HomeMy WebLinkAboutpitkin.eh.247623200037 (2017)��TKIiV
COUNT
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 #: 1 2476-232
00-037
OWTS Use Permit #: I
0031.2017.POWU
Date Issued: 5/22/2017
Issued By: Bryan Daugherty
Expiration Date: 5/2218
Owner(s): I Whistle Pig Enterprises, LLC
Property Address:
847 North Fork Loop
Legal Description:
1250 minimum
Licensed Inspector:
Carla Ostberg
Inspection Date(s):
10/10/16 & 11/8/16
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete two compartment tank
1000 gallons
Secondary Treatment Unit
Absorption Area
Lined ET bed
1250 minimum
Other System Components
®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 #: 90038 Date of Issuance: 7/26/90 Date of Final Approval: 8/14/90
# of Bedrooms or fixtures served by OWTS: System is designed to serve 1 bedrooms
Operational Status: After required repairs to the system to pump tank and add risers the system was functioning as
designed. The tank was in good watertight conditionThe ET bed did not show evidence of failure but did have standing
water in the southeast Corner.
Inspector Recommendations: Inspector recommends adding onto swale uphill from the field area to prevent surface
water from infiltrating the ET bed. Trim willows that's are growing into the ET bed.
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 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 systern 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 Onsite Wastewater Treatment System (OWTS)
COUNT USE PERMIT APPLICATION
76 Service Center Rd
�4 Aspen, CO 81611
hftp://pitkincounty.com/248/\/Vastewater-Treatment
Onnlinatinn for Cnntinued Use of an Existina OWTS
Parcel ID# (available from the Pitkin County Assessor's Office
970-920-5160 or at r htt:// ,tkinassessor.or /assessor/search.as
OS ` I:.J.�►��(JJ /
Purpose of Use Permit:
PROPERTY TRANSACTION
rz
REMODEL/
Property Address:
n
H 7f Stk, Leo f
Lot:
I
Block:
� �� ��� � e
Filing:
Subdivision:
Residences:
# of Bedrooms:
l j��
Other
fixtures/uses:
Property Owner(s)*:
w�i5f �i �2PR-r LCL
Email Address:
Owner's Mailing Address:
et�4
City, State, Zip:
�v
S ria
Home Phone:
� �� ��� � e
BiPh
Business one:
i
*Contact information must be provided for the owner signing this application.
Primary Contact Person/Applicant (if not owner):Company: -94` l&,
�i, I 60
Contact/Applicant Mailing Address: City, State, Zip:
-11)"Mqu
Cell Phone: Business Phone:
Fax Number. Email Address:
Indicate Preferred Method of Payment Check Credit/Debit L:jCash
Licensed Systems Inspector: Phone Number: Email Address: Fax Number:
C � C - -30 - 2 C
Mailing Address: City, State Zi
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 1 am issued if my application is found to contain any
inaccurate, false, or misleading information.
Owner Signature (Required): 1 /7 1 Z-' Date: I
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Received by EH Staff: Fee &
Save Form Clear Form Print Form
Effective Date 1/12/2017
December 20, 2016
Fred Smith
Fasmith.fs(a�,gmail.com
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg@-gmail.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
847 North Fork Loop
Pitkin County, Colorado
Fred,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 847 North Fork Loop, Thomasville, Colorado on October 10 and November 8, 2016. The
legal description of the 2.49 -acre property is Section: 23 Township: 8 Range_ 83 Part of SE4NW4 of Sec
23-8-83 Desc by M/B BK 614 PG 449 & Page 513.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2473-232-00.037). The subject OWTS consists of one 1250 -gallon, two-compartment concrete
septic tank. Effluent gravity flows to a lined 42' x 55' Evapo-tra nspi ration (ET) bed with 2' of "washed
sand" under the distribution pipes. Individual Sewage Disposal System Permit 90038 documents this
system. The system was sized to accommodate 1 bedroom. The permit received final approval on
April 14, 1990. 1
The residence is located on the south side of Himmelland Reservoir. No clean out was observed outside
of the residence. The septic tank is located to the northwest of the residence. The manhole lids were
approximately 1 -foot below grade. The addition of risers will be necessary to bring access to grade.
The existing manhole lids are extremely heavy, so when risers are added, the lids should also be
replaced for a proper fit with the new risers.
