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Home My WebLink Aboutpitkin.eh.273511101003 (2012)Pitkin County Environmental,4alth Department J)KIN GOnsite Wastewater Treatment Sy (OWTS) USE PERMIT Permit for Continued Use of an Existing OWTS COUNT� 76 Service Center Road, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5077 www.aspenpitkin.com/EHNR Parcel ID #: 2735-111-01-003 OWTS Use Permit #: I 0033.2012.powu Date Issued: 10/18/2012 Issued By: Kurt Dahl Expiration Date: 10/18/2013 Owner(s): I Shirley Henly P of A for William Dorran Property Address: 227 Pyramid Legal Description: Lot 12 Tennis Club aka Pyramid View Licensed Inspector: Carla Ostberg Inspection Date(s): 07/23/2012 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 Compartment tank 1250 gallons Secondary Treatment Unit N/A N/A Absorption Area 12'X75' Rock and Pipe Bed 900 sq ft2 Other System Components N/A 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 #: 87017 Date of Issuance: 05/11/1987 Date of Final Approval: 05/13/1987 # of Bedrooms or fixtures served by OWTS: The system serves 3 bedrooms. Operational Status: The inspector indicated the system is working properly. The 1250 gallon septic tank is watertight and the baffles appear to be in good condition. Effluent flows from the tank to a 12'X75' rock and pipe bed. There was no evidence of the leachfield failing at the inspection. Inspector Recommendations: Inspector recommends addition of an effluent filter. Department Recommendations: The department recommends regular maintenance of the system and the addition of an effluent filter. 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 i Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www. aspenpitkin.com/ehnr/ Annlication for Continued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office Company: s �.a � �� r; � � �. 970-920-5160 or at www.pitkinassessor.org): _ Purpose of Use Permit: PROPERTY TRANSACTION ❑REMODEL/ADDITION Property Address: �e( -7 Cell Phone: 61 -7., 2-.4;-' 7 ,Z;�, �± ! Fax Number: 9-,7 — S°,�S—/moo Lot: Block: Filing: 12- Subdivision: C1,U 1 ex""d P-/ry Residences: Other #of Bedrooms: fixtures/uses: Property Owner(s)*: /-7 -11-A , Email Address: .141(r Sh. s./ / c.►rl Y-- f✓i- •ct� � Owner's Mailing Address: City, State, Zip: Home Phone: /t/2/t Business Phone: *Contact information must be provided for the owner siqninq this application. Primary Contact Person/Applicant (if not owner): /3� /r s fis �,� �.w.l�� j/� Company: s �.a � �� r; � � �. ,a ,1.�-• Contact/Applicant Mailing Address: 6a-> ��. rvr 7 X ,rte 1 o 3,� City, State, Zip: �.., i' Cell Phone: 61 -7., 2-.4;-' 7 Business Phone: q -741 - -741 --Fax Fax Number: 9-,7 — S°,�S—/moo Email Address: �j;!(� S.fihl'v hupr,-crlA(C. Cori Indicate Preferred Method of Permit Receipt: El Fax ❑ US Mail Licensed Systems Inspector: Phone Number: Email Address: Fax Number: C4 /., d�� jo y- C%io 04 /a � ` � � �Ca� 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. 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 Sign e: Date: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee�R '7� 5I I #: Date: Zai Z ()G 0\0, Pitkin County Environmental Health Department t~ 4 Iii �� f• Onsite Wastewater Treatment System (OWTS) a d?i1,1r USE PERMIT APPLICATION 76 Service Center Fid Aspen, CO 81611 Website: vmvr.aspenpifkin.comlehnd Anolication for Continued Use of an Fxisfinn niJVTS Parcel IO# (available from the Pitkin County Assessors Office Company. .f'77/'.GI�vG 970.920-5160 or at vnvw.1Alklnassesso,,ora1: City, State, zip: �("3 fjtw �i C`l( �f ` Purposs of Use Permit: PROPERTYTRANSACfION ❑RENODELfADD1TtOtt Property Address: Fax Number. Email Address: Lot: Block: Fang: Subdivision: Residences: Other #of Bedrooms! 8xturestuses: A."oiay, / 1<'-dt e"V f Prop" Oww[s)`: ,a .Email Address: ��1r!% � r�� "" /'fit As-, }pYY�N �ul�Ydi✓ 2 d 1.V?l 'C_1C-r.tl'-Cba Otinaes Malling Address: City. Slate, Zip: Home Phone: Business Pitons: L.�//w �/S�SD581zg 'Conlactinlormalion must ba provided forthe comer srgn ng 1h1s application. Primary Contact Person/Applicant (it not wmer): %fir'/f S'a�.r�ewF�e rii�rf�a Company. .f'77/'.GI�vG Conlact/Applicant Mait rig Address: 6C>,> z--,1?it /k7 t/ �V City, State, zip: �("3 fjtw �i C`l( �f Gen Phone: Business Phono: ti-/,> -- 9 -- ti a -Y 7 9-7---- Fax Number. Email Address: Indicate Preferred Method of Permit Receipt �ll ❑Fax ❑UStfaH Licensed Systems Inspector. Phone Number. Email Address• Fax Number. C -/.