HomeMy WebLinkAboutpitkin.eh.246513201005 (1992)Document Layout
(From Most Recent to Oldest Permit)
Permit
Application
Log Sheet/Notes & Photos
Communications
As-built Design
Engineer Design
Soil Information
Floor Plans
Water Permit & Information
Land Use Approvals
Second System on property
Third System etc
(All relevant older documents in the same order as above)
(A red sticker will be placed on both sides of the file tab when doc. is scanned)
2'f~5-/3~.0/- 005
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RH(pEST F'OR i~1TEtt AND SSPIZC SYS~I I~pHC1ZON
DSS PERlDT APPLICATIOLQ
Date Requested O ~`f .y ~ Check/Receipt~ Nuirber
Bill To r ~+- DR ~
~- . c
Inspection Requested By ~' ~rRO ~ oo a -
,,.~ Phone `~zS~-~oen
Original Report To Be Sent To AML mD
Copy Of Report To Be Sent To
PR(~Y II~FOR[4~TiON• >
Property Owner ~/,~ALpvt~ /~''ICI~l~EL Tr' ~,/~Fy ~eta?4+~ae/~.7
Parcel ID Ntmir-- " `~ • ~~ - - DD
Legal L4, ~./4, Sec. T S,~R~'~~ ANCNES 2.Z(o3A.c:)
Tnt _~ Block - . Filira -^ r Subdivision
Building Occupied_~ vacan Age of Buuauig ~v r~~
Date Septic Tank Last Pumped a- # Bedrooms ~
DBPAI~PP RBOQRflS- /`
Permit Number • -' Year Issued No Records ound
Septic Tank Capaci~~(~~) '~" Septic Tank Nateri,a7.
Leach Field Size UNKNeW (Sq. Ft.) Leach Field TypeTQ~c~~
n~crlaN: ~L~ ;._
Date Of Inspection 8 ~ Inspector
Soil Caditians: Dry Saturated Snow Covered Other
Septic System: Functioning Satfsfactorily~_ Not Fuc~Cti" ~
Comments• c- •~: SYS`rEM F0.2 b~+.~
~w .~.1 ~ ilw Jtra~/nil t J1A/. Grrie (1e.//oAl
Water Supply: Public: Name„ ~~ ~~! ~ ~ .~lac;~i ~
Private: Well x .Spring ,Cistern ,Surface ,
Ot~-er x
Well Construction And Location: App=Quad
Onapproved Because
Bacteriological Water Test: Lab Number ~~
Acceptable
c - / Other
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