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Pitkin County EnvironmentaAWalth 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: 970-920-5374
www.aspenpitkin.com/EHNR
Parcel ID #: 2729-202-05-042
OWTS Use Permit #: 'Lp PAW V
Date Issued: 7/19/13
Issued By: Bryan Daugherty
Expiration Date: 7/19/14
Owner(s): I Michael Thuillier
Property Address:
357 Elk Mountain Drive
Legal Description:
Absorption Area
Licensed Inspector: Carla Ostberg
Inspection Date(s): 7/18/13
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete two-compartment tank
1250 gallons
Secondary Treatment Unit
N/A
N/A
Absorption Area
Seepage Pit
495 ft2
Other System Components
N/A
N/A
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 #: 87011 Date of Issuance: 4/16/87 Date of Final Approval: 11/20/87
# of Bedrooms or fixtures served by OWTS: This system was designed to serve 3 bedrooms.
Operational Status: According to the inspectors observations the system was functioning as designed at the time of
inspection. The 1250 gallon 2 -compartment concrete tank was in good condition with its tees and baffle in place. There
were no signs of failure in the absorption area.
Inspector Recommendations: Inspector recommends adding an effluent filter to the out of the tank to prevent solids
from entering the field area.
Department Recommendations: N/A
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.
Page 1 1
Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
76 Service Center Rd
Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Aw.,11n *sr.n fnr f nntinuari I lea of an FYi-01na OWTS
Parcel IDN (available from the Pitkin County Assessors Office
970.9264160 or at vnvw.pitkinassessor.org):
^�
V OBJ C)"-
rr
Fax Number.
• ()S1 MAX tXt I
Purpose of Use Permil: pP0PEFtTy TRANSACTION ❑ REMODHJADDITION
Property Address:
Cell Phone:
Lot Bim: Filing:
0-1
Subdivision:
kik �n
Residences: Other
Fax Number:
# of Bedrooms: fixturesluses:
Indicate Preferred Method of Permit Receipt il F-1 Fax
Property Owner(s)-- Email Address:
�u,+c��a l�,�► til,ew
Owners Mailing Address: Cay, bl• zip:
aU 1 lav tWAVXC1 a + ) ! (G 2 3
-- Business Phone:
rust be provided for the owner
Primary Conlad Pe Applicant (if owner):
Company.
C, C I
rr
Fax Number.
• ()S1 MAX tXt I
Mailing
Contact/Applicant Main Address:
City, State, Zip:
Cell Phone:
Business Phone:
57
Fax Number:
Email Address -
Indicate Preferred Method of Permit Receipt il F-1 Fax
[] US Mail
Ucens Systems Inspector,,, I
Phone Number. Email Address:
Fax Number.
• ()S1 MAX tXt I
Maiiin Address:
�3
City State, Zip:
PLEASE REAL) BEFORE S!GNING:
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.
Owner Signature (i i Date:
ApplicantDate: /
Please allow 3-5 business days for processing)Use Permits.
FOR OFFICE USE ONLY
Received by EH Stat .- Fee 8 Receipt #: Date:
-�)K.Z'sz) I3. Pew v
July 19, 2013
Mike Thuillier
mikermwrw@sopris.net
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
357 Elk Mountain Drive
Pitkin County, Colorado
Mr. Thuillier,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 357 Elk Mountain Drive on July 18, 2013.
The permit and record drawing was provided by Pitkin County Environmental Health Department
(Parcel ID # 2729-202-05-042). The subject OWTS consists of one 1250 -gallon, two-compartment
septic tank and a 18' x 36' pipe and gravel absorption area, as indicated on attached as built
drawing.
The septic tank appeared to be in good condition. A concrete baffle was present on inlet and plastic
PVC tee was present on the outlet (along with the resident snake). The absorption area showed no
signs of saturation, and had no indication of failure. Observation ports were not present. This
evaluation is not a guarantee of future system performance. This inspection is good for one year.
This report should be submitted to the Pitkin County Environmental Health Department. The
following links are the required application and application checklist.
Application:
htto://www.asoeni)itkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit%
20Application.pdf
Application Checklist:
htto://www.asDenDitkin.com/Portals/0/docs/county/Com°/`20Dev/EHNR/OWTS%20Use%20Perimt%
20Application%20Checklist.pdf
Please call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # ITC11042010 Exp. 2014
CBO Inc.
