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Home My WebLink Aboutpitkin.eh.264504201001 (2014)D ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) Ex/NR CONSTRUCTION PERMIT ' 76 Service Center Rd- Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 Permit #: 0038.2014.POWT Parcel ID #: 2645-042-01-001 Permit Issued: ❑NEW CDU ®REPAIR ❑REMODEL/ADDITION ®TANK ONLY ❑FIELD ONLY ❑AMENDMENT Owner(s): Kirk and Randv Greoory Property Address: Legal Description: Size of Lot: 1.1 12 Alexander Ave Lot 1, Little Elk Creek Acres Detached Accessory Unit: ❑YES ®NO Size of Building: 1492 ft2 Sq. Ft. Size of Accessory This system was sized for 2 bedrooms. Designed By: Phone #: Fax #: Perc Rate: 160 Minimum Tank Capacity: Project #: Mailing Address: Email Address: Profile Hole Depth: 8' Dated: Depth to Groundwater or Minimum Absorption Permit Conditions: Sq. Ft. Y 8' 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. This permit is for a replacement of the existing tank with a new 1000 gallon, 2 compartment septic tank. The new tank will be placed in the same location of the existing tank that will Ise removed. Risers must be accessible from grade and an effluent filter must be installed in the outlet tee of the tank. If the tank installation location is changed the department must be notified prior. Minimum set back from the tank to the house is 5 feet. 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 cf 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. Issuance of this permit does not imply compliance with Pitkin County building and/or land use regulations, nor guarantee issuance of building and/or land use permits. 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 bee -i 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: Bryan Daugherty, REHS Date: 8/8/14 Expires: 8/8/15 Installer:License 0 A SA ik j #: _ -a. Reactivation Authorized by: Final Appwval Issued By: Date: M New Expiration Date: FeeP4W D mmy vNSITE WASTEWATER TREATMEN i SYSTEM (OWTS) CONSTRUCTION PERMIT APPLICATION EH/NK ' 76 Service Center Rd - Aspen, CO • 81611 Phone: 970.920.5070 Fax: 970.920.5374 Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.pitkinassessor.org): Purpose of Permit: ❑ NEW ❑ REPAIR DUE TO FAILURE ❑ REMODEL/ADDITION TANK ONLY ❑ FIELD ONLY Cost of System Repair or Remodel/Addition (approximate): � Property Address: Ave v e Lot: Block: Filing: Subdivision; � e Property Owner(s)`; /t ,r �d� �%r Email P K 4fp 0r Owner's M a ddr sQX CV"St; ip: 91 Home Ph ne Busi ess Phone: (— "Contact information must be provided for the owner signinq this application Primary Contact Person/Applicant (if not owner): Company: Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: Business Phone: Fax Number: Email Address: Building Permit # (if applicable): Lot Size (in acres): Size of Building (square feet): Number of Potential Bedrooms: Detached Accessory Unit? YES NO Size of Accessory Unit (square feet): ❑ Number of Potential Bedrooms In or Fixture List for the Accessory Unit: Water Source: ❑ PRIVATE WELL ❑ SURFACE WATER ❑ SPRING COMMUNITY/PUBLIC WATER SYSTEM Name of Community/Public Water Syst m rf Fcable): C Engineering Firm: Job Number: Phone Number: Fax Number: Mailing Address: City, State, Zip: 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 EH/NR may revoke any permit I am issued if my application is found to contain any inaccurate, false, or misleading information. I understand that no construction may be undertaken on an OWTS until an OWTS Construction Permit is issued. Owner ignature� quir d : Date: Ap icant Signature: Date: FOR OFFICE USE ONLY Received by EN/HR Staff: Fee & Receipt #. Date. LG:\OWTS March 8, 2008 NEW REGS Office - Admin Forms OWTS Const Forms OWTS construction permit application.xls ` L Updated: 10/7/08 August 28, 2014 ShaelJohnson shael(d)masonmorse.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 12 Alexander Avenue Pitkin County, Colorado Ms. Johnson, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 12 Alexander Avenue, Snowmass, Colorado on July 21 and August 26, 2014. The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel ID #2645-042-01-001). The subject OWTS consists of one 1000 -gallon, two-compartment Roth® septic tank (recently installed) followed by a lined evapo-transpi ration (ET) bed. According to these documents, the ET system is 48'x 49'. At the time of the initial inspection on July 21, 2014, only the inlet side of the original concrete septic tank was accessible for inspection. The inspection was completed at that time, with the exception of the outlet side of the tank. Pumping was arranged and a follow-up inspection scheduled. When B&R Septic personnel arrived to pump the septic tank, they uncovered the outlet side of the tank. During this process, the top of the tank on the outlet side collapsed. Subsequently, an OWTS Construction Permit was obtained from Pitkin County Environmental Health Department and a new Roth® septic tank was installed by Avalanche Excavation. An effluent filter was installed on the outlet side of the new septic tank. This filter must be cleaned annually, or as needed. After installation of the new septic tank, we ran water through the system to assure the ET bed was accepting effluent. Water was run from a garden hose for over 10 minutes. Flow out of the tank appeared to be normal, with no indication of over -filling or back-ups. Although the engineering details provided by Pitkin County indicate there are four "vents" in the absorption area, only one was present. This "vent" is packed with dirt and no longer functional as a vent. The ET bed showed no signs of surface saturation, and had no indication of failure. An unlined ditch is running in close proximity to the lined ET bed. This evaluation is not a guarantee of future system performance. This inspection is good for one year. Recommendations: • Clean effluent filter annually, or as needed. This report should be submitted to the Pitkin County Environmental Health Department to finalize the OWTS Construction Permit obtained for the septic tank replacement. Please call with questions. CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 carla.ostberg6d�gmail.com August 28, 2014 ShaelJohnson shael(d)masonmorse.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 12 Alexander Avenue Pitkin County, Colorado Ms. Johnson, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 12 Alexander Avenue, Snowmass, Colorado on July 21 and August 26, 2014. The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel ID #2645-042-01-001). The subject OWTS consists of one 1000 -gallon, two-compartment Roth® septic tank (recently installed) followed by a lined evapo-transpi ration (ET) bed. According to these documents, the ET system is 48'x 49'. At the time of the initial inspection on July 21, 2014, only the inlet side of the original concrete septic tank was accessible for inspection. The inspection was completed at that time, with the exception of the outlet side of the tank. Pumping was arranged and a follow-up inspection scheduled. When B&R Septic personnel arrived to pump the septic tank, they uncovered the outlet side of the tank. During this process, the top of the tank on the outlet side collapsed. Subsequently, an OWTS Construction Permit was obtained from Pitkin County Environmental Health Department and a new Roth® septic tank was installed by Avalanche Excavation. An effluent filter was installed on the outlet side of the new septic tank. This filter must be cleaned annually, or as needed. After installation of the new septic tank, we ran water through the system to assure the ET bed was accepting effluent. Water was run from a garden hose for over 10 minutes. Flow out of the tank appeared to be normal, with no indication of over -filling or back-ups. Although the engineering details provided by Pitkin County indicate there are four "vents" in the absorption area, only one was present. This "vent" is packed with dirt and no longer functional as a vent. The ET bed showed no signs of surface saturation, and had no indication of failure. An unlined ditch is running in close proximity to the lined ET bed. This evaluation is not a guarantee of future system performance. This inspection is good for one year. Recommendations: • Clean effluent filter annually, or as needed. This report should be submitted to the Pitkin County Environmental Health Department to finalize the OWTS Construction Permit obtained for the septic tank replacement. Please call with questions. W Sincerely, &'o-' (a Oaf &,&,s Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # 110441TC Exp. 2016 JuIV 21, 2014 View of original septic tank and inlet tee Lid of tank collapsed on outlet side when uncovered New septic tank replacement (Roth® 1000 -gallon plastic tank) V Outlet of new tank with effluent filter I "vent' in ET bed Some evidence of rodent activity in absorption area 1 Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form t)U N T r Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspenpitkin.com/ehnr Inspection form for continued use of an existing OWTS Owner's Name:;�� PA55 Address: Z _ � Improper vegetative cover? YES Parcel Number: Inspection Date: --T 7475 1, q Inspector's Name: y- r FAIL Business Name: 60" i is . N Phone Number > o — rz) -,SA Snow cover present? Email: ?C `:. rt , '?- ;r',, , c.o Y, Pitkin County Systems Inspector license Number", A copy of this insaection report will be remitted to Pitkin Coun!y Environmental Health Department by the Licensed systems Inspector within 60 days of the inspection regardless of whether the system passes or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? r';ES" 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? i z P' RECORDS: Were system records available from Pitkin County? S NO If YES: Permit number: 7 Date of Final Approval: # of bedrooms permitted: 01 Wasan as -built drawing available? ''YES NO Is the as -built drawing accurate? ;'YES) NO If NO: 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 OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erosion? PA55 FAIL Improper vegetative cover? YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? PASS FAIL Evidence of high ground water? N YES Snow cover present? N� YES Page 1 512 IA'�, � TANK: Tank 1 7N� Tank 2 YES Tank 3 If YES, is the pump/dosing siphon functioning properly? Tank capacity ? OC)t gallons PASS gallons Is the high water alarm working, both visible and audible? gallons Tank material �) Probing Is a secondary treatment unit present? YES NQS UNKNOWN # of compartments NO inches Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: _ Phone: Date of fast pumping NO Is it level and in good condition? PASS FAIL Lids/risers in good condition �PAS, FAIL PASS FAIL PASS FAIL Risers to grade 'f YES NO YES NO YES NO Riser height Z� Riser condition/watertightness inlet sanitaryT/baffle PASS FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle PASS^ FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PA 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 NOI YES NO YES NO If YES, list the pumping company If NO, when was the last pumping Scum level (1st compartment) 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), PASS FAIL PASS FAIL PASS FAIL Midtank baffle 'p FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness ,; PAS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: 7N� is a pump or dosing siphon present? YES 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: Po0:S- -' Probing Is a secondary treatment unit present? YES NQS UNKNOWN If YES, does the unit appear to be in good working condition? YES NO inches Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Maintenance Provider: _ Phone: YES NO If there is no maintenance contract, a contract must be in place prior to occupancy of the home. A copy of the contract must be submitted to Pitkin County Environmental Health Department. ASSORBTION AREA: FAIL Effluent surfacing? Evidence of past surfacing? YES Surface dampness? YES Excessive odors? YES Field location verified by observation ports or probing: Po0:S- -' 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? r r Please list any recommendations for the continued use of the system: 1j, Were any repairs done as a result of this inspection? NOEY S 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: clearly label any pictures and attach them to this form. Page 3 V abed r} �Y 0 •aouala}aj ajnlnj jol sluauodwoa walsAs ayl }o uolleaoi ay} aleinguepi of pasn aq uea sluawainseaw hexa 'asnoq ayl ;o siauaoa se vans s.igjew ouisn Allado.id a43 uo slam hue to uoileaol a41 pue sluauodwoa walsAs lie luawnaop of awns as 'alglssod se Alale.inaae se walsAs ayl wei2eip aseald 'aleanaaeui sem limq-se ayl jo walsAs slyl jo; lsixa sSuimeip ll!nq-se ou }l S i t )a ,- •aouala}aj ajnlnj jol sluauodwoa walsAs ayl }o uolleaoi ay} aleinguepi of pasn aq uea sluawainseaw hexa 'asnoq ayl ;o siauaoa se vans s.igjew ouisn Allado.id a43 uo slam hue to uoileaol a41 pue sluauodwoa walsAs lie luawnaop of awns as 'alglssod se Alale.inaae se walsAs ayl wei2eip aseald 'aleanaaeui sem limq-se ayl jo walsAs slyl jo; lsixa sSuimeip ll!nq-se ou }l 76038 PERMIT NUMBER Owner .��L � y awl .}A'a � � • 111YYY � PIT KIN COUNTY HEALTH DEPARTMENT RECEIPT NUMBER - ;M Phone No. Z� T Owner's Mailing Address Contractor 5 Phone No. Address System's Contractor's Name Address Legal Description Lot Size /, e Number of Bedro( Owner's Signature PLOT PLAN: ATTACHED AS REOUIRED -x#x-#-�.k�z xa##;�x�s#-zs-#xr,-x-s###s--x;:u�•x##a-#•x•#a####z#�#,,�.-xr##-r.T�x:a-z-#x-�#>.,�-a#••�nx-a:-�•a-tt-x#r#•*#xar## x•et ac a -as- ,- 'SSCPi IQ •rAt4<--4-- ifiJFit -s Type of individual Sewage Disposal System ' ' e u'Aa�U� �I +y'' SCA) Type of Soil or Soil Classification ` �t!j'�� f� Proximal Location of Bedrock f n,7-,qC-F6--k1t41 AJC,- Proximal JCProximal Location of Ground Water Table --- r - Percolation Test Date .104 Minutes Per Inch Minimum Recommended Absorption System Size -2:3,5 6> Minimum Recommended Tank Size Special Conditions of Issue: Nonce P ,... When properly signed for issuance, this application f` %� {� i• -i l becomes your permit. Application valid one Veer from S.✓i.-2-�p i date- If an individual sewage disposal permit is issued for prnperty on which no building permit has been issued, the individual sewage disposal permit shall expire 720 days after its issuance if construction has not been commenced. Any change in plans or speci. fications after the permit has been issued invalidates the permit, unless approval is secured from the Health Officor fors ch changes - Approved _ _ Approved for issuance By —Date - 4f " �' = -- ####-X#3F i.###dF##•"-?•c- z-#^4 --K#iE if#-A'8EL'-#,A'--Y.-f:#-0E-Xvi#:f?•#-!F Y -•-i: i5#+--L`v": 7: #d4 •SXC-#�.'i:-#i`#:#.x.##i:##3f :WS 14A#roc ?v FINAL INSPECTION APPROVAL "i -nate ! — (Drawing of System on Back) LL 73 k3> � 'q J.2 a cy Lb G i S 3 � yy f i LJ. ir T4 't, LL LL 73 k3> � 'q J.2 a cy Lb G i S 3 � yy f i LJ. ir T4 't, D E-- -3, 1 6D b r oo ry- i t-icxi-) e per r c)o L - I 0'::TR beci`C JAI -C)-T- I L I —r'T LF-�6- r--L-L/ Job IP17—Vj1,j Drawn (.7 1;Z F-- -11e— ADPL. Lh Date Ju" 4, E- \// l ,-N '7 1• ScafeA I Sheet LDORADO ENGINEERIAG COMPANY CONSULTING ENGINEERS REGISTERED LAND SURVEYORS 03 COLORADO AVENUE P-0 BOX 669 GLENWOOD SPRINGS, COLORADO 81601 303-945-6917 of 17 IDTie 4] L- P-) L 6ra-ve-1 -st -7at, t�e- '/,z" +0 1 V-2" ,and 0 +c' mrn, -)ee c3r'a-'-- E- Pi D E-- -3, 1 6D b r oo ry- i t-icxi-) e per r c)o L - I 0'::TR beci`C JAI -C)-T- I L I —r'T LF-�6- r--L-L/ Job IP17—Vj1,j Drawn (.7 1;Z F-- -11e— ADPL. Lh Date Ju" 4, E- \// l ,-N '7 1• ScafeA I Sheet LDORADO ENGINEERIAG COMPANY CONSULTING ENGINEERS REGISTERED LAND SURVEYORS 03 COLORADO AVENUE P-0 BOX 669 GLENWOOD SPRINGS, COLORADO 81601 303-945-6917 of it Al 4 f 0 L AW VEKIT- � rep,," �E—Cr I (D Q A - 'Sca�e '.'f3 - 1' 0" Air 4'A 4`6 PIVE 4�0'� M�7e_7*rE-D KA 07 ff- lr�l : 'Af, to 1"/"2, CAC-ave_l V4- . 0 10 F"- VAN—— +,ojz� soti var 4'(V PaP7-01FiVr=C-> 7 --;woo L N s Looe -,c Le-ve-L j E Su o W 4 ss /12 Ajexo,kAoAe,<- Aoe- 5 4otoLL � 4 Rt I Oto tA& 0oosc