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HomeMy WebLinkAboutPitkin.EH.246514102001 (2017)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 #: 2465-141-02-001 OWTS Use Permit #: 0079.2017.POWU Date Issued: 11/22/17 Issued By: Kurt Dahl Expiration Date: 11/22/18 Owner(s): Ray and Nancy Paschal Property Address: 29 Plum St Legal Description: Lot 1 Orchard Estates Licensed Inspector: Carla Ostberg Inspection Date(s): 11/08/2017 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete two compartment septic tank w/ effluent filter 1250 gallons Secondary Treatment Unit Absorption Area (2) Rock and Pipe soil treatment beds 10’ X 50’ and 12’ x 52’ 1124 ft2 total Other System Components Bull Run Valve 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 #: 92010 Date of Issuance: 05/11/1992 Date of Final Approval: 05/14/1992 # of Bedrooms or fixtures served by OWTS: Four Bedrooms. However, the system was designed to serve three bedrooms. This bedroom discrepancy shall be addressed when the house is remodeled or the septic system repaired/amended. Operational Status: The inspector indicates the system is not in failure and appears to be functioning properly at the time of inspection. Inspector Recommendations: Clean effluent filter annually 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. Pitkin County Environmental Health Department f I' K ll N Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION Co UNTO, 76 Service Center Rd << '> Aspen, CO 81611 http://pitkincounty. com1248NVa stewater-Treatment Application for Continued Use of an Existing OWTS Parcel ID# (available from the Pitkin County Assessor's Office 2645 141 02 001 970-920-5160orat http://pitkinassessor.org/assessor/search.asp Purpose of Use Permit: PROPERTY TRANSACTION REMODEL/ Property Address: 29 Plum Street Lot: Block: Filing: Subdivision: 1 Orchard Estates Residences: Other # of Bedrooms: 4 fixturesluses: Property Owner(s)': Ray and Nancy Paschal Email Address: rfpaschal@yahoo.com Owner's Mailing Address: City, State, Zip: Home Phone: Business Phone: 'Contact information must be provided for the owner signing this application. Primary Contact Person/Applicant (if not owner): Jared Walters Company: Contact/Applicant Mailing Address: City, State, Zip: Cell Phone: (970) 456-3395 Business Phone: Fax Number. Email Address: ljcwalters7@gmail.com Indicate Preferred Method of Payment Check I ■ Credit/Debit Cash Licensed Systems Inspector. Phone Number: Email Address: Fax Number. Carla Ostberg (970) 309-5259 jcwalters7@gmail.com Mailing Address: Ci State Zip: 33 Four Wheel Drive Road lCarbondale IGO 181623 PLEASE READ BEFORE SIGNING: I certify that the above inforrnatlon 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. A Owner Signature (Required): 1 112&&& /3" kip I Date:I I Applicant Signature: aria OS erg Digitally signed by Carla Ostberg Date: 11/10/17 Date: 2017.11.10 18:15:22 -07'00' Please allow 3-5 business days for processing of Use Permits. Save Fcrm Clear Form Pt �tlFom`�� FQ bF9(QEUSE0k4X___ Received by EH Staff: Fee & Receipt #: Date: Effective Date 1/12/2017 Case: 17-11660-MER Doc#:6 Filed:03/05/17 Entered:03/05/17 16:26:17 Pagel of 3 Debtor 1 Nancy G. Paschal Debtor 2 (Spouse, if fling) First Name Middle Name Last Name Ray F. Paschal First Name Middle Name Last Name United States Bankruptcy Court District of Colorado Case number: 17-11660-MER Social Security number or ITIN xxx-xx-5155 EIN 20-2657139 Social Security number or ITIN xxx-xx-6927 EIN 20-2657139 Date case filed for chapter 7 3/5117 Official Form 309A (For Individuals or Joint Debtors) Notice of Chapter 7 Bankruptcy Case -- No Proof of Claim Deadline 12/15 For the debtors listed above, a case has been filed under chapter 7 of the Bankruptcy Code. An order for relief has been entered. This notice has important information about the case for creditors, debtors, and trustees, including information about the meeting of creditors and deadlines. Read both pages carefully. The filing of the case imposed an automatic stay against most collection activities. This means that creditors generally may not take action to collect debts from the debtors or the debtors' property. For example, while the stay is in effect, creditors cannot sue, garnish wages, assert a deficiency, repossess property, or otherwise try to collect from the debtors. Creditors cannot demand repayment from debtors by mail, phone, or otherwise. Creditors who violate the stay can be required to pay actual and punitive damages and attorney's fees. Under certain circumstances, the stay may be limited to 30 days or not exist at all, although debtors can ask the court to extend or impose a stay. The debtors are seeking a discharge. Creditors who assert that the debtors are not entitled to a discharge of any debts or who want to have a particular debt excepted from discharge may be required to file a complaint in the bankruptcy clerk's office within the deadlines specified in this notice. (See line 9 for more information.) To protect your rights, consult an attorney. All documents filed in the case may be inspected at the bankruptcy clerk's office at the address listed below or through PACER (Public Access to Court Electronic Records at www. ap cer.goy). The staff of the bankruptcy clerk's office cannot give legal advice. To help creditors correctly identify debtors, debtors submit full Social Security or Individual Taxpayer Identification Numbers, which may appear on a version of this notice. However, the full numbers must not appear on any document filed with the court. Do not file this notice with any proof of claim or other filing in the case. Do not include more than the last four digits of a Social Security or Individual Taxpayer Identification Number In any document, including attachments, that you file with the court. About Debtor 1: About Debtor 2: . 1. Debtor's full name Nancy G. Paschal Ray F. Paschal 2. All other names used in the dba Caldera Construction, Inc, dba Paschal Designs dba Caldera Construction, Inc, dba Paschal last 8 years Designs 3. Address 29 Palm Street 29 Palm Street Basalt, CO 81621 Basalt, CO 81621 4. Debtor's attorney John D. LaSalle Contact phone 970-925-6633 Name and address 166 Juniper Trail Carbonale, CO 81623 5. Bankruptcy trustee Jared Walters Contact phone 970-456-3395 Name and address PO Box 804 Eagle, CO 81631 For more Information, sea page 2 > Official Form 309A (For Individuals or Joint Debtors) Notice of Chapter 7 Bankruptcy Case -- No Proof of Claim Deadline COB#769 b309a 7cna page 1 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 November 10, 2017 Jared Walters jcwalters7@gmail.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 29 Plum Street Pitkin County, Colorado Jared, As requested, CBO Inc. performed an Onsite W astewater Treatment System (OWTS) Use Permit inspection at 29 Plum Street, Basalt, Colorado on November 8, 2017. The legal description of the 1.0- acre property is Lot 1, Orchard Estates. The permit and record drawing were provided by Pitkin County Environmental Health Department (Parcel ID #2465-141-02-001). The subject OWTS consists of one 1250-gallon, two-compartment concrete septic tank. Effluent gravity flows to a 10’ x 50’ pipe and gravel soil treatment area (STA) that runs north to south and an additional 12’ x 52’ pipe and gravel STA that runs east and west, connected by a Bull Run Valve. The system was sized to accommodate 3 bedrooms. The permit received final approval on May 14, 1992. This permit was a repair to the original OWTS documented as Permit Number 720098. The septic tank is located to the north of the residence. A clean out is located between the house and the septic tank. The lids to the septic tank were accessible from grade at the time of our inspection. The property owner reported work was done on the sewer line between the house and the septic tank by Colorado Excavating. The original line may have been cast iron given the age of the original system from 1972. Both an inlet tee and outlet tee were present in the septic tank. An effluent filter was installed on the outlet tee of the septic tank. This filter must be cleaned annually, or as needed. The levels in the septic tank were normal at the time of our inspection. The septic tank was pumped after our inspection by Altitude Septic. Effluent gravity flows to a Bull Run Valve that is accessible from grade and has a tool for rotation. We recommend rotating the STAs annually and keeping a record of the rotation. We walked the approximate area of the STAs and no inspection ports were present, so we do not know the exact location of either STA. There was no evidence of surface saturation or failure over either STA at the time of our inspection. This evaluation is not a guarantee of future system performance. This inspection is good for one year. Recommendations: • Clean effluent filter annually, or as needed. • Rotate STAs annually and keep a record of the rotation. 