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Please See Building and Land Use Approvals Files for additional information.
04u� #43 -04-001
7 PITKIN COUNTY HEALTH DEPARTMENT ��
PERMIT NUMBER / �D3 RECEIPT NUMBER �-�7
Owner
Owner's Mailing Address
Contractor
Phone No. 42 3 - 3/6 i(
Phone No. ?-%
Address PC), a 36 `� tiCoow —
System's Contractor's Name
Address rd'
Legal Description
.✓ .
.:
Lot Size •9'� RC r �e- Type of Building by Use P�%'„ e - �
Number of Bedrooms - Type of Water Supply scab 4iri5ioq _
Owner's Signature Date 44y Z, y 477
PLOT PLAN: ATTACHED AS REQUIRED
******w*#*#*******************************#************************************a*aa*a as a * a
Type of Individual Sewage Disl
Type of Soil or Soil Classificati
Proximal Location of Bedrock
Proximal Location of Ground 1
*******war*rw*#r****************************#**a*******r*****w**************r*****a as as**#
Percolation Test Date
Minimum Recommended Absorptiol
Minimum Recommended Tank Size
Special Conditions of Issue:
NOTICE
MD AVE�CCeF
When properly for issuance, application
becomes, your permit. Application valid one year fom16f
[)RYWELL- naTr
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8/%] Fr
/
daft* 11 an Individual awapa disposal permit Is Iniad
whicpermit MNI
property no building permit has beenRE9J�-rsw
lamed. theIndividual +swaps disposal
e days after its IssuanceIf construction has
/N o `_OT51eJAL+ not been commenced. Any Change In plans orsWel-
ficatlon+ after the permit has been Issued invalidates
the permit, unless approval Is "cured from the Health
Officer for such CZ176
.Approved for Issuance By Date Id 2
ww#„tr �w*arr#w:wwwrrwr*#rtrt*wr*r** * **r*rrt*#***�rrt wx***rtrt#*****rtrt **rt##**rt#wwrw#***w#
' FINAL INSPECTION APPROVAL ate Zi
(Drawing of System on Back)
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3
*ASPEN*PITKIN •
ENVIRONMENTAL HEALTH DEPARTMENT
REVIEW AND LETTER OF OPINION REGARDING NATER AND SEWAGE SYSTEMS FOR EXISTING DWELLING.
Date Received 1961141`183 Date Forwarded fi !u . /qe j Receipt No. �s 417
e
Re;uestedBy j'{�I✓STtil rioPjAL'(SA1-
7x)- It 2 0 �/�JA//� �S8ZAJ,%�o
Mr. PPK[!=' $7Pr,.c Ker
Memo to be sent to: -r L.i 0 i SNorrnrftSS Ca(o $/(o5Y
Dwelling Location
fI , Sec. , T , R W;
Lot No. 3 , Block No. 2- , Filing No. 3rd ;
Subdivision GRTec✓Az 7-o SNo4omtj SS lne S A
Address 00 4f ELS &±PjcE D/"ioe
Property Owner -J-ol,A) (irrn e-�9e r
SEWAGE DISPOSAL SYSTEM REVIEW:
r—�
Copy of Individual Sewage Disposal Permit Enclosed No record found i I
c oA)cr'e%-
Our records indicate a /250 gallon E&--pTLT-,4iuk. and 1020 square feet
of absorption trench =, bed Q , pit �< ,
Visual Inspection of Premises: A. Not feasible due to weather conditions = ,
B. Apparently functioning satisfactorily j C. Not functioning or expected. to
function satisfactorily as well evidenced by _
WATER,SUPPLY SYSTEM REVIEW:
Not known ❑ . Public Water Supply Tap (Name)
/�ay,veawnierS' fissd ua�d.✓
Inspection Report Enclosed Approved well construction and location
Unapproved well construction or location because
Standard Bacteriological Test Enclosed
Acceptable N . Not acceptable
5-&)OWMASS GUR'Terg vo Lab
S9N r7 -47-14N D,5 777 -7`
Result Inconclusive ,
0 F3k
Reason:
SePT,cw I`RAJK A)eels pain ow!j RU -M " — C.(iec K TfFN a7 zq. an Z. iTeruwLs
�r t'u7.cre Pum Pn��
DATE Respectfully Submitted,
Environmental Healt'a Officer
130 South Galena Street Aspen, Colorado 81611
303/826-2020
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER ,,- PHONE
Y
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
171
G
TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3
Z
Drop Time Drop Time Drop Time
-707
t3 ;)'1
3%
-757
3 '3
KO-)
Percolation Rate Each Hole to
Average Rate eu1
Comments on soil or site:
aAY TO E AAJOY CLAY Z�- C088CFS
Signature
Date /-z- 7
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER rG' �� �/ PHONE
MAILING ADDRESS
LEGAL DESCRIPTIO OF PROPERTY
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" minimum) 2-1
9 2
Diameter of Test Holes
A
Water remaining after Whour soak
U
TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3
L �9
Drop Time Drop Time Drop Time
6 f G -7 /
�9 t, z6 b3 Z7 7s
s
Percolation Rate Each Hole
Average Rate L90
Commentson soil or site:
571
zAl / r,
Signature
Date 4 z 47Z 7
E
Lcr4
A;�--_.AA-e GAP
/N 1J/CATF r.
I hereby cern
for John Bn_e..
property s,4,v*<
to Ce rP1iE ..
future irprove
I further cert
on this Gzte.
within the L
re en:rca;rr^
eljcinie.q cre:
or sign of r;
except as not.
Lot 3, Block 2.
County of Vital
LaT F5;