HomeMy WebLinkAboutpitkin.eh.264335402003 (2011)�011MIN
CovNT
@1 /V '`<.1 J)
Pitkin County Environments' Aealth Department
Onsite Wastewater Treatment System (OWTS) USE PERMIT
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
www.aspenpitkin.com/EHNR
Parcel ID #: 2643-354-02-003
OWTS Use Permit #: I 0024.2011.powu
Date Issued:
7/27,/2011
Issued By:
Carla Ostberg
Expiration Date:
7/27,/2012
Owner(s): I Eddie
and Kinga Lampert(A[rLoc(t Pur�ner
Property Address:
280 Danielson Drive
Legal Description:
Lot R74, Block 11, Starwood
Licensed Inspector:
Roger Maynard 007
Inspection Date(s):
7/15/11
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete single compartment
2000 gallons
Concrete 2 compartment
1250 gallons
Concrete single compartment
1000 gallons
Secondary Treatment Unit
n/a
n/a
Absorption Area
Pipe and gravel
3190 sq ft
Other System Components
n/a
n/a
OWTS Use Status:
❑ In use at the time of the inspection.
❑Not in use at the time of the inspection.* (vacation home)
*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 #: 86063 Date of Issuance: 11/24/1986 Date of Final Approval: 1/6/1987
Permit #: 97044 Date of Issuance: 8/13/1997 Date of Final Approval: 9/12/1997
# of Bedrooms or fixtures served by OWTS: 6 bedrooms (Exercise room is considered a potential bedroom)
Operational Status: In 1987, a system was constructed to accommodate a 5 bedroom home. This system consisted of a
1250 gallon tank, 250 gallon tank, and a 1000 gallon tank with a dosing siphon. The absorption area consisted of 1390
sq ft of pipe and gravel. In 1997, an addition to the house required additional tank capacity. A new 2000 gallon tank
was added and the 250 gallon tank, leaving the 1250 gallon tank and 1000 gallon tank with dosing siphon and existing
field in place. At the time of the inspection, the system appeared to be working properly.
Department Recommendations: Recommend brining risers of all tanks to grade. Also recommend periodic (yearly)
maintenance inspections by a Pitkin County Licensed Systems Inspector of the dosing siphon and entire system to assure
proper functioning.
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.
Pitkin County Environmental Health Department
r
y 1 T IN Onsite Wastewater Treatment System (OWTS)
CON ,rUSE PERMIT APPLICATION
t;
,f 0405 Castle Creek Road, Suite 10 • Aspen, CO • 81611
Phone: 970.920.5070 Fax: 970.920.5077 Well www.aspenpitkin.com/ehnr
Auulication for Continued Use of an Existina OWTS
Parcel IDS (available from the Pitkin County Asseasoes Office 2-G
2 LJ
2Purp974920-5160 or at www.pitkinassessor.orgl: SOLI � _ �% S 1 02 -
Purpose
ose of Use Permit:
❑ PROPERTY TRANSACTION WREMODEL/ADDITiON
Property Address: �i
Z`c3C) tt'Ltv C I FF, (O
Lot: pp Bloch: Filing: Subdivision:
Residences: Other
# of Bedrooms: fixtures/uses:
Property Owner(s)': t Email Address:
��.t � k IwU K� 1,�+►��ar
Owners Mailing Address: City. State, Zip:
2-00 Cq JZ 5e N wt( N tLH :- o G
Home Phone: Business Phone:
(Zd)0 -7 3- Yy l
'Contact intonation must be provided for the owner signing this apokcation,
Primary Contact eamnlApplicant (if not owner):
J 1., C 0k 0--
CompraJrry:
tfAR-0
AC-- (Ctv
Contact/Applicant Mailing Address-
�.�o t , Ca l�
City, State, Zip:
r3A-.5i-L-t Ca
Cell Phone
( C1I Z7 -q - It. S"Ji t
Buginess one:
o) 72--f
Fax Number.
Email Address:
I I (
Indicate Preferred Method of Permit Receipt
mall El Fax
❑ US Mai
Licensed stems Inspector Pnyne Nu her Email Address Fax Number.
Koi,>;t2: i�Ir�ttl���rD `103 -3�(Y
Mailing Address: /C,ity, Slate. Zip:
()(o03 Hawes -i l�`�17i�Lry CO 5 ( (o Z 3
PLEASE READ BEFORE SIGNING'
1 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 11my application Is found to contain
any Inaccurate, false, or misleading information.
Owner Signature (Required); Date:
Applicant Signatu Date: ()+,'2-0 I
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Received) EH tall: /- _ Fee b Receipt t. Date:
4 1 00 03L2- v7
0 azq.2of 1. PO VV L4
08121/2011 10:039636070 B R SEPTIC PAGE 01
JUN -30-20H 4:01RM E90 HEALTH NAT RESOURCE N0, 749 P. b
,KK I N Onsite Wastewater Treatment Systems (OWTS) Use
�YtPermit Inspection Form
iUl� Pitkin County Environmental Health Department
4405 Castle Creek Road, Suite 10, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
Website: www-asaenVtKnmml_ehnr
Inspection form for continued use of an existing OWTS
�ON ..W,
- � �1:L' '►II�i 3��L� -
Email:
Pitkin Coun%ySysterns inspector Iicen9e Number:
A copy ofthis msoectioo report w!1! be rerJ9 Ed o P;#krn County Eiov7rson r ia! Heatth Deegrrment 6v
e L'eBns ,Sdrstems lnspettor unZh &R days ofthe h7Sj0ecti n regardless of whether fb9 systrm
,arises orfEds.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? YES N 16
If NO, how long has the home been vacant?—
Now mariy bedrooms are in the home?
When was the tank last pumped?
Name of pumping company:
1f secondary treatment is used, .who is the
maintenance provider?>
RECORDS:
Were system records available from Pitl n County? YES NO
If YES; Permit number: L`� �L
Date of Final Approval: L77
dt cf bedrooms permitted,—.
Wss an as -built drawing available? NO
Is the as -built drawing accurate? Y 5�) NO
If N0: Complete o drawing of the system on lost page of this form as cccurarely as
possible.
Any question marked FAIL will require correction before an OWTS Use permit is issued.
SITE CONDITIONS,.
Proper grading, no evidence of erosion?
P s FAIL
Improper vegetative cover?
YES
Evidence of compaction such as heavy machinery or livestock?
YES
improper discharges such as straight pipes?
AS FAIT.
Evidence of high ground water?
YES
Snow cover present?
NO YES
Page I
0812112011 10:03 9636070 B R SEPTIC
JUN. 30. ?011 4:01 PM EP' ''0 HEALTH NAT RESOURCE NO. 749
TANK:
Tank 1
Is a pump or dosing siphon present?
Tank 2
If YES, is the pump/dosing siphon functioning properly?
Tank 3
Doesthe pump/wiring/dosing siphon appear to be in good condition?
Tank capacity
is the high water alarm working, both visible and audible?
gaIIons
SECONDARY TREATMENT:
gallons
Tank material
YES No
Does the owner have a current maintenance contract for the unit?
YES NO UNKNOWN
Maintenance Provider d z1z) -0--.
Phone: ll✓
if there is no maintenance contract, a contract msn5t be in place prior to occupancy of the home. A
4# of compartments
A6501115TION AREA.-
REA:Effluent
Effluentsurfacing_ P
FAiL
d
YES
Date of last pumping
YES
Excessive odors?
YES
Field location verified by obse"tion ports or probing= Ports
Probing AITI- (DAewojj�ji
Liquid in observation port? NO •
Lids/riswrs in good condition
if YES, record depth:
FAIL
Distribution Box or ADV part of original design? YES
FAIL
P
FAIL
Risers to grade
FAIL &,,
YES
Q90 -
Riser height
IN
_
-31-11
Riser Condfion,�water'Ci hmess
Inlet sanitary T,(bafllo
FAIL
FAIL
FAIL
Outlet sanitary T baffle
Effluentfilter (if part of design)
PASS FAIL
FAIL
NfE
PASS FAIL
FA0.
P
PASS FAIL
FAIL
Condition of tank material
FAIL
P
PAIL
FAIL
Tank was pumped for inspection
YES
YES
YE5
Scum level (lstcom aranent)
2
inches
f'y
inches
_
cinches
Sludge level lstcompartment)
"
inches
/
inches
yU
Inches
Scum level 2nd compartment)
inches
inches
inches
Sludge level (2nd compartment)
a o
inches
9D
inches
'a
inches
Backflow if pumped)
<LPW
FAIL
TAM>
FAIL
FAIL
Midtank baffle
Q6AIL
FAIL
N/A
PASS FAIL
N
Watertightness
CIA
FAIL
FAiL
A55 2
FAIL
PUMPS/DOSING SIPHONS:
Is a pump or dosing siphon present?