33 Four Wheel Drive Road
af'�
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
;-
carla.ostberg(a)gmai 1.com
July 19, 2013
Mike Thuillier
mikermwrw@sopris.net
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
357 Elk Mountain Drive
Pitkin County, Colorado
Mr. Thuillier,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 357 Elk Mountain Drive on July 18, 2013.
The permit and record drawing was provided by Pitkin County Environmental Health Department
(Parcel ID # 2729-202-05-042). The subject OWTS consists of one 1250 -gallon, two-compartment
septic tank and a 18' x 36' pipe and gravel absorption area, as indicated on attached as built
drawing.
The septic tank appeared to be in good condition. A concrete baffle was present on inlet and plastic
PVC tee was present on the outlet (along with the resident snake). The absorption area showed no
signs of saturation, and had no indication of failure. Observation ports were not present. This
evaluation is not a guarantee of future system performance. This inspection is good for one year.
This report should be submitted to the Pitkin County Environmental Health Department. The
following links are the required application and application checklist.
Application:
htto://www.asoeni)itkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit%
20Application.pdf
Application Checklist:
htto://www.asDenDitkin.com/Portals/0/docs/county/Com°/`20Dev/EHNR/OWTS%20Use%20Perimt%
20Application%20Checklist.pdf
Please call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # ITC11042010 Exp. 2014
Ll
Inlet baffle
Outlet tee (SNAKE!)
View of tank looking east
Absorption area (native grass cover — no observation ports present)
.N -36r
)p
So 4�;At_CAN
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Onsite Wastewater Treatment Systems (OWTS) Use
N Permit Inspection Form
Pitkin County EnVironmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5374
Inspection form for continued use of an existing OWTS
Owner's Name:
Parcel Number.
Inspection Date:
Inspector's Name'
Business Name:
Phone Number
Pitkin County Systems Inspector License NumDec., 1.c -_gy of this inspection report will he rentitted to Pitkin County Environmental Health Departmgnt by
the --rdIc"s CO
1,
or tqiLs,
QUESTIONS FOR PROPERTY OWNER PRIOR TOYNSPCCTI0w�
|sthe home currently occupied? YES
|fNo, how long has the home been vacant?
How many bedrooms are inthe home?
|fsecondary treatment isused, who isthe
rJ
maintenance provider?
RECORDS:
Were system records available from Pitkin County?
\YES) NV
If YES: Permit number: --_e(-, � l~LL`
Date of Final Approval: _jQ�i I r
#". bedrooms permitted: ___-~�__
/��`
Was anas-built dravvingavailable?
QmE/ NO
bthe as -built drawing accurate?
NO
If NO: Complete odrawing q/thc^yStemonlastpageof thisformps accurately as
possible.
Any question mnarktd,,i.,oiL will require correction before anOVUTS Use permit is issued.
SITE CONDITIONS:
Proper grading, nnevidence oferosion? PASS "°.L
vES
improper vegetative cover?
Evidencenfcompuct\onouchashpavymoachinerynrUxestock� YES
improper discharges -s�
-such as FAIL
Evidence ofhigh ground water? YES
NO YE5
Snow cover present?
TANK:
Tank 1
NO
Tank 2
PASS
Tank 3
Tank capacity
gallons
FAIL
gallonsL
PASS
gallons
Tank material
(�}�-� �fv
Is a secondary treatment unit present? YES
f NO ,)
UNKNOWN
# of compartments
NO
PASS
Does the owner have a current maintenance contract for the unit? YES
NO
UNKNOWN
Date of last pumping
'
If there is no maintenance contract, a contract must be in place Prior to occupancy of the home. A
copv of the contract must be submitted to Pitkin Countv Environmental Health Deoartmpnt
Lids/risers in good condition
PAS FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
YES NO
YES
NO
YES
NO
Riser height
Riser condition/watertightness
ttf,
Inlet sanitary T/baffle
PASS FAIL
PASS
FAIL
PASS
FAIL
Outlet sanitary T/baffle
PAS -- FAIL
PASS
FAIL
PASS
FAIL
Effluent filter (if part of design)
PASS FAIL -4/A ,
PASS
FAIL N/A
PASS
FAIL N/A
Condition of tank material
PAS FAIL
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
YES ti._rT
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)
r inches
inches
inches
Scum level (2nd compartment)
inches
inches
inches
Sludge level (2nd compartment)
inches
inches
inches
Backflow (if pumped)
PAS. ----_.._FAIL
PASS
FAIL
PASS
FAIL
Midtank baffle
CPASS FAIL N/A
PASS
FAIL N/A
PASS
FAIL N/A
Watertightness I
C—PASS. FAIL
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
FA �
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:
YES
Is a secondary treatment unit present? YES
f NO ,)
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NO
PASS
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
copv of the contract must be submitted to Pitkin Countv Environmental Health Deoartmpnt
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
N0
YES
{ NO
YES
YES
Ports
Probing
NO
YES
inches
YES
-N6-1-
O`YES
YES
NO'-
O.PASS
PASS
FAIL
Page 2
UNKNOWN
..A
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations for the continued use of the system: r {
Were any repairs done as a result of this inspection? NO %\ YES
If YES, please describe the repairs.
To the best of my knowled a and training, the information collected in this inspection is accurate as of
20 �.
f
Licensed S ' t ms Inspector Signature:
Additional Notes:
Clearly label any pictures and attach them to this form.
Page 3
a SPE1N+1 PITKIN 7:1 1-,t e L efe. 0 0 :u._.
EMVIROr*JMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO.��
TYPE OF PERMIT:
{ nidal Construction ( )Etrerguncy Us* ( }Repair work,(Piovious Permit t .} 1 )Alteration of an existing system,
r instailati4n ,)
( )1180 Permit as a result of Salo { OthorR {Previous Permit 1
ISSUiD TO:
2A#e)_r DATE OF ISSUE. ,
Z Sf� P>i�
Chimer Home Phone
Address
Agent_
Mailing
Address
Business Phone .-1 � r
Phone
Sewage Disposal System Work to be performed byCXI4 j
This permit valid only for promises location by the following legal descriptions/Al T— ( •
tTt 5121 C , WATER SUPPLY_(,M(% [� , AVERhCE PERCOLATION RATE ��
?:tis individual Sewage Disposal Permit is granted with regard to the following Jecs( M -A '
Nvabcr oft Dodicoms Lofts Garbage Dispos/a/lccs_ Dishwashcra--L— Clothes Washers
CALCULATED AVERAGE DAILY HASTE LOAD
THE NATURRE OF THE SYSTEM INCLUDED UNDER THIS PER1IT:
TYP-• of Tank or Treat.n r%L units ( +" _ f
Method of Final Disposalsr { Sank Capacity /i Gallon Minimca
.DCC-Pt"�t- ��_l— Absorption) Area _ _ � 17 Cy Square Feet Minimum
Deseription (including brand name, if any) of other equipment or•nppurtnanceas
r f � R �c c Fro sic Ts � f SPEC,)�r D rr� 1�lJfQ1T 'C A10 �`A'3741 l� �i5
C.o nd i io is or pec '70,15, do p M 7 Ild I L L 111—i L`% FD, )Iqf 11 04 t� r��6WVA)
ether Cunditions or Specifieationar�J)
I' ju � J
AJONe
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMF'NT; -
( )Dvfore Excavation ( )Upon completion of excavation and prior to pincement of gravel before covering distribution
/ aystem of absorption field
(}d Prior to backfill of any component ( )other, Syucifyr
Plants and specifications of the proposed te.,agc disposal aystem have been reviewed and are considered satisfactory. Perninsl.on
iH harehy gr.,ntcd to tL, o rcr or hie agcnr. to p�rrforn the tock in+lieated ahnvc in ac;rorciancc with the Pitkin i:uunty Indivi.4nal
Scwa; bispcsal Re-fulations in effect on the date of issue. in addition to general Provisions set forth on the reverac hcr-zee,
this Permit is subject to the following additional terms and conditions;
AL /4
APPROVED FOR ISSUE BY �% -I'
(title)� ,
Tho rtxtve, individual novago disposal system installed by
I has been 1-11,octed for umc by a repro, scnt.ttive of the Aspen/ron(wntat floe t ncp.Fruaent. This uwnor assumes all
rv:.ponsibility in come of failure or inadequacy oftits acwa�l dinpoaal aystem, tor»pleta ai-built driving attached,
DATE O: FINAL INSPECT aN
$I: TI'TLI:_
1 � "n z (F. } i )L �t • n�, i_
130 South Galenas Street' Aspen, Colorado 131639 30 /9 2Ct"cQ