HomeMy WebLinkAboutApplication-PermitGARFI1 LD COUNTY (DEPARTMENT OF ElVIRONME~.NTAL HEALTH
2011 Blake Avenue
Glenwood Springs, Colorado 81601
System Location
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Contractor
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1. Construction approvals
Plans and location are hereby alproved.,
Pero. rate
inches in minutes*. s . ft. of
absorption area ger bedroom.
x a. feet Ai
s . feet minimum re-
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Date 5
13
Inspector _� •+� a..L.R..
2. Final approval of system:
No system shall be deemed to bt in compliance with the Sewage
Disposal Laws until the assemb%ed system is approved prior to
covering any part. .�
e tic tank cleanout with as seal
Pro • = r materials and. assembl
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Ade►uate abaor
tioq area
Ade ate concrete corer (dry wells only)
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Covenants si r ne
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Date '7 73 Ins}actor7L
** Retain with permit records at construction site.
••
;GAR.FIE'LD COUNTY EINIORN:4EUTAL HEALTH
2014 BLAKE Avk.; t UJE
GLENvOOD SPRINGS, COLORADO
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
RECEIPT # .2SO
OWNER: 4,( d r l.� tr' i alar
ADDRESS :2f / O"j' .27A/ „mat--
pk10NE :
CONTRACTOR: l Y D %3 Y ! b ik7 ADDRESS: • • PEIONE:7 3 - P- 4 /
SITE LOCATION: a S 4 S 1 ,7 I/• a OF BEDROOMS: /4 SIZE OF LOT: J/Z 40411144#4114....-
Application
0411-
Application for an individual sewage disposal permit is hereby submitted. The
individual sewage disposal system will be constructed in accordance with the
regulations concerning individual sewage disposal systems within Garfield County.
This application is valid for six (6) months ixom date sign
DATE:
SIGNATURE:
Perculation test results: Minutes per inch:
Recommended mij size of leaching system:
Recommended minimum size of tank: /o 0 C'
PLAT PLAN
DATE: SANITARIAN: