HomeMy WebLinkAboutpitkin.eh.246725400007 (2016)Avii i N
COUNT�
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/EHN R
Parcel ID #: 2467-254-00-007
OWTS Use Permit #: I 0030.2016.powu
Date Issued: 08/26/2016
Issued By: Kurt Dahl
Expiration Date: 08/26/2017
Owner(s): I LAFKLC, LLC
Property Address:
2520 Lower River Road
Legal Description:
Lot 6, Aspen River Valley Ranch
Licensed Inspector: Jason Daubs
Inspection Date(s): 07/22/2016
SYSTEM INFORMATION
Components
Type
Capacity/Size
Primary Treatment Unit
Concrete tank
Concrete tank
Concrete tank
1000 gallons
1000 gallons
1250 gallons
Secondary Treatment Unit
N/A
N/A
Absorption Area
Pipe and gravel soil treatment bed
2900 ftZ
Other System Components
N/A
N/A
OWTS Use Status:
❑ In use at the time of the inspection. ®Not in use at the time of the inspection.*
•1f the OWTS was not in use at the time of the inspection, it is recommended that the system be re-evoluoted when it is in use for a more accurate
evaluation of the system.
System Records:
Permit #: 90012 Date of Issuance: 4/26/90 Date of Final Approval: 5/11/90
# of Bedrooms or fixtures served by OWTS: 5 bedrooms. The den is not considered a bedroom for the purposes of this
permit.
Operational Status: The inspector indicates the system was functioning as designed at the time of inspection and there
was no evidence of failure. All 3 tanks were in good working condition with all the inlets and outlets in place. A new lid
and 12" riser were added to the 3`d tank.
Inspector Recommendations: Install 3' of risers on inlet and outlet of tanks 2 and 3 only.
Department Recommendations: Annual maintenance. Install risers to grade to provide better access to the tanks.
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/ormeter water use to prevent overuse and possible
failure.
Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS)
USE PERMIT CHECKLIST
Permit for Continued Use of an Existing OWTS
76 Service Center Rd Aspen, CO - 81611
Phone: 970.920.5070 Fax: 970.920.5374
Website: www.aspenpitkin.com/ehnr
Some items listed on this checklist may already exist in the Department files. Please contact
this department to collect any necessary documentation, using the parcel ID# to identify the
property, pri+ir to scheduling an +;)W f S Use Permit inspection and/or submitting the OW FS Use
Permit apaiiza'i3n gasket.
A corupl pHc;kage mi.}st be presented at the time of your pre-app/}catiml
cnrifvrc:ri ,, {:. ,;:_:i:� ,ptarice - to scherlul�! a pre-appiicatinn conferen,-ro, please 70) 920-
5070_
PLEASE 01! 1 IAL 'EACH ITEM TO INDICAT E COMPLETION
(fin€y on� copy of eacT: item is necessary. L=lectronic versions of any or all of the docurnents
rJer!tified below may tie ernailad to ehnr Coco. itkrn_co,us before the date of the pre application
r,��ferE�n�e
OWTS Use Permit Application (completed)
_ Site Plan (11x17)
Should include general location of each OVV1 S. buil+Wings, water
courses, domestic, water source(s), and other pertinent
information,
Building Floor Pians (11 x17)
Current floor plans for a property transaction or
Proposed floor pians for an addrtionlremodel teat sloes not
increase potential bedroom count or water usage +:cf the structure
served by the existing OWTS.
Inspection report by a Licensed Systems Inspector
A. list of License : Systems Ir spectors (�an be found at
www.aspenpi�:kin.conilelinr
IX' An inspectiura report is good for one year.
