HomeMy WebLinkAboutpitkin.eh.246334102040 (1978)Document Layo
(From Most Recent to Oldest Fermi
Permit
Application
Log Sheet/Notes & K
Communication!
As -built Design
Engineer Design
Soil Information
Water Permit & Information
Second System on property
Third System etc.
Floor Plans
Please See Building and Land Use Approvals Files for additional information.
PERMIT NUMBER 'ISO
Owner 1*// O
Owner's Mailing Address
C
ayb3-a�r�-oa-�y
PITKIN COUNTY HEALTH DEPARTMENT
RECEIPT NUMBER
'at(41 Cq
ENT 16wlYr Phone No. /y 3 3 V74
Dae//B.S_ ew,
Contractor �-Zf:7 Phone No. 76 3 a? S ZZ
Address
System's Contractor's Name
Aosc
Address
Legal De
Lot Size 9-5 7 Rei Type of Building by Use
J� Nc
Number of Bedrooms, Type of Water Supply ���0'✓�£ %/s��
Owner's Signature! �`C^GXf+� .'� Date
PLOT PLAN: ATTACHED AS REQUIRED
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Type of Individual Sewage Disposal System 'l-/ r c- IJt- r -,f /Ic t
Type of Soil or Soil Classification ,� �� 2 L - &7L) LOA M
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Proximal Location of Bedrock IVO f T L/TE,eN1/AJ6_D /�/
Proximal Location of Ground Water Table / 70 T /� � /��1� — �s/�L %��� �iiA
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Percolation Test Date �� 2✓ Minutes Per Inch
Minimum Recommended Absorption System Size //O d Q • ET
Minimum Recommended Tank Sizey6o GfILGol+/S
Special C nditions of Issue: Nonce
p When properly signed for issuance, this application
become your permit. Application valid one year from
date. If an individual sewage disposal permit Is issued
for property on which no building permit hes been
issued, the Individual saws" disposal permit Mall
aspire 120 days after In issuance If construction has
not been commenced Any change In plans or spKl.
fications after the permit has been Issued Invalidates
the permit, unless approval is secured from the Health
Officer for such ch noes.
Approved for Issuance By Date
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FINAL INSPECTION APPROVAL ate
((drawing of System on Back)
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