HomeMy WebLinkAboutpitkin.eh.246717401028 (1979)Document Layout
(From Most Recent to Oldest Permit)
Permit
Application
Log Sheet/Notes & Photos
Communications
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.
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PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NN/UMBER LOy (% d //RECEIPT NUMBER ✓03t��(�
Owner.l� s �� ��� — /✓��� � � Phone No. 92AL 1-76s/
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Owner's Mailing
/A�dddrress s
Contractor( y! -� • �� Phone No.
Address
System's Contractor's Name /�
Address !'l%/�i 0 rDSS/Ayzd� Dr—
Legal Description lef-11,.
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Lot Siza�� �� ��� X -»a- Ir Type of Building by Use Sr�G� y Y ES/DEf/CE
Number of Bedrooms n� / Type of Water Supply
Owner's Signature ` —yr` Cat -14
PLOT PLAN: ATTACHED AS REQUIRED
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Type of Individual Sewaqe Disposal System
Type of Soil or Soil Classificati
Proximal Location of Bedrock
Proximal Location of Ground 1
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Percolation Test Date 9 J Minutes Per Inch a Q
Minimum Recommended Absorption System Size ^/ fv
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Minimum Rec?mmended Tank Size /000 Ad I '
23' x 3S Miry 2 FEET oF- GRR �- VAIC)Ek LIAIeS No p!SPo A/_ 3,5-cqu"Ai cu/.5H
Special Conditions of Issue: NOTICE %b/LE%Swhen
properly signed for issuance, thea application
Absmrp�(cm T�lr+ ��(✓ v5� be bacomesyour permit. Application valid one year from
r� data. If an individual sewage disposal permit is Issued
a5 �� - YMm poi, /_ /5 ' kr i for property di ideal no "wage
building permit hes been
poi,445 f C.)a }( S' , issued, LM individual wwege dlspowl permit shall
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WATO2 e 4NSE1eV11l/ON NO D/SPVYIJZ
Appr ved for Issuance By
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FINAL INSPECTION APPROVAL
expire 120 days after its issuance If construction has
not been commenced. Any change In plena or speci-
/// ` fications after the permit has been issued Invalidates
permit, unless approval is secured from the Health
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A WWW J k firer for such changes.
(Drawing of System on Back) 'c, -c a
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