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 Clean out near foundation View of septic tank lids and valve Valve inside valve (inlet and outlets clearly labeled) Inlet tee Outlet tee with effluent filter View of approximate STAs 29 Plum Street ra .. ' loll r y: P ; t7 ,� �•��, Ar VOW 1 �j Legend 29 Plum St %- wo .or J • 1 yl - va -00 ASPEN+PITKIN ENVIRL,NMENTAL HEALTH DEPAR-a sVIENT INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. q 2 I� TYPE OF PERMIT: �/ ( )Initial Construction ( )Emergancy Use W Repair Work,(Piavioua Permit 1�.3 ( i7[lterat[on of an existing system, or installation / � (Previous Permit 1 } ( )Lire Permit as a result of Sala ( )Othori ISSUED TO: DATE OF ISSUE. Owner- /c Home Phone r 0d Business Phone ?2Q r'2-0O Mailing Address Agent N Phone Mailing Address Sewage Disposal System Work to be performed by This permit valid only for premises location by the following iegal deveriptiont / / I 0R( ��i✓ {{% r �r + - LOT SIZE c2[ N71'1" s,PPL, ,, - dQj V 1 SI�rIJafL•C AVERAr.E PERcoLATIo4 Mi£ �" �/+ 1-5 This Individual Sewage Disposal Permit is granted with regard to the following uses J s tr "''�-C Nwabcr oft Dodreoms 3 Lofts O Garbage Disposals / Dishwashers�L Clothes Hashars CALCULATED AVERAGE DAILY BASTE LOAD q 5 0 GALLONS. THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT: tpe of Tank or Treatment Units J �� lq�K ` I- rrAJC� Tarkcapacity _Gallon ` :t.had of Final Disposals Absorptioq- hrea �lQd Square Feet Minimum W/ � i4 LT�i�'/��Tl C,c _scription (including brand na", if any) of other cquipsrent or appurtnanteas :trier Conditions or Spceificationss ,/ SSE t3��S G�l�fl %� %�i fir�fUC' i%�L170 I-OAD a--1 1 r STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT: ( )Eiefore Excavation ( )Upon cor..pletion of excavation and prior to plstement of gravel X aef t:e covystem f ering disc fiid ibuti n (Prior to backfill of any component [ )Other, Specifyi _ Plans and specifications or the proposed sewage disposal system have been reviewed end are considered satisfactory. Pernission ins hereby granted to tte, owner or his agent to pertnrr+ the work indicated above in accordance with the Pitkin County Individual. Sewa;a Disposal Re-ntlations in cff�ct on the date of issue. In addition to general provisions set north an the reverse hcr•-of, this Permit it sutject to the following additional terns and conditions: _ Aspen/Pitkin I_nvironmentn[ APPROVED FOR ISSUE BY -t' (title} Health Officer The alrnve in:Sividual sevarya disposal syntea installed by S.T. Chas been ia:-apected !or use by A reprrsenLative of the A51:en Pit in 'nvironr nia }iCa th Dcp.srtfne,tt. Th.! u�nur ss�urwa ail rvs(sonslbility in case of failure or inadequacy of ties scwat)c disposal system. Completa as -built Graving attached. DATE 0" FINAL I 3 P T N J' 2-- Aspen/Pitkin Environmental BY TITLE Health Officer 1) 130 South Galenrj Street Aspen, Colorado 61611 303/980-5070 ASPEN#PITKIN ENVIRONMENTAL HEALTH DEPARTMENT APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT -1�6 6o Name of OWNER r_1,eeG�'i6.'PHONE q�7-39d� Cx Address of OWNER J ,¢s�E�. Lip , ?Z6 /� -- Name of APPLICANT S4M,�5 PHONE fERMXT YO 8£t DoPicked Up I )Mailed tot TYPE OF P£RMITs ( )New installation ( )Repair ( )Owner ( )Applicant [ )Emergency use ( )Alteration NOT due to failure torATION OF PROPOSED SYSTEMS Legal Description Subdivision Size of Lot acres SAt Block Tiling IYPE'CF STRUCTURE: O Single Family Dwelling ( )Others Do you plan any further additions to the residence9 ( )YES M NO to. of bedrooms_ No. of Lofts No. of Garbage Disposals �._ )to: of Automatic Dishwashers Ito. of Automatic Clothes Washers i RATER SUPPLYS GfiMM , ( )Private wall, Depth 16v / + ov ( TPublic, Name of System j )Spring ( )Stream or Creek TYPPS OF INDIVIDUAL SENATE DISPOSAL SYSTEM PROPOSt:Di Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )!Sound (')Recycling. potable use ( )Recycling, other use ( )Vault Privy ( )other% The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020. 0:30-9:30 a.m.) before a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtainod. rIttAL INSPECTION APPROVAL MUST HE GIVEN BY THE ASPEN/PITKIH ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO 13ACKPII. ING ANY PORTION OF THE SYSTEM. Application for an individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information Is true and that false information will invalidate the application and any subsequent permit. Signature of Applicant _ ,c DATE / �— MISS application becomes. invalid 12 months from the above date.) NOTE: PLOT PLAN must be filed with this application. Please locate the following items by measured distances: 1. Property lines and dimensions. 2. Proposed and existing water wells on subject property and adjacent property. 3. Domestic water service lines. 4. Proposed and existing buildings, driveways, and other structures. S. Streams, lakes, ponds, irrigation ditches, and other water courses. 6. Proposed and existing individual sewage systems on subject property. , SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO BE CHANGED FROM ORIGINAL PLAN.- -the undersigned hereby acknowledges receipt of this individual sewage disposal permit application and a pe rini£t /iy+p�in the amour. of S 0 S Cr_ Receipt Number Date Fee Received 5 _ l7'" 9 � by Administrative Officer 13o south Galena Street Aspen, Colorado 81611 303/9e0-607G To u1r�T �a2 NavSE Li 49 m50 d-A ZLCA r VAa? gepA I P., C6lVa,QETC- SEPTIC 'TANk. (ADp)'/oNA L �11,4L1/EOED or- 20' !-:Nze MD VALVC To PLO PCP`Ty tI�JE to PERMIT NUMBER Owner Chuck Vermayen 0 TKIN COUNTY HEALTH DEPARTMENT 2 RECEIPT NUMBER Owner's Mailing Address Box 724 Basalt, Co. 81621 Contractor owner Address Systems Contractor's Name owner Address Legal Description Lot 1 Unit One Orchard Estates Emma Co. Lot Size 267f t. x 162f t. Number of Bedrooms 3 Type of Individual Sewage Disposal System Phone # 927 3065 Phone # Type of Building by Use Single Family Residence Type of Water Supply Subdivision well Septic — Se-EPAGc &D Type of Soil or Soil Classification River bed (CLAY LOAM --o L'088LZS To STAND * GPRJEL) Proximal Location of Bedrock 120 ft. Proximal Location of Ground Water Table 50 ft. Owner's Signature Date Oct. 30, 1975 PLOT PLAN: -YO r w L �-,i Percolation Test Data Minutes per inch Minimum, Recommended Absor�tion System Size �/�S .FT /0 50�SEEPACC N EC -* 1 D BE INSTALLED C ,TN E�CO LFVEL AWjP SU Cc o. CkceyVD Minimum Recommended Tank Size 000 6Aami5 — 7-L1J0 d,4/gP1W7MCNTS 4.1 Permit application valid one year from Date. Application to beco permit and final only after lower portion is completed and signed by the Sanitarian. RETAIN THIS FORM AT THE CONSTRUCITON SITE. Date Sanitarian (D awing of system on back) Ll r� . _ r O C61VO CTE �SC PTIO- — AAik- O s 4 PITKIN COUNTY ENVIRONMENTAL HEALTH Feld Test Data Sheet on Percolation Test PROPERTY 01474ER PHONE MAILING ADDRESS LEGAL DESCRIPTION OF FROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Vest Hole Depths (21+" minimum) Diameter of Test Holes Water Remaining after 24 hour soak — ■ 1 MAN Percolation Rate Each Hole A-verage Rate Comments .+3>GNAT RE 4- �4z yI r 832‐R‐13‐002 �Cc'k e: 4"-- 4ci I Legal Description: Lot Orchard Estates Unit One;, P it ki n..; �'du n-ty'' 'C 0 16 d ra o...., A_ I hereby certify that on P,46 0'\ Zae parcel of land described hereon.f 2 1 j . 7 R survey was perf ormed by me on the 'A , - ; WO _story'frame house was found to be on said parcel asshown on this plat. All easements, enccca,chments and rights-cf-Way in evidence or known to me are shown. This survey is true and correct to the best ofy By: ,7,kk:J4 - S � 141 j I Cr tA 3y: L IN, SPACZE. - xt'j; 5e'j �112_sjzoo? SYDNEY LINC100ME (L. S 14111) 3 fr571_310c'� BOX 121 CARBONDALE COLD. gra3 7 se 1999 SCALE47 A44 El 44 _