HomeMy WebLinkAboutpitkin.eh.264335101001 (1972).rl�llr.r�rr
.GLGRA DO DEPARTMENT OF HEALTH '
Water Pollution Controlision 35/ d/ 60/
4210 East 11th Avenue is
Denver, Colorado 80220 al %
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner): �Kee Tcr (.M re
Mail Address: 8921_L439 City: Phoria:f
A. INFONKATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
1. Location of Facility: County P l-ki City or Town
Legal Description kOT 2% s�arwood MLot Size: 3 . do'S aClee
2. Type of area and facility - Number of persons served:
Subdivision �_ Motel Restaurant Trailer Court
Other: SI11d)8 `F-AW;Jw . ser✓l*ma • Jf oersoh s
3. Source of domestic water: Public (name): �{� s4AY-woo
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District: Alo
If so name:
5. Distance to nearest sewer system:
Have negotiations been attempted with owner to connect:
If rejected, give reason:
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:
7. Name, address and telephone of person who made soil absorption tests:
B. Name, address and telephone of person responsible for design of the system:
a
bid opening date: last. Completion Date:
Date: OGTO .
Est. Project Cost:
PITKIN COUNTY DEPAFM*-;ENT OF TNIIIRONRIEN"JI"ALTH
Box V Aspen City Hall
Aspen, Colorado
925-2020
PEI{ T' TT
System Location
Contractor
1. Const ruct ion, ap?rovf--"-,:
Plans and location are hereby approved,_---,/
Perc. rate inches in minute sq. feet of
absorption area per bedroom.
X so. feet -_!"i/q. c. --t
1-nimm equie
urr-
v4f "
went. I Su E-,,cr P t t
DatInspector
2. Final
approval of sys'%..c--,':
No system
n ,_ante i-,,;th Le
shall be dd.eem, ed o be i corm -1. -
Sewage
sc:nl L - - r, v
Disposal LwA.-s unt�,l the as- bled sysfLem is
-orior
to covering any
811*septic tank cleanout - with. -as seal
Proper materials and aSSE'inbly
Adequate absorption area
Adequa'--e con -'re -le cover (dry
Inspector
ion site
No.� $
County Treasurer's Office, Pitkin County, Colo.
Aspen, Colo., �L^! % 19
iRPrrin.eb of
OLLARS
Account of
oo -3a-ate
Credit to Fund.
Treasurer
By --f-- a '�— Deputy
E C. F. HOECKEL CO.. DENVER