HomeMy WebLinkAboutpitkin.eh.264322302004 (1979)till 3
PITKIN COUNTY HEALTH DEPARTMENT
r` PERMIT NUMBER
Y
Owner *1-4l 0*0
Owner's Mailing Addres
Contractor
System's Contractor's Name
Address
Legal Description =
Lot Size
Number of Bedrooms
Owner's Signature.
PLOT PLAN: ATTA
0
ED AS REQUIRED
RECEIPT NUMBER
Phone No. 9a'r4)'�?/ /
1�
Phone No. 9.17.-�'$J/
Type of Building by Use
Type of Water Supply���1
Date J 'Z–'1
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification .4;W I_0/AAJ TO CAAWY &AYA4fA
Proximal Location of edrock 9)&6_Arex 7W,4A/ /S i`r
Proximal Location of Ground Water Table '' IIEW&C / %s jr -
Percolation Test Date 15-3-7
Minutes Per Inch —
Minimum Recommended Absorption System Size 26 VO SQ F1_
Minimum Recommenced Tank Size
Ivo
Special Conditions of ssue: When properly signed forr issuance, this application
T ate. If your permit. Application valid one year from
date. If an individual sewage disposal permit is issued
for property on which no building permit has been
issued, the individual sewage disposal permit shall
expire 120 days after its issuance If construction 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
Officer for suc changes.
Approved for Issuance By Date
FINAL
INSPECTION APPROVAL a� �• ate
(Drawing of System on Beck)
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER PHONE
MAILING ADDRESS
LEGAL DESCRIPTION OF PROPERTY
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" roinimum)
Diameter of Test Holes
Water remaining after 8 hour soak
J-7 it
TEST HOLE No.1
TEST HOLE No. 2
TEST HOLE No. 3
'44 L
Drop Time
9 �
Drop Time
s
Drop Time
�
7
i
Percolation Rate Each Hole
'
Average Rate ou
Comments on soil or site:
claod
Signature
SS cy
i
P1 `T'Kl?`� CO;.I1;`_"l: n� ".t,.�!' �' 0 ' P, -.D :�4,ri �'� L HEALTH
Box V r.s;,-v:� C� t;y Iial.l
Aspen; Colorado
925-2020
PFL27�iIT
System I.,ocation.
Contractor "
Construct, ion, approval:
Plans- and location are hereby applloveu.
Perc. ral- inches in minutes= - sq. feet of
absorption area j er bedoofl.
_.� x_. 5=�`-teEtt l Lq.J feet Ali nim,_L require
meat. I Su est _X0-1 �/.7
Date_'=y /_ _______ In Spec'
2.. Final approval of sy stcM:
Pio syste^l
s,-,all be dee-e-, to be in comol fiance :;ith the
Se ;?. e DiS,�O z�_ La—,,s until t'Lie aSSc'!"i'JlE,� S;}'Ste::i 1S aD I'Vtred
U:'1Ur t0 COVB' 1rig any
-�
$" septic ta.n- �-
:�
Proper materials and assembly
%Adequate absorption area „__--- ---_� -
_Ade_l'uate concre`.e cover '*dry t e17_s only)
Ins. ecl,
Retain '.;l.t';' perGlli rE'COr;a,; a t COIF �tructio;' site.
7f at any time this system fails a new permit must be obtained and
repairs made immediately.
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