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HomeMy WebLinkAboutpitkin.eh.246727401002 (2017)��rxinr Xou N-T� 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 #: 2467-274-01-002 OWTS Use Permit #: I 0009.2017.POWU Date Issued: 2/7/2017 Issued By: Bryan Daugherty Expiration Date: 2/7/18 Owner(s): I Murray Pope Life Estate Property Address: 352 Snowmass Creek Road Legal Description: Lot 2, Fox Subdivision Licensed Inspector: Carla Ostberg Inspection Date(s): 1/31/17 SYSTEM INFORMATION Components Type Capacity/Size Primary Treatment Unit Concrete 2 -compartment tank 1000 Gallons Secondary Treatment Unit Absorption Area Seepage Pit 430 ft2 (11'x11'x10') Other System Components ❑In use at the time of the inspection. ®Not in use at the time of the inspection.* *!f the OWTS was not in use at the time of the inspection, itis recommended that the system be re-evaluated when it is in use far a more accurate evaluation of the system. System Records: Permit #: 79036 Date of Issuance: 8/1/79 Date of Final Approval: 8/22/79 # of Bedrooms or fixtures served by OWTS: System was designed to serve 1 bedroom Operational Status: After repairs were made to the risers to bring access to grade and unclog a sewage line, the system was functioning as designed. The tank is in good operational condition with tees in place. The tank gravity flowed to a dry well. The dry well did not have access for inspection but no signs of failure were observed at the surface. Inspector Recommendations: Add access to dry well for maintenance and inspection. Add an effluent filter to the outlet 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 inspections) 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 Onsite Wastewater Treatment System (OWTS) USE PERMIT APPLICATION 76 Service Center Rd Aspen, CO 81611 oler-Trealmea: Application for Continued Use of an Existing OWTS Parcel ID# (available from the Pitkin County Assessor's Office 467 274 01 002 970-920.5160 or at h'tpl.p tr nasse;;or.orq asessor,'s arch asp Purpose of Use Permit PROPERTY TRANSACTION F—IREMODELf Property Address: Mailin2 Address: Murray Pope Life Estate c/o Cynthia While 352 Snowmass Creek Road Snowrnass, CO 81654 Lot b.tiner's hladmg Address. Block: City, State, Zip F+Ing: Subdivision: 1P0 Box 344 F Center Sandwich INH 3227 V1 Home Phone: 1611 Fox Subdivision Residences: Othernla 1(603) 630-9383 0 of Bedrooms 1 fwuresiuses. Property OS•mer(s)': Colter SmithFspen Email Address. Associates Realty Mailin2 Address: Murray Pope Life Estate c/o Cynthia While 33 Four Wheel Drive Road c.alchemy@gmail.com b.tiner's hladmg Address. FOR OFFICE USE ONLY City, State, Zip City, State, Zip: 1P0 Box 344 510 E Hyman Ave knit 21 Center Sandwich INH 3227 V1 Home Phone: 1611 Business Phone: 1(603) 630-9383 (970) 'Contact information must be provided for the owner sigwrgg this applrcatlon. Primary Contact PersoNApplicant (if not o•.tiner): Colter SmithFspen Company: Associates Realty Mailin2 Address: Cit .State_ Zi 33 Four Wheel Drive Road lCarbondale jC0 181623 ConiacVApphcanl Mailing Address FOR OFFICE USE ONLY Received by El~ Staff: Fee & Receipt Date: City, State, Zip: 510 E Hyman Ave knit 21 lAspen 1co 1611 Cell Phone. Business Phone, (970) 309-2000 Fax Numbef: Fina4 Address- otter@aspenassociatesrealty.com )n6cale Preferred Method of Payment Check Credit:Oebit Cash Licensed Systems Inspector Phone Number Email Address' Fax Nurrrber, CBO Inc. (970) 309-5259 colter@aspenassociatesrealty.c Mailin2 Address: Cit .State_ Zi 33 Four Wheel Drive Road lCarbondale jC0 181623 PLEASE RF AD EEFORE SIGh.f vG 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. 1 acknowledge that this department may revoke any permit I am issued If my application is found to contain any inaccurate, false, or misleading information. Omer Signature (Required): Date: Applicant SignatLrr._ Dale: /17 Please allow 3-5 business days for processing of Use Permits $aVe FOrm Clear Form Print Form FOR OFFICE USE ONLY Received by El~ Staff: Fee & Receipt Date: Effective Date 1112/2017 Jan uary31, 2017 Colter Smith colter . as peniocal.com CBO Inc. 33 Four Wheel Drive Road Carbondale, CO 81623 cell) 970-309-5259 office) 970-704-0484 cada.ostberg cr,gmaii.com Onsite Wastewater Treatment System (OWTS) Use Permit Inspection 352 Snowmass Creek Road Pitkin Gounty, Colorado Colter, As requested, CBO Inc, performed an Onsite Wastewater Treatment System (OWTS) Use Permit inspection at 352 Snowmass Creek Road, Snowmass, Colorado on January 31, 2017, The legal description of the 1.0 -acre property is Lot 2, Fox Subdivision. The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel ID -'2467-274-01-002). The subject OWTS consists of one 1000-galoon', two-compartment concrete septic tank. FFfluent gravity flows to a seepage pit (or drywell), described as 12' in diameter, with a depth of three manhole rings. Pitkin County Health Department Permit Number 79036 documents this system. The system was sized to accommodate 1 bedroom. The permit received final approval on August 22, 1979. The septic tank is located at the end of the driveway. approximately 30-40 feet southwest of the residence. The septic tank is located in an area subject to traffic. We don't recommend driving or parking on the septic tank. In the Spring of 2016, All Valley Resource used a camera to locate the septic tank and all sewer lines (house to tank and tank to seepage pit) were jetted. All Valley Resource also pumped the septic tank at that time added risers to both manhole lids to bring access to grade. At the time of pu1-11ping, there was a significant amount of sludge in the septic tank, making pumping difficult. All Valley Resource invoice (enclosed) describes the scope of work and the repairs that occurred to the system in April, 2016. At the time of our inspection, we observed both inlet and outlet tees in the septic tank. We recommend nstalling an effluent filter on the outlet tee of the septic tank. Solids in the septic tank did not warrant pumping at the time of our inspection. The top risers were in good condition, and the lower risers (original) were showing signs of deterioration. Effluent gravity flows to a seepage pit located approximately 20 -feet southwest of the septic tank (below the driveway). There is no access to the seepage pit from grade; therefore. we were unable to inspect this component. We recommend locating the seepage pit and bringing access to grade for future monitoring. At the time of our inspection, there was no evidence of surface saturation or failure in the area of the seepage pit. This evaluation is not a guarantee of future system performance. This inspection is good for one year. . Pitkin County Permit documents a 750 -gallon septic tank: however, after pumping this tank All Valley Resource believes it to be 1000 -gallons. Recommendations: • Instal{ effluent filter on outlet tee of septic tank. If installed, this filter must he cleaned annually. or as needed. • Locate seepage pit and bring access to grade for future monitoring. + Discontinue driving and parking on top of septic tank. 