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HomeMy WebLinkAboutpitkin.eh.273504401011 (2014)u ONSITE WASTEWATER TREA PERMIT SYSTEM (OWTS) CONSTRUCTION 76 Service Center Rd- Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 Permit #: 0040.2014.POWT Parcel ID #: _— Permit Issued: []NEW CDU ❑REPAIR ®REMODEL/ADDITION ❑TANK ONLY Owner(s): Tom Edelman Property Address: 1121 Cluny Rd Legal Description: Lot 11 East Owl Creek Size of Lot: 7.5 Acres Detached Accessory Unit: Size of Building: 9188 ftZ Sq. Ft. Size of Accessory Unit: This system is designed for 6 bedroom Main House — Designed By: Phone #: Fax #: 2735-044-01-011 ❑FIELD ONLY []AMENDMENT ❑YES ®NO Sq. Ft. All Septic Service Project #: C1082 970-704-0484 Mailing Address: Perc Rate: 12 MPI Minimum Tank Capacity: Dated: July 18, 2014 Email Address: dmater or Bedrock: ➢ 8 ft Profile Hole Depth: 8 f_ t _ Depth to Groun Z Minimum Absorption Area: 873 ft w/50% reduction 844 gallons Permit Conditions: This OWTS Construction Permit is approved on the Departmentcedition aof nd the Mianengieeith the engi netrer utltio gn as submitted with the application and the specifications re cited above. Changes must be approved by this system to accommodate the1000- This permit is for an addition to the existing OW to6 bedrooms). Sewage from the house will flow to theathroom in the ez sting (2) en (changing the bedroom count from 5 bedroom Sewae from the d bathroom ll w via gravityg'42 standard allon septic tanks and the effluent will then flow to the n w septic nk in the second chambeer. Effluent from ltheo c h tubers to a new 1000 gallon, two compartment poly tank with a pump existing 3 trench soil treatment area ( flows will be dosed to the existing distribution2Qu ck 4 chambers e(873n to tftetotal soil treatment area with the additional chambers). Thee, total) and an additional trench with 12 Qu new tank shall be a minimum of 5 feet to the house. The soil treatment area shall be a minimum of 10 feet to the property 164 feet to any well and 114 feet to any stream/pond. and submit an "as -built" letter to this ection, unless a longer period of time has been agreed upon, in writing. This Permit must be kept on-site duringThis Department must also be called for ns installation. The engineer must do a final inspection of the installation Department within 30 days of the final p 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 isystem e yl qualified personnel,tkin County rs in Regulation. providing for regular inspection, cleaning, and maintenance of This Permit is conditioned upon the property owner(s) p 9 rant or representation by the Department that the systguarantee Issuance of building and/or landproperly or will not luse permits. this accordance with the manufacturer's recomamendations and the requirements of the Pitkin County OWTS Regulation. Issuance of this OWTS construction Permit does not constitute a guarantee, warranty, permit does not imply compliance with Pitkin County building and/or land use regulations, no gua THIS PERMIT IS EXPRESSLY CONDITIONED UPONCOMPLIANT LIMITED O (HOSE CONDITIONS SPECIFIED ABOVE. OWTS REGULATION, INCLUDING BUTO cons Plans and ecifications for the proposed OWTS have beedn n accordance weviewed and ith the IP Pitkin County OWTS Regulationsatisfactory. Permission sdTaW by given p given to the property owner(s) to perform the work Indicate ing Permit will expire 1 year from the date of issuanceunless leS approval construction system will stembe has commenced. An "as -built" must be submitted and approved by EH before fin pp 8/22/15 Issued By: Kurt Dahl, REHS Date: 8/22/14 _ Expires: Reactivation Authorized by: License #:� Installer: New Expiration Date: ❑Fee Paw Date: Final Approval issued By ( �o i 1cw0lonw-rK 1„dSITE WASTE CONSTRUCTION PEETRE 3Y TEM MM APPLICATION OWTS) 76 service Center Rd • Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 Parcel ID# (available from the Pitkin County Assessor's office 970-920-5160 or at www pitkinassessor.orq): Purpose of Permit: F] NEW 0 REPAIR DUE TO FAILURE Cost of System Repair or Remodel/Addition (approximate): REMODEL/ADDITION Ln/L ❑ TANK ONLY ❑ FIELD ONLY EN v iRONMENTAL HEALTH CHECKLlb (for approval prior to receiving a building permit) one of the Environmental ny of the items below apply to your development, please make an appointment n obtaining your building ays i ealth professionals at 970-920-5070 or ehnr��o s'fikes of perm (OWTS) onsiteto wastewatertreatment sysstems permit. The Environmental Health Department keep p (OWTS) and can provide you with information pertaining to your parcel. If you have an questions concerning the last two items please contact the Planning Engineer (970-429-2799). ) will er eatment The new construction (including an addition/ city to en existingrequire OWTS In this case, an OrWTS permit system (OWTS), or require the addition of capac y must be obtained prior to issuance of a building permit. iately The addition/remodel will use an existing OWTS. If the existing systemis must be obtainprior to issuance valuation of the addition/remodel exceeds $30,000, an OWTSu permit issuance of a building permit. ve the new ❑ There are other OWTSs on the property, although none of those systems the ll serissuance of any OWTSdevelopment. These systems must obtain an OWTS use p prior permit or building permit. o OAr P ❑ project ect involves a food service establishment (e.g., grocery or restaurant). Environmental or cations to assure liance health staff will need to review any new constructiens!f These regulationsccanpbe foundtatthe Colorado Retail Food Establishment Rules and R gu/ation