HomeMy WebLinkAboutpitkin.eh.264321302002 (1975)PERMIT NUMBER
9�,� ,�-� � PITKIN COUNTY HEALTH DEPARTMENT
14 ,�JIL
RECEIPT NUMBER
Owner Stephen A. Ware Phone # 2p5-1plh
Owner's Mailing Address Box 1170 As -pen Co 81611
Contractor Self Phone #
Address
Systems Contractor's Name Rick Pickard
Address Sunshine Landscaipind Air -port R isi negs C'PntPr
Legal Description Lot 10 Block 2 BXusli Creek Village, Filing 2
Lot Size 2 + acres Type of Building by Use
18730
Number of Bedrooms 3 Type of Water Supply
Type of Individual Sewage Disposal System SCr"'TIC, �f%NK f`/f3�nPT�G� �tNC'-rie
Type of Soil or Soil ClassVicatnon
Proximal Location of B
Proximal Locati/6n of GrA� A W
Owner's Signature
PLOT PLAN:
OH
1Y6r pc—le;;rlo tAi
N6z bC-TF,QM11V 7 >&
Date
x+/29/75
Percolation Test Data [/� Minutes per inch
Minimum Recommended Absorption System Size I��Cic, .-�. F -2
Minimum Recommended Tank Size /moi'_ qy~ " -1 �✓
Permit a lication valid one year from Date. Application to becoe erm an f n;K only
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FOW AT THE
CONSTRUCI ON SITE.
+
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Date � Sanitarian
(D awing of system on back)
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