HomeMy WebLinkAboutPitkin.EH.264916102005 (2019)Page | 1
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 #: 2649-161-02-005
OWTS Use Permit #: 0082.2019.POWU
Date Issued: 12/11/19
Issued By: Bryan Daugherty
Expiration Date: 12/11/20
Owner(s): Judi Leake
Property Address: 357 Crystal Country Ln
Legal Description:
Licensed Inspector: Carla Ostberg
Inspection Date(s): 7/26/19 & 12/5/19
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit 2 compartment concrete tank
2 compartment concrete tank
1250 gallons
1000 gallons
Secondary Treatment Unit
Absorption Area Chamber trenches 525 ft2
Other System Components Dosing Pump
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 #: 05021 Date of Issuance: 5/18/05 Date of Final Approval: 7/7/05
# of Bedrooms or fixtures served by OWTS: This system was designed to serve 3 bedrooms.
Operational Status: According to the inspector’s observation on site, the system appeared to functioning as designed.
The tanks were watertight and in good working condition. The pump was functioning properly as well as the alarm. The
assumed field area did not show any signs of failure.
Inspector Recommendations: Repair sewer line at FernCo fitting, fix belly in pipe before the 1250 gallon tank, bring
manhole lid on 2nd tank to grade, locate distribution box and bring access to grade for maintenance, discontinue
irrigation over the field area.
Department Recommendations: Continue maintenance as needed.
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.
Bryan Daugherty <bryan.daugherty@pitkincounty.com>
Online Form Submittal: Property Sale/Remodel Use Permit Application
1 message
noreply@civicplus.com <noreply@civicplus.com>Mon, Dec 9, 2019 at 2:07 PM
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 264916102005
Physical Address 357 Crystal Country Lane
Residences 1
No. of Bedrooms 3
Square Footage of each
Residence
4000
Purpose of Use Permit Property Transaction
Closing Date 12/20/2019
Lot 4 & 5
Block 1
Filing Field not completed.
Subdivision CRYSTAL RIVER COUNTRY ESTATES
(Section Break)
Primary Contact Information
Primary Contact First Name Carla
Primary Contact Last Name Ostberg
Primary Contact Email
Address
carla.ostberg@gmail.com
Primary Contact Address 33 Four Wheel Drive Road
Primary Contact Phone
Number
9703095259
Primary Contact City Carbondale
Primary Contact State Colorado
Primary Contact Zip 81623
(Section Break)
Owner Information
Primary Contact is Owner?No
Owner First Name Judi
Owner Last Name Leake
Owner Email Address judileake@icloud.com
Owner Mailing Address 357 Crystal Country Lane
Owner City Carbondale
Owner State CO
Owner Zip 81623
Owner Phone Field not completed.
Owner Fax Field not completed.
Indicate Preferred Method of
Payment
Debit/Credit Card
Payment Contact Email for
Debit/Credit Payment
carla.ostberg@gmail.com
(Section Break)
Licensed Inspector Information
Primary Contact is Licensed
Inspector?
Yes
(Section Break)
Uploads
Pitkin County Inspection
Form
357 Crystal Country Lane Inspection Form.pdf
Site Plan 357 Crystal Country Lane OWTS Inspection Packet.pdf
Floor Plans floor plans.pdf
Additional Reports, etc.Invoice_2289_from_Altitude_Septic.pdf
Comments or additional
information:
control panel was replaced by Jerry Fleck
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
department may revoke any permit I am issued if my application is found to contain
any inaccurate, false, or misleading information.
Building Permit Instructions
If this application is part of a building permit application, please bring a copy of this
application to your building Pre-Submittal meeting. To get a copy, either enter your
email address to receive a copy of your application, or select "Submit and Print"
below.
Email not displaying correctly? View it in your browser.
Owner's Name:
Address:
Parcel Number:
Inspection Date:
Pitkin County Systems Inspector License Number:
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied?YES NO
If NO, how long has the home been vacant?
How many bedrooms are in the home?
RECORDS:
Were system records available from Pitkin County?YES NO
If YES:Permit number: ___________
Date of Final Approval: _________
# of bedrooms permitted: ___________
Was an as-built drawing available?YES NO
Is the as-built drawing accurate? YES NO
If NO:
SITE CONDITIONS:
Proper grading, no evidence of erosion?PASS FAIL
Improper vegetative cover?NO YES
Evidence of compaction such as heavy machinery or livestock?NO YES
Improper discharges such as straight pipes?PASS FAIL
Evidence of high ground water?NO YES
Snow cover present?NO YES
Any question marked FAIL will require correction before an OWTS Use permit is issued.
If secondary treatment is used, who is the
maintenance provider?
Complete a drawing of the system on last page of this form as accurately as
possible.
Email:
Inspector's Name:
Business Name:
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.
Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
Inspection form for continued use of an existing OWTS
Website:
Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5374
Phone Number
Page 1
TANK:
Tank capacity gallons gallons gallons
Tank material
# of compartments
Date of last pumping
Lids/risers in good condition
Risers to grade
Riser height
Riser condition/watertightness
Inlet sanitary T/baffle
Outlet sanitary T/baffle
Effluent filter (if part of design)
Condition of tank material
Tank was pumped for inspection
If YES, list the pumping company
If NO, when was the last pumping
Scum level (1st compartment)inches inches inches
Sludge level (1st compartment)inches inches inches
Scum level (2nd compartment)inches inches inches
Sludge level (2nd compartment)inches inches inches
Backflow (if pumped)
Midtank baffle
Watertightness
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 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 NO UNKNOWN
Maintenance Provider:_______________________________________Phone:________________________
ABSORBTION AREA:
Effluent surfacing?PASS FAIL
Evidence of past surfacing?NO YES
Surface dampness?NO YES
Excessive odors?NO YES
Field location verified by observation ports or probing:Ports Probing
Liquid in observation port?NO YES
If YES, record depth:inches
Distribution Box or ADV part of original design?YES NO UNKNOWN
If YES, is it accessible from grade?YES NO
Is it level and in good condition?PASS FAIL
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.
Tank 1 Tank 2 Tank 3
Page 2
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.
Licensed Systems Inspector Signature:
Additional Notes:
To the best of my knowledge and training, the information collected in this inspection is accurate as of
__________________, 20____.
Clearly label any pictures and attach them to this form.
Page 3
33 Four Wheel Drive Road
Carbondale, CO 81623
970.309.5259
carla.ostberg@gmail.com
December 7, 2019
Judi Leake
judileake@icloud.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
357 Crystal Country Lane
Pitkin County, Colorado
Judi,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 357 Crystal Country Lane, Carbondale, Colorado on July 26. Repair work was completed
on December 7, 2019. The legal description of the 2.040-acre property is as follows:
Subdivision: CRYSTAL RIVER COUNTRY ESTATES Block: 1 Lot: 4 & 5 PORTION OF LOTS 4 & 5
PARCEL BEING A PORTION OF LOTS 4 & 5 BLK 1 CRYATAL RIVER COUNTRY ESTATES SUB
PLAT BK 3 PG 79 PITKIN COUNTY RECORDS BGGNG AT A PT ON THE NWLY LINE OF A 20 FT
EASEMENT WH THE NELY COR OF LOT 5 BEARS S 16°30'11"E 407.95 FT TH S 59°48'21"E 100.00
FT TH S 15°13'59"W 233.46 FT TH N 67°30'00"W 350.00 FT TO A PT IN THE CENTER OF THE
CRYSTAL RIVER SAID PT BEING ON THE WLY LINE OF LOT 5 TH N 16°23'37"E 280.50 FT ALNG
THE CENTER OF SAID RIVER BEING THE SAME AS THE WLY LINE OF LOT 5 TH S 59°48'21"E
253.49 FT TO A PT ON THE NWLY LINE OF EASEMENT THE POB
The permit and record drawing were provided by Pitkin County Environmental Health Department (Parcel
ID #2649-161-02-005). The subject OWTS consists of one 1250-gallon, two-compartment concrete
septic tank (existing prior to 2005) followed by a 1000-gallon, two-compartment concrete septic tank with
a pump in the outlet side of the tank. Effluent is pumped to a distribution box and then gravity flows to
four gravelless chamber trenches, two with 14 ‘Quick 4’ Infiltrator® chambers and two with 13 ‘Quick 4’
Infiltrator® chambers. Individual Sewage Disposal System Permit 05021 documents this system. The
system was sized to accommodate 3 bedrooms. The permit received final approval on July 7, 2005.
