HomeMy WebLinkAboutpitkin.eh.246721202008 (1975)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.
PERMIT NUMBER
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+ J t� `) 11T1 =AT COUNTY HEALTH DEPARTMEN•
RECEIPT NUMBER �} /
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Owner , , h Pi %tM 4 N Phone #
Owner's Mailing Address
Contractor �/" -ec /',/ y 1'9�- Y Phone # 7-2 1-3-1 77
i
Address /3 c, r �Z Z 6 C C,".1- Al VIA/ ZI C Z 3
Systems Contractor's Name�M
Address
Legal Description /✓ (p r �J
Lot Size / Q Type of Building by Use 1N(,[E 1;14jL1 /SFS{T1E/1IL/iyt
Number of Bedrooms 3 Type of WaterSupplyZ-t �/ [Eil%zw, 20!/ /
Type of Individual Sewage Disposal System -�E�C/ �/i/�i�" iey/ Q`1�7�CLL
Type of Soil or Soil Classification I[f /� �/�}/✓Y l �"��c Z—
Proximal Location of Bedrock A10 -F 06 / :0� /UEQ 7 ! s 4 --
Proximal Location of Ground Water
Owner's Signature
12114300m,
i r, ruc Vfllu�Ett EPT� �-
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1",, uw -rc e L/ Nr
Percolation Test Data j Minute
Minimum Recommended Absorptio
Minimum Recommended Tank Size
Permit application valid one year from Date. Application to become permit and final only
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FOIA AT THE
CONSTRUCITO Y SITS
Date Sanitarian
yawing of system on back)
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SEPT/c Ti4NK
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PITKIN COUNTY HEALTH DEPARTMENT
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PERMIT NUMBER RECEIPT NUMBERVLI/F!
Owner jT _�, 4 _4�4 Phone # �J(r"
Owne4o Mailing Address
Contractor e. ���_��� ;L Phone # 91 71-3 '/ 17
Systems Contractor's Name
Address
Legal Description
Lot Size
Number of Bedrooms
Type of Individual Sewage Disposal Syst
Type of Soil or Soil Classific
Proximal Location of Bedrock
Proximal Location of Ground Water Te
n _
Owner's Signature
PLOT PLAN:
I,,� U)4 F,e L/n/r
Type of Building by UseSI/V[rSLET/JMZ1Y1 sRX/��t/Lyt-
Type of Water Supply t : ,/ • — czryzew -9j#V
� MP--rAv►,` - T)AOY ///£L-1,
Dat e
Percolation Test Data Minutes. -per i(r Dg't(JE
YL� 4l�S,
Minimum Recommended Absorption System Siz
Minimum Recommended Tank Size
Permit application valid one year from Date. Application to become permit and final only
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FOI AT THE
CONSTRUCITO IT Yf. � ��
Date k / Sanitarianz4� 4
awing of system on back)
PITKIN COUNTY ENVIROrMENTAL HEALTH
Meld TestData Sheet on Percolation Test
PROPERTY OWNER -f A4 Ad ' PHONE
MAILING ADDRESS Ogg VE F
LEGAL DESCRIPTION OF PROPERTY
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" minimum)
Diameter of Test Holes
Water Remaining after 24 hour soak
TEST HOLE
Time
Percolation Rate Each Hole
Average Rate
NAME OF R
SIGh:ATUHE
L1
RUNNING TEST PHONE
PHONE
0 COLORADO DEPARTMENT OF HEALTH •
DIVISION OF ENGINEERING AND SANITATION
ACT I V I T Y RE PORT Code 12
Section
FILE REFERENCE: Private Rawage nisnosal
INDIVIDUAL OR
ESTABLISHMENT: Pittman
County 57
NARRATIVE:
I found the drywell dug and the rings in. The gravel was
already added to the hole. It is about lAl2land 9 feet below the inlet,
which may be good enough if the perc rate is faster than 10 minutes to the
inch. If not, I'd assume that it will have to be increased in size. No permit
has been issued on it. The perc test is scheduled for tomorrow mornnng, to be
run in the drywell.
We 14&47-1o1/ 001Tf- ZV45 / 11VCH -f- /'1/NdTE5 ADD/T/nn/nL
AREA L746 T,, BY Tf'/i✓G /4/70 �,Y/sri,✓G l I'C�/E�c 6c/f//eH
IIAD 1),&,PPED 115M;r 6 /,41M/ 5 OdE�'NIGtlT /E�Mir issueo
AND SYSTEM FI-14mED
LETTER TO FOLLOW: ( ) OTHER
DATE: 6�3-1 19-q5—
s ES: 7 (Rev. 6-70-100)
REPRESENTATIVE:
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