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pitkin.eh.273503300023 (1976)
Z�3� X33 -aa-U Z3 /o- i. PITKIN COUNTY HEALTH DEPARTMENT PERMIT NUMBER 76022 RECEIPT NUMBER Own:r 1 tf-;tf (- f y C g"'I 7_41C L U Phone No. 9'�25_SS_77 Owner's Mailing Address ��x 6�2- 5PCAI Contractor �� Phone No. _ Address System's Contractor's Name Z Address �^ _ PX IWC 1449 L. Legal Description mf Lot Size 1 0©`/ � e• Type of Building by Use Number of Bedrooms 3 Type of Water Supply b-,, 4:1- L Owner's Signature -��~'��` Date �' - 6 PLOT PLAN: ATTACHED AS REQUIRED Type of Individual Sewage Disposal SystemCLL�i �C�' Type of Soil or Soil Classification l CAM 7-0 Z,4Y Proximal Location of Bedrock 1,107- Proximal Location of Ground Water Table / �7_����� Percolation Test Date Minutes Per Inch 7� Minimum Recommended Absorption System Size a Minimum Recommended Tank Size lelelf) CxZi�rls;7-aiy 0-eley;,0Wi/i�>iIT� NOTICE Special Conditions f Issue: When properly signed for issuance, this application becomes your permit. Application valid one year from i date. If an individual sewage disposal permit is issued for property on which no building permit has been issued, the individual sewage disposal permit shall expire 120 days after its issuance if construction has not been commenced. Any change in plans or speci- fications after the permit has been issued invalidates the permit, unless approval is secured from the Health Officeer�r for such changes. J '' � Approved for Issuance By '��t Date n FINAL INSPECTION APPROVAL �^ Date (Drawing of System on Back) �1 COLORADO DEPARTMENT OF HEALTH DIVISION OF ENGINEERING AND SANITATION A C T I V I T Y R E P O R T Section FILE REFERENCE: INDIVIDUAL OR ESTABLISHMENT: ADDRESS: NARRATIVE: Private Sewage Disposal Wes Cantrell West Buttermilk i Code 12 County 49 I made a field visit to Wes Cantrell's property. He had several profile holes dug and a �agge hole for the excavation. My basic impression was that it should go down into the meadow rather than to try and squeeze it in somewhere along the road. It is not going to work --not enough room. The pro i e holes indicated that there are 2 to 3 feet of clay loam with cles, sand, gravel and clay --a wide variety of mixtures underneath, depending where you are. The other suggestion that I made was that he try a couple of dry wells. LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE: May 4 ES: 7 (Rev. 6-70-]_00) 19 76. REPRESENTATIVE: . Ne 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 24 hour soak TEST HOLE No.1 TEST RQLE No. 2 TEST HOLE No. 3 Drop Time Drop Time 2 Drop Time 6 4 -� E DY Mi a j 3 f Zs� ` 3 6 2 5' 2 Percolation Rate Each Hole /�_ 2-3 Average Rate r� Comments on soil or site: 3 13 Signature r Date b11 1