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PITKIN COUNTY HEALTH DEPARTMENT
4:F-OLC)43-00 -008
PERMIT NUMBER RECEIPT NUMBER ' (p p 1444
Owner � n '� L Phone
Address (xA t3ojoDgLs 9a2n4 [007 J
Contractor Rc--M Phone
Address
Location of system
Legal description kom 0 ,Sa Date 11 Z,. 3113
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Lot Size�T�$
Siganture of
Percolation test data I t o minutes per inch
Minimum
recommended
absorption
system size
(Ott C7 boo S�( -
Minimum
recommended
tank size
9 ®O
Permit application valid one year from date. Application to become permit and
final only after lower portion is completed and signed. Retain this form at
the construction site.
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COLORADO DEPARTMENT OF HEAL
Polluti6n Control Division
4210 East 11th Avenue
Denver, Colorado 80220
APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS
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Applicant (Owner) : a --
Mai 1 Address:ZKY City:4",OZI Phone: 76
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: 9�Z)
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, so profiles in test holes.
1. Location of Facility: County City or Town
hAT "g - I , Z b pL' tZ � s � SL c 1 �i t>04'-' W 4"F el
Legal Descriptionk-cc 48.2 -T Jos (s'Lk T,y', Lot Size:
2. Type of area and facility - Number of persons served:
Subdivision Motel Restaurant Trailer Court
Other:TL L,� :It k) F t
3. Source of domestic water: Public (name):
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Private: Well y— Depth i= Other Depth to first ground water table
4. Is facility within boundaries of City or Sanitation District:
If so name:
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5: Distance to nearest sewer system:
Have negotiations been attempted with owner to connect:
If rejected, give reason:
6. Rate of absorption in test holes in minutes per inch of drop in water level after
holes have been soaked for 24 hours: �d AA Irl/ 1."e -a
7. Name, address and telephone of person who made soil absorption tests:
cn Q. o s CSL
8. Name, address and telephone of person responsible for design of the system:
-Se�Mc.
9, Est. bid opening date: Est. Completio e: ��> Est. Project Cost.:
)ate: %
Signature of Owner
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-fiE•CC��-ii'iFP�UL:U MINI, Ui'i RE(OREiL'iEi•!7S„ FOR INDIVIDUAL SCTTAGL D I SFIOSAL SYS'I'I:lis
E3ci o'ro h i a i i ng any construe+ 10 n , The Coun DepaI- t mP.nT .shou 1 d
be consu i tod for a,nprova l and dota i l ed i of orrnafii on concernl tic -l'i're pro-
-pose(; septi c 'i Gni; and d 1 sposa l f i e 1 d . II i gho..r standards Than i' -hose vr-h i ch
fo 1 1 oar Play be rc:ciu i red In individual cas.os to assure a•i ''i a l rirlen'+ of the
objectives, which are -I-o 1 oca l'e, cons-i-ruct; .and ma 1 n'i a i n Individual seti-rac;e
Ci i �p05�, I Sy5'i eF1 i n 5UCh a fnanner 'i -ha i ex l S'i'�1',nt}' C)�, con l*omp I a i ed viater
SLI ppl les ►•ri I i no. become, con`i-vr.fl.naTcd and 's'o' no'i overflow
1 -he ground surf ace and result In a nu't Banco.
I . LIQUID CAPACITY OF TANIK (GALLONS) '
[Provides for use of (garbage gr.indor, au'i•omo-fic clothes washers, and
o•l•her household app 1 1 ancep7
��• tl� umber o' beoroor�is, ' �F:e corir�ieridea in hn i Pnuin.
tank capacity
quFvaien'i. c9pacity
or bedroom ,.
2 or less.,.,,.... 750 375
3 or Iess......... 900 300
4...............•..1 1,000 250
1�1 For each additional bedroorn,� add 250 qal lops.
.-......�...r....�.�...-...«.........._..�.....-.....w.....,..._.....w..,....-.�...�.......-.... .............+v.w •�..... w......r.rw�..-w.........+.wr.w✓ww.nw.w.....w...«w...+.f+�......•.....�
2, if INIHU;i LEACHlNIG AREA OF DISPOSAL FIELD
ABSORPTION -AREA REOU i RIEME NI S FOR INDIVIDUAL RESIDENCES
[Provides for garbage c}r 1 nder and aul orna-r i c ci o hies viash i nq reach i nosT
Percoia-iion rano
(tiIn0 r•edu.I red for
wa•ier to f a l l one
Inch, irr rninul-es
of- I e s s+.r• ...... .
7.. ...........:....
4 , f • t • • • • • • ! . i . • • !
5 .................
Roqu i roti absorp•-
10 0 s * a .. . f..
tion area, in sq.
PC, r'CoIal. Ioil
f i , per bedroom
rate ('i ine
(b) S-1-andard
reclo1 rod for
trench (c) seepar;e
^ wa'c e -!_o f a l t
beds and seepage
one inch, in
pits (d)
f o3inutes)
70
10 0 s * a .. . f..
85
1 5
too
30
(e)......
i15
45
(e)..:...
125
60
Required
absorption arez
1n sq. ft. per
bedroom (b)
s•fimdard trenci,
(c) and seep aqc
beds,(() and
seepage p1r's (c
190
250
300
330
(a) I.1' is dcsirozrblo to provide sufficlent land arca for entire now
absorp i 1 on sysI ,c.in i f nee( �d i n fu'iur r,.
(b) III ovc:ry case su IH i c i on -i land area shoo l d be Prov 1 dod for the
nurnbcr of bedrooms (rnlnir urn o•� 2) thafi can be reasonably
anTicip,al-cd, including I e unfinished space available for
conversion as add 1 -'r 1 ona I bed roorns .
(c) Absorption arca is f igurcd as trcnch••bot•iorn zwea and includes
v s'ha i i s i l ca l a l l of-; ante 'rot- vc!r-1 i cr, l s i cle via l I area.
((I) Absorp't'ion arca for sc:cp.-,go piTs 1s; f igurod as effective side
benowl h -i he i n ! o v. ,
(a) Ur,sul•icblr, for• 5001) W.10 I,:•r s 1f. over 1-hIrty.
(f) Unsui •r��b to for absor pl ton sy_;;a is I f over• slxiy.
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DEPARTMENT OF ENVIRONMENTAL HEALTH
AND POLLUTION CONTROL
COUNTY OF PITKIN
P. O. BOX 1025
ASPEN, COLORADO 81611
October 25, 1973
Mr, Edward Roszel
P4 Boa 607
Carbondale, Colorado
81623
Dear Ar. Roszal
Or, July '23, 1973 a final inspection was made
by the undersigned of the septic system on your
property. The inspection showed that the system
met with Pitkin County and State regulations con-
cerning private sewage disposal.
At the same time, a water sample was taken
from the domestic water supply. The sample was
sent to the State Laboratories and returned to
thka office as safe. The construction of the
water system also met with the State and County
standards.
If this office can be of any further
assistance please notify us.
MR: sat
Sincerely yours,
James C. Roark, R.F.S.
Fitkin County Sanitarian
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ELDO JACO EiNGIN ERING CO.
Consu,xmjv : •°+ 'r, a nx - Land Surveyors
NEW CASTLE, COLORADO
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