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HomeMy WebLinkAboutpitkin.eh.273303100005 (1980)• a7 33 -031 -00 -co, ASPEN*PITKIN - ENVIRONMENTAL ENTAL HEALTH DEPART E Ni�I�J1;T I,,Jttiytit 'Nu ��_.__.. ItE.,EIr �c Fi Ovine Phone Nc. CtAuei ' S.Zai 1Ttg t�Clu: eSS D �L __lZ�r?3.c1 .T c"y/a r Ig A--:4 Contractor- AI'r r �� s ,!" _-- Phi n e Ne . Address K, System's Contractor"s Name_ I've address _ ("� '--- Lec,alDescrintion" A OwN lr /a Sv„ ic+t Sir?- , - Type of Builclin uc�e�y= u �1�� Z_._.� _... _ Nurnber of 3e.:rocros ® Type of Vater Supply _met j1 Ownerc Sibnati) r e Date �4 - PICT PLAN: ATT'AC~T{ ,a P'rC; 17 i{.I.E �y i L yJ y y y 7t: �{: x' .:k � * %.`= * � `Y * � 'k M '1• if �C M 7pt )Y 7�C 7�' Y •T T 'P' •i. •}� J�C '1C %K � T' '1` � T 'f` •T T. iC ]�[ .+ .'yC "iC l�; �C •�K T ��T,►�! *�� � .�i.' JK JK � �'Fi: �'.:.. �' � :�c ,�'. 'f- � %.: #: +; .k '.F M ='� l y'.E�e elf Illi? v �.li•tc: i ill?VraxT� .�� ,•�iJf.':is� 1y.�]t� u Y_�LP� n. Gi_E�1�E S✓Q riype of Soil or Soil Classii-..catl n ��©� L� -ro 67 py oximes 1 Loca is Ion of Eedrock _A�T DC i C, N1A1,rJ _ L..,ej_,t1 4 KYA Proxir a 1 Lccat ioil of Ground x=ate Table /(T 11(k -SQ k& 72&4 _ZE/ 3_7j: %.; SIC .i: **�fi %IC M:ic*k:i; :�c :k �: ak**'�**�c =1� %kT:k***sk%�%�k Jk .lc �k %*:his=�1-•%=r#J4 ..<scat*:**** 4c w'k Percolation Test Date 9%2 �� _1l�-Minutes Per Ineb wAini-vflum Peco=crided Absorption System Size IN1inAimum 'RecGii mende. (t `I'p.^.k Si_ 'e-{ L �-------- - Special Conal L.Lons of issti?. Wrxk— N4')TICF W.ner properiv ?iU^•e^ For iseu r,nca �-'.s a ^li:er,nr, 4:>_omes your .per-ttL. Aoc lead.)- .0::j z:nz '--er *r^m deto. If en d}b3d Jai sb, ,fie .T;t .ose psr.ra: is ;.. 'J fn' pro"rty on vmich no nu;rl,ng rib{rn�t ,•-- !:N�sn iS .4i' tt.c inr•.,,:!mrl , v!a,�� ._._.. �...w{ n�rr��• �w^+1 expire 123 days aftsr is ca 1' co�rr_rt: r 'ss not t,ean c:ommencao. Anr n,v:dt ,n mars firetions efter the porn 11, ha, c..en .-s,re+: i;.b-i:.•a,+!3 the perr.:t, �.,1r„ appr�vpI ie saeurvc -0—- •r.+ Offictr f r s.cli �en�•... YOApproved for is�aµncr By _ Pete —/� _/ F 1,1ALN�IC`�10IAP>.DateP1�2�"fJ -- 42 ;(14�: (S)rawjlia c -i System on Back) A/_P.E."H.D. G/iii, 130 South Galena Street Aspen, Colorado 81611 303/925-2020 AFP Xi rNoQ MWE7 A6AhOM*D AIJO CA WA PITKIN COUNTY ENVIRONMENTAL HEALTH Field Test Data Sheet on Percolation Test PROPERTY OWNER _ PHONE MAILING ADDRESS LEGAL DESCRIPTION OF PROPERTY LOCATION OF TEST HOLES Three (3) test holes required per system Test Hole Depths (24" minimum) Diameter of Test Holes Water remaining after 8 hour soak ." I r �5Z /Z o _. TEST HOLE No.1 TEST HOLE No. 2 TEST HOLE No. 3 Drop Time Drop Time Drop Time yj& 3q g7 Percolation Rate Each Hole Average Rate - L Comments on soil or site: 2-0 'fit �f, /-g'3 Signaturetate � ASPEN4PITKIN ENVIRO, RENTAL HEALTH DEPARTI :NT TO: NAME: 1 [S�ey\ �ar+k ✓140✓er' ADDRESS: FAX PHONE #: y Z s- Z 3 C1 Z FROM: NAME: /C.. k r , S nCk' DEPT: � !S P ��✓�/ " r � /�C � ✓1 �JA t/ i') ADDRESS: FAX PHONE 303-920-5197 LONG DISTANCE PHONE CODE: 025 Total number of pages including title page: REMARKS: coo p2(Nlc 4-"_ 130 South Galena Street Aspen, Colorado 81611 303/920-5070 recycled paper