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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 574 Johnson > j �y-�• � yam., /�� J _ - � . - t�� i - ' _'vY 3I%�/ 1. •', �N mot- i�� i ���^. s "`; � `�'� - > _ - _ - - , }Al . Y - kLl ' / � v 1 , ,y�d_� i, � . awl � ,t - "? '• ��� ` r _ '�, f' ;'� '-�C' r >� 574 Johnson Dr Google Earth 10 ..t , . N �60 ft�ftt ASPENOPITKIN ENVIRONMENTAL HEALTH DEPARTMENT PERItitI:C I1.11,1I�! � -005-z_ __. _ _ Fi�,G'LIPT NUMBER 31 %:2- awrr.'?v GIG�����J f�1 �• Phone No.`- Ot «er ' s d.;3res. 0 �� �. Pam` � • �16f Cant:�2-,Ctor_ a/ryv. Phone No. 52.3- Adclie s ;ystem's Contractors "?�me i►rT�72 �-YS�. 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Any cnnnVe in •�49ns or d f•::- fications attar the parmit t-een iacuad in-1;d—a: the or "s;x, unless aRoravel i. rwcurn::'ra--i ftga'th C•fficer for srfch ch angss. .Approved for Is ijance B; Flit AL TNSP; t1T1:?F� �]PFP LT ;L v to / 71 47 / 9 (Drawing of Sysv,c-nz on .ter--a-ok) A/P.E.H.D. /S 0 130 South Galena Street Aspen, Colorado 81611 303/925-2020 z Co i 832‐R‐13‐002