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HomeMy WebLinkAboutpitkin.eh.264321308005 (1976)76054 PERMIT NUMBER Owner �2_6 y 3- a3 - o T- Q®5 PITKIN COUNTY HEALTH DEPARTMENT Owner's Mailing Address"' X IJ -7- Contractor Contractor �, 211 M*- Address V RECEIPT NUMBER Phone No. c/c-)_ Phone No.� 7 / 0 System's Contractor's Name !! a -Q ���-`-� Address Legal Description 0� f] Lot Size Type of Building by Use. Number of Bedrooms. Type of Water Supply �✓-� Owner's Signature —0Date -' f162 PLOT PLAN: ATTACHED AS REQUIRED Type of Individual Sewage Disposal System��%��i Type of Soil or Soil Classification SILTY / rZ2A4 ANO EMILIE (1028LF-S Proximal Location of Bedrock Ale) -r pe�7-T�_:wwjzA!67 J Proximal Location of Ground Water Table Al r I '' LS-�S e1Iv)-0 / Percolation Test Date Minimum Recommended Absorption System Size .2S Minutes Per Inc 1,7L Minimum Recommended Tank Size /000 C7:,A LOA�.J 7-1vo AMINO FA I -� Special Conditions of Issue: )IJAI ArFAl� 4/A11M0M NOTICE When properly signed for issuance, this application 0 /. 1 AId w�i becomes your permit. Application valid one year from t// ,/ date If an individual se w e ds osal ermit is issued �� 5 EST 1i6W `/AF A_co Approved for Issuance By ai g p p for property on which no building permit has been issued, the individual sewage disposal permit shall I Jn expire 120 days after its issuance if construction has knot been commenced. Any change in plans or speci- 1fications after the permit has been issued invalidates Y[� the permit, unless approval is secured from the Health Officer for such changes. Date E ff ,- f FINAL INSPECTION APPROVAL '` Date (Drawing of System on Back) IUD,eT� 1000 C-q+u-o d ij ! OPE44 AAO � o,o OUSE ,Z' WA-r�3z. Lt NE" �,vFu T X080 7 12— WOS� C96 -EK Rom i in oC � - 4 yr►3W. _ _.:.. O Q-•";""-• if I 1 J �wIZ�~ kuCM . �wIZ�~ ASPEN*PQCIN ENVIRONMENTAL HEALTH DEPARTMENT i e7 r 5 �© 62 1 '2 -�' v �4- 130 South Galena Street • Aspen, Colorado 81611 • (303) 925-5070