HomeMy WebLinkAboutpitkin.eh.264335105010 (1975)PITKIN COUNTY HEALTH DEPARTMENT ")
PERMIT NUMBER % !2 a A N
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Owner 1
Owner's Mailing Address
Contractor Y��1 ���eC
Address
Systems Contractor's Name Aigl
RECEIPT NUMBER
Phone # W -- 62 7 l
Phone #9,2 S— G 7 7 1
Address ` 1
Legal Description
Lot Size •T AC. re s Type of Building by Use We ;'C1/,0.:.t r �
Number of Bedrooms Type of Water Supply i r"w ro
A* — _ _.ebb i.. wn.
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification
Proximal Location of Bedrock
Proximal Location of Ground ;Dater Table
Owner's Signature Gr,iG.� .�•
PLOT PLAN:
I TO .-**AA10Y L- Ay
Iir/ED > 80/
Date � �/� ti � /27.;r—
Percolation
97;r
Percolation Test Data i a-'O'minutes per inch
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Minimum Recommended Absorption System Size
('TO
Minimum Rec ended Tank Size ASO —(,LON
G�3 S •
Perms ap station valid one year from Date. Application to become ermit and final only
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FORM AT THE
CONSTRUCITONSI E.
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Date Sanitarian
( awing of system on back)
' / 125-0 GALLo�
Vep SepTr_-rNK
lPAN
AWD
BJP
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