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HomeMy WebLinkAboutpitkin.eh.264504303001 (2015)N Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form 111FICOUNT'; 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: Bill Switzer Address: 184 Little Elk Creek Snowmass CO 81654 Parcel Number: 2645-043-03-001 Inspection Date: 7/14/2015 Inspector's Name: Jason Daubs Business Name: D&D Septic Services, LLC Phone Number 970-471-1330 Email: DDSepticServices@gmail.com Pitkin County Systems Inspector License Number: 19 A copy of this inspection report will be remitted to Pitkin County Envirom the Licensed Systems Inspector within 60 days of the inspection reaar( passes or fails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? ® NO If NO, how long has the home been vacant? How many bedrooms are in the home? 4 If secondary treatment is used, who is the maintenance provider? N/A Nee 0 d� RECORDS: Were system records available from Pitkin County? ® NO If YES: Permit number: 04048 Date of Final Approval: 12/14/05 # of bedrooms permitted: 4 Was an as -built drawing available? ® NO Is the as -built drawing accurate? ® NO If NO: Complete a drawing of the system on last 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? ® FAIL Evidence of high ground water? ® YES Snow cover present? ® YES Page 1 TANK: Tank 1 Tank 2 Tank 3 ® Tank capacity 1000 gallons 1000 gallons 1000 gallons Tank material Concrete Concrete Is a secondary treatment unit present? YES Concrete UNKNOWN # of compartments 1 1 NO 1 Maintenance Provider: Phone: Date of last pumping Lids/risers in good condition Risers to grade r7M FAIL NO PrM FAIL NO PAM r7m FAIL NO Riser height Riser condition/watertightness Good Good Good Inlet sanitary T/baffle IMM FAIL FAIL FAM FAIL Outlet sanitary T/baffle FAIL UM9 FAIL FM FAIL Effluent filter (if part of design) PASS FAILN A PASS FAIL MM FASS FAIL N/A Condition of tank material FAILFTM FAIL ASS FAIL Tank was pumped for inspection YES rMM YES NO YES If YES, list the pumping company If NO, when was the last pumping Scum level (1st compartment) 1/8 inches 0 inches 0 inches Sludge level (1st compartment) 6 inches 0 inches 0 inches Scum level (2nd compartment) inches inches inches Sludge level (2nd compartment) inches inches inches Backflow (if pumped) PASS FAIL PASS FAIL PASS FAIL Midtank baffle Watertightness FAIL N/A FAIL PASS FAIL PA7M FAIL I PASS FAIL 17M FAIL PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? ® NO If YES, is the pump/dosing siphon functioning properly? ® FAIL Does the pump/wiring/dosing siphon appear to be in good condition? ® FAIL Is the high water alarm working, both visible and audible? ® FAIL SECONDARY TREATMENT: inches ® 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: 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? Evidence of past surfacing? Surface dampness? Excessive odors? Field location verified by observation ports or probing: Liquid in observation 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 good condition? ® FAIL ® YES ® YES ® YES o -rt s Probing NO YES inches ® NO ® NO ® FAIL Page 2 UNKNOWN Any problems with the system that were not addressed in the inspection checklist? None Please list any recommendations for the continued use of the system: None Were any repairs done as a result of this inspection? ® YES If YES, please describe the repairs. To the best of my knowledge and training, the information collected in this inspection is accurate as of July 14 , 20 15. Licensed Systems Inspector Signature: Additional Notes: At the time of inspection the system is functioning properly. The first tank had a sludge level of 6" or 15%. Pumping is done when the sludge level is 30% or greater. Clearly label any pictures and attach them to this form. Page 3 IMPROVEMENT SURVEY LOT 26, BLOCK 1 LITTLE ELK CREEK SUBDIVISION, FILING NO. 1 PITKIN COUNTY, COLORADO 0 10 20 40 1' = 20' NOTES 1) LEGAL DESCRIPTION: LOT 26. BLOCK 1 LITRE ELK CREEK SUBDIVISION, FlUNG NO. 1 RECORDED IN PLAT BOOK 4 AT PAGE 130 IN THE COUNTY OF PITKIN, STATE OF COLORADO. 2) BASIS OF BEARING: ABEARING OF 55715'06"W BETWEEN A FOUND REBAR AND YPC LSj 9184 AT THE EASTERLY PROPERTY CORNER AND A FOUND REBAR AND ALC LS/ 5933 AT THE SOUTHERLY PROPERTY CORNER. 3) THIS SURVEY DOES NOT CONSTITUTE A TITLE SEARCH BY THIS SURVEYOR. TITLE INFORMATION RELIED UPON FOR THE PREPARARON OF THIS SURVEY FURNISHED BY TITLE COMPANY OF THE ROCKIES, COMMITMENT NO. 0704673—C, DATED 06/30/2015. 4) UNIT OF MEASUREMENT FOR THIS SURVEY IS THE U.S. SURVEY FOOT. 5) POSTED ADDRESS IS 184 LITRE ELIC CREEK AVE. 6) SETBACKS SHOWN HEREON ARE BASED ON PITKIN COUNTY ZONING DESIGNATION R-30 LEGEND SURVEYOR'S CERTIFICATE 'I, Michael Lafferty, hereby certify to Barbara Lands (buyer) and Title Company of the Rockies and/or assigns that this Is an improvement survey plat' as defined by C.R.S. 6 38-51-102(9) and that it is a manumanted land survey showing the location of all structures, visible utilities, fences, hedges, or walls situated on the described parcel and within five feet of all boundaries of such parcel, any conflicting boundary evidence or visible encroachments, and all easements, underground utilities, and tunnels described in the Title Company of the Rockies Commitment for Title Insurance Commitment Na, 0704673—C, or other sources as specified an the knprovement survey plat MICHAEL P. LAFFERTY PLS. i 37972 • INDICATES FOUND MONUMENT AS DESCRIBED. RPC RED PLASTIC CAP YPC YELLOW PLASTIC CAP ALC ALUMINUM CAP ® ELECTRIC TRANSFORMER FENCE LINE EM ELECTRIC METER ® SEPTIC UD CD TELEPHONE RISER 4& CURB STOP RO ROOF OVERHANG SURVEYOR'S CERTIFICATE 'I, Michael Lafferty, hereby certify to Barbara Lands (buyer) and Title Company of the Rockies and/or assigns that this Is an improvement survey plat' as defined by C.R.S. 6 38-51-102(9) and that it is a manumanted land survey showing the location of all structures, visible utilities, fences, hedges, or walls situated on the described parcel and within five feet of all boundaries of such parcel, any conflicting boundary evidence or visible encroachments, and all easements, underground utilities, and tunnels described in the Title Company of the Rockies Commitment for Title Insurance Commitment Na, 0704673—C, or other sources as specified an the knprovement survey plat MICHAEL P. 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