HomeMy WebLinkAboutB&R Septic Services OWTS Inspection 04.14.25-:-_ -:' i-.- .-:.:..::--.-+ .5=::i-.31i:aT ."=.'.r.i o:-'S l-;i'SaE1-.-r:-t--= '--.t.:'
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.Carbondale, CO 8L623
97&963€814
E-maiL bJsePtic@4l'gom
CInsflte W
Ordered
Send CoPYto E-rnail to: . -
Site ing
General lnformatisn:l'X91 *a P..ese"0
L.) Age of wa$ewater treatment system: Years'o.f-G o No
Was a Homeowner Qu estionnaire comP teted?
O Water softener ffiarb age disPosal O WhirlPool bath O Cleaning senrice
O Yes CNo
2k>
Date
Owner
System lnsPectlon RePort
fi me schedule a,.HI /7485-:-arn Pm
itional Comments:
E" System Type
ComponaE ofWasteu'ater conaplefie as
PretreatmeutU-ait 1:
PrmF:Prmpmkl:
Preteatuent Unit2:
:-j Pr:mp:?urnFtank2: . !-gpn/tdh Igallons]
Soil TreameatArea:
Additional Couponents 4"f, lt' Ril1o9
-l.a) Gray rvater discharge?
@Noae OSus&ce
3-b.)
OSubsurlace dischage
galpa.lay (Spd)l
orgalperday (eBdI
[square feet]
OSubsurfrce dischargs
Foundation &ainage sSrstem?
pNoae OSrirface
coumen*,
uJ .W u^^ u lvr g^^ Lri*o o* (tfu "91^^'w
e, EVa flAUatfi Om FnOAgdufeff Checkthe appropriate boxes'
Locateu aecess, aad opea the sepiic taak covei' P Yes O No
iiaigrade,isthe"or'"i"secure?'j pYes ONo
Caa ruface o'ater irfilt *te iato ibe tadc? O Yes I No
.+-a:, iiadicators ofpre'ious failrge?
- i ---- ^r^^-t;osFrnanrr aEFeFn.,-
o Yes @ No
raryecrlid" i'slrecri;r"l;r""*" s6dge andscnm' eleckeflrrentscreen' @ Yes O No
O Yes @No
Riman operationtest
Cutto* "aO.aiotU"tesfi
gallons
Iiapplicabiepimp outpn:naiyteatn6rttank' c#,ninc FVes ONo
Listen and. obseri'e flt i""m"- into the taok fi'ono^{ ogflet pipe'
commen-s , Tn *i-i l-'u* ' o ":L i'* 1. t'ury"tr t' ''"1 -
Cautiott:DotlottrtnI7Pt1Eatme,,tt*u,,@ai1xlcttoninaryportionofthesystPnl.
inspeei iire condition oithe piinary tleannent talk P Yes O No
{;;;;;;;kt, inaiuaiio'', d'eterioratio} o: dsmase)
aad ihe iaregriqy .f tird *d outtetuaflesi# aeteiioration or damge) o yes o No
}:El,ER. etrter a tank unless Proper ,oogo.a spaee entry proeedures are followed'!
Does tbe s-l-s,uin .*trio a dosing ot p*! ta:nrr, e:;ctor or griniter pump? o Yes F No
If se, Did';;ou ta"tf :"'*gttr' of-Le -**?;t"G' irftltratiol' Jtc')? o Yes o No
Is the puup elernafed ofihebotfiom of&e chambef
Does&epuqr work?.
If&Ere fs-a e,heck ralve, is a guge hole preseuf
Is t&ere ahigfuwater alm?
Does&eal*rm.work?
Do electical somections appear satis&ctory?
Did you cleaa&epunp tanh?
Frobe t&e soil feaffient area to detmine ih locatisn
and, to checlc for excessive moisteren odor' aniU or eff nent'
OICs ONo
O:fes O No
Olfes ONo
O lfes O No
'Type of diitibutioa:€ Graviry O Fles$rre
Is There:
Any indication of aprevious faihne? O Yes
St.ptgtvisible oathelaqm? O Yes
LushvegetatioaPreset? O Ye's
Ponding."t*tt"'tfttDisftibutioumedia? O Yes
Even distribution of eflaentia&efield? QYes
Detersine distancebetvreenr wabrwell and soil treatuiletrt uuea'
Disianceis feet
OYes ONo
OYes O No
O ]fes O No
OYes ONo
@No
@No
@No
@No
ONo
tod M V^
D" Sfisetah of SYstem
tAA Aret"a
For repro&rcibre results, show di-UPl*' from str*ctr:res ihatwill aot chuge' srch as comerB or thebouse"
show deiails, *rn Jt* *ua, ia relatioa to tbe house to get the cmect cieotaiion- show all located compr
$d/e-o .tq*U
Eaw.,^1 ru f iln
nefrs.
Co.l41t €-ptu_Pr!
,t\tl-\
As+
C)P
=\)\
E" eheeklist Summany
PreilrcameffiUsb 1 isb SAcsePtable
Fretreahent Unitz is in O AccsPable
Conrnents:
O Unacceptable conditlon
O Unaccepable condition" I N/A
1.1
2.) Frrurp mdPmP@k 1 is in
Pump andpumptadr 1 is b
Comtnetfis:
O thacceptaSle condition- @ N/A
O Unaccephble condition- PN/A
OAcceptable
O Accepable
3J SoilTreamentareaisin FAcceptable O Unacceptableconditioa
Comments: ALwz Ura-9 W a-auzs .t E t't ^/I-.
F" Gonmpany Dise$airmer
Based on what we were able to observe and our experience with onsite lvastelvater technology, we subsrt this
onsire -wasbwabr t "rmrnt
syst€m. Ins,pection Rqlort based oa the present condition' of the onslite wastevfater
*"**a "y.t"*-
B & R septic servlcq - has not beea retained to wasaut, guarantee, or certi$ the prcper
irmctioning offhe.@i-"intbefirrne- Beeause ofthenrmeroussetors (usage' soii
chaaeteristics, preoioos luit*o, etc-) which may effect ihe proper operdioa of a wastewater teatue't sys-
ien this report shail aot be coastrued as a wauanty by orn company that tle system"will functioa properly for
an1.-parricniubuyer. t a n t"rt. s"** DrscT.Aiuls aNlrvARRAl,irY, eirher expressed orimplied'
arising from tre r",sr;Foa ofdre v.r'astewater treatuent sjEtesr or tbis rcporl 'we ale also not ascerEining fhe
dfiiatt" sy*emii having olrthe erevironmenL
I-nspeetiag ComPaaY
B & R Sepiic Service lnc.- p6gas;( 970 )969-3814
0603 Dr
Errbondale. CO 81623
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OARFIETD COUNTY EUILDI]{O AND 8AI{ITATIOiI DEPARTflEilT
109 tlh Srlrt Sultc 303
Olanwood Sprlner, @br..lo 81601' Phom (803, e.C-82r2
INDIVIDUAL SEWAGE DISPOSAL PERMIT IIIB 1S$7
Thls doos not conslltute
a or uro potililt
0wner
Sy:tcm Locrtion 04 '/
Llconred lnrtrller
' Conditional Conrrrultion approval is hereby grantcd 1s7 s /1{2 gallorr
--ttt Soptic Tank or
-Aerated
trgatment unit,
Absorption area (or disperral 6re0l computed er follows;
I
Pcrcratsof oneinch i" / O minutosrequiretrmlnlmumof '# ..eq.
DGMTTE 9IIDTI }ORIL,'::ICITG
e o[l'FICXt rOR lilSlNtiq,q.-, J
ft. of absorption aree per bedroom.
a totsl ol sq. ft. ol abmrption arcr.
tvi( ll
f See ., -/f'^,r(
tV ,.l .
v't Jt
^
;+{. t.
u' ,, /t {i /.::
)
Therelore tho no. of bedrooms -..t-3-
uaywaluegprl, ,/to' X-
x
-_sq.
ft. minimum requiroment -a / f ,'li.t' X /tl c"/(€)) / )i
t:
Date Inrpsctor
FINAL APPROVAL OF SYSTEM:
No eyrtem shrll be deemed to be in complianca with the Sewage Disporel Laws until the asrembled 3ystom ir approved prior to cover.
lng rny part.
-#k--- Septic Trnk access for.inspection and cleoning within I 2" of ground surface or teratad rccars porti obove ground
t lurfece.
Proper moterials and essembly.
Trade nams of c€ptic tank or aerated tr€rtment unit. <",:t n e /"^, ,.
Aclequateabsorption lordispersalt arca. /(*t'X, I U 7,r, ,( ,
Adequate compl iance wi th permit raqui lbrnents.
Adequate compliance with County and Slate regulations/requirements.
t /.t'
i )l<
- .-' -' - Other
lnspector
RETAIN WITH RECEIPT RECORDS 4T'bo NSTRUCTION SITE
TCONDITIONS:
l. AlllmtlllttlonrnultoomplywllhallroqulromcnlsotthoColoradoSteteBosrdotHeslthhdlyldurlgawag€Ohpoealsysteml
Chrptor 25, Arllclo l0 O.R.S. 1073, Rovlsod t98{,
2, Thlr pcrmtt lr valld only lor connectlon to ltruolurtt whloh havo lully aompllcd wlth County zonlng rnd hJlldlng
regulromcnto, Conmctlon to or ulo wlth any dwclllng Or tlructutel not epproved by the Bulkllng and Zonlng olllos shall
rutomrllcrlly bc a vlolrtlon ol a requlrsmenl of lhc parmll and csuso lor both legal actlon end nvooatlon of the pormlt.
3. Any paron who @nrtruclr. altcF, or lnstalls an lndlvlduel scweg€ dlsporal ryrlem ln a manner whlch lnvolvec a knowlne
end matorld vtrlatlon lrom tnstermoorspoclllctllontoontllnod lntheeppllcatlon of permltcoflrnllsaCl!.3l, PcttyOflcnre
(l50o.00llne - 0 menths ln lall or both.).
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Appll$nr! Gr.t6 CopV D.C.rtmantr Panh Copy
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ItITVIsDI Approval
County 0
byfficiaI
v\
#r^7&?z /.'pl t"€
Pt*'
rroundlng areas,, soil percolation
lze lz
d ceMADDREsS 0
COI{TRACTOR-
ADDRESS
E o" tJ
E
PERHIT REQUEgT FOR:( ) New Instal I atlon ()Alteratlon ( )R epalrAttach separate sheets port showlng entire a rea with respect toor re sutopography of anea, habitabl e buildlng, location of po table water wellstest holes, soll profiles ln test holes. (See pag )
LOCATI OF PROPOSED FACILITY : County
Near what Clty of Town
Legal Descrlptlo
e4
,'/
{fsT.ES TJ.P.E: (><} Dwellins
( ) Cormercial or Institutlonal
( )0ther-Descri
BUILDING OR SERVICE TYPE:
Number of bedrooms
a
( ) Transient Use
( ) l{qn-domestlc t{astes
e M&ts
r of persons. _ 5 .,.
lN Garbage grinder y3 Automatic washe
s0uR,cEJ,Ng.LYqE pF,l.r4lEr S.upply: ][X ) we
r ( ) Dlshwasher
lI ( )spring ( )streanorcreek
Glve depth of all welts within 180 feet of system:lhil?-
If supplled by conrnunity water, glve name or suppller:_____
GRqJN0 C0gprrJgr{g:
Depth to bedrock;t^) k flo tt> 4
Depth to first Ground llater Table:
Percent ground slope:
DISTANCE T0 NEAREST C0NMUNITY SEt'lER SYSTEI.I:
l,las an effort made to connect to conmunity system ? lUo-rt/ ?-
TYPE OF INDIVTDUAL SEI{AGE OISPOSAL SYSTEM PROPOSED:
or
'tC.
(|.) sertic Tahk
( ) Vault Prlvy
( ) Plt Prlvy
{ ) Ctremlcal Tollet
FIIAL prsP-0gAr ..BJ:
) Aeration Plant
) Composting Tollet
) Inclneration Tollet
Vaul t
Recycling, potable use
Recycling, other use
'(
)
()
()
(
(
(
(
P<) Alsorptlon Trench, Bed or Pit
) Underground Dlspersal
) Above Gruund Dlspersal
) 0ther - Descrlbe:___._ _
) Evapotransplration
) Sand Fllter
) l{astewater Pond
(
(
() Other - Descrlbe:
I{ILL EFFLUENT BE DISCHARGED DIRECTLY INTO }IATERS OF THE STATE? 4UO
Page 2
{Rlllcant acknowledges !!ft the completeness of the appllcation is conditional upon suchfurther mandatory and addtttonal teits ino repgqis as'rnay be iequi"Ii";i-ite ioIIi rreatttrdepartment to.be-maoe ind iurniitreo uy.irri-uFiiiiiant or by the local health department forpurposes of the evaluatlon of the appi{catloii-ahd the rsiuinie'oi-irrJ-iinilr:iiiJ:iubJect-tosuch terms and condltlons as deemed'hecesiary-to lnaile ;iltfiinie wttn'rtiii ino-regutagonsadopted-under Artlcle 10, Tttle 25, C.R.s, 1b73, as imended. ifre unoJisignei rrereuv cergflesthat all statements made, lnfornnti$_a$ ripoifs suurniiiid nerewitii-il ilqrri.l'ro besubnltted !y.ttre appllcant are or wlll be rebreientic to uJ true and correci-to-itre best
9l TI fngylelot.and bellef and are desisned Lo-be r"iiii on ii-it. tocit.jrpartmiiit of healthln ev.aluatlng the_sy49 fo1 purposes of lssulng the permlt appileO for herelir. i-further under-stand that.any falslflcation oi misrepresental,ion.miy nesull'in-ine ceniai oi 6e ippiicaiionor revocatlon of any-permlt granted based upon said ippllcatlon anO in iegai uition'?ir-pJr:'-Jury as provlded br llw.
$oi.r-- peFcoqrron rgslnegull.s.: (To be conpleted by Regtstered professlonal Engineer.)' l4inutes
-per
lnch ln hole No. I Minutes per lnch in hole No. 3I'llnutes per lnch in hole No. 2 Mlnutes per lnch ln hole l{0.__
llante' address and telephone of RpE who made soil absorpHon testsr
Name, address and telephone of RPE responsible for deslgn of the system:_
Date Signed
PLEASE DRAl,t AND nCCU&!LTE ilAp T0 yflrR pRopERTy
CR //s
rii.i'r.. '
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Page 3 /A (rrr/r
rnclude !I measured dlstance locatlon_of vrells, springs, potable water supplyllnesr clsterns, bull.dings,_propgrty lines, subsoit oiiini,-ili;, wateF ibi,rie,stream, 9fy gutctt and show locatlon of proposed system uy titneCiion and drita;;efrom dwelllng-or other fixed reference buJbct, ani additional-iuuiisiioni'ii-"--support of thls'appllcation such as data,-plans, specificationi,-statements andconnl tments.
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Page 4