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HomeMy WebLinkAboutpitkin.eh.272929201033 (2017)-'�'6 ... Pitkin County Environmental Health D Onsite Wastewater Treatment System ( WWj Department USE PERMIT APPLICATION eek Road, Sufte 10 - Aspen, CO .81611 Phone: 970.920 070 Castle Fax: 97 920.5077 Website. wwww,aspenpitkin-com/ehnr Please allow 3-5 business days for processing of Use Permits. IFOR OFFICE USE ONLY Roeoi.ed by. EH Staffs I Foo & Receipt AF; Date. Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 0405 Castle Creek Road, Suite 10 - Aspen, CO •81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.com/ehnr Annlication for Cnntinuari IIca of an F:vi&fin^ nuurc Parcel IN (available from the Pitkin County Assessors office 970-920-5160 or at www.pitkinassessor.org : - - Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address f'r g;rj- /P 0 Lot: Stock: Filing: � n � Su ivision: Residences: Other # of Bedrooms: fixturestuses: O ss}': M �+� Email Addre s:v� c7;✓ /Mailing A�dd�re�sjs: �city, Stat , Zip: BucKtaccRJdone: _ r I 'Contact 1nf Ir FL Fax Number. Email Address: ----- Indicate Preferred Method of Permit Receipt: - Email ElFax ❑ US Mail Licensed Systems Inspector Phone Number Email Address: Fax Number Mailing Address: City, State, Zip: PLEASE REAL, 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. 1 acknowledge that this department may revoke any permit I am issued if my application is found to contain any inaccurate, false, or misteading information. Date: r. �3 / Please allow 3-5 business days for processing of Use Permits. OFFICE USE ONLY ivod by EH Staff- rco & Receipt N. Date. Pitkin County Environmental Health Department 1 1" k 1 N, Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION tot" -% r 0405 Castle Creek Road, Suite 10 • Aspen, CO • 81611 Phone: 970.920.5070 Fax: 970.920.5077 Website: www.aspenpitkin.com/ehnr Annlir_atinn fnr Cnntinupd Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office __ C> _ �� v, ��� 970-920-5160 or at www.pitkinassessor.orq): City, State, Zip: Purpose of Use Permit: OPERTY TRANSACTION ❑ REMODEL/ADD1lI0N Property Address: �c�� ���� }� t6 � CAD l AP W � 5 Lot: Block: S ubdivisi �� S, Residences: Other # of Bedrooms: fixtures/uses: Property 0 er(s)*: 1 Email Address: �pC n ay° Owner's Mailing Address: City, State, ip: �o� 1 oL, a h ttr.� Prlr s _ ria d -OV-\ -q ,M -- (Home Phone:��— L��� businessrnone: � I *Contact information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): Company: ContactlApplicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Email Address: Indicate Preferred Method of Permit Receipt: mail DFax ❑ US Mail .icens Systems Inspector: Phone Number: Email Address: Fax Number: naili3Address^ City �State, Zi6�'1, >LEASE READ BEFORE SIGNING: certify that the above information is complete and accurate and that I have provided complete and accurate information in all of the documents ncluded in my application package. I acknowledge that this department may revoke any permit I am issued if my application is found to contain my inaccurate, false, or misleading information. )wner Signature (Required): Date: \pplicant Signature: Date: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: V lh 1 % Pitkin County Environmental Health Department Onsite Wastewater Treatment System (OWTS) C401 vi", USE PERMIT CHECKLIST Permit for Continued Use of an Existing OWTS 0405 Castle Creek Road, Suite 10 - Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5077 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, prior to 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 ehnr(a)co.pitkin.co.us before the date of the pre -application conference. 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) _41_�urrent floor plans for a property transaction; or L Proposed floor plans for an addition/remodel that does not increase potential bedroom count or water usage of the structure s served by the existing OWTS. v Inspection report by a Licensed Systems Inspector E A list of Licensed Systems Inspectors can be found at www.aspenpitkin.com/ehnr An inspection report is good for one year. Applicable Fee t✓ OWTS Use Permit: $100 Please make checks payable to Pitkin County Environmental Health Department. 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Database & Web Design by Good Turns Software. 0 D CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 carla.ostberq a( gmail.com September 18, 2016 George Scherer georgesherer(a1att.net Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 16 Chair Mountain Drive Pitkin County, Colorado George, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 16 Chair Mountain Drive, Redstone, Colorado on September 12, 2016. The legal description of the 0.24 -acre property is Lot X, Crystal River Park, Second Addition. The permit and drawing was provided by Pitkin County Environmental Health Department (Parcel ID #2729-292-01-033). The subject OWTS consists of one 1250 -gallon, two-compartment concrete septic tank followed by a 10'x 12'x 13' deep drywell. Individual Sewage Disposal System Permit 96052 documents this system, in addition to a letter dated March 10, 1997. The system was sized to accommodate 3 bedrooms and was given final approval on April 2, 2016. The drawing provided by Pitkin County does not appear to be accurate. The septic tank is located to the southwest of the residence. The lids are just below grade with the inlet side in a landscaped area beyond the porch and the outlet lid under a paver leading toward the front door. There are 8 -feet of risers on the tank to bring access close to grade. A clean out is located to the northwest of the front door (left), under the deck which has a removable board. The septic tank has built- in concrete baffles on both the inlet and outlet sides of the septic tank. We typically recommend installation of an effluent filter on the outlet line of the septic tank; however, access to this line would be 8 -feet below grade, making installation very difficult. The septic tank was pumped by All Valley Resource at the time of the inspection. Pitkin County documents note the installation of a drywell. We spoke with a neighbor at the time of the inspection who recalls the location of the drywell near a small tree and the driveway, approximately 20 - feet south of the outlet side of the septic tank. The drywell was not accessible for the inspection, and therefore was not able to be inspected. There was no backflow into the septic tank at the time of pumping. We recommend locating the drywell and brining access to grade, if feasible. Some drywell designs do not allow for access from grade. We walked the area to the south of the residence, in the approximate area of the drywell, identified by the neighbor. At the time of the inspection, there was no surface saturation or evidence of failure. This evaluation is not a guarantee of future system performance. This inspection is good for one year. This report and a completed OWTS Use Permit Application packet must be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www.pitkincounty.com/DocumentCenter/HomeNiew/621 Application Checklist: hftp://www.r)itkincounty-com/DocumentCenter/HomeNiew/620 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 Clean out under deck Inlet side of tank (concrete baffle) af I ank lids located just below grade Outlet side of tank (baffle present) Approx. location of drywell, according to neighbor 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 Website: www.as en itkin.com ehnr Inspection form for continued use of an existing OWTS 71 t Owner's Name: Address:' Parcel Number:( f - J (_ -- ? tv` f � Inspection Date:�� _ Inspector's Name: 9" V\v Business Name: , �. '� �` r3 r"_ Phone Number Email: r) Pitkin County Systems Inspector License Number: z t r f _. ohis i; =ction retort will be remitted to Pitkin t _Inent by the Licensed Systems Ins ector within 60 days of the Inspection r i rh r the s tem pusses or fails, QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YES NO 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? ? 3 RECORDS: Were system records available from Pitkin County? YES NO ..1 If YES: Permit number: _� Date of Final Approval: - ' 1f ,. t ;;t t f " # of bedrooms permitted: Was an as -built drawing available? YE5,> NO s d Is the as -built drawing accurate? YES N _O If NO: Complete a drawing of the system on lost page of this form as accurately as possible. t,, n!, esfinn marked F41L will require correction before an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? P FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? JW_ YES Improper discharges such as straight pipes? ~ PAS,„5 FAIL Evidence of high ground water? NO YES Snow cover present? NO YES Page 1 F TANK: Tank 1 uNQ Tank 2 PASS Tank 3 Does the pump/wiring/dosing siphon appear to be in good condition? Tank capacity FAIL gallons PASS gallons SECONDARY TREATMENT: gallons Tank material 7; •» Nd' UNKNOWN If YES, does the unit appear to be in good working condition? YES NO YES # of compartments NO UNKNOWN Maintenance Provider: Phone: YES NO If there is no maintenance cc ....°=ct, a contract crust be in piv. pric;- Date of last pumping �NO Is it level and in good condition? PASS FAIL Lids/risers in good condition PASS t FAIL PASS FAIL PASS FAIL Risers to grade NO YES NO YES NO Riser height j' t Riser condition/watertightness Inlet sanitary 7/baffile- PASS FAIL PASS FAIL PASS FAIL Outlet sanitary T/ba-ffle PASS . FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Condition of tank material PASS FAC PASS FAIL PASS FAIL Tank was pumped for inspection YES NO YES NO YES NO If YES, list the pumping company If NO, when was the last pumping Scum level (lstcompartment) 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) PAS'S FAIL PASS FAIL PASS FAIL Midtank baffle P--- 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 uNQ 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: NO, YES Is a secondary treatment unit present? YES Nd' UNKNOWN If YES, does the unit appear to be in good working condition? YES NO YES Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: Phone: YES NO If there is no maintenance cc ....°=ct, a contract crust be in piv. pric;- Alcy of t3: �NO copy of the contract must be submitted to Pitkin County Environmental Health Department, ASSORBTION AREA: Effluent surfacing? SUS FAIL Evidence of past surfacing? NQ YES Surface dampness? NO YES Excessive odors? NO, YES Field location verified by observation ports or probing: Ports Probing Liquid in observation port? NO YES If YES, record depth: inches Distribution Box or ADV part of original design? YES NO If YES, is it accessible from grade? YES �NO Is it level and in good condition? PASS FAIL Page 2 UNKNOWN Any problems with the system that were not addressed in the inspection checklist? Please list any recommendations for the continued use of the system: 7 Were any repairs done as a result of this inspection? i NO > YES If YES, please describe the repairs. To the best of my knowledge and training, the information collected in this inspection is accurate as of 20 Licensed Systems Inspector Signature: � Additional Notes: l f r x -- 4fy_L/7- 1? v J£, Clearly label any pictures and attach them to this form. Page 3 If no as -built drawings exist for this system or the as -built was inaccurate, please diagram the system as accurately as possible. Be sure to document all system components and the location of any well on the property. Using markers such as corners of the house, exact measurements can be used to triangulate the location of the system components for future reference. - + %-• - 1-j- , - - i , I j - _.. . __ L - r--•-;- ' �-=-�• ,.. _ _._ ...�.. _.moi. T ----------- r - ._y.. _1- -,- - - ..t 1 - , r _ L+ , Pale 4 q -z r --- L4 T--> 5 - .ASPEN 'KIN ENVIRONMEN TAL.I.IEALTFI DEPART,. ,IT APPLICATION FOR INDIVIDUAL SFWAGI= DISPOSAL .;(STEM 130 S. Galena SL. Aspen G010m60 01011 Phone 970-920-5070/Fax 970-920.5039 Parcel 1071 � � *) 9� ® J Permit I-oc New Inslall.iliorl(* Repair ( ) Ronlodel ( ) Emergency Use ( ) Name. of OWNER _J[ I-FRCY L Owner's Mailing Address 5915 M 11) Name of Agent N/A A _— Agent's Mailing Address IX: Copy of permit to be sent W. Owner 04 Agent ( ) Both ( ) 'IreelAddress 0MR- MA-UNT- IN Dt2._ CLQ--�p_�--Y- Lcgnl Descriptio,: Lot_�_ ,[Hock ( �y�f;(�o�$. T IDs, RSon Size of lot: 10IL1 #*fVTypo of proposed sIfuclure: [�1�+ m. I��:i1C.S[ze of bldg. envelope: Total awa/living space (sq. ft): X 6. # of Bedrooms, offices and similar size :teems: Caretaker Unit : ( )Attachetl ( )Detachod # of Bodrooms, offices and similar size roams: Warier( )Private well( )Spring( )Stream X Community/Public (Name of System) Is Proof of Adequate Water Attached ? ( ) Yes (X) No - Hass this project been approvod by Pitkin County? ( )Yes( ) No Is a copy of the floor plan attached ( required ) ?,DQ Yes( ) No Appi;calion for an Individual sewago disposal syslefi Is hereby submitted. The undersigned acknowledges that the above. Information k true and that falso inlurm:rliun will invalidate Ihe application and any suhsequenl permit. Issuance of the permit does not Imply lhn epprovat of any otter permit required for construction pursuant to Pilkin County codes. No construction may be undertaken until all approvals and permits have been obtained. The owner assumes all responsibilities in case of farlurn or inadequacy of lhi,. system Signature of applicant fpr dpf>.nfUncnlusp..lirapW ['EttMITf9R.INP(ytQUnt.sCYYAQL:_ I5I'o5AI..SY5_T.rM Date Design Cri(orl7of sv,tein to be Inss�yes] (Any changesl>it Ile_iibfiii(jed �ntl_trutlS±tiJ1 Septic tank capacity: /I gallons Absorption area: Pte uf / ( sq, ft. --- -- - - -- - � - c l C,�v Ski �x�" , t„ 1 '`�- — An inspection Is required prior to backfill of any component of the distribution systom. Design by Engineer Required ? ( ) Yes (>§ No All plans and specifications of the engineer must be followed. Any changes must bt: approved in writing and the engineer must certify the final installation to Ilse Environmental Health Department in writing. I'rmul approval by: —'— - _�.. Date __ Plans and gweihalionsofthe proposed Inrlhhdual st age disporm, nslem hive been reviewed and are. ennslderrd sill-fodory. frla7, is nlrry grnnled to Ihn ovmur or the apenl In perfoun the wai; indicated In aceorrlancn with tire- Pitkin County ISDS Regulation in etecl at life- lime of Isaue. 'I his permit becomes Invalid ti months irant Ihr, dme [ trial the pound was Issued unless systom construction has commenced or nn exlenskrn has been approved In wr ding by the Doprulmmd. Installer Ji.�%I.l •y`..r C l.• tl,L4l i,i �ll-Y Cil '.-� 1'L..Vt j j�Q-i/�Q-Ci1� As -Built drawings must he It rl d wlill this penult before the final approval will lief Issued. Final Inspection Approval `��C? t.T t �� ( Dale: Date requested: Dale I'd : ) _ '?�' �1(.r Receipt fl: Received by: L G - Infor)nalion rx,mplete: jr.K.. )',y�.�E- �.z:i-yl."tG� <•�t �-tC_c%.� ASPEN • PITKIN ENv1RONMENTAL HEALTH DEPARTMENT 3/10/97 Revision to Adams' individual sewage disposal. system located at 0 Chair Mtn. Drive in Redstone, CO: It has been determined that a 10'X 12' X 13' deep drywell will be used. All of the necessary setbacks can and must be met according to.the Pitkin County Individual Sewage Disposal System Regulation. The system must also be installed per the design requirements of the regulation. A system of this size would provide 682 sq, ft. of absorption area. The minimum absorption area required for a 3 bedroom home that is between 2,000 and 6,000 square feet in size with a perc rate of minutes per inch is 664 square feet. Any changes to the placement or size of the home or sewage disposal system must be submitted to this department in writing and approval given in writing. These changes from the original design are approved by: Mary Wood Aspen/Pitkin Env. Health Specialist 130 SouTH GALENA STREET • ASPEN, 6tomw 81611-1975 • PHONE 970.920.5070 • FAx 970.920.5197 Printed on Recycled Paper "PT" "WeU locaiiay% f rw} corf; r,Mod Do Your Part, Be SepticSmart: The Do's and Don'ts of Your Septic System Learn these simple steps to protect your home, health, environment and property value: septicsmaft U.S. Enronmental Protection Agency Do: • Have your system inspected (in general) every three years by a licensed contractor and have the tank pumped, when necessary, generally every three to five years. Don't: • Pour cooking grease or oil down the sink or toilet. • Rinse coffee grounds into the sink. • Pour household chemicals down the sink or flush them. Don't: • Flush non -degradable products or chemicals, such as feminine hygiene products, condoms, dental floss, diapers, cigarette butts, cat litter, paper towels, pharmaceuticals. Shield Your Field Don't: • Park or drive on your drainfield. The weight can damage the drain lines. • Plant trees or shrubs too close to your drainfield, roots can grow into your system and clog it. Don't • Concentrate your water use by using your dishwasher, shower, washing machine, and toilet at the same time. All that extra water can really strain your septic system. Do: • Eliminate or limit the use of a garbage disposal. • Properly dispose of coffee grounds 8 food. • Put grease in a container to harden before discarding in the trash. Do: • Dispose of these items in the trash can! Do: • Consult a septic service professional to advise you of the proper distance for planting trees and shrubs, depending on your septic tank location. Do: • Stagger the use of water -generating appliances. This can be helpful especially if your system has not been pumped in a long time. • Become more water efficer. by fixing plumbing leaks and consider installing bathroom and kitchen faucet aerators and water -efficient products. o. 970.963.1061 c. 970.379.6684 h. 970.963.6550 f. 970.963.4238 bblanton@masonmorse.com 385 Redstone Blvd., Redstone, CO 81623 Each Office 6 Indeyx denty Cwme,I erd Olwated A PITKIN COUNTY COMMUNITY DEVELOPMENT Permit Receipt RECEIPT NUMBER 00042950 Name: George F Scherer Date:8/31/2017 Project Address: 16 CHAIR MOUNTAIN DR Type: check # 11926 Permit Number Fee Description Amount 0059.2017.POWU OWTS Use Permit Fee 100.00 Total: 100.00