HomeMy WebLinkAboutPitkin.EH.264335203003 (2017)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 #: 2643-352-03-003
OWTS Use Permit #: 0078.2017.POWU
Date Issued: 11/15/17
Issued By: Bryan Daugherty
Expiration Date: 11/15/18
Owner(s): Jerome Webster
Property Address: 574 Johnson Drive
Legal Description: Lot R-40, Block 4, Starwood Four
Licensed Inspector: Carla Ostberg
Inspection Date(s): 10/30/2017
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Concrete two-compartment tank 1250 gallons
Secondary Treatment Unit
Absorption Area Absorption Bed 1200 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 #: 80057 Date of Issuance: 11/10/80 Date of Final Approval: 6/19/81
# of Bedrooms or fixtures served by OWTS: System is designed to serve 4 bedrooms
Operational Status: According to the inspector’s observations at the time of inspection, the system was functioning as
designed. The tank was in watertight condition and inlet and outlet tees were in place. The field area did not show any
signs of failure such as surfacing effluent.
Inspector Recommendations: N/A
Department Recommendations: Add effluent filter to outlet of tank to prevent solids from reaching the field area.
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.
Pitkin County Environmental Health Department)i k I N Onsite Wastewater Treatment System (OWTS)r USE PERMIT APPLICATIONj)uNT’
76 Service Center Rd
Aspen,C081611
http://pitkincountycom/248ñNastewater-Treatment
Application for Continued Use of an Existing OWTS
Parcel ID#(available from the Pitkin County Assessors Office
970-920-5760 or at http:llpitkinassessor.org/assessor/search asp
Purpose of Use Permit:PROPERTY TRANSACTION REMODEL/
)OD Block:4 Lot:R-40 STARWOOD FOUR
Property Owner(s)*:I Email Address:
Jerom Webster frieUrichtar@ qmail.com
Owner’s Mailing Address:
I
City,State,Zip:I
P.O.Box 736,Aspen,CO 81612 (97)948-0183
Home Phone:Business Phone:
(970)925-8161
0 erSignat re (Required):cS -‘/12 Date:
[//y/y
ignature:Date:
I
Please allow 3-5 business days for processing of Use Permits.Save Form Clear Form Print Form
FOR OFFICE USE ONLY
Received by EH Staff:Fee &Receipt #:Date:]
I I I
*Contact information must be provided for the owner signing this application.
ary Contact Person/Applicant (if not
Licensed Systems Inspector:Phone Number:Email Address:Fax Number:
Carla Ostberg (970)618-5033 carla.ostberg@gmaiI.com
I
Mailing Address:City,State,Zip:
33 Four Wheel Drive Rd.,Carbondale,CD 81623
I I
PLEASE READ BEFORE SIGNING:
I certify that 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.
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
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg@gmail.com
November 5, 2017
Chris Klug
chris@klugproperties.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
574 Johnson Drive
Pitkin County, Colorado
Chris,
As requested, CBO Inc. performed an Onsite W astewater Treatment System (OWTS) Use Permit
inspection at 574 Johnson Drive, Aspen, Colorado on October 14, 2015 and October 30, 2017. The legal
description of the 3.83-acre property is Lot R-40, Block 4, Starwood Four, Starwood Subdivision.
The permit and record drawing were provided by Pitkin County Environmental Health Department (Parcel
ID #2643-352-03-003. The subject OW TS consists of one 1250-gallon, two-compartment concrete septic
tank followed by a pipe and gravel soil treatment area (STA) with approximately 1734 square feet of
infiltrative area, according to Pitkin County documents. Aspen/Pitkin Environmental Health Department
Permit Number 80057 documents this OWTS. The system was size to accommodate 4 bedrooms.
The permit was given final approval on June 19, 1980.
The OWTS consists of a 1250-gallon, two-compartment concrete septic tank with built-in inlet and outlet
concrete baffles. The septic tank is typically pumped annually by B&R Septic. The last pumping was
July 27, 2017. The built-in concrete inlet baffle was not visible from the manhole lid, but we were able to
photograph the baffle. The outlet baffle was visible from the manhole lid and was showing signs of
deterioration, but still intact. Outlet baffles are more prone to deterioration because of the accumulation
of gasses and lack of venting on the outlet side of the septic tank. We typically recommend installation of
an effluent filter, but the existence of the built-in concrete baffle prohibits this installation.
Effluent gravity flows to a pipe and gravel STA. No inspection ports were visible in the STA. We walked
the STA and found no signs of surface saturation or indication of failure at the time of the inspection.
This evaluation is not a guarantee of future system performance. This inspection is good for one year.
This report and a completed OWTS Use Permit Application must be submitted to the Pitkin County
Environmental Health Department. Applications may be submitted to Pitkin County Environmental Health
Department electronically. The following are links to the required OWTS Use Permit Application and
Checklist.
Application: http://www.pitkincounty.com/DocumentCenter/Home/View/621
Application Checklist: http://www.pitkincounty.com/DocumentCenter/Home/View/620
All questions regarding permit submission can be directed to Pitkin County Environmental Health
Department, 970-920-5070.
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 property functioning of the system for
any period of time in the future. Because of 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 call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 11044ITC Exp. 2016
October 30, 2017
View of septic tank lids (inlet lid is very heavy)
Built in baffle, inlet Outlet baffle showing signs of deterioartion
View of outlet baffle
View of STA looking south looking north
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