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Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS) USE PERMIT
Permit for Continued Use of an Existing OWTS
76 Service Center Road, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
www.aspenpitkin.com/EHNR
Parcel ID #: 2645-102-01-010
OWTS Use Permit #:
I 0072.2016.POWU
Date Issued: 12/26/2016
Concrete two-compartment septic
tank
Issued By: Kurt Dahl
Expiration Date: 12/26/2017
Owner(s): I Shelley Burke
Property Address:
1500 Lazy 0 Road
Legal Description:
(2) 8 trenches each with 10 Standard
chambers, 160 total (2257 ftZ)
Licensed Inspector:
Carla Ostberg
Inspection Date(s):
06/20/2016
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete two-compartment septic
tank
2000 gallons
Secondary Treatment Unit
Pump Vault
500 gallons
Absorption Area
Gravelless chamber soil treatment
trenches
(2) 8 trenches each with 10 Standard
chambers, 160 total (2257 ftZ)
Other System Components
®In use at the time of the inspection. ❑Not in use at the time of the inspection.*
*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 #: 99076 Date of Issuance: 09/17/1999 Date of Final Approval: 07/19/2000
# of Bedrooms or fixtures served by OWTS: The system is sized to serve 4 bedrooms.
Operational Status: The inspector indicates the system is now functioning properly and there is no evidence of failure. The pump
and two control floats were replaced and the alarm system was rewired.
Inspector Recommendations: Install effluent filter on outlet tee of 2000 -gallon septic tank, move wiring for pump from inside riser
to a splice box outside of the riser.
Department Recommendations: Annual maintenance and inspector recommendations.
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.
IN Pitkin County Environmental Health Department
it T'� Onsite Wastewater Treatment System (OWTS)
�40U N T' USE PERMIT APPLICATION
76 Service Center Rd
IJj' Aspen, Co 81611
Website: www.aspenpitkin.com/ehnr/
Application for Continued Use of an Existing OWTS
Parcel ID# (available from the Pitkin County Assessor's Office
970-920-5160 or at www.oitkinsssessororai_ — — —
Purpose of Use Permit:
PROPERTY TRANSACTION ❑ REMODEL/ADDITION
Property Address:
Lot:T Block: V Filing: Subdivision:
4010
Residences: 4 y�
Other
# of Bedrooms: fixturesluses:
Property Owner(s)•• Email Address:
Sh�l'e4i,e
Owner s Mailing Address
Slate. Zip:
Home Phone:
G ^ ! / —7 / L9 & - c1 Business Phone:
'Contact information must bel provided for the owners' � this pp li T 4
rg ng application.
lucenseo Systems Inspector: Phone Number: Email Address:
Fax Number:
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 H my application Is found to contain any
Inaccurate, false, or misleading information.
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY - _-.. --- __._..---- . ---- -- �. - -- - -
Received by EH Staff: " �"' •
Fee & Receipt* Date.
r
August 21, 2016
Shelley Burke
starrypines(cDsopris. nt
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg(a_gmail.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
1500 Lazy O Road
Pitkin County, Colorado
Shelley,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 1500 Lazy O Road, Snowmass, Colorado on June 20, 2016. The legal description of the
5.68 -acre property is Lot 10, Lazy O Ranch PUD.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID # 2645-102-01-010). The subject OWTS consists of one 2000 -gallon, two-compartment concrete
septic tank followed by a 500 -gallon dosing chamber with a pump. Effluent is pumped via a 1.5 -inch
diameter Schedule 40 pump line to two sets of 8 trenches, each with 10 'Standard' Infiltrator® chambers
for a total of 3000 square feet of infiltrative area. Pitkin County Individual Sewage Disposal System
Permit #99076 documents the system. The system was sized to accommodate 4 bedrooms.
The septic tanks are located northwest of the residence. All manhole lids were accessible from grade.
The inlet and outlet tees were both present in the 2000 gallon septic tank. We recommend adding an
effluent filter to the outlet tee of the 2000 -gallon septic tank. If installed, this filter must be cleaned
annually, or as needed.
