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Pitkin County Environmental Health 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 #: 2467-174-00-022
OWTS Use Permit #: 0077.2018.POWU
Date Issued: 2/13/19
Issued By: Bryan Daugherty
Expiration Date: 2/13/19
Owner(s): Nancy Boothe
Property Address: 24411 Hwy 82
Legal Description:
Licensed Inspector: Joe Zamora
Inspection Date(s): 2/5/19
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Concrete single compartment tank 1250 Gallons
Secondary Treatment Unit
Absorption Area Dry Wells (2) 660 ft2
Other System Components
OWTS Use Status:
In use at the time of the inspection. Not in use at the time of the inspection.*
*If the OWTS was not in use at the time of the inspection, it is recommended that the system be re-evaluated when it is in use for a more accurate
evaluation of the system.
System Records:
Permit #: 79011 Date of Issuance: 5/2/79 Date of Final Approval: 5/4/79
# of Bedrooms or fixtures served by OWTS: This system was designed to serve 4 bedrooms
Operational Status: After repairs were made to the system during inspection the system appeared to be functioning as
designed. Risers were added to each dry well and the septic tank to bring access to grade. The distribution box was
replaced and made accessible from grade. The tank was in good, water-tight condition and baffle and tees were in
place. The dry wells did not show any signs of failure.
Inspector Recommendations: N/A
Department Recommendations: Continue annual maintenance
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 over use and possible
failure.
2/6/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application
https://mail.google.com/mail/u/0?ik=c2c72bb885&view=pt&search=all&permthid=thread-f%3A1620573995806856065&simpl=msg-f%3A16205739958…1/3
Bryan Daugherty <bryan.daugherty@pitkincounty.com>
Online Form Submittal: Property Sale/Remodel Use Permit Application
1 message
noreply@civicplus.com <noreply@civicplus.com>Sat, Dec 22, 2018 at 10:29 AM
To: schuyler.clay@pitkincounty.com, ehapps@pitkincounty.com
Property Sale/Remodel Use Permit Application
Please Note: Each OWTS System must be submitted individually. If there are
additional systems on the property, additional applications are required.
Job Parcel ID 246717400022
Physical Address 24411 Hwy 82
Residences 1
No. of Bedrooms 5
Square Footage of each
Residence
2697
Purpose of Use Permit Property Transaction
Closing Date Field not completed.
Lot Field not completed.
Block Field not completed.
Filing Field not completed.
Subdivision Field not completed.
(Section Break)
Primary Contact Information
Primary Contact First Name Nancy
Primary Contact Last Name Boothe
Primary Contact Email
Address
nancy@flameoutfire.net
Primary Contact Address P. O. 56
Primary Contact Phone
Number
9703798920
Primary Contact City Snowmass
Primary Contact State Colorado
2/6/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application
https://mail.google.com/mail/u/0?ik=c2c72bb885&view=pt&search=all&permthid=thread-f%3A1620573995806856065&simpl=msg-f%3A16205739958…2/3
Primary Contact Zip 81654
(Section Break)
Owner Information
Primary Contact is Owner?Yes
Indicate Preferred Method of
Payment
Debit/Credit Card
Payment Contact Email for
Debit/Credit Payment
nancy@flameoutfire.net
(Section Break)
Licensed Inspector Information
Primary Contact is Licensed
Inspector?
No
Inspector First Name Randy
Inspector Last Name Hughes
Inspector Email Address Field not completed.
Inspector Mailing Address 64 Cottonwood Ln.
Inspector City Carbondale
Inspector State Co
Inspector Zip 81623
Inspector Phone Number 963-2004
Inspector Fax Number Field not completed.
(Section Break)
Uploads
Pitkin County Inspection
Form
Sewer Inspection.pdf
Site Plan siteplan.msg
Floor Plans floor plan.pdf
Additional Reports, etc.Field not completed.
Comments or additional
information:
Field not completed.
PLEASE READ BEFORE SELECTING SUBMIT:
By selecting SUBMIT, I certify that I am the owner or representative with the legal
authority to agree to the conditions of this permit, 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
2/6/2019 Pitkin County Mail - Online Form Submittal: Property Sale/Remodel Use Permit Application
https://mail.google.com/mail/u/0?ik=c2c72bb885&view=pt&search=all&permthid=thread-f%3A1620573995806856065&simpl=msg-f%3A16205739958…3/3
department may revoke any permit I am issued if my application is found to contain
any inaccurate, false, or misleading information.
Email not displaying correctly? View it in your browser.
oNSTTE WASTEWATER TREATMENT SYSTEM (OWTS)
USE PERMIT INSPECTION FORIII
75 Service Center Rd Aspen CO 8151:
97 O-92O-5O70 Fax 970-920-5071
www. PitkinCountv.con
lnsoection for Permit Number:POWU
lob Address (provide Droof of aDplication for an address if there is currentlv no address) Add ress Appljcatlonobstreet:l p++tl Highway 82 iob Citv:lgra"ft lJob State:lolorado I Looznlg1621
Jwner
)wner First Name:$1rn Owner Last Name:loothe Swner CorporaUon Name:
)wner Mailing Address tr.O. Box 56 Owner CitV:$nOWmaSS )wner State: lCO. lowner z,r,b1 654
)wner Phone:Owner Cell Phone:970) 309-8423 Jwner Email
rermit Contaet
:ontact First Name: $1"n I Contact Last Name:loothe ontact Business Name
:ontact Mailing Address: I lp.O. gOX SO :ontact City:lSnOWmaSS :ontact State: lCO. lContact zip:191654
lontact Phone: I I Contact Cell Phone;970) 309-8423 Contact Email
Licensed lnspector
nspector First Name loseph lnspector Last Name: VamOfa lnspector Business Name:pamofa Excavating, lnc.
nspector Mailing Address,l lp.O. BOx 754 nspector Citv, lcarbOnd al e tnspector State: lCO. I lnspector Zip:181623
nspector Phone:l(gzo) gos_t ggs rnspectof cen pnone:11g70)
379_7 17 1 lnspector Email:letryzamora@msn.com
insoector's License ruumber:h 3263lTC
2arcel lD
Lesal Description l-55 Sec17 TBS R86W 6th P.M.
\ copy of this inspection will be rernitted to Pitkin County Environmental Health Department by the Licensed Systems lnspector within 60 days of the
nspection regardless of whether the system passes or fails,
uestions For Property Owner PRIOR To lnspection:
the horne currently occupied?lf N: How long has it been vacant?
)w manv bedrooms are in the home?w
TECORDS
Mere system records available from Pitkin CountV? [Yes l:il
f Y: Permit Number Date offinal approval:No. of bedrooms permitted:
Uas an as-built drawing available?[6ffi
s the as-built drawing accurate?E
f N: Complete and upload a drawing of the system as accurately and possible EI
Describe chanse in use/differences:
lhe as built drawing shows 31'from the distribution box to drywell #2.The actual distance from the distributiion box to drywell
f2 is 38'.
1
iITE'CONDITIONS
\ny questions rnarked FAIL or NO will reguire correction before an OWTS Use permit is issued.
)roper grading, no evidence of erosion,lffil proper vegetation cover: lFl
\O evidence of compaction such as heavy machinery or livestocl, [N6-l
rroper discharges (no straight pipesl,lEEl NO evidence of high ground *aturr lE-l
inow cover is NoT pr"r"nt'lM-l
iite Condition, Parr/f rit, lffiill
rANK{S}TANK 1 TANK 2 TANK 3
lank Capacity (gallons)1250
Iank Material Concrete
\umber of compartments 2
)ate of last pumpins 2008
-ids/risers AIL =AIL FAIL
lisers to grade \o \o NO
liser heieht z',
liser condition/water tightness
nlet Sanitary T/Baffle )ASS rAIL FAIL
)utlet Sanitary T/Baffle )ASS AIL FAIL
:ffluent Filter (if part of design)\/A \/A N/A
:ondition of Tank Material )ASS =AIL FAIL
lank was pumped for inspection rES to NO
f Y: List Pumping Company B & R Septic
f N: Date of last pumping
icum level (1st compartment) inches 3"
iludge level (1st compartment) inches 14"
icum level 2nd comoartment) inches 2"
iludse level 2nd comoartment) inches 8',
Iackflow (if pumped)AIL :AIL FAIL
Vlidtank Baffle \/A v/A N/A
i/ater Tightness AIL AIL FAIL
,UMPS/DOSING SiPHONS
s a pump or dosing siphon present? lf Y: ls the pump/dosing siphon function properly?
)oes the pump/wiring/dosing siphon appear to be in good condition?
s the high water alarm working; both visibly and audibly?
rumps/Dosing Siphon Pass/Fai!:
iECONDARY TREATMENT
a secondary treatment unit present? lififfil If Y: Does the unit appear to be in good working condition? lNo I
oes the owner have a current maintenance contract for the unit? IGEII
laintenance Provider Phone f rritl-
rcondary Treatment Pass/Fail:
there is no rnaintenance contract, a contract must be in place prior to occupancy of the home. A copy of the contract must be submitted to Pitkin
)untv Environmental Health Deoartment
ABSORBTION AREA
Effluent surfacing?lNO I Evidence of past surfacingl INO Surface dampness?
Excessive odors?
Field location verified by observation ports or probing:
Liquid in observation port?lfY: Recorded Depth {inches)
Distribution Box or ADV part of original Design?
lf Y: ls it accessible from grade?lf Y: ls it level and in good condition
Absorption Area Pass/Fail' msl?
Any problems with the system that were not addressed above?
l-he drywells were covered and need to be brought to grade. The distribution box is deteriorating and needs to be replaced, All
ines need to be flushed to remove the sludge in the pipes.
List any recommendations for the continued use of the system:
I'he drywell rings should be brought to grade. The distribution box needs to be replaced and 4' rings should be placed over the
listribution box for access. All lines should be flushed.
Were any repairs done as a result of this inspection?
lf Y: Describe repairs
l-he tank was pumped and the lines were flushed to the drywells. Risers were placed to grade on the drywells. The distribution
)ox was replaced and 4' rings were placed over the distribution box to grade for access.
Additional Notes:
Clearly labelanv pictures and upload them.l-l
Io the best of my knowledge and training the information collected in this inspection is accurate,
€-,rr{ -6 €-* lozosrts
Date:
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February 5, 2019
Joseph B. Zamora
P.O. Box 754
Carbondale, Colorado 81623
Re: OWTS lnspection Report
244L1. Highway 82
Basalt, Colorado 81621
Disclaimer: This inspection is intended only as an evaluation of the present condition of the OWTS
based upon what was observed and the Licensed lnspector's expertise in onsite
wastewater technology. The inspector has not been retained to warrant or guarantee
the proper functioning of the system for any period of time in the future. Because of the
numerous factors which may affect the operation of an OWTS, as well as the inability of
the inspector to supervise or monitor the use or maintenance of this OWTS, this report
shall not be construed as a warranty by the inspector that the system will function
properly for any particular prospective buyer, and the inspector disclaims any warranty,
either expressed or implied, arising from the inspection of the OWTS or this report. The
evaluation does not ascertain the impact the system is having on groundwater.
Please feel free to contact me at (970) 379-7L71if you should have any guestions.
Sincerely,
.&-*t-u-
NAWT Certified lnspector
Certif icatio n # L3263lT C