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Home My WebLink Aboutpitkin.eh.264504201019 (1977)5-612-01-017 PITKIN COUNTY HEALTH DEPARTMI< NT r PERMIT NUMBER 77b RECEIPT NUMBER Owner �� L � -L� J Phone No. 7) ?� C, U I Owner's Mailing Address C 40 Contractor n n�� Phone No. �0 -7 b Address System's Contractor's Name Address Legal Description C."D �(�,(k Lot Size 1, S :�) ac,/�> Type of Building by Use Number of Bedrooms Z Type of Water Supply Owner's Signature L` "' Date PLOT PLAN: ATTACHED AS REQUIRED �'6 G h Iti\-� Type of Individual Sewage Disposal SSyy%stem /�� ` ZW7i42 -10,11 E2��M IAIN Type of Soil or Soil Classification J�/�% �� M 72�1 r�stAeI+L j4u-I./&//VPA- Proximal Location of Bedrock / y T AJCID %�{IqA/ CC F /V IJL- Proximal Location of Ground Water Table Percolation Test Date IVIAMinutes Per Inch / Minimum Recommended Absorption System Size 2 706 SQ Minimum Recommended Tank Size Special Conditions of Issue: NOTICEp When properly signed for issuance, this application /��•• becomes your permit. Application valid one year from �L-QD/eAC),o Q�% C,04ate. If an individual sewage disposal permit Is issued J / for property on which no building permit has been 10266X L C -e1 tx 6 �� issued, the individual sewage disposal permit shall �G-�/�� !l /GSL !� V ^— �oQ f�./ expire 120 days after its issuance If construction has �O not been commenced. Any change in plans or speci- r® 66RNs �LED ,2S FT Fi�'C�'�% fications after the permit has been issued invalidates the permit, unless approval is secured from the Health Officer for such changes. RL //27�5 Approved for Issuance By Date 7 FINAL INSPECTION APPROVAL//441i�AW-op7'— Date ;177 (Drawing of System on Back) • 1 J 4COP EE A Nsplfa7)DAJ ,fIM-r/off DIT -C4 CUL- SAC, A I,EXMR DRIVE' f PRo('Ekry c.iNtS %4 �Cr Mt } r, HC7�-,aE 2 45 O.. 0 6 � /DrsT2l�uT�o�v T�i�itJ� z 4 SOLID W.4LL �� div y oo�fr. 7'YPIGAL) - SLOPr- aF Pl PE = O.(:71 jcT a o-4 /)C V61- 7'—,,, t-JEQ,4L Pt -,41- I' vA P O - Tt�4 �I s P r T� o13E D 5::�4L� ,zf9 VENTS - 4 ','54wPY" 70P e dol L P - o nit cv" , 4-r F DL7F- Tc 4 126 P r�-1 .4 r �--- r; IIvroF— 5EC-P -fop N,. , , , • - r_+ p a 7 ,ST),-�',47A /o MlL R Vi G . { or, 5(:;x.ri4L) ALL A,z G z -11,j , 7 TO 5E4L A5ti/77;CR 8Er7 — TA- / L �e . %g' 1'•©' i � C - E 1>L -T,4 /L 4" Ill TA -1 S4NDY 7'CP SCI L ,47- 4-CF: T-F0F . -S4hF.4G E DRct I X1.4 L AND =ElED 1 5 / Za �.i ?,41 IZA M� ; rE S Z? ?i4 v f-= L_ ` i -4A L L l 12 � 1 f2 VYq sH�D L�r�V �, o IJP SHALt- PSE 0.5 TQ /.O^ MM 1-7,CAIIJ 5/ZE 9Q d'/4 i ��.o w : � ��-.�:Y�� 2 T-',��e�;'� p��c/i_�� J;' x �� L��? j ter= �� .�`��`•�r y7%. ._ (5) f3L�Ji�FZ-7E41�5 Q- T ,SEA Oc E V4,v6l- TWv,A, 3Irl,CA T / 0, ,/ 9E r;' = X �� - ,�: -IQ 97- M r v'✓,Nr - .�y moo , : , '' �. - 1. = o. 2 a0 414 f15(;. FTParr LAKL 51AA Q 0' / VL—�a 4E -e4 _ GO 1. Q -- L`7=^ cam. F7 o5 5 : O " x 49'c"