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HomeMy WebLinkAboutpitkin.eh.264504201001 PITKIN COUNTY HEALTH DEPARTMENT 76038 9 PERMIT NUMBER RECEI NUMBER , �%�- Owner / / � /y�j� ✓ _ - q / � > Phone No. 7� - U -? a' Owner's Mailing Address a / 5 A'Sr' `� CA Contractor c n/ Phone No. Address ' /,j L System's Contractor's Name V 1 s t X' 0A ✓ft ri/ Address / / /�, / ��/ // Legal Description Jcr / f�� `/, i` e/C 3 / imic %neriir J! x Lot Size /. 0 / 07 Ac�-,e F Type of Building by Use /u A 'Ma 'M - 9 f lDE - Number of Bedrooms Type of Water Supply/" "ree U L 4 ' Owner's Signature 10- 'r-r Date 5 6 /74 PLOT PLAN: ATTACHED AS REQUIRED . SEPTCT M K— �TWFu(T IMI Type of Individual Sewage Disposal System e, • D � • 5/C `'� A/ EYAPOTeAnJ Rep jl, ` Type of Soil or Soil Classification /, LOA Al Q Proximal Location of Bedrock A 0E7 ERA4 /mua 1) Proximal Location of Ground Water Table Ay r De eieflINEb > g r ............................................................. ................ /Z,(, Percolation Test Date 76 7 Minutes Per Inch 6 / Ol 7e Minimum Recommended Absorption System Size .2 3 5 S7' 'r /� n Minimum Recommended Tank Size "Ot' CALL OA — 72 dONPA n $1E/U73 Special Conditions of Issue: NOTICE R C... When properly signed for issuance, this application A/ .J p, becomes your permit. Application valid one year from CCC3331.� Q (1 date. If an individual sewage disposal permit is issued �J\ for property on which no building permit has been issued, the individual sewage disposal permit shall expire 120 days after its issuance if construction has not been commenced. Any change in plans or speci- fications after the permit has been issued invalidates the permit, unless approval is secured from the Health / Offic ch changes. Approved for Issuance By / /�� Date ! z / 4 ..............................* ............. ***************** **** .................... FINAL INSPECTION APPROVAL 4 / /i, gate / 5 7f (Drawing of System on Back) 10 0 30 September 1976 0 Mr. Bob Nelson o o o 506 E. Main W co Aspen, CO 81611 D o RE: Randy Gregory Individual Home ❑ Q Sanitation System z 0 • 0 Dear Sir: ❑ w w This letter will confirm that the referenced installation was made in Z compliance with the approved plans and specifications. 3 E W N Respectfully Submitted, ❑ grcht 0 0 C Z W w R oger Hocking ,�p H ° jO Z -j P.E. & L.S. @!��.••••., V y i P G• • _� • • 4 Z 0 *• 10049 : .,4 �co .,n• . • N U 6 , ' , uuuuaD i Y Z w Q D M Z 0 > U Q 0 0 Z ❑ W Q W ¢ W 0 Z • O Z U w O 00 ❑ CC 0 ❑ -J w 4 y \aM wJ PITKIN COUNTY ENVIRONMENTAL HEALTH LW./ Field Test Data Sheet on Percolation Test PROPERTY OWNER ,4 nov CR OGoity PHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY tor = 5uc V Fu_c 4/C E ti^c Crew_ LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) q rr11 9/ Diameter of Test Holes Water remaining after 24 hour soak S - r- t TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 5 j ' ) I f Drop Time Drop ' Time Drop Time I yr «04 4 � V p 2* v4 ,, A-`/ii, " C 3 7y `!e - 7/z .a 7 / - = 3 Yv ci ` 1 • , ' 55( ' Percolation Rate Each Hole Average Rate Comments on soil or site: N0 6 goOM 0 ,,VA -re-4 C.../...A —S /Cr rots ro 5s Signature c Ida r. gdon- D ate A 5 -A w PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER ,� 4 4 eg PHONE MAILING ADDRESS FF /// U LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) -- Diameter of Test Holes 1 Water remaining after 24 hour soak / TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 Drop a ' Time Drop Time Drop Time ` 0 9'? 9 ,1' .3 ziao 0 3 ' c. It' ' kic"I j c , 0- 1 1.9 / (a S jS 8`b- S I % 3 Sbg g%6 61 6 h r/o 31/4 s1a ciO4 5' i S 4 s Percolation Rate Each Hole / b Co I ( a /',) Average Rate % . Comments on soil or site: i C f Signature Date 1 ! ' :t' ) - 4i 1'--1 O I _._`t� ; c1 cS ? '�i b . _L. - Od V/\ a + V V 1 I 1 J N-W 1 d)d .C.7 C1O1S ■ 'D E\ c) e-U. --+ . y ' ,:, c 2b ad p+�1'' ,\ I (f t' HO! -1-ri r;c?I. ±`: -7IQ - d0 - 19 -, , ++ - L-r19A 29117 _ 1 I I c - 1 V : ' , ` L ) 2 d c4+ No 1 _Lf c x I u J c - , *471 r j HP7 r" P T 9 , a S ' -7 �({ 'A'd 1 ( L) ±N9A ?Iry `�`F -• Y'. c1 „t' — ") ---- - - -_._ ._.. - - .�Ui - -.._ �„ 1 > L_ I_ e , , ` Vi ,006 =l;Gje- -, PTV awl , r r _ _, ,0-A__________ --- __- - --- /\b a -OC T VX!a1b ) _- ..ir °I C, ; _ Z N. 7 r » a 1 -2 ,). C - 2J _! 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