http�//www.cdl2he. state. co. us/op/r gs/consumer/101019retailfood.pdf. ❑ The project involves a childcare facility. In this cas{� the /State Board of Healthe's.Ru/es and w a. construction or modifications to assure compliance w Regulations Governing the Health and Sanitation of hiildconsumer/10 re Facilities, These erreg regulations can be d found at htt://www.cd he.state.co.us/o /rc s! �A ❑ The property is located on the Smuggler Superfund Site and you will be moving more than one cubic yard of soil. In this case, you will need to complete a Smuggler Mountain Superfund Site Soil Removal Permit. See nttn I/www aspenpitkin com/pdfs/depts/12/SMUGGLER dirt.pdf. t ❑ You will be importing soil to the jobsite from the Smuggler Superfund Site, an old mining site, or a site that previously housed junked vehicles, oil or gasoline tanks, or other chemicals. More infor ation, including regulations, applications, checklists, and other documents can be found at w ww aspenpitkin.com/ehnr. Property Owner'- Alnmn Property Addre! Contact Name: Contact Numbers: (w) (c) eh bldg—cklst.docx September 4, 2012 TAI?-'� I -u:- 4 21,y�ip�o I vi1%.� - vrr,o I L-Trr+ I L -M I r%L-r% I „rIL.11111 I \ N CHECKLIST I EH CO MTRUCTION PERMIT APPLICAIW 76 Service Center Rd - Aspen, CO - 81611 Phone: 970.920.5070 Fax: 970.920.5374 resented at the time of your pre -application ccliic1U11�� 1v' A complete application package must be p acceptance. To schedule a pre -application conference, please call 970-920-5070. PLEASE INITIAL EACH ITEM TO INDICATE COMPLETION Only o copy of each item is necessary. OWTS Construction Permit Application (completed) Site Plan Please indicate the type of document to be submitted below. u ii" X it and/or lication conference led to ehnrC�co pitkin.co.us before the date of the pre app Electronic document emai All designs must be 1" to 20' in scale. Site plan must include locations of existing wells, buildings, property lines, ditches, gulches, and existing OrWTSsn lines, drinking ate water cisterns, drain tiles, water bodies, wetlands, riparian areas, floodptains, dry Soil Testing Notification & Report (must be provided by a PE) are conducted. A 2"- 4" perforated PVC pipe should be placed in the soil This Department should be notified when soil tests profile hole for monitoring purposes. [� Report must include percolation test results and the soil profile evaluation. Building Floor Plans pre -application conference. A11" `�`` X 17", or submitted electronically to ehnr(cDco.pitkin.co.us before the date of the Land Use Approvals & Other Relevant Permits & Approvals Recorded Site Plan that designates approved envelope(s) for development. If the property is exempt from this requirement, please have a Community Development Planner email ehnr(c�co Pitkin co.us with confirmation of the exemption. E] 24" X 36" andlication conference [] 11" X 17", or electronic document emailed to ehnrCa)co pitkrelevnt to the in.co.us before the date of the pre -app Copies of all land use approvals, a lol s all o her ocVat tation onsarecordedseasementsWTS(s) and any other O development on the prope ty ( 9 Res Comments from EH/NR regarding Land Use review referrals can be accessed by opening http //www aspenpitkin com/pdfs/deptts/7e►d from the Countyicking the blue link i k in Department "Referrals" column. Referral comments more than 2 years old may need to be req Not Required Construction Management Plan Required &Obtained Requirements: http //www aspenpitkin coml2dfs/depts/7/CMP Manual.pdf Forms: htt //www aspenpitkin com/deptsll/bldgdiv.c m Proof of Adequate Water Supply �- with Colorado water law and meet the requirements of the Pitkin County Lan Legal water supply must be demonstrated in accordance Use Code. Private systems: if re , and a recent pumping report. Proof generally includes a well driller's report, well permit issued by the Colorado Division of Water Resources well Wells must be drilled before an application will be accepted. , ma augmentation plan ( q [� Public systems: roved public water system confirming it has sufficient water to supply Proof generally includes a letter from the CWQCD app the development and it has agreed to do so. Initial Site Inspectionsical features must be (� All components of the OWTS, as well as the proposed buildings, water source, and other pertinent physical clearly staked and labeled prior to the inspection. roved b EH/NR. Inspection must be scheduled between May 1st and Oct 31st, unless otherwise app Y _Applicable Fee Q OWTS Construction Permit: $1,023* Tank Only: $523* *There is an additional Administrative Fee of $175.00 for properties in the Town of Snowmass Village. Please Make Checks Payable To: Pitkin County Environmental Health & Natural Resources ueparu11W." WTS SUBMIT A BUILDING PERMIT APPLICATION PRIOR TO OBTDEVELOPMENT WG AN ITH H YOUR BUILRUCTION DING PERMIT APPLICATION. T THE FAST TRACK WAIVER TO SU royal WAIVER MUST BE SUBMITTED TO COMMUNITY DEVEL Application. It does not allow for the issuance or app of Please note that this waiver only allows for the submittal of the Building Permit t approval from the EH Department. Updated:3/2o/0� the Building Permit without OWTS Construction Permit app \ [nrm,-77r Const Forms\OWTS Construction checklist.xls LL 33 Four Wheel Drive Rd Carbondale, CO 8162323 970-309-5259 IMF '' December 28, 2014 Harry Mayer Harry Mayer Construction buildAM(a)sopris.net Onsite Wastewater Treatment System (OWTS) Installation Observations 1121 Cluny Road Pitkin County, Colorado OWTS Construction Permit Number 0040.2014.powt Harry, Project No. C1082 ALL SERVICE septic, LLC observed the installation of the onsite wastewater treatment system (OWTS) on August 20 and 26, 2014 for the subject property. Avalanche Excavation installed the system. Valley Precast performed the pump start-up. The system utilizes the two existing 1000 -gallon, concrete septic tanks and a newly installed 1000 - gallon, two-compartment Roth® poly septic tank to handle wastewater from the new addition to the residence. The Roth® tank has an Orenco® Biotube pump vault, effluent filter, and PF3005 pump in the second compartment of the tank. This filter must be cleaned annually, or as needed. The control panel was installed on the side of the residence, within line of sight of the septic tank. Wastewater is pumped to a new, relocated distribution box. Effluent is equally distributed to the three existing gravelless chamber trenches, each with 14 Standard Infiltrator® chambers (18 square feet per chamber) and one new gravelless chamber trench with 12 'Quick 4' Infiltrator® chambers (9.87 square feet per chamber). Flow regulators are adjusted appropriately to allow less flow each dose into the shorter trench. The OWTS was generally installed according to specifications. This observation is not a guarantee of workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are made to the OWTS in the future. Any additional OWTS construction must be according to the county regulations. LIMITS: Observations are limited to components that are visible at the time of the inspection. The installer must have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. The quality of the installation is dependent of the expertise of the installer, soil type, and weather conditions. Please call with questions. Sincerely, ALL SERVICE septic, LLC Carla Ostberg, MPH, REHS Reviewed Richard H Septic tank View of septic tanK uas to grade Biotube pump vault with filter Trench from new addition to new septic tank C Ulstribution box, accessible via a riser Pump line transitions to 4 -inch sewer line into d -box New trench with 12 `Quick 4' chambers Backfill over distribution box and new trench with observation port. N 0' 15' 30' Scale: V= 30'-0" 6 -BEDROOM RESIDENCE AREA OF NEW ADDITION e 4" SDR -35 SEWER NEW 'QUICK' -4 CHAMBER TRENCHES. 1 ROW OF 12 CHAMBERS = 118 SF OBSERVATION PORT END CAP — — PROPERTY LINE 2 RECORD DRAWING_ DESIGN 6 -BEDROOM RESIDENCE > 6000 SF LIVING AREA (100 GAUPERSON/DAY x 2 PERSONS/BEDROOM x 6 BEDROOMS) AVERAGE DAILY FLOW = 1200 GALLONS DESIGN FLOW = Q = 1.5 x 1200 = 1800 GALLONS TANK: 1800 x 30 HOUR RETENTION TIME = 2250 GALLONS TWO EXISTING 1000 -GALLON SEPTIC TANKS ADD ONE 1000 -GALLON SEPTIC TANK WITH BIOTUBE PUMP VAULT ABSORPTION AREA: F PERCOLATION RATE = 12 MPI CALCULATED ABSORPTION AREA = Q/5 X SQRT pert rate x 1.4 =1746 SF 50% REDUCTION, CHAMBER TRENCHES, DOSING CLEAN OUT INSTALLED TOTAL REQUIRED AREA = 873 SQUARE FEET WITHIN 5 -FEET OF 3 EXISTING CHAMBER TRENCHES = 756 SF (117 SF SHORT) ADDITION ADD ONE TRENCH OF 12'QUICK 4'CHAMBERS 4" SDR -35 SEWER LINE (2% MIN SLOPE TO TANK) 1000 -GALLON, TWO-COMPARTMENT POLY SEPTIC TANK WITH BIOTUBE PUMP VAULT D -BOX ACCESSIBLE FROM GRADE EXISTING 'QUICK' -4 CHAMBER TRENCHES. 3 ROWS OF 14 CHAMBERS = 756 SF J Control Panel e Conduit Seal — To Control Panel Top View (NTS) Simplex Pumping System 3PUMP VAULT DETAIL W splice Box /Cord Grips Fiberglass Gasketed Lid with Stainless Steel Bolts PVC Riser with Grommet(s) Discharge Assembly Flexible Hose Effluent Discharge Tank Adapter (Cast or Bolted) Level Control Float Assembly Filter Cartridge Vault Inlet Ports Orenco Effluent Pump Biotub# Pump Vault Date: 12/28/14 33 Four Wheel Drive Road Edelman Residence ALL,,lt Carbondale, CO 81623 1121 Cluny Road Designed By: CBO recor 970.309.5259 Pitkin County, Colorado Reviewed By: RHP ALL Project Number: C1082 Drawn By: ANG Sheet 1 of 1 Do The Do's of -• Learn these simple steps to protect your home, health, environment and property value: septicsmart US. -ronmental Protect ion Agency 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: • Flush non -degradable products or chemicals, such as feminine hygiene products, condoms, dental floss, diapers, cigarette butts, cat litter, paper towels, pharmaceuticals. 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! Don't: Do: • Park or drive on your drainfield. The Consult a septic service professional to weight can damage the drain lines. advise you of the proper distance for • Plant trees or shrubs too close to your planting trees and shrubs, depending on drainfield, roots can grow into your your septic tank location. 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: • stagger the use of water -generating appliances. This can be helpful especially if your system has not been pumped in a long time. • Become more water efficienA by fixing plumbing leaks and consider installing bathroom and kitchen faucet aerators and water -efficient products. OWNERS AUTHORIZATION Thomas Edelman ("Owner") is the current owner of the premises, commonly referred to as 1121 Cluny Road, Lot 11 East Owl Creek Subdivision, Pitkin County, CO, ("Property") The owner does hereby authorize Scot Broughton of Scot Broughton Architects and his associates to act as our representative in matters concerning work to said property. Authorization may include, without limitation, or objection adjustment applications for variances, development applications, building permits, and other similar and related plans and permits. I ALL33 Four Wheel Drive Rd Carbondale, CO 81623 970.309-5259 July 18, 2014 Scot Broughton sbarchitectsco(c)-mac.com Project No. C1082 Subsurface Investigation and Onsite Wastewater Treatment System Design 6 -Bedroom Residence 1121 Cluny Road Pitkin County, Colorado Scot, ALL SERVICE septic, LLC has completed an onsite wastewater treatment system (OWTS) design for the subject residence. The property is located outside of Aspen, in an area where OWTSs are necessary. SITE CONDITIONS A 5 -bedroom, single-family residence presently exists and is utilizing an existing OWTS. There is a desire to upgrade the existing OWTS to accommodate an addition to the residence that will include increased square footage and one potential bedroom. There will be greater than 6000 square feet of living area in the residence. The property is served potable water by Buttermilk Metro District. SUBSURFACE The subsurface was investigated on in 1993 when the original system was permitted and installed. A percolation rate of 12 MPI is being used to compare required sizing criteria to the size of the existing absorption area. Prior to installation of the new system, this office must be contacted to analyze soil conditions at the depth of the new infiltrative area. If not consistent with Sand, or Loamy Sand, sizing criteria must be re-evaluated. DESIGN SPECIFICATIONS The OWTS design is based on 6 -bedrooms with greater than 6000 square feet of living area. An average daily wastewater flow of 1200 GPD will be used. The system will utilize the two existing 1000 -gallon septic tanks and install an new 1000 -gallon, two- compartment poly septic tank that will intercept wastewater from the new addition of the residence. An Orenco® Biotube pump vault will be installed in the second compartment of the new septic tank. A pump will be specified when location and depth of both the new septic tank and distribution box have been determined. If there is sufficient grade, a dosing siphon may specified. Wastewater will be pumped to the existing distribution box. The distribution box may be relocated if current location and depth will not facilitate appropriate grade from the septic tank and plumbing of the new trench. U Page 2 There are three existing gravelless chamber trenches, each with 14 Standard Infiltrator® for a total of 756 square feet (using 18 square feet per chamber). An additional 117 square feet is necessary to achieve the required absorption, incorporating the 20% reduction for dosing and 30% reduction for gravelless chamber trenches. One new gravelless chamber trench will be added, tapping into the existing or relocated distribution box. This trench will consist of 12 `Quick 4' Infiltrator® chambers; approximately 50% of the length of the existing trenches. Flow from the distribution box to this trench must be appropriately adjusted using flow regulators. Placement of this trench must not encroach within 6 -feet of any existing trench. Depth of the trench must not exceed 4 -feet and the soil type encountered at the infiltrative surface must be verified by this office. The component manufacturers are typical of applications used by contractors and engineers in this area. Alternatives may be considered or recommended by contacting our office. Construction must be according to Pitkin County Onsite Wastewater Treatment System Regulations, the OWTS Construction Permit provided by Pitkin County Environmental Health Department, and this design. REVEGETATION REQUIREMENTS An adequate layer of good quality topsoil capable of supporting revegetation shall be placed over the entire disturbed are of the OWTS installation. A mixture of native grass seed that has good soil stabilizing characteristics (but without taproots), provides a maximum transpiration rate, and competes well with successional species. No trees or shrubs, or any vegetation requiring regular irritation shall be plated over the area. Until vegetation is reestablished, erosion and sediment control measures shall be implemented and maintained on site. The owner of the OWTS shall be responsible for maintaining proper vegetation cover. OPERATION INFORMATION AND MAINTENANCE The property owner shall be responsible for the operation and maintenance of each OWTS servicing the property. The property owner is responsible for maintaining service contracts for manufactured units, alternating absorption systems, and any other components needing maintenance. Geo -fabrics or plastics should not be used over the absorption area. No heavy equipment, machinery, or materials should be placed on backfilled absorption area. Livestock should not graze on the absorption area. Plumbing fixtures should be checked to ensure that no additional water is being discharged to OWTS. For example, a running toilet or leaky faucet can discharge hundreds of gallons of water a day and harm an absorption area. The homeowner should pump the septic tank every two years, or as needed gauged by measurement of solids in the tank. Garbage disposal use should be minimized, and non -biodegradable materials should not be placed into the OWTS. Grease should not be placed in household drains. Loading from a water softener should not be discharged into the OWTS. No hazardous wastes should be directed into the OWTS. Mechanical room drains should not discharge into the OWTS. The OWTS is engineered for domestic waste only. C C Page 3 ADDITIONAL CONSTRUCTION NOTES If design includes a pump, air release valves and weep holes should be installed to allow pump lines to drain to minimize risk of freezing. Excavation equipment must not drive in excavation of the absorption area due to the potential to compact soil. Extensions should be placed on all septic tank components to allow access to them from existing grade. Backfill over absorption area must be uniform and granular with no material greater than minus 3 -inch. INSTALLATION OBSERVATIONS ALL SERVICE septic, LLC must view the OWTS during construction. The OWTS observation should be performed before backfill, after placement of OWTS components. Septic tanks, distribution devices, pumps, dosing siphons, and other plumbing, as applicable, must also be observed. ALL SERVICE septic, LLC should be notified 48 hours in advance to observe the installation. LIMITS: The design is based on information submitted. If soil conditions encountered are different from conditions described in report, ALL SERVICE septic, LLC should be notified. All OWTS construction must be according to the county regulations. Requirements not specified in this report must follow applicable county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Please call with questions. Sincerely, ALL SERVICE septic, LLC Carla Ostberg, MPH, REHS Reviewed Richard I Liability Clause: Under no circumstances whatsoever shall the liability of ALL SERVICE septic, LLC, in connection with any contract, directly or indirectly, exceed the total amount paid by the client to ALL SERVICE septic, LLC for the services and/or goods which are the subject of the contract in connection with which the liability arises. E OWTS DESIGN CALCULATIONS - for Pitkin Owner's Name Parcel ID # �■-� House Size (sq. ft.) (75 gpd or 100 gpd) (r, Number of Bedrooms in Main House Number of Offices, Libraries, Studies, Similar -sized Rooms in Main House Number of Bedrooms in Detached Caretaker unit Number of Offices, Studies, Similar -sized Rooms in Caretaker Unit (If the caretaker unit is ATTACHED, treat as if part of main house.) Average Daily Waste Flow 1200 State Review Required? no Perc Rate (� Design Flow (Q) = # potential bedrooms X 2 people/bedroom X gpd X 1.5 Q= 1800 Minimum tank capacity 2250 gallons Absorption Area (=Q/5 X SQRT perc rate)(1.4 loading factor) A = 1,746 sq. ft. of absorption area required Absorption Area (=Q/5 X SQRT perc rate) WITH SECONDARY TREATMENT (no loading factor) A= 1,247 sq. ft. of absorption area required Abs. Area w/ loading factor (B25) Trench Bed Quick4 Trench Quick4 Bed Pipe and Gravel (-10%) 1571 no red. 1746 159 177 Dosing (-20%) 1397 (20%) 1397 142 142 Chambers (-30%) 1222 (-10%) 1571 124 159 Max Allowable 50% (-30%) 1222 88 124 Secondary Treatment Abs Area w/ out loading factor (B28) Trench Bed Pipe and Gravel (-10%) 1122 no red. 1247 114 126 Dosing (-20%) 998 (-20%) 998 101 101 Chambers (-30%) 873 (-10%) 1122 88 114 Max Allowable (-50%) 624 (-30%) 873 63 88 164 SETBACK FROM WELL # of feet = 114 SETBACK FROM POND, STREAM OR IRRIGATION DITCH # of feet = 89 SETBACK FROM DRY GULCH # of feet = HE 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: 970-920-5374 www.aspenpitkin.com/EHNR Parcel ID #: 2735-044-01-011 OWTS Use Permit #: 0004.2014.powu Date Issued: 03/11/2014 Issued By: Kurt Dahl Expiration Date: 03/11/2015 Owner(s): I Hugh M Eaton III Property Address: 1121 Cluny Rd Legal Description: Secondary Treatment Unit Licensed Inspector: Carla Ostberg Inspection Date(s): 03/06/2014 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Two-compartment concrete septic 1000 gallons tank Secondary Treatment Unit Concrete septic tank 1000 gallons Absorption Area Gravelless Chambers (3) 14 unit Trenches -1500 ft' Other System Components Distribution box 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 #: 93022 Date of Issuance: 06/23/1993 Date of Final Approval: 07/07/1993 # of Bedrooms or fixtures permitted by OWTS: 5 Operational Status: The inspector indicated the system is in good condition and does not appear to be in failure. The soil treatment area was covered in snow at the time of inspection. Inspector Recommendations: Pump first tank, add effluent filter to the outlet tee of the second tank. Department Recommendations: Pump first tank, add effluent filter to the outlet tee of the second tank. Evidence of the March 17, 2014 scheduled service of the tank shall be provided to the EH Department to confirm the tank has been pumped. 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 HF `th Department ITKIN r Onsite Wastewater Treatment System (OWTS) 'Tou r4 ir4 USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www.aspenpitkin.com/ehnr/ Annlirratinn Mr f'_nntiniiad iJQP_ of an Exintina OWTS Parcel ID# (available from the Pitkin County Assessor's Office 1I 970-920-5160 or at www.Ditkinassessor.oro): '�� G _ `f' �s , Company: -2 Purpose of Use Permit: ❑ PROPERTY TRANSACTION ❑ REMODEL/ADDITION Property Address: Fax Number:r� Lot: Block: Filing: Subdivision: Indicate Preferred Method of Permit Receipt: [v]"il ❑Fax �r Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)': Email Address: CLULCOMA Owner's Mailing Address: City, Stat ip: (-72444 - Home Phone: Business Phone: "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: 1 Cell Phone: Business Phone: Fax Number:r� ad Addr s: FWD" n; Indicate Preferred Method of Permit Receipt: [v]"il ❑Fax ❑ US Mail e► rC-f.0 a p s- p c - CA (\A Licensed Systems Inspector. Phone Number: Email Address: Fax Number. Incto S � o� -- o AI� . c mow` Mailing Address: City, State, Zip: 313 .o g t Lo 2 - PLEASE 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. 1 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 Signature (Required): Date://,/ //,/ Applicant Signature: Date: Please allow 3-5 business days for processing of Use Permits. IFOR OFFICE USE ONLY Received by EH Staff: Fee & Receipt #: Date: March 6, 2014 Hugh Eaton hugheaton(a-)aol.com CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 carla.ostberg(a-)gmail. com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 1121 Cluny Raod Pitkin County, Colorado Mr. Eaton, As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 1121 Cluny Road, Aspen, Colorado on March 6, 2014. The permit and partial record drawing was provided by Pitkin County Environmental Health Department (Parcel ID # 2735-044-01-011). A more complete record drawing was provided by the builder, Harry Mayer. The subject OWTS consists of two 1000 -gallon concrete septic tanks followed by a distribution box and three 85 -foot long trenches (Standard Infiltrator® chambers). The inlet side of the first 1000 -gallon septic tank was uncovered. The inlet tee was present. There was a mature scum layer. Pumping of this tank is recommended. The outlet side of the second 1000 -gallon septic tank was also uncovered. The outlet tee was present. The tee was positioned under the lid of the tank and not completely accessible from the manhole, making future installation of an effluent filer more difficult. The distribution box did not appear to be accessible from grade and no observation ports were observed in the area of the gravelless chamber trenches. The absorption area showed no signs of saturation, and had no indication of failure. There was significant snow cover over the absorption area at the time of the inspection. This evaluation is not a guarantee of future system performance. This inspection is good for one year. Recommendations: • Pump 1 st 1000 -gallon septic tank in the series (Pumping scheduled for March 17 B&R Septic) • Install effluent filter on outlet tee (tee would need to be extended for access from manhole lid) This report 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/0/docs/county/Com%20Dev/EHNR/OWTS°/`20Use%20Permit% 20Application.pdf Application Checklist: http://www aspenpitkin com/Portals/0/docs/county/Com%20Dev/EHNR/OWTS%20Use%20Perimt% 20Application%20Checklist.pdf fjrJK l t 000�-t, z.O(L- . POW Pitkin County Environmt...al Health Department Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 Website: www_aspenpitkin.com/ehnrl Annlinatinn fnr r-nntint iod I Ica r%f mn Pvictinrr t1Ut/T'42 Parcel ID# (available from the Pitkin County Assessor's office 970-920-5160 or at www.aitkinassessor.oro): 4 , l_, 0 1 "r t Purpose of Use Permit: ❑ PROPERTY TRANSACTION ❑ REMODE/ADDMON Property Address: S Cell Phone: Lot: Block: Filing: Subdivision: Residences: Other # of Bedrooms: fixtures/uses: Property Owner(s)*: Email Address: Owner's Mailing Address: C Stat"i , 1 T 1 - Home Phone: Business Phone. Contact information must be provided for the owner signing this application Primary Contact Person/Applicant (if not er): Company: � Date ContactlApplicant ailing Address: City, State, Zip: S Cell Phone: Business Phone: Fax Number. ( V �' 7 ail Addre N.ZsQ S r ck Pmsh'n i 2� Indicate Preferred Method of Permit Receipt: ,_,/ I� Email Fax j'- ❑ US Mail `1�) Qi rLQ,.Q01 CZ. P S— P C j1A Licensed Systems Inspector. Phone Number. Email Address: Fax Number 1..o-✓" Mailing Address: City, State, Zip: -3a Rur Mvi'A Dprhani4alp., P)Q ?, l V 2 PLEASE READ BEFORE SIGNING: 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 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 1 Applicant Signature: Date:CA, ILA Please allow 3-5 business days for processing of Use Permits. FOR OFFICE USE ONL1 •_.. Received by EH Staff: Fee & Receipt #: 0 Please call with questions. Sincerely, 0 Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # 11 0441T Exp. 2016 view or irnet sloe or i taim View of both exposed lids, looking toward house Inlet tee (suds) / mature scum layer Outlet tee View toward absorption area — no evidence of failure — significant snow cover Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form .1 Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 Phone: 970-920-5070 Fax: 970-920-5374 Website: www.aspgnl2itkin.com/ehnr Inspection form for continued use of an existing OWTS Owner's Name: ,, Address: i vl Parcel Number: — 44 -C)I Inspection Date:� l , 2� 14 Inspector's Name: Cf ost,4_ r Business Name: (A-V) trw Phone Number 91 � 0 -_;�- ._ Email: t 4��"�si, t. IN Pitkin County Systems Inspector License Number:' -`— A .on W< of this imp ra etinrt r pn will be remitted to Pitkin Crasjn#y Envlrsa � ra#al Ile�ith �+eurxrimeni lav the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system passes or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YE 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? i' i j A RECORDS: Were system records available from Pitkin County? YES NO If YES: Permit number: &2,1 Date of Final Approval: � j401 # of bedrooms permitted: � 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 farm 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 Improper vegetative cover? 2 N YES Evidence of compaction such as heavy machinery or livestock? YES Improper discharges such as straight pipes? FAIL Evidence of high ground water? YES Snow cover present? NOt\` YES Page 1 ENEEK". TANK: Tank 1 Tank 2 YES NO Tank 3 PASS Tank capacity t1jo gallons PASS FAIL gallons NO UNKNOWN gallons Tank material Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN If there is no maintenance contract, a contract must be in place Prior to occupancv of the home. / # of compartments Date of last pumping i li�,A )`5 ` " V �`_>'Q 0r_C Gds/risers in good condition PASS ' FAIL PASS FAIL PASS FAIT_ Risers to grade YE NO YES NO YES NO Riser height m' flI'- 'Riser Risercondition/watertightness G D�~ fJ Inlet sanitary T/bafflePA FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle PASS FAIL PAS PASS FAIL Effluent filter (if part of design) PASS FAi PASS FAI N/A PASS FAIL N/A Condition of tank material PASS FAIL PASS F PASS FAIL Tank was pumped for inspection YES 7N-67; YES ; NO' YES NO If YES, list the pumping company u If NO, when was the last pumping Scum level (lst compartment) �,;a, inches i inches inches Sludge level (1st compartment) " " U" rf-inches I inches inches Scum level (2nd compartment) inches 04` inches inches Sludge level (2nd compartment) i inches --� d/ inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle PASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness 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 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: Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES O 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 occupancv of the home. / copy of the contract must be submitted to Pitkin County Environmental Health Department. ABSORBTION AREA: Effluent surfacing? Evidence of past surfacing? Surface dampness? Excessive odors? Field location verified by observation ports or probing. y Liquid in observation port? if YES, record depth: Distribution Box or ADV part of original design? 24 If YES, is it accessible from grade? Is it level and in good condition? Vp FAIL NO YES YES �-� p YES —Ports" Probing t rk `�, cl, NO YES inches YES NO UNKNOWN YES NO PASS FAIL Page 2 i 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 2n Licensed Systems Inspector Signature: , Clearly label any pictures and attach them to this form. i i Page 3 ASPEN+PITKIN , , j - Q LI -01-0l/ ENVIRONfVVTAL HEALTH OEPARTME16 INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. —1 3 �cX TYPE OF PERMIT: initial Construction t )Eacrgancy Use ( )Repair work.(Pievious Permit 1 .} ( ration r an existing syatem, (Prev or installation (Previous Permit 1 } ( lJca Pcrmit as a result of Sale ( )others ISSUED TO • DATE OF ISSUE t Chrner, � { tLt�l ' C f'i 6_ Home Phone 6/23-46-3Z_ 6-3Z Business Phone Hailing.+ ,t Address SIA„' Agent i "� t c'/t� 5 . t b Phone Mail, ng' i Address Sewage Disposal System Work to be performed by This permit valid only for premises location by the •follovilnq} legal deucrlptions V21 -0a Apmza vol AAT Stle 1 t . WATER SUPPLY. 7tVERACF PERCOLATION RTTF� I - This individual Sewage Disposal Permit is granted with regard to the following uses }itraber oft badicoms .� Lofts Garbage Disposals I Dishwashers ��� Cloches Washers CALCULATED AVERAGE DAILY WASTC LDAD GALLONS. T14E NATURE OF THE SYSTE;i INCLUDED UNDER THIS PEST:. � } r� � � loot) .Lsi(ed pr of sank or Treatment Units ?T, ��yl Tank. apaclty /+.rL } _Gallon Minimum �t t' / ' /Abaorptiop .Areas r <� � a Square Feet Minimum �`�' =t3;od of Final Disposals A��5r��1-,'�';"F r)G t�� 3 .crip=ion (including brand na"4 If aHyl of other equipment or nppurtna»cess j yy t�f G4 tvk1 t 1 lee", i f '2r iJi +`rl IAMc - ,thor Conditions or Specificatianst STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ibution eforc Exca ation ( )Upon completion of excavation and prior to placement of gravel ( )system ofvabsorpering tionrfield' zo 3 5 Prior to backfill of any component ( !other. Specify= }y- lens and specifications of the proposed Sewage disposal system have been reviewed a.nd are eonais3cred satisfactory. PermSssion hereby granted to tt,e owner or his agent to perform the work indicated above in accordance with the Pitkin iounty Indivi3uai cwa,o Disposal Re+tulations in ctfcct on the date of issue. In addition to general provisions set forth on the reverse hereof. a Parc t #a Acctto tett following adds ional terms and conditions; *, „ . ,..-,a�dX` •w' r. -.,”, '."..`, .. .+:- k,".. .'+,'¢ "'f: `, .F w e '` "",,raFi 6".VIA- PROVED FOR -ISSUE BY k ���`L �� � � The arrive inc3ivtdoa1 cevago dfaposal system lnaeallcd by h.+s tx•c» 1nsPcctcd .tor use by a rcpre'scntativc of the Asl:cn t•it in CGalrsystem. ,tics le a a2i unint, The cr�.•nur hod' ry:awn.ibility in ccse of failure or inaA-quacy of thio sewage disposal system. Complete ai-bulli droving attached. DATE OF FINAL INSPECTION _ BY: 1_144 - ­ . - TITLE __Q 130 South Galena street Aspen, Colorado 61611 303/920-6070 4 � °�` � � a �� � �4 E� £� , ' iSR...e`e`� �� �, � { l r �^�y l P rig, p�.-� d.' € (.� i�..lj � d..r' ��^ � � � � � 3i 4 wo-� £ � Robert Trown &Associates W highway 203 SITE PLAN SURVEY 25bt- west pacific coast n n wport ewportbeach, ca. 92663-C7,4)646-6928 Robert Trown & Associates 2505 west pacific cyst highway 203 FtRSr FLOoB PLAN newport beach, ca. 92663 • (714) 646.6928 --� { ERobert Trown &Associates e m 2505 west pacific coast highway 203 SECOND FLOOR PLAN newport beach , ca. 92663-(714) 646.6928 t Ir K I N Onsite Wastewater Treatment Systems (OWTS) Use 4 Permit Inspection Form �OUNT� 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: ,M ➢ Address: -ft-_ 7 t=a !'W <7, ( to l I Parcel Number: Inspection Date: Inspector's Name: Business Name: Phone Number Email: Pitkin County Systems Inspector License Number:" — — Q 1-1 A cgny flf this insaection 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 sasses or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YE 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: Were system records available from Pitkin County? YES NO If YES: Permit number: Aaa221 Date of Final Approval:... -11 # of bedrooms permitted: 5 _ �/ Was an as -built drawing available? YES NO Is the as -built drawing accurate? Y� NO 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 Improper vegetative cover? N 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- 1__= Page 1 c v TANK: Tank 1 Tank 2 Is a pump or dosing siphon present? Tank 3 ` NF O1 ` Tank capacity PASS gallons Does the pump/wiring/dosing siphon appear to be in good condition? gallons FAIL gallons Tank material FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? YES NO # of compartments If YES, does the unit appear to be in good working condition? YES O Does the owner have a current maintenance contract for the unit? YES NO UNKNOWN Date of last pumping [A 0 jV1, EZVP-OLTS Lids/risers in good condition FAIL PASS All ASS FAIL Risers to grade ffY�E NO YES NO YES NO Riser height Riser condition/watertightness (J Inlet sanitary T/baffle -PAS FAIL PASS FAIL PASS FAIL Outlet sanitary T/baffle PASS FAIL PASS` PASS FAIL Effluent filter (if part of design) PASS FAI PASS FAI N/A PASS FAIL N/A Condition of tank material PA55 " FAIL PASS F PASS FAIL Tank was pumped for inspection YESNO YES N 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) I^& L01 Winches inches inches Scum level (2nd compartment) inches inches inches Sludge level (2nd compartment) inches 31/ inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle PASS FAIL N/A PASS FAIL N/A PASS FAIL N/A Watertightness PASS FAIL PASS FAIL PASS FAIL PUMPS/DOSING SIPHONS: inches YES } Is a pump or dosing siphon present? YES ` NF O1 ` If YES, is the pump/dosing siphon functioning properly? PASS 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: Is a secondary treatment unit present? YES NO UNKNOWN If YES, does the unit appear to be in good working condition? YES O 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 copy of the contract must be submitted to Pitkin County Environmental Health Department. 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 NO P Ports NO FAIL YES YES YES Probing YES Page 2 v UNKNOWN inches YES } NO YES NO PASS FAIL Page 2 v UNKNOWN W 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 k . 20 11. Licensed Systems Inspector Signature: Additional Notes: Clearly label any pictures and attach them to this form. Page 3 TYPE OF PERMIT: ASPEN4PITKiN ENVIRONN*TAL HEALTH OEPARTMEld INDIVIDUAL SEWAGE DISPOSAL PER11IT 140. Cl 3 d )Initial conatruction ( )Emergency use or installation ( )(foe Permit as a result of sale ISSUED TO: 0411 -Oi-oi/ ( )Repair Work,(Pi'evious Permit f ') ( )Alteration ofan`existing system.) (Previous Permit ( )Others DATE OF ISSUE*. (JI l ;. /q Owner_ ,>) 4 C4t1iG)r\ TP Fe �,`r°.5 Aome Phone y2S a 32 Business Phone Hailing 5 • Je ZG� Address �'�' Age-Lit--- kj r -,� !' COIN 1 •C.: Phone �i 2 ' �! S32 S`t->�z o?s-s Dull-ing 7 % Address -- _✓e Ts 1 a f� c4SGt ' �►f1 ec Cv ri s Sewage Disposal System Work to be performed by Hctf'fii o- f This permit valid only for Premises )Oeatien by the •followissy 10931 deaer_iptions 1{ 2 1 C114il LOT SIZE WATER SUPPLY �"b 11C . AVERW..r PERCOLATION RATE I� This Individual Sewage Disposal Permit is granted with regard to the following use: Nutabor oft Dodicoms Lofts Cartage Di sposals Dishwashers j clothes Washers CALCULATED AVERAGE DAILY WASTE LOAD ��U GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER TITIS PERMIT:. x of Tank or Treatment Units'-'��r'��`�k ! dile 4vr :thud of rinal Disposals /�-��t'�riDsi �ie.� I-T�� Absorptlop :crlption (including brand name, if any) of other equipment or appuctnancess i F1 f � @ rte. btp 3 c� f' l2u s f r � G� 6' C 1 � � t)"� ✓i G1.tQ,3 tsi'Q � p'( i Tank SAAp,acity fS Gallon minimum Aels Ht �lc .tt l_SZ) 2 +Square Feat Hinimum 1�tQ 1 V1t.�fUtttiv� L�Yii tJ � �ujci � . �j f • � ✓1 L+-+`Yi �."t C �'l tvt f��4''t �'tr`t •► /1 -LS L� aV�,rs � �45�'f i �(.: f / (;)!� )f..� �t.7 �. fit? ✓' y/� •,'7 i '• y,. / L .rte L(/.a !<-' � �f �✓t7���S . :char Conditions or specificationes l C;4, w 1 3 drevl x;.25 -- $S' STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: (Amcfore Exca ation ( )Upon completion of excavation and prior to placement of gravel ( )system offorc vabsorptionribution field ' �12a1� 3 jAprior to backfill of any eosponent ( Fother, Specifyt Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission is hereby granted to tl:e owner or his agent to parfnrm the work indicated above in accordance with the Pitkin County Individual Sewa,e bisposal Rertulations in etfect on the date of issue. In addition to general previsions act forth on the reverse herebto this Permit is subject to the following additional terms and conditions: APPROVED FOR ISSUE BY ( Y ? / l 2 (title) =L r �� t� i ;hc aj-Aivc individual sevago disposal system lnatalthelcd by h.rs tx•en in::pectect for use by a reprosentacive of the Aspen 1'ic.an tiny:runxnta Hca t.. i)ep•rr e�aent, Tho uvnoC Jaauaoa a 1 rv.nponr.:bil uy in Cage of failure or inaJ -quacy of this sewayo disposal system. Gompleto as -built droving attached. DATE OF FINAL INSPECTION TITLE 130 South Galeria Street Aspen, Colorado 81611 303/920-6070 W B & R Septic Service, Inc. Rooter & Jetting Service Video Inspection Service 0603 Handy Drive Carbondale, CO 81623 Bill To Hugh m Eaton III 1121 Cluny Rd. Aspen, CO 81611 Invoice Date Invoice # 3/17/2014 1 10925 P.O. No. Terms Project Due on receipt Quantity Description Rate Amount Pump 1 st. tank only (solid tank) of a 2 tank septic system @ 1121 Cluny 290.00 290.00 Rd. 1,000 Dump Fee 0.20 200.00 Gas Surcharge 10.00 10.00 Sales Tax 4.90% 0.00 Thank you for your business.Carbondale Aspen Fax Total $500.00 k970 963-3814 970 920-2059 970 963-6070 w m 0 0 z 0 0 m V r Robert Trawn &Associates .2505 west pacific 90gast highway 203 SECOND FLOOR PLAN newport beach, ca. 92663 - (714) E546.6928 I g m D \ \�2 m f E o = /7 CD / _ @. 2 -\ CD _ \ 0 / it" � \ I |u O 0 m X « r 2 Im | | | | | f/z-0/�/ mom \ /\\\/\/ mC: O Q m x m m o Q > m Z Z coo $ƒ//«/g //�$c�i >a2 �» f\/Q\/\ 0ZC c f »t\ �6 \ƒq $n\\��/ E ƒ m�/ƒm7\ /OE %/ �521r>2 /O �ƒ? 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