Both the inlet tee and outlet tee were present. The outlet tee is tucked under the tank lid, making the
addition of an effluent filter not feasible unless the pipe was extended into the manhole opening. We
measured the solids on the septic tank and the inlet side of the tank had approximately 12 -inches of
sludge. The septic tank should be pumped prior to applying for an OWTS Use Permit.
Repairs and pumping were arranged with Altitude Septic; however, snow levels would not allow access
to the property with the pump truck when this was attempted. The repairs have been scheduled for
Spring when access is feasible. An invoice documenting pumping and repairs must be included
with the OWTS Use Permit Application Packet.
Effluent from the septic tank gravity flows to a 42' x 55' lined ET bed. Inspection ports/vents are present
in the area of the bed. While there was no effluent in the inspection ports, there is a swale west and
south sides of the ET bed. There is standing water in the southeast corner of the bed. We believe this
swale is allowing drainage to collect in this area rather than divert it beyond the bed. We recommend
extending the swale to better divert drainage around the bed. Additionally, we observed a spring uphill
and to the south of the ET bed. There are willows growing over the STA. These roots could be
damaging to the distribution piping, although we have no evidence that this has occurred. There was no
evidence of surface saturation or failure over the ET bed area at the time of our inspection. This
evaluation is not a guarantee of future system performance. This inspection is good for one year.
Required repairs:,
• Add 1 -foot risers to bring access to manhole lids to grade.
• Replace manhole lids with those that will fit properly on the new risers.
• Pump septic tank.
This report, documentation of repairs, 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: hftp://www.pitkincounly.com/DocumentCenter/HomeNiew/621
Application Checklist: http://www.pitkincounty.com/DocumentCenter/HomeNiew/620
Also enclosed are instructions on how to apply for an OWTS Use Permit electronically. 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 proper 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 # 110441TC Exp. April 2018
Needed pully system to raise septic tank lids / very heavy
Inlet tee Outlet tee
Inspection ports
port)
Pik
i Iy
+ T
V. 17
Onsite Wastewater: Treatment Systems (OWTS) Use
Permit Inspection Form
Pitkin County Environmental Health Department
76 -Service Center Rd, Aspen, CO 81611
Phone; 970-920-5070 Fax:. 970-920-5374
I Insuection formfor continued.use'of an existing::OWTS I
Owner`s Name:
Address:
Parcel Number:
Inspect!". Date:
inspector's Name:
Business Name:
Phone Number
EmaH:
2 --CCG
Pitkin county Systems inspector License Number: c—j`
R cogKof this ` 'fsn recr will be r ed to l ltkln 'Rym
IM Envlrvn ntvl Health De yrtwent l:+
the license 5 t m /ns a wfihln 460 d o tine fn ern r ar a urhe er tits err
vases or fol/s.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: � f
Is.the home curre ntiy occupied? Y NO 'I , t ►. i 1^ r .' 1-, " t F
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? YES NO
If YES: Permit number: !a I
Date of Final Approval: q0
# of bedrooms permitted:
tufa's an as -built drawing available?NO
Is the as-built.drawing accurate? 4i
NO
If NO: Complete a drawfrtg of the system on lost page of this form as accurately as
possible.
Any question marked FAIL will require correction before an OVM Use permit is issued.
SITE CONDITIONS: 4
Proper grading, no evidence of erosion? PASS F
f y Improper vegetative cover? NO- f}
Evidence of compaction such as heavy machinery or livestock? AVO YES+
Improper discharges such asstraight pipes? -,4 �_ rltr' f
Ae,�,VWence ofhigh ground water? NO
Sn6w
cover present? 10 YES
OT
Page 1
PUMPS/DOSING SIPHONS:
Tank 1
O
Tank 2
Tank 3
Y�-J
TANK:
PASS
gal ons
Does the pump/wiring/dosing siphon appear to be in good condition?
gallons
FAIL
gallons
Tank capacity
FAIL
SECONDARY TREATMENT:
YES
l O
UNKNOWN
Is a secondary treatment unit present?
Tank material
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
# of compartments
if there Is no maintenance contract, a corstract must be in place prior to occupant,
t o mes e, Acopy
e
of tie contract must be submitted to VAIdn Count�j Environmental Healt�: Department,
Date of last pu ping'
PASS
Alk ,.
Pli
FAIL
PASS
FAIL
Lids/risers in god
Risers to grade
YES
N '.
YES
NO
YES
NO
Riser height
`
Riser condition/watertightness
Inlet sanitaryT%baffle
PASS
FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitaryT/baffle
IC PASSef,,.
FAIL
PASS
FAIL
PASS -
FAIL
EffluentfiIter (ifpartofdesign)
PASS FAI
N%.'
PASS
FAIL N/A
PASS FAIL
N/A
Condition of tank material
PASS-
FAIL:
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
YES
NO 5
YES
NO
YES
NO
If YES; list the pumping company
If NO, when was the last pumping
inches
Scum level (,1st compartment)
I `t
inches
inches
Sludge level (1st compartment)
!2
incises
inches
inches
Scum level (2nd compartment)
inches
inches
inches
Sludge level (2nd compartment)
inches
inches
inches
Backflow (if pumped)
-PASS----FM
PASS
FAIL
PASS
FAIL
Midtank baffle
PASS FAIL N/A
PASS
FAIL N/A
PASS FAIL
N/A
Watertightness
r`T�AS
1
PASS
FAIL
PASS
FAIL
PUMPS/DOSING SIPHONS:
YES
O
is a pump or dosing siphon present?
NO
Y�-J
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:
YES
l O
UNKNOWN
Is a secondary treatment unit present?
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 corstract must be in place prior to occupant,
t o mes e, Acopy
e
of tie contract must be submitted to VAIdn Count�j Environmental Healt�: Department,
>.
ABSORBTION 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?
P9
FAIL
N
YES
NO
Y�-J
'
;-NO
YES
Probing
NO (" Y 5"`
inches
YES - N
YES NO
PASS FAIL
Page 2
UNKNOWN
Any problems
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.
t
.44
i�
t�
`Ai0l o the best of try knowledge and training, the information collected in this inspection is accurate as of
2i).
Licensed Systems. inspector Signature: f -. ...
AdA.l -1 Nn#me•
Page 3
feeti 200
Go(,,)gle ECS h meters 60
r
•_ 2— _ c? p - 0 7
ASPEN*PITKIN 11*
ENVIRONMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
10030
TYPE OF PERMIT:
(AInitial Construction I mmecgency Use ( )Repair fsork,(Pievious Permit 1 .) t )Alteration of an existing system,
or installation (Previous Permit f .)
( )Use Permit as a result of $ale ( )Others
ISSUED TO: DATE OF ISSUE
Owner �"YL uy Home Phoneq-z3 -k j3 Business Phone
'(a i l in g L_. _
Address P �+ D �Z�Z �'Yt�W()1A„5 Syi I l &Ae f✓d tl h --
Agent Phone
Mailing Y7A�T/�• �fk lam
Address _
Sewage Disposal System Work to be performed by11X 5'brt.t
This permit valid only for premises location by the following legal description,* '/a 144 17 0', i a -53
LUT St&Efi
_ .5 acr45 , WATER SUPPLY (I 0-k W-0 I�. AvERA:E PERcoLAT10Y RATE +�Ni
This Individual Sewage Di#poral Permit is granted with regard to the following usat� iQr►u IZt.StGL
Mvabor oft Dodreoms _ Lofts Garbage Disposals D Dishwashers_ Clothes flashers.�,,,- `j,`��.
CALCULATED AVERAGE DAILY WASTE LOAD Z GALLONS wi+iq low .PION/ w j,6 11 YI�AGitv►'t[
THE NATURE OF THE §YSTEX INCLUDED UNDER THIS PER11IT: ' vwtx I _nj ,
y, s of Tank or Treatment Units 6tFtil L 1%4L Tank Capacity f'S� call.. Minimum
othod of rinal Disposals E.V#.foTrAnfyi A, oe1 Absorptiop Area IZ. Square feet Minimum
ascription (including brand ngsrt, if any) of other equipment or,appuctnancess
Icy p ori U � on f T
(k(I 111(+0-11? 5 4D ht low -Plow
W/O V +M. ,4W 4-p i �Wt 'S%l 1 t t �{ �0� L10 (�t.'it -b Vi'I.G a.S t,t -r L GI G+ Gt A.i
)thor Condlelons or spcci ca tons 6 y
Tb � i ►? bt l+t. C C Myrd.('n'� -to ��S t�.I'1d 5� 41 � l.A.�+'0n 5 OF �C.I'�rrt,U..t-5U''.