The septic tanks were pumped by B&R Septic at the time of the inspection. When pumping began
in the 2000 -gallon septic tank, backflow from the pump chamber back into the 2000 -gallon tank was
evident. We also pumped down the pump chamber and found the float was under water. We suspected
the pump was not functioning and called for repair. The alarm panel is located in a downstairs bedroom.
Wiring for the pump is located in the riser of the pump chamber. The riser is showing signs of
deterioration, but is still intact. We recommend moving wiring from inside of the riser to a splice box
outside of the riser.
We walked the soil treatment area (STA) and inspection ports were observed throughout the STA, as
indicated on the design documents. All inspection ports were dry, and there was no evidence of surface
saturation or failure at the time of the inspection.
Subsequent to the inspection, Valley Precast Service Department personnel replaced the pump, installed
two new floats, and re -wired the remote alarm system (see enclosed invoice). After the repairs, Valley
Precast verified the pump and alarm to be in good working order. This evaluation is not a guarantee of
future system performance. This inspection is good for one year.
Recommendations:
• Install effluent filter on outlet tee of 2000 -gallon septic tank. If installed, this filter must be cleaned
annually, or as needed.
• Move wiring for pump from inside of riser to splice box outside of riser.
This report and completed 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:
http://www.pitkincounty.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,
C Oma-,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 110441TC Exp. April 2018
Inlet (tee present) Outlet tee
Prior to pumping, pump chamber over -full
Wiring for pump located inside riser. Recommend moving to splice box outside riser
Tank alert located in downstairs bedroom View of field from bedroom with tank alert
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Onsite Wastewater Treatment Systems (OWTS) Use
� Permit inspection Form
COU N T'14 Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
s
Phone. 970-920-5070 Fax: 970-920-5374
Website: www.asoenpitkin.com/ehnr
Inspection form for continued use of an existing OWTS
Owner's Name:
Address:
Int [0
Parcel Number. 2_(,)4c5-
-21
-- (}
Inspection Date: .. ? C j ({� h`
Inspector's Name: 1 £ +
Business Name:
Phone Number �° " —y U 4.
L Email: C r), � •
z1 ' C) ' c . t , ins t CN -0,
Pitkin County Systems Inspector License Number: ✓ i j
A Fogy of this inspection report will be remitted to Pitkin County Enyhyamental Health Devartment 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? "` 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?
RECORDS:
Were system records available from Pitkin County? YES NO
If YES: Permit number.
Date of Final Approval: 1A 11 �30
# of bedrooms permitted: i" k
Was an as -built drawing available? ESQ NO
Is the as -built drawing accurate? ESE NO
If NO: Complete a drawing of the system on lost 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?
_PAS.
FAIL
Improper vegetative cover?
r NC? ,
YES
Evidence of compaction such as heavy machinery or livestock?
'Fid
YES
Improper discharges such as straight pipes?
P4�W,FAIL
Evidence of high ground water?
N
YES
Snow cover present?
j'"
YES
Page 1
TANK:
Tank 1
Tank 2
Tank 3
Tank capacity
Q
gallons
G01,) gallons
gallons
Tank material
# of compartments
Date of last pumping
i V
Lids/risers in good condition
FAIL
PASS FAIL
PASS
FAIL
Risers to grade
YES
NO
YES NO
YES
NO
Riser height
Riser condition/watertightness
,Nic—
Inlet sanitary T/baffle
' PASS',
FAIL
PASS
FAIL
Outlet sanitary T/baffle
PASS
FAIL
PAW ----PML
PASS
FAIL
Effluent filter (if part of design)
PASS FAIL,, Nf,A--
PASS--- FAft- - "
PASS FAIL
N/A
Condition of tank materialPAS
`
FAIL
PASS FAIL
PASS
FAIL
Tank was pumped for inspection
YES�4
NO
YES' NO
YES
NO
f 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
t inches
inches
Backfiow (if pumped)
Midtank baffle
FAIL
-A - FAIL, Aj"N/A
AS$`, FAIL
PASS FAILrA
PASS
PASS FAIL
FAIL
N/A
Watertightness
PASS'
FAIL
l PASS FAIL
PASS
FAIL
PUMPS/DOSING SIPHONS: t!�� '� T
Is a pump or dosing siphon present? t' Ye NO
If YES, is the pump/dosing siphon functioning properly? PASS . FAILf114--
r�0
Does the pump/wiring/dosing siphon appear to be in good condition?�. 'P FAIL Y
Is the high water alarm working, both visible and audible? >P FAIL
SECONDARY TREATMENT:
Is a secondary treatment unit present? YES O 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 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.
ABSORBTION AREA:
Effluent surfacing?
Evidence of past surfacing?
Surface dampness?
Excessive odors?
Field location verified by observation ports or probing:
Liquid in observation port?
if YES, record depth:
Distribution Box or ADV part of original design?
If YES, is it accessible from grade?
Is it level and in good condition?
FAIL
YES
YES
YES
Probing
YES
inches
YES ,N
YES NO
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:
C�-
Were any repairs done as a result of this inspection? NO YES
If YES, please describe the repairs. ^ '
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To the best of my knowledge and training, the information collected in this inspection is accurate as of
Ucerse+l Systems Inspector Signature:
Additional Notes:
Clearly label any pictures and attach them to this form.
Page 3
Aspen/Pitkin Environmental Health Department
Permit for an Individual Sewage Disposal System
130 S. Galena St_ Aspen, Colorado 81611
Phone 970-920-5070 / FAX 970-920-5074
Permit # 99076 Parcel ID # 2645-102-01-010
Type of permit New( X) Repair( ) Addition to House( }
Name of Owner David Ryerse
Street Address 1500 Lazy O Road
Property legal description Lot 10 Amended plat of Lazy O
Size of lot 5.7
Total square footage of the house 5,437
Water source Lazy O community water system
# of bedrooms in house 4 # of offices, lofts & similar sized rooms in house
Caretaker unit
# of bedrooms in caretaker unit
Total square footage of the caretaker unit
# of offices, lofts & similar sized rooms in caretaker unit
Designed for what # rooms (list) FOUR: 3 bedrooms, 1 game room
Permit information
Designed by Jerome Gamba & Associatos
Mailing Address PO Box 1458, Glenwood Springs, CO 81602
Perc rate 65 mpi Profile hole depth 8' Depth to groundwater or bedrock >8'
Septic tank capacity 2,000 per engineer Absorption area 2257 sq. ft.
Comments
Septic permit approved per compliance with the engineer design and specifications with engineer stamp dated
9/16/99. Any changes must be approved by this department and the design engineer prior to them being made.
The design is for one 2,000 concrete two-compartment septic tank and a separate pump chamber. There is no
reduction in the field size for use of infiltrator chambers due to poor soil conditions. There shall be 16 trenches 10
units long for a total of 160 units. There shall be 6 feet of undisturbed soil between the trenches.
Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin
County ISDS regulations. This department does not endorse any brand of products.
Permit approved by: t _I e Date: `t L9
Pians and specifications of the pro sed individual sewage disposal system have been reviewed and are considered
satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin
County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was
issued unless system construction has commenced or an extension has been approved in writing by the Department.
As -guilt drawings must be included with this permit before the final approval will be issued.
installer: 1A[;y it (,1,f1
10
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Final inspection approval: 6� Date: -�
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TYPICAL DISTRIBUTION
PLUMBING DETAIL
(NOT M scm..E)
w
(4 BEDROOMS) x (2 PERSONS PER SEDUM) - e PEOPLE
AVERAGE DAILY SEWAGE FLOW w (8 PEWW X (100 GPD/PERSON) • 800 GPD
DESIGN SEWAGE. FLDW — (1.71f} x- AVERAGE DAILY FLOW
(80D GPD) - 1100 GPD
SEPTIC TANK SIS - 3000 gallone
THE ABSI W iON AREA (A) FOR A NORMAL GRAM! TYPE LEACH FOLD IS
CALCULATED USING THE FORMULA:
A — 0 x (SQUARE lgtY tT' #1
5
Where:
0 - MA)(IMUM 0AILY SEWAGE FLOW • 1.406 gong, w pi' day
t — PUMULA74N RATE - 65 min/in.
THEREFORI-
A - (1400 # . 2257.43 sq. ft
!� 1HERIORE 0744 / (IU ma• fL) = 146 SkskoWd tnfittrator units
J
ftr4offirality uw 160 wefts.
+ I be is fiches„ 10 units fuer a total of 160 units.
r
�' -i aWV1* by a community watw sy d".
` k Distaii shall conform to the Pitkin County individual Sew D'
,f. aya npasd System
IF M Of the septic hestsm shall be iMtolied according to the Pitkin County IindivwU01150wc" 01111110"11111 i
System kap* an. Colorodo Oapartnw of Public Health and Environment requiat
and the rsr s spec;Aoat ons
See attill0b d 0 t M Manual provided by Jerome Compo do Aaaociates, enc
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TYPICAL DISTRIBUTION
PLUMBING DETAIL
(NOT M scm..E)
w
(4 BEDROOMS) x (2 PERSONS PER SEDUM) - e PEOPLE
AVERAGE DAILY SEWAGE FLOW w (8 PEWW X (100 GPD/PERSON) • 800 GPD
DESIGN SEWAGE. FLDW — (1.71f} x- AVERAGE DAILY FLOW
(80D GPD) - 1100 GPD
SEPTIC TANK SIS - 3000 gallone
THE ABSI W iON AREA (A) FOR A NORMAL GRAM! TYPE LEACH FOLD IS
CALCULATED USING THE FORMULA:
A — 0 x (SQUARE lgtY tT' #1
5
Where:
0 - MA)(IMUM 0AILY SEWAGE FLOW • 1.406 gong, w pi' day
t — PUMULA74N RATE - 65 min/in.
THEREFORI-
A - (1400 # . 2257.43 sq. ft
!� 1HERIORE 0744 / (IU ma• fL) = 146 SkskoWd tnfittrator units
J
ftr4offirality uw 160 wefts.
+ I be is fiches„ 10 units fuer a total of 160 units.
r
�' -i aWV1* by a community watw sy d".
` k Distaii shall conform to the Pitkin County individual Sew D'
,f. aya npasd System
IF M Of the septic hestsm shall be iMtolied according to the Pitkin County IindivwU01150wc" 01111110"11111 i
System kap* an. Colorodo Oapartnw of Public Health and Environment requiat
and the rsr s spec;Aoat ons
See attill0b d 0 t M Manual provided by Jerome Compo do Aaaociates, enc
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soil treatment
area
Bill To
Shelley Burke
1500 Lazy O Rd.
Snowmass, CO 81654
Valley Precast, Inc.
P.O. Box 925
Buena Vista, CO 81211
Phone: 719-395-6764
Fax: 719-395-372
E -Mail: fron rF,com
Website: val
Invoice
Date Invoice #
7/28/2016 33317
lunucr urucra wi uc %_aau vn y.
By accepting our product(s), you are agreeing to pay the full amount owed as well as any
legal fees and finances charges that may be assessed.
Signature
County
Location
Terms
Due Date
1500 Lazy O Rd.
7/28/2016
Item
Description
Quantity
Amount
Total
PFSW5011
1/2 HP Solids Handling Pump, 20' lead, capable of 2" solids
1
969.95
969.95T
Service Tech
replace 2 floats, pump and rewired remote alarm
4
82.40
329.60
Service Travel
Travel time for service call
4
51.50
206.00
MF1C
C -Float
2
56.63
113.26T
Thank you!
Sales Tax (2.9%) $31.41
A 1.5% per month finance charge will be assessed on accounts over 30 days (Minimum of
$1,650.22
$5.00 per month). [fan account is delinquent for 60 days, Credit Will Be Withdrawn. Any
_]___ __._Il L_ -� l 9..
Total
_
lunucr urucra wi uc %_aau vn y.
By accepting our product(s), you are agreeing to pay the full amount owed as well as any
legal fees and finances charges that may be assessed.
Signature
County
ELEVATION ON
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WATER VALVE £LEUA"0- ON
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LOT 10
5.696 AC, f —
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��ALE: 1" a 50
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DATE:
I Z#1/",?
REVISIONS:
SHEET N0:
-----------
Ell
DATE: 3/1/99
REVISIONS:
SHEET NO:
3,1
LOWER FLOOR
PLAN
SHEEP NO:
3.2
-� MAIN FLOOR
1 I -r PIAN