HomeMy WebLinkAboutpitkin.eh.246726100009 (1977)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
Th i rd System etc.
Floor Plans
Please See Building and Land Use Approvals Files for additional information
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a PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBER 770 3 RECEIPT NUMBER AM19-
Owner-*�4/ Phone No. �! s --
Owner's
Owner's Mailing Address 212 S 11a4AFiz, SC- A;:Qg v G^/t.
Contractor i4fN ;�A q soy Phone No.
Address
System's Contractor's Name A T W ,�4`D
Address , I
Legal Description E/V t 6(E AuE AI P-1-4 OA
Lot Size ± yO ACR E -S Type of Building by Use
Number of Bedrooms Z
Owner's Signature
PLOT PLAN: ATTACHED AS REQUIRED
Type of Water Supply WQ, 1 1
Date
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification,, //k/%M
Proximal Location of Bedrock Alo-r pC-rare-mllyED - 64� T iFollf THEA) 8% E .
Proximal Location of Ground Water Table �CT DeT-6444/n1 &V - 6"A 7Z --,e 7W/J d 8 FT-
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Percolation Test Date — Minutes Per Inch
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size Iso G�LGo/✓S
Special Conditions of Issue:
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Approved for Issuance By
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FINAL INSPECTION APPROVAL
(Drawing of System on Back)
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NOTICE
When properly signed for Issuance, this application
becomes your permit. Appllcatlon valid one year from
date. If an Individual saweae disposal permit N issued
for property on which no building permit has bean
issued, the individual sewega disposal permit shall
expire 120 days after Its Nuance if construction hr
not been commenced. Any change In plans or specl-
ficetions attar the permit has been Issued Invalidate
/ the permit, unless approval is secured from the Health
Officar fors ch ch pe.
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PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER 14SASAI///1��� LLC ��ANCH 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
3 $ it
If
D
TEST HOLE No.1
TEST HOLE No. 2
TEST HOLE No. 3
IIL
Drop
Time
L%7L
Drop Time
/IL
Drop Time
S
5'3
.2 52-1
to F1 530
q
1533
3 39
2 syo
15"Y 3
qSy9
S' -13:5-0
' Szoo
1109
Percolation Rate Each
1 Hole
Average Rate )"o
Comments on soil or site:
A- Fi
FA
pow"'.
Date /D hZ