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:ilwww.pitkiricourity.comiDocUlilerltCenteriHorne?View/621 Application Checklist: t�ttU:1 �` .':''•.pittaincounty,torr.iDocumentCenteriHon e,�I.ev.,'620 Also enclosed are instructions on brow to apply for an OWTS Use Permit electronically. All questions regarding permit submission can be directed to Pitkin Counly Environmental Health Department, 970-920- 5070. Disclaimer: This inspection is intended only as an evaluation of the present condition of the OWTS based upoo 4✓halt was observed and the Licensed Inspectors ext?erose 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 f0Gt01-S 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 repot! .shall not be construed as a warranty by the Inspector that the system will function properly for any particular prospective buyer, and the Inspector drsciaims 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 grotundwater. Please call with questions. Sincerely, Y� Carla Ostberg, MPH, REHS NAWT Certified Inspector Certification # 110441TC Exp. April 2018 Inlet side of septic tank Outlet side of septic tank Both tees present View of manhole lids in parking area Approx. area of seepage pit (drywall) View of lids, looking southwest Tank in front of vehicle Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form r 1 rv:� sa Pitkin County Environmental Health Department 76 Service Center Rd, Ashen, CO 81611 Phone: 970-920 5070 Fax: 970-920-5374 Website', i1r•:<:- 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: Cynthia Pope White 2.467-2/4-0 1 -M,2 1l311t 7 Carl -i ns(horg CRO Iru 4alfa.OSt�P_rJYL CIrn2lLGCl r11 Pitkin County Systems Inspector License Number:X17 �1 copy of this insiw,�tion rjaort evil! 2;e rcmitted to Pitkin] Cnwit,, 1.11Vit011M nta! fit-n,h Devertructit b, the LrCcflscd SV5te117S 1x75 EL tpi v;;,hin7 60 aci s of the I= C 5 o; whether the s stem Liassrs or folly. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the [ionic currently occupied? 17Y£S ONO If NO, how long has thr, home heen vacant? How many h.--drooms are in the home? If secondar',� treatment is used, who is the Maintenance provider? n1a RECORDS: Were syste r records available from Prtkin County? AYES F1 NO If YES: Pe"mit number: Date of Final Approval: F Au lusr 22, 1979 tf of nedroonts petwitted:0 !Vis an as built drawinh available? FIYES ❑ NO N the as-t)nilt drawing accuratf- ❑YES ❑NO If NO: cwnplete a drawing of the system on last page of this forro cis accurately os possibte. Any question markeci l AIL wjk r: quire correction beforc an OWTS Use permit is issued. SITE CONDITIONS: Proper grading, no evidence of erasion? PASS FAIL Improper vegetative cover? NO YES Evidence of compaction such as heavy machinery or livestock? NO YES Improper discharges such as straight nines? ❑PASS ❑FAIL Evidence of high ground water? ❑ NO ❑ YES Snow cover present? ❑ NO � Yf S Page 1 Effective Date 111212017 TANK: Tank 1 Tank 2 AIL Tank 3 NO Tank capacity 10001 fallans NO gallons YE5 gallcns Tank rnaterial ❑ YES Ports allrobing It of compartments 2 inches YES Date of last purnping April 2016 YES NO Lids/risers in good condition Select One YFS Select Osie Select One Risers to grade Salect One rFsz Select One Select One Riser height t' Riser condition/watertightness OK Inlet sanitary T/baffle Select One YES Select Onc- Select One Outlet sanitary T/baffle Select One ti E Select One Select One Effluent filter (if part of design) Sel�-(t One cd = Sele:a One Select O'ie Condition of tank material Select One 0K Select One Select One Tank was pumped far inspection Select One NO rdect One: jSolact One If YES, list the pumping corn} )any If NO, wv i( n k:v�,s ti,,c last punning A,Pril 2016 ! All Valley esource Scum level ( lst co1TI3art111ent) inches inches inches Slt.idge Ir°vt?l (lst compartment) inches inches inches Scum level (2nd compartment) ir. inches inches inches Sludge levet (2nd compartment) inches inctles inches Backflow (if pumped) Selact One St"Iect O•he Select One, Midtank baffle Sele t One ()iZ Select One Select One Watertightness Select One ok SUlect Or}e Select One PUMPS/DOSING SIPHONS: Is a pump or closing siphon present?® YES RFAIL NO mIf YES, is the pup/dosing siphon functioning properly? PASS Does the pump/v!iring/closing siphon appear to be in good (ondition? ❑PASS [—]FAIL Is the high Leiter ala'1T1 working, both visiale and arrdible? [--]PASS [_]FAIL SECONDARY TREATMENT: Is a secondary treatment unit present? DYES ❑ NO ❑UNKNOWN If YES, does the unit appear to he in good working condition? HYES YES B NO❑Does the ov,!wi hav a currentmaintenance contract fo• VIC, unit? NO UNKNOWN Maintenance Provider: I Phone: If titch= !S no r':'Ldi't::il;ince cclitrcCt, ;i Contract must I}E} ill I-11ac(-. p!io' to GCCU(�lr}Cly' of the home, A copy of the contract roust Le sLlbnritted to Pitkin Coc+nty En0ionmtnt:!I Health Department. ABSORBTION AREA: Effluent surfacing? Evidence of past swfacin ? Surface dampness? Excessive odors? Field IoCat;on verified by observation ports or probing: Liquid in ohservation port? If YES, record depth Distribution Box or ADV part of original design? If YES, is It accessible from grade? Is it level and in gond condition? ©PASSRES AIL ® NO © NO ❑ YE5 © NO ❑ YES Ports allrobing NO YES inches YES NO YES NO PASS uFAIL Page 2 UNKNOWN Effective pate 1)12/2017 !1nV prol v,,ith the s stern that +vere not addre;sed in the ins section checklist? NO !'IC'c�SF lESt cw, tOr illi ConllnJKI LISP OI 'PIC' iox;at flit and extend to cVcidc for mon�larincl �Idd effluent filter to outlet tee do not, drive or park on tel) of septic tank Were any repo, r), done os a result of this inspection? 121 No ❑ YES i SLJ, 11L1 V[: I I I IU I: Li Ir. It LIII �. To the hest cf my knnvdedge and training, the information collected in this inspection is accurate as of Fc;h nary ' 20 1 r Licensed Systems InspecterSignature: MOr"ll Nules: All Valley Resource did work un tnc septic in /April 2016 - inv-mao enclosed Clearly label any pictures and attach them to this form. Save Form Clear Farm Print Form Page 3 Effective Date 111212017 PITKIN COUNTY HEALTH DEPARTMENT PFRM,IT NUMBER -1Q0 RECEIPT NHVIBER 3o51-11 Owner _ ��('L�l' f�� � ��C Phone No. � C- 3 Oatitler's h1 riling Acidre�s (-11 1� �' Cantractor �• �l C(C lC/(cC-'�(- Phone No. _ _C_ 7 Address - `, C..:Stffil'S�.Ontr�J;'iCi:Sl'�ilrllE. �r �:-}�J�/, f 'C:fr' Address__ Lcrlal Description ✓1Sted —S:-qw 276 Lot Size %�. �` Type