HomeMy WebLinkAboutpitkin.eh.264335200009 (1972)a�� 3 35 a oG act
PTIKTN U.?? IX O'' REAL-�
H
• Ci
;?ox V :'.sper! � �y "ai .._
Aspen, Colorado
925--2020
PER -MITT 720004
Systcrn Leca.tioY:��7ardlf_�-�.C�%-�t�"-���-��<
Contra
1. CoTlstrt.'lcl+i-
Ori app --Ova
Plans and l ocation are hereby approved.�
Pere. ratsriches in �rinutes=� sq.—i'eet�of
C _ ±-
absorptio., area per be_;iroo n.
sq. feEt q .-feet--.r:i.rau req,, ir. e
inent�`,�._�_
000'
OE
Inspector
2. Final. approval of syst,J,:,,
P,To system shall be. deemea o be
J T 1•J .+.� ✓he
Sewaue Disposal
.,ri.or ."o cC,vOrin;:; any --
a
in coup? _ ance v; it, r: the
�11 ')�m _ed sysuei.s approved
GSJC..:ni
cleanout',� 1 ras seal
."' �} f 1 s e rJ +:. 1 C It --lank .c� i i r._ .___. � =. v
Proper : at4::riaI_s ari,i assembly
_ Adzea
LatF' ahSOr p"on -area,
rX' Adeq,ua °' rvC0(1c! ete cove" e" ( dry Lac^.1_l:�j O �!
Date ! �L� �� - _ . —� 1;:..-..ctor-1- _ _
y Retain v:i uh ai r;;: L' rc r.:orct:, nr
at costLictio i site-
"
Q
COLORADO DEPARTMENT OF HEALTH
Water Pollution Control Division
4210 East 11th Avenue
Denver, Colorado 80220
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
A licant (Owner):
7S-03,
Mail Address: City: Phone:
A. INFORMATION REGARDING PROJECT SUBMITT 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 City or Town. 'r-'
Legal Description -d/S;7� Lot Size: -e
2. Type of area and facility - Number of persons served:
Subdivision Motel Restaurant Trailer Court
Other.
3. Source of domestic water: Public (name):
Private: Well Depth Other
Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District: ;?< e •~
If so name: G/
5. Distance to nearest sewer system: �/ --
Have negotiations been attempted with owner to connect: t.
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:
8. Name, address and telephone of person responsible for design of the system:
9. Est. bid opening date: Est. Completion Date: Est. Project Cost:
Date: 17
Signature of w