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,JAN.23.19% • 2:39PM' CITY OF ASPEN* i " " r No.805 P.19 <br />PITKIN COUNTY HEALTH DEPARTMENT ...__ <br />PERMIT NUMBER T6034 RECEIPT N Ea <br />i c— )EAjr to_jL 4tc� Cz <br />Droner- � Phone No. <br />Owner's Mailing Address <br />,Contractor Phone No. <br />Address <br />System's Contractor's Name <br />4 Address <br />Legal Description � f <br />Lot Size v Type of Building by Use <br />D.A. <br />Number of Bedrooms _ _..Type of Water Supply Al _ <br />4�1r�_' <br />Owner's Signature Date <br />PLOT PLAN: ATTACHED AS REQUIRED <br />yl�rlrwvr * * # #ii #aq�r #9F # # # # # *�F�FgF #fir# #�rtsNiYw #t +Fw•a► *k # #ifai� tai #- tir�r #r }row# #are # #i► }fir }yt# # # #+► *{lr* <br />Type of Individual Sewage Disposal S m <br />LTr CiAly <br />Type of Soil or Soil Classification <br />Proximal Location of Bedrock <br />Proximal Location of Ground 4raLar V avrG <br />iE #rsibww rw wwaiF wflwra # * # *ir #il#w #w # #a #wra►rw ## #;Eft ii# <br />Percolation Test Date <br />Minimum Recommended Absorption NY e <br />R # #sw�lrr # # # # # #aw•riitl #69 A6.4,0412 <br />�F #wd�drlF#s <br />Min P <br />lte LA7oNG <br />Minimum Recommended Tank Sizzee +,. ' <br />Sp 1AIS A NOTICE <br />�-T- Oio $SU@: P„V„ *j f When properlY signed for issuance, this appilawlen <br />�.x+s!7�G�' .Ri��" bacomes your permit. Application valid *no year from <br />data. If an Individual sewa" disposal permit Is Issued <br />for oroperry on which no building pwmlt has been <br />rued, the individual sewage disposal peprnit Shall <br />expire 7:?0 days after its iffivance if constructlen has' <br />not been commenced, Any change in plans or specl- <br />fieations after the permit has bean issued invalida"s• <br />the pornim, u appro 1 to secured fYDM the Meakh <br />Offleer hwwwtt h ehanp <br />Approved for Issuance By Date <br />#at #a# rear## a# a• w* w#+ r#ti #fe }w * # *�rawa }w+� # #war#a�♦ w## �►# i6# 1► �1ra�gFitat. iF#• itt' dri► aFiFY* r+ raitatt #ftaewaat+s+rsrwwwwsra► <br />FINAL INSPECTION APPROVAL Date <br />(Drawing of System on Back) <br />0 <br />