HomeMy WebLinkAboutPitkin.EH.246717400018 (2017 (2))IV IIW
P.
-AWA_
1. L
Id I.
FF
L
p o
RP
-0--dw L4— IL I N
%I
r IL
oe .1, dh
C
jr ff d--
Lo"
41
f dL 0
p �P% F F
%
X -L
J
do
A
r
.7N4 d. o
d
4OF
fy ;dL
L
oL q -e P43
a klL
IL
h
I %
d
63
7-1
41h, V
j
or
Ir
:L
%hi
Ar
�p
�p
fS.
A-r ir
r r%�
ippr
N 11
L
ago
N
L
L
AL
4r
vppppr
K:k
-qw
AOF.-
•
146
% —%46
jL
'ILI
%bA6
r L166
4a "- A%%t
'Ilk
91 �A-
PL
W-mr
dri
1
IL
% AV
4r
A*
f
r * 4* v4t
� Y..
4
( -i
:4wL
45C
4c
d
t
or- I
Ar
J K
N
t
%
Ik
IL
Awl
" - I �
J6 4k
..........
Sk
9, Ak %�. % % . %.
% A
% k?6
*
CL
qbL
4k 'kj•
%* ♦ 9%, WN
L -k OL 41F
Ic IL
L Ik 4d ta AV I
mL 4L f�4%t
mL
9b6
qL
A qk
dgc% 91L mL AN IN MI. 1h
r
% % —A �mj WAL % dp lop 5
.1 A 9ILT
Nl�
m 4IN 4 %:.
% 4
%
%
16 %
a qh mh
A4L
L
'k .k
%r
A %
40 he ji
'92 40 6
L
%
r I- h
de,
v .9h L
16
ev Rib. &J,
Ih A.
N
It I
J
d ju
L
IF
L 9
LIt X
A
T—
oil tv -
dp h
NA Ilk
OL 2� %L . � t
p k
Jk- dr dr r
P
Jr 4r +
OF
a1. -- RL
Ik p
1 Aks
rti A
ON
Pf k 4f
fp P
bb
XM�y�
titer -
5
� � r
M1 -6
} k 4P
76
r
EL' VNIL
5
eq
to -
It
..
Z,
66.i- --
- jw�
' L 1
4
Ar
k
AW
+
ML
z — k
} .
kt
f
}
•5
it in CourtCourity Ettvirortnientai Health e rtraten
% k � 0
§,
,. 1 APPLICATION
��l��n, firi I'1(311
_.
lit Aims Use of an Exit
_ry _._
.�
OiCJ-92s� si�ti csrat( lg i>raltktml 41,,-e.
F L { iB� S� �� ��4 S3 )I��Y .....n, a�........�..-,...,. .... ....� :.,.w�.. �...�...-.,,...-.e...�«.....,„�.....,.�,,..<.�+.-�.w.w.`.- .............
32", Holland Mills Rc)a(j3 Basalt; CO
r)I ;
j Holland 1-litlsi'rct 55 Sctn 17 Ins} F3 Fig 86
ix�ti Ch>P: tSj; � s
Rena Wiix
14377 CR 13
}irstTar��t91)r3�;.
(970) 778-060 3
reir
}":jii 7(s (i{!YZ)U'.Ytli'^i'Y' �•,•..r... !`g.,�aazmsww
(970) 471-9083
Indicate P(Oferred Methad of Payment Gtieck ■ rediuDebit
rwix"Cou Cory)
it84P.,.. 1,r{.). } E
Altitude Septic,; LLG
Eagle �E C} 81cm 1
{970) 471-0913
altitudeseptit cz gmai1.com
- ---�-'-.....
.lc'�5iJt1 1Je?i1t35 ��'�
{970 d73 1330 al{ittlde",zs c tx grnaii cant
�i� _ ..� .
PO Box 1534 L�gle �IJ 81531
I £ 1p4Y that the € bow, forotrt atio" ir''s Complete and and tfi Yt i hav(i pr vide'd €att7)4)(R3in 3tTit ai't iwato itif£}rl"Allom it, all rrf the d4G)flumvtits
3t}f,it1£3t'%i it) Eilr €ti){3 !G 3ii41ft {4 tt k.. (iG }tt7r'i !€dttr� tt3i'2t iftfP'e LiU?tp(3S iYT:4+I)t 1-nay revo( -a any Permit i a"" tom$<13�K� if T"y "I}rj cati0i7 iS fi}Uttd to Conlin any
a tCuttras€, ft t r naila;adElr l,trf¢,£r}#first.
7Ni)�"�tlr'K"3t':t
n
�
i',H
RAr #`r 4° E J„ z t;,r �;.; t >.., s
..w:�, °'m
s�. r .mr , „y,�rFo�wre:xcass,.sum
Pfective Date 1142/2017
E
PARTIAL SITE PLAN AND GENERAL
LOCATION OF OWTS
�SEPT,O�t� 0L CO. NO. 1689
FIGURE"
t�
I
+',V
�. Via. �, ~- �,%i��1 �' , � r'c�•� >.-
"fiasK V"
t
0 ,Z"l, -W .3 ei
* ,,�" aa✓*r s7 A .
cv.�tGc.s1-qrp,-fir .� «�•C.rs':F'far,i..
sis;^rt r .��'.t�i:'r- as.�'�. Y"s:�.�- sue' ,fir•..°?'I9,°�
PROPERH DESCRIPTION:
parcel of land situated in Tract 55, Sec. ' 7, T8S, R 6W of the 6th PJAL, Ritkin County.
Colorado, described as follows:
Beginning at a point whence Angle Point No, 8 of Tract No. 56 in said Sec. 17 ears
N75621'47"W 1288.27 ft, thence Ia 2'5 ' 9" 117.3 ft; thence .39°2 ' 4" 318.05 ft,
thence 17'"51' 1" 150.10 ft, to a point on the Northerly line of a 20 ft. roadway;
thence P4 " ' 4 "W 21;1. ft. along the Northerly line of said 30 ft. roadway; thence
i1'37012' {: D"L 3022 73 't; thence N84" 3' 00" E :39. i3 ft; thence N83'7' iib"L' 100.83 ft; thence
N7 ",34'059" 1 .Iil ft. to the POINT OF BEGINNING.
SURVEYORS CERTIFICATE:
I hereby certify that a field survey was conducted, under 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. I further
certify that them are no encroachments by and/car can this property, unless so noted,
Luther T. Musgrove, ..S, 1038
!MPROVEMENTI 3t3RVEY OF
PARr,, t IN R_ 5 , SEC. 1?,
'SOS, R86W 6th P.M.
PIT ICI COUNTY, COLORADO
FOR
MR. dOHN WIX
BASALT, COLORADO
Onsite Wastewater Treatment Systems (OWTS) Use
4P Permit Inspection Form
GAJ N T Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
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:
John Wix Jr.
s
325 Holland Hills Rd.
Basalt CO
2467 174 00 018
12/21 /2017
Jason Daubs
Altitude Septic, LLC
970 471-0913
laltitudeseptic@gmail.com
Inspector license Number:
19
Pitkin County System
A eooy of This inspection mart will he remitted to Pitkin Ce2uniY EnviroryMg_tal Health t)e artment by
the Licensee# 5 sterns tns ecC r w -bin 6€i days o'the in regardless a whether the system
pusses ar evils.
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? 3
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? 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 DFAIL
Improper vegetative cover? • NO HYES
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? 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
IPass
Iselect One
ISelect One
PUMPS/DOSING SIPHONS:
Is a pump or dosing siphon present? YES NO
If YES, is the pump/dosing siphon functioning properly? RPASS RAIL
Does the pump/wiring/dosing siphon appear to be in good condition? OPASS FAIL
Is the high water alarm working, both visible and audible? PASS DFAIL
SECONDARY TREATMENT:
Is a secondary treatment unit present? MYES ®' NO MUNKNOWN
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? RYES NO UNKNOWN
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?
FAIL
YES
YES
YES
Probing Dry well
YES
inches
YES NO
YES NO
..PASS IFAIL
Page 2
UNKNOWN
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 Q 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.
Also, the tank is at the surface so no risers are needed.
Clearly label any, pictures and attach them to this form.
Page 3 Effective Date 1/12/2017