of BIL111dinq by USL' fvurnber of Bedroom / Tyke of V�a[er Supply O.vner's Signature _ /`. x t`�`{ ') (�atE PLOT PLAN: ATTACHED AS REnQU D . . . . . . a . r ri ... . .. .. . . r . . . . . .. . . . . . ... w . .. w . .. r . . .. .. . r . .. w r ....... ...... .. . . i .. ..... . r w r r a . Type of Individual Sewage Disposal Systeii JCf37-X7_ IANK- _�)EUPACCl-1 i ( MY'kZELL Type of Soil or S61 Classification SND/ EL) G' LA's APJD -S/ A16SIZ t% /�4GME Proximal Location of Bedrocf. _/ y, Z- 6CC-A7K-,' 72VAAJ Iq f -T Proximal Location of Ground Water Table _! VeT 6XEA Ci� 777,,4N . . . . r w . w . w a a ......... . . . . . . . . . . .... .. . . .... r ... .. .. . r .. .... .. . a . . r a .. a . r w w w f r • r w • . w .... Percolation Test Data � Minutes Pc r Incf %Itnimum Recomrnenderl Ahsorplt ori System Site ' f- (F I `X �� / x /to 49W dlwa)lm'� Minimum Reeorrlmended Tani: Sire . 75-6 C'A/-L0/,/, Special Conditions of Issue. NOTICE / Nyhan property signrsj fpr kS5u8nca. this appdiCatfon Vecamat 4o -f pormlt. Arpilratlon ve!kj one year from I1`/J dans. if er, ir,dlvid.al sewage dispnui permit Is iuued for property on which no b�itd3nq permit hes been issued,she indlviduef sewage disposal permit shall ©.p 4e 120 days after its Issuance If contwurtion has rsos I�oxn commenced. Any change 1n plans or speei- fVca;ipns after the 4'erndi hes Veen issued incalidatei t bre per reit, uIl epprovrl is seCUred from the Health Officer fo, such changes. 79 Approved for Issuance By Date .. w ........ .. a a a. r a ............. *Q� . a . a w e • • w. a r r a a. a a a r► a a a a r FINAL INSPECTION APPROVAL Date V (Drawing of System on Back) STAT F 1 /FPRbKI MATE Norm 1 .2o! 3 J�1NGS �d 750ar�j eOPELA M e "SEP-nQ- -TA #Jr-- D1AMEreP— FOOMDAIr op 1 ALL VALLEY RESOURCE, LLC 239 Arapahoe Carbondale, CO 81623 Brian: 970-309-24251 Forrest: 970-355-9447 Invoice Date Invoice # 4/1012016 5113 Bill To Terms Due Date net 20 4/30/2016 Description Qty Rate Amount 352 Snowmass Creek Rd 3-24-16 Misc services provided 1 232.50 232.50 1.5 hours hand excavation around the edge of the shed Called for utility locates and coordinated delivery of excavation equipment 3-25-16 Camera Locate 1 542.50 542.50 used camera to locate exact location of sewer line and attempt to expose line into tank hand excavated area around shed, located line used measurements to try and locate tank - no luck Met with Tim, after a discussion located a possible lid Excavated area with mini excavation equipment 3.5 hours 3-28-16 Septic Tank Pump and Inspection 1 700.00 700.00 1500 gallons, pumped tank twice and back washed in order to remove excessive sludge form floor of tank, tank was over capacity, pumped an additional 500 gallons, Line Cleaning/Jetting 5 300.00 1,500.00 used high pressure and jetter to clear line of massive clog located five feet from the inlet of the septic tank, multiple passes with the power snake, cleared clog and used jetter to clean line from house to tank, water flowed freely after cleaning, 5 hours at $300 3-29-16 Misc services provided 1 150.00 150.00 installed new risers and backfill area around the lids Parts/Repairs 1 150.00 150.00 2 new concrete risers "THE FAT MAN" Total $3,275.00 W W W.ALLVALLEYRESOURCE.COM Payments/Credits -$3,275.00 Balance Due $0.00 DoT z 1.00± ACRE I `\ I yAt °wiF LcunOV OFm,N". \ ' 1 �,sr�NSFR.,iE.Errzu,Fo�` \':•,`•;\ b� \ ` 1 E[ISTfAVi