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HomeMy WebLinkAboutPitkin.EH.264929101005 (2018)Pitkin County Environmental Health 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 #: 2649-291-01-005 OWTS Use Permit #: 0062.2018.POWU Date Issued: 10/16/2018 Issued By: Bryan Daugherty Expiration Date: 10/16/19 Owner(s): Matthew Maun Property Address: 225 Cherokee Lane Legal Description: Licensed Inspector: Brian Flynn Inspection Date(s): 10/8/18 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment tank 2000 gallons Secondary Treatment Unit Absorption Area Pipe and gravel trenches 1285 ft2 Other System Components 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 #: 01047 Date of Issuance: 8/01/01 Date of Final Approval: 10/29/01 # of Bedrooms or fixtures served by OWTS: System is designed to serve 4 bedrooms Operational Status: According to the inspector’s observations during the site visit the system appeared to functioning as designed. The tank was in good, watertight condition with inlet and outlet tees in place and risers that were to grade. The field area did not show signs of failure such as surfacing effluent. Inspector Recommendations: N/A Department Recommendations: Continue maintenance annually or as needed. 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. T h IN Onsite Wastewater Treatment Systems (OWTS a Permit Inspection Form CppNTY Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Owner's Name: Address: Parcel Number: Inspection Date: Inspector's Name: Business Name: Phone Number Email: Inspector License Number: 22 Pitkin County Systems A copy ofthi inspection report willbe remitted tPitkin County Environmental Health Department b the Licensed Systems Inspector within 60 days of the inspection reaardless of whether the system oases or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO �IINLLS"'PECTION: r - rr Is the home currently occupied? ES ONO If NO, how long has the home been vacant? How many bedrooms are in the home? 4 If secondary treatment is used, who is the maintenance provider? None RECORDS: Were system records available from Pitkin County? OYES ONO If YES: Permit number: O O Date of Final Approval: 10/29/01 # of bedrooms permitted: Was an as -built drawing available? OYES ❑NO Is the as -built drawing accurate? OYES ❑NO If NO: Complete a drawing of the system on lastpage of this form as accurately as possible. Any question marked FALL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? FIPASS ❑FAIL Improper vegetative cover? NO B YES Evidence of compaction such as heavy machinery or livestock?Ffl NO YES Improper discharges such as straight pipes? ❑E PASS [—]FAILEvidence of high ground water? Q NO ❑ YES Snow cover present? ❑ NO ❑ YES Page 1 Effective Date 111212017 TANK: Tank 1 Tank 2 Tank 3 Tank capacity 2,000 gallons gallons gallons Tank material Concrete M of compartments 2 Date of last pumping 10-08-18 Lids/risers in good condition Pass Select One Select One Risers to grade Yes Select One Select One Riser height 4R Riser condition/watertightness Good Inlet sanitary T/baffle Pass Select One Select One Outlet sanitary T/baffle Pass Select One Select One Effluent filter (if part of design( Pass Select One Select One Condition of tank material Pass Select One Select One Tank was pumped for inspection Yes Select One Select One If YES, list the pumping company All Valley Resource If NO, when was the last pumping Scum level (1st compartment( 4 inches inches inches Sludge level (1st compartment) 6 inches inches inches Scum level (2nd compartment) 1 inches inches inches Sludge level (2nd compartment) 3 inches inches inches Backflow, (if pumped) Pass Select One Select One Midtank baffle Pass Select One Select One Watertightness Pass Select One Select One PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES 8PAS5 NO If YES, is the pump/dosing siphon functioning properly? PFAIL Does the pump/wiring/dosing siphon appear to be in good condition? ❑PASSFAIL Is the high water alarm working, both visible and audible? ❑PASS ❑FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? YES ❑ NO —]UNKNOWN If YES, does the unit appear to be in good working condition? YES NO eNO"UNKNOWN Doesthe owner haves current maintenance contractforthe unit? YES Maintenance Provider: None Phone:0 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? Evidence of past surfacing? Surface dampness? Excessive odors? Field location verified by observation ports or probing: Liquid in observation port? If YES, record depth: Distribution Box or ADV part of original design? If YES, is it accessible from grade? Is it level and in good condition? PASS FAIL ❑• NO HYES eNO ❑ YES NO YES • Ports Probing • NO YES inches YES NO YES • NO PASS FAIL UNKNOWN Page 2 EffecHve Date 1/1212017 alease list any recommendations for the continued use of the system: None Were any repairs done as a result of this inspection? ❑' NO ❑YES To the best of my knowledge and training, the information collected in this inspection is accurate as of P08 20 to Licensed Systems Inspector Signature: Clearly label any Pictures and attach them to this form. Save Form FEI Print Form Page 3 Effective Date 111212017 10/16/2018 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application https://mail.google.com/mail/u/0?ik=c2c72bb885&view=pt&search=all&permthid=thread-f%3A1614405585161223069&simpl=msg-f%3A16144055851…1/3 Bryan Daugherty <bryan.daugherty@pitkincounty.com> Online Form Submittal: Property Sale/Remodel Use Permit Application 1 message noreply@civicplus.com <noreply@civicplus.com>Mon, Oct 15, 2018 at 9:25 AM To: schuyler.clay@pitkincounty.com, ehapps@pitkincounty.com Property Sale/Remodel Use Permit Application Please Note: Each OWTS System must be submitted individually. If there are additional systems on the property, additional applications are required. Job Parcel ID 264929101005 Physical Address 225 cherokee lane Residences 1 No. of Bedrooms 4 Square Footage of each Residence 4666 Purpose of Use Permit Property Transaction Closing Date 10/29/2018 Lot 10 Block Field not completed. Filing Field not completed. Subdivision Crystal River Estates (Section Break) Primary Contact Information Primary Contact First Name Matthew Primary Contact Last Name Maun Primary Contact Email Address mdmaun@aol.com Primary Contact Address 225 cherokee lane Primary Contact Phone Number 9709482809 Primary Contact City Carbondle Primary Contact State CO 10/16/2018 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application https://mail.google.com/mail/u/0?ik=c2c72bb885&view=pt&search=all&permthid=thread-f%3A1614405585161223069&simpl=msg-f%3A16144055851…2/3 Primary Contact Zip 81623 (Section Break) Owner Information Primary Contact is Owner?Yes Indicate Preferred Method of Payment Debit/Credit Card Payment Contact Email for Debit/Credit Payment mdmaun@aol.com (Section Break) Licensed Inspector Information Primary Contact is Licensed Inspector? No Inspector First Name Brian Inspector Last Name Flynn Inspector Email Address brianflynn245@comcast.net Inspector Mailing Address 225 cherokee lane Inspector City Matthew Maun Inspector State Matthew Maun Inspector Zip 81623 Inspector Phone Number 9709482809 Inspector Fax Number Field not completed. (Section Break) Uploads Pitkin County Inspection Form septic info.pdf Site Plan 225 Cherokee as bulit plans site plan for permit.pdf Floor Plans 225 Cherokee as built plan for top floor for permit.pdf Additional Reports, etc.Field not completed. Comments or additional information: Field not completed. PLEASE READ BEFORE SELECTING SUBMIT: By selecting SUBMIT, I certify that I am the owner or representative with the legal authority to agree to the conditions of this permit, 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 10/16/2018 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application https://mail.google.com/mail/u/0?ik=c2c72bb885&view=pt&search=all&permthid=thread-f%3A1614405585161223069&simpl=msg-f%3A16144055851…3/3 department may revoke any permit I am issued if my application is found to contain any inaccurate, false, or misleading information. Email not displaying correctly? View it in your browser.