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PITKIN COUNTY HEALTH DEPARTMENT
PERMIT NUMBERS (� RECEIPT NUMBER 7 �1 2--
Owner', Phone No. (WZ) 297-4 5308
Owner's Mailing Address 8033 Q% CAtS 5. JPL-. ' 1Q5cA2)0 'iS 7d4
rtom-N S 9(�3-25 9Z
Contractor �Ay� ��T{Zl)CTi�1� Phone No.
Address ?,0\ 3C K �71'� C^26XU3Rt , (,CiLOZ&,r6n 61b23
System's Contractor's Name
Address
(� C : (� a tr ISI nu k-%-Ig(V)
Legal Description LoT 3 cj?,�sUt_ i? -we -le- 'Nay- vis
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Lot Size 1000 \C�o Type of Building by Use S%24�j FemiL+, Q405%D✓cXe
Number of Bedrooms 3 Type of Water Supply
Owner's Signature Date
PLOT PLAN: ATTACHED AS REQUIRED
Type of Individual Sewage Disposal System 44-/2,1�L
Type of Soil or Soil Classification EYE TU ,rtca-vtc
00
Proximal Location of Bedrock `'u`'-z�'�'�'r > /D
Proximal Location of Ground Water Table `WW1 7 /0
Percolation Test Date �, y Minutes Per Inch
I
Minimum Recommended Absorption System Size
Minimum Recommended Tank Size f Ooo ..
Special Conditions of Issi4e: NOTICE
p j -IV) k � When properly signed for issuance, this application
Qac -1 C �} r becomes your permit. Application valid one year from
I XQ-L yt�I date. If an individual sewage disposal permit is issued
for property on which no building permit has been
UU 444Q, �� 1l� {' issued, the individual sewage disposal permit shall
<�� expire 120 days after its issuance If construction has
j�� not been commenced. Any change in plans or speci-
fications after the permit has been issued invalidates
A) . /Lt the permit, unless approval is secured from the Health
5v. �j� V� �IQCEzyiGi �JL Tc f Officer for such changes.
Approved for Issuance By
�eF f , Q.a-<1 r Date
FINAL INSPECTION APPROVAAZn9 ate ,-9 L/
(Drawing of System on Back)
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C1�Qi3c>>�O.�c..� ,Ccs 81to23
ASPENoOPITKIN O
ENVIRONMENTALHEALTH DEPARTMENT
Tom Hays
Hays Construction
Box 717
Carbondale, CO 81623
Dear Tom,
Enclosed is a copy of your new septic permit. This
tells the required sizes of the leach field and .septic tank.
Please note the required distances from water and property
lines for both the tank and leach field. These cannot be
changed without our approval and I am not aware of any
setback variances which would allow you to put these any
closer to the property lines. Please call us if you have
any questions and when you are ready to have the system
inspected.
130 South Galena Street
Sincerely,
Lee E. Cassin
Environmental Health Officer
Aspen, Colorado 81811
303/925-2020