N2 \ \ \ E KFelrlir \\ YS \\ \ axn'ATE AccEss &15EA1EMr \ PLITSOC PAGE 88 \\ \ \\ �- PLIT HOOK 19 PAGE 66 , CONSERVATION EASEMENT SHOWN ON PLAT BOO: 19 PAG[ 86 IMPROVEMENT SURVEY PLAT LOT 2, AMENDED PLAT OF FOX SUBDIVISION RECORDED IN PLAT BOOK 58 AT PAGE 21 SITUATED IN TRACT 74 OF SECTION 27 TOWNSHIP 8 SOUTH, RANGE 86 WEST OF THE 6TH P.M. COUNTY OF PITKIN, STATE OF COLORADO LEGEND jy ma FERSNnrt•+Erl•rucr �, PON�Rl�Ir [LlCiRlGL.4CT[R -a- ol•rr.RUD rucrRrc our (lIFI'ii'304) FFCORt`rD C41 ra {7f u4v resr GRAPHIC SCALE ( IR }ST ) 1 lmh - 40 f, PLAT NOTES: 1. NABS w w-ARp 4 FOR RL9 SAR f B A EE/RM OF X M'17WT RIRFElF CO•aER N0. a ANO CUN CR NO. 7 OF TRACT 74 HIIO 2-1/7 aD 44A59 CAPS L CAIS CEFLID SLRWTt. RAY 14 2014 I LWAR oars tm TO PuFm RB DA\EY WE us "Wy FEET. 6 M MAKY O AM CN FOX 9A X00N HAT 900C 9 AT PACE 34 MT 90% 19 AT PACE 94 ANO ARDDED HAT REMM NMT BOCK M AT PACE 21 A'D CUVERS MM N PUCE AS SHM lEDEUL 9. MS PROMM 19 SA= TO RMERVATON4 Rl599CTM CCWRANI9 AND E.l4 M CE IEOLD OR N PUCE 4 Rd "WY WAS PRPARD RCNgJT M 9EN6R OF A TRE 0014PMlFT, IMUC E ANY DWPl= TOMU MMT . NC. Y AT=M SIA.ECF PFIOPERTY HAZE NOT 5CEH RFSEAN® 6Y HNN CCKWKY umoo SURVEYOR'S CERTIFICATION 4 RWEY P. D.41< N CER7" ID WNAY POP AAL. SRN1CRaEAC \ N1-1 P) m "MGT IT A RaaEY P. 1648. PL9 NCL =5 CaAnAD6 PRCRF59UL1L LVD 9AIKTUN �� ° t y'e 382 5 zT °AAAI LAtD� CLERK AND RECORDER'S CERTIFICATE TMS MT WAS FLED FOR REDID N M CYTKF CE THE aM ANO RELDROER W PIM COW AT ma11'2F ° 0N ICE _DAY EF AA xN4 MD Cl DLLY RECa81FD N B" PACE � }EaPRUI Na - ELM AND RECUDER V. OFsvn z 0 0 Z ogg� ,W (yLU)O ou au m to aN �N� >� wXZ �o yLL0 Z N 0.02 m SOF a PROJECT NO. 2161677 IOF1 SE Sty `TM � ,-fIj l5P en1 ,u llt aiPL �a r,n s 1 -rxASTL mennaar DoT 1 cmYRn� '�;i, ` rN7Rr • \ NFilfvfR '\ WOOD SRCS� � IIAREAB �i1`\t!`I+ y.tfDRY i R.R. rirsrrvs coy.Esnj PES •\ 1 F�:' LLIliDtA'v I _ I. SA'trv.'NAiS \ i. \1 i/OUSE DETAIL \ 1•.2O' \ 11 IMPROVEMENT SURVEY PLAT LOT 2, AMENDED PLAT OF FOX SUBDIVISION RECORDED IN PLAT BOOK 58 AT PAGE 21 SITUATED IN TRACT 74 OF SECTION 27 TOWNSHIP 8 SOUTH, RANGE 86 WEST OF THE 6TH P.M. COUNTY OF PITKIN, STATE OF COLORADO LEGEND jy ma FERSNnrt•+Erl•rucr �, PON�Rl�Ir [LlCiRlGL.4CT[R -a- ol•rr.RUD rucrRrc our (lIFI'ii'304) FFCORt`rD C41 ra {7f u4v resr GRAPHIC SCALE ( IR }ST ) 1 lmh - 40 f, PLAT NOTES: 1. NABS w w-ARp 4 FOR RL9 SAR f B A EE/RM OF X M'17WT RIRFElF CO•aER N0. a ANO CUN CR NO. 7 OF TRACT 74 HIIO 2-1/7 aD 44A59 CAPS L CAIS CEFLID SLRWTt. RAY 14 2014 I LWAR oars tm TO PuFm RB DA\EY WE us "Wy FEET. 6 M MAKY O AM CN FOX 9A X00N HAT 900C 9 AT PACE 34 MT 90% 19 AT PACE 94 ANO ARDDED HAT REMM NMT BOCK M AT PACE 21 A'D CUVERS MM N PUCE AS SHM lEDEUL 9. MS PROMM 19 SA= TO RMERVATON4 Rl599CTM CCWRANI9 AND E.l4 M CE IEOLD OR N PUCE 4 Rd "WY WAS PRPARD RCNgJT M 9EN6R OF A TRE 0014PMlFT, IMUC E ANY DWPl= TOMU MMT . NC. Y AT=M SIA.ECF PFIOPERTY HAZE NOT 5CEH RFSEAN® 6Y HNN CCKWKY umoo SURVEYOR'S CERTIFICATION 4 RWEY P. D.41< N CER7" ID WNAY POP AAL. SRN1CRaEAC \ N1-1 P) m "MGT IT A RaaEY P. 1648. PL9 NCL =5 CaAnAD6 PRCRF59UL1L LVD 9AIKTUN �� ° t y'e 382 5 zT °AAAI LAtD� CLERK AND RECORDER'S CERTIFICATE TMS MT WAS FLED FOR REDID N M CYTKF CE THE aM ANO RELDROER W PIM COW AT ma11'2F ° 0N ICE _DAY EF AA xN4 MD Cl DLLY RECa81FD N B" PACE � }EaPRUI Na - ELM AND RECUDER V. OFsvn z 0 0 Z ogg� ,W (yLU)O ou au m to aN �N� >� wXZ �o yLL0 Z N 0.02 m SOF a PROJECT NO. 2161677 IOF1