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HomeMy WebLinkAboutPermit CardThis does not constitute/ a building or use permit. GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street; Suite 401 Glenwood Springs, Colorado 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name /14/ -5A CK Present Address System Location' " Cie. 3 /-5— .-5'/C 7 Permit 3 4- © d Assessor's Parcel No. Phone S70 - E S5 62 CPI - / 378 . Legal Description of Assessor's Pamel No. Z /7 9/ 3 /©e2 g' SYSTEM DESIGN Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3 Required Absorption Area - See Attached Special Setback Requirements: Date Z D <`' inspector �—, / Lev/�5 .396 sq, 7 //(,) /;e clic//rte 4 //-/o FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Cali for Inspection (24 hours notice) Before Covering Installation System Installer Septic Tank Capacity Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface ' / Absorption Area •? / 4 ��E"V // Absorption Area Type and/or Manufacturer or Trade Name 3,3" Q �/mss t% S Adequate compliance with County and State regulations/requirements Other Date ' 7/9- ._45 Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE CONDITIONS: 1. Ali installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973. Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Connection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit 3. Any person who constructs, alters, or installs an individual sewage disposal system In a manner which involves a knowing and material variation from the ferns or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine - 6 months in jail or both). White -APPLICANT Yellow- DEPARTMENT