HomeMy WebLinkAboutPitkin.EH.264504303028 (2018)Page | 1
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: 970-920-5374
www.aspenpitkin.com/EHNR
Parcel ID #: 2645-043-03-028
OWTS Use Permit #: 0068.2018.POWU
Date Issued: 10/26/2018
Issued By: Bryan Daugherty
Expiration Date: 10/26/2019
Owner(s): Bud Norris
Property Address: 154 Little Elk Creek Ave
Legal Description:
Licensed Inspector: Joe Zamora
Inspection Date(s): 10/23/18
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Concrete 2 compartment tank 1000 Gallons
Secondary Treatment Unit
Absorption Area Mounded Sand Filter 530 ft2
Other System Components
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 #: 80017 Date of Issuance: 6/23/80 Date of Final Approval: 12/15/80
# of Bedrooms or fixtures served by OWTS: This system was designed to serve 3 bedrooms
Operational Status: After repairs were made to the risers and lids of the tank, the system appeared to be functioning as
designed. The pump was functioning properly with an audible and visible alarm. The field area did not show any signs
of failure such as surfacing effluent.
Inspector Recommendations: N/A
Department Recommendations: Annual maintenance
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 over use and possible
failure.
10/26/2018 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&permmsgid=msg-f%3A1615330295838368099&simpl=msg-f%3A16153302958…1/3
Bryan Daugherty <bryan.daugherty@pitkincounty.com>
Online Form Submittal: Property Sale/Remodel Use Permit Application
noreply@civicplus.com <noreply@civicplus.com>Thu, Oct 25, 2018 at 2:23 PM
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 264504303028
Physical Address 0154 Little Elk Creek Ave
Residences 1
No. of Bedrooms 3
Square Footage of each
Residence
2546
Purpose of Use Permit Property Transaction
Closing Date 11/9/2018
Lot 24
Block 1
Filing 1
Subdivision Little Elk Creek Village
(Section Break)
Primary Contact Information
Primary Contact First Name JOANIE
Primary Contact Last Name HAGGERTY
Primary Contact Email
Address
joanie.haggerty@evusa.com
Primary Contact Address 206 CODY LANE SUITE A
Primary Contact Phone
Number
9706182730
Primary Contact City Basalt
Primary Contact State CO
10/26/2018 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&permmsgid=msg-f%3A1615330295838368099&simpl=msg-f%3A16153302958…2/3
Primary Contact Zip 81621
(Section Break)
Owner Information
Primary Contact is Owner?No
Owner First Name Harold
Owner Last Name Norris
Owner Email Address budhnorris@gmail.com
Owner Mailing Address 0154 Little Elk Creek Ave.
Owner City Snowmass
Owner State Co
Owner Zip 81654
Owner Phone 9702740737
Owner Fax Field not completed.
Indicate Preferred Method of
Payment
Debit/Credit Card
Payment Contact Email for
Debit/Credit Payment
joanie.haggerty@evusa.com
(Section Break)
Licensed Inspector Information
Primary Contact is Licensed
Inspector?
No
Inspector First Name Joseph
Inspector Last Name Zamora
Inspector Email Address gerryzamora@msn.com
Inspector Mailing Address PO Box 754
Inspector City Carbondale
Inspector State CO
Inspector Zip 81623
Inspector Phone Number 9703797171
Inspector Fax Number Field not completed.
(Section Break)
Uploads
Pitkin County Inspection Norris Inspection.pdf
10/26/2018 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&permmsgid=msg-f%3A1615330295838368099&simpl=msg-f%3A16153302958…3/3
Form
Site Plan Norris Survey.pdf
Floor Plans Norris floorplan.pdf
Additional Reports, etc.Field not completed.
Comments or additional
information:
Invoice from B & R attached to OWTS inspection form.
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
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.
ONSITE WASTEWATER TREATMENT SYSTEM (OWTS)
USE PERMIT INSPECTION FORM
76 Service Center Rd Aspen CO 81611
970-920-5070 Fax 970-920-5077
www. PitkinCounty.cor;�,
Inspection for Permit Number: POWU
(provide proof of application for an address if there Is currently no address) Address Application
Job Street:154 ittle Elk Creek Avenue J°b cif" mass Job State: O Job ZIp 1654
Owner First Name: ud
Owner Last Name: Orris
Owner Corporation Name:
Owner Mailing Address:
1 ittle Elk Creek Avenue owner
City:
nowmass
caner state: CO
Owner Zip: 1654
Owner Phone:
Owner Cell Phone:
970 274-0737
Owner Email: udhnarris@gmail.com
Contact First Name: Oanle
Contact Last Name:
a99eI'tY
ontact Business Name:
asap Really
Contact Mailing Address:
ontact
city:
Contact State:
Contact Zip:
Contact Phone:
Contact Cell Phone:
(970) 618-2730
Contact Email:
aanieh@basaltrealty.corn
Inspector First Name:
oseph
Inspector Last Name:
kamora
inspector Business Name:
amara Excavating,lnc.
Inspector Mailing Address:
P.O. BOX 754 Inspector
city:
arbondale I
Inspector State: Po
I
Inspector Zip:
01623
Inspector Phone:
g70) 963-1399
Inspector Cell Phone:
970 379-7171
)
inspector Email:
enyzamora@msn.com
Inspector's license Number:132631TC
Parcel ID
Legal Descriptlan
Lot 24 Block 1 Filing 1 Little Elk Creek Village
A copy of this inspection will be remitted to Pitkin County Environmental Health Department by the Licensed Systems inspector within 60 days of the
inspection regardless of whether the system passes or fails.
Questions For Property Owner PRIOR To Inspection:
Is the home currently occupied? es
How many bedrooms are in the home? 3
If N: Haw long has it been vacant?
RECORDS
Were system records available from Pitkin County? es T
If Y: Permit Number 0017 Date of final approval: 6/23/80
Was an as -built drawing available? es -'
Is the as -built drawing accurate? es
if N: Complete and upload a drawing of the system as accurately and possible ❑
Describe change in use differences:
No. of bedrooms permitted:
SITE CONDITIONS
Any questions marked FAIL or NO will require correction before an OWTS Use permit is issue,,.
Proper grading, no evidence of erosion: WA—SS-1 Proper vegetation cover:Fes T
NO evidence of compaction such as heavy machinery or livestock: es M71
Proper discharges (no straight pipes): PASS NO evidence of high ground water: FesM
Snow cover is NOT present: eS
ite Conditions Pass/Fail: PASS
TANK 1 TANK 2 TANK 3
ank Capacity (gallons)
lank
1000
Material
Concrete
Number of compartments
2
Date of last pumping
4/14/14
Lids/risers
FAIL
FAIL
FAIL
Risers to grade
NO
NO
NO
Riser height
12"
Riser condition/water tightness
iMet Sanitary T/Baffle
PASS -
FAIL
FAIL
Outlet Sanitary i'/Baffle
ASS -
FAIL
FAIL
Effluent Filter (if part of design)
N/A
N/A
N/A
Condition of Tank Material
ASS W
FAIL
FAIL
Tank was pumped for inspection
ES
NO
NO
If Y: List Pumping Company
B & R Septic
If N: Date of last pumping
Scum level (1st compartment) inches
3"
Slud a level (1st compartment) inches
8"
Scum level 2nd compartment) inches
2"
Sludge level 2nd compartment) inches
4"
Backflow (if pumped)
PASS
AIL
FAIL
Midtank Baffle
PASS
A�EFAIL
N/A
Water Tightness
ASS
FAIL
PUMPS/DOSING SIPHONS
Is a pump or dosing siphon present? V'F3 If Y: Is the pump/dosing siphon function properly? YES
Does the pump/wiring/dosing siphon appear to be in good condition? )'-S
is the high water alarm working; both visibly and audibly? y5'
Pumps/Dosing Siphon Pass/Fail: Vf ff
ECONDARY TREATMENT
a secondary treatment unit present? Unkou► If Y: Does the unit appear to be in good working condition? No
IIs
oes the owner have a current maintenance contract for the unit? Unkov►aintenance
Provider I I Phone
Secondary Treatment Pass/Fail: N/A
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 subsgitted to oitkin
County Environmentai Health Department
ABSORSTION AREA
Effluent surfacing? NO Evidence of past surfacing? INO I
Surface dampness? NO
Excessive odors? NO
Field location verified by observation ports or probing: NO
Liquid in observation port? NO If Y: Recorded Depth (inches)
Distribution Box or ADV part of original Design? INo
If Y: Is it accessible from grade? NO If Y: Is it level and in good condition NO
Absorption Area Pass/Fail:
Any problems with the system that were not addressed above? 1 S
he alarm float is loose and needs to be attached to the column.
List any recommendations for the continued use of the system:
he risers on the septic tank are deteriorating and will need to be replaced in the near future. One of the lids needs to be
eplaced due to a break. Each manhole needs a 6" riser to bring the lids to grade.
Were any repairs done as a result of this Inspection?
If Y: Describe repairs
[Additional
Notes:
Clearly label any pictures and upload them. ✓
To the best of my knowledge and training the information collected in this inspection is accurate.
_ d
10/23/18
InsKCt0A SignAure t -�
Date:
Save Form for Submittal
Reset this form
Print this form
October 23, 2018
Joseph B. Zamora
P.O. Box 754
Carbondale, Colorado 81623
Re: OWTS Inspection Report
154 Little Elk Creek Avenue
Snowmass, Colorado 81654
Disclaimer: This inspection is intended only as an evaluation of the present condition of the OWTS
based upon what was observed and the Licensed Inspector's expertise in onsite
wastewater technology. The inspector has not been retained to warrant or guarantee
the proper functioning of the system for any period of time in the future. Because of the
numerous factors which may affect the operation of an OWTS, as well as the inability of
the inspector to supervise or monitor the use or maintenance of this OWTS, this report
shall not be construed as a warranty by the inspector that the system will function
properly for any particular prospective buyer, and the inspector disclaims any warranty,
either expressed or implied, arising from the inspection of the OWTS or this report. The
evaluation does not ascertain the impact the system is having on groundwater.
Please feel free to contact me at (970) 379-7171 if you should have any questions.
Sincerely,
osep eS.Zamora
NAWT Certified Inspector
Certification # 132631TC
%r
I
4_0
If
Ir
4C. 4: AY-F.
p4
IF
Zt
jy
I 4�
vow.
-4 47-
.d v
A 4v,
V14
711111"
ILL.
PARR -
I
OF-
t low
r is - ^- - �; •
B & R Septic Service, Inc.
Rooter & Jetting Service _
Video Inspection Service
0603 Handy Drive
Carbondale, CO 81623
Bill To
Bud Norris
0154 Little Elk Creek Ave.
Snowmass, CO 81654
Invoice
Date Invoice #
10/18/2018 17409
P.O. No.
Terms
Project
Quantity
Description
Rate
Amount
1,400
Pump septic tank & lift station
0.27
378.00
1,400
Dump Fee
0.20
280.00
2
Risers 6"
65.00
130.00T
1
Lids
60.00
60.00T
Delivery & set for risers & lids
150.00
150.00
Sales Tax - Pitkin
6.50%
12.35
Thank you for your busines
Carbondale
Aspen
Fax
Total $1,010.35
970 963-3814
970 920-2059
970 963-6070
0 W*am,
raawi0
J
4