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pitkin.eh.272909200002 (2015)
V AcOUNT� Pitkin County Environmental , alth 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 #: 2729-092-00-002 OWTS Use Permit #: I 0003.2015.POWU Date Issued: 02/06/2015 Issued By: Kurt Dahl Expiration Date: 02/06/2016 Owner(s): I Mark Lacy and Sharon Clarke Property Address: 55 Mountain Lion Dr Legal Description: Absorption Area Licensed Inspector: Carla Ostberg Inspection Date(s): 06/19/2014 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 -compartment septic tank 1000 gallons Secondary Treatment Unit Absorption Area Dry Well 20' X 20' X 10' (1200 ftZ) Other System Components Effluent Filter OWTS Use Status: ® 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 #: 02024 Date of Issuance: 05/10/2002 Date of Final Approval: 04/01/2005 # of Bedrooms or fixtures served by OWTS: 3 bedrooms (Existing residence has 2 bedrooms) Operational Status: The inspector indicates the system is functioning properly and there is no evidence of failure. The effluent filter was missing and replaced prior to use permit application Inspector Recommendations: Clean effluent filter annually Department Recommendations: Clean effluent filter annually 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. 0003 . Z l S • 1P ov�J U L-.3 Pitkin County Environmental Health Department , jTK I N Onsite Wastewater Treatment System (OWTS) oVN117 USE PERMIT APPLICATION 76 Service Center Rd * ,} Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Annlir-ation for Continued Use of an Existina OWTS Parcel ID# (available from the Pitkin County Assessor's Office 970-920-5160 or at www.pitkinassessor.org):Cr Company: Purpose of Use Permit: PROPERTY TRANSACTION ❑ REMODELJADDITION Property Address: 5 r c�,�, {�,,� L"'; , p,-; ✓Z Rech 40 ,e co 13 Lot: Block: Filing: Subdivision: Residences: Other ; # of Bedrooms: 2 , , t '� �� fixturestuses: IS J L, A C • h -e Property Owner(s)':, Email Address: Mlt,h- %, e �j�1ri - C/,,/h 14c /I1 L C. x..JCC -, Owners Mailing Addres : City, State, Zip: 3 4 5- 5c✓ ��lb �� �.,,, r- `j- 33 Home Phone: Business Phone: 3.�j `Contact information must be provided for the owner signing 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: Indicate Preferred Method of Permit Receipt: Email Fax ❑ US Mail Licensed Systems Inspector: Phone Number: Email Address: Fax Number: C�/k,CFS T11(- CCdhPr Mailing Address: City, Stat'e, Zip: I f PLEASE READ BEFORE SIGNING: 1 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. I acknowledge that this department may revoke any permit I am issued if my application is found to contain any inaccurate, false, or misleading information. iwner Signature (Required): % p Date: ,pplicant Signature: Date: Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: CBO Inc. ;Y6 33 Four Wheel Drive Road Carbondale, CO 81623 y Sharon Clarke and Mark Lacy secdolphin@gmail.com P.O. 155 Mountain Lion ... Due on receipt Quantity Onsite Wastewater Treatment System (OWTS) Inspection - 55 Mountain Lion 375.00 375.00 Drive Babysitting Services :) Thank you! -50.00 -50.00 Total $325.00 ysjwL" 4a s �♦ 10� z dwr ✓+P vim,.. 4a e 9 / 6 2, 3 FArte/ -r p Z o -F Z- a7"a q - ° q p _00 - ,0 ; .- ✓+P vim,.. 4a e 9 / 6 2, 3 FArte/ -r p Z o -F Z- a7"a q - ° q p _00 - ,0 ; .- Ali lei Je PW r w F .0 404 :,dJ �� _ kl/ .' 1a ��M���ii ✓A °.k--) iv f ->-tA< -tr-� d r.'-7 / -177 CBO Inc. '= 33 Four Wheel Drive Road 10bf Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 r = : carla.ostberg(a gmail.com 4 June 20, 2014 Sharon Clarke and Mark Lacy secdolphin(cDgmail.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 55 Mountain Lion Drive Pitkin County, Colorado Sharon and Mark, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 55 Mountain Lion Drive, Basalt, Colorado on June 19, 2014. The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel ID #2729-092-00-002). The subject OWTS consists of one 1000 -gallon, two-compartment concrete septic tank followed by 20' x 20' x 10' deep drywell. Pitkin County Individual Sewage Disposal System Permit 02024 documents this system. The septic tank appeared to be in good condition with the exception of minimal deterioration of the riser on the outlet side of the septic tank, which is normal. Lids were cast iron. Both inlet and outlet tees were present. The effluent filter was not present and must be replaced, as it was part of the original system design. The septic tank was pumped by B&R Septic as part of this inspection. Observation ports were present in the area of the drywell. These observation ports are protected by concrete pads and cast iron lids. The observation port measured approximately 11 -feet below grade. The port to the north was dry, and the port