The original OWTS on file with Pitkin County was documented by Permit # 720016 and notes an aerated
treatment plant. The permit received final approval on July 7, 1972. Another inspection was conducted
in 1983. Permit 830030 documented the inspection of the existing system, which also describes an
aerated treatment plant, consistent with the one permitted in 1972.
The 1250-gallon septic tank existing prior to the 2005 permit is not the same tank from 1972. This septic
tank was likely installed sometime between 1983 and 2005, but there is no documentation of the tank
replacement.
A clean out is located in the crawl space under the deck. A camera was run through the sewer line and
where the pipe angles downward at a 45-degree angle, the Fernco fitting is separating. There is also a
belly in the pipe just before the septic tank where it appears the pipe has settled. The 1250-gallon septic
tank is located to the northwest of the residence. The inlet tee was present but is cocked upward due to
the pipe settling. The outlet tee was present but tucked under the lid of the septic tank.
There was no access to the inlet side of the second septic tank. We recommend gaining access to this
side of the septic tank for future maintenance. There is a pump in the second compartment of the septic
tank. We tested the pump and found a cracked fitting on the pump line. This fitting was repaired. We
also found the alarm was initially not working. The control panel was replaced as the wiring in the
existing panel was found to be corroded. The repair work was performed by Jerry Fleck on December 5,
2019. The control panel is located mounted on the north side of the residence, under the deck. A sketch
of the location of the control panel and first septic tank, relative to the deck, is enclosed. The pump had
703.11 hours of run time at the time of our inspection. We observed that the on/off floats were set
approximately 3-inches apart. We did not change the distance, but a larger separation between the
floats may be considered due to the long pump distance between the pump and the distribution box.
The septic tanks were pumped by Altitude Septic at the time of the inspection. The filter in the pump
vault was very dirty and was cleaned as part of the inspection.
Effluent is pumped to a distribution box, which was not accessible from grade and therefore could not be
inspected. No inspection ports were present. The soil treatment area (STA) is located in an irrigated
yard. We recommend discontinuing irrigation in the STA. We walked the STA and found no evidence of
surface saturation or failure at the time of our inspection. This evaluation is not a guarantee of future
system performance. This inspection is good for one year.
Recommendations:
• Repair sewer line at Fernco fitting.
• Fix belly in pipe just before 1250-gallon septic tank.
• Bring manhole lid of second septic tank to grade for future maintenance.
• Locate distribution box and bring access to grade for future inspection and monitoring.
• Discontinue irrigation over STA.
A completed OWTS Use Permit Application must be submitted to the Pitkin County Environmental
Health Department. Applications must be submitted to Pitkin County Environmental Health Department
electronically. The following is the link to the required OWTS Use Permit Application:
https://pitkincounty.com/FormCenter/Environmental-Health-18/Property-SaleRemodel-Use-Permit-Applicat-
70
Within the application, you must attach the Inspection Form where “Pitkin County Inspection Form” is
requested, the OWTS Inspection Packet where “Site Plan” is requested, and Floor Plans where “Floor Plans”
are requested. Floor plans may be hand drawn and must represent number of bedrooms or potential
bedrooms in the residence.
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,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 11044ITC Exp. April 2020
View of septic tank lids (first tank) inlet side of tank
Outlet side of tank baffle
Outlet tee of first tank
View of pump chamber effluent filter
Effluent filter was dirt and cleaned during inspection / cracked fitting
Approximate STA in irrigated yard
357 Crystal Co untry Lane Legend
90 ft
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WE APPRECIATE YOUR BUSINESS!
Altitude Septic
PO Box 1534
Eagle, CO 81631 US
(970) 471-0913
altitudeseptic@gmail.com
Invoice 2289
BILL TO
Carla
357 Crystal Lane
Carbondale, CO 81623
DATE
07/26/2019
PLEASE PAY
$1,335.00
DUE DATE
08/05/2019
DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT
07/26/2019 Video Video 1 300.00 300.00
07/26/2019 26 Pumping Pump Fee 2,250 0.26 585.00
07/26/2019 Septic Dump Revenue
WGS
Dump Fee WGS Sanitation 2,250 0.20 450.00
TOTAL DUE $1,335.00
THANK YOU.
Pitki ounty Environmental Health Departr. ,t
Permit for an Individual Sewage Disposal System
0405 Castle Creek Road, Suite 10, Aspen, Colorado 81611
Phone 970-920-5070 / FAX 970-920-5077
Permit # 05021 Parcel ID # 2649-161-02-005
Type of permit New Repair(x) Addition/Remodel to House( )
Name of Owner Judi and Medford Leake
Street Address 0357 Crystal Lane
Property legal description Crystal River Country Estates
Size of lot 2.04 acres Total square footage of the house 3069 sq ft
Water source Private well
of bedrooms in house 3 # of offices, lofts & similar sized rooms in house
Caretaker unit Total square footage of the caretaker unit
of bedrooms in caretaker unit # of offices, lofts & similar sized rooms in caretaker unit
Designed for what # rooms (list) 3 bedrooms
Permit information
Designed by All Service Septic
Mailing Address PO Box 2844, Glenwood Springs, CO 81602
Perc rate 25 mpi Profile hole depth 8 ft Depth to groundwater or bedrock Greater than 8 ft
Minimum Septic tank capacity 1312 gallons Minimum Absorption area 525 sq ft w/ 50% reduction
Comments
Septic permit approved per compliance with the engineer design and specifications dated May 10, 2005. Any
changes must be approved by this department and the design engineerrp for to them being made.
Minimum horizontal distances between components of the system and physical features shall conform to the Pitkin
County ISDS regulations. There must be at least a 29 foot separation between the field and the dry gulch.
This system will consist of the existing 1250 gallon tank with an effluent filter on the outlet followed by a 500 gallon
pump chamber. The effluent will be pumped to a distribution box and the effluent distributed to three trenches,
each having 18 Quick 4 chambers in each for a total of 54 Quick 4 chambers. There must be at least 6 feet of
separation between each trench.
This department does not, endorse any brand of products. This permit must be kept on-site during installation.
The engineer must do a final inspection of the installation and submit an as -built letter to this department. This
department must also be called for an inspection with a minimum of 48 hours advanced notice.
Revegetation over the area of the field is very important for the functioning of the system. Pitkin County has guidelines that must be
followed to assure the plants that are introduced are appropriate for the conditions of the area. The use of native plants is strongly
encou
Permit approved by: M A P4, c (f` Date: 1 IF, Z
Plans and specifications of the proposed individual sewage disposal system have been reviewed and are considered
satisfactory. Permission is hereby granted to the owner or the agent to perform the work indicated in accordance with the Pitkin
County ISDS Regulation in effect at the time of issue. This permit becomes invalid 6 months from the date that the permit was
issued unless system construction has commenced or an extension has been approved in writing by the Department.
As -built drawings must be im; uded with this permit before the final approval will be issued.
Installer: 01(,11 ' k0n r"A h nn,
Final approval: Date:
kk j ctka -i fic i
4L •`
PO Box 2844
Gill *n,4 1111
SEBY CE Ph97"18.5033
L fax 303-216-2796
June 1, 2005 Project No. 1075
Judy Leake
0357 Crystal Lane
Carbondale, Colorado 81623
Installation Observation, Leake Residence
0357 Crystal Lane
Pitkin County, Colorado
Judy Leake,
ALL SERVICE septic, LLC performed an installation observation on May 24, 2005 for the subject
property.
