HomeMy WebLinkAboutpitkin.eh.246734308001 (1976)_VOID NEVER BUILTDocument Layout
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Permit
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Second System on property
Third System etc.
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Please See Building and Land Use Approvals Files for additional information
PITKIN COUNTY HEALTH DEPARTMENT
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PERMIT NUMBER / (0�9RECEIPT NUMBER 2� 7 ��
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Owner /G!7%✓ �D i /l�'2 S Phone No. '7-1-1`� E/3 913 191,71191,71-1✓
Owner's Mailing Address �� k � S 'T SAF C °`o pie
Contractor Phone No.
Address
System's Contractor's Name
Address //
Legal Description 1
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Lot Size Type of Building by Use ex—= EbJGF Al
Number of Bedrooms Type of Water Supply 6Mneu/✓r TY 41425W SyS%
Owner's Signature Date
PLOT PLAN: ATTACHED AS REQUIRED
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification
Proximal Location of Bedrock
Proximal Location of Ground Water Table.
*********k****************i*******
Percolation Test Date
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size
Special Conditions of Issue:
Approved for Issuance By
*******************i***k**************k*#******
Minutes Per Inch
Date
FINAL INSPECTION APPROVAL Date
(Drawing of System on Back)
1CC3
r'OTICE
When properly signed 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
issued, the individual sewage disposal permit shall
expire 120 days after In Issuance if construction has
not been commenced. Any change In plans or speci-
fications after the permit has been issued invalidates
the permit, unless approval Is secured from the Health
Officer for such changes.
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER ��, PHONE
MAILING ADDRESS
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
G3
TEST HOLE N .1
TEST HO1,E No.
2
TEST HOLE No. 3
a
Drop Time
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Drop
Time
zq
Drop
Time
7
1
S
3 3z
17
33
yo
b
�
S
3
4111
Percolation Rate Each Hole
Average Rate
Comments on soil or site:
Signature �— pate Z2
r / r
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Office of EnviroVtal Health
506 E. MAIN STREET
Mr. John T. Powers
P.O. Box 2573
Aspen, CO 81611
Re: Lot 10, Block 1, 3rd Filing
Gatewayy t�.newmass Mesa Subdivision
Dear John:
ASPEN, COLORADO 81611
November 1.2, 1976
A preliminary investigation of the above lot for the purpose of
determining adequacy for individual sewage disposal was conducted
on October 28, 1976.
This revealed a uniform strata of gravel material with sandy clay
fines to the depth of eight (8) feet. The percolation rate
measured was 21 minutes per inch and would require approximately
775 square feet of absorption area for the proposed three-bedroom
house. A conventional 1000 gallon, two-compartment septic tank
would be adequate for this installation.
If you have any further questions, please call 925-4366.
RFN:ca
Sinc l
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R bert F. Nelson, R.P.S.
County Sanitarian