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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.
• • j-�
PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBER RECEIPT NUMBER
Owner ic[i LSrirr�[�i iE7� Phone N
Owner's Mailing Address 7 ;7 /_5t�f.Flti�
Contractor I iL.Aiwt/ �/L l .�,FK? !�"T/r�LJ � Phone M ;1 % J:f
Address
Systems Contractor's Name
Address —jZ, T
Legal Description ,t,�0r'/�L
Lot Size Z, 6�--) /iL` Type of Building by
Number of Bedrooms �/- Type of Water Supply
Type of Individual Sewage Disposal Systemm/(i
Type of Soil or Soil Classificatiio��n�4Qi9/Yf CTD sA' AIS r CZA / 70 61,11 y
Proximal Location of Bedrock
Proximal Location
Owner's Signature
PLOT PLAN:
Percolation Test Data Y 7- Minutes per inch
Minimum Recommended Absorption System Size /,2LAJ �C (Z!o �e 7S;12
Minimum Re ommended Tank Size — '
Permi Z/p i�tion valid one year from Date. Application to become a it and final on:
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FORM AT THE
CONSTRUCITON SITE.
Date
I O -P Ll
Sanitarian
Drawing of system on back)
PITKIN COUNTY ENVIRONMENTAL HEALTH
C]
. Field Test Data Sheet on Percolation Test
PROPERTY OWNER AM PHONE
MAILING ADDRESS
LEGAL DESCRIPTION OF PROPERTY % Z �LK I/L//✓6i
r�
LOCATION OF TEST HOLES
Three (3) test holes required
per system
Test Hole Depths (24" minimum)
Diameter of Test Holes
I Z
( Z_
Water Remaining after 24 hour
soak
0
Time
I I 7' %ib y.Ego I /1l 1 2 `/J 41: Il Y 1
/O
2U
Percolation Rate Each Hole
Average Rate 1/7_
NAME OF
SIGIIATUH
RI
PHONE
PHONE
13
—for
Tq
• B &
Septic, Rooter & Jetting Service
1555 Hwy. 133
Carbondale, CO. 81623
963-3814 920.2059
customer's
Order No.
Date 42 19
Name
Address
S
SOLD BY CASH C.A.D.1
CAAW&T E.VAID OUT
ACCT. ETD.
I
1
I
1
I
I
I
1114 1'
TAX
TOTAL
_1
All claims and returned goods MUST be acc'ompanled by this bill.
121215
Rar'ri by
GS -46 CRYRtAL VALLEY PRINTERS - CARBOND . c 60523 963 ,1719 s.e
20�ag6` -33`1-63-60j .1...
OCT [ j 1998
ENVI,t.,.r„Z
ASPEN/P,%!, aLfri
June 22, 1998
Robert Krakovitz
0094 Elk Range Dr
Snowmass, CO 81654
Dear Homeowner:
W
ASFEN • rlrlw,
ENVOIONMINPAL HPa m DPPARTmENT
The single most important thing a homeowner can do to prevent a septic system from
failing is to pump the tank frequently. Our records show that you installed or repaired an
individual septic system at 0094 Elk Range Rd in 1996. Pitkin County's regulations require
septic tanks to be inspected and pumped every two years. That would mean that your
tank should be pumped this year.
Please send us a copy of the invoice once the work is completed. Our department will file
this with the information that already exists for your property and it's septic system. By
doing this, a future owner or lender will know when it was pumped, or you can call us to
find out when it was last pumped if you need to update your maintenance records. Please
include your parcel ID # with your invoice ( 2467-33403-001).
If you have any questions, please feel free to give us a call. Thank you.
Nancy MacKenzie, Betsey Kipp, and Jannette Whitcomb
Environmental Health Specialists
Aspen/Pitkin Environmental Health Department
130 Sours G,�.ENA STREET - Ae , C=mw 81611-1975 - Now 970.920.5070 - FAx 970.920.5197
PmW on Ra tt d Paper