HomeMy WebLinkAboutpitkin.eh.264310200007 (1979)(Barn)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
Third System etc.
Floor Plans
Please See Building and Land Use Approvals Files for additional information.
A
PERMIT NUMBER
r
11
051
-�26g3-102-06-W7
-�Jt�J PITKIN COUNTY HEALTH DEPARTMENT
'TAl("0' 3 RFr F I PT KI I IRA RFR �2
OwneNn�T 1//G/7 LT (Gv%,
Owner's Mailing Address
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Contractor �%,I.�
,
Address &.1, L`
System's Contractor's Name
Address
Legal Description
Lot Size
Phone No.
16
No.
Type of Building by Use
Number of Bedrooms Type of Water Supply Ale
Owner's Signature Date
PLOT PLAN: ATTACHED AS REQUIRED
**aa*.a************Y*****************i*************************************************f**
Type of Individual Sewage Disposal
Type of Soil or Soil Classification
F/_
L /4
Proximal Location of Bedrock 1-FATE'e 7--//,q4/ 8
Proximal Location of Ground Water Table ��EffTEle–
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Percolation Test Date HL 72 —,27 Minutes Per Inch --
Minimum
Minimum Recommended Absorption System Size 70–
a2� /7-T
Minimum Recommended Tank Size�%� LL044S
Special Con Itlons of Issue: NOTICE
When properly signed for issuance, this application
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 issuance If construttion 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
�3 Officer or such changes.
Approved for Issuance By i ` Date
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FINAL INSPECTION APPROVAL Date
(Drawing of System on Back)
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ITE
0 UJELL
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'1000 GAL�LnI
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BLcow LINES
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PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER � ' (�(� `O'ri 12 -PHONE
(n� PHO/NE
MAILING ADDRESS 0 �q i0 �'� LJ1ASS 4 C/U P k L2R1 1 ( A ap
LEGAL DESCRIPTION OF PROPERTY
sec -.bow, ► 0
LOCATION OF TEST HOLES Wo r'
Three (3) test holes required per system
Test Hole Depths (24" minimum)
Diameter of Test Holes
Water remaining after 8 hour soak
G
L. 3, 41-+
/
T A A
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r'as.
TEST HOLE No.1
TEST HOLE No. 2
TEST HOLE No. 3
DropTime
L
L—y
DropTime
Drop
( L
Time
,.
S 7 Bio
/� / / 55 "Ih
t5 < "N
11.116
l3 1&
y/lo6
/ y'� 5 S rD '/
5 1 "
.56.0
'�
Percolation Rate Each Hole a 7 3 2 3
in
Average Rate /nom n `^'k
Comments on soil or site:
uvarL&C CO b -et&;;., A
e�nl z�g
Signature Date _ l - I - 7
13