L'
Applicable Fee
OWT�-� Use Permit: $100
Please fnake (;t,,ec;ks payable to Pitkin County +F-rlvi'mnmer�la+
F lealth Department
c��rn��ps uNir
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TF2Uh' i)I�iF,NSIONS—-- - 2520 LOWER RIVER ;D --
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Surveyor's Certificate
I, Jeffrey Allen Tuttle, being a Professional Land Surveyor In the State of
Colorado, do hereby certify to LAFKLC LLC, Land THIS Guarantee Company and
Compass Bank that this Improvement survey was made under my supervision
and ie tine and correct to the best of my belief and knowledge.
I further certify that the Improvements on the above described parcel on this
date, June 03, 2013, except utility connections are entirely within the
\ boundaries of the parcel, except as shown, that there are no encroachments
upon the described premises by improvements on any adjoining premises
except as indicated, and that there Is no apparent evidence or sign of any
easement crossing or burdening any part of said parcel, except as noted.
Jeffrey Allan Tuttle LS. 33638 Data
Improvement ASTumey Jfap
Lot 6, flspen River !Talley Ranch
County of Pitkin, State of Colorado
And being more fuily described below.. -
Legend and Notes:
- o Mdlootee rend monument 0. de ui.
- o Adiwtee wt /5 mew MN rW Ocotb one I-SµblB
- The unit of mwwrxnmt uW In the wormy voe the US. survey FwL
- B—b,. ae baeM open a rWm bund at Ne ewNexhAy caner and a ria v1U, top LS
/19598 found at On. ealhonOwly inner both of wbpal lot 17 ueM9 a bemina of NSBDe28'E
totem the bm deevbe] mmummte
- Mie survey does not represent a title search by Offs surveyor to detemllne ownership
or to discover easements or other encombranae° of record, all Information OwtHning to
ownership, conerients or other encumbrances of record Aare been taken from a title
commitment Issued by Land TRIe Guarantee Company doted July 01, 2013 as
Oder Number 062005288-8.
This property le eubpct to renervatione, restrictions, covenants, towns, condiNene,
obligations, provisions, easements and or assessments found or shown In the records
of the Pitkin County park and Recorder.
LOT S. ASPJ RIM VN1Ef RANCH. DESIGNED AS FELLOWS:
A PARC¢ OF LAND BONG PART OF TRACTS 69 ANO 84 AND BONG LOCATED IN NOUNS
Be AND 38. TDMMP 8 SOUTH, RANGE W wan OF ME AM PRINCIPAL MENDIMI, SAO
PARCEL WORE FULLY ONCHBm AS FOLLOW.
BEGINNING AT A PONT ON UNE 1-9 M SAID TRACT 69 "HENCE A.P. 1 OF MAST 69
BEARS NORM NO DEGREES 23'46V 410.0 FEErMENCE SOUTH W DEGREES 23'46'E 70.32
FEET ALONG BAD ONE 1-9; }HENCE SOUTH 53 DEGREES 12'15'00 711.64 FEET
THENCE SOUTH W DEGREES ROWE 593.48 FOR THENCE SOLM 50 DEGREES WON 1505.89 FEET;
THENCE NORM W DEGREES 4211e•W 440.00 FEET TO ME A.P. 6 OF sue TRACT 69;
THENCE NORM 09 DEGREES 40'1VIN 278.60 FEET ALONG ONE 6-5 OF TRACT 09;
MERGE NORTH 10 DECREES W'W p 310.39 FEET,
THENCE NORTH 43 DEGREES 00`00'E 2800.00 FEET TO TIE PONT OF BEGINNING.
ODUNTT BE PRIOR, STATE CF COLORAW
THIS PRO'ORN IS SUBJECT TO TIE FCLLONING EXCEPTIONS PER SAID THE COIMITWENT
8. EIGHT BE PR00NETofl OF A WN ON LODE TO EXTRACT AND REY01£ HIS SHE TIFREFROU
WNW THE SANE BE FOUND TO PENETRATE ON INTERSECT WE PRETIISES AS RESOMD IN
M TE UNil
IN BOO( M AT
FUCOROm APRIL 18, 1924 IN BOO( 157 AT
RECORDED MARCH W, 1934 IN BOO( 157 AT
F THE UNITED STATES W AMEfil ME
ME CLAWED TO DIST IN AND OVER THE
40 FORK NMR.
L 3, 1970 IN BOOK 247 AT PACE 525.
RECOMED JUNE W. 1971 IN BOO( 258 AT
FOR ROCKY MOUNTAIN
19°2 IN PUT Back 2A AT
1873 1N BOOK 271 AT
CURB ASSOOATBV, INC.. IN
("PEARS To BE IN COUNTY ROAD NpIT OF WA
M TEAMS, LN4SIGNS MO PROVISIONS OF PNV TE WAY UMNSE RECORDED ROMPER 24 1976
IN BOO( ON AT PAGE See, (LICENSE TO GROSS TRACKS MM PRIVATE OHM: TIE EMIT M"
WAS NOT REWflDED WTI THIS DOCUMENT)
23. EASEMENT AS GR NTEO R.P. FlRC-0RAW IN INSTRUMENT RECORDED JANUARY 9, 1979 IN BOOK
361 AT PAGE 397 AND RECONDED AUGUST 15, 1979 IN BOOK 374 AT PACE 188. (AS MOWN
ANb FNOMOONS OF ORDER RECWom JANUARY 11, 1900 IN BOOK 351 AT
WONT
MD PKOVISIONS W RIMY OROSS RIGHT OF WAY EAMUENT RECORDED
300 AT PACE 200. (AS SHOMN HEREON)
MO PROVISIONS BE KESCUmON/ 55-17 RECBYDED MMOL O4, 27, 19M
ISA (CANNOT BE PLOTTED AS DESCRIED)
Me Go ON
OF COVENANT CONCERNING SUPLOM HOUVIO UNIT
95 IN BOO( 484 AT PACE 847. (GNNOT BE PLOTTED M DEEMSED)
Me PROMBONS OF PIPELINE EASEMENT RECORDED APRIL 28, 2006 AT
(AS SHOWN HEREON)
MD PROMSIBYS OF 1041 NAEMD REMEw OETERWHATON RECORDED
NECEPTON No. W2804 Me RE-RECORDED JMUMY M 2007 UNDER
T7 Blake venue 'PING SERVICES I I ,25,20 Lower River Road
727BlakeAvenue Improveme�at ASurvey Map �w°" 1 IV1 /J
Glenwood Springs, Co/credo 81601
(970% 918-9708 (FAX 947-9007) .9nowmass, Colorado " 07 10 2013
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IOIgatIW Well \ \
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PE AS SHOE4 4
ACCESS83 AT PAGE 41
IN\\
IN FLAT BDOK \
DEVENPM�T wVOW,' AAS D IN�V•�BDOI<�A�PA�4�\�\
GRAPHIC SCALE
6. Be Bill kial sess
(Wfree)
1 lam - 49 ft
\\\
Surveyor's Certificate
I, Jeffrey Allen Tuttle, being a Professional Land Surveyor In the State of
Colorado, do hereby certify to LAFKLC LLC, Land THIS Guarantee Company and
Compass Bank that this Improvement survey was made under my supervision
and ie tine and correct to the best of my belief and knowledge.
I further certify that the Improvements on the above described parcel on this
date, June 03, 2013, except utility connections are entirely within the
\ boundaries of the parcel, except as shown, that there are no encroachments
upon the described premises by improvements on any adjoining premises
except as indicated, and that there Is no apparent evidence or sign of any
easement crossing or burdening any part of said parcel, except as noted.
Jeffrey Allan Tuttle LS. 33638 Data
Improvement ASTumey Jfap
Lot 6, flspen River !Talley Ranch
County of Pitkin, State of Colorado
And being more fuily described below.. -
Legend and Notes:
- o Mdlootee rend monument 0. de ui.
