HomeMy WebLinkAboutPitkin.EH.264321301002 (2019)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: 970-920-5077
www.aspenpitkin.com/EHNR
Parcel ID #: 2643-213-01-002
OWTS Use Permit #: 0013.2017.POWU
Date Issued: 2/22/2017
Issued By: Bryan Daugherty
Expiration Date: 2/22/2018
Owner(s): Mindi Reingold Safchik
Property Address: 474 Upper Ranch Rd
Legal Description:
Licensed Inspector: Carla Ostberg
Inspection Date(s): 2/1/2017
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Plastic 2-compartment tank 1000 Gallons
Secondary Treatment Unit
Absorption Area Engineered Bed 2600 ft2
Other System Components Distribution box
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 #: 88005 Date of Issuance: 4/14/88 Date of Final Approval: 9/16/88
# of Bedrooms or fixtures served by OWTS: System was designed to serve 3 bedrooms
Operational Status: From the inspector’s observations of the system it was functioning as designed at the time of
inspection.
Inspector Recommendations: Expose manhole lids on septic tank for better access to both sides of the tank, Add risers
if needed. Install an effluent filter on the outlet tee.
Department Recommendations: Continued 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 overuse and possible
failure.
Pitkin County Environmental Health Department
i T IC I iV Onsite Wastewater Treatment System (OWTS)
. USE PERMIT APPLICATION
OUNV
76 Service Center Rd
Aspen, CO 81611
http://pft nco unty. conV248/Wastewater-Treatment
Application for Continued Use of an Existing OWTS
Parcel IDS (available from the PhNn County Assessor's Office
2643 213 01 002
970-920-6160 or at http://pitiinassessar.org/assessor/search.arp
Purpose of Use Permit: PROPERTY TRANSACTION
REMODEL/
Property Address:
474 Upper Ranch Road, Aspen, CO 81611
Lot:
Block:
Filing:
Subdivision:
9
1
2
Brush Creek Village
Residences:
Other
bathrooms
# of Bedrooms:
3
fixtures/uses:
3
Property Owner(s)':
Email Address:
Mindi Reingold Safchik c/o Martin Franklin
mfranklin@marcapllc.com
Owner's Mailing Address:
City, State, Zip:
500 South Pointe Drive Ste 240
Miami
FL
33139
Home Phone.
Business Phone:
(914) 589-3300
(561) 447-2509
'Contact information must be provided for the owner signing this application.
Primary Contact Person/Applicant (if not owner):
Sally Shiekman-Miller
Company:
Aspen Snowmass Sotheby's Int'i Realty
Contact/Applicant Mailing Address
City, State, Zip:
1415
E. Hyman Avenue
Aspen
CO
81611
Cell Phone:
Business Phone:
1(970)
948-7530
(970) 429-1088
Fax Number.
Email Address:
1(970) 920-9993
lsally@sallyshiekman.com
Indicate Preferred Method of Payment Check El Credit/Debit
Cash
Licensed Systems Inspector. Phone Number. Email Address: Fax Number.
CBO Inc./Carla Ostberg
(970) 309-5259
sally@sallyshiekman.com
Mailing Address: cav,State Zip:
33 Four Wheel Drive Road
Icarbondale
jC0
181623
PLEASE READ BEFORE SIGNING:
cerfy 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.
Omer Signature (Required):
FMartin Franklin
�4
=2017M11 21O"l -OTW
m
Date:
v11/17
Applicant Signature:
ally Shiekman-Miller
D1�Y, e p eE ey s.q
°�
Dd 2017D2.112101:33-07D
Date:
2/11/17
Please allow 3-5 business days for processing of Use Permits.
