HomeMy WebLinkAboutpitkin.eh.264527300004 (1976)76057
PERMIT NUMBER
Owner
Owner's Mailing Address
Contractor
Address
System's Contractor's Name
Address
PITKIN COUNTY HEALTH DEPARTMENT
RECEIPT NUMBER
C
Phone No. 7
Phone No.
Legal Description
Lot Size
���✓C%_c�o_ Type of Building by Use ��� �l�'2t-
Number of Bedrooms Type of Water Supply / /}
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Owner's Signature �' Date ]
PLOT PLAN: ATTACHED S REQUIRED
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification
Proximal Location of Bedrock
Proximal Location of Ground Water Table
Percolation Test Date
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size
Special Conditions of Issue:
Approved for Issuance By
FINAL INSPECTION APPROVAL
(Drawing of System on Back)
Minutes Per Inch
Date
Date
NOTICE
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 individual sewage disposal permit shall
expire 120 days after its issuance if construction has
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
Officer for such changes.
PITKIN COUNTY HEALTH DEPARTMENT
76057
PERMIT NUMBER
Owner
Owner's Mailing Address r ��
J �
Contractor
i
Address
System's Contractor's Name
Address
RECEIPT NUMBER
Phone No.
Phone No.
Legal Description
//b ✓�1
Lot Size /�C� G Type of Building by Use
Type of Water Supply��
Number of Bedrooms yp
Date
Owner's Signature--
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,
PLOT PLAN: ATTACHED S REQUIRED
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification
Proximal Location of Bedrock
Proximal Location of Ground Water Table
Percolation Test Date
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size
Special Conditions of Issue:
A roved for Issuance By
FINAL INSPECTION APPROVAL
(Drawing of System on Back)
Minutes Per Inch
Date
Date
NOTICE
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 individual sewage disposal permit shall
expire 120 days after its issuance if construction has
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
Officer for such changes.
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28 July 1976
RE: Knapp Individual Sanitation
Facility -- Old Snowmass Road
This letter will certify that the referenced installation was made in
accordance with the approved plans and specifications.
Respectfully,
�s
9 Y
Roger Hocking
P.E. & L.S.
10049
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ATTN:
Bob Nelson
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Dear Sir:
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28 July 1976
RE: Knapp Individual Sanitation
Facility -- Old Snowmass Road
This letter will certify that the referenced installation was made in
accordance with the approved plans and specifications.
Respectfully,
�s
9 Y
Roger Hocking
P.E. & L.S.
10049
CS' • •
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ELDORADO ENGINEERING COMPANY CONSULTING ENGINEERS • REGISTERED LAND SURVEYORS
803- COLORADO AVENUE P.O. BOX 669 GLENWOOD SPRING$, COLORADO 81GOI 303-945-6917at