HomeMy WebLinkAboutpitkin.eh.272929201039 (1975)PtERMi`i41dfJMBER fd u , RECEIPT NUMBER 19311
Owner Paul Cush i Phone # 963-3589
Owner's Mailing Address Box 1037, Carbondale
Contractor DBD Company Phone # 625-1880
Address
Systems Contractor's Name
Address
DBt
Legal Description Crystal River Estates, Tract 7
Lot Size
1.27
acres
Type
of
Building by Use • Residence
Number of
Bedrooms
3
Type
of
Water Supply MilninjpsI
.Type of Individual Sewage Disposal System
Type of Soil or Soil Classification
Proximal Location of Bedrock
Proximal Loca
Owner's Signa
PLOT PLAN:
Date
ZI /7-,L
6
Percolation Test Data G Minutes per inch / 2
Minimum Recommended Absorption System Size r) 0_C'.7
471
Minimum
7l
Minimum Recommended Tank Size
Permit application valid one year from Date. Application to become permit and final only
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FORM AT T
d0N:a1.1'1tt C 1TON 0111%.
ari /�
Date 9�� J Sanitarian
Imo; .� � ra win of tListem on back •
1
0
2-+