HomeMy WebLinkAboutpitkin.eh.272920305046 (1992) Fireplace RegistrationT
Date Reque�ed 2
Bill To kL
5e, " ti 2
Inspection Request By
original Report To Be Sent To
check/Receipt Nwpber
Copy of Report To Be Sent To A 11A
PROPEEm lowadqMON-
Property owner
Parcel ID Kimber 2 .2 -mac - -T
al 1/4r 1/4, Sec._f T S, R W;
Loot f �, Block ,Filing , Subdivision ��/C /� "'�'• � -
Address oo = t s/1T l Il
Building occupied Vacant—
Date Septic Tank Last Pumped # Bedrooms �
DF�PA RHOQRD.S: 1
Permit Number `1 V 7 - ��Qs/ Year Issued 7 �° `% No Records ouu�d
Septic Tank Capacity z� (Gallons) Septic Tank Material �C',,Q -
Leach Field Size `-i 2$ (Sq. Ft.) Lead Field Type ;AFP CC-
Te,Cy C C)A-7-Cr �Y M / CTt1(c a -TA�1 K /�� � /'floc= P/ .r-
Tj I,-1 7
Date Of Inspection,� 2 : 2' Inspector /—
Soil Conditions: Dryer_ Saturated Snow Covered Other_,._
Septic System: Functioning Satisfactorily Not Functioning
Comments:
Water Supply: Public: Name Cistern , Surfaces
Private: Well Spring
Other
Well Construction And Location: Approved
Unapproved Because
Bacteriological Water Test: Lab Number % ��� nate G -
Acceptable
other
65-0
A.P.E.H.D.:4/87