HomeMy WebLinkAboutpitkin.eh.264321305001 (2013)VfTKIN
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Pitkin County Environmental Ftealth Department
Jnsite Wastewater Treatment Syst i (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 #: 2643-213-05-001
OWTS Use Permit #: I 0016.2013.powu
Date Issued: 05/08/2013
Issued By: Kurt Dahl
Expiration Date: 05/08/2014
Owner(s): I Larry Jon s
Property Address:
14 1 Medicine Bow Rd
Legal Description:
Absorption 4rea
Licensed Inspector: Carla Ostberg
Inspection Date(s): 04/03/2013
SYSTEM INFORMATION
Compone is
Type
Capacity/Size
Primary Treatm nt Unit
concrete Two-compartment tank
1050 gallon
Secondary Treat ent Unit
N/A
N/A
Absorption 4rea
Rock and Pipe seepage bed
(1003 ft2)
Other System Co ponents
N/A
N/A
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 cit 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 #: 83010 Date of Issuance: 1/11/1984 Date of Final Approval: 1/10/1984
# of Bedrooms or fixtures served by OWTS: 3 total bedrooms
Operational Status: The system appears to be functioning properly and not in failure. The septic tank is in good
condition and there is no evidence of saturation or surfacing effluent from the soil treatment area (covered in snow
during inspection). An inlet "t" was not present at the initial inspection and one was installed on 04/17/2013.
Inspector Recommendations: None.
Department Recommendations: Install an effluent filter at the outlet "t". Continue to monitor and maintain the system.
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.
pol 6. Zot3, fowl
Pitkin County Environmental Health Department
T K IN Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
76 Service Center Rd
« .}, Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Afnr r1nn+inirnrl I Ica of an FYistinn OWTS
Parcel ID# (available from the Pitkin County Assessor's Office
www.oitkinassessor.org):
_ _ /�-�
Z6—( Z 1 015
1
970-920-5160 or at
VO
Purpose of Use Permit:
PROPERTY TRANSACTION ❑ REMODEL/ADDITION
Property Address:
0y1 I ; C,i e
Bovd Rd.
Business hone:
Lot: Block:
F/I
Filing:
Subdivision:
41dSc.h.?6u1fs+4bdIvvt&?,r f.b-Klo-c A Loi'
r' vd
wovJAM
s a` -Go WI
Residences: I
Other
L Ir`Z %�^J sZ'r.BWV
# of Bedrooms:
fixtures/uses:
Property Owner(s)': Email Address:
L A Umo 015 / q5 e er 0wt
Owner's Mailing Address: City, State, Zip:
o I `1 10 3 ,n w✓m SS VAkme 1CO
Home Phon Business Phone:
`Contact information must e provided for the owner signing this application.
Primary Contact Person/Applicant (if not owner):
Company:
.L A'pR, 'a Nd's
Contact/Applicant Mailing Address:
City, State, Zip:
5noW MkA c)o $Ib is
36,k -I103
Cell Pone:
Business hone:
q 0 3) q- �s
Fax N be .
Email Address:
q7o Z5- pzl
s a` -Go WI
Indica a Preferred Method of Permit Receipt:
Email
El Fax ❑ US Mail
Licensed Systems Inspector: Phone Number: Email Address: Fax Number:
kr �Y c� a 3o4-S�,Srla•osAbLv ,1
Mailing Address: City, State, Zip:
3 3 Four Wheej Dr i v e RdCar�,a d e O G 23
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.
Please allow 3-5
for processing of Use Permits.
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostbergCcD-gmail.com
April 18, 2013
Larry Jones
Larry.iones(a�sothebysrealty.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
1471 Medicine !Bow Road
Pitkin County, Colorado
Mr. Jones,
As requested, SBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 1471 Medicine Bow Road on April 3 and April 11, 2013.
The record drawing and permit was provided by Pitkin County Environmental Health Department
(Parcel ID # 2(343-213-05-001). The subject OWTS consists of one 1000 -gallon two-compartment
septic tank. The absorption area is a pipe and gravel bed with approximately 912 square feet of
area, as indicated on the record drawing.
The water level in the septic tank was low at the time of the initial inspection. We filled the tank with
water to approximately the outlet tee and re -checked the level on 4/11/13. The water level was at
the appropriate level at that time. The inlet tee was missing at the initial inspection but was installed
on 4/17/13. At the time of the inlet tee installation, the water was holding in the tank at the
appropriate level, according to Excavation Services who conducted the repair. The outlet tee was
present at the first inspection.
The tank was last pumped around the end of 2011. The house remained empty for about six
months before it was rented in February 2012 to a single male who only occupied the house on
weekends. In July 2012, the tenant moved out and the house remained vacant until the inspection.
Since the inspection, the house has been rented and is currently occupied. The limited occupancy
after the pumping in 2011 could explain the low water levels in the tank at the time of the first
inspection.
The absorption area showed no signs of saturation, and had no indication of failure. No observation
ports were present. It should be noted that this system is aging and should continue to be monitored
and regularly maintained. 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 Form 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°/o20Use°/o20Permit%
20Application.pdf
Application Checklist:
http://www aspenpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Perimt%
20Application%20Checklist.pdf
Please call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # ITC11042010 Exp. 2014
Missing inlet tee (4/3/13)
Installation of inlet tee (4/17/13)
Connection to existing sewer line
.r I
Water level (4/ /13) looking at baffle
Filled to outlet on 4/3/13
E
Water level 8 days after filling (4/11/13)
Existing outlet tee
Approximate location of absorption area
ih I N Onsite Wastewater Treatment Systems (OMITS) Use
yPermit Inspection Form
" IJtV'i� Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Q:'
?� Phone: 970-920-5070 Fax: 970-920-5374
Website: www.aspenpitkin.comJehnr
Inspection form for continued use of an existing OWTS
Owner's Name:
Address: jtf "j i1'jj
lcaz C0gI�
Parcel Number: nL4
Inspection Date: 4)-ri 7 (J 1
Inspector's Name:- r t]r �jc,r•I �,(;....Y
-
Business Name: '~Pim tL3r
Phone Number q -1 L)
Email: ,�/`jI (fi _!�?�
Pitkin County !Systems Inspector License Numbel^
passes or faits.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied?
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?
YESS NO
- 1 PLt�U
RECORDS:
Were system records available from Pitkin County? f YES NO
If YES: Permitnumber. 1 C (_SC r +- %7J��c�
Date of Final Approval: y(2a I 1 L j i C7 ($t( Q` „
# of bedrooms permitted: ::5
Was an as built drawing available? YES NO
Is the as -built drawing accurate? l YES) NO
If NO: Complete a drawing of the system on last p ge 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?
Improper veghtative cover?
Evidence of compaction such as heavy machinery or livestock?
Improper discharges such as straight pipes?
Evidence of high ground water?
Snow cover present?
Page 1
PASS FAIL
N YES
�A YES
.,PASS FAIL
YES j
NO AYE a.
TANK:
Tank 1
Tank 2
Is a pump or dosing siphon present?
Tank 3
If YES, is the pump/dosing siphon functioning properly?
Tank capacity
Does the pump/wiring/dosing siphon appear to be in good condition?
p
gallons
PASS FAIL
gallons
gallons
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
Maintenance provider:
Phone:
if there is nb maintenance contract, a contract must be in place prior
# of compartments
copy of a contract must be submitted to Pitkin County Environmental Health Department.
ABSORBTION JAREA:
FAIL
Effluent surfacing?
Evidence of p�st surfacing? NO
YES
Date of last pumping
YES
Excessive odors? � NO
Field location verified by observation ports or probing: Ports
YES I_ }}-
Probing of�•I j d V\,d`� (tJ�tt�a SKA
Liquid in observation port? NO
YES yV 4�(!1 LMfJI Wt)a.
If YES, record depth:
Lids/risers in good condition
PA53
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
`YES
NO
YES
NO
YES
NO
Riser height
'
Riser condition/watertightness
O
Inlet sanitary T/baffle
_PASS-
FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitary T/baffle
PASS
FAIL
PASS
FAILPASS
FAIL
Effluent filter (if part of design)
PASS FAIL- N/A,�
PASS FAIL
N/A
PASS FAIL
N/A
Condition of tank material
PASS
FAIL
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
YES
I�Ti7
YES
NO
YES
NO
If YES, list the pumping company
If NO, when was the last pumping
Scum level (1st compartment)
C5
inches
inches
inches
Sludge level (1st compartment)
inches
inches
inches
Scum level (2nd compartment)
0
inches
inches
inches
Sludge level (2nd compartment)
31,
inches
inches
inches
Backflow (if pumped)
PASS
FAIL
PASS
FAIL
PASS
FAIL
Midtank baffle
PA FAIL
N/A
PASS FAIL
N/A
PASS FAIL
N/A
Watertightness
PASS-
FAIL
PASS
FAIL
PASS
FAIL
�.4.t5�ri f1�
W ca�C..f 6 ..t.
t
PUMPS/DOSING SIPHON5:�
i
4! f11 l 1 �tl �� U✓1C�i 14rt({1 ��YES N� DU
Is a pump or dosing siphon present?
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:
if there is nb maintenance contract, a contract must be in place prior
to occupancy of the home. A
copy of a contract must be submitted to Pitkin County Environmental Health Department.
ABSORBTION JAREA:
FAIL
Effluent surfacing?
Evidence of p�st surfacing? NO
YES
Surface dampness?
YES
Excessive odors? � NO
Field location verified by observation ports or probing: Ports
YES I_ }}-
Probing of�•I j d V\,d`� (tJ�tt�a SKA
Liquid in observation port? NO
YES yV 4�(!1 LMfJI Wt)a.
If YES, record depth:
inches
Distribution Box or ADV part of original design? YES
�W UNKNOWN
If VES, is it accessible from grade? YES
NO
Is It level and in good condition? PASS
FAIL
Page 2
Any problems
0i
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 Imy knowledge and training, the information collected in this inspection is accurate as of
Licensed Systems Inspector Signature:
Additional Noes:
D
AISPENAOPITKIN
ENVIRQNMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.
TYPE OF PERMIT:
( )initial canstructl n ( )Emurgoncy Use ( )Repair work,(Pievious Permit / .) ! )Alteration of an existing system,
�,� ,�!pr Installation (Previous Permit ! •)
' 4ae Permit as a result of 3414,( )Othorl .
//ISSUED TO: DATE OF ISS6E_'.
Owner /V 1 Home
Address
Agen t__L
Mail;Lng
Address
STl ext Al C•-
Phone
Business Phone
1 92_5--,3-1577
N
0
Sewage Disposal System Work to be performed by M /l( /y �/
This permit valid only for premises location by the following legal doucriptionr a m, Ak
LOT 51Zr ti:3 l8 (�.jet S MATER SUPPLY � f_�. AVERACM PERCOLATION RATE
This Individual Sewagb Disposal Permit is granted with regard to the following usaf oqi 510C—AM
Number oft Dodroorns '�? Lofts , Garbage Dis sale_ I Dishwashers Clothes Washors
CALCU"TED AVERAGE DAr LY WASTE LOAD
THE NATURE OF T SYSTEM INCLUDED UNDER THIS PERMIT:
Type of Tank or Treatment JnLtj:X_ 1 ��-iz.AV�T(r`j6 Sank. capacit Gallon
po ' pA Rr~ 1� Absorp�tiop . a Square Feet
Method of Final Disposals �! !r Is'`� 1J ��(��� 1f
Description (including brad name, if any) of other equipment or�appurtnances[
�"
? mo �)r JG r' YJ01
Other CondYwtleitiond or Spee icationst � 4! v (f/U(JG- O / r i3 :2• O 7��tE` Pr9jAj C00A)Ty t/11)U t- . u1Ae �sP�sAt
%cuLiaTlc�alo n BY THE HEALTH DEPARTMENT: �%� Q41A
.
STAGES REQUIRING INSPECTION/ V
( )Ae[ore Excavation ( )Upon completion of excavation and prior to placement Of r vol ( )vatove system ofvabsorption rtield n
Ii
i
i )Prior to backfill of any component ( !Other, ,pacify#
plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. permisnlon
is hereby granted to the owner or his agent to perform the work indicated above in accordance with the Pitkin County Individual
SewagC Disposal Re,lnlations in effect on the date of issue. In addition to general provisions set forth on the reverse hereof,
this permit is sul•jcct to the following additional terms and conditionst•
APPROVED FOR ISSUE BY L- ' (title)
Thr ahnve individual ne�1age disponal system installed by L�� —
hds 111C11 in,tpcCCCd (Or use by a rCprn9CnC.1C1VC O! the Alpea 1.1t In Cnvlronna:nta 11ca t DoP•trtmenC, T e owner A91lum
reuponaibiltLy in case OC failure or inadequacy of this acwago diapoaal system.' Complete as -bulli drawing attached.
DATE OF F. NAL INSF
BY: .✓�
130 South 1316lena Street
I
a
Aspen, Colorado 61611
PFFMIT
Owner
3
� 11) 4 3 a) 13 -0,5--(:50 1
7 2 0 2 Ey t PTTKTN CQiTNTY HEALTH DEPARTMENT
1 RECEIPT NUMBER��
_ �. E� � ` 1 iTA ► 1 ��eJt�P �. 1 �ri� Phone # nt �c� �! Z
(hanFr I s Mailing' Addrecc
Contractor
Address
Systems Contras
Address_
C%) /A S
j lPhone
or's Name
Legal Descripti is . �n LOC -K 7 Y-� 11 C11�� 1. CCS;!
