HomeMy WebLinkAboutpitkin.eh.264921301008 (1988)"L13 -W -OW
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Date Requested_ Z 2
Bill To / r,�-
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Check/Receipt Number
Inspection Requested By t,. C Ste.
Phon ' - 4 �T 63-272q8
Original Report To Be Sent To �Ahjr (ee{e-A s;)AL
Copy Of Report To Be Sent To 4jiy5O&
PROPEIRTY INFORMATION:
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Property Owner (,J, 6 i A-., n L.;Jt � � r a-,�• s o � , J � � g
Parcel ID Nunber ZIA q -Z(3- 01- OOY
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Legal 1/4, 1/4, Sec. "Z�, T�_S, R W; es
Lot , Block , Filing , Subdivision
Address 11
Building Occupied_ Vacant_ Age Of Building
Date Septic Tank Last Pumped # Bedrooms
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DEPAirlHMr RDOOORDS:
Permit Number
Septic Tank Capacity
Leach Field Size
Year Issued No Records Found
_(Gallons) Septic Tank Material
(Sq. Ft.) Leach Field Type
Date Of Inspection Inspector
Soil Conditions: Dry Saturated Snow Covered
Septic System: Functioning Satisfactorily Not Functioning
Comments: , P
Water Supply: Public: Name ti
Private: Well
Other_
Well Construction And Location:
Other
, Spring , Cistern , Surface ,
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Unapproved Because_
Bacteriological Water Test: Lab Number
Acceptable
Other
Date
A. P. E. H.D.:4/87
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