HomeMy WebLinkAboutpitkin.eh.264321302003 (2011)MEH/NR ONSITE WASTEWATER TREA. .ENT SYSTEM (OWTS)
CONSTRUCTION PERMIT
0405 Castle Creek Road, Suite 10 - Aspen, CO - 81611
Phone: 970.920.5070 Fax: 970.920.5077
Permit #: 0027.2011.powt
Parcel ID #:
2643-213-02-003
Permit Issued: ❑NEW ®REPAIR ❑REMODEL/ADDITION ®TANK ONLY ❑FIELD ONLY ❑AMENDMENT
Owner(s):
Elwin and Sue Noxon
Property Address: 0942 Juniper Hills Rd
Legal Description: Lot 7, Block 2, Filing 2, Brush Creek Vill
Size of Lot: 2.23
Size of Building: 3031
Acres
Sq. Ft.
Detached Accessory Unit: ❑YES ®NO
Size of Accessory Unit:
The system is designed for: 4 bedrooms
Designed By: n/a
Phone #:
Fax #
Project #:
Mailing Address:
Email Address:
Dated:
Perc Rate: n/a Profile Hole Depth: n/a Depth to Groundwater or Bedrock:
Minimum Tank Capacity: 1125 gallons Minimum Absorption Area: existing
Permit Conditions:
Sq. Ft.
This OWTS Construction Permit is approved on the condition of compliance with the engineer design as submitted with the application and the specifications
cited above. Changes must be approved by this Department and the engineer prior to construction.
As a result of an OWTS Use Permit inspection, the existing tank was found be leaking through a two-piece seam. The
existing tank will be crushed and abandoned in place and replaced with a 1500 gallon, two-compartment Roth tank. An
effluent filter must be installed on the outlet tee of the tank. The existing field will continue to be used. A 45' x 12' (540 sq ft)
pipe and gravel absorption area was initially installed under permit 720338. In 1981, an addition to the house warranted
upsizing the absorption area. An additional 600 square feet of pipe and gravel area was constructed under ISDS permit
81045-R. During the inspection conducted by Jeffrey Warren on 9/14/11, the absorption area appeared to functioning
properly. There were no indications of failure during a site visit conducted by this department on 10/31/11.
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 within 30 days of the final inspection, unless a longer period of time has been agreed upon, in writing. This Department must also be called for
the final inspection with a minimum of 48 hours notice.
Minimum horizontal distances between components of the system and physical features shall conform to the requirements of the Pitkin County OWTS
Regulation.
This Permit is conditioned upon the property owner(s) providing for regular inspection, cleaning, and maintenance of the system by qualified personnel, in
accordance with the manufacturer's recommendations and the requirements of the Pitkin County OWTS Regulation. Issuance of this OWTS Construction
Permit does not constitute a guarantee, warranty, or representation by the Department that the system will operate properly or will not fail.
THIS PERMIT IS EXPRESSLY CONDITIONED UPON COMPLIANCE WITH ALL REQUIREMENTS OF THE PITKIN
COUNTY OWTS REGULATION, INCLUDING BUT NOT LIMITED TO THOSE CONDITIONS SPECIFIED ABOVE.
Plans and specifications for the proposed OWTS have been reviewed and are considered satisfactory. Permission is hereby
given to the property owner(s) to perform the work indicated in accordance with the Pitkin County OWTS Regulation. This
Permit will expire 1 year from the date of issuance unless construction on the system has commenced. An "as -built" drawing
must be submitted and approved by EH before final approval of the system will be issued.
Issued By: r� L (pp (�:, ,i, Date: QJt1il Expires: `()
Inst la,tr:
License #:
Reactivation Authorized by:
Final Approxal Issued By:
Aw
? Date:
111
New Expiration Date: Fice PaW
M
10/29/2011 13:08 4356287610 SANDY NOXON PAGE 03/03
00.28- ZVI ;i:Wm illi Llallt
ONSITE WASTEWATER TREATMEh r $YSTEM (OWTS)
CONSTRUCTION PERMIT APPLICATION
t 0405 Castle Creek Road, Suite 10 Aspen, Co Biel'
Phone: 970.920.5070 Fax: 970.920.5077
IDs (evallabie from the Pitkin County Asssssor'e Office -
0-5160 or at vwrw.uitkinaaeessor.otal: �Q .� -� l �_ 7
e of Permit,
Q NEW • DgRfrPA1R DUE 1-0 FAILURE ❑ REMODL'L/ADDZTlON ,TANK ONLY ❑FIELD ONLY
System Repair or Rsmode(/Addition (approxi m 00 t9 d
?2s. s. — ✓�
' Block: Filing: 9 NrBion: 1
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Property Own Email OAddc
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Home ?-V76% Cp-tl
Bu �% % — p 4r
'con►ect must be-pfvvYded for tho owner Wiing rids 6pp6catloh,
PrimaryCof esot Person 140oarrt (if tial t),
Company' /
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CantacvApplicnnt Mailing Addrnea_
City, 6101C. ZIP:
-
Cell Phos.:
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Business Phone:
Fax Number:
Email AddrNtS;
CEO
.o ta-
re,
c coM
building Permit # (If applirpUic); 4
Lo( SIS (In
Size of taut ng square Me umber al BedrptNn9:
d SF
Detached Acoeasory Unft7 ❑ YES JKNO B>xe of Accessory Unit (square feet);
Number of Potential Bedroom. In or Fixture Lest far the Accessory Unit;
Water Source:
❑ PRNATE W3-1- ❑ SURFACE WATER ❑ 5PRm% KCDMMUNiTY/PURE WATER SYSTEM
MZrrr_ of C>,,T.R1:u1ityF`VW?C W2t2r SWMM tit tzppticaDl.a:
Engineering Firm: Ab Number. Phone Numper. Fax Number.
MA(ling Addnaa5: Oty, State. Zip:
PLEASE READ BEFORE BIpNiNG:
I certify that the above Information is complete and socurato and that 1 haw provided cQnnplete and aoaWptp IrtfOrnwfion In WI of Vic documents
Ir4luded in my application paekagg. 1 acknoMedgo that EN/MR may Woke any permit I am ittoued If my application Is found to contain any
inaccurate, false, or mWeading irrformagon. I understand that no constzuation may be undertaken on an OWTS until an OWT8 Construction Permit
Is Issued.
er growre (Requa►ea)- Date-
APPlieent igneture:
Rate:
ed 20/7/00
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Elvin Noxon
PO Box 2377
St George UT 84771
X
Quote
Roto Rooter Plumbing
P.O. Box 1800
Glenwood Springs CO 81602
970-945-5519 FAX: 970 945 5547
Quote #
Date:
Page #
Service At:
Elwin Noxon
0942 Juniper Hill Dr
ASPEN CO 81611
347799
09/20/11
Iof1
Job # 253953
OUR PLEDGE TO YOU: IF OUR PLUMBERS SMOKE OR SWEAR IN YOUR HOME, ARE NOT DRUG FREE, DO NOT WEAR
SHOE COVERS, OR LEAVE WITHOUT CLEANING UP- YOU DO NOT PAY.
Description
Replace existing septic tank with new HDPE Roth brand 1500 gallon septic tank. Crush top of old tank and fill. Backfill to grade
and tie into existing leach field. Access for equipment will have to be created as part of job.
5 year warranty
113 deposit
Proposed Work Quantity Unit Price Extended Price Tx
NEW SEPTIC TANK INSTALLATION
1 $9,870.00 $9,870.00
Total Quote $9,870.00
THIS REPAIR OR REPLACEMENT COMES WITH A WORRY FREE WARRANTY FOR THE PERIOD OF YEARS.
ANY PROBLEMS OR CONCERNS AND WE WILL RESPOND QUICKLY TO RESOLVE ANY AND ALL ITEMS.
