HomeMy WebLinkAboutpitkin.eh.272920305052 (1992)RHQuEsr FoR FRYER ALD SEPTIC SYSTEM INSPECTION
USE PERMET APPLICATION
Date Requsted Check/Receipt Number
Bill To A
Inspection Requested By �� S Phone
Original Report To Be Sent To
Copy Of Report To Be Sent To
P'Y
Property Owner
Parcel ID Number
Legal 1/4,
Lot
—Block_
Address
Building Occupie
Date Septic Tank
Filincl Su
Va Age Of Building a
Last Pumped # Bedrooms7-
DEPARIlqW RE001RDS: Found
Permit Number 77302-0 Year Issued No Records
Septic Tank Capacity C' (Gallons) Septic Tank Mat rial Leach Field Field Size _ (Sq. Ft.) Leach Field Type vN 7
Date Of Inspection �?7 ? Inspector---/
Soil Conditions: Dry_e Saturated Snow Covered Other
Septic System: Functioning Satisfactorily, Not Functioning
Cam wnts-
Water Supply: Public: Name
Private: Well, Spring , Cistern Surface ,
Other
Well Construction And Location: Approved
Bacteriological Water Test: Lab
Other
A.P.E.H.D.:4/87
AeA I oa