Lot Size
+tic q Type of Building by UseQ,6::)j:JJ P
2 ._
Number of Bedrooms Type of Water
'Supply
Type of Individ-Zal Sewage Disposal System ��Ci /ANS. — SE€PACe R,-()
Type of Soil or' Soil Classification �,6�-
Proximal Location of Bedrock /
Proximal Location of Ground Water Table
owner's Signat4e Date
PLOT PLAN:
�*�*�a�at.���t-��ra����c•���a��E�as•���jc•�at**���*����������a��at•�����at•xa�a��sua���a��a� ��a�a�a���c ac�a�a��a�at�����at•�•��a�ac������**�*��
Perc0l,Rti.on Test Data Minutes per inch
Minimum Recommended Absorptio
Minimum Recommended Tank Size
Permit application valid one year from Date. Application to become permit and final only
anter lover portion is co pleted and signed by the,aniturian. RETTHIS .T/TM1
U1dSTRUCTTON
C ITF. '',� T.
f 1t
Date Sanitarian
(Dr ing of system on back)
Tr
-etropolitan
500 Juniper Hill Road, Aspen, CO
970-925-5195
TO: Environmental Health Department
FROM: Devin McClure, Manager
Brush Creek Metropolitan District
DATE: April 23, 2013
District
81611
RE: Water Service - Brush Creek Metropolitan District
This is to confirm that the Brush Creek Metropolitan District will supply
water to the Jones property, located at 1471 Medicine Bow Road, Brush
Creek Village Subdivision, Aspen, Pitkin County, Colorado.
If you have any questions, please call me at 970-379-9088, or my email
address is kvnmcclure@gmail.com
•
$ �o%�f, FLOORPLAN
ender: Wells Faro Bank N.A. - osg4�4
16.0'
o Bedroom Kitchen b
Floor
N
JFoyeN -
Bedroom BathU
5700 14.0' oco
12.0'
14.0'
N
Carport
I�
13.0' Bedroom 11.0'
�
7 -
o La -r
Bath co
undry
N 11.- una
a
First Floor
Sketch by
16.0'
12.5 x 14.0
N
-
REA CALCULATIONS SUMMARY
r
Living Room
12.0'
12.0 x 13.0
GLA1 First
<
12.5 x 1.6.0
-156.00 414.50
22.0 x 41.5
GLA2 secor
d Floor 1155.00 1155.00
16.0'
o Bedroom Kitchen b
Floor
N
JFoyeN -
Bedroom BathU
5700 14.0' oco
12.0'
14.0'
N
Carport
I�
13.0' Bedroom 11.0'
�
7 -
o La -r
Bath co
undry
N 11.- una
a
First Floor
Sketch by
Apex IV Windows
12.5 x 14.0
175.00
REA CALCULATIONS SUMMARY
324.00
Code Descr
ption - Size Totals
12.0 x 13.0
GLA1 First
Floor 570.50
12.5 x 1.6.0
-156.00 414.50
22.0 x 41.5
GLA2 secor
d Floor 1155.00 1155.00
42.00
GLA3 Thirc
Floor 245.00 245.00
14.0 x 17.5
245.00
156.00 156.00
1815
BSMT Basement
96.00
p/P Pore)
200.00 7.96.00
Deck
TOTA LIVABLE (rounded) I 1815
•
File No.: 1668071
Case No.:
611
Ln
N
Third Floor
ME
Loft/Den
14.0'
LIVING AREA BREAKDOWN
Breakdown Subtotals
First Floor
12.5 x 14.0
175.00
12.0 x 27.0
324.00
6.5 x 11.0
71.50
12.0 x 13.0
-156.00
Second Floor
12.5 x 1.6.0
200.00
22.0 x 41.5
913.00
3.0 x 14.0
42.00
Third Floor
14.0 x 17.5
245.00
8 Areas Total (rounded)
1815
Borrower: LARRY
Property Add
ress:1401 M DICINE BO\P
Cid: Aspen!
Lender. Wells Faro Bank N.A. - 0344C
FLOORPLAN
File No.: 16680716 _
_Case No.: _
State: CO
16.0' 16.0'
N �
Living Room
N
12.0'
o Bedroom Kitchen
Floor
N
Foyer .
Bedroom [ Bath
Bath
14.0' o 0
co
ao
14.0'
cn �r
N
Carport
II
13.0' Bedroom ( 11.0'
�
o Bath co
N Larrndry - fr,J auna
First Floor
Sketch by Apex IV Windows
AREA
Code Descri
"
CALCULATIONS SUMMARY
plion _ Size Totals
GLA1 First
Floor 570.50
12.5 x 14.0
175.00
-156.00
414.50
GLA2 Seco
d Floor 1155.00
1155.00
GLA3 Thirc
Floor 245.00
245.00
-156.00
156.00
156.00
BSMT Base
ent:
12.5 x 16.0
P/P Porct
96.00
22.0 x 41.5
Deck
200.00
296.00
TOTAL LIVABLE (rounded)
1815
12.0'
Third Floor
Loft/Den
14.0'
LIVING AREA BREAKDOWN
Breakdown Subtotals
First Floor
12.5 x 14.0
175.00
12.0 x 27.0
324.00
6.5 x 11.0
71.50
12.0 x 13.0
-156.00
second Floor
12.5 x 16.0
200.00
22.0 x 41.5
913.00
3.0 x 14.0
42.00
Third Floor
14.0 x 17.5
245.00
8 Areas Total (rounded)
1815