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Home My WebLink AboutPitkin.EH.246717400018 (2017)t (970) 471-9083 Pitkin Courity Envirtmmental Health Departti-tent 011site Wastewater Treatmetit Systel-f, (OMFt) USE PERMIT APPLICATION 76 &orvice (,etilpf cation for Continued Use of an Existing OWTS 6f �i'4 avym-?l Crystal Daubs 77) n- C Ix I ; '3 4 Indicate PtefLrred Methad of Payme-nt-t., -- --" M-"�—eo Altitude Septic, LLC SN' Eagle Go 81031 (970) 471-0913 laititudeseptic@griiaii.com JaSoll Daubs =(970)--44-1-'-1330—' !tt. id Se C'X 4 I �xf'bfy that the fthow, ft" Complete and jc'ruqjj' nod that I hava of'iMded antt 'fit Inay revoke Isid"ded In I acifilowledge thatlhj"� wall r�'f the o01jwmv11Lq inaCCOt"31e, (415Q, of I vil"Ition, "af)y P""t 1 ""y aWkatfon is found to rontiin any - - ) A4,8361 lot P, (0'rx"" <" 2- W01afive Date 1142/2017 E m PARTIAL SITE PLAN AND GENERAL LOCATION OF OWTS '-7,,,AlJ- SEPVICE SEPT RO. NO. 1689 0325 HOLLAND HILLS RO,"AD p Pl,TKIN CR;-;:,EK COUNTY, COLORADO R r-- I FIGU E 6 / y�t xya zl ' 4 ,fig". z "emd n`'•. t'd gfi !, u9 F'.. �nQX xeA 4 .' °'•P". tc` h!lJ ww, t gC�, `arrr ii A • .fit` i'tcfs'° k''e,�"� �'.•'?. N'T& trr-r ,0AY. ., •. ° G Is.°� PROPERIY DESCRIPTION: A parcel of land situated in Tract 55, Sec. 17, T8S, R 6W of the 6th PJAL, RitRin County. Colorado, described as follows: Beginning at a point whence Angle Point No. 8 of Tract No. 56 in said Sec. i7 Dears N75621'47"W 1288.27 ft; thence S62'55' "E 117.3 ft; thence 5. °25' " 318.05 ft, thence S17'51'21"W 150.10 ft, to a point on the Northerly line of a 20 ft. roadway; thence f8 "3 '4 "W 2163.65 ft. along the Northerly line of said 20 ft. roadway; thence i1'37012'50" 302,73 ft thence N°5 '00" 3 .i35 ft; thence q83'' D"L 100.83 ft; thence N7 ",3 '5 " 1 . 1 ft. to the POINT OF BEGINNING. SURVEYORS CERTIFICATE: I hereby certify that a field survey was conducted, render Tray supervision on May 6, 1975, of the property described hereon, and that all building improvements, easements, rights - of -way in evidence or known to me are correctly shown on the plat hereon. l further certify that; there are no encroachments by and/or on thisproperty; unless spa noted, Lut`r r 1'. Musgrove, [,.S.. 10386 !MPROVEMENTI 5SURVEY OF R. 1, 'ONS , R86W 6thP.M. FOR R. JOHN WIX BASALT, COLORA O Onsite Wastewater Treatment Systems (OWTS) Use Permit Inspection Form Pitkin County Environmental Health Department 76 Service Center Rd, Aspen, CO 81611 4 Phone:970-920-5070 Fax: 970-920-5374 Website: I http://pitkincounty.com/248/Wastewater-Treatment 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: s Inspector license Number: John Wix Jr. 325 Holland Hills Rd. Basalt CO 2467 174 00 018 12/21 /2017 Jason Daubs Altitude Septic, LLC 970 471-0913 laltitudeseptic@gmail.com 19 Pitkin County System Aea o ihls ins ection re art will he remitted to Pitkin CouniY E' wirotla.ntal Health Department 6y the Licensed Svsterns �nspectnr w -bin 6€i mays f he in srrection regardless o whether the .system pusses or ails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YES ONO If NO, how long has the home been vacant? How many bedrooms are in the home? 13 If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? '®YES ONO If YES: Permit number: I I Date of Final Approval: # of bedrooms permitted:0 Was an as -built drawing available? M YES NO Is the as -built drawing accurate? . YES ONO 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? PASS OFAIL Improper vegetative cover? NO H YES Evidence of compaction such as heavy machinery or livestock? • NO YES Improper discharges such as straight pipes? QPASS FAIL Evidence of high ground water? NO YES Snow cover present? ED NO YES Page 1 Effective Date 1/1212017 Pitkin County System Aea o ihls ins ection re art will he remitted to Pitkin CouniY E' wirotla.ntal Health Department 6y the Licensed Svsterns �nspectnr w -bin 6€i mays f he in srrection regardless o whether the .system pusses or ails. QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION: Is the home currently occupied? YES ONO If NO, how long has the home been vacant? How many bedrooms are in the home? 13 If secondary treatment is used, who is the maintenance provider? RECORDS: Were system records available from Pitkin County? '®YES ONO If YES: Permit number: I I Date of Final Approval: # of bedrooms permitted:0 Was an as -built drawing available? M YES NO Is the as -built drawing accurate? . YES ONO 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? PASS OFAIL Improper vegetative cover? NO H YES Evidence of compaction such as heavy machinery or livestock? • NO YES Improper discharges such as straight pipes? QPASS FAIL Evidence of high ground water? NO YES Snow cover present? ED NO YES Page 1 Effective Date 1/1212017 TANK: Tank 1 Tank 2 Tank 3 Tank capacity 1,250 gallons gallons gallons Tank material Concrete # of compartments 2 Date of last pumping unknown Lids/risers in good condition Pass Select One Select One Risers to grade Yes Select One Select One Riser height No risers Riser condition/watertightness Inlet sanitary T/baffle Pass Select One Select One Outlet sanitary T/baffle Pass Select One Select One Effluent filter (if part of design) N/A Select One select One Condition of tank material Pass Select One Select One Tank was pumped for inspection No Select One ISelect One If YES, list the pumping company If N0, when was the last pumping Scum level (1st compartment) 1 inches inches inches Sludge level (1st compartment) 5 inches inches inches Scum level (2nd compartment) 0 inches inches inches Sludge level (2nd compartment) 0 inches inches inches Backflow (if pumped) Select One Select One Select One Midtank baffle Pass Select One Select One Watertightness Iselect One ISelect One PUMPS/DOSING SIPHONS: Is a pump or dosing siphon present? YES RPASS RAIL NO If YES, is the pump/dosing siphon functioning properly? be in OPASS FAIL Does the pump/wiring/dosing siphon appear to good condition? PASS DFAIL Is the high water alarm working, both visible and audible? SECONDARY TREATMENT: Is a secondary treatment unit present? MYES ®' NO MUNKNOWN If YES, does the unit appear to be in good working condition? YES RYES NO Does the owner have a current maintenance contract for the unit? NO OUNKNOWN Maintenance Provider: I 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? PASS NO NO NO Ports NO YES YES FAIL YES YES YES obing 1 YES inches o no well UNKNOWN Page 2 Effective Date 1/12/2017 No problems. 'lease list any recommendations for the continued use of the system: There should never be any kind of wipes (cleaning, baby, etc.) even if they say septic safe. Were any repairs done as a result of this inspection? M NO ' ] YES t YtS, please d The old dry well was still connected and had never been abandoned as instructed when the new one was installed. We abandoned the old dry well by pumping it out and filling it in. We then replaced the line from the tank to the new dry well. To the best of my knowledge and training, the information collected in this inspection is accurate as of December 21 �, 2 17 Licensed Systems Inspector Signature: -Naaiuonai iv There were records available from Pitkin County, but not the original permit. So that is why the permit number and final approval date are left blank. 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