HomeMy WebLinkAboutPermitGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Permit 4 4 8 1
Assessor's Parcel No.
This does not constitute
a building or use permit.
Owner's Name_ f W (ji- Present Address5/ -1 C -a-IