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PirKIN
COUNT
Pitkin County Environment ealth Department
• Onsite Wastewater Treatment Sm (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 #: 2467-361-02-002
OWTS Use Permit #:
0013.2013.powu
Date Issued: 4/22/2013
Issued By: Bryan Daugherty
Expiration Date: 4/22/14
Owner(s): I Roaring Fork Real Estate Solutions, LLC
Property Address:
2556 Lower River Rd
Legal Description:
Lot 2, Murray Low Impact Subdivision
Licensed Inspector:
Carla Ostberg
Inspection Date(s):
4/19/13
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
concrete Two-compartment tank
2500 gallon
Secondary Treatment Unit
N/A
N/A
Absorption Area
Gravelless Chamber Trenches
840 sq. ft.
Other System Components
N/A
N/A
OWES Use Status:
® In use at the time of the inspection. ❑Not in use at the time of the inspection.*
*If the OWES 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 #: 07018 Date of Issuance: 4/3/07 Date of Final Approval: 12/14/07
# of Bedrooms or fixtures served by OWES: System was designed for 5 bedrooms
Operational Status: According to the inspectors report, the system was functioning as designed at the time of
inspection. The 2500 gallon 2 compartment tank was in good working condition and had both inlet and outlet Ts in
place with an effluent filter in the outlet. The outlet flowed to a distribution box that was not accessible from grade.
This evenly distributed the effluent to 4 chamber trenches. The field area showed no signs of failure or surfacing
effluent and there was no liquid in the observation ports.
Inspector Recommendations: The inspector recommends limiting irrigation on the field area to prevent overloading of
the system.
Department Recommendations: N/A
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 Inspections/ 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-compliont 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
1'r llure.
Pitkin County Environmental Health Department
(�t'I'K I N Onsite Wastewater Treatment System (OWTS)
*IPA
COUNTS USE PERMIT APPLICATION
76 Service Center Rd
Aspen, CO 61611
Website: www.aspenpitkin.com/ehnr/
Application for Continued Use of an Existina OWTS
Parcel ID# (available from the Pitkin County Assessor's Office
ContactiApplicant Mailing Address:
970-920.5150 or at www.oitkinasaessor.orgl:
Purpose of Use Permit:
ROPERTY TRANSACTION ❑ REMODEUADDMON
Bus ess Phone:
Property Address:
r
L d'
irU e"— ,a a�
Jl' a
6) 2p - C
Lot Block:
Filing:
Subdivision
Email ❑ Fax PIUS Mail
0?
Residences:
Other
Fax Number:
Q Q
# of Bedrooms.
fixtures/uses:
Mailing Address:
City, State. Zio:
3
< C n h,,-- 4-- C4-' S116
/
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
Property Owner(s)':
am issued If my application Is found to contain any
Email Address:
Ael Q r n /-70'-A Z
' 011 r
Owner's Mailing Addre s
City, State, Zip:
do e k„
s 8/fo/
Home Phone:
Business Phone:
q41e)-
-�
-uonracr mrormaoon musr oe provided ror the owner signing tms appacarron.
Primary Contact Person/Applicant (if not owner): Company.
ContactiApplicant Mailing Address:
ity, State, Zip:
Cell Phone:
Bus ess Phone:
Fax Number.
Email Address:
6) 2p - C
/
Indicate Preferred Method of Permit Receipt:
Email ❑ Fax PIUS Mail
Licensed Systems Inspector.
Phone Number: Email Address:
Fax Number:
Q Q
9 -7 t- a 4 G4rl
7 / r c�
Mailing Address:
City, State. Zio:
3
< C n h,,-- 4-- C4-' S116
/
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.
Jwner Signature (Required): Date:
G4,1�. l3
kpplicant Signature: Date:
Please allow 3-5 business days for processing of Use Permits.
=OR OFFICE W
Received by EH Staff Fee & Receipt #: Date:
I
i
0
CBO Inc.
F * , 33 Four Wheel Drive Road
Carbondale, CO 81623
^' cell) 970-309-5259 office) 970-704-0484
r,
carla.ostbero(cDpmai 1. com
April 19, 2013
Jean Moore
Alpine Bank
leanmoore(a)alpinebank.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
2556 Lower River Road
Pitkin County, Colorado
Ms. Moore,
Ll
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
Inspection at 2556 Lower River Road on April 19, 2013.
The permit and record drawing was provided by Pitkin County Environmental Health Department
(Parcel ID # 2467-361-02-002). The subject OWTS consists of one 2500 -gallon two-compartment
septic tank. A distribution box, not accessible from grade, distributes effluent to four gravelless
chamber trenches, two with 22 'Quick 4' Infiltrator® chambers and two with 21 'Quick 4' Infiltrator®
chambers for a total of 848 square feet of infiltrative area, as indicated on the record drawing.
The septic tank appeared to be in good condition. Both inlet and outlet tees were present. An
effluent filter was present and cleaned as part of the inspection. There is minimal accumulation of
solids in the tank and therefore no need to pump the tank at this time. The absorption area
showed no signs of saturation, and had no indication of failure. Observation ports were present. It
should be noted that irrigation is not recommended over the absorption area. This evaluation is not
a guarantee of future system performance. This inspection is good for one year.
This report and the OWTS Use Permit Inspection From should be submitted to the Pitkin County
Environmental Health Department. The following links are the required application and application
checklist.
Application:
http://www.aSDenDitkin.com/Portals/0/docs/countv/Com%20Dev/EH N R/O WTS%20Use%20Permit%
20Application.pdf
Application Checklist:
http://www.asr)eni)itkin.com/Portals/0/docs/countv/Com%20Dev/EH N R/OWTS%20Use%20Perimt%
20Aoplication%20Checklist. pdf
Please call with questions
Sincerely,
Nt (0- 68_�&/_Ls
Carla Ostberg, MPH, RENS
NAWT Certified Inspector
Certification # ITC11042010 Exp. 2014
3
LI
rI
View of absorption trenches with observation ports to surface. All ports were dry.
T K IN Onsite Wastewater Treatment Systems (OWTS) Use
r p Permit Inspection Form
COV N TI� Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone: 97G-920-5070 Fax: 970-920-5374
Owner's Name:
Address:
continued use of an
Parcel Number—,% 4 �I-<3(R(—n2.—nn�
Inspection Date:
Inspector's Name: it I rak _ IrOt
Business Name:(' (n f
Phone Number
Email:ryli-1tfv�' (a) , unm
Pitkin County Systems Inspector License Numbel ; DI -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. - UcL
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: �¢ fi�p.
OLLr C iA.P{y ir
L1J '1"Cm" L
Is the home currently occupied? YES NO Q.(k� 1%% fpC 0-w.N m)
If NO, how long has the home been vacant? ncJ S rU (� V 1L1 -f.
How many bedrooms are in the home? L{
If secondary treatment is used, who Is the
maintenance provider? N
RECORDS:
Were system records available from Pitkin County? EFS)NO
If YES: Permit number:
Date of Final Approval: _Nj: tql in
N of bedrooms permitted: ci
Was an as -built drawing available? NO
Is the as -built drawing accurate? YES 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?ZNO
FAIL
Improper vegetative cover?
YES
Evidence of compaction such as heavy machinery or livestock?
YES
Improper discharges such as straight pipes?
FAIL
Evidence of high ground water?
YES
Snow cover present?
YES
Page 1
5
b
0 0
TANK:
Tank 1
Evidence of past surfacing?
Tank 2
YES
Tank 3
YES, is the pump/dosing siphon functioning properly?
Tank capacity
Oo
gallons
PASS
gallons
Is the high water alarm working, both visible and audible?
gallons
Tank material
SECONDARY TREATMENT:
�
Is a secondary treatment unit present? YES
UNKNOWN
p of compartments
NO
Does the owner have a current maintenance contract for the unit? YES
NO
UNKNOWN
Maintenance Provider: Phone,
Date of last pumping
n
Lids/risers in good condition
P
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
YFS
NO
YES
NO
YES
NO
Riser height
Riser condition/watertightness
Inlet sanitary T/baffle
(_EA,%V
FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitaryT/baffle
P
FAIL
PASS
FAIL
PASS
FAIL
Effluent filter (if part of design) <
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
YES
N
YES
NO
YES
NO
If YES, list the pumping company
fl NO, when was the last pumping
Scum level (1st compartment)
Inches
inches
inches
Sludge level (1st compartment)
t r
inches
Inches
inches
Scum level 12nd compartment)
"
Inches
inches
inches
Sludge level (2nd compartment)
"
Inches
inches
inches
Backflow (If pumped)
PASS
FAIL
PASS
FAIL
PASS
FAIL
Midtank baffle
P FAIL
N/A
PASS FAIL
N/A
PASS FAIL
N/A
Watertightness
CfAS52
FAIL
PASS
FAIL
PASS
FAIL
PUMPS/DOSING SIPHONS:
Evidence of past surfacing?
Is a pump or dosing siphon present?
YES
VOLIf
YES, is the pump/dosing siphon functioning properly?
PASS
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
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,
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?
Evidence of past surfacing?
Surface dampness?
Excessive odors?
ANO
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?
FAIL
YES
YES
YES
Probing YpJ' �L
�� — rr_�r4V_]'tiu_
YES `J ti5v •� 0�
inches f�r�+S
YES NO
YES NO
PASS FAIL
Page 2
UNKNOWN
0 0
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations for the continued u e of the system: r
nA' I(fit A-i'� 4�� L��-i��v, ��liU
Were any repairs done as a result of this inspection? NO YES
If YES, please describe the repairs.
TR tha best of my knowledge and training, the information collected In this inspection is accurate as of
Licensed Systems Inspector Signature:
Additional Notes:
AIJ
Clearly label any pictures and attach them to this form.
Page 3
q
0 0
Pitkin County Environmental Health & Natural Resources Department
Permit for an Individual Sewage Disposal System
0405 Castle Creek Road, Suite 10, Aspen, Colorado 81611
Phone 970-920-50701 FAX 970-920-5077
Permft# 07018 Parcel ID # 2467-361-02-00z
type of permit New(X) Repair( Addition/Remodel to House( )
Name of Owner Paul Getty
Street Address 2556 Lower River Rd
Property legal description
Lot 2 Murry Low Impact Subdivision
Size of lot 16.97 acres Total square footage of the house 5,750 sf
Water source Private well
# of bedrooms in house !
Caretaker unit
# of bedrooms in caretaker unit
Designed for what # rooms (list)
Designed by All Service
# of offices, lofts & similar sized rooms in house
Total square footage of the caretaker unit
# of offices, lofts & similar sized rooms in caretaker unit
FIVE Bedrooms
LLC
Permit information
Mailing Address PO Box 2844 Glenwood Springs CO 81602
Perc rate 23 Profile hole depth 8 ft Depth to groundwater or bedrock > 8 ft
Minimum Septic tank capacity 2188 gallons Minimum Absorption area 1679sf / 50% reduc=840sf
Comments
Septic permit approved per compliance with the engineer design and specifications dated March 21, 2007,
Project # 1204 Any changes must be approved by this department and the design engineerrp for to them being
made. Minimum horizontal distances between components of the system and physical features shall conform to the
Pitkin County ISDS regulations. Geologic Investigation Report dated March 21, 2007 states that 140 ft separation
between drain field and well and 80 it between drain field and river is appropriate to prevent contamination.
The design is for one 2500 gallon two-compartment concrete septic tank with an effluent filter on the outlet. Gravity
flow from the tank Is to a baffled concrete distribution box with equal flow to 4 trenches of Quick4 gravelless
chambers, two trenches with 22 chambers and two trenches with 21 chambers for a total of 86 Quick4 chambers.
This department does not endorse any brand of products. This permit must be kept on-site during installation.
The engineer must do a final inspection of the installation and submit an as -built letter to this department. This
department must also be called for an inspection with a minimum of 48 hours advanced notice.
The owner has the responsibility that all components are inspected and maintained on a regular basis by qualified personnel.
Revegelation over the area of the field Is very important for the functioning of the system. Pitkin County has guidelines that must be
followed to assure the plants that are introduced are appropriate for the conditions of the area. The use of native plants is strongly
Permit approved by: ` utrL C r i Date: /3
Plans and specifications of the proposed individual sewage disposal system have been reviewed and are considered
satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin
County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was
Issued unless system construction has commenced or an extension has been approved In writing by the Department.,As-built
drawings must be included with this permit before the final approval ill be Issued Expiration Date: !0 Z.21Z
p g- 3 -Ltize �;x 6='
Installer: KJtJj.,,.,., lr�' L •x� -y'-Y License Nu ber,6.736
k "
Final approval: � j�-���_ Date:
E
0
PITKIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
0405 Castle Creek Road, Suite 10, Aspen Colorado 81611
Phone (970) 920-5070 Fax (970) 920-5077
Name of OWNER ?ate 67E+jr I / II �
Owner's Mailing Address 5 $'f w n Fe(� � 5r. i Yc Z I ]
SQ
Ctt State ZI W d C` STo [ J TjC "7 %U 5-1 Business Phone:(832) 1+95C - *006,
Horne Phon :281 q-70 - 936a E-mail Address: fle,�'(' +i✓' a(�lah�-,...sa va tn[Q, Cdw
Primary Contact Person (all communication regarding this permit will go through this person)
Name OL, u k¢✓
Comp nybAvJ .— �•..
