HomeMy WebLinkAboutpitkin.eh.264929102034 (1991)Date Re
Bill To
Inspection Requested By
Check/Receipt Number
Property Owner
Parcel ID Number
Legal 1./4,
Lot—, Block
Address
Building Occ:upie
Date Septic Tank
DEPAR[ RHOS: v _
Permit Number Year Issued No Records Found
Septic Tank Capacity (Gallons) Septic Tank Material
Leach Field Size f 1� (Sq. Ft.) Leach Field Type
IlQSPH(�ICtJ:
Date Of Inspection iG' Inspector -
Soil Conditions: Dry_CX Saturated Snow Covered Other
Septic System: Functioning Satisf ct r'ly Not tioni
Camnents: fs^i-� ��'��
Water Supply: Public: Name V lxy13`-Q�L— ,
Private: Well , Spring , Cistern , Surface_,
Other
Well Construction And Location: Approved
Ufiapppoved Beca Lit—
Bacteriological
Bacteriological Water Test: Lab Number Date
Acceptable
Other
Q-
1
A.P.E.H.D.:4/87
E
S-rgA,,'7-FOA/
.2619
BLzar-
LO Ll v ME Q
ASPEN*PITKIN
ENVIRONMENTAL HEALTH DEPARI.AENT
i�
TO: NAME:' -
ADDRESS: (p no IC -L k,w�<�
FAX PHONE #: as +�
F ROM : NAME:
DEPT:
ADDRESS:
FAX PHONE #: 303-920-5197
LONG DISTANCE PHONE CODE: 025
Total number of pages including title page:
REMARKS
�i
130 South Galena Street Aspen, Colorado 81611 33/920-5070