< 0.r� Iv 9- -Sys-7 C%io o6 !n (1 VA -1A,-0 6,Y Malling Address: City, Slate, zip: PLEASE READ BEFORE SIGNING: I certify that the above information Is eomplate and accurate and that I have provided complete and accurate Informatlon In ail of tha documents Included in my application package. I acknowledge that this department may revoke any permit am Issued If my application is found to contain any Inaccurate, false, or misleading information. Please allow 3-5 business days ftirpmcessing of Use Permits. �FOROFFICEUSE&0 ..__ .. .... .-_. =-_`i _:_ _ = -,. '••':- - Received by EH Staff. Fee & Receipt #: Date: it h I. N Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form U N Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone:970-920-SO70 Fax: 970-920-5374 Website: www.aspenpitkin.com/ehnr inspection form for continued use of an existing OWTS Owner's Name: Address: L L- a., 1 Parcel Number: _ nt 1 Inspection Date: -? 2'a � Inspector's Name: Business Name: ao In � Phone Number t -' n r Email: i` �, i , �_""!�, `":`2-a x- Pitkin County Systems Inspector License Nu 6 r: A copy of this inspection report will be remitted to Pitkin County Environmental Health Dartment by the Licensed Sys#ems trasaectar wai#hin 6{? days of the inspection reaardiess of whether the system passes or folds. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? S i 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 t maintenance provider? f 1A RECORDS: Were system records available from Pitkin County? ES -7(-') —3 NO If YES: Permit number: -,;,- 1 Date of Final Approval f _ # 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 JAIL will require correction before an OwTS Use permit is issued. SITE CONDITIONS: — PASS FAIL Proper grading, no evidence of erosion? r Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? T NO'' a YES Improper discharges such as straight pipes? PA55 ' FAIL Evidence of high ground water? ,�w (�1 YES Snow cover present? NO� YES Page 1 TANK: Tank 4 Tank 2 Tank 3 Tank capacity J2r gallons PASS gallons Is the high wager alarm working, both visible and audible? gallons Tank material`r3r SECONDARY TREATMENT: Excessive odors?O Is a secondary treatment unit present? YES /- N ) UNKNOWN # of compartments NO at%A1� Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: Date of last pumping -7/ s -' 1 Distribution Box or ADV part of original design? YES NO Lidsjrisers in good condition PASS' FAIL PASS FAIL PASS FAIL Risers to grade E5 . ! N(3 .' YES NO YES NO Riser height Riser condition/watertightness s:; ,. Inlet sanitary T/baffle -.EA-S> FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle `" PAS$" FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL fN/A PASS FAIL N/A PASS FAIL N/A Condition of tank material'PRS�..- ........... FAIL PASS FAIL PASS FAIL Tank was pumped for inspection ---YE5'' NO YES NO YES NO If YES, list the pumping company _ °' ;:. a � � �� t 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) `PA3 FAIL PASS FAIL PASS FAIL Midtank baffle n P _ FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness "" PA5:;;{ FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: YES NO is a pump or dosing siphon present? Effluent surfacing? ` 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 wager alarm working, both visible and audible? PASS FAIL SECONDARY TREATMENT: Excessive odors?O Is a secondary treatment unit present? YES /- N ) UNKNOWN If YES, does the unit appear to be in good working condition? YES NO at%A1� Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: If YES, record depth: r ABSORBTION AREA: PASS ) FAIL Effluent surfacing? ` YES Evidence of past surfacing? Surface dampness?� ' YES. t� X 7 t-! e �.,• , Excessive odors?O YES Field location verified by observation ports or probing: Ports Probing at%A1� Liquid in observation port. r YES If YES, record depth: inches Distribution Box or ADV part of original design? YES NO UNKNOWN If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 C Any problems with t e system t� at were not addressed in the inspection checklist? !' o i f \ ) W / r,% rn `r l r .w'L -Y -4-1 ��'i' o . i) zd 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 st of my knowledge and training, the information collected in this inspection is accurate as of License stems Inspector Signature: { s � ky Additional Notes: Clearly label anv pictures and attach them to this form. Page 3 C e T Io E ^t STING �2- 5 '� D r�3e 34 PVC OA StE767z) 41 U-