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OASPEN*PITKIN 0
ENVIRONMENTAL HEALTH D PARTMENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. JAJO
TYPE OF PERMIT:
( )Initial Construction ( )Emergency Use ( )aepeir Work.(Pfevious Permit 1 .) ( )Alteration of an existing system,
or Installation (Previous Permit 1 .)
Usa Permit as a result of Seta ( )Other, - p
ISSUED TO:I- AA��DATE OF ISSUE.
OwnerBMIH 4WA&W D'(/1M ome Phone Business Phone
Maili
Address P
Adddres= 9JOWAY 82
Agent &LA&ADO Phone
Mailing/ o 6 m2.3
Address lA
Serfage Disposal System Work to be performed
This permit valid only (oars sp�reemmises location by the following legal 'd-olperlptiont &M 24 —1
LOT stle Is 2,111 AC463 , MATER SUPPLY Vlsfpa Nfts. , AVEMrC PERCOLATION
This Individual Sewage Disposal rcrmit is granted with regard to the following use, �/&W& rMI(Ll m(%.-Ae
)IuuLpr oft Dodreoms 3 Lefls0 Garbage
� Disposals_ / Dishwashers_/ Clothes woshors
CALCULATED AVENGE DAILY wASTC igAD 750 GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
IType of Tank or Treatment Units
Mthod of final Disposals
Tank Capacity _Gallon Minimum
Absorptloa Area Square feet Minimum
Description
(including brand name. if any) of other equipment or appurtnaneess
Next
.Other C ditions or S cifieationat��( ry (�A I•e� Ze b OF %J '`' R s P��P�
cook" I suVrryeu4 eNiT�JDIVICI�1�S uAGE ►SA�IIt1yS OMS f�C
0477v"p t%$E OF MI EX I SV M49 FdAIC, *Q#JF Sfj f e SYS"
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Before Excavation ( )Upon completion of excavation and prior to plataeent of gravel ( )Before covering distribution
system of absorption field
f )prior to backfill of any component ( )Other, Specify, .0
Plans and specifications of the proposed sewage disposal syntem have born reviewed And are considered satisfactory. perminslon
is hereby granted to tl,n owner or his agent to pnr(orm the work indicated ahnvc In accordincu with the Pitkin County IndiviJual
Sewage Disposal Re-mlotions In effect on the date of issue. In addition to general provisions act forth on the reverse hereof,
this Permit is subject to the following additional terms and conditions,s.'��wry,r,r�„�M"s �„w,,,,,�..........:....... ��,..+r
APPROVED FOR ISSUE BY (&1r
The •Mvc individual se.,a,)o disposal system installed by,,! S:L�7- -
Ms been ir:,.ctcd ter use by a representative u( the AsP u in Environ
reopons ibility in cast of failure or inadequacy of this acrago disposal system.
DATE OF FINAL IC�CT ON D�ZJ �g7
ci
BY:_
health Ocpnrtment, Tho ,,nor as cones a
Complrto ea -built drawing attachod,
130 South Galena Street Aspen, Colorado 81611 303/925-2020