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Home My WebLink Aboutpitkin.eh.246720101002 (2013)Document Layout (From Most Recent to Oldest Permit) Permit Application Log Sheet/Notes & Photos Communications As -built Design Engineer Design Soil Information Water Permit & Information Second System on property Third System etc. Floor Plans Please See Building and Land Use Approvals Files for additional information. �iTKIN COUNT • Pitkin County Environmental lelth 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 Parcel ID #: 2467-201-01-002 OWTS Use Permit #: I 0053.2013.powu Date Issued: 11/07/2013 Issued By: KurtDahl Expiration Date: 11/07/2014 Owner(s): I Bev and Glenn Caldwell Property Address: 62 Holland Hills Rd Legal Description: Lot 15 Holland Hills Licensed Inspector: Carla Ostberg Inspection Date(s): October 15, 2013 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 -compartment septic tank 1000 gallons Secondary Treatment Unit Absorption Area Seepage Bed 825 ftZ (12'X681) 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 fora more accurate evaluation of the system. System Records: Permit #: 720113 Date of Issuance: 02/24/1976 Date of Final Approval: 02/24/1976 # of Bedrooms or fixtures permitted by OWTS: 3 Operational Status: The inspector indicated the system is functioning properly and not in failure. Repairs were made to the outlet tee and a riser was added to the outlet side of the tank. Inspector Recommendations: Install effluent filter. Department Recommendations: Install effluent filter and pump tank on a regular basis. 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, worranty, 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. tel^J Page 1 1 U 0055. 106. POw u *Pitkin County Environmental Hoh Department {� TKIN Onsite Wastewater Treatment System (OWTS) ' COU NT #i USE PERMIT APPLICATION 76 Service Center Rd L > Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Aoolication for Continued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office Company: 970-920-5160 or at www.pitkinassessor.orgl: City, Stale, Zip: Cell Phone: Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: 0� X a Lot: Block: Filing: Subdivision: \� ! Residences: Other # of Bedrooms: fiixturesluses: Pr erty Owner(s)': Email Address: Com, bX rs Mailing Addre s:VI4� �� Ci e, Zip. � L\�7 Home Phone: 6C./�BBusiness Phone 7 1 -9:', -on L1-'\\ 'Contact information must be provided for the owner signing this application Primary Contact Person/Applicant (if not owner): Company: Contact/Applicant Mailing Address. City, Stale, Zip: Cell Phone: Business Phone: Fax Number: Email Address. Indicate Preferred Method of Permit Receipt: ❑ Email ❑Fax ❑ US Mail icensed Systems Inspect Phone Number: Email Address: Fax Number. Nailin Addr City, State, Zi PLEASE READ BEFORE SIGNING: I certify that the above information is complete and accurate and that 1 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. Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLYOFFICE USE ONLY Received by EH Staff: Fee 8 Receipt #: Date: 0 0 CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 carla. ostbergCo)gmail. com October 18, 2013 Glenn Caldwell caldfam(atriwest. net Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 62 Holland Hills Rd Pitkin County, Colorado Mr. Caldwell, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 62 Holland Hills Road, Basalt, Colorado on October 15, 2013. The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel ID # 2467-201-01-002). The subject OWTS consists of one 1000 -gallon, two-compartment concrete septic tank and a 12' x 70' pipe and gravel absorption area for a total of approximately 840 square feet of infiltrative area. The system was permitted for use by a 3 -bedroom residence. The system was installed in 1976. The septic tank appeared to be in good condition. There was a clay "tee" on the inlet side of the tank, which was accessible from grade. The outlet side of the tank was approximately 3 -feet below grade and the tee had broken off. The absorption area showed no signs of saturation, and had no indication of failure. Observation ports were not present. The septic tank was pumped on October 15, 2013 by B&R Septic. Risers were added to the outlet side of the tank and the tee repaired by Excavation Services on October 18, 2013. Recommendations: Add effluent filter to outlet tee. This report should be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www.aspenpitkin,com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit% 20Application.pdf Application Checklist: http:Hwww. aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Perimt% 20Application%20Checklist. pdf Please call with questions. J 0 Sincerely, OaA (& os - (&Ag Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # ITC11042010 Exp. 2014 Inlet tee Tee repair on outlet 41 0 area 18 Pitkin County Environmentaeealth Department Onsite Wastewater Treatment System (OWTS) GUn7 ti USE PERMIT CHECKLIST Permit for Continued Use of an Existing OWTS 76 Service Center Rd - Aspen, CO 81611 Phone: 970.920.5070 Fax: 970.920.5374 Website: www.aspenpitkin.com/ehnr Some items listed on this checklist may already exist in the Department files. Please contact this department to collect any necessary documentation, using the parcel ID# to identify the property, priorto scheduling an OWTS Use Permit inspection and/or submitting the OWTS Use Permit application packet. A complete application package must be presented at the time of your pre -application conference for acceptance. To schedule a pre -application conference, please call (970) 920- 5070. PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION Only one copy of each item is necessary. Electronic versions of any or all of the documents identified below may be emailed to ehnrno.co.pitkin.co.us before the date of the pre -application conferenno OWTS Use Permit Application (completed) Site Plan (11x17) ❑ Should include general location of each OWTS, buildings, water courses, domestic water source(s), and other pertinent information. Building Floor Plans (11x17) ❑ Current floor plans for a property transaction; or ❑ Proposed floor plans for an addition/remodel that does not increase potential bedroom count or water usage of the structure served by the existing OWTS. inspection report by a Licensed Systems Inspector ❑ A list of Licensed Systems Inspectors can be found at www.aspenpitkin.com/ehnr \ An inspection report is good for one year. q�"�Applicable Fee ❑ OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. 0 0 rf/ i T K I N Onsite Wastewater Treatment Systems (OWTS voC Permit Inspection Form COUNT` Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-92G-5070 Fax: 970-920-5374 Website: www.aspenpitkin.com/ehnr Inspection form for continued use of an e)dsdng OWTS Owner's Name: Address: Parcel Number: Inspection Date: Inspector's Name: Business Name: Phone Number Email: Use Pitkin County Systems Inspector License Numbel `- r) 1-1 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 Posses or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? ES_� NO If NO, how long has the home been vacant? How many bedrooms are in the home? 3 If secondary treatment is used, who is the maintenance provider? RECORDS N/A Were system records available from Pitkin County? JYES l NO If YES: Permit number: 'l ZO 113 �/ Date of Final Approval: Z13I.-7 k of bedrooms permitted:_ Was an as -built drawing available? NO NO Is the as -built drawing accurate? .,ySS;1 NO If NO: Complete a drawing of the system on lost 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? � FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? PASS FAIL Evidence of high ground water? NO YES Snow cover present? NO-' YE5 Page 1 IL( 0 0 TANK: Tank 1 PASS Tank 2 1 Tank 3 PASS Tank capacity ) gallons PASS gallonsi SECONDARY TREATMENT: gallons Tank material ^ Is a secondary treatment unit present? YES _. N0 UNKNOWN If YES, does the unit appear to be in good working condition? # of compartments NO � UNKNOWN Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Date of last pumping Phone: Lids/risers in good condition PASS FAIL PASS FAIL PASS FAIL Risers to grade YES NO YES NO YES NO Riser height Riser condition/watertightness P Inlet sanitaryT/baffle P FAIL PASS FAIL PASS FAIL Outlet sanitaryT/baffle PASS FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) P 5 FAIL: N/A> PASS FAIL N/A PASS FAIL N/A Condition of tank material P FAIL PASS FAIL PASS FAIL Tank was pumped for inspection S NO YES NO YES NO If YES, list the pumping company i" ' 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) PASS FAIL PASS FAIL PASS FAIL Midtank baffle PASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS Is a pump or dosing siphon present? YES ( NO' If YES, is the pump/dosing siphon functioning properly? PASS, PASS FAIL Does the pump/wiring/dosing siphon appear to be in good condition? YES PASS FAIL Is the high water alarm working, both visible and audible? Excessive odors? PASS FAIL SECONDARY TREATMENT: Ports Probing Liquid in observation port? Is a secondary treatment unit present? YES _. N0 UNKNOWN If YES, does the unit appear to be in good working condition? YES NO � UNKNOWN Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: _ 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. ABSORBTION AREA: Effluent surfacing? PASS, FAIL Evidence of past surfacing? NO YES Surface dampness? �� YES Excessive odors? O YES Field location verified by observation ports or probing: Ports Probing Liquid in observation port? NO YES L If YES, record depth: inches Distribution Box or ADV part of original design? YES1 � UNKNOWN If YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 0 0 Any problems with the system that were not addressed in the inspection checklist? Please list rany recommendations for the contin ed use of the system: ' ti v^ % C -,'` %. Were any repairs done as a result of this inspection? NOYES If YES, please describe the repairs. IF I r' . VS ~moi i. L1, A.i�Ff To the best of my knowledge and training, the information collected in this inspection is accurate as of 7 r� ' Z , zo_�!-. Licensed Systems Inspector Signature: 1 Additional Notes: Clearly label any pictures and attach them to this form. Page 3 PERMIT NUMBER PITKIN COUNTY HEALTH DEPARTMENT RECEIPT NUMBER -'.( % Owner / Phone k Owner's Mailing Address Contractor Phone N Address Il%4 Y�r� nl I nI Systems Contractor's Name( Address Legal Descriptio//n L)OT- �S NOLLj�A10 1-1/1-45 SU,BD/y(S/c Lot Size Z.16 IlcQ.Es Type of Building by Use Number of Bedrooms " 'I Type of Water Supply Type of Individual Sewage Disposal System n �� 'r : / a-•�'^r/R+c. U Type of Soil or Soil Classification SANDY t?FD eLAY I-OAA1 Proximal Location of Bedrock /Vo'% 26 -%MCMI NED FS I Proximal Location of Ground Water. TableI A/07" Owner's Signature / i Date PLOT PLAN: ############%# ###iF######if###�%##i('#it#'%#tFit##'k#iFiF lF####1FiF##TiFik#it k 3F iF##1f ##i�k k'k#iFlt it3tiF-k t-1E#k3F #ih 1ti49Eit iEMKiE#if %k -%k Percolation Test Data 31 � Minutes per inch .._ _ — /- /., i n, Minimum Recommended Absorption System Size Minimum..//Re ommended Tank Size/o�Q C—�4�LoNS %GlJO H/6XITS A Per� � t. pplication valid one year from Date. Application to become ermit and final only after lower portion is completed and signed by the Sanitarian. RETAIN THIS F ,,T THE CONSTRUCITON ITE.. )� Date �/ � // li' Sanitarian (Di%ving of system on back) rip. 0 tj COO CopeLAMO scp-ric.A 0 0 PITKIN COUNTY ENVIRONMENTAL HEALTH �F�ield Test Sheet on Percolation Test PROPERTYOWNER 1'11<LPHONE —3-312—p MAILINGADDRESS 90 92:2 (311eaCAIDALE, ( D $162.3 LEGAL DESCRIPTION OF PROPERTY 1 LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) Diameter of Test Holes Water remaining after 24 hour soak 12/t 0 L. 0 C TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 Drop Time Drop Time L Drop Time jai- .f Percolation Rate Each Hole 5 Average Rate Comments on soil or site: rl D S11AIDY CZ -11>1 lro-15-1— DEPTH ItV SO/L FIROF/L-E 2, i Signature Date + • N 11 WTE 8 s ,SCALE: IZ30'e LEGAL DESCRIPTION LOl I5. .1. NILLE Al LbYT. SARIN COWF,. COLm1100 EFXIT TIYT 30111011 OF LAIO LOT 13 OEMINIS AS FOLLOWS: 8Ep11N1! AT TK 1pfl fYILELY EMKE (i MIO LOT I!: MCE S H'SS'0!'I 'EI.IE SEES, 1KKE Y OV SET r IIE.IE FTE EST: TE16 IT WEE ."E b-0] FEET: TKLQ S MN'!O'E 81.33 FEET 10 TE FOIST OF EE011w.". TE R3411101 LOT O .IM3 0.1910E ME 0 U.S. / IMPROVEMENT LOCATION CERTIFICATE / m'9rT1.�9'Z+.��eM .Z=.rdOSE P o!'diSt'S'°Lr'.F7WIc` LEGEND AND NOTES m .mom .L SS ....... mE rLw CARIE 0E11A ME MEW MM TMAQI 0010 IT=EMIR C I 413132' ALNSEEM 01.5' IN.N' 3 5TY' V'E M