HomeMy WebLinkAboutpitkin.eh.246717401013 (1976)Document Layout
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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.
PERMIT NUMBER
76012
Is
0
PITKIN COUNTY HEALTH DEPARTMENT
1y67-17zl-6/-o 13
RECEIPT NUMBER-',QS9?d'
Owner JILX' f Z, 1'7AY'L,e /n' Phone No. 9,77 - V11Z
Owner's Mailing Address Aio X ! A9f ,q Col'
Contractor o& Sd )7% 0IVj I 'uc //o 4, Phone No. 917' 3oyy
Address '90 X /15� �.i' fr, )f Ca 1,
System's Contractor's Name d j d 1 f 120v y lalyc {,o v
Address An x F &S4 4 Y Co i, /sem
Legal Description ' dk /7 p /74 9vd //'/� S,iw✓,�/6,Ai ®/41'
Lot Size //Aar, I, �r 0 Type of Building by Use Aej) ✓e��/�/
Number of Bedrooms /% jQ/^/��/ Type of Water Supply �°eNf�,4A l 8o,LANp HILLS
flwnor'e Rinnatnro E' V) /� /�—G�✓A Date 7�'
PLOT PLAN: ATTACHED AS REQUIRED
*a*+***aa**a**aa***a****aa**a*a*a a a * a * a a a*#**a**a***fart***+***a*#*********a++**aa a a*a
Type of Individual Sewage Disposal System SCP%/C 7/ -q1 —� EPA,gc«�E�
Type of Soil or Soil Classification �f+Noy REQ n1.AY LOAM 70 7
a /
Proximal Location of Bedrock
Proximal Location of Ground 1
***a**a*a****a**********a*a******as******a***R**aa******a******a*a*rax********a***a*******
Percolation Test Date — / Minutes Per Inch (LI/q/76)
Minimum Recommended Absorption System Size -2 t/u'x,�p / -l'"Jit ow 1t,ccc11410
Minimum Recommended Tank Size /000 GALL a^P� TLUo CoM PAkTMrNTS
Special Conditions of Issue: ! r olqc- NOTICE
When properly signedfor issuance, this application
becomes your permit. Application valid one year from
date. If an individual sewage disposal permit Is issued
for property on which no building permit has been
inuetl, the individual sewage dlapcisal permit shell
expire 120 days after Its [nuance If construction hes
not been commenced. Any change In plana or speci-
fications after the permit has been issued invalidates
the permit, union approval Is secured from the Health
Officer for such Chan es*
Approved for Issuance By Date /4
RR+44**1444*444R+#+R#rt#44a44a*Ra **+ +R�RRR4*R*R lY44a#R4R*4+RRR4 **ate*/ R#4a4l4RaRR4Ra#44Ra
FINAL INSPECTION APPROVAL n �� ate Z/ /
14 (Drawing of System on Back)
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Y
rJING
ALL OUSE
ei 15
I C�LaNO Cod
Pf1 CC TAN
y 2'
Bot
(I 4TE'2. aoJE
WAWK LINE
ASPEN&PITKIIV
ENVI NMENTAL HEALTH OEPAR' ENT
•.0 na. •• • r•, al• • tia�• �o- •raw •
1 ,,. • s•. r v� u
Date
,f Bill
Inspection
Original Report To Be Sent
Copy Of Report To Be Sent
Property
Parcel ID Number — tZL —
tegai 1/4, _j/4, Sec. . T S, R W;
Lot P? " Bloc Filing --=j S*division
Address QtyK �0 LliiG5 K0AV
Building Occupied Vacant__ I WCC -k- Age Of
29147 -/7y -D/-0/3
Number
DEPART ENP RHCUMS:
Permit Number 71o0122 Year Issued f � No Records
Septic Tank Capacity. /Ddn (Gallons) Septic Tank Material_
Leach Field Size (Sq. Ft.) Leach Field TypeS2�,
Date Tank Last Pumped_ P,'Y ARC, F62 T/415 L-;
BION:
Date of Inspect Inspector
Soil Conditions: Dry Saturated Snow Covered Other
Septic System: Functioning Satisfactorily < Not Functioning
Water Supply: Public: Name 1161 A.vn r« s
Private: Well , Spring , Cistern , Surface _#
Other
Well Construction And Location: Approved_
Unapproved because
Bacteriological Water Test: Lab Number Date
Acceptable
Other
Q7!lEId15•
A.P.E.H.D.:4/87
130 South Galena Street Aspen, Colorado 61611 303/925-2020
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PITKIN COUNTY ENVIRONMENTAL HEALTH
FieldTest Data Sheet on Percolation Test
PROPERTY OWNER ASCeT / L , Yz!YFZEL T) PHONE !W -39q I
MAILING ADDRESS
LEGAL DESCRIPTION OF PROPERTY
LOCATION OF TEST HOLES I—OGUbe A 43
Three (3) test holes required per system
Test Hole Depths (24" minimum)
3�
r!
Diameter of Test Holes
I2"
,3-2-
12-11 12"
Water remaining after 24 hour soak O O O
TEST HOLE No.1
TEST H LE No.
2
TEST HOLE No. 3
7
Drop
Time
Drop
Time Drop
Time
5
0 YV
3173
.2 0
:2
0
13/6
338
5 �
il-O
:N
o
6
'g
3-5-13
:Oo
a r6
6
.'0j
O
s e
i7
Percolation Rate Each Hole
Average Rate 13
Comments on soil or site: „ n n
Signature
L)
Date OLI