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HomeMy WebLinkAboutpitkin.eh.264335200006 (1981)ASPEN*PITKIN r�vx -az- ENVIRONMENTAL HEALTH HEPAR T PER"IT Nti RECEIPT NUMBER ! ►� >4-Q o Z D- 1% 6 Qwner_1\/�K,� 1✓ln c 1�.,,�*�`�''�' ����L..t�Y'�� Picone No. Owner' s Mail ing Address � � � "CfLEySTAZ Contrac Phone >` o. 7 S` _74-L Addresso_—L System's Con tr actor"s Nae &AISHrNE Address Legal Description Lot Size Number of Sed_,ccros /— Type of 1`1at=r SupFly U -- 6_ � ��'�/R✓� Owr�cr ` s Signal tr ti - Date PLOT PLAN : ATTAC HED AS REQI; I ED eq 'ELI Type of I;�d:ividual Sewage Disposal :system _a� Type of Soil or Soi 1 Cla.ssif iCatio�� _ LTyR/✓! 77J &-®� Proximal Location of Bedrock �L�'1lti°� El - — Proximal Locatioti of rrOLMd Water Table -/ ,'4,r a 1 Percolation 7'est Laic: �� � � _ Minutes Per Inc' Minimum He; omr—cnded Absorption System Size liinimum Recommended Tank Size �� ����A/2 — NOTICE Special Conditions of IsjtlA; WFPn pr13periv signed fur issuaoice, :his application t eronr. yoar permit. A; rticatwn .alit) er.a vee. tr•a:n data. If ar, indivi�,ucl su.vt*c yispas.l pernot Is; issjss for propertv an which no build;llq tsarfr;it hs, baell issued, tr.e lndi., duai sewpga uis'nusLo parrn;t <n-il expi.-e :iO days alta: its isiur.'.cc ?f constrLctlon h.::: not he Pn cOmrnen C.d. rn4 cljm%ia in Lilacs O. tpec'- Ccations after the permit hue e1+1a+. issued i.wei?dstas thu parm;t, unless appreva1 is secvrw.. iron^ t e H:aulth f7ffire, f�, r such ch nges. r s f Approved Cor Issuan..e By Date _ 1';c* FINAL IrySPECT ON IPT FUo ', i ate (Drawingof System on Ba -.k) A/P.E.i.D. (33/301 130 South Galena Street Aspen, Colorado 81611 303/925-2020