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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 #: 2643-341-01-001
OWTS Use Permit #: 0087.2017.POWU
Date Issued: 12/27/2017
Issued By: Bryan Daugherty
Expiration Date: 12/27/2018
Owner(s): John and Linda Wells
Property Address: 804 Seven Oaks Road
Legal Description: Lot 1, Seven Oaks Subdivision
Licensed Inspector: Carla Ostberg
Inspection Date(s): 12/8/17
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Concrete two-compartment septic
tank
1250 gallons
Secondary Treatment Unit
Absorption Area Gravel and pipe bed 18’x 40’ (525 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 #: 80001 Date of Issuance: 2/25/80 Date of Final Approval: 5/13/80
# of Bedrooms or fixtures served by OWTS: This system was designed for 3 bedrooms.
Operational Status: According to the inspectors observation the system was functioning as designed at the time of
inspection. The tank appeared in watertight condition. The field area did not show any signs of failure such as surfacing
effluent.
Inspector Recommendations: Inspector recommends jetting cast iron line in and out of the tank.
Department Recommendations: 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 overuse and possible
failure.
Residences:
# of Bedrooms:
Other
fixtures/uses:
*Contact information must be provided for the owner signing this application.
Please allow 3-5 business days for processing of Use Permits.
FOR OFFICE USE ONLY
Business Phone:
Email Address:Fax Number:
Cell Phone:
Business Phone:
Property Owner(s)*:
Owner's Mailing Address:
Contact/Applicant Mailing Address:
Primary Contact Person/Applicant (if not owner):
Home Phone:
Company:
City, State, Zip:
Date:
Date:
City, State, Zip:
Phone Number:Email Address:Fax Number:
Applicant Signature:
Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
Application for Continued Use of an Existing OWTS
Purpose of Use Permit:
- - -
Mailing Address:
Licensed Systems Inspector:
Property Address:
Parcel ID# (available from the Pitkin County Assessor's Office
970-920-5160 or at www.pitkinassessor.org):
76 Service Center Rd
Aspen, CO 81611
Website: www.aspenpitkin.com/ehnr/
Received by EH Staff:Fee & Receipt #:Date:
Owner Signature (Required):
Email Address:
City, State, Zip:
Lot: Block: Filing: Subdivision:
PLEASE READ BEFORE SIGNING:
I 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 I am issued if my application is found to contain any
inaccurate, false, or misleading information.
PROPERTY TRANSACTION REMODEL/
Carla Ostberg Digitally signed by Carla Ostberg
Date: 2017.12.25 08:41:02 -07'00'
804 Seven Oaks Road
2643 341 01 001
1 Seven Oaks Subdivision
3
John and Linda Wells jcwenowshoe@aol.com
PO Box 1399
970-704-2279
Carbondale 81623CO
970-309-5259Carla Ostberg
carla.ostberg@gmail.com
carla.ostberg@gmail.com
33 Four Wheel Drive Road Carbondale CO 81623
12/26/2017John Wells
12/25/2017
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
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg@gmail.com
December 26, 2017
John Wells
jcwsnowshoe@aol.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
804 Seven Oaks Road
Pitkin County, Colorado
John,
As requested, CBO Inc. performed an Onsite W astewater Treatment System (OWTS) Use Permit
inspection at 804 Seven Oaks Road, Carbondale, Colorado on December 8, 2017. The legal description
of the 1.0-acre property is Lot 1 (aka Tract 1), Seven Oaks Subdivision.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2463-341-01-001). The subject OWTS consists of one 1250-gallon, two-compartment concrete
septic tank (fabricated on site). Effluent gravity flows to an 18’ x 40’ pipe and gravel soil treatment area
(STA). Pitkin County Health Department Permit Number 80001 documents this system. The system
was sized to accommodate 3 bedrooms. The permit received final approval on April 2, 1981.
The septic tank is located to the west of the residence. We did not observe any cleanouts on between
the house and the septic tank. The septic tank was fabricated on site when the property was developed,
resulting in lids that are not a typical size and shape. We required new risers and lids be installed for
better access and safety. The new risers and lids were installed after our inspection (photos below).
