HomeMy WebLinkAboutpitkin.eh.264904400006 (1988) ASPEN•PITKIN
ENVIROi_.'MENTAL HEALTH OEPARM .NT
QUEST FOR WATER AND SEPTIC SYSTEM INSPECTION
USE PERMIT APPLICATION
Date Requested V/fir Check/Receipt Number
Bill To 0 O o c) )L.rY.3. _
Inspection Requested By i--' r u . K.QS S ` *a Ylo�,w-i-a.i h rj/iiC,Ya(19.P J t
' , : ' , J .r _ . Phone - ._ a f*
Original Report To Be Sent , >
it -r;LLt14 w 141,1E(ih r!>al1. A ,c'k y 4.y/ i.�.,1 ..�c.Ja. / Co r0/5;c- '
Copy Of Report To Be Sent 'lb �.i i!dJ 4�x ,
••,• •NN I I'I;• '.4 i. -
Property C ner e.r. 1! 4- E Ue d yL, ('n er, ,a-,
Parcel ID Number a 6(1 l ovii-DO 006
Legal 1/4, 1/4, Sec.....a, 7 S, R_ _W; ____LLArs_caracr
Lot FTlock_____, Filing , ' Subdivision
Addre '>9 )9 Huta/ A )33
Building Occupied / Vacant ,'){ on Qe Age Of Building 2C e
Date Septic Tank Last Pumped —_-� _ Al ,JJ1.z__.. , z. , ,....t_.
phi by fvoviat ,No !kti.Aj4
DEPARTMENT RAS:
dd
Permit Number Year Issued No Records Fund
Septic Tank Capaci /D (Gallons) Septic Tank Mate3r�ial
Leach Field Size (Sg. Ft.) Leach Field Type J D/4 0 .2 I
i€OX/MAl t
II 'ECTION: Ara
X�%� �
Date Of Inspectio Inspector
Soil Conditions: DX Saturated Snow Covered Other
Septic System: Functio Satisfactorily X Not Functioning
Co meets: SEE DKt9tMniG nq ,4 VEes
A)01: Water Supply: Public: Name
pikAdiAlcul
Private: Well X , Spring , Cistern , Surface ,
Other
Well Construction And Location: Approved X
Unapproved Because
Bacteriological Water Test: Lab Number Date
Acceptable
Other
QOMM'NTE
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A.P.E.H.D.:4/87
130 South Galena Street Aspen. Colorado 81611 303/925-2020
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