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HomeMy WebLinkAboutpitkin.eh.264929101011 (1992)Date Requested //31 4.� Check/Receipt Number Bill To Alt 11 Inspection Requested By Y -2-5S Phone original Report To Be Sent To ���✓'TA�� tor�'r�A�� Copy Of Report To Be Sent To P110PERY INFORIGITION: Property Owner A4 -q A Parcel ID Number Legal L4, 1/4, Sec. . T S, R W; Lot I , Block Filing ,--, Subdivision Address i fcC' C _ C Building occupied_ Vacant Age dr Building 19 %� Date Septic Tank Last Pumped #Bedrooms RE OMS: C) No Records F Permit Umber C' � Year Issued Septic, Tank ci S-("` (Gallons) Septic Tank Mate �-_F'y . Leach Field SCize (Sq. Ft.) Leach Field Type Date Of InspectiInspector Soil Conditions: ry Saturated Snow Covered other_ Septic System: Functioning Satisfactorily_ Not Functioning Camnents: Water Supply: Public: Name zt ' ` -`� Private: Well , Spring , Cistern .Surface Other X ii-rZonst.ruction And Location: Approved r Becau_se ""Date Bacteriological Water Test: Lab Number Acceptable other A.P.E.H.D.:4/87 STANDARD BACTERIOLOGICAL WATER TEST SNOWMASS WATER & SANITATION DISTRICT P.O. BOX 5700 SNOWMASS VILLAGE, CO. 81615 Sample Loc,�tion G�+� NAME OF L' SAMPLETAK :DAT / TIME 5 `SUPPLY CHLORINE COUNTY SAMPLER RESIDUAL MG/L ( ) COMMUNITY SUPPLY ( ) ROUTINE DISTRIBUTION SYSTEM SUPPLY ( ) NON COMMUNITY ( ) CHECK SAMPLE( ) PROCESS WATER OTHER PUBLIC ( ) RAW (X) GROUND ( ) SURFACE ( ) PRIVATE ( ) SPECIAL' P\l7RPOSE SAMPLE **NOTE. IF ALL INFORMATION IS NQT� PRLI D, HE SAMPLE WILL BE DISCARDED. I3GI3 1`itL 6 REMARKS: ASPEN/PITKIN RETURN TO SANITARAN ADDRESS 130- GALENA UNSUITABLE ❑ FOR TEST RESULTS MEMBRANE FILTER A10 I nc; l c�/•'� ADJUSTED COUNT: COLIFORM/100 ML LAURYL SULFATE BROTH ®mmm---mm m©©■■■..' CO RESULIFLTS GREATER THAN ONE CITY-STATE ASPEN, O 816 1 1 COORM PER 100 ML INDICATES SEE REVERSE FOR TIME LIMITATIONS, SAMPLING INSTRUCTIONS AND DEFINITIONS. NON-COMPLIANCE WITH MINIMUM LAR -MICRO 106 (Rev. 3-79) 1 DRINKING WATER STANDARDS. AA�k&L/'&/gac - (c��L /� -� � Cz" X1,61 z z`.