HomeMy WebLinkAboutpitkin.eh.246721400009 (1979)Document Layout
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Permit
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Second System on property
Third System etc.
Floor Plans
Please See Building and Land Use Approvals Files for additional information
,{ �PI,TjKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBER � b `/ )l ` ` t RECEIPT NUMBER CL 3� �-
Owner Harry H. Baumann Phone No. 923-3613 - 2300
Owner's Mailing Address P.O. Box 5036, Snowmass Village, CO 81615
Contractor
Address
System's Contractor's Name
Address
Legal Description (See Reverse)
Lot Size 140 acres
Number of Bedrooms
Owner's Signature
Office & 1 bathroom
Phone No.
Type of Building by Use
Ba rn
Type of Water Supply wel 1
Harry H. Baumann (by C.A.)
Date
7 June 1978
PLOT PLAN: ATTACHED AS REQUIRED V
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Type of Individual Sewage Disposal System c'�`fi" G� / a t7
Type of Soil or Soil Classification
Proximal Location of Bedrock
Proximal Location of Ground Water Table
WP
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Percolation Test Date 7 � v Minutes Per Inch
Minimum Recommended Absorption System Size 3�� ��• FT
Minimum Recommended Tank Size?So
Special Conditions of Issue: NOTICE
When properly signed for Issuance, this year
becomes your permit. Application valid one year from
data. If an Individual "wage disposal permit Is Issued
for property on which no building permit hes been
Issued, the Individual sewage disposal permit shall
expire 120 days after in leeuanw If construction has
not been commenced. Any change in plane or peoi-
fications after the permit has been Issued Invalidates
the permit, unless approval is secured from the Heetth
Officer for uch shun
Approved for Issuance By Date ��j/
a
SPECTIONAPPROVAL��
FINAL Natew+wxxxwwxxxxxaaxwx
( Drawing of System on Back)
A tract of land
Section 21, 22,
containing 141.1
situated n Tracts 65,
66, 67, 68, said tl'�cts being parts of
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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 aftery2"hour soak
v
a
12, #
TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3
1 L 7 L (_
Dry Time Drop Time Drop Time
Q-
7 -
Percolation Rate Each Hole 16
AverageRate 220
/Comments on it or site:
Signature
3
Date If "?-7t7
Ir • r
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 8 hour soak D
TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3
/3L
Dmn Time Drou Time Drop Time
Percolation Rate Each Hole
Average Rate
Comments on soil or site:
Signature
Date f ov w