HomeMy WebLinkAboutpitkin.eh.264334100011 (1972)COLORADO DEPARTMENT OF MTH 40
Water Pollution Control Division
4210 East 11th Avenue
Denver, Colorado 80220
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner) : LizFbeT� (-rL
Mail Address: City:Phone:
A. INFORMATION 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, soli profiles in test holes.
1. Location of Facility: County A) City or Town 1�1c,,OVJ
Legal Description , �/.L__/—,,,c„/_ / Lot Size:
2. Type of area and facility - Number of persons served:
Subdivision _ �/ MotelRestaurant Trailer Court
Other.
3. Source of domestic water: Public (name):
Private: Well ltIN Depth /,�&_ Other 4/f Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District: A/tl)
If so name: 12 -IW
5. Distance to nearest sewer system: ���,,cl 4
Have negotiations been attempted with owner to connect: I'Lld
If rejected, give reason: 11/-2?
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:
8. Name, address and telephone of person responsible for design of the system:
g. Est. bid opening date: Est. Completion Date: Est. Project Cost:
Date: 2—Z,5--22-- G;441/
7
Signature of Owner
PITKIN Ct)J,?`" Lj i' l °�MTP OF Tri
Bo. V Aspen Ci_i.y I-ial
Aspens Color -ado
925__2020
System Locatlon
Contractor-
1. Construction app:'aval:
Plans and location are hereby approve:?.
Perc. rateY�inches in minutes- sq. feet of
absorp�i.on area per bedroorz.r��-�_�__�_._.-
fee t_ -3d �q. fee- t^ r•e
trent . I Sus -e t3t tet_ 1DQD_
Date_- /`�' 7..?- Inspector
2. Final approval of system:
No systern_ shall be doeined to be in compliance 'wiUh the
Selvage D;sposa.l La,,,s Until the asse.--ibied syste i is ap,?rwed
rior to covez•in.7 any
819 septic -Lank cl_eanou4.._ w -Ct h has sea?_
FZA Proper materials and assembly
Ade:,uxte absorption area
' Adequate concre'e cover ( dry wells only)
x>� •r. �: /� r:cord:. gat con tru�.� -.YY��
ll�- tC:�+�..1 1•i '. 1 l T'•!t :l . V �.l:li