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.
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