The installation included the existing 1250 -gallon septic tank, followed by a 1000 -gallon, two-
compartment precast concrete septic tank with a BiotubeTM pump vault in the second compartment.
The drain field consisted of 4 rows of 13 to 14 gravelless chambers, for a total of 54 chambers, and
533 square feet of infiltrative area. A concrete distribution box was installed to distribute effluent. An
as -built drawing is included.
The 45 -foot separation from the 1000 -gallon septic tank to the river is acceptable.
The OWS was 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 OWS.
Please call with questions.
Sincerely,
0
ALL SERVICE septic, LLC Reviewed By: "-!W Teo
U
eir
Timothy R. Petz Richard H. Petz, • '
I E 0
2 copies sent
Copy to Pitkin County Department of Health and Environment, Attn: Carla
AS BUILT DRAW
Z
i
Q 1000 GALLON,8EPTIC TANK
AND PUMP CHAMBER
Q
tl
533 SF OF C
TRENCHES
CHAMBERS
QUICK-4'Cl
1250 -GALLON SEPTIC TANK WITH EFFLUENT
FILTER _ _ .
SCALE /
1"=20'
NORTH /
29' SETBACK vuvL_Ixvn i 1 1 r it w ,
i
I
i
DONCRETE
ION BOX.
0357 CRYSTAL LANE / ALL "r._11No. 1075
Qr=P\/1(' F QFPTIC` _ \_— _
il AT 111EAL"."ITYDEPARTPITKINCOU"i-I
Box V Aspen, City 11al.1
Aspen, Colorado
925-2020
SyStCM T ocat. on
C c-, n t r a c t o r -OIL
e -&-
la -Aa ---
1. Construction °apJr'oval:
Plans and location are hereby approved.
irIC, TninUtes= Pere. ra-Ei LIP -S' In sq. feet Of
abscrption aree per beldroom.
o,. 'fee- -n-,ini-miu,i requir'.— fee -L- 06, 0
ment - I Su - A -W
01'
Dated
Inspec t or
2. Final approval of sys4 %. -, ei-il :
No SySt-er,L Ihall be be wilAu- h trle
s proved
Sewa,7c Disppsal 1,&",.--S the as Ic. sy a
Prior to any
811 Sep4-j-)ut- 7as se a I
Proper-naterials, aril assembl-
Adcauate absorpt-,Oln er-re,':i
Adequate concre-6e c-ovor (dry wells 0-Z-1!YY
Daf- c .
0 r
j c -I t r c o -I - -
ro u k*,!-. nc,,l C)i
L -
COLORAW DEPART iEN T OF LTH .
Water Pollution Control Til vision
4210 East 11th Avenue
Denver, Colorado 80220
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner) : a I —o. 7_e
i _ g/613
Mail Address: 2 [1X/eS City:L ARB dOAL4 Phone: 63-6(,7
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire -area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
Cit or Town e/ 1. Location of Facility: County I„ y S!
J PARCeL oFAA Wa 5' f!?v ficW-
Nff;Y.TeS
Legal Description N -a rsq-('_ _ysrLRiye COi _Lot Size: CIR _
2. Type of area and facility - Number of persons served:
Subdivision Motel Restaurant _ Trailer Court
Other:
3. Source of domestic water: Public (name): _ ---
A & b 7"
Private: Well Depth Other Depth to first ground water table 31
4. is facility within boundaries of City or Sanitation District:
If so name: /V Q —
5• Distance to nearest sewer system: N114 S
Have negotiations been attempted with owner to connect:
If rejected, give reason:
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:
7. Name, address and telephone of person who made soil absorption tests:
8. Name, address and telephone of person responsible for design of the system:
9. Est, bid opening date: Est. Com-pletion Date: _
M—_
Est. Project Cost:
Date,
S i bouir e of Cwner
LCLARATION OP COVENANTS 0
Page 2
L01
O,
IN EIITNESS WHEREOF, the undersigned owner(s)) has/have executed tom. Declaration of Covenants as of the _day Of
1
OVINER(S)--
STATE OF COLORADO _ ss.
