HomeMy WebLinkAboutpitkin.eh.273503200021 (2012)%IrKIN
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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-
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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:
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C` k l;
Cis
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Contact/Applicant Mailing Address:
'� i'w6��� �
City, ,tate, Zip:
?0
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Cell Phone:
Business Phone:
Fax Number.
Email At ress:
t
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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
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