NO
If YES, is the pump/dosing siphon functioning properly?
P FAIL
Doesthe pump/wiring/dosing siphon appear to be in good condition?
PAS FAIL
is the high water alarm working, both visible and audible?
< FAIL
SECONDARY TREATMENT:
Is a secondary treatment unit present?
YES (N�,- 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 d z1z) -0--.
Phone: ll✓
if there is no maintenance contract, a contract msn5t be in place prior to occupancy of the home. A
copy afthe contract must be submitted to Pitkin County Environmental Health Department
A6501115TION AREA.-
REA:Effluent
Effluentsurfacing_ P
FAiL
Evidence of past surfacing?
YES
Surface dampness? N
YES
Excessive odors?
YES
Field location verified by obse"tion ports or probing= Ports
Probing AITI- (DAewojj�ji
Liquid in observation port? NO •
YES tVot--
if YES, record depth:
inches
Distribution Box or ADV part of original design? YES
NO <1KNO
if YES, is it accessible from grade? YES
NO
is it level and in good condition? PASS
FAIL &,,
Page 2
PAGE 02
P. 7
A
..00or
s/,
jos; `n
08!2112011 10:03 9636070 B R SEPTIC PAGE 03
JUN. 30. 2011 4:01PM EP"'10 HEALTH NAT RESOURCE N0, 749 P. 8
Any problems nrith the system that were not addressed in the Inspection checklist?
Meese list any recommendations for the continued use of the system:
Were any repairs done as a result of this inspection? YES
If YES, please describe the repairs.
I , _
To the best of my knowledge and training. the inform ion collected In this Inspection is accurate as of
Licensed Systems Inspector Signature: Ad
Additional Nates:
Clearly label anv_aictures and ata th them to this form..
Page 3
AE UPITKIN ENVIRONMENTAL HEALTH DEPAI .ANT
APPLICA" "N FOR INDIVIDUAL SEWAGE DISPOSAL r STEM
130 S. Galena St., Aspen Colorado 81611
Phone 97G-920-5070/Fax 970.920-5039
Permit Ir ��) `�L Parcel IDN��-
Permit For. New Installation ( ) Repair ) Remodel ( Emergency Use O
Name of OWNER
Street Address ^7 Llacif (' v t.v 00
Owner's Mailing Address , <'7 1 i CA -LA.; y% rr'7 f' •�/i t' i � 4, r f ;_'LCA! % %_ % ) l- C-3 C- '%
Business Phone; Home Phone ? 7 �J �� % % �!r` `'x
Legal Desc ipGon: LotLe / Block Subdivision S :ah C ! Jr5rDr
Site of Ivt: L�� acres Type of proposed structure _WX Size of bldg. envelope: ��. M•S^'�� F�
Total areaAivinq space (sq. ft): / �2'3 a of Bedrooms, airlines and similar size rooms:
Caretaker Unit i 1Ahached ( )Detached t I Total areallivind space of caretaker unit(s0 ft.) { I # of Bedrooms, offices and similar size rooms__
Primary Contact Person r 1 t'�YYt ct "17 �3 Y1 f i/� Q✓) r i ct i 7 Vii, 1 ' N %ll +7 '7 /. 3 0 l 7
Contact Mailing Address k lo'0; f��e-'l �u
Business Phone : CJ 7 'Z r,7<_ Call Phone Fax'
Water I,,hPrivate well ( )Scinng ( )Stream ( ) Community/Public (Name of
is Proof of Adequate Water Attached uired ? ( ) Yes ( ) No (A water quality test and well pump test or approval letter from community system)
i
Has this pmlect been approved by Pitkin County ? (-))Yes ( ) No
is a copy of the floor plan attached ( Reouired )?(/-Yes( ) No
of the site
No
Application for an individual sewage disposal system is hereby submitted. I hereby certify that ine above nformation is true and accurate and that I have provided true and
accurate Informatinn an locations of atl existing and proposed wells, contour intervals, buildings, property lines, ditches, slopes, waterlines, springs, suction or irrigallon hues,
dunking water ctstams, drain tiles, irrigation ditches, lakes, water courses, streams, lloociplalns. dry gulches, and existing septic systems. i acknowledge that any false or
incomplete information will invalidate the application and any subsequent r t. Issuance o ate permit does not imply the approval of any other permit required for construction
pursuant to Pitkin County codes. No construction may be undertaken unt l II provals an d shat have been obtained. The owner assumes as responsibilifies in case of tailuro
a inadequacy of this system. i l/ _ t�
`�- I.�. i ��-- _ « Date
Signature of applicant cls ".
----___---- I-------------------------- FarmiirtmarnUipe16W------------ ----------------------------
PERMIT EOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM
Parc Hale , L� min per indt .J4 W 4 r
Septic tank capacity: -,_ -3 :S C, P gal
Hole Depth
feet
Absorpbon area. ( :,� % Z'i sq. tt•
�� :(� •.r. •r Cr ;;rJ.� �_: P� r.!/L .i t'''`{^ar t� ..<I•CiLltt�:rr?•..`>~ / (�!�-rC't �1(: l.• -r_
v (lei t•'r«:'=/ /'�� ,C�,_�•r
' � �r"t _ r !�/;, (i�-C ir.lrc r � r•-!-/� --(�r /rh r..0 �,.,,,J� • � � �/ 4 � �1j
r.fF -•� .vh, f'_. !j'7.C� ri•�+^�zl- /i1 L;r!•w�.e1 (� .
IrJ LFor'l.l:r'.t!)"
S( l/ : �. Q "i:c� ct. r --ref �"•�: �.r....,(' -
An Inspection Is required prior to backtilt of any component of the distribution system.
Design by Engineer Required ? ( ;Yes ( ) No All plans and specifications of the engineer must be followed. Any changes must be approved by the
Aspai ilkin Envlrommintal Health Department in writing and the engineer must certify the final installation to the Environmental Health Department '.n
writing.! ff
Permit approval by: /�. E 1 L' .• %X-- I t Date )1 `% 4 l
Plans and specifications of the proposed individual qe a disposal system have r reviewed and are considered saiWactory Permission is hereby granted to the owner or
the agent to perform the work indicated in accordance with the Pitkin County !SOS Regulation in effect at the time of issue. This permit becomes Invalid 6 months from the dale
that the permit was issued unless system construction has commenced or an extension has been approved in writing by the Department -
As -Built drawings finust be Included with thi permit before the final approval will be issued.
Installer. Hk_=z�
I (bL Receipt #
~ 3 - Date received
Site Plan
Floor plan
Well Permit and Soils Test
Water Quality Test or tate Into Comptets
_ Received by
Comm Del Approval Water System Letter ''
Ictal Iii RMpested/
yTuo"il •a ;f 1 11 }
Rnal Inspection Apoval--
Date: 9 _ l ri. —9 !
tr
AMOj 111919111
ti /,.}
, .Q<L iT rp~
i�[n t.�l,l,'t. �/>� j �r.dn'r .Z ,( rt'�Aj-i /.Ctt''- I; lr•� .l 5/
•�f.L C•`. _ _ 1!•''� '
!�i •� �17._i�!•!•.!:!'.,f'
411t'
y //.o_ _
y' r
/; %^, L :•.�: i .r-� � �.t Iqt f^ !'r F• �-C _
0
ASPEN40PITKIN
ENV�IMNMENTAL HEALTH MEPA TMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. !r'
n PE OF PERMIT:
,Initial construction ( )Rmorgorlcy, Uae f )Repair work,(Previous Permit f .) ( )Alterationof an existing system,
or Installation (Previous Permit 1
C )Use Permit as a ressiit of Sala ( )Others /
ISSUED TO: DATE OF ISSUE—A . /2.
S r '
_ I —2—
Owner Vr'iJ.Sc�r�1 t401w i P!. SI Hatlle Phone Business Phone( -) 4%"]t Z
Mailing r �j tr /� / 2 { '
Address ,} .7U &1 �z4IiL=;�/-}L i1�c �+ l Ls}�/-1 6/U"' U/�l D/� >. �`1 �l
Agent s 1 �iiH�fI/`ll a141ff L Phone
M1 iling
Address
Sewage Disposal System Work to be performed by
This permi valid only for promises location by the following legal deveriptiont_��
LOT 5120 WATCR SUPPLY JL'.ni(�/ (II /D�(J AVERhf:C PERCOLATION MTC () A1i/�y/1/0,1L /i
This Individual Sewage Disposal Permit is granted with regard to the following uses. ��(/r�
Nul.d�cr off IIodreom# fS Lofts Garbage Disposals Dishwashers Clothes washers
CALCULAUD AVERAGE DAILY WASTE LOAD _ r (: CALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
Typo of Tank or Treatment units J� F'T��/r��r ir�+l� Tank Capacity � � � Callon lHlnim+aa
V*thod of Final Disposals jt £('/;C � •I�C� Abaorptiop Area -'7) 13`�f. Square Feet Minimum
Description (including brand name, if any) of other equipment or•appurtnancess R6 0 ) C C D -'L i� F���— ���� %tA;0,
!('fto&I
Other Conditions or Spccifi�tlonsr
Scc�.�v r J�.�(' • :•<<t /`> Eti/j 7'001;Ci/`�; /Icr�c�0 �J(._'C'cli 1?iiL'G 'TU /'4/,Wi
70 77rc.5r 1')J IJA%S
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: '
( )Before Excavation f )Upon completion of excavation and prior to placement of gravel afore envorin•1 distribution
ystem oC absorption ricld
I'01'rlor to backfill of any component I )other, speelfyt
Plans and xpaelficatfons of the proposed sp.+age disposal systom have been revicwcd and are eonnidered satisfactory. Pecnisoion
ix hereby granted to tl,n awrer or his agent to parfarm the work indicated above in accordance with the Pitkin County Individual
Saua•7c Disposal Bc,sttlntions in etfect on the date of issue. In addition to general provisions set forth on the reverse hereof,
this Permit is suhjcet to the following additional terms and conditions= _
APPROVED FOR ISSUE (title) 4177lZr
Tho ahnve individual acui,io disposal system installed by
has twen inafx ctcd for use by a reprosentative of the As�+en pi
rusinadequacy of tlronsibiliiy in case of railure or /hir slew )e
DATE Or,41NAIA INSPECTIOU, J It) 0
BY:
"7130 Stam
r)��r ), Q
Galina I treat
Rin FnVironmantal 11calth ncpartment. Tne „wnar axaum
diaposal system. complete as -built drawing attached.
7
TITLE t_
Aspe-, C: olorsdo 81611
303/925-2020
-F-,,4 0-1- Its..,
UW e
ILJ
1
(tea" 51C 4 a Pi Erz !
Inl/ 2 LI Ct Mfh 515E
pE'rAIL I/A2
Hcyr5 r
Ir1IFtfJ-t T10H cN ri s l vuav Is rh�C F
TON�.gA4F14v- su9-v6Y. �rrt-74, sTARw� I�
PIT 4H C,OulvT G060RdeDo- p4i�±a ,yp�q p 1Z 19x3,
PRE1�¢tsD 6T ikL.A1NFs yJrLV@Y'S� � L7MIIEL. MCYgNZJE
&" sro-I
pp0 V2'
a3c4'7 1-
LIlrH r
fo � STOti'_'
4" G M LI
12"T12 GM
1eRvuTEp
4#4 uuwE
--,W-8 A zits-
SITS R.•ay
k�lelFp Ice' e.�D N s
6dILCINCo URGt.E
t
IV
`�` Io2�#i lo(o t ;
a�
7,_
AIL
Ho
TO rcu
VO
� `� \ `� \ J '�t r�' � ��' �' �,� \r'•: -ami �\\ {`\ � \Jr`vJN baa:
\ -
- ►OHO
V
G
S (1 L4-
IL
c
t a
16
5�
K�0�0 e� ¢oq
(,�*QP
MULL TEE TO
EXIST'iiNG LATERAL -
(FOR EXPANSION)
�&D
�_ ry
4
-- �\ NEW DISTRIBU
1 3' SPACWG
A !MATE ARIA`�ppf FIELD 1 /
R£ RED fNEFFECTII�E' DUE }
Tt7 E ESS FILL ODER �EPAGE
BED
_
0
0
4 " OSMm W4LLPW
4 r
NEW DIS -W4
F
9 �9�y0
7N I- M_5, 3 4'• D14
:E sEcriGw A -A)
�f=r!„CE�ffDIf�ATED PY.C, �`�\�y �sFory.�r Ax
EPL 4CE 90 • ELBOW
o i TH TEE
\ R EXPANSION)
STAFs
Ae
m
$4
ISSUE HISTORY
NO, DATE FENKW
mrnV1>�aY r LAwunn
Lampert
Residence
290 DwIdow D&^ BWr* DC
TIRE Tg0.T@IACOBR
®IOILUMTLV1
T+ISIPOS®VIMFLMI
SCAM ASNM
am PRATE Fw=
DATE ISSUED TIS]DAq
DRAWING
PAGE
A100