Loading...
HomeMy WebLinkAboutpitkin.eh.246313301004 (1977)PITKIN COUNTY HEALTH DEPARTMENT s 76018 -RNUMBER D 00ECEJPT PERMIT NUMBER Phone'No. Owner CftR/3ow(7.9t� 4 Owner's Mailing Address X 39-2 % k Phone No. Contractor Address 35 'CAR oti y -2 System's Contractor's Name i . y _ Address Legal Descri p tion Lot Size S Type of Building by Use % �►, kFk'\ Number of Bedrooms 3 Type o' Water Sl pply C e�.rof L (�Zfntee iw J Owners Signature l.�jh�2' Date PLOT PLAN: ATTACHED AS REQUIRED System N �JAPe� ' ����� �CT"101� I� Type of Individual Sewage Disposaly Type of Soil or Soil Classification _ AJ(R FE-Fl— Proximal Location of Bedrock WED� ����/�� T�/4 AA1 c? Proximal Location of Ground Water Table LID— Percolation Test Date 2-0 Minutes Per Inch Minimum Recommended Absorption System Size 7 54 Fr, Minimum Recommended Tank :Size _ SYSTF NOTICE Special Conditions of Issue:P� ����1 D When properly signed for issuance, this application becomes your permit. Application valid one year from date.. If an individual sewage disposal permit is issued for property on which no building permit has been issued, the in,�iividual sewage disposal permit shad expire 120 days after its issuance if construction has p not been commenced. Any change in plans or speci fications after the permit has been issued invalidates the permit, unless approval is secured from the Health I Officer for h changes. Date Approved for Issuance By .w FINAL INSPECTION APPROVAL to �.. _ (Orawirrg-of System �i�i'B°ack) -PL-07- T:;'t—A. SGA L -Er- I''= ,C ' 01-A I40, i - ADD C?I�T PIPE I QA7URAL aRO.-,JQ0 L. QE" -;- 4E, PE -RF. 4t` -TOPSOIL P,�ACKFCLL- P,V,C . W/ NOTE- WC, 3 " - E- DfZAit--A x Y4— A 61ZAVE-L 5Tl2ATA y�QT PR£'VlrC- 12A,6L QCAC, TIG- OQ- A� Q TO P12C-VI E-- A' VA,-, "i P'5®IL PACK F ILL, INLE-T TQ C --l' 5C --LD M L - 0 1 �';- Y4 P, P V FT,2 SLGPI` a�� 4"0 WALL. P V.(-. f G E-- N Er 2 A t_. C) -r �;:- a y , C-, QAVe-L- SHALL f�lEr `/2'iC t Vi z. WASH O C -j QAVEL. , 2. SA -JD SHALL R�t- C.r,. TV i,00 KAM CP.AiW C-E-PIkiG $"U6- hrA---S 01 4-6�/1,000 -�,QF'T, ?.>L)15 } W I L LO V44 LV �' �� � � 9gpna Nl:-rrP. 12EVt ,a, to�Q QO rL /O^Z\ GHAt,6n TA1.1 iG To �-r� P` 1� 4tJ` RF PG:G •.�,� , .:, �/, i OF- '--.'T =1 L- C> `•' r t9 4" P 1--T; = P V. C . L :15 T. T i _ E L M IT'S C,1= Z-VA9O-TrA4'5PIRA.7tC-/t-J 1, PA�7,711,%L- G 1 C,AllL- c U i._. A 3-vl;icl7 tlA H G)tit rm- W/ � g 1=CC)W t,-A`rC- =3 Fx Q y' ( ��/P�t k T"J 6AL/,C4V Vohkte - 4r5O rQAL PM Pf�s. y P' , rZATr-- _ i" 'PZ:Q H fZ (.ACCCQV iK1G TO Cz:%-, iT"V t4lTAiZtA&.t) L �S ( 5V-4*,A f i AU T FtOWA c; LA USS- 1 !~ -7- P i c- D la'- = 1,76O f= -r2 2 ■ 0 )V 2s W &-bD I& &ALL&J ACRA, e -D N -gyrm t Ar PLA- Or BY ,b V, rrel-t " !� �" DEG IG i4N� �bDlV►Sloa .A RDA I" 30 PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTYO WNER /LPHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system l Test Hole Depths (24" minimum) Diameter of Test Holes Water remaining after 24 hour soak TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 Drop Time Drop Time Drop Time 13 o 3y 3 0 J114 O 0, _12 Percolation Rate Each Hole Average Rate �✓ Comments onsoilor site: lL Signature %&() y W ,,t44 �zrae � 7,e .a42r� 4-1 Date f �w L w PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER �l„/�lf� 'go,IV00e-zElel ! PHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) Diameter of Test Holes Water remaining after 24 hour soak TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 do Drop Time Drop Time 117) Drop Time i rl Percolation Rate Each Hole Average Rate Comments on soil or site: Signature Date �i` ✓ _" G: 220 ice ; - per' �� Ss fi'�ry v�c • sc.,�6 d� v� c�"e�' . �`�'� c so �� ' C E�� .SUB: 1�% 5 G� fs37al , Z;-7 cru 15, 7106 66 ms's/` « ��, d = _ �9 :mac •• � �1t �; � ,<�e�`-�,�d ©.�r�er� : 4.ao •� � =/ZZ -3�' ��,,,� .. ��` °,` fi�;-p��rs OJT ✓cis �'%�,�i�'c; -77 77;� �s y 337 4©0 - 14-1 �i`� - G..., - �� .fir.'• � � � �� ,?7�i.�/i'c'.��/'%�'cR ��< � - �a