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HomeMy WebLinkAboutPitkin.EH.264127200040 (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 #: 2641-272-00-040 OWTS Use Permit #: 0001.2018.POWU Date Issued: 01/23/2018 Issued By: Kurt Dahl Expiration Date: 01/23/2019 Owner(s): Thomas Marsing Property Address: 8219 Woody Creek Rd Legal Description: Licensed Inspector: Jason Daubs Inspection Date(s): 12/19/2017 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two-compartment septic tank 1,000 gallons Secondary Treatment Unit Absorption Area Unknown Unknown 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 #: N/A Date of Issuance: N/A Date of Final Approval: N/A # of Bedrooms or fixtures served by OWTS: Unknown. The existing structure is 2 bedrooms Operational Status: This is an undocumented septic system and information was not on file with Pitkin County. When the system is repaired/modified and/or when the residence is remodeled a more detailed inspection of the OWTS including: location, size components, and function will be required. According to the inspectors observation the system was functioning at the time of inspection. The tank appeared in watertight condition. The field area did not show any signs of failure such as surfacing effluent. Inspector Recommendations: None. 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 overuse and possible failure. 01/13/2018 09:18 6055841025 TERRY PEAK PAGE 02/02 Pitkin County Environmental Health Department = t t,► Onsite Wastewater Treatment System (OWTS) 4 USE PERMIT APPLICATION d } 76 Service Center Rd Aspen, CO 81611 http:/ipitkincounly,mm/24BIWestewater-Treatment ADplication for Continued Use of an Existing OWTS IDS (available from the Pitkin eoun pegessor's Office 2.641 272 00 040 D-5160 or at http'//Ait inaasessor.or J85aeSsortsearch.as e,of Use Permit; ppROpEPTY TRANSAMON ,17 REMODEU ty Addraa8: 8219/TBD Woody Creek Road, woody Creek, CO 81656 of Sedrooma: 2 flxturas/u8ea: Ly ..,,,.­\e, . Thomas Marsing s Mailing Address: Terry Peak 21120 Stewart Slaps Rd. Phone: (605) 580.0031 ict rn►ormation must to provided for the owner.signing this appiicatla y confic; porsonlAppi;cani (If not ovmer): Mike Carr Ct1Appl�cans Mailing Address: 555 E. Durant, Ste. 5A 11 r"..."J(970) 319-62203 K Number: (970) 920-4549 Indicate Preferred Method of payment Gheck LLC Box1534 471-1 #ne: @terrypeak.com . ziSQ Lead Pho5) 580-0031 7754 Hathaway HomeServices CO 181611 (970) 925-5400 �micarr®aspenrei�n► Cash CO 81631 pLeASE READ BEFORE SIGNING: i certify that the above Information Is complete and accurate and that t have provided complete and accurate information in all of the documen included in my application package. I ecMlowiedgo that this department may revoke any permtt I am Issued If my application le found to contain any inaccurate, false, or misleading Information. Date: t .� Please allow 3-5 business days for processing of Use Peunits. •,;,�,;. „ ,;,Y,.:r,; ;.:.. FOR Of:.FIC??U&E_ NIY.:.. •...' .. Res & Receipt #: Date: Effective Date 1/12/2017 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form C1.) K 1 N T Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone:970-920-5070 Fax: 970-920-5374 Webslte: I http://pitkincounty.com/248/Wastewater-Treatment Inspection form for continued use of an existing OWTS Owner's Name: Address: Parcel Number: Inspection Date: Inspector's Name: Business Name: Phone Number Email: Thomas Marsin s 8219 Wood Creek Rd. Wood Creek CO 2641 272 00 040 12/19/2017 Jason Daubs Altitude Septic, LLC 970 471-1330 altitudeseptic@gmail.com Inspector License Number: 19 Pitkin County System A copyat this ins action re ort will be remitted to Pitkin fount Environ entcal ll r lth Qg2grtmer e the Licensed Systems Inspector within Fa0 da s of the insertion re ardless ofwvhe�th�r Else syst�rrr pexsse. car rxits. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? DYES [ 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 maintenance provider? RECORDS: Were system records available from Pitkin County? DYES NO If YES: Permit number: _ Date of Final Approval: # of bedrooms permitted:0 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 FAIL will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? PASS FAIL Improper vegetative cover? ' NOH YES Evidence of compaction such as heavy machinery or livestock? • NO YES Improper discharges such as straight pipes? PASS QFAIL Evidence of high ground water? NO D YES Snow cover present? NO YES Page 1 Effective Date 1/1212017 TANK: Tank 1 Tank 2 Tank 3 Tank capacity 1,000 gallons gallons gallons Tank material Concrete # of compartments 2 Date of last pumping ? Lids/risers in good condition Select One '�) GS Select One Select One Risers to grade Select One pct., Select One Select One Riser height No risers Riser condition/watertightness Inlet sanitary T/baffle Pass Select One Select One Outlet sanitary T/baffle Pass Select One Select One Effluent filter (if part of design) N/A Select One Select One Condition of tank material Pass Select One Select One Tank was pumped for inspection No Select One ISelect One If YES, list the pumping company If NO, when was the last pumping ? Scum level (1st compartment) 1 inches inches inches Sludge level (1st compartment) 5 inches inches inches Scum level (2nd compartment) 0 inches inches inches Sludge level (2nd compartment) 0 inches inches inches Backflow (if pumped) Select One Select One Select One Midtank baffle Pass Select One Select One Watertightness I Pass ISelect One Select One PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? HPASS YES 1 0 1 NO If YES, is the pump/dosing siphon functioning properly? ®FAIL Does the pump/wiring/dosing siphon appear to be in good condition? PASS MFAIL Is the high water alarm working, both visible and audible? PASS FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? YES [F] NO MUNKNOWN If YES, does the unit appear to be in good working condition? MYES NO Does the owner have a current maintenance contract for the unit? MYES 11 NO UNKNOWN Maintenance Provider: I Phone: 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. ABSORSTION 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 YES ®' NO 0 YES NO YES Ports Probing NO YES inches YES NO YES NO PASS FAIL Page 2 Effective Date 1/12/2017 -,iease list any recommendations for the continued use of the system: Were any repairs done as a result of this inspection? EKI NO 0 YES To the best of my knowledge and training, the information collected in this inspection is accurate as of December 19 z 17 1. Licensed Systems Inspector Signature: x' Z»au6d Additional Notes: .So A a;�t&' 3SU 2 F P4�ktnc� c� ti c H Save Form j Clearly label any pictures and attach them to this form. Page 3 Effective Date 1/1212017 E r ed-.!W� 2D' a5�z V#4. 0 cl�%m J � 12,' 000, 'ral LrYr/OY AA%•XrYe i1`F'T~.e i we pa f k � I fir.' �Ark Ir% rN&r r: KAWWuW 0.w0pe'. J 4JL iF ell Kyf 4- A lr eep rw"dww o