- o Adiwtee wt /5 mew MN rW Ocotb one I-SµblB
- The unit of mwwrxnmt uW In the wormy voe the US. survey FwL
- B—b,. ae baeM open a rWm bund at Ne ewNexhAy caner and a ria v1U, top LS
/19598 found at On. ealhonOwly inner both of wbpal lot 17 ueM9 a bemina of NSBDe28'E
totem the bm deevbe] mmummte
- Mie survey does not represent a title search by Offs surveyor to detemllne ownership
or to discover easements or other encombranae° of record, all Information OwtHning to
ownership, conerients or other encumbrances of record Aare been taken from a title
commitment Issued by Land TRIe Guarantee Company doted July 01, 2013 as
Oder Number 062005288-8.
This property le eubpct to renervatione, restrictions, covenants, towns, condiNene,
obligations, provisions, easements and or assessments found or shown In the records
of the Pitkin County park and Recorder.
LOT S. ASPJ RIM VN1Ef RANCH. DESIGNED AS FELLOWS:
A PARC¢ OF LAND BONG PART OF TRACTS 69 ANO 84 AND BONG LOCATED IN NOUNS
Be AND 38. TDMMP 8 SOUTH, RANGE W wan OF ME AM PRINCIPAL MENDIMI, SAO
PARCEL WORE FULLY ONCHBm AS FOLLOW.
BEGINNING AT A PONT ON UNE 1-9 M SAID TRACT 69 "HENCE A.P. 1 OF MAST 69
BEARS NORM NO DEGREES 23'46V 410.0 FEErMENCE SOUTH W DEGREES 23'46'E 70.32
FEET ALONG BAD ONE 1-9; }HENCE SOUTH 53 DEGREES 12'15'00 711.64 FEET
THENCE SOUTH W DEGREES ROWE 593.48 FOR THENCE SOLM 50 DEGREES WON 1505.89 FEET;
THENCE NORM W DEGREES 4211e•W 440.00 FEET TO ME A.P. 6 OF sue TRACT 69;
THENCE NORM 09 DEGREES 40'1VIN 278.60 FEET ALONG ONE 6-5 OF TRACT 09;
MERGE NORTH 10 DECREES W'W p 310.39 FEET,
THENCE NORTH 43 DEGREES 00`00'E 2800.00 FEET TO TIE PONT OF BEGINNING.
ODUNTT BE PRIOR, STATE CF COLORAW
THIS PRO'ORN IS SUBJECT TO TIE FCLLONING EXCEPTIONS PER SAID THE COIMITWENT
8. EIGHT BE PR00NETofl OF A WN ON LODE TO EXTRACT AND REY01£ HIS SHE TIFREFROU
WNW THE SANE BE FOUND TO PENETRATE ON INTERSECT WE PRETIISES AS RESOMD IN
M TE UNil
IN BOO( M AT
FUCOROm APRIL 18, 1924 IN BOO( 157 AT
RECORDED MARCH W, 1934 IN BOO( 157 AT
F THE UNITED STATES W AMEfil ME
ME CLAWED TO DIST IN AND OVER THE
40 FORK NMR.
L 3, 1970 IN BOOK 247 AT PACE 525.