dt a --f-o
S�Cu i.�on5 � G INSPECTION XBY�THE HETI HEALTH DEPARTMENT:
STAGES REQUIRING
( )Refore Excavation (}Upon completion of excavation and prior to plstement of gravel Kilefore covering distribution
�,. I�sy�s.ttem of Absorption hold
t\APrlor to backfill of iny,compone.t (other, Specifys .G�A47a 17 . � I ej5U4L ;U On "r �—�
Plan/�s``am1 specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Peenl4fl(on
in hereby granted to tLn owner or his agent to perfnrn the work indicated ahnve in a.:cordance with the Pitkin County In.liviJuat
5aua;c liinpesai Rcvnlations'Iin etfv:t on the d.tc of L!] -%U.!. a
u. to addition general p:visinns net ford+ on tho -over-s* l:et_of,
this P.trmit ie sul.jcct to t11e following additional tarns and conditionst
nn Aspen/Pitkin Environmental
APPROVED FOR ISSUE BYL.-� (title) Health C)ffice,
--, y
The atwive initvidual se+,ayo (iispasal system inntallcd by
iia% b:Cn for use 1* t reprretntattvC 0 the Asy:cr. .'ltTln Lnvirt.n..-nta rice t D.•p�.tt.n.:at. Th.r .,vn.�t�a�rur� n.! aTl
rvct,uns:Ltltty in case of taMiure or tnad"quacy of th �c�9%. d �}.a 1 aystew. ConpICLU as -built dravinq attached.
' -
DATE OF FINAL INSPECTION ��_ _
Aspen/Pitkin Environmental
Bt: t: iL!!,/Snc� TI'TL>r
Health Officer
' p G 130 South GatIena Street Aspen, Colorado 81611 30/820-6070
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I
0 ASPEN*PITKIN 0
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT
Name of OWNER T7-4"-RJe C L
Address of OWNER
9--
P HONE C)0 - 6 12-3
«r�;
Name of APPLICANT �, (Jt��'�* (c Cjm ��t PHONES
PERMIT To BE? (y )Picked Up t )flailed ton TYPE OF PERMITc New Installation ( )Repair
j \ ( jovner ( )Applicant , ( )Emergency use ( )Alteration NOT duo to failurA
E40CATION OF PROPOSED SYSTEMI
Legal Description 50-f ye
Eat Block_.,_ Piling Subdivision Site of Lot OC"J acres
TYPE OF STRUCTURE: )OSLagle Family Dwelling ( )Other+ Do you plan any furthe dditions to the
residence? ( )YES NO
Wo. of bedrooms_ Me. of Lofts!_ No. of Garbage Disposals 0 -" No. of Automatic Dishwashers �
Ilo. of Automatic Clothes Washers
WATER SUPPLY: 'PkPrivate Well, Depth jVOT I-11J0,JyJ or ( )Public, Name of System
1 )Spring
( )Stream or Creek
TYPES OF INDIVIDUAL SEWAGE OIISPOSAL SYSTEM PROPOSED$ '
Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )found
{ )Recycling, potable use ( )Recycling, other use ( )Vault Privy ( )Others -
The initial site inspection aunt be arcanged with the Aspen/Pitkin Environmental Flcalth Department (925-2020, 8:30-9:30 a.m.)
before a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtained.
FINAL INSPECTION APPROVAL MUST BE GIVEN by THE ASPER/PITKLN ENVIRO,YMENTAL HEALTH DEPARTMENT PRIOR TO BACKFILLING ANY POATIOV
OF THE SYSTEM.
Application for an individua' ewage disposal permit is hereby submitted. The undersigned acknowledges that the above information
is true and that false info ti n wiyi invali ate th application and any subsequent rmit.
signature of Applicant ' G/ DAA �� 7
( his application becomes. inval 2 chs from the above date.)
NOTE: PLOT! PLANmust be filed with this application.
Please locate the following items by measured distances:
1. Property, lines and dimensions.
2. Proposed and existing water wells on subject property and
adjacent,property.
3. Domestic water service lines.
♦. Proposed and existing buildings, driveways, and other
structures.
S. Streams, lakes, ponds, irrigation ditches, and other water
courses.
6. Proposediand existing individual sewage systems on subject
property,
SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO
BE CHANGED FROM ORIGINAL PLAN.
The underrssigneedt hereby acknowledges receipt o�khis individual sewage disposal perp !a 1 tion and a rmit fee in the amount
VG Receipt Number i) � � . Date Fee Received oC •bY ck
Adwini4rstive Officer
—� 130 South Galena Street Aspen, Colorado 81611 303/920-40.70
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