HomeMy WebLinkAboutpitkin.eh.264929101011 (1974)I 0 16 1
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PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBER .t RECEIPT NUMBER
4"
Owner cl�—CJ' 0 h Phone # 1�9117
Address % �f5lOI7`�' ,l� t — X %�0 ,
Contractor /��� %/%%� �L��N 'AL �iY/T.�Ae7`DiQ J r Phone # %�,3 ��0
Address �ST/iQ �� Cfi�,�DNDfIt.E C �G D
Location of system C'f Lot size S 1464-e—
Location
description /�ildpr' /57`��l�S f�t'dSn'E
Number of bedrooms
Signature of owner
Percolation test data
Minimum recommended absorption system size
Date 3 —2 / — % y
minutes per inch
Minimum recommended tank size � ' v
Permit application valid one year from date. Application to become permit and final
only afterJ,ow7 portion is completed and signed. Retain this forehe construct
site
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Date Sanitarian
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COLORADO DEPARTMENT OF HEALTH
DIVISION OF ENGINEERING AND SANITATION
A C T I V I T Y R E P O R T
Section
FILE REFERENCE: Priva.te sewage fin .l inspection
INDIVIDUAL OR
ESTABLISHMENT: Rri RCIYI
ADDRESS: Q-4 , v;II�mo
NARRATIVE:
Code 12
County 57
On May 8, 197+, Jim and I visited the Edson property in
Swiss Village for a final inspection of a septic tank- seepage bed
installation. The installation was disapproved for the following
reasons and a tag stating these was attached to the tank.
L) The inlet tee was broken and not sealed
2) The bottom of the seepage bed did not extend 12" into
the virgin soil.
3) The effluent lines were not level.
4) There was no connection from the tank to the field and
a notation was made that this should be cast iron.
5) The field was undersized.
6) A sanitary tee was used at the entrance to the bed and
directed effluent flow to one end. A notation was made to
replace with a standard tee.
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LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS:
DATE: May 8 , 19,r4-_ .
ES: 7 (Rev. 6-70-100)
REPRESENTATIVE:
COUNTY _4�7
PROGRAM 1Z -
LOCATION Z S
REPORTED BY
COLORADO DEPARTMENT OF HEALTH
REQUEST FOR,,SERVICE
lLLLI'nv"4r /#91-J J[J��/
SERVICE REQUESTED f��,o1i1f TO
ACTION REPORT��yi2C✓ACTION BY BY p /- /7"— DISPOSITION-rl�Jii/ BOG
DATE �� 7
SH -M -7t `(,4- 1-50)
f
COLORADO DEPARTMENT OF HEALTH
COUNTY 57 REQUEST FO SERVICE
PROGRAM / Z RECEIVED BY DATE S
LOCATION NAME 49!!�4,0�
REPORTED BY i2�p1 ��ZG -ADDRESS ��jC ,�iJ TELEPHONE 963-33 0
SERVICE REQUESTED
ACTION REPORT
ACTION BY DISPOSITION
DATE Y 7 Y
SH -M -7t (4-71-50)