RECOMED JUNE W. 1971 IN BOO( 258 AT
FOR ROCKY MOUNTAIN
19°2 IN PUT Back 2A AT
1873 1N BOOK 271 AT
CURB ASSOOATBV, INC.. IN
("PEARS To BE IN COUNTY ROAD NpIT OF WA
M TEAMS, LN4SIGNS MO PROVISIONS OF PNV TE WAY UMNSE RECORDED ROMPER 24 1976
IN BOO( ON AT PAGE See, (LICENSE TO GROSS TRACKS MM PRIVATE OHM: TIE EMIT M"
WAS NOT REWflDED WTI THIS DOCUMENT)
23. EASEMENT AS GR NTEO R.P. FlRC-0RAW IN INSTRUMENT RECORDED JANUARY 9, 1979 IN BOOK
361 AT PAGE 397 AND RECONDED AUGUST 15, 1979 IN BOOK 374 AT PACE 188. (AS MOWN
ANb FNOMOONS OF ORDER RECWom JANUARY 11, 1900 IN BOOK 351 AT
WONT
MD PKOVISIONS W RIMY OROSS RIGHT OF WAY EAMUENT RECORDED
300 AT PACE 200. (AS SHOMN HEREON)
MO PROVISIONS BE KESCUmON/ 55-17 RECBYDED MMOL O4, 27, 19M
ISA (CANNOT BE PLOTTED AS DESCRIED)
Me Go ON
OF COVENANT CONCERNING SUPLOM HOUVIO UNIT
95 IN BOO( 484 AT PACE 847. (GNNOT BE PLOTTED M DEEMSED)
Me PROMBONS OF PIPELINE EASEMENT RECORDED APRIL 28, 2006 AT
(AS SHOWN HEREON)
MD PROMSIBYS OF 1041 NAEMD REMEw OETERWHATON RECORDED
NECEPTON No. W2804 Me RE-RECORDED JMUMY M 2007 UNDER
T7 Blake venue 'PING SERVICES I I ,25,20 Lower River Road
727BlakeAvenue Improveme�at ASurvey Map �w°" 1 IV1 /J
Glenwood Springs, Co/credo 81601
(970% 918-9708 (FAX 947-9007) .9nowmass, Colorado " 07 10 2013
1 jely®tss-uscom _ OF
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ASPEN COLORADO 81612 Yltlln County, Colorado —
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TRUE DIMENSIONS PPO LOWER RIVER RD
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ASPEN COLORADO 81612 Yltlln County, Colorado —
(970) 618-8351
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TRUE DIMENSIONS
P.O. BOX 10431
ASPEN COLORADO 11161$
2520 LOWER RIVER RD
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Oil&In Counlr, Colorado
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Pitkin County Environmental Health Department
? Onsite Wastewater Treatment System (OWTS)
's USE PERMIT APPLICATION
J.
76 Service Center Rd
Aspen, CO 81611
Website. www.aspenpitkin comlehnrl
ADnlication for Continued Use of an Existina OWTS
Parcel Ill (available from the Pitkin County Assessor's Office
Company
970.920-5160 or at www.pitkinassessor.org):
`.,
! f
Pu{pose of Use Permit
PROPERTY TRANSACTION
LJ REh1CDEL/ADDMON
Property Address.
City. State. Zip.
Lot Block Filing
Subdivision.
Business Phone
Residences Other
# of Bedrooms `=.xtures;uses.
Fax Number:
Property Owner(s), Email Address
L.P•�Kl_L L�---� �t,71`_�.�: t' � �.�1 �`;t'-L._ i r � -\, � . tom,. i 't
Owner's Mailing Address City, State, Zip'
=� .� -1 � L::: t-•� - 1 .t _ � C_ 3=ter.'. � '�M t' "-���- � `�, r � . ]_
Home Phone Business Phone:
�onracr rnrormauon MUST ne provoeo ror me owner s,grrmg MIS appucafron
Primary Contact Person'Applicant (if not owner)
Company
Contact'Applicanl Mailing Address
City. State. Zip.
Cell Phone
Business Phone
Fax Number:
Email Address:
Indicate Preferred Method of Peroiil Receipt.
mail Fax
U5 Maih
Licensed Systems Inspecto• Phone N.rmber y Email Address Fax NUmbe{-
Mailing Address', City. State Zip
PLEASE REAL) BE -FORE 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.
Owner Signature (Required) Date
Applicant Signalure 4 Date yp
Please allow 3-5 business days for processing of Use Perri
FOR OFFICE USE ONLY
Received by EH Staff, Fee & Receipt # Date.
�O#JUK IN Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
co U N'17'
i Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5374
Website: www.aspenpitkin,com/ehnr
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 Inspector License Humber: J Cl
A copy of this inspection report will be remitted to Pitkin County Environmental Health Department b
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 NO
If NO, how long has the home been vacant?