Both inlet and outlet tees were present at the time of our inspection. The outlet tee is a 3-inch diameter
sweeping tee. The septic tank was pumped by B&R Septic at the time of our inspection. There was a
slight backflow of sludge from the outlet pipe during pumping, which may indicate an accumulation of
sludge in the sewer line causing the septic tank to drain more slowly. The sweeping tee and/or
accumulation of sludge in the sewer line may be contributing to the appearance of the slightly high liquid
level condition in the septic tank. Additionally, it is noted on the sketch of the OWTS that the pipe
entering and existing the septic tank is cast iron for 5-feet on either side. Cast iron is prone to clogging
and deterioration. We recommend jetting the lines from the house to the septic tank and from the septic
tank to the STA.
We typically recommend adding an effluent filter on the outlet tee of the septic tank. Given that this pipe
is 3-inches in diameter, installation of an effluent filter on the existing tee is not practical.
Effluent from the septic tank gravity flows to an 18’ x 40’ pipe and gravel STA. We believe the STA to be
located in the flat area of the road and shed below the septic tank. Ideally, the area over the STA would
be covered with native grasses. We did not observe any inspection ports in the STA at the time of our
inspection and therefore there is no way to gauge the condition of the STA. Drawings indicate the
effluent line from the septic tank entering the approximate middle of the STA and 2 layers of 12 mil
visqueen on the lower side of the STA to 5-feet below grade. We walked the approximate 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:
• Jet sewer lines from house to tank and tank to STA. A portion of both sewer lines is cast iron.
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: http://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,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 11044ITC Exp. April 2018
View of septic tank access
Septic tank lids under plywood
Approximate area of STA
We believe STA is located partially under shed
Inlet side of septic tank Outlet side of septic tank
Mid tank baffle Pumping by B&R Septic
Pumping (inlet side Outlet side of tank
Mid tank baffle opening
Outlet tee has been repaired with sweeping tee (note tee at bottom of tank)
Risers added to septic tank
2463 - 341 - DI --00
PITKIN COUNTY HEALTH DEPARTMENT
PEPnJIIT NUMBER S I RECEIPT NUMBER 22002,
Owner Phoner /°S/Phoone No. -13<
Owner's Mailing Address 1JC X 9-57 /f2 olunk-A'/F el ell, I
Contractor ^ E/Z Phone No.
Address y
System's Contractor's Name
Address
ry / //
Legal Description # Sell-eN L/ 1!2 S Sv,b
Lot Size— Type of Building by Useev wB wy
Number of Bedrooms Type of Water Supply
Owner's Signature Date
PLOT PLAN: ATTACHED AS REQUIRED
a********************************a*Nx****xx*x******x***********xxx x******xx******x*
Type of Individual Sewage Disposal System
T,_ _ .
Type of Soil or Soil Classification/-Sye-+ LIzv "%'2i
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Proximal Location of Bedrock z of IV r^ e &I
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Proximal Location of Ground Water Table AJ6 l (t,c.,,,_GX/
W"l -
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N***a*******x*****x*****************x*xx***N*******x******x*a*a*NNxxN*#axxx N#a#*
Percolation Test Date 5--1 3 o Minutes Per Inch
Minimum Recommended Absorption System Size 5-2 , /" • Er
Minimum Recommended Tank Size lODD HZ L O/L/
Special Copditions of Issue:
NOTICE
When properly signed for issuance, this application
becomes your permit. Application valid one year from
data. If an individual sewage disposal permit is issued
for property on which no building permit hes been
issued, the individual sewage disposal permit shall
expire 770 days after ite Issuance If construction hes
not been commenced. Any change in plans or specl-
fications after the permit has been Issued invalidates
the permit, unless approval is secured from the Health
Officer for such changes.
Approved for Issuance By Date
NNNxN*#NNNN#***eN*NNN***N****N*xi***x*NN*#NxN #xx*
FINAL INSPECTION APPROVAL 4'pate X- V
Drawing of System
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field
T2Z,-?4",--
Data Sheet on Percolation Test
PROPERTY OWNER
r -
o- PHONE
MAILING ADDRESS
LEGAL DESCRIPTION F PROPE
107- l
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" minimum)
Diameter of Test Holes
Water remaining after 8 hour soak
0 30 3z
TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3
37 C
Drop Time
37 L
Drop Time Drop
3 7 `-
Time
rs $ Z I 5i
r 17 4< Svc _
0 Z l 1 V 3 Z>
Percolation Rate Each Hole
Average Rate LL
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