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Home My WebLink AboutPitkin.EH.246334300015 (2019)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 #: 2463-343-00-015 OWTS Use Permit #: 0002.2019.POWU Date Issued: 1/18/2019 Issued By: Bryan Daugherty Expiration Date: 1/18/2019 Owner(s): Tom Elliot Property Address: 7960 Hwy 133 Legal Description: Licensed Inspector: Carla Ostberg Inspection Date(s): 8/1/18 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two compartment tank 1250 Gallons Secondary Treatment Unit Absorption Area 2 absorption beds 12’x38’ (880 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 #: 78673 Date of Issuance: 8/21/78 Date of Final Approval: 10/25/78 # of Bedrooms or fixtures served by OWTS: This system is designed to serve 4 bedrooms, currently serving 3 bedrooms. Operational Status: According to the inspector’s observations on site, the system appeared to be functioning as designed. Although the inlet tee is missing the tank still should function as designed. Due the design of the tank, the inlet is not accessible for replacement. The field area did not show signs of failure such as surfacing effluent Inspector Recommendations: Locate distribution box and bring access to grade for maintenance. Camera sewer lines from house to tank. Department Recommendations: Continue 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 overuse and possible failure. N A PITKIN COUNTY HEALTH DEPARTMENT Q%3--393-t6GS 7Y60 Nwy !33 PERMIT NUMBER J DE%r (-� RECEIPT NUMBER ->2� �) r 1 Owner F?nM .--r• /� ili 7f Phone No. 3309D ?user !eac;m Ownar's Mailing Address S C46'b 2Z: Po `&2C J �? l'4+112ondle Contractor— # �oµGnP'y :.,',.,.. Phone No. - Address :3Dw c9 L Cre6b a&,g System's Contractor's Name r Legal Description SkC 3'ti Lot Size % n' W A,re5 Type of Building by Use.s q I,— 5&- ; I '2es i f e_. c.e,_ Number of Bedrooms -- y" Type of Water Supply�r L•Jf-N Owner's Signaturer- 21 197r drS,—f- r 2v6«n��fl%oar'- �I PLOT PLAN: ATTACHED AS REQUIRED ....f..f................t f.... *.t.....*,!_"_!+........ +�*........ t... ..+xx.,txxttt xxtt« t x ,,...... Type of Individual Sewage Disposal System s.%%c. IAA/ !� 'hF T- f} &() Type of Soil or Soil Classification=-2;L1N`l 0ell t Ay yt Proximal Location of Bedrock `- /'Z_-�,! ,,e ee %�� 6 FT. Proximal Location of Ground Water Table �.+?'F_;+}T42:!, Aliif/46 Is ................« .x.ef» ...4"........... Percolation Test Date C7 ,.i//7g +.+„+,+x,++[[+yy++pc»=..' +Minutas,Per,Inch,�,.,+ �.l Minimum Recommended Absorption System Size 13 v�`Y F- Minimum Recommended Tank Size ,/_2.50 G,4LWAL Special Conditions of iss�s/u/e r,ay� - RT»n NOTICE �mf n Inl PMm ] Imn,o cetlanenli W.If 1..i hn.. r�'' �;' V ( si q yv�p. m iota ,ly din —kh — F-nkiln01� It I,.. bwo p��^yp�vS�fryA// F/EG /r /J�,'�/iy./�^^V i/'/ur'r / /s-'�'/'( law.d. W 6neWbuN . it,I el V `l`•4*,r /i�C�s Wen pp., MNI ..PMt tta e.y..her In laual.a a epn.bpctlon hr ,I- been comrtuncW. Any ahenp. In pIM. of .qcb flutien. a1Hr ache Ptrmit FY Faen.MwW ImMWetp Mt Pttmit, wnIm mppf j is WurW Isom tM Xte1M �` o"'fen j heFmpµ / +ey/�C/d �^ ryI Approved for issuance By t-�- Date ��.[.E�� i/6 »....................... «...... »x:x..... fef. FINAL INSPECTION APPROYAL"i�'" ..s (Drawing of System on Hack) a� I �'AFAGE t�soGA+.t..c,vt 1390 tAE,J7- 21, "8AN "fil J'-'noErlAlC TO WELL- \tl4o FEET N m.s PITKIN COUNTY ENVIRONMENTAL HEALTH Field Tent Data Sheet on Percolation Test PROPERTY OWNER Ll O-r "C.. u-'Ra-/6HT" PHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) rr rt N Diameter of Tact Hobs Water remaining after 8 hour soak TEST HOLE No.1TEST HOLE No. 3 one Dra, Time � IIfrTll�L3' I �'� I Percolation Rate Each Hole Ram Average Comments on soil or site: Signature 1 2-Z /h If ., Date/� 1/11/2019 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%3A1622316622873079700&simpl=msg-f%3A16223166228…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>Thu, Jan 10, 2019 at 4:08 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 2463-343-00-015 Physical Address 7960 Highwy 133 Residences 1 No. of Bedrooms 3 Square Footage of each Residence 2496 Purpose of Use Permit Property Transaction Closing Date 1/16/2019 Lot P32 and P33 Block Field not completed. Filing Field not completed. Subdivision Upper Sewell Tracts (Section Break) Primary Contact Information Primary Contact First Name Chris Primary Contact Last Name Lawrence Primary Contact Email Address chrislawrence@masonmorse.com Primary Contact Address 7959 Highway 133 Primary Contact Phone Number 9703094605 Primary Contact City Carbondale Primary Contact State CO 1/11/2019 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%3A1622316622873079700&simpl=msg-f%3A16223166228…2/3 Primary Contact Zip 81623-9453 (Section Break) Owner Information Primary Contact is Owner?No Owner First Name Tom Owner Last Name Elliott Owner Email Address t.r.elliott.13@gmail.com Owner Mailing Address Field not completed. Owner City Alliance Owner State NE Owner Zip 69301 Owner Phone 3087607507 Owner Fax Field not completed. Indicate Preferred Method of Payment Debit/Credit Card Payment Contact Email for Debit/Credit Payment chris@netoasis.com (Section Break) Licensed Inspector Information Primary Contact is Licensed Inspector? No Inspector First Name Carla Inspector Last Name Ostberg Inspector Email Address carla.ostberg@gmail.com Inspector Mailing Address Field not completed. Inspector City Carbondale Inspector State CO Inspector Zip 81623 Inspector Phone Number 9703095259 Inspector Fax Number Field not completed. (Section Break) Uploads 1/11/2019 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%3A1622316622873079700&simpl=msg-f%3A16223166228…3/3 Pitkin County Inspection Form 7960 CBO_Inspection Form.pdf Site Plan Elliott_OWTS_site-plan.pdf Floor Plans Elliott_floor-plans.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 department may revoke any permit I am issued if my application is found to contain any inaccurate, false, or misleading information. Building Permit Instructions If this application is part of a building permit application, please bring a copy of this application to your building Pre-Submittal meeting. To get a copy, either enter your email address to receive a copy of your application, or select "Submit and Print" below. Email not displaying correctly? View it in your browser. Owner's Name: Address: Parcel Number: Inspection Date: Pitkin County Systems Inspector License Number: QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied?YES NO If NO, how long has the home been vacant? How many bedrooms are in the home? RECORDS: Were system records available from Pitkin County?YES NO If YES:Permit number: ___________ Date of Final Approval: _________ # of bedrooms permitted: ___________ Was an as-built drawing available?YES NO Is the as-built drawing accurate? YES NO If NO: SITE CONDITIONS: Proper grading, no evidence of erosion?PASS FAIL Improper vegetative cover?NO YES Evidence of compaction such as heavy machinery or livestock?NO YES Improper discharges such as straight pipes?PASS FAIL Evidence of high ground water?NO YES Snow cover present?NO YES Any question marked FAIL will require correction before an OWTS Use permit is issued. If secondary treatment is used, who is the maintenance provider? Complete a drawing of the system on last page of this form as accurately as possible. Email: Inspector's Name: Business Name: A copy of this inspection report 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. Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Inspection form for continued use of an existing OWTS Website: Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Phone Number Page 1 TANK: Tank capacity gallons gallons gallons Tank material # of compartments Date of last pumping Lids/risers in good condition Risers to grade Riser height Riser condition/watertightness Inlet sanitary T/baffle Outlet sanitary T/baffle Effluent filter (if part of design) Condition of tank material Tank was pumped for inspection 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) Midtank baffle Watertightness PUMPS/DOSING SIPHONS: 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: Is a secondary treatment unit present?YES NO UNKNOWN If YES, does the unit appear to be in good working condition?YES NO Does the owner have a current maintenance contract for the unit?YES NO UNKNOWN Maintenance Provider:_______________________________________Phone:________________________ ABSORBTION AREA: Effluent surfacing?PASS FAIL Evidence of past surfacing?NO YES Surface dampness?NO YES Excessive odors?NO YES Field location verified by observation ports or probing:Ports Probing Liquid in observation port?NO 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 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. Tank 1 Tank 2 Tank 3 Page 2 Any problems with the system that were not addressed in the inspection checklist? 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. Licensed Systems Inspector Signature: Additional Notes: To the best of my knowledge and training, the information collected in this inspection is accurate as of __________________, 20____. Clearly label any pictures and attach them to this form. Page 3