AND COUNTY OF
The fo ego'ng Declaration of Covenants ase ecu ed before s
day of 19 by
as owner (s) .
Witness my hand and official seal.
hjy coTrmission expires:
My Commission eic fires must 2. .__
Notary Public
Approved this day of
19 This approval Subject to
withdrawal if the foregoing Decaration of Covenan4s is not recorded Within
sixty (60) days of this Approval.
COLORADO NATER POLLUTION CONTROL COMMISSION
By_. M —___ -_.
Technical Secretary
WP -30(1--71- l!D)
COLORADO DEPARTMENT ftI EAL! H
Water Pollution Contrc, Comrinission
4210 East 11th Avenue
Denver, Colorado 80220
DECLARATION OF COVENANTS
KNOW ALL MEN BY THESE PRESENTS, THAT:
WHEREAS, the COLORADO WATER POLLUTION CONTROL C0311YISSION HAS approved
the following described land te ito.4
to -wit: and State of Colorado,
escrT beeMire parr.e to be serveU by sepLAc tank)
as a location for a septic tank, as defined by the Colorado I -later Pollution Control
Act of 1966, as amended, for the treatment of domestic sewage on a temporary basis.
NOW, THEREFORE, in consideration of the approval .of the above described
land as a location for a septic tank, the undersigned, as the owners) of said land
does/do hereby declare that the .o1lov:im;g covenants shall be and constitute COVe—
nants running with said land:
1. When the Colorado Hater Pollution Control Co;mission de t:t ni nps that
a con nunity or municipal disposal system is available ana can pl-ovido service -i,o
the above described land, the septic tank located upon said land •Ill be abandoned
and wastes from the described lands will be carried to the available cc,n;mnuni ty ormunicipal disposal system and the owner of the above described land shall bear the
entire cost of constructing and installing any sewerage system necEssary to carry
such wastes to the available community or municipal disposal systems,.
2. If at any time hereafter, the septic: tank shall adversely affect the
quality of the waters of this State, the owner of the above described land shall
use such other sem,,age disposal system as will maintain the qual'i ty of the waters
of this State within the limits set by the applicable water quality standards
adopted, from time to time, by the Colorado hater Pollution Control Conviission.
3. This Declaration of Covenants shall be binding upon the undersigned'
and the heirs, personal representatives, successors and assigns of the undersigned.
Continued on reverse side)
APPROXILLA!2E SYSTE:I LOCIITIoid- ,Give di s ances in feet
Type of system applied for dimensions to be
filled in upon permit issuance.
E Septic & Bed
x
Septic &.Dry Well(s)
1 Gravel
Cender Block
r. .; . - _-__; 2" GravelSeptic , . __.._- .+ Septic_
lj 3
clean out
gal.
r,_ _..
r,..
Concrete cov
In Top Soil
4" Straw
To Septic -r. 6"1" Gravel 'c;
4" Gravel L` : `T• ,
Septic & Mechanical -t- _
Dimensions
Sept; c f ..
Bed
Dry 14el_l
N or da C
de th - -- .._.._.._, __ _-'._-a Holding pondp '
Chlorinated dis.
i
ti.,',
Septic T nk
See Page 16 ofSewage Disposal Systen.s
Sealed Holding `-y Pit Privy
ASPEN06PITKIN
ENVIRONMENTAL HEALTH D PARfT-MENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. _ CO'3
TYPE OF PERMIT:
Initial Construction ( )Emergency Use ( )Repair Work,(Pievious Permit 1 .) ( )Alteration of an existing system,
or installation (Previous Permit 1 .)
XUse Permit as a result of Sala
ISSUED TO:
Mailing
Address
Agent_
Mailing
Address
Others
DATE OF ISSUE 1'20 _
q jE
Home Phone263Business Phone
OAL
Phone
Sewage Disposal System Work to be performed by.!A
This permit valid only for premises location by tho following legal deucrip ions OTS
n rLOTSItE ±. fIC£ i , WATER SUPPLY-'`LLC 3S DC P AVERAGE PERCOLATION RATr. A
This Individual Sewage Disposal Permit is granted with regard to the following use:
Auaber oft nodicoms _ Lofts Garbage Disposals_- Dishwashers_ Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: -
Type of Tank or Treatment Units/4--m"') RAAJ-r RISnu6 Tank. Capacity Zf C. l ` Callon
Act -hod of Final DisposalsE-PA6E Pt—E-0 Absorptiop Area /00-0 Square Feet
Description (including brand name, if any) of other equipment or appurtnancess
Other Condition
6-
Speciticationss r FJ M1 PSGUEO /N 0,0N,0Z A1L7C7-10TH o)C-67?L _,2 OF
THE 1 17KllJ CUCJNTy yvdl vl DuALEw/lCCL!ZAT1 DNS SEE EVECSF
I) - L' OAJSI7C AASFtuLATEi-SYSi .
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: WA '
fore Excavation ( )Upon completion of excavation and prior to placement of gravel ( )Before covering distribution
system of absorption field
Prior to backfill of any component ( )Other, Specifyt _
Plans and specifications of the proposed sewage disposal syntem have been reviewed and are considered satisfactory. Perminsion
is hereby granted to the• owner or his agent to parform the work indicated above in accordance with the Pitkin County Individual
Sewalc Disposal Re-iulations in effect on the date of issue. In addition to general provisions act forth on the reverse hereof,
this Permit is subject to the following additional terns and GonditionstNpN C-- ,
APPROVED FOR ISSUE BY /ii (title) l:iytjTy 1 TA,j /J
The above individual sewage disposal system installed by I! 1
hos been in:tpected for use by a representative of the Aspen 1'ttkin L•nvlronmenta .Ilea I th ncpartinent. The uwnur aysumos a ll
seaponsibility in case of failure or inadequacy of this sewage disposal system. Complete as -built drawing attached.
DATE OF FINAL INSPECTION 7--7 7U• /gCjNSP c71o 13` R/U
BY: ' L- (IXWLA-f ) TITLE
130 South Galena Street Aspen, Colorado 81611 303/925-2020
3- 2.6 A use permit shall be required whenever any person, pursuant toahousingloan, requests an investigation by the Department -for an
existing individual sewage disposal system. Application for the use
permit shall be made to the Department and shall be accepted and
processed upon receipt of a use permit fee of twenty-five dollars ($25.00). Any permit issued pursuant to the application shall remain valid until the
property is sold or otherwise altered from domestic use or until the
sewage disposal system fails to operate in an approved manner. Final
inspection, approval of the construction permit shall be considered theinitialusepermit. There shall be no additional fee for the use of a newlyconstructedorremodeledsystem. Nouse permit shall be issued to anypersonwhenevertheDepartment's investigation reveals any violation ofthis regulation or any state law or regulation pertaining to water pollu- tion or individual sewage disposal system regulations.
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832‐R‐13‐002
WE APPRECIATE YOUR BUSINESS!
Altitude Septic
PO Box 1534
Eagle, CO 81631 US
(970) 471-0913
altitudeseptic@gmail.com
Invoice 2289
BILL TO
Carla
357 Crystal Lane
Carbondale, CO 81623
DATE
07/26/2019
PLEASE PAY
$1,335.00
DUE DATE
08/05/2019
DATE ACTIVITY DESCRIPTION QTY RATE AMOUNT
07/26/2019 Video Video 1 300.00 300.00
07/26/2019 26 Pumping Pump Fee 2,250 0.26 585.00
07/26/2019 Septic Dump Revenue
WGS
Dump Fee WGS Sanitation 2,250 0.20 450.00
TOTAL DUE $1,335.00
THANK YOU.
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