HomeMy WebLinkAboutpitkin.eh.264916300007 (1972)f
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Box V Aspen Cj.ty H^1-1
Aspen, Colorado
925-2020
System Location
Contractor
PERPf�[T '� - 7 2 0 0 3 0
1. Construction app: -oval:
Plans and location are hereby approved.
Perc. rate � ,y inches i n__-5;� minutes= sq. feet of
absorption area per bedroo,,
. _ X /(sq fee�� � Q _ yL fent �iiinimu:,i require--
ment. T 5�.i _e.������c.. -�Tp• ACL
.-Y_.1,�GiC?� -�,,� •,tib, _
Date �sz�' ZZ Inspectoz:--._..--------
2. Final approval of system:
No system shall' be deemed to be in coiiiol i:.nce Vri.t.h the
Selvage Dic;�cs 1 L � ;s unt ? the asse.:-lb'_ed sy s!;r_;i is u.cr,rDvea
pr;_or to co�re�°ink any rt
--, - -
o" se l,;ic tank Rcleanout with vas seal
Proper �nat-aPials an't assembly
_a:`sorpt on urea
�iF t e c �i.c cover (dry wells only) Aa- qui.,_:,-oylcr,�
.,
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at o'on�it,hllci 7Ii
COLORADO DEPARTMENT OF HE LTH
Water Pollution Control Division
4210 East 11th Avenue
Denver, Colorado 80220
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner): -Rigf 3 M cpe o iT- t4
Mai t Address: SLA% R -T. &X %U C I ty:04k186NDA(6 Phone: -.3 �1�3
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
1 . Location of Fac i 1 i ty : County ?i K 10 C i ty or Town /n, 1E5 4x' car (!AK&wAlc
56C'T/Q+v 2/ , -a'10 9 , 5 ov7,/ , Zq v66 YY u1 P - r
Legal DescriptionwliKerany DEED 1y�37Yo� 8cbxzSi, p.5& Lot Size: L- ACieC-5
2. Type of area and facility - Number of persons served:
Subdivision k/W-- Motel Restaurant ,L/,c? Trailer Court /�-
Other: ?iliUATE IAMD DSC FR/rilt y H�vse`
3. Source of domestic water: Public (name):
Private: Well )( Depth t10 Other Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District: � l/,C/o
If so name: �+� -
5. Distance to nearest sewer system: &fhk,,p,qle,srru.
Have negotiations been attempted with owner to connect: / r�
If rejected, give reason: /
Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours: / "--'�,t 9,
0/l. Name, address and telephone of person who made soil absorption tests:
8. Name, address and telephone of person responsible for design of the system:
(, ICA/G /YE/26D/TN
9. Est. bid opening date:7-/0-11--Est. Completion Date: Est. Project Cost: �� DD
Date: 72' C
&d1464
Signatq�e of Owner
'COLORADO DEPARTMENT OF HE, . fH
Water Pollution Control Division
-4210 East 11th Avenue
Denver, Colorado 80220 -2649 , � � --00-iV
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
Applicant (Owner):
- C-� ly
U _
Mail Address:,,, /'Z/�2 City: � ,{a,�p� Phone:
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
1. Location of Facility: County City or Town /Ji' 01
Legal Description I i Lot Size:
2. Type,of area and facility - Number of persons served:
Subdivision _!!L�_ Motel _�/._ Restaurant Z Trailer Court
Other: (/ �
3. Source of domestic water: Public (name):
Private: Well --4— Depth Other ,,Zd,- Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District:
If so name: I
5. Distance to nearest sewer system: g"Ioee f
Have negotiations been attempted with owner to connect:
If rejected, give reason: -
h- �F>
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours:
7. Name, address and telephone of person who made soil absorption tests:
8. Name, addre-ss and telephone of person responsible for design of the system:
9. Est. bid opening date: Est. Completion Date: Est. Project Cost:
Date: %/ - %��2CG�`t
Signature of Owner
Section
FILE REFERENCE:
COLORADO DEPARTMENT OF HEALTH
DIVISION OF ENGINEERING AND SANITATION
A C T I V I T Y R E P O R T
I
INDIVIDUAL OR a
ESTABLISHMENT:
ADDRESS: _Wtf
NARRATIVE:
Code
County
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LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS:
DATE: Z- -01/ —, 19_fe;�. REPRESENTATIVE: - �7
ES: 7 (Rev. 6-70-100)
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