I HEREBY AGREE TO THIS PROPOSAL. I UNDERSTAND THAT PAYMENT WILL BE AS FOLLOWS: PRIOR TO
STARTING AND REMAINING UPON COMPLETION. (ALL BIDS GOOD FOR 30 DAYS)
Acceptance (Customer) Dale Approval (Company) Date
U t N Onsite Wastewater Treatment Systems (OWTS) -Use
Permit Inspection Form
N I'lk Pitkin County Environmental Health Department
0405 Castle Creek Road, Suite 10, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
Website: _www.Menpitkin comlehnr
Inspection form for continued use of an existing OWTS
Owner's Name: �(Lllyfrj t(0 X QNJ
Address: 9qz- -a-LA 1j rr WLL- TJZ
Parcel Number: 7
Inspection Date:
Inspector's Name:
Business Name: ��-t -.a h d-E1E.f,7 P t(A M il 4 C
Phone Number 'j—I0._ e1 q S_ SS 19 t
Email: 1{ i Ct1'JArld
Pitkin County Systems Inspector License Number:
Air oihta (irspecti9 r��t�rc r
t �viff #a;enriited trf Pykh �quntYEtrviror�rnrnia!Neolth qetrrtmerrt�
Lticerised Syaterrrs tnspeetar wYtthin,6U days n,I the inst�eciion cardless a wJLeth_er the sustern
pqsses or rlils.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: ?
Is the home currently occupied? YES NO
If NO, how long has the home been vacant? NOT-- .fit ?
How many bedrooms are in the home?
When was the tank last pumped?
Name of pumping company:
If secondary treatment is used, who is the
maintenance provider?
RECORDS:
Were system records available from Pitkin County? YE NO
If YES: Permit number: AjcE— /?..
Date of Final Approval: (!J—L
# of bedrooms permitted:__.
Was an as -built drawing available? BYES
NO
Is the as -built drawing accurate? NO
If N0: Complete a drawing of the system on last page of this form as accurately as
possible.
Any question marked FAIL will require correction before an OWT5 Use
permit is issued.
SITE CONDITIONS:
Proper grading, no evidence of erosion? P S
FAIL
Improper vegetative cover? NO
YES
Evidence of compaction such as heavy machinery or livestock? N
YES
Improper discharges such as straight pipes? P
FAIL
Evidence of high ground water?
YES
Snow cover present? N
YES
Page 1
W
ruirirN UV31INU ]IPNONS:
Is a pump or dosing siphon present?
Evidence of past surfacing?
If YES, is the pump/dosing siphon functioning properly?
VE5�g�
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:
PASS FAIL
Is a secondary treatment unit present? YES
If
NO UNKNOWN
YES, does the unit appear to be in good working condition? YES
Liquid in observation port?
Does the owner have a current maintenance contract for the unit? YES
NO
NOt11VKNOWN
Maintenance Provider:
�__.___..-�
Phone:
If there is no maintenance contract, a contract must be in place prior to occy of the home. A
upupaancnclth
copy of the contract rnu5t be submitted to Pitkin County Environmental
Department.
ABSORBTION AREA:
Effluent surfacing?
Evidence of past surfacing?
�—
FAIL
YES
Surface dampness?
N �
YES
Excessive odors?
Field location verified by observation ports or probing:
NO
Por
YES
Probing
Liquid in observation port?
YES
If YES, record depth:
inches
Distribution Box or ADV part of original design?
If YES,
YE5
_
NO NKNOWN�
is it accessible from grade?
YES
NO
Is it level and in good condition?
PASS
FAIL
Page 2
-Jr
C
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.
To the best of my knowledge and training, the information tolled ed in this inspection is accurate as of
f `
—2011
Licensed Systems Inspector Signature: /
Additional Notes:
Clearly label any pictures and attach them to this form
Page 3
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10, BRI,
3p.
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FOUND SPICE
NOTICE: ACCORDING TO COLORADO LAW YOU MUST COMMBNCE ANY LEGAL ACTION
BASED UPON ANY DEFECT IN THIS SURVEY WTTHDQ THREE YEARS AFTER YOU FIRST
DISCOVER SUCH DEFECT. IN NO EVENT MAY ANY ACnoN BASED UPON ANY DEFECT IN
THIS SURVEY BE COMMENCED MORE THAN TEN YEARS FROM THE DATE OF
CERTIFICATION SHOWN HEREON.
\ 10' UTILITY EASEMENT
BK 222 PG 348
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LOT 11, BLOCK 2 \
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