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HomeMy WebLinkAboutB&R Septic Inspection Report4- r r .- r _ . — _ — v L- r — �. ... .� �. .. ter. �. r «�i� •� r- . r k�i — — .Carbondale, CO 81623 970-963 3814 E-mail: bc r@aol.corn Ons to Wastewater Treatment System Inspection Report Ordered by: �� Dade: i me 5cheduied:_1 2015 -.__pm pm Send Copy to: E-mail to: Site Address Billing Address Phone: Phone General Informcitlona 1.) Age of wastewater- treatment system: years. Was a Homeowner 0,uestionnaire completed? Wes 0 No 0 Water so iMener 0 Garbage disposal 0 Whirlpool bath 0 Cleaning service In -hone business: type 0 Yes to 2.) Number of people occupying dwelling: Currentfy: Anticipated' 3 If currently unoccupied, for how long has it been vacant? Months 3.) Number of bedrooms in dwelling: Design: LIw�l� Listing: 4.) Has there ever- been a backup in the house? 0 Yes No List any known repairs made to the system: &(LLL Repairs made by 6.) Has he system recently peen inspected by others? Yes 0 No if so, Who? �v�.��'�T� —did itfaii? 0 Yes &No 7.) is there a service contract for system components? 0 Yes �No company: a.) Date zhe treatr►rent tank lass pumped: ° : © Never t© my knowledge iy r At what f requency? Company: 9, he abode € err ay �n is true -o the best of my knowledge. ) Date Owner Additional Comments: ',2�1 1 e System Type } Components 7of�W}astewa�t�er`-T-ieaim!{�ea Systyemy�—(fcomplete as necessary �p Pretreatment nit 1: Liml.'T�Q3 I xLBI !/JVVANir ,�gy�oiW VTa Pump: Pump tanlcl: / gpm/tdh j ons�, Per day (gPd)] Pretreatment Unit 2: �_] [98110ns or gal per day (gpd)] ?.) Pump: Pump tank2: / gpm/tdh L_][aallons] Soil TreatmentArea: [ ] [square feet] Additional Components: & Z � � tr � �� � � � U vR .%a) Gray water discharge? PNone OSurrface OSubsm:ace discharge lb_) Foundation drabiagre system? 9None OSurface OSubsurface disoharge Comments: Co EvaWati[on Procedul'eso Check the appropriate boxes. Locale. access, and open the septic tanak cover. aYes O No if ar grade, is she cover "secure?" 9 Yes O No Can surface water in3ltrate into she tauk? O Yes & No A.nz indicators ofpmaoz s-Mure? O Yes O No TL. spect art. inspect level, measure sludge and scum, dheclt affluent screen. (& Yes ® No Run an operation test O Yes ONO Gallons added in the test: gallons N. applicable, pump out prMarytreatment tank, O Yes 0& ? isten. and observe forba ow into ft ta_ntr fromthe outlet pipe. Comments: i7�lvin aca �� Caution: Do no, znnp it eamient ta7dc if there Ts evidence of a waIjimetion in any portion of the systenr- Inspecr rite condition of the primary treatment tank f Yes O No .or cracks, �'sfltration, deterioration, or damage) sd the fiategdt-37 of -lue inlet and owlet bafes (for deterioration or damage) 0 Yes O No 4E-VTR enter a tank unless proper confined space entry procedures are folievoedl )oes the system contain. a dosing or pump tank, ejector or grinder pump? O Yes Q No f so_ Did you. check: inzegdW Of the -utk (cracks, infiltsatiou, etc.)? 0 Yes 0 No En Cheddist Summary . 1.) Pretreatment Unit 1 is in Acceptable Pretreatment Unit2 is in O Acceptable Conments: r V.4tS 4c, 0 Unacceptable condition. ® Unacceptable condition. WN/A Bvi r� (i & de Gjroz( 2 2.) Pump and pump tanit 1 is in ®Acceptable m Unacceptable condition. CVT/A Pump and pump tank i is in C9 Acceptable C Unacceptable condition. CST/A Comments. 3.) Soil Treatment area is in C rAcceptable 0 Unacceptable condition. Comments: My ��°j�3 6� nlAtc kiaki li rt,A- Fe Company ®is¢iair erg Based on what We were able to observe and our experience with onsite wastewater technology, we submit this Unite Wastewater Treatment System inspection Report based onthe present condition of the onsite wastewater seatmeat system. B & R Septic Service • has not been retainedto warrant, guarantee, or cer* the proper functioning of the sysiLm for any period of time in the £utiue. Because of thenrimerous factors (usage, soil Characteristics, previous r''aiiures, etc.) which may effect the proper operation of awastewater treatment sys- rem, this report shall not be construed as a warranty by our company that the system will fimetion properly for any particular buyer. 6 & R Septic Service DISCLANi 1S ANY WARRATt ,, either expressed or implied, a,dstia- from the inmpeouon of -the wastewattartreataaent system or this report We are also not ascertaining the impact the system is havix{s oa the environment. Inspecting COMpany B & R Septic Service Inc. - phone: 9( 70 ) 963-3814 0603 Handy Dr Carbondale CO 81623 brseptic@aol.com f`- r ;f l [ y Ste I -`4 x f l ,s yF tic, c , s •� i ' - - c ':�3s� f i ��yyyOS�-� mw Nor :j..�. k: