HomeMy WebLinkAboutpitkin.eh.264929102018 (1980)atc4q a91 -� o:)� — ®l g'
ASPEN*PITKIN
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ENVIRONMENTAL HEALTH DEPART
PEIVI T Ni. M:SEfii �_Q RECEIPT NUMBER w__ _. ---
Pune I. Jd ), ,', w. V"r p"U E O ___ Phone No . 9617_'129l ks
Ovhrner i s hailing Address
Contractor_ i� ►� n I Com - T
Address !`�� //ll� f22 �l9U !z,
System's Contractor"s Name
Address
P? `fo 0TI'pr
Legal ,'escripti_on Z
o/061
Phone No. �7� 3 -,2
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Lot Size /SC> X' 1,20 Type of Building by Use �sliJr�Ul�gL
Number of Bedrooms T pe of Water Supply CO/11MO/S r j
Owner. i s S'_ -nature _ Date__—
PLOT PLAN: ATTACHED 11S REQUIRED
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Type cf Individual Sewage Disposal Systemc6Pn� lAA/1C —A�6A /iCE711�' 5
Type of Soil or Sc?.:L Ci ass _f ica t iter, _ , W9ILT `f S4A406r6A160Ceoq6/�{C�1TS _
Proximal Location of Bedrock Aldl- DEZZeM WED I E2
Proximal Location of Ground Watzr Table &0rD_Cr_e,9_1q1A)0 -C,*vCArFE rt � 8tT.
Percolation Test Date Q Jed () /3 Minutes Per Ince.
r.T C2 TieENCIIES = 3`i✓�Dr
Minimum Recommended Absorption System, Size�O t��.�/. Icy
k' n wwq Recommended Tank Sizc _7-570 CALGOAIS
SnecialConditions of Issue:
1A j35Xer1ory /j R H /V6/S7- :B6- I_ 6Aa l TES 14
I+'11N/M6111f 9/STAIVCIC DF
50991 Vl SAIV ,L/NLS
NOTICE
When properiv signet for issue,:cr, ihk acpl;r 3t!on
oecun%es your hermit. A[:pFefiTic r. velid oos Year irurr:
data. if an individuai stwwjs disc•osei permit !s issued
for pro party on whir -h no bsiidirq pu ..t;t has t can
imuod, the ir-ON70i�al fawupi di+,Cosel par -,:s: -h7ii
exp; -e 710 uavu afte.* its is.,--ce i* ^n„” • "ion rras
not been cr.mriencai. Arvyctengn in plans or soe-J-
fications after tna parmit hes oxen 's.. ea i vaiila «s
the permi-, unless aporwiH a sevum:' Fr^�n the `#calf_
Office; for su.n char,aes.
Issuance B - /• / Date
.yypyp4 ,r,.. �yy e.�yy for yyyyylsy yy,, yy,,yy Jy.yy yy yy ..yy yy .1. �I ,yy y yyyJ. yJ. .�r y ,y y1y yy y L
TTT'1`T TTT TT?• T�T T:`�TT TT�`�'I`�`TT T T' �K 'T *�* *� *T �K �'1<TT TT�K �T T T �K * T�fp�*TTT�` T T' -r• T'T
FINAL INSPECTION APPI110VAL � Date
(Drawing of System on Back) A/P.E.H.D. 8/80
130 South Galena Street Aspen, Colorado 91611 303/925-2020
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PITKIN COUNTY ENVIRONMENTAL HEALTH
Field Test Data Sheet on Percolation Test
PROPERTY OWNER PHONE
MAILING ADDRESS
LEGAL DESCRIPTION OF PROPERTY
�LD/ 1 +'
LOCATION OF TEST HOLES
Three (3) test holes required per system
Test Hole Depths (24" minimum)
Diameter of Test Holes
Water remaining after 8 hour soak
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TEST HOLE No.1 TEST HOLE No. 2
TEST HOLE No. 3
L
Drop Time Drop Time
L
Drop Time
-
Z -37
,, 779 2-47
Z
$ 2.
' 17
Percolation Rate Each Hole
Average Rate
Comments on soil or site:
Signature
Date
O � t
509pt osioli ROAD
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