Contact MailingAddress-41 $ eF. C •. e, elle 5.4. Xe -2, ro
City, state Zi i;.s re> C C1 8 (6) ( Business Phone: 970 2 3LQ- 14'
Cell Phone: �•Oq 44'i -Pi Fax: 92d Z(9 E-mail Address',Gt+�� gr��.r!•.T CGr++
Parcel ID # (available from assessor's office
at 9205160 or at www.pitkinassessor.org )
Building Permit # (if available)
Street adgress of property 2 S (. (. •mor
Legal Des ription: Lot _' ,Block
2 4 C-_ 3 a 0 Z
,Filing ,Subdivision
Size of lotf Ib- 9% acres. Type of proposed structure: S' ha)(<- t -u it _/ Kt
Total square feet of house S, -7 SG 5(-- # of bedrooms (potential) in house 5
Caretaker Unit: Attached( ) Detached ( )
Total area(sq ft.) of caretaker unit # of bedrooms (potential) in caretaker unit
crc�L C d
Permit is for. New Home ( 4) Repair due to failure ( ) RemodellAddition ( ) Emergency use ( )
Water: Private well (VII) Spring( ) Stream ( ) Community/Public Water System ( )
If community system: Name of system
The fee for a ISDS application is $600 for a permit that takes 6 hours or less for the department to approve. If approval takes
longer than 6 hours, a rate of $100 per hour will be charged. The maximum fee is $1000. The basic fee of $600 is due at the
time of application. The remainder, if any, will be due in two stages. first, at the time of issuance of the ISDS permit; second,
before final approval of the ISDS permit.
Application for an individual sewage disposal system Is hereby submitted. I hereby certify that the above information is true and
accurate and that I have provided true and accurate information on locations of all existing and proposed wells, contour
intervals, buildings, property lines, ditches, slopes, waterlines, springs, suction or irrigation lines, drinking water cisterns, drain
tiles, irrigation ditches, lakes, water courses, streams, floodplains, dry gulches, and existing septic systems. I hereby certify that
any such features not shown on attached site map are not present. Issuance of the permit does not imply the approval of any
other permit required for construction pursuant to Pitkin County codes. No construction may be undertaken until all approvals
and permits have been obtained.
The Pitkin County Environmental Health Department, Pitkin County and employees of these agencies will be held harmless
should the individual sewage disposal system fail or malfunction. The permit to construct Is issued on information submitted by
the applicant or his/her representatives. The owner assumes full responsibility in case of failure of the system.
Signature of applicant — Date 3 lZ 7
Received by� Receipt# �0_ Date
(a b U Ui
U1%
LOT 2
AV ACRES
TYPICAL PLAN VIEW - N.T.S.
INFILTRATOR(R) OUICK(TM)
CHAMBERS, 3' X 4'
CONCRETE DISTRIBUTION
BOX WITH BAFFLE
PVC UNE TO 21
'CLOCK -4
CHAMBER TRENCH
INFILTRATOR(R) QUICK4(TM) CUT SHEET
��i.T^ra„._'81
DESIGN
5 -BEDROOM MAIN RESIDENCE, <6000 SF = 1000 GALLONS PER DAY
TOTAL LOADING e q m 1000 GALLONS PER DAY /
PERCOLATION RATE = 23 MINUTES PER INCH ✓
CALCULATED AREA = ((1.75 X q) X sgrt 23) 15 = 1679 SF
REDUCTION OF 50% = 840 SF y'
CROSS SECTION OF TYPICAL Cl
4" SDR 35 PVC
OBSERVATIONNENI
PIPE WITH CAP
4' MAX
6 MIN.
-EXTENT OF I(L
EXCAVATION
TRENCHES MUST BE LE
NOTES:
TRENCHES MUST BE ANGLED TO FIT TOPO
MINIMIZE REMOVAL OF EXISTING VEGETAT
QUICK4(TM) CHANBERS ARE CONSTRUCT
POINTS FOR THIS PURPOSE.
THE SLOPE AT THE PROPOSED DRAIN FlElf
THE SOUTHWEST. VEGETATION CONSIST
Architect's Plans - Lower Level
Farm SCNLGL—WnTOTAL° appraisal sorware by a la made, inc. —1 800-ALAMODE
is
Architect's Plans - Main Level
Form SCNLGL—'MnTOTAL' appraisal software by a Is mode, In. —1-88PALAMOOE
13
Architect's Plans - Upper Level
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