkin County, Colorado Mr. Small, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 39 Polecat Drive, Aspen, CO. The subject OWTS consists of one 1000 -gallon two-compartment septic tank with a Biotube pump vault in the second chamber. Effluent is pumped to a gravelless chamber bed. The bed consists of 4 rows of 10 standard Infiltrator chamber for a total of 620 square feet. The as -built drawing was provided by Pitkin County Environmental Health Department. (Parcel I D # 2735-032-00-021) The septic tank appeared to be in good condition. The pump was operating properly, with an audible and visual high water alarm. The absorption area showed no signs of saturation, and had no indication of failure. Observation ports were present. 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 Ilinks are the required application and application checklist. Application: http://www.as )enpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20 Permit%20Application.pdf Application Checklist: http://www.as )enpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20 Perimt%20Application%20Checklist.pdf Please call with questions. Sincerely, OaA, (a- OS-f&AS Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # ITC11042010 Exp. 2014 0 Clean out near house. Inlet tee on septic tank. Filter prior to cleaning. Biotube pump vault in second compartment of tank Alarm panel on house, visible from tank. Observation ports in field area. Owner's Name: Address: Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspenpitkin.comlehnr Inspection form for continued use of an oidsting OWTS Parcel Number: Z'72)!5.-D02-C)o-32-j Inspection Date: rr,,Lc r LA 7,01 Inspector's Name: ' k _ Business Name: Phone Number Email:0 f ` Pitkin County Systems Inspector LicenseNufnber: ,4 coon of this inspection report will be remitted to Pitkin County Environmental Health Department by the Licensee' Systems Inspector within 60 dons of the inspection regardless of whether the system _v 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? 'j r%5 . How many bedrooms are in the home? MS 4 If secondary treatment is used, who is the maintenance provider? V) {� RECORDS: Were system records availabl frrom ttkkin County? YES NO If YES: Permitnumber: Date of Final Approval: 51 ZC104 # of bedrooms permitted: Was an as -built drawing available? YE NO Is the as -built drawing accurate? Y 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 issued. SITE CONDITIONS: FAIL Proper grading, no evidence of erosion? ,` Improper vegetative cover? 11NO YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? PASS ' FAIL Evidence of high ground water? NO YES Snow cover present? 0 YES Page 1 TANK. Tank 1 Tank 2 Evidence of past surfacing? Tank 3 Tank capacity Is a pump or dosing siphon present? gallons NO gallons PASS gallons Tank material PASS FAIL Is the high water alarm working, both visible and audible? PASS FAIL SECONDARY TREATMENT: # of compartments inches Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO Date of last pumping Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: Lids/risers in good condition ' PAS FAIL PASS FAIL PASS FAIL Risers to gradeNO PE2:-:/ YES NO YES NO Riser height Riser condition/watertightness ,0 Inlet sanitary T/baffle �Pi4SS_ 9 FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle P FAIL PASS FAIL PASS FAIL Effluent filter (if part of design)P FAIL N/A PASS FAIL N/A PASS FAIL N/A Condition of tank material FAIL PASS FAIL PASS FAIL Tank was pumped for inspection YES a_ NW YES NO YES NO If YES, list the pumping company 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 bafflePASS` AIL N/A I PASS FAIL N/A PASS FAIL N/A Watertightness --PASS` FAIL PASS FAIL I PASS FAIL PUMPS/DOSING SIPHONS: (--PASS I FAIL Evidence of past surfacing? �_: NO YES 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: inches Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES NO NO 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? (--PASS I FAIL Evidence of past surfacing? �_: NO YES Surface dampness?M NO ,. YES Excessive odors? NQ-.,' YES Field location verified by observation ports or probing: f"`—Port ,: Probing Liquid in observation port? YES If YES, record depth: inches Distribution Box or ADV part of original design? YES NO UNKNOWN IV, r If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 0 Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: in vk_. -1, V W.- i n r Were any repairs done as a result of this inspection? QNO YES If YES, please describe the repairs. To the best of my knowledge and training, the mrormation conectea in tnis trupeLuun is dl.LU1CJM dJ LA y t 20_[a-. Licensed Systerns Inspector Signature: � ,r. OSIT&CACN Clearly label any pictures and attach them to this form. Aspen/Pitkin Environmental Health Department Permit for an Individual Sewage Disposal System 130 S. Galena St. Aspen, Colorado 81611 Phone 970-920-5070 / FAX 970-920-5074 Permit # 99101 Parcel ID # 2735-032-00-021 Type of permit New( ) Repair( ) Addition to House( x ) Name of Owner Saul & Sally Barnett Street Address 0039 Pole Cat Rd., Aspen, CO 81611 Property legal description Size of lot 5.029 acres Water source private well # of bedrooms in house Caretaker unit n/a Lot 19, Section 3, Aspen Oaks Subdivision Total square footage of the house 1900 2 # of offices, lofts & similar sized rooms in house Total square footage of the caretaker unit # of bedrooms in caretaker unit ## of offices, lofts & similar sized rooms in caretaker unit Designed for what # rooms (list) 3 (three) Permit information Designed by High Country Engineering, Derrick Walter Mailing Address 923 Cooper Avenue, Glenwood Springs, CO 81601 Perc rate 14 Profile hole depth 8 112 ft Depth to groundwater or bedrock unknown Septic tank capacity 1000 gallons Absorption area 427 sq ft Comments Septic permit approved per compliance with the engineer design and specifications dated November 19,1999. Any changes must be approved by this department and the design engineer prior to them being made. Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin County ISDS regulations. Setback from the absorption field to the well must be at least 100 feet. This department does not endorse any brand of products. Existing 750 gallon tank will be replaced with a 1000 gallon tank. Existing absorption field will be abandoned and a bed system will be installed consisting of 28 Infiltrator Units (4 x 7). Installation of this system must be inspected by this Department and the Engineer. Permit approved by: �;O L_reZ(— 4 f Date: 11.122 1 4'1I Plans and specifications of the proposed 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. installer. Final inspection approval:, -�W't Date: L7C� i ,