HomeMy WebLinkAboutpitkin.eh.264335107008 (1973)QU4 3 - 351
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PITKIN COUNTY HEALTH DEPARTMENT
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' PERMIT NUMBER 720170 RECEIPT NUMBER
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Contractor
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Address
Location of system Lot size Res
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Number of bedrooms
Signature of owner _
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Percolation test data 32 - minutes per inch
Minimum recommended absorption
Minimum recommended tank size
Permit application valid one year from date. Application to necome permlu allu L-LLICLl
only after lower portion is completed and signed. Retain this form at the construction
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COLORADO DEPARTMENT OF HEALTH
Water Pollution Control Division
4210 East llth Avenue
Denver, Colorado 80220
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner):
Leon and Sue Norton
Mail Address: Box 1697 City: Aspen, Colo. Phone: 925-2066
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, soil profiles in test holes.
1. Location of Facility: County Pitkin City or Town
Legal Description Lot R-93 Starwood 16 Lot Size: 2.003 acres
2. Type of area and facility - Number of persons served:
Subdivision Motel Restaurant Trailer Court
Other:
Residence
3. Source of domestic water: Public (name): Red Mountain Water Company
Private: Well Depth Other Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District:
If so name:
5. Distance to nearest sewer system:
miles
Have negotiations been attempted with owner to connect:
If rejected, give reason:
No
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:
Pielstick - Rosolack - Pyramid Builders, Inc.
9. Est. bid opening date: Est. Completion Date:MaV, Z4Est. ProJe�t Cost:$75,000
Date:
gnature of owner
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