to the south had approximately 1 -foot of water. The drywell showed no signs of abnormal saturation, and had no indication of failure. This evaluation is not a guarantee of future system performance. This inspection is good for one year. Prior to submitting for an OWTS Use Permit, the following repairs must be made: Install effluent filter on outlet side of 1000 -gallon tank (see specification sheet). This report, along with documentation of completed repairs, should be submitted to the Pitkin County Environmental Health Department. The following links are the required application and application checklist. Application: http://www aspenpitkin.com/Portals/O/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit% 20Application.pdf Application Checklist: http://www aspenpitkin.com/Portals/O/docs/county/Com%20Dev/EHNR/OWTS%20Use°/o20Perimt% 20Application%20Checklist. pdf Please call with questions. Sincerely, Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # 110441TC Exp. 2016 June 19, 2014 Cleanout near house Y#•IZ�,r tI It >. • >{ Inlet (tee present) Note cast iron lids 0 i . w .l --'Septic tank being pumped lzl®rovl Outlet tee present (no effluent filter) 1r i Some deterioration of outlet riser Drywell observation ports .,' h Y i too Note concrete pad around observation ports Onsite Wastewater Treatment Systems (OWTS) Use 111,h 11% Permit Inspection Form 41 COUNT'i Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 s 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: A oc/ a l_ r "! ) n f'12 f -k G — Address: � �.;t ,,�s-;�� t. !21j t ICL JT �Y j ly FYl6 Parcel Number: 7,2Ci jr) Inspection Date: 61191( 14 Inspector's Name: Crzi S * Po -P r '1 Business Name: L ') jn Phone Number �j-7Q Email: Pitkin County Systems Inspector License Number: A cony of this inspection report will be remitted to Pitkin County Environmental Health Oeaortrwnt by lthe Licensed Systems Inspector within 60 days of the inspection regardless of whether the system _-,��es or oils. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? EE 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? rr Ir / .'/fi RECORDS: Were system records available from Pitkin County? YES NO If YES: Permit number: 24 Date of Final Approval: 4 Li r o r- # of bedrooms permitted: x __ 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 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? SS FAIL Improper vegetative cover? NO YES Evidence of compaction such as heavy machinery or livestock? NO YDES 1 rl !:� ri Y Q Wa �� t Improper discharges such as straight pipes? `CAS FAIL Evidence of high ground water? Np) YES �` v Snow cover present? NO YES ; Page 1 G TANK: Tank 1 NO Tank 2 PASS Tank 3 Does the pump/wiring/dosing siphon appear to be in good condition? Tank capacity FAIL gallons PASS gallons SECONDARY TREATMENT: gallons Tank material Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES�l inches # of compartments NO UNKNOWN Maintenance Provider: Phone: YES NO Is it level and in good condition? 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 �- f Riser condition/watertightness Inlet sanitary T/baffle PW FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle P FAIL PASS FAIL PASS FAIL Effluent filter (if part of design) PASS 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 NO 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) PA53 FAIL PASS FAIL PASS FAIL Midtank baffle P FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness L PASS FAII PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES NO 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: Ports Probing Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES�l 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. ABSORBTION AREA: Effluent surfacing? PASS FAIL Evidence of past surfacing? N_O� YES Surface dampness? NO YES Excessive odors? YES Field location verified by observation ports or probing: Ports Probing Liquid in observation port? NO YES If YES, record depth: inches Distribution Box or ADV part of original design? YES Nqb if YES, is it accessible from grade? YES NO Is it level and in good condition? PASS FAIL Page 2 UNKNOWN )f/ Any problems with the system that were not addressed in the inspection checklist? I Please list any recommend-aft-ions for the continued use of the system: h� 1 i!Z!1 Were any repairs done as a result of this inspection? NO >> YES If YES, please describe the repairs. `:t ' l% To-t7h-e- best of my knowledge and trair 20_1J. Licensed Systems Inspector Signature: Additional Notes: information collectedAn Phis inspection is accurate as of togw Clearly label any pictures and attach them to this form. Page 3 0 p b aged J r- 0 auuaja}aj ain;nj jo} sluauodwoa u,a;sAs a44 }o uoi;e3ol ay} ale!ngueu; o4 pasn aq ue:) sjuawa.inseaw 4:)exa `asnoq aqa jo siawo:) se q:)ns s.ialaew gu!sn -Aliadoid aql uo liam Aue jo uo!leuol aqj pue sauauodwoa wa;sAs lie juawnaop of ains ag -algissod se Alalemne se walsAs aq; weide!p asea!d `alemnew sem 1!!nq-se aqi jo wajsAs s!q, jo};s!xa s2uwmeip ll!nq-se ou }i n.. a ice' -. �„ �y _ +" .r.•... ». + IMF M, " a IL ♦, n j � �...:r .fin♦...-• .. y, . { � ♦ _ w + . r � ilr x # • Pitkin County Environmental Health Department Permitfor an individual Sewage Disposal System 0405 .Castle Creek Road, Suite 10, Aspen, Colorado 81611 Phone 970-920-5070 / FAX 970-920-5077 Permit # 02024 Parcel ID # 2729-092-00-002 Type of permit'. RemodeitAddition Name of Owner Martine St, Denis Street Address 0055 Mountain Lion Drive Property legal description was 550 Dorais Wa Size of lot 1.34 acres Total square footage of the house 1,000. Water source Private well # of potential bedrooms in 3 Caretaker unit Total square footage of the caretaker unit # of potential bedrooms in caretaker unit'. Permit information Designed by Gamba and Assoc P.O. Box 1458 GWS 81602 Perc rate 47 Profile hole depth +14 ft Depth to groundwater or bedrock Minimum Septic tank capacity 1,0()o gal -existing Minimum Absorption area +20 ft 1080 Septic permit approved per compliance with the engineer design and specifications dated and stamped May 7, 2402 and verbal changes made by Chris Strouse on May 10, 2002 and noted on design. Any changes must be ior to them approved o pondepartment of tfe and the system and phys cal featurgn engineer es shall conform being the PitkinMinimum County ISDStregulations. between compo The integrity of the existing 1,0 gallon septic ra will bl 18 i fieby b ftthe engineer. ineer The septic tank will have an effluent filter on the outlet pipe. The design is fora o This permit will not be finaled until the new well edd. No building and it is fpedrmits can bed that the issued until these l meets all setback requirements. The old well must be properly abandon requirements are met This department does not endorse any brand of products. 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. This department must also be called for an inspection with a minimum of 48 hours advanced notice. Permit approved by: _1����r'� � Date: ons of the sed individual sisposal system have been reviewed and are considered Plans ands Perms P satisfactory Permit on in effect hereby granted of owner or the agent to permit becomes�iinvvalid 6 months fromdin the date rthat the perance with mit wash County ISDS Regulation yst issued unless system construction has commenced or an extension has been approved in writing by the Department, As -built drawings must be Installer: 41 with this permit before the final approval will be issued. t✓.�d�+,�.���- � � �'!oa ` ��:i3/oma § { � ~x �®`+ ) ƒ { 2CL IL- § § ) ; 'm M ( § 10 � q; � ^ \ . . 2 - §� ~ }} nl )§ } l - � - � \ . .� . � 17 k- % @ ) - - . .� . @ ) ' • UNIn rwn • fd - 757.5 gpd )NCRETE SEPTIC TANK. [qpt LEACH nELD Is lens p- day lined by GOn" h "S"" 57.4 sq tt .as and site plan. AREA = 1.200 s-f- nform to PWI County. Individual tailed oc-011fingeto the nt of ,_,,ham and lorado Depa & Assmi0tes, Inc. well. om Dry—welt at all times A by tines in space. Inc. s the use of the 09 Bio --tube any) installation- Regular ..e, a worthe effluent fits Mil ateg nbing. aRIPM�SC.�� �T t / 1000 0ti� 'R P mn 1000 901 EXIST (TO - c.puc ac � (To ce abancenem 1 pROP. LEACH Pfr M6Tiut CLEAN-OUr ' \+j roSLAWACE I 4-MTMWTMPIPE 90A? 20W ,--ZEEAE7AAS, 3027' L "ape US f �o taomla W 500.0' ASSUMED FJJ-EvA7tON� t000.W i w 1. .74 AC. f/ - S Residential Biotube' Effluent Filters Applications Our patented* 4 -in. (100 -mm) Biotube Effluent Filters, Biotube Jr., Biotube Insert Filters, and Biotube Base Inlet Filters are ideal for residential septic tanks and have a lifetime warranty. They prevent large solids from leaving the tank, dramatically improving wastewater quality and extending the life of residential drainfields. a 4 -in. (100 -mm) Biotube Effluent Filter 4 -in. (100 -mm) Biotube fr. (4 -in. Biotube cartridge avail- able separately as Insert Filter) 8 -in. (200 -mm) 4 -in. (100 -mm) Base Inlet Filter Insert Filter • Orenco's superior effluent filters resist clogging better than all other brands. Our stan- dard full-sized 4 -in. (100 -mm) Biotube Effluent Filter provides maximum long-term protection in a complete package, with housing. Our 4 -in. (100 -mm) Biotubelr., at half the size of our standard model has more filtering capacity than the full-sized filters sold by other manufacturers. For tanks with existing outlet tees, the Biotube Insert Filter is ideal. And for low profile tanks, there's the Base Inlet Filter. ' Covered by patent numbers 5,492,635 and 4,439,323 To Order Call your nearest Orenco Systems`, Inc. distributor. For nearest distribu- tor, call Orenco at 800-348-9843 or go to www.orenco.com and click on "Distributor Locator." APS -FT -1 Rev. 3.4 ©11/10 Orenco Systems®, Inc. Standard Features & Benefits • Has 5-10 times more flow area than other brands, so lasts many times longer between clean- ings, increasing homeowner satisfaction • Installs in min- utes inside new or existing tanks; extendible tee handle for easy removal Optional Features & Benefits • Alarm available, to signal the need for cleaning • Flow modulating discharge orifices available to limit flow rate leaving tank, mitigat- ing surges and increasing retention time • Custom and commercial sizes available • Easy to clean by simply hosing off whenever the tank needs pumping • Removes about two-thirds of sus- pended solids, on average, extending drainfield life • Corrosion -proof construction, to ensure long life • Lifetime warranty Biotube Filtering Process Effluent from the relatively clear zone of the septic tank, between the scum and sludge layers, horizontally enters the Biotube Effluent Filter. Effluent then enters the annular space between the housing and the Biotubes, utilizing the Biotubes' entire surface for filtering. Particles larger than the Biotube's mesh are prevented from leaving the tank. Orenco Systems Incorporated Changing the Way the World Goes Wastewater'" www.orenco.com Nomenclatures 4 -in. Biotube Filter (standard) FT110lo,400-0001 Options: Blank = no options M = flow modulation plate installed A = float bracket attached Cartridge height 28" and 36" are standard Housing height: 36" and 44" are standard Fitter diameter (inches) W = fits Type 3034 outlet pipe S = fits Schedule 40 outlet pipe Blank =1/8" filtration P = 1/16" filtration Biotube effluent filter series 8 -in. Biotube Filter (base inlet model) FTD 08 22-14 B= I Opens: A — float bracket FS — 2"outlet orifice FSO = 2" outlet orifice and overflow plate" Base inlet model Cartridge height: 14" standard Fusing height: 22" standard Fitter diameter (iris) 08 = 8" Blank = 1/8" filtration P = 1/16" filtration Biotube effluent fitter series "Also available with coupling and sleeve as a "Wt": FT-OVERFLOWKIT 4 -In. Biotube A (includes cartridge and housing) FT [IF] o4 18= T; ns: Blank = no options M = flow modulation plate installed A = float bracket attached Cartridge height (inches) Fitter diameter (inches) W = fits Type 3034 outlet tee S = fits Schedule 40 outlet tee Blank = 1/8" filtration P = 1/16" filtration I Junior series Biotube effluent filter series 4 -in. Biotube Filter Insert (cartridge only) FT i [104 18 -F]-0 For customized options (e.g., NC indicates North Carolina regions) W = tits Type 3034 outlet tee S = fits Schedule 40 outlet tee Cartridge height (inches) Filter diameter (inches) Blank = 1/8" filtration P = 1/16" filtration I Insert Biotube effluent filter series 4 -in. Biotube Effluent Filter Extendible Stainless st • g Top s Air Biotube° Solll Filter Distributed By: 4 -in. Biotube Jr. Do Your Part, Be SepticSmart: The Do's and Don'ts of Your Septic System Learn these simple steps to protect your home, health, environment and property value: .SCptIC5111QCt U.S. Enwonmental Protection A ---v 'qVI Wj Do: • Have your system inspected (in general) every three years by a licensed contractor and have the tank pumped, when necessary, generally every three to five years. Don't: • Pour cooking grease or oil down the sink or toilet. • Rinse coffee grounds into the sink. • Pour household chemicals down the sink or flush them. Don't: • Hush non -degradable products or chemicals, such as feminine hygiene products, condoms, dental floss, diapers, cigarette butts, cat litter, paper towels, pharmaceuticals. Don't: • Park or drive on your drainfield. The weight can damage the drain lines. • Plant trees or shrubs too close to your drainfield, roots can grow into your system and clog it. Don't • Concentrate your water use by using your dishwasher, shower, washing machine, and toilet at the same time. All that extra water can really strain your septic system. Do: • Eliminate or limit the use of a garbage disposal. • Properly dispose of coffee grounds & food. • Put grease in a container to harden before discarding in the trash. Do: • Dispose of these items in the trash can! Do: • Consult a septic service professional to advise you of the proper distance for planting trees and shrubs, depending on your septic tank location. Do: • Stagger the use of water -generating appliances. This can be helpful especially 0 your system has not been pumped in a long time. • Become more water efficient by fixing plumbing leaks and consider installing bathroom and kitchen faucet aerators and water -efficient products.