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
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P rig,
p�.-�
d.'
€
(.�
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�
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��^ � �
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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
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Robert Trawn &Associates
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newport beach, ca. 92663 - (714) E546.6928
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