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pitkin.eh.264515400011 (1991)
Date Requested 1-asl �G 1 Check/Receipt" Number Bill To Inspection Requested By Original Report To Be Sent To Pi'Y SON: Property Owner— Parcel Number Legal J 1 o 1/4, Lot < . Block_ Building Occupie Date Septic Tank 4, vacant pumped a 70 1 Age Of -Building © 4�4 # Bedrooms DF.PAFMMU RHOOM.S: .-c:� --� Ccs (o C Permit Number ---2/ �'I� Year Issued No Records ound Septic Tank Capacity (Gallons) Septic Tank Material Leach Field Size -1711(Sq. Ft.) Leach Field Type '>NE6o,tg11614 Date Of Inspection A, 121 Inspector Soil Conditions: DrySaturated Snow Covered Other Septic System: Functioning Satisfactorily Not Functioning Comments: Water Supply: Public: NaQne Private: Well -r Spring -r Cistern Surface , Other l Well Construction And Location: Approved '� Unapproved Because Bacteriological Water Test: Lab Number_ Date Acceptable Other Il'S• A.P.E.H.D.:4/87