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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 #: 2473-212-00-003
OWTS Use Permit #: I 0021.2016.POWU
Date Issued: 7/6/2.016
Issued By: Bryan Daugherty
Expiration Date: 7/6/17
Owner(s): Citi Bank NA
Property Address:
126501 Frying Pan Road
Legal Description:
Absorption Area
Licensed Inspector: Carla Ostberg
Inspection Date(s): 6/22/16
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete 2 -compartment tank
1500 gallons
Secondary Treatment Unit
Absorption Area
Gravelless chamber bed
1169 ft2
Other System Components
Dosing Chamber w dual siphons
500 gallons
❑In use at the time of the inspection. ®Not in use at the time of the inspection.*
*If the OWTS was not in use a t 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 #: 00068 Date of Issuance: 9/7/00 Date of Final Approval: 10/28/00
# of Bedrooms or fixtures served by OWTS: The system is designed to serve 3 bedrooms
Operational Status: According to the inspectors observations the system was functioning as designed. The tank was in
good condition and the closing siphons worked correctly. The field area was dry and has not been in operation for 2
years.
Inspector Recommendations: Add risers so tank is accessible from grade
Department Recommendations: Annual maintenance, add an effluent filter to prevent solids from reaching the field
area.
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.
I ',
Pitkin County Environmental Health Department
%ir K I N Onsite Wastewater Treatment System (OWTS)
COUNT USE PERMIT APPLICATION
76 Service Center Rd
Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Aoolication for Continued Use of an Existing OWTS
Parcel Io# (available from the Pitkin County Assessor's office
970-920-5160 or at www.pit.(inassessor.org
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Purpose of Use Permit:
PROPERTY TRANSACTION ❑ REMODEL/ADDITION
Property Address:
Z�0 50
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Pa vi 1ZA U a 04, +� I
Lot: Block:
Ring:
Subdivision:
Indicate Preferred Method of Permit Receipt: ,,--,,�
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Residences:
Other
# of Bedrooms:
fixturesiuses:
Property Owner(s)': Email Address:
Owner's Mailing Address: City,State, Zip:
wa VA e a 5 D" Ap 0 a
Home Phone: Business Phone:
'Contact information must be provided for the owner sianina this application
Primary Contact Person/Appl`icaan/t (if not owner):
Company:
�1 V V
Contact/Applicant Mailing Address:
City, Stafe, Zip:
Cell Phone:
0- 33t -
Business Phone:
Cl -10-_C1 40,-W l �5 3
Fax Number:
Email Address:
Indicate Preferred Method of Permit Receipt: ,,--,,�
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Licensed Systems Inspector: Phone Number. Email Address: Fax Number:
Mailing Address: City, State, Tip:
7J t'p u N U N- P— ZI-77
PLEASE READ 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 1 am issued if my application is found to contain any
inaccurate, false, or misleading information.
Owner Signature (Required): Date:
Applicant Signature: Dat
C'
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Received by EH Staff: Fee & Receipt #: Date:
21.101 r, Pd�v
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June 26, 2016
Lani Webb
The Mercury Alliance
lani themercuryalliance.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
26501 Frying Pan Road
Pitkin County, Colorado
Lani,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 26501 Frying Pan Road, Meredith, Colorado on June 22, 2016. The legal description of the
62 -acre property is listed on the enclosed Pitkin County Assessor's webpage.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2473-212-00-003). The subject OWTS consists of one 1500 -gallon, two-compartment concrete
septic tank followed by a 500 -gallon, single -compartment dosing chamber with two Fluid Dynamics Model
417 dosing siphons. Effluent is dosed to two separate STAs, each with 72 EQ 36 Infiltrator® chambers in
a trench configuration. The STA is very large due to a slow documented percolation rate.
The OWTS is documented by Individual Sewage Disposal System Permit 00068. The permit was
finalized on October 28, 2002. The OWTS was sized to accommodate 3 bedrooms.
The septic tanks are located south of the residence. A clean out is located between the residence and
the first septic tank. The septic tanks were pumped at the time of the inspection by D&D Septic Services.
All manhole lids were located within 8 -inches of grade. We recommend a 6 -inch riser be installed on the
inlet side of the first septic tank.
The inlet and outlet tees were both present. The outlet tee is located under the lid of the septic tank,
making the addition of an effluent filter impossible without extending the tee.
There was no water available at the property as it has been vacant for at least 2 years. The tests we
commonly run to assure proper flow through the OWTS were not possible without access to
water. We were able to pump effluent from the second compartment of the septic tank into the pumping
chamber in order to activate the siphons. It was difficult to tell if both were activated simultaneously due
to the positioning of the overflow pipe of one of the siphons. We were able to observe the water level
going down when the chamber was filled to the point where the siphon(s) were activated.
Effluent is dosed to two sets of gravelless chamber trenches. Inspection ports were present on the
center of each row of chambers. All inspection ports were found to be dry. We walked the STA and
there was no evidence of surface saturation and no evidence of failure at the time of the inspection.'
This evaluation is not a guarantee of future system performance. This inspection is good for one year.
' It is important to note that the system has not been used for an extended period of time and conditions could
change when usage of the system resumes.
CBO Inc.
4 r
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg(d_)gmail.com
June 26, 2016
Lani Webb
The Mercury Alliance
lani themercuryalliance.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
26501 Frying Pan Road
Pitkin County, Colorado
Lani,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 26501 Frying Pan Road, Meredith, Colorado on June 22, 2016. The legal description of the
62 -acre property is listed on the enclosed Pitkin County Assessor's webpage.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2473-212-00-003). The subject OWTS consists of one 1500 -gallon, two-compartment concrete
septic tank followed by a 500 -gallon, single -compartment dosing chamber with two Fluid Dynamics Model
417 dosing siphons. Effluent is dosed to two separate STAs, each with 72 EQ 36 Infiltrator® chambers in
a trench configuration. The STA is very large due to a slow documented percolation rate.
The OWTS is documented by Individual Sewage Disposal System Permit 00068. The permit was
finalized on October 28, 2002. The OWTS was sized to accommodate 3 bedrooms.
The septic tanks are located south of the residence. A clean out is located between the residence and
the first septic tank. The septic tanks were pumped at the time of the inspection by D&D Septic Services.
All manhole lids were located within 8 -inches of grade. We recommend a 6 -inch riser be installed on the
inlet side of the first septic tank.
The inlet and outlet tees were both present. The outlet tee is located under the lid of the septic tank,
making the addition of an effluent filter impossible without extending the tee.
There was no water available at the property as it has been vacant for at least 2 years. The tests we
commonly run to assure proper flow through the OWTS were not possible without access to
water. We were able to pump effluent from the second compartment of the septic tank into the pumping
chamber in order to activate the siphons. It was difficult to tell if both were activated simultaneously due
to the positioning of the overflow pipe of one of the siphons. We were able to observe the water level
going down when the chamber was filled to the point where the siphon(s) were activated.
Effluent is dosed to two sets of gravelless chamber trenches. Inspection ports were present on the
center of each row of chambers. All inspection ports were found to be dry. We walked the STA and
there was no evidence of surface saturation and no evidence of failure at the time of the inspection.'
This evaluation is not a guarantee of future system performance. This inspection is good for one year.
' It is important to note that the system has not been used for an extended period of time and conditions could
change when usage of the system resumes.
Recommendations:
• Install 6 -inch riser on inlet side of septic tank
This report and a 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.pitkiricounty.com/DocumentCenter/Home/View/621
Application Checklist:
http://www.pitkiricou nty.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 Qs -mss
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 110441TC Exp. April 2018
Clean out located between the house and septic tank
Location of septic tanks relative to the house (tanks south of house)
Inlet tee
Outlet tee tucked under lid
Dosing siphons
sole
lote level of effluent when siphons activate
Adding effluent to dosing chamber to activate siphons
View of STA
View of property, looking northeast
Onsite Wastewater Treatment Systems (OWES) Use
1# A0 I N Permit Inspection Form
Pitkin County Environmental Health Department
co iI N 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:
Address:
Parcel Number:
Inspection Date:
Inspector's Name:
Business Name:
Phone Number
Email:
(P S,
A lb
Pitkin County Systems inspector License Humoer; v ,1 ;
A copy of this inspection report will be remitted to Pitkin County Environmental Health £iepartment by
the Licensed S stems Ins oector within 60 days of the inspection reayfdiess of whether the system
passes or fails.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? YES NO f k
If NO, how font has the home been vacant? 1��'l�- 00-15 '1
`-
_
How many bedrooms are in the home?
If secondary treatment is used, who is the
0
maintenance provider?
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RECORDS:
Were system records available from Pitkin County? NO
; rte_ ,
If YES: Permit number: 0 0 0'
Date of Final Approval: 102-
I ,
—i5j,7F
# cf bedrooms permitted:
ENO
Was an as -built drawing available?
4 .
Is the as built drawing accurate? YES NO
irMr'X^Yat:�"
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? PASS FAIL
YES
Improper vegetative cover?
Evidence of compaction such as heavy machinery or livestock? .<' YES
Improper discharges such as straight pipes? { PPAAS�S,) FAIL
Evidence of high ground water? r N YES
Snow cover present? NO YES
Page 1
TANK:
Tank 1
FAIL
Tank 2
NO
Tank 3
If YES, is the pump/dosing siphon functioning properly?
Tank capacity
le')
galionsl
50 D
gallons
Is the high water alarm working, both visible and audible?
gallons
Tank material
SECONDARYTREATMENT:
_Par�tss
NO
C 's�i'
Is a secondary treatment unit present? YES
N
# of compartments
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
Date of last pumping
Y '?
FAIL
If there is no maintenance contract, a contract must be in place prior to occupancy of the
home. A
Lids/risers in good condition
P
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
NO
YES
NO
YES
NO
Riser height
2-1
Riser condition/watertightness
L
inlet sanitary T/baffle
FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitary T/baffle
PAS$,
FAIL
PASS
FAIL
PASS
FAIL
Effluent filter (if part of design)
PASS FAIL
yPASS'
` �t+l f7-
PASS FAIL
N/A
PASS FAIL
N/A
Condition of tank material
,
FAW
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
NO
YES
NO
YES
NO
If YES, list the pumping company
12;
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
"'PASS,-
FAIL
PASS .
FAIL
PASS
FAIL
PUMPS/DOSING SIPHONS:
PASS
FAIL
Is a pump or dosing siphon present?
NO
NO
If YES, is the pump/dosing siphon functioning properly?
4PA
FAIL
Does the pump/wiring/dosing siphon appear to be in good condition?
FAIL
Is the high water alarm working, both visible and audible?
PASS
FAIL
SECONDARYTREATMENT:
_Par�tss
NO
YES
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: Phone:
PASS
FAIL
If there is no maintenance contract, a contract must be in place prior to occupancy of the
home. A
ABSORBTION AREA:
Effluent surfacing?
PASS
FAIL
Evidence of past surfacing?
NO
YES
Surface dampness?
YES
Excessive odors?
YES
Field location verified by observation ports or probing:
Probing
Liquid in observation port?
_Par�tss
NO
YES
if YES, record depth:
inches
Distribution Box or ADV part of original design?
YES
',
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:
u i�✓ d1 i � � I
""727
M
ti
Were any repairs done as a result of this inspection? 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:
r`
1
Clearly label any pictures and attach them to this form
Page 3
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