HomeMy WebLinkAboutpitkin.eh.272929203011 (2014)IN
COUNT
Pitkin County Environmental .. Ath 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 #: 2729-292-03-011
OWTS Use Permit #: I 0053.2014.POWU
Date Issued:
10/17/14
Issued By:
Kurt Dahl
Expiration Date:
10/17/15
Owner(s): I Roy C Meller
Property Address: 140 Elk Lane
Legal Description: A-8 A Redstone Ranch Acres
Licensed Inspector:
Carla Ostberg
Inspection Date(s):
08/22/2014
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Three -compartment "jet aeration"
concrete tank
1000 gallons
Secondary Treatment Unit
Absorption Area
Rock and pipe trenches
—495 ft'
Other System Components
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 #: 720291 Date of Issuance: 08/28/1974 Date of Final Approval: None.
# of Bedrooms or fixtures served by OWTS: 2 bedrooms.
Operational Status: The inspector indicates the system appears to be operating correctly and there is no evidence in
failure. The permit issued in 1972 was not given final approval and it is not evident if the system was added to as
required in the permit. Since the inspector indicates there is no evidence of failure, the permit will be issued. If/when
the system is repaired/modified the size and the condition of the soil treatment area must be determined if it is to be
continued to be used. Cast iron pipe into the tank was replaced, an inlet tee was installed, and risers to grade were
installed on the inlet side of the tank.
Inspector Recommendations: Add tee to outlet side of tank if missing.
Department Recommendations: Add tee to outlet side of tank if missing.
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.
.iter _ r�r
C7c�� • ZCy.Pow L -
Pitkin County Environmental Health Department
i Onsite Wastewater Treatment System (OWTS)
'CUSE PERMIT APPLICATION
76 Servioe Center Rd
r, Aspen, CO 81611
Website; www_aspenpitkin.coWehnrl
Applicat for Continued Use of an Existing ®WTS
Parcel ID# (available from the Pitkin County Assessor's Office
C i
a„
-25
970-920-5180 or at sr�+nv.piir<inasscasor.arg):�
Contact/Applicant Mailing Address:
City, State, lip_
Cell Phone:
Business Phono:
Purpose of Use Permit:
of opwry TPANr cnON ❑ 12EMDDwAwmoN
Email Address:
(,`,
Property Address:
SY
Indicate Preferred Method of Permit Receipt_
[� ,�,/
Email ❑ Fax
❑ US Mail
Lot: 1
Block:
Filing:
Subdivision-
(
Residences:
Other
# of Bedrooms:
fixtures/uses:
Property Own (5 Email Address:
Owners Mailing Address: t,tty. o p•
No Z S. ti - r ' e _ millet,o
q„�Q
Home Phone: �rr n)tr Business Phare:
�r•.,.,ra� rnrmarin mriaf fin provided for the owner sinning this application.
Primary Contact Pe4rson/Applicant (if not owner):
Company:.
�' ��1� n �Vl. C
Vile I ( ��-E. )i )f\l�. �t.'L1��'
"`�'/� LiZ'L� c,•i)
Contact/Applicant Mailing Address:
City, State, lip_
Cell Phone:
Business Phono:
Fax Number.
Email Address:
(,`,
SY
Indicate Preferred Method of Permit Receipt_
[� ,�,/
Email ❑ Fax
❑ US Mail
Licensed Systems Inspector. Phone Number. -Email Address: Fax Nunwor.
Mailing Address: City' ,State' Zip' j r7
-n-,,.,rlr,;i. ( -,\1, r, LSA Ohflyrs r�r�(i I G_. f1� (�'�07—�
PLEASE READ BEFORE SIGNING:
1 certify that the above infortnadon 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.
Owner Signatun' (Re ui d): n/� (Date.
�'C�Frt ����f ' SD>�Y. ['� ft.Srtt..?'tf7J-e• ��!” T"�i
Applicant Signa Date:
Please allow 3-5 business days for processing or use rerrrers.
FOR OFFICE USE ONLY
Received by EH Staff: Fee & Receipt #: Date:
August 24, 2014
Mike Kenney
mikekennedy(asopris.net
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
140 Elk Lane
Pitkin County, Colorado
Mr. Kennedy,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 140 Elk Lane, Redstone, Colorado on August 22, 2014.
The permit and record drawing was provided by Pitkin County Environmental Health Department
(Parcel ID #2729-292-03-011). The subject OWTS consists of one 1000 -gallon "Jet" Aeration Plant
followed by an absorption area of unknown design and size.
Documents provided by Pitkin County indicate a permit was obtained in 1971 for an OWTS that
would accommodate a 3 -bedroom residence. The OWTS consisted of an aeration plant and an 8' x
8' drywell. In '1974, Pitkin County investigated a complaint concerning effluent surfacing from the
OWTS on the property. A letter written by Earl Addie (property owner) acknowledged this
malfunctioning and his intent to correct it. A repair permit was issued by Pitkin County Health
Department August 28, 1974 (Permit No. 720291); however, this permit was never finalized.
The "Jet" Aeration Plant has three access ports. The first compartment was accessible via a
concrete -walled vault, approximately 2 -feet deep. The concrete walls made removal of the lid
difficult. This access method is not ideal and allows additional surface water to potentially enter the
septic tank. The middle (aeration) compartment of the tank is accessible from grade. The aeration
device is no longer operational. The third compartment of the tank was not accessible from grade.
There was a mature accumulation of scum in the first compartment of the tank. The inlet tee was
missing, and we believe the pipe coming into the tank is cast iron.
There is a 4 -inch diameter PVC pipe on the outlet line coming from the aeration plant. An inspection
port is present in an area down gradient from the septic tank. In the area of the inspection port,
there were no signs of surface saturation and no indication of failure. It is possible the absorption
area was replaced without permits, so size and design of the absorption area is unknown.
We do not recommend continued use of the existing OWTS. The system is aging and rather
replacement is recommended. However, if continued use is desired, minor repairs can be made, but
would not assure longevity of the OWTS. This evaluation is not a guarantee of future system
performance. This inspection is good for one year.
CBO Inc.
`
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
::.
carla.ostberg(ci)gmail.com
August 24, 2014
Mike Kenney
mikekennedy(asopris.net
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
140 Elk Lane
Pitkin County, Colorado
Mr. Kennedy,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 140 Elk Lane, Redstone, Colorado on August 22, 2014.
The permit and record drawing was provided by Pitkin County Environmental Health Department
(Parcel ID #2729-292-03-011). The subject OWTS consists of one 1000 -gallon "Jet" Aeration Plant
followed by an absorption area of unknown design and size.
Documents provided by Pitkin County indicate a permit was obtained in 1971 for an OWTS that
would accommodate a 3 -bedroom residence. The OWTS consisted of an aeration plant and an 8' x
8' drywell. In '1974, Pitkin County investigated a complaint concerning effluent surfacing from the
OWTS on the property. A letter written by Earl Addie (property owner) acknowledged this
malfunctioning and his intent to correct it. A repair permit was issued by Pitkin County Health
Department August 28, 1974 (Permit No. 720291); however, this permit was never finalized.
The "Jet" Aeration Plant has three access ports. The first compartment was accessible via a
concrete -walled vault, approximately 2 -feet deep. The concrete walls made removal of the lid
difficult. This access method is not ideal and allows additional surface water to potentially enter the
septic tank. The middle (aeration) compartment of the tank is accessible from grade. The aeration
device is no longer operational. The third compartment of the tank was not accessible from grade.
There was a mature accumulation of scum in the first compartment of the tank. The inlet tee was
missing, and we believe the pipe coming into the tank is cast iron.
There is a 4 -inch diameter PVC pipe on the outlet line coming from the aeration plant. An inspection
port is present in an area down gradient from the septic tank. In the area of the inspection port,
there were no signs of surface saturation and no indication of failure. It is possible the absorption
area was replaced without permits, so size and design of the absorption area is unknown.
We do not recommend continued use of the existing OWTS. The system is aging and rather
replacement is recommended. However, if continued use is desired, minor repairs can be made, but
would not assure longevity of the OWTS. This evaluation is not a guarantee of future system
performance. This inspection is good for one year.
n
If continued use of the existing OWTS is desired, the following items must be documented:
• Pump septic tank.
• Install inlet tee.
• Eliminate "vault" on inlet side of tank and replace with risers brining access to grade.
• Excavate the outlet side of the tank and install outlet tee, if possible.
This report should be submitted, along with documentation of the required repairs, with the required
application packet (links below) to Pitkin County Environmental Health Department.
Application:
http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Permit%
20Application.pdf
Application Checklist:
http://www.aspenpitkin.com/Portals/0/docs/county/Com%20Dey/EHNR/OWTS%20Use%20Perimt%
20Application%20Checklist.pdf
If there is no intention to use the existing OWTS, an exemption from Pitkin County Environmental
Health Department may be obtained. Section 6.28.020(B)(2) of the Pitkin County OWTS Regulation
states, "The Department, in its discretion, may waive the requirement for an OWTS use permit
where warranted by a particular fact situation (e.g., a buyer agrees to demolish an existing dwelling
and abandon the existing OWTS within a defined time period)." If this option is preferred, contact
Pitkin County Environmental Health Department directly 970-920-5070.
Please call with questions.
Sincerely,
l &CALF
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 110441TC Exp. 2016
August 22, 2014
Aeration access of tank
optic tank lids looking west
Accumulation of scum in inlet side of tank Inlet of septic tank (tee missing)
Aeration access riser (middle compartment of tank)
Tank location
Approx. field
location
Approx absorption area
9 •
Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
),Cou T-� Pitkin County Environmental Health Department
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: 21 2UI
Inspection Date: - 12,2.1 I L
Inspector's Name: a �j y f , T
Business Name; `-,P)(1r f
Phone Number-- i? _ i
Email:' I 5 P L
Pitkin County Systems Inspector License Number:
A cony of this inspection report will be remitted to Pitkin County Environmental Health Department by
the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system
tem
passes or fails.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION_:
Is the home currently occupied? YES r 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: If
Were system records available from Pitkin County? YES NO
If YES: Permit number '
Date of Final Approval. ',alcS ort
� R d'it�d.! 7{
# of bedrooms permitted:
r
Was an as -built drawing available? YES NO G✓
I. ,..
Is the as -built drawing accurate? YES NO
If NO: Complete a drawing of the system on last page of this form asccurately as
possible.
Any question marked FAIL will require correction before an OWTS Use permit is issued.
SITE CONDITIONS:
Proper grading, no evidence of erosion? FAIL
Improper vegetative cover? ' YES
Evidence of compaction such as heavy machinery or livestock?� YES
Improper discharges such as straight pipes? FAIL {
Evidence of high ground water? »N. YES
Snow cover present?NO YES
Page 1
rr
f
TANK:
Tank 1
O
Tank 2
YES
Tank 3
If YES, is the pump/dosing siphon functioning properly?
Tank capacity
>
gallons
PASS
gallons
Is the high water alarm working, both visible and audible?
gallons
Tank material
;°
i
Probing
Is a secondary treatment unit present? YES
( NO >
UNKNOWN
# of compartments
NO
inches
Does the owner have a current maintenance contract for the unit? YES
NO
UNKNOWN
Maintenance Provider: Phone:
Date of last pumping
1A ,. ,I
Is it level and in good condition?
PASS
FAIL
Lids/risers in good condition
AS
FAIL
PASS
FAIL
PASS
FAIL
Risers to grade
' YES
NO
YES
NO
YES
NO
Riser height
Riser condition/watertightness
",Irj
Inlet sanitary T/baffle
PASS
FAI
PASS
FAIL
PASS
FAIL
Outlet sanitary T/baffle
PASS
F
PASS
FAIL
PASS
FAIL
Effluent filter (if part of design)
PASS FAIL
'',NCA
PASS FAIL
N/A
PASS FAIL
N/A
Condition of tank material
PAS
FAIL
PASS
FAIL
PASS
FAIL
Tank was pumped for inspection
YES °
N
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)
PASS -----ML
PASS
FAIL
PASS
FAIL
Midtank baffle
PASS FAILN/A
PASS FAIL
N/A
PASS FAIL
N/A
Watertightness
PASS.:
FAIL
PASS
FAIL
PASS
FAIL
PUMPS/DOSING SIPHONS:
O
Is a pump or dosing siphon present?
YES
t
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:
orts3
Probing
Is a secondary treatment unit present? YES
( NO >
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NO
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?
ASS
FAIL
Evidence of past surfacing?
NO
YES
Surface dampness?YES
Excessive odors?
N
YES
Field location verified by observation ports or probing:
orts3
Probing
Liquid in observation port?
YES
If YES, record depth:
inches
Distribution Bax or ADV part of original design?
YES
NO
If YES, is it accessible from grade?
YES
NO
Is it level and in good condition?
PASS
FAIL
Page 2
UNKNOWR-
f
0 •
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?
If YES, please describe the repairs.
NO YES
To the best of my knowledge and training, the information collected in this inspection is accurate as of
Licensed Systems Inspector Signature: osib
1, Pte=
Additional Notes:
Clearly label any pictures and attach them to this form.
Page 3
if no as -built drawings exist for this system or the as -built was inaccurate, please diagram the system as
accurately as possible. Be sure to document all system components and the location of any well on the
property. Using markers such as corners of the house, exact measurements can be used to triangulate
the location of the system compnnents for future reference.
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Page 4
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PERMIT NUMBERS 2 �; ;
Owner _Z
Owner's Mailij/nggf %Ayd1dre/sssJ�/j/j_
PTTKIN COUNTY HEALTH DEPARTMENT
RECEIPT NUMBER
Phone # — ,�43 0,t'
�.
Phone # 1.1' _> --2 4 Y 6
Contractor
Address
Systems Contractor's Name,
Address
Legal Description L C % �� '? �low '
I �X
Lot Size � ' C%L {� Type of Building by Use�4 - f,%/s.'/�?� IPCwo
Number of Bedrooms 113 Type of Water Supply l ��
Type of Individual Sewage Disposal System ,67 t• iC A7/WCW7
Type of Soil or Soil Classification,
Proximal Location of Bedrock
Proximal Location of Ground Water Table
Owner's Signature
PLOT PLAN:
:t xae x�a���as�xa��� �a�?������a�a��a�a��a�3���Ea:�F���t��: ����a�a������;���a��•��a�����s��s�x�:��aca����x�t��������a��a�a���xa�a�a�a��F��at ����
Percolation Test Data Minutes per inch
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size
Permit application valid one year from Date. Application to become permit and final only
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FORM AT THE
CONSTRUCITON SITE.
Daae Sanitarian
(Drawing of system on back)
Pf�.�li��� ii�1'll':i O '��'till1.f2llry[:;?.?';'iT, fiT',rt���'��
FSO}; :r r.S�)�:1 v3.t:y !!al.l-
Asper, Col-orade
925-2020
System Location
Contractor
1< Construcc.i.on ap rov:a-L
Plans * and location are hereby• approve..
Perc< rate inches in minu..es- �of
absorption area ;.ger bedroom.
f Aet- q,. feet *init>>_ require-
Mellt-
Date
-Inspector
2. Final approval of sYste-:
b ;;
,^_.ys, :,,l s1•:al.l be dec•:-Cd tU 1 I1 COi17� ? c.i1Gc
its: the
No • : i ' ` 1 tilt uSSc^^i'1? Ed s stE .� is ap'3 2
Sera Disposal I�a�:s un•.._
n�•i.orJto coverj.n7 and pUZI art
$" seI?Mic tc.I�'{ C�-E71J101i i.;it'n -;as se -al
proper ma! e .rials and assembly
-
Adequate absorotion area
1
Adequate concret;c covor (dry only)
Date-4--
.
at.c-
„SVA\M , �4,yyam , `fie i- a .>\) , '� .,N, _ �,r' `$ak ..r. • , ,
'Ztcttai-rI :ri.ti: j�nr;,t L rc:cor;I: fsi rvll,;truct�.o;, site.
If at tiny time this ryr -tent fails a new rormi_t trust be obtained and
repairs madc. it*dlateJ.y.
• .i1•OXJ1,Y i!E SMA. .-• LOCATI0a- Give d7ailces
in feet
Type of system applied for dimensions to be
filled in upon perru.t issuance.
Septic & Bed
N
��
Septic ;..
• J _ _ _ :_. _ `_"'may
......_.... _, gal.
+. ...
.��> ,j .
_._. __.._ -• l" Top Soil
h" Straw
To Septic 6"1" Gravel
4" Gravel
- Septic & P;ord_ak _ it
�.....�__..._..,.-_.... _ iii
Septic
depth
t
Sealed Holding .
11 Septic & Dry Well{s}
111 Gravel
LG`nClex Block
Sept J c 2"Gx2vel
8" ciean. out
Concrete cove:
t
1 t.�..y..._. �f _
-� Mechanical. +
Dimensions
Bed
Dry Well
t) - Hol -dingy; pond
Chloriylat.ed dis .
Septic Ta nR
See Page J& ofS`:rage Disposal Sti sterrs
+�'_ - Fit Privy
sem_
COLORADO STATE DEPARTMENT OF PUBLIC HEALTH �� �.,.J��'1'OX VN'INKAGL
Water Pollution Control Commission '�� L"•PtiVI€�OiviViENT/;L I11�LTri
4210 East lith Avenue BUXU
Denver, Colorado 80220 Aspen, Colorado 81611
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner) : Eail R. and Juanita. M. Addie
Mail Address: Star Route, I3ox 75 _ _ _ City Carbondale, Co7_o . Phone : (j (,3 _ 1G 27
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
(Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.)
Location of Facility: County P-tkin _ —City or Town
Lot A-8, Redstone Rn.nch
Legal Description AV
-Lb ___— _Lot sizer l �i�-reptl7.ar)
2 miles S. of Peds.
2. Type of area and facility - Number of persons to be served:
Subdivision Motel Restaurant Trailer Court
Other: Single fainily residence , _ ------T _
3. Source of domestic water: Publ ic(name) : _
Private: Well Depth Other IN Depth to First Ground Water Table
4. Is facility within boundaries of City or Sanitation District:_ do
I f so, name:_-_-_____ --
5. Distance to nearest sewer system:_ A�_ox. 22 miles
Have negotiations been attempted with owner to connect: no
If rejected, give reason:________
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours :
7. Name, address E telephone of person who made soil absorption tests:
8. Name, address & telephone of person responsible for design of the system:
Proposed Jet Aeration sewage treatment plant. Manufacturer :is
,Jet- AerationCornpa.ny,9911 Elk Ave., Cleveland, Ohio
9. Est, bid opening date: 7-15-7lEst. Completion date: 10--71 Est. Project Cost: 1/1I'l
Date: Ji-ily 4. 1971
Signature of Owner
CUOTRADO D�.IPAR'114rNT 01" Ff All
14at(-ir Vollutian Control Ulffilission
4210 rasa 11th Avenue
Donve•r, Colorado 00120
DECLARATION 01= COVENANTS
KNOW ALL MEN BY THESE PRESENTS, THAT:
WHEREAS, the C01_011ADO WATER POLLUTION CONTROL CO,MAISSTON HAS approved
the following described land, situate in the County of Pitici.�_ _
of _ and State of Colorado, to -wit:
epi e en pard f to be served by se13i— i c -tank)
Lot A-8, Redstone Rnnch Acres Subdivision
as a location for a septic tank, as defined by the Colorado Mater Pollution Control
Act of 1966, as amended, for the treatment of domestic sewage on a temporary basis.
NOril, THERE=FORE-_, in consideration of the approval .of the above described
laird as a location for a septic tank, the undersigned, as the orrner(s) of said lana
does/do hereby declare that the following covenants shall be and constitute COV -e•
nants running with said land:
1. When the Colorado Water Pollution Control Commission de'teniiines that
a corrrunity or municipal disposal system is available and can provide service to
the above described land, the septic tank located upon said land will be abandoned
and wastes from the described lands will be carried to the available ce;rmunity or
municipal disposal system and the ocmer of the above described land shall bear the
entire cost of constructing and installing any sewerage system necessary _to carr;Y
such wastes to the available community or municipal disposal system.
2. If at any tirne hereafter-, tine septic tank shall adversely affect the
quality of the waters of this State:, the owner of the above described laird shall
use such other sewage disposal system as will maintain the, quality of the waters
of tris State within the limits set by the applicable water quality standards
adopted, from time to time, by the Colorado Water Pollution Control Commission.
3. This Declaration of Covenants shall*b4 binding upon the undersigned -
and the heirs, personal representatives, successors and assigns of the undersigned.
(Continue(] on reverse side)
.
COLORADO STATE DEPARTMENT OF POSLIC HEALTH �t _J) ENVIRONNIENTA i. hCALJ(j
Water Pollution Control Commission Box
4210 East lith Avenue Aspen, CQto do 816).r
Denver, Colorado 80220 ,
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (owner) : Earl R. and Juanita M. Addie
Mail Address: Star Route, Box 75 City Carbondale, Colo,Phonc:963-2427
A. INFORRATION REGARDING PROJECT SUBMITTED FOR REVIEU:
(Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.)
1 . Location of Facility: County Pitkin ----C ity or Totim_! (n/a)
Lot A-8, Redstone Ranch
Legal Desr.ription AcXea_S1tbUVjsi0n—.—.._.-- ---- Lot size: 0.93 acre
2. Type of area and facility - Number of persons to be served: July 15,1959
-Subdivision Motel Restaurant -- Trailer Court
Other: single family residence, three bedroom___��_
3. Source of domestic water: Pub] ic(name) : _ �, — _
Hawk Creek surface adjudication
Private: Well Depth_ Other x Depth to First Ground Water Table
4. is facility within boundaries of City or Sanitation District:!__ No
If so, name:_.-__-_-___________-__._ _-_--.-_____-_._--
5. Distance to nearest sewer system:_22 miles ____
Have negotiations been attempted with owner to connect:— No
1f rejected, give reason: _—______.
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:—
7. Name, address E telephone of person who made soil absorption tests:
8. Name, address & telephone of person responsible for design of the system:
9. Est. bid openi'ncg date: _ E-st:.*Completion date Est. Project Cost:--
Date:
ost:-T_.Date:----
�j Signature of Owner
0
COLORADO DEPARTMENT OF HtmLTH
Water Pollution Control Commission
4210 East 11th Avenue
Denver, Colorado 80220
DECLARATION OF COVENANTS
KNOW ALL MEN M; HESE PRESENTS, THAT:
WHEREAS, the COLORADO WATER POLLUTION CONTROL COMMISSION HAS approved
the following described land, situate in the'c1
of /c,/ r7 /t,' and State of Colorado, to -wit:
(describe entire Farcel to a served by septic l=ank)
as a location for a septic tank, as defined by the Colorado Water Pollution Control
Act of 1966, as amended, for the treatment of domestic sewage on a temporary basis.
NOW, THEREFORE, in consideration of the approvaI.of the above described
land as a location for a septic tank, the undersigned, as the owner(s) of said land
does/do hereby declare that the following covenants shall be and constitute cove-
nants running with said land:
1. When the Colorado Water Pollution Control Commission determines that
a community or municipal disposal system is available and can provide service to
the above described land, the septic tank located upon said land will be abandoned
and wastes from the described lands will be carried to the available community or
municipal disposal system and the owner of the above described land shall bear the
entire cost of constructing and installing any sewerage system necessary to carry
such wastes to the available community or municipal disposal system.
2. If at any time hereafter, the septic tank shall adversely affect the
quality of the waters of this State, the owner of the above described land shall
use such other sewage disposal system as will maintain the quality of the waters
of this State within the limits set by the applicable water quality standards
adopted, from time to time, by the Colorado Water Pollution Control Commission.
3. This Declaration of Covenants shall be binding upon the undersigned,
and the heirs, personal representatives, successors and assigns of the undersigned.
(Continued on reverse side)
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r'nLORADO DEPARTMENT OF HEALTH
DIV1 A OF ENCINEERINd AND SANITATII
A C T I V I T Y RE PORT Code 12
Section County ---
FILE REFERENCE: Private Sewage Disposal
INDIVIDUAL OR
ESTABLISHMENT; Earl Addie
ADDRESS-. Redstone Ranch Acres
NARRATIVE:
I investigated a complaint concerning property owned by
Earl Addie in Redstone Ranch Acres. When I arrived at the house,
the Addies were not home. The babysitter told me to go ahead and
look around. T discovered a Jet Aeriation tank which was not in
operation. The motor was shut off and the tank had a strong septic
odor to it. Effluent was surfacing on the ground, approximately 100-
150 feet from a small stream that runs into the Crystal. That too -
had a strong odor.
LETTER TO FOLLOW: (�} OTHER RECOMMENDATIONS:
DATE- August A'
ES: 7 (Rov. 6-70-100)
19 74REPRESENTATIVE: