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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 #: 2643-263-04-001
OWTS Use Permit #: 0002.2018.POWU
Date Issued: 5/1/18
Issued By: Bryan Daugherty
Expiration Date: 5/1/19
Owner(s): Mark and Linda Allen
Property Address: 670 Johnson Dr
Legal Description:
Licensed Inspector: Carla Ostberg
Inspection Date(s): 12/19/17, 12/28/17, 1/4/18 & 1/5/18
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Two-compartment plastic tank 1250 gallons
Secondary Treatment Unit
Absorption Area 2 dry wells 1340 ft2
Other System Components Pump chamber 500 gallons
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 #: 89031 Date of Issuance: 6/20/89 Date of Final Approval: 7/6/89
# of Bedrooms or fixtures served by OWTS: This system was designed for 4 bedrooms total
Operational Status: After repairs were made to add risers to the tank and replace the distribution box which was not
deep enough the system appeared to functioning as designed. The tank is partially collapsed on one side but is still in
watertight condition with the baffle in place. The inlet tee was replaced during the inspection. The distribution box is
accessible from grade after replacement and evenly flowed to the 2 dry wells. The dry wells did not show any signs of
surfacing effluent.
Inspector Recommendations: Monitor condition of septic tank and continue maintenance.
Department Recommendations: N/A
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: 2018.01.12 17:55:26 -07'00'
670 Johnson Drive
2643 263 04 001
R67 Starwood Ten, Starwood
3
Mark and Linda Allen
1969 Shore Oak Drive Decatur 62521IL
970-309-5259Carla Ostberg
carla.ostberg@gmail.com
carla.ostberg@gmail.com
33 Four Wheel Drive Road Carbondale CO 81623
01/12/2018
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Mark R. Allen 01/12/2018
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
January 7, 2018
Scott Bayens
Scott.bayens@sir.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
670 Johnson Drive
Pitkin County, Colorado
Scott,
As requested, CBO Inc. performed an Onsite W astewater Treatment System (OWTS) Use Permit
inspection at 670 Johnson Drive, Aspen, Colorado on December 19 & 28, 2017 and January 4 & 5, 2018.
The legal description of the 5.0-acre property is Lot R-67, Starwood Ten, Starwood Subdivision.
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2643-263-04-001). The subject OWTS consists of one 1250-gallon, two-compartment Norwesco®
poly septic tank. Effluent gravity flows to a distribution box and then to two separate drywells (or
seepage pits), described as 15’ x 15’ x 10’ deep below the inlet (five 2-foot high riser rings. Individual
Sewage Disposal System Permit 89031 documents this system. The system was sized to
accommodate 4 bedrooms. The permit received final approval on July 6, 1989.
The septic tank is located west of the residence. There are clean outs located on the west side of the
house and another on the south side of the house. The lid on the southern clean out is cracked and may
be a source of odor. If so, this lid may be replaced. At the time of our first inspection, there was only
access to the septic tank via a 6-inch diameter pipe. The septic tank is a Norwesco® poly septic tank
with only one manhole access on the top of the septic tank. Given the depth of burial (approximately 4-
feet) we were unable to view the condition of the septic tank and excavation was required.
On December 28, 2017, the septic tank access was excavated by Tonka Excavation. At that time, we
were able to view both the inlet and outlet sides of the septic tank, mid-tank baffle, and there was proper
access for pumping. The septic tank was pumped by B&R Septic during this visit. We were able to see
a partial collapse of the top of the septic tank; however, the rest of the tank was in good condition. The
area of the collapse did not affect the ability of the septic tank to hold effluent at the time of our
inspection. The baffle has been affected by the collapsed portion, but the tank is still able to separate
solids/liquids in the septic tank.
Tonka Excavation installed an inlet tee on the septic tank and added new, approximate 18-inch diameter
risers to allow proper access for future monitoring and maintenance. They also excavated to the existing
distribution box. We discovered that there was insufficient fall from the septic tank to the distribution box.
The distribution box was set lower and replaced with a new, concrete box with a baffle. Flow equalizers
were installed on the two outlets exiting the distribution box. Risers were added to the distribution box to
bring access to grade. Proper fall was also verified from the distribution box to the two drywells (seepage
pits).
There was no access to the drywells (seepage pits) from grade. While repairing the distribution box
elevation, Tonka Excavation did encounter the gravel in the southern-most drywell (seepage pit). There
was no sign of saturation or effluent present in the gravel encountered. We also walked the approximate
area of both drywells (seepage pits) at the time of our inspections and found no evidence of surface
saturation or failure. This evaluation is not a guarantee of future system performance. This inspection is
good for one year.
Repair Summary:
• Installed inlet tee.
• Pumped septic tank.
• Six-inch access was replaced by approx. 18-inch diameter risers to allow access for monitoring
and maintenance.
• Distribution box replaced and set lower than original to get proper fall from tank to distribution box
and distribution box to drywells (seepage pits).
Recommendations:
• Replace cap on south clean out near residence.
• Monitor condition of septic tank during routine pumping and maintenance.
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
December 19, 2017
Clean outs on west side of house clean out on south side of house (cracked)
View of access to septic tank (6-inch capped pipe)
Camera of inlet pipe (missing tee)
December 28, 2017 (access to septic tank, distribution box, and pumping)
Access to septic tank
Photo of baffle (note separation of solids) also note partial collapse on top/side of tank
Baffle Inlet pipe
Collapsed portion of tank
Inlet pipe Outlet tee before pumping (tank overfull indicating
improper flow out of tank)
Note line on tee once pumping began tank empty
Inlet pipe w/ tank empty mid tank baffle
Side wall of tank liquid level too high (should have been where arrow indicates)
Slightly over-full condition of liquid in the septic tank due to improper fall from tank to distribution box,
which was repaired.
Inside of tank note baffle bent slightly where top of tank collapsed
Distribution box
Inside existing d-box (liquid level appears low)
January 4 & 5, 2018 (repairs)
View of line out of tank dbox view of new dbox and tank
New dbox plumbed to existing drywells (seepage pits)
Old dbox removed all Fernco fittings removed (all new fittings glued)
Backfill after repairs
Septic tank lid septic tank access / dbox access
670 Jo h nson Drive Legend
80 ft
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ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT N0. 5
TYPE OF PERMIT:
Initial Construction ( )Emergency Use ( )Repair Work,(Pievious Permit ! ) ( )Alteration of an existing system,
or installation (Previous Permit ! )
Use Permit as a result of Sale ( )Other: /
ISSUED TO: DATE OF ISSUE
A ;
0lcner2jokoHAYA Home Phone
Mailing d : J /
Address I (L APE-Al.
Agen t--
Ma i l.in g
Address
Business Phone
Phone 012-0 OZ
Sewage Disposal System Work to be performed by
Thin permit valoid only for premises location by the following le(
l,?
I descriptions b 0J
LO'I S I 45- C'ES WATER SUPPLYStAe +tef)csCS91,91 l/rS%O/AVERAc;E PERCOLATION RATE
This Individual Sewaye Disposal Permit is granted with regard to the following use: (II L L%f PrA)Ci
N,xabcr of: Dodreoms Lofts [' Garbage Disposals_ / Dishwashers Clothes Washers
CALCULATED AVERAGE DAILY WASTE LOAD ( , GALLONS.
THE '_ATUi:E OF THE SYSTEM INCLUDED UNDER THIS PER1IT:
Typ•:! of Tar.k or Treatment Units / /A O Sank Capacity ' _Callon Minimua
Method of Final Disposaiz 6C Y,T Absorptiop AreaSquare Feet Mininum
Ocscrlption (including brand name, if any) of other equipment or appurtnaneeat
I Tom, &70 SQ FT E, -A2 H; % 16 X 1012-DEE
Other Conditions or Specificationat C J G / 1,cc 7/0AJ %W6 1-
7—
D AJ &V6eSC
STAGES REQUIRING I_1SPECTION BY THE HEALTH DEPAR'TNENT: /A['
I )11•forc Excavation Upon completion of excavation and prior to placement of gravel i/11Before covering distribution
System of absorption field
Prior to backfill of any component ( )Other, Specify:
Plans and specifications of the proposed sewage disposal system have been reviewed and are considered satisfactory. Permission
iw hcrcl.y granted to tl:c owner or his agent to porform the work indicated above in accordance with the Pitkin County Indiviinal
Sewa;o.Disposal Re•mlations in effect on the date of issue. In addition to genera) provisions set forth on the reverse hereof,
this Permit is subject to the following additional terms and c ndit ons:
v _ // r - - Aspen/Pitkin Environmental
hPPROVED FOR ISSUE BYl_ ie (title) Health Officer
Th(- a!•avc ir..iividual ncwa•)o disposal ay+tea SnsWllcd by_li
i ijas b,cn in.;pccted for use by a represcntativc ref the Aspen,%"i-iitr,in Lnv:ronil-•nta Rcalt-cp-+rtm:=nt. Th. ,,not a3•iur^'0s ATl
rc::;,ons:biltty in ease of failure or inad qu f t iu sew.nle dispoual sy-item. Completo as -built draving attached.
r
DATE 01' FINAL. Ir '' '7:: 'TI N _
Aspen/Pitkin Environmental
BY , T' LF _Health officer
130 South Galena Street Aspen, Colorado 81611 30/920-5070
In
832‐R‐13‐002
CONST. TOTAL = 6773 S.F.
ADDITIONAL SQUARE FEET = 993 S.F
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