HomeMy WebLinkAboutpitkin.eh.264504303028 (1980)ma L�_ale
PITKIN COUNTY HEALTH DEPARTMENTPERMIT NUMBER FX17 RECEIPT NUMBER ?gV6
Owner j8uo /V am s A-nd, J e-4AMr- No rn S Phone No. 92- 5 Z -7 6
Owner's Mailing Address D • .6U x 54e& Z q SP2.!
Contractor
6_c/ IC
Phone No. 92 S — '5L %6
Addressr, o. e c (—
System's Contractor's Name ja s c
Address C AR Rao r) b
n-L-(F 13 2 S - /S1 % 0
Legal Description L/ 7
11/P EL[C CR_,ee_K 0,aA c_ LOT 2-41, /31ocZ F11in4
Lot Size �� io Z ACRES Type of Building by Use
Number of Bedrooms Type of Water Supply CD/n�u�
Owner's Signature Zy, ,;�i� Date
PLOT PLAN: AT ACHED AS REQUIRED
Type of Individual Sewage Disposal System ZWC1A1C_&,eQQ 1J1L-; ? L%lS)AJ /alfaWJ0
Type of Soil or Soil Classification &L L LA,41 _0 -3 (_:;�1,4L XZZ�6 ✓101 I
13-;m 1 1 +; of Q.Ai nrL AT I -),F -7E / I / / V Ff / r T q /V 8 FT
Proximal Location of Ground Water Table
e
Percolation Test Date /Minutes Per Inch
Minimum Recommended Absorption System Size iJo% 75- cA EL 8AS4L AeCA 530 59, T�
Minimum Recommended Tank Size
S ecial Conditions of Issue: NOTICE
p When properly signed for issuance, this application
—F G becomes your permit. Application valid one year from
`Q �E ��( �L)C'_ ► CL)`G7�NclA.�jate. If an individual sewage disposal permit Is issued
t/ vCJ �lr',3r property on which no building permit has been
G�
f issued, the individual sewage disposal permit shall
i1AAJ J Ras-,? DA (FD ���/(gQexpire 120 days after its issuance If construction has
not been commenced. Any change in plena orspel/ i -
S/ fications after the permit has been issued Invalidates es
the permit, unless approval is secured from the Health
Officer for such changes./
,� _Date
Approved for Issuance By ---�
INSPECTION APPROVAL ��� ��'Date
/*********** 7 7io
FINAL
LO
OD
L6
9
M
0
N M
x
0
}
W O
2 ap
N 0
z Q
Q �
J 0
J
W O
CUJ
N
LO z
Fr
w a
� N
Qo
N 3
wz
W w
z J
G 0
z
w
z
J X
°m
z
8 0
a
} LU
Q :D
CL z
2 w
8 a
LU
Z g
w m
LU
Z M
z
w
S
Q
O
D
J
W
September 24, 1980
Mr. Bob Nelson
City/County Environmental Health Department
130 S. Galena
Aspen, CO 81611
RE: Inspection of Wisconsin Mound System - Norris Residence
Little Elk Creek Village
Dear Bob:
We have made spot checks of the above system in the last couple
of weeks. The final check was on September 18, 1980 and we found
the system to be installed in accordance with the plans prepared
by our office. The only remaining item of work was the pump in-
stallation. This should be checked before final approval.
Sincerely, ��®®
Rick Kinshella, P. E.
RK/jlw
xc: Mr. Bud Norris
PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER PHONE
MAILING ADDRESS
LEGAL DESCRIPTIO
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" minimum)
Diameter of Test Holes
Water remaining after 8 hour soak
TEST HOLE N9.1 TEST HOLE No. 2
TEST HOLE No. 3
DropTime Drop Time
Drop Time
Z 3
3 2 _5
31 S
_
Percolation Rate Each Hole
Average Rate
C/o� �l rets on so'I or si : 21117�6a `
WA -/
1
Date
Signature
K&E• MC 190