HomeMy WebLinkAboutpitkin.eh.246727200006 (1974)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.
7 �f t PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBER 2 u Fi
�ayG-a X2-00 - 0010
RECEIPT NUMBER�Pii/
Owner
,L VIUIV /Z ZE1e,'
2 T LL.
Phone #QHS - 7/ 7 4/
Owner's
Mailing Address
6"
SPrI � ('o
Contractor �d Dtzg E-c,r 2 Phone # 9a27—&'f3/
Address
Systems Contractor's
Legal Description %KFC T 7 `;o �-c Tx"4 � 7�42 Trc R ANG E g"
Lot Size 2 �2 Ac I- C-5 Type of Building by Use
Number of Bedrooms Type of Water Supply k0 e
Type of Individual Sewage Disposal 4stem s 77GTN.L�->9BSCaEPi/O ✓ F6L�
Type of Soil or Soil Classification SAAJO `% L -OA M
Proximal Location of Bedrock /547 QeTrQM/W-V-7D ;R
Proximal
Location
of Ground Water Table % FF—
'Owner's
Signature
Z�.f..
Date�`�/7 �1
PLOT PLAN:
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3
Percolation Test Data 3 Minutes per inch
Minimum Recommended Absorption
Minim Recomnended Tank Size �l/gy
PermiaPppPlication valid one year from Date. Application to become it n final only
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FORM AT THE
CONSTRUCITONSIE.
Date_ �/ /3 Sanitarian A
awing of system on back
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