HomeMy WebLinkAboutApplication-PermitakftFIELD C^::h°.rY DF,YAK'T' it t r OF N1YIKOW1I NTAL REALTi
20114 Blake Avenue
Glenwood Springs, Colorado 8]60L
ystem Location
Contractor
10 C rn truc ti_ Gri a pt.r .►va,1:
Vlan3 iocswion are hereby avproved.
Tem. rate .r:cries in minutes
...._........,.,w.....�...– — ..�......
asps r rtion a t_eut. Bedroom.
e(. ft. e.f
X
....,.,.....w�............,.,r..�,r.1.....�..1.... 1,..1...11.,,:
aal
1341:
T^rwW.r .� w•••..41lI iw w.41.wy.. 41 - -_.M.•1•14.t.
Date ;.
2. Final approval of s items/
feet rz.irii.mum re -
{1
1rta,pentax `..1.1...1.._.,... r
No system shall be deemed o by in' complianc, withctaie Sewage
Disposal Laws until the.06embked system ie ,proved prior to
covering any kart.
•
8 se tic tank cleanout with as seal'
Fro =r materiae and assembl
Ade•ua.te absor ti
11
area
i
NA Ade afire canarete cover d wells on )
r..w,,..11.
I IU' t Govenan'.s al ned
;1a to
Inspector,
#a Retrain with permit records at construction alto,
GARk TEL: CO' y.• T,'' H.i34.rIORN!!,E JTA ,e : k.Av, 1
2.1.4 IBLAKE A'VL1.,O
Gi.ENWOOD SPR I NGS , COLOR.A L•Q
APPLICATION R INDIVIDUAL SE )AGE DISPOS Sys'ri i PERMIT
hECE7PT C# r e
OWNER: ADDRE:SS ^ /
PF IONF : _ �j9
CONTR C:TOR: y) J g - ADDE2F:SS : r r PHONE:
SITE LOCATIONE.S Dc. Tit NO. OF' it.DRoo 5: SIZE OF I,Or:. ,5. /4CIpES
Application for an individual, sewage disposal permit. is hereby submitted. The
individual sewage disposal system w3.lk be constructed in accordance with the
regulations concerning individual sewage disposal systems within Garfield County°
This application is valid for six (6) months from date signed.
DATE: ._
SIGNATURE:
Perculation test resultsn_,_ L_�.�.., Minutes per inch:
,
Recommended minimum size of leaching ;system: / a� l4 Q _
Recommended minimum size of tank:
DATE:
PLOT PLAN
SANITARIAN: