HomeMy WebLinkAboutpitkin.eh.264929402040 (2014)Permit #: 0012.2014.powt
ONSITE WASTEWATER TREATMENT SYSTEM (OWTS)
CONSTRUCTION PERMIT
76 Service Center Rd- Aspen, CO - 81611
Phone: 970.920.5070 Fax: 970.920.5374
Parcel ID #: 2649-294-02-040
Permit Issued: ❑NEW CDU []REPAIR ®REMODEL/ADDITION ®TANK ONLY []FIELD ONLY ❑AMENDMENT
Owner(s): William A and Peqqv J. Hanks
Property Address:
Legal Description:
Size of Lot: 0.367
73 Cherokee Ln
Size of Building: 1560
Acres
Sq. Ft.
Detached Accessory Unit
Size of Accessory Unit:
The system is designed for: 3 bedrooms
Designed By: _
Phone #:
Fax #:
Perc Rate: N/A
Project #: _
Mailing Address:
Email Address:
Profile Hole Depth:
❑YES ®NO
Dated:
Depth to Groundwater or Bedrock:
Minimum Tank Capacity: 844 gallons Minimum Absorption Area:
Permit Conditions:
N/A
Sq. Ft.
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 to replace an existing metal septic tank. The new septic tank shall have two -compartments, a minimum 844
gallons and be a model approved for use in Colorado by Pitkin County and the Colorado Department of Public Health and
Environment. The tank shall be a minimum of 10 feet to the property line and 10 feet to the water line. If the water line setback
cannot be met then the portion of the water line that encroaches on the required setback may be encased in Schedule 40
(minimum rating) pipe and sealed at both ends.
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 of 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 been 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: t = t��.. ' Date: 3/11/2014 Expires: n�iiv2nis
Installer: �0, L 1 0 i , License #:
Reactivation Authorized by:
Final Approva ssue By n Date:
! �
New Expiration Date: E] FinepiaW
()0L2. zo1q, Powl-
ONSITE WASTEWATER TREATMENT SYSTEM (OWTS)
CIEF-H/NZRI CONSTRUCTION PERMIT APPLICATION
76 Service Center Rd • Aspen, CO.81611
Phone: 970.920.5070 Fax: 970.920.5374
Parcel ID# (available from the Pitkin County Assessors Office _ _
Z le 1-1 �� Z.ci L�
_ _
.nitkinasss1:
970.928-5160 or at :rosr�ssor.org
City, State, Zip:
Purpose of Permit �] NEW ❑ REPAIR DUE TO FAILURE ❑ REMODEL/ADDITIONAN
N Y ❑FIELD ONLY
Cos f System Repair or R iron (a mate):
Email Address:
Property
ke r
Lot Block. Fling: Subdivision:
til �
Property Owner(s)':i, C Email Address: w k�x kS S O ✓ t s
Owners Mailing Address: / - Cky' State, Zip -
,1 n
o
Home Phone: Busin Phone:
`�i0 3_ o N -.
"Contact info► Wa—hm must be Provided for the owner signing this application.
Primary Contact Person/Applicant (if not )
Company:
Contact/Applicant Mailing Address:
City, State, Zip:
Cell Phone:
Business Phone:
Fax Number:
Email Address:
Building Permit # (if applicable):
Lot Size (in acres):
-'I co -t
Size of Building square feet is i Z— Number of Potential Bedrooms:
i S&C
Detached Accessory Unit? ❑ YES PW
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 ODMMUNIfY/PUBLIC WATER SYSTEM
Name of Community/Public Water System (if applicable):
11 sq I
S
Engineering Firm: Job Number. Phone Number. Fax Number:
Mailing Address: City, State, Zip:
PLEASE READ REFORE SIC14704Gs
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 EH/NR may revoke any permit I am issued if my application is found to contain any
inaccurate, false, or misleading information. 1 understand that no construction W41 be undertaken on an OWTS until an OWTS Construction Permit is
issued.
Owner Signature (Required): Date:
Applicant Signature: Date:
L/V �
FOR OR IM USE ONLY
Received by EWHR Staff: Fee & Receipt #: Date:
52 55� 8 3
G:\01AITS Mar r -h 8, 2009 (VEVA' R S,O ice -A mir,.Forms 0-V, -S Const l'brm-sx.ow is crnstrucnco permit application xis doted. 1117,1a-
I
March 4, 2012
Curt Dahl
Pitkin Co. Health and Environmental Dept.
76 Service Center Rd.
Aspen, CO 81611
Curt,
Following up on our telephone conversation of Monday, March 3, 2014, I am enclosing an application
for a OWTS Construction Permit for replacing a metal septic tank at our home.
Enclosed please find the application, check for $523 fee, letter of onsite septic inspection by Carla
Ostberg, floor plan and survey of house and lot site within Swiss Village Homes sub -division near
Redstone Co. (at Avalanche Creek).
As per the recommendation of the onsite inspection by Carla we wish to replace the old existing metal
septic tank with a new and approved county septic tank. The tank will located in as close proximity to
the present old tank as possible. The old tank(500 gal) will be pumped out, filled with dirt, crushed and
left in place or it will be removed in a manner acceptalble to county health requirements.
We would like to begin replacement early in April. Please let us know how we might be more helpful
to you in any way. Please feel free to contact Carla Ostberg if you find the need to.
Sincerel ,
William A.(Biil) Hanks
0073 Cherokee Lane, Redstone, CO 81623
970-963-2011
whanksgsopris.net
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
f' cell) 970-309-5259 office) 970-704-0484
t.. carla.ostberg(a)-gmail.com
4 -
October 16, 2013
Bill Hanks
73 Cherokee Lane
Carbondale, CO 81623
whanks .sopris.net
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
73 Cherokee Lane
Pitkin County, Colorado
Mr. Hanks,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 73 Cherokee Lane, Carbondale, Colorado on September 30, 2013.
The permit and record drawing was provided by Pitkin County Environmental Health Department
(Parcel ID # 2649-29402-040). The subject OWTS consists of an approximately 500 -gallon metal
septic tank and a 20' x 45' pipe and gravel absorption area for a total of approximately 900 square
feet of infiltrative area.
The septic tank was holding liquid at appropriate levels. It was difficult to access the material of the
tank as the small (approximately 6 -inch diameter) risers were concrete. Roger Maynard with B&R
Septic, who has pumped the septic tank in the past, verified that the tank is metal. Accumulation of
solids in the septic tank warrant pumping.IN
Metal tanks are prohibited in Pitkin County and therefore, an OWTS Use Permit can A be issued for
this OWTS. The metal tank must be replaced and an OWTS Construction Pe it (tank only)
must be obtained prior to transfer of the property.
The absorption area showed no signs of saturation, and had no indication of failure. servation
ports were not present. A well-established garden has been planted over the absorption area.
Gardens are not recommended over absorption areas.
A clean-out has been installed between the tank and the absorption area. This clean-out is located
near the road sign. In 2006, some road work occurred in the area of the sewer line. During this
construction, the line was cut and repaired. As a result of this repair, you described several steps
that were taken to assure no freezing occurs in the line as a result of being under the road.
Subsequent to the 2006 repair, you also installed heat tape and Blueboard insulation to prevent
freezing and to minimize compaction.
This report should be submitted to the Pitkin County
completed application for an OWTS Construction F
plans (they can be hand drawn), and site plan.
nmenta! Health Department along with a
(tank only), appli tion fee, house floor
Specifications for the septic tank must b a minimum of 1000 -gallons nd two -compartments to
accommodate a 3 -bedroom home. The tan may be pTs�ic ncreie. An effluent filter must be
installed on the outlet tee. Use the map included with this letter to indicate where the new tank will
be located with your application to Pitkin County. A Pitkin County Licensed Systems Installer must
install the septic tank.
Application:
http://www aspenoitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS construction permit
application.0
Please call with questions.
Sincerely,
(.w' Ca
Carla Ostberg, MPH, RENS
NAWT Certified Inspector
Certification # ITC11042010 Exp. 2014
Tank located south of the house.
Clean out hest to road sign.
(cap was off for picture)
Access to septic tank.
Absorption area on south side of road — garden over field.
Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone:970-920-SO70 Fax: 970-920-5374
Website
Inspection form for continued use of an edstilB OHMS
Owner's Name: }-.. i < to y
Address: 13 ,:r' _ _V_nVFn' 7
Parcel Number. —Z,6 t- n — W", ' 7L4
Inspection Date: a .7nj'
inspector's Name:
Business Name: Name: "�'. "ij I'r
Phone Number
Email:
Pitkin County Systems Inspector License Number: } _
A'i coov or <his �-Fsectic� .=:� � rensi�d to Pltkra Cgurr�'y Ertvirt:nment�rl >feafrh 1�carimerr2 by
the tirerrsed systems Instaestcsr wlthirt fst! days of the latstrgcti sn regardless of u<treiher the slrstjem
- . gasses car fails.
QUESTIONS FOR PROPERTY OWNER PRIOR TO IN
$P�cTION:
is the home currently occupied? YES NO
if NO, how long has the home been vacant?
How many bedrooms are in the home? 3
if secondary treatment is used, who is the
maintenance provider?i
RECORDS:
Were system records available from Pitidn County? NO
If YES: Permit number:
Date of Final Approval:
It of bedrooms permitted: r, Was an 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 l=Ali will require correction before an OWTS Usepermit is issued.
SITE CONDITIONS: -
Proper grading, no evidence of erosion? ,' FAIL
improper vegetative cover? NO t YES
Evidence of compaction such as heavy machinery or livestock. NOS
P�f
Improper discharges such as straight pipes? PASS FAIL F , f `, 3*r!_`
Evidence of high ground water? YES
Snow cover present? ^NO,% YES
Page 1
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?
PASS
FAIL
i
YES
YES
YES
-�
Ports
sTank
NO
YES -------------
Taeh 2
inches
Tank 3
YES
TANK:
1 gallons
gallons
YES
gallons
._v
Tank capacity
FAIL
Tank material t
# of compartments
Date of last pumping
Lids/risers in good condition PASS FAIL PASS
FAIL
PASS
FAIL
Risers to grade YES NO YES
NO
YES
NO
Riser height-
-
Riser condition/watertightness
PASS
FAIL
PASS
FAIL
inlet sanitary T/baffle P ASS FAIL
PASS
FAIL
PASS
FAIL
FAIL
uttet sanitary T/baffle _
Effluent filter (if part of design) PASS FAIL " N/A PASS FAIL
N/A
PASS
FAIL
Condition of tank material pAS3 FAIL PASS
FAIL
PASS
FAIL
v
Tank was pumped for inspection YES NO YES
NO
YES
NO
If YES, list the pumping company: ` '<
If NO, when was the last pumping
inches
inches
Scum level (1st compartment) inches
inches
Sludge level (1st compartment) inches
inches
Scum level (2nd compartment) inches
inches
inches
inches
Sludge level (2nd compartment) inches
inches
Backflow (if pumped) PASS FAIL PASS
FAIL
PASS
FAIL
N/A
Midtank baffle PASS FAIL N/A PASS FAIL N/A
PASS
FAIL
PASS FAIL PASS
FAIL
PASS
FAIL
Watertightness
PUMPS/DOSING SIPHONS:
YES
NO "
is a pump or dosing siphon present?
PASS
FAIL
If YES, is the pump/dosing siphon functioning properly?
FAIL
Does the pump/wiring/dosing siphon appear to be in good condition?
PASS
FAIL
both visible and audible?
PASS
Is the high water alarm working,
SECONDARY TREATMENT:
YES
NQ
)UNKNOWN
Is a secondary treatment unit present?
YES
SIO
if YES, does the unit appear to be in good working condition?
NO
UNKNOWN
Does the owner have a current maintenance contract for the unit?
YES
Phone:
Maintenance Provider:
contract must be in place prior to Occupancy of the horns. A
if there is no rnair�tenznce contract, a
sssbrs tied to Pitkincenty Envircrtsnetstal Health Departrr?eTTt_
copy of the contract must
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?
PASS
FAIL
_
YES
YES
YES
-�
Ports
Probing
NO
YES -------------
inches
YES
'lam' UNKNOWN
. -,
YES
NO
._v
PASS
FAIL
Page 2
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations for the continued use of the system:
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
Cad `:Z, 20
Licensed Systems inspector Signature: V71,
„ r�
Additional Notes:
r
Clearly label env pictures and attach them to this form.
Page 3
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