How many bedrooms are in the home?
If secondary treatment is used, who is the
maintenance provider?
RECORDS:
Were system records available from Pitkin County YE5 NO
If YES: Permit number: q%'j L
Date of Final Approval:
# of bedrooms permitted:
Was an as -built drawing available?Y NO
Is the as -built drawing accurate? YES' NO
If NQ: Complete a drawing of the system on Inst 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? FAIL
Improper vegetative cover? YES
Evidence of compaction such as heavy machinery or livestock? YES
Improper discharges such as straight pipes? AS FAIL
Evidence of high ground water? YES
Snow cover present? NO3 YES
Page 1
Ji3dC[
TANK: Tank 1 if/ Tank 2 Tank 3
Tank capacity
a%
gallons
If YES, is the pump/dosing siphon functioning properly?
gallons
AIL
gallons
Tank material
FAIL
Is the high water alarm working, both visible and audible?
PASS
FAIL
.yc
N
# of compartments
Is a secondary treatment unit present? YES
ts:)
UNKNOWN
j
NO
YES
Date of last pumping
NO
UNKNOWN
Maintenance Provider: Phone:
U
If YES, is it accessible from grade?
Lids/risers in good condition
P
FAIL
PAS
FAIL
P
FAIL
Risers to grade
ES
NO
E
NO
YES
NO
Riser height
Riser condition/watertightness
S'
Inlet sanitary T/baffle
FAIL
P
FAIL
PASS
FAIL
Outlet sanitary T/baffle(—FAM_)FAIL
PASS
F
P
F
Effluent filter (if part of design)
PASS
FAIL /A
PASS
FAI N/Q
PASS
FAIL N/
Condition of tank materlal
55
%11- 1P
S
F
Tank was pumped for inspection
If YES, list the pumping company
E5
5
YES
N
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)
FAIL
PA
FAIL_
PASS
FAIL
Midtank baffle
P
All. N/A
P
FAIL
FAIL A
Watertightness
ASS
FAIL
ASS
FAIL
r PAS
FAIL
PUMPS/DOSING SIPHONS:
Is a pump or dosing siphon present?
YES
N
If YES, is the pump/dosing siphon functioning properly?
PASS
AIL
Does the pump/wiring/dosing siphon appear to he in good condition?
PASS
FAIL
Is the high water alarm working, both visible and audible?
PASS
FAIL
SECONDARY TREATMENT:
N
YES
Is a secondary treatment unit present? YES
ts:)
UNKNOWN
If YES, does the unit appear to be in good working condition? YES
NO
YES
Does the owner have a current maintenance contract for the unit? YES
NO
UNKNOWN
Maintenance Provider: Phone:
ES
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?
P
FAIL
Evidence of past surfacing?
YES
Surface dampness?
YES
Excessive odors?
N
YES
Field location verified by observation ports or probing:
P s
Probing
Liquid in observation port?
YES
If YES, record depth:
inches
Distribution Box or ADV part of original design?
ES
If YES, is it accessible from grade?
YES
GD
Is it level and in good condition?
PASS
FAIL
Page 2
UNKNOWN
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations for the continued use of the system:
Acct sr %/I e-Rocr
Were any repairs done as a result of this inspection? NO YES
If YES, please describe the repairs,
1 o ` R o - evil Wei'
To tLe b st of my knowledge and training, the informatio o lected in this inspection is accurate as of
-7 12-- 20 1Cp l}
Licensed Systems Inspector Signature: �" +/✓J
Additional Notes:
Clearly label any aictures_and attach them to this form.
Page 3
It no as built drawings exist for this system or the as -built was Inaccurate, please diagram the system as
accurately as possible. Be sure to document all system components and the location of any well on the
property Using markers such as corners of the house, exact measurements can be used to triangulate
the location of the system components for future reference,
i t 1 F
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