Save Form Clear Form Print Form
FOR OFFICE USE ONLY
Received by EH Staff:
Fee & Receipt #:
Date:
Effective Date 1/12/2017
i,x, K I N Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
""'COUNT Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone:970-920-5070 Fax: 970-920-5374
Website: I http://pitkincounty.com/248[Wastewater-Treatment
Inspection form for continued use of an existing OWTS
Owner's Name:
Address:
Parcel Number:
Inspection Date:
Inspector's Name:
Business Name:
Phone Number
Email:
Pitkin County Systems
Mindi Rein old Safchik
474 Upper Ranch Road
As en CO
2643 213 01 002
IFebruary 1 2017
Carla Ostber
CBO Inc.
(970) 309-5259
carla.ostberg@gmail.com
Inspector License Number:
1017
A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by
the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system
passes or fails.
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied? ❑YES ONO
If NO, how long has the home been vacant? Summer 2016
How many bedrooms are in the home? 13
If secondary treatment is used, who is the
maintenance provider? I n/a
RECORDS:
Were system records available from Pitkin County? AYES
❑NO
If YES: Permit number:
ISDS Permit 88005
Date of Final Approval: 9/16/88
# of bedrooms permitted:0
Was an as -built drawing available? 0 YES
❑ NO
Is the as -built drawing accurate? ❑YES
❑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? OPASS ❑FAIL
Improper vegetative cover? 0 NO ❑ YES
Evidence of compaction such as heavy machinery or livestock? 0 NO ❑ YES
Improper discharges such as straight pipes? ❑' PASS ❑FAIL
Evidence of high ground water? 0 NO 0 YES
Snow cover present? ❑ NO ❑ YES
Page 1 Effective Date 1/12/2017
only
access
through
6" and 4"
pipes
TANK:
Tank 1
Tank 2
Tank 3
Tank capacity
1,000 Igallons
gallons
gallons
Tank material
poly
# of compartments
2
Date of last pumping
unknown
Lids/risers in good condition
Pass
Select One
Select One
Risers to grade
Yes
Select One
Select One
Riser height
0
Riser condition/watertightness
OK
Inlet sanitary T/baffle
Pass
Select One
Select One
Outlet sanitary T/baffle
Pass
Select One
Select One
Effluent filter (if part of design)
N/A
Select One
select One
Condition of tank material
Pass
Select One
Select One
Tank was pumped for inspection
Yes
Select One
Select One
If YES, list the pumping company
RotoRooter
If NO, when was the last pumping
Scum level (1st compartment)
inches
inches
inches
Sludge level (1st compartment)
inches
inches
inches
Scum level (2nd compartment)
inches
inches
inches
Sludge level (2nd compartment)
inches
inches
inches
Backflow (if pumped)
Pass
Select One
Select One
Midtank baffle
Pass
ISelect One
Select One
Watertightness
Pass
ISelect One
Select One
PUMPS/DOSING SIPHONS:
Is a pump or dosing siphon present? ❑ YES NO
If YES, is the pump/dosing siphon functioning properly? ❑PASS ❑FAIL
Does the pump/wiring/dosing siphon appear to be in good condition? ❑PASS ❑FAIL
Is the high water alarm working, both visible and audible? ❑PASS ❑FAIL
SECONDARY TREATMENT:
Is a secondary treatment unit present? ❑YES 0 NO ❑UNKNOWN
If YES, does the unit appear to be in good working condition? YES NO
Does the owner have a current maintenance contract for the unit? YES H NO ❑UNKNOWN
Maintenance Provider: n/a 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
❑FAIL
E
NO
❑YES
F.
NO
❑
YES
❑■
NO
❑
YES
❑Ports ❑Probing
NO ❑ YES
inches
❑■ YES ❑ NO
YES ■ NO
PASS FAIL
Irecord drawino I
UNKNOWN
Page 2
Effective Date 1/12/2017
ss to sufficient diameter manhole access.
'lease list any recommendations for the continued use of the system:
• Expose manhole lids on septic tank for better access to both sides of the tank. Add risers if
needed.
• Install effluent filter on outlet tee. If installed, this filter must be cleaned annually, or as needed.
Were any repairs done as a result of this inspection? 0 NO 0 YES
If YES lease describe the repairs.
To the best of my knowledge and training, the information collected in this inspection is accurate as of
February 3 1, Zp 17 1.
Licensed Systems Inspector Signature:
Additional Notes:
Clearly label any pictures and attach them to this form.
Save Form Clear Form
Print Form
Page 3 Effective Date 1/12/2017
CBO Inc.
'
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberggmail.com
February 3, 2017
Sally Shiekman-Miller
sally.shiekman-miller6d�sothebysrealty.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
474 Upper Ranch Road
Pitkin County, Colorado
Sally,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 474 Upper Ranch Road, Aspen, Colorado on February 1, 2017. The legal description of the
2.1-acre property is Lot 9, Block 1, Filing 2, Brush Creek Village Subdivision.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2643-213-01-002). The subject OWTS consists of one 1000-gallon, two -compartment poly
Norwesco® septic tank. Effluent gravity flows to 30' x 100' pipe and gravel STA with "fill material" below
the infiltrative area. "Banner Engineers" design dated 3/4/88 was not provided, but is noted in Individual
Sewage Disposal System Permit 88005, which documents this system. The system was sized to
accommodate 3 bedrooms. The permit received final approval on September 16, 1988.
The septic tank and STA are located to the south (behind) the residence, opposite of the driveway. Note
that the location of the OWTS on the south side of the house has limited or no access for machinery,
making any future repair or replacement of the OWTS extremely difficult.
A clean out is located between the house and the septic tank, under the deck. A 6-inch pipe allows
access to the inlet side of the septic tank and 4-inch pipe to the outlet side of the septic tank. We
recommend exposing the lids for better access to both sides of the septic tank. Add risers if needed. We
also recommend installation of an effluent filter once the outlet manhole lid is exposed. If installed, this
filter must be cleaned annually, or as needed.
We were able to photograph inside of the septic tank to verify presence of inlet and outlet tees and the
mid -tank baffle. The structure of the septic tank appeared to be in tact from what we were able to
observe.
The septic tank was pumped by RotoRooter at the time of our inspection. They found a significant
amount of sludge and scum in the septic tank, indicating the septic tank had not been pumped in some
time. Limited access through both the 6-inch and 4-inch pipes made thorough pumping and cleaning
difficult due to the fact that the pumper had limited access and visibility.
The STA was covered with snow at the time of our inspection. We ran water from the house for
approximately 20 minutes prior to pumping the septic tank and found no evidence of surface saturation or
failure at the time of our inspection. No inspection ports were observed during our inspection. A
distribution box is noted in the record drawing, but is not accessible from grade; therefore, this
component of the OWTS was unable to be inspected. This evaluation is not a guarantee of future
system performance. This inspection is good for one year.
Recommendations:
• Expose manhole lids on septic tank for better access to both sides of the tank. Add risers if
needed.
• Install effluent filter on outlet tee. If installed, this filter must be cleaned annually, or as needed.
This report and a completed OWTS Use Permit Application must be submitted to the Pitkin County
Environmental Health Department. Applications may be submitted to Pitkin County Environmental Health
Department electronically. The following are links to the required OWTS Use Permit Application and
Checklist.
Application: http://www.pitkincounty.com/DocumentCenter/Home/View/621
Application Checklist: httr)://www.pitkincounty.com/DocumentCenter/Home/View/620
All questions regarding permit submission can be directed to Pitkin County Environmental Health
Department, 970-920-5070.
Disclaimer: This inspection is intended only as an evaluation of the present condition of the OWTS
based upon what was observed and the Licensed Inspector'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 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 call with questions.
Sincerely,
(,c.-. Cam. VS--k-111-5
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 110441TC Exp. April 2018
Survey of property
Clean out under deck between house and septic tank
View of septic tank (6" pipe)
(note
Sidewall appears to have good integrity
Photo from inlet side (baffle / outlet tee)
4-inch access on outlet side of tank
STA
ASPENOPITKIN i'f ~ - �,13 ~ o OC
ENVIRONMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PER141T NO.
TYPE OF PEMAIT:
( Initial Construction ( )Emergency Una ( )Repair Work,(Prnvioua Permit I ) ( )Alteration of an existing sy:etem,
r installation
( )Une Permit as a result of Sala ( )Othort
ISSUED TO:
DATE OF
(Previous Pernitt 1
ISSUE O
Owner r: / AA1 /Gi-6/?X'T6. Home Phone 21 —IS22—Business Phone
Address X 969 4sp,-------
Agent_
Ma 31 ing
Address
Sewage Disposai- System Work to be performed by,
Phone
-'/ 9y k,
This pormit valid only for premises location by trio following legal daucription:_� Iuyt& 1, LUX 111(,�5�
LOT S1'LE, 2.2 Aciee5 , WATER SUPPLY t/CLL- . AVEFACE PERCOLATION TF /V
This Individual Sewage' Disposal Pernit is granted with regard to the following uge:
N%ral>cr oft Bodreoms 3 Lafts_ 6) Garbage Disposals_ Dishwashers„ ! Clothes W shorn - - - —.
CALCULATED AVERAGE DAILY WASTE LOAD + GALLONS.
THE NATURI E OF THE SYSTELE LNCLUDFD UNDER THIS PEMLIT:
Ty:1.2 Tank Or Treatment Uniti -C.NW l C I /jA19_ Tank Capacity �.�^/ U [✓1..� _Gallon Mnimc:s
t4,st.hod of Final Giaposalt6N6iN,—e460 LSO � � Absorptloq . Area l fi Sgttaru Fett Minimum
Descrlption (including brand name, if any) of other equipment or appurtnanceet
Other conditions or Spec[ tionet C./�fj���MOC-o 140 0P/� YED f/) 0Je;J�1 ( �� PIAZ AND
WFID OF LLi1�,trUN �itfE�it?S //i! � Aj-r 9, aTED �'S`
rP LAZiA,11 TeS 7-5 AC� 14W /� S C-TES
STAGES REQUIRING INSPECTION BY THE HEALTH DEPAXEPJENT:
{ )[le -fore Excavation (Upon conpletloci of excavation and prior to placement of gravel j�Befove coverinq disc,.-ihution
K '1 syttem of ibsotptioit field
X7rior to backfill of any component (Xi Othec, Specifyt As / -%—/-� z_ 19zeY5,114r_ _
Plans and specifications of the proposed sewage disposal nynterr+ have been reviewed .Nnd rr, considcred satlsfactory. Pe rnlol:: S-all
hereby granted to tho owrrr or his aoe;t.-`o p�r:+trra the work indicated above in a�cor.rdancc, with the Pxtkin County 1ndivi:Sua1
Snc,a•;q Oir.pesal Re+nrlations in cffe.:t on the d:+tc of issue. in ❑c4dition to general provisions set farth or, oto rvverye but-roi,
this Permit is subject to the followin7 additional terran and conditions:
hPFROVED FOR ISSUE BY - _ (title)
y_
iliv nlinvo ln:fividunl :sc+:a•lo diapanal ey9tc.14 in:rtallcd by TIVZt iMA),- G'cef3
has b,•cn In..:c�t.r4 far us+� t. a rcpC+-a�.n:.+ci+;c +.f thr. An r+ I i:n 'avironr:o•++ta Elea t. ❑;: •+r[+nr_he ur a
nt. T,wnasw'o� sr!
ri::s+oar.+biltty in cua+: of fatlurc o: road-quacy cf thtu lcw.,cie Jinpo++al ayxtem. r_omplete an -built drawing attachod.
DATE off" FINAL 1NSrf:C,i T1( --
Aspen/Pitkin Environmental
BY: z � < _ _ TT'Fi,L_ Health Officer
r 930 South Galena S(treetj Aapen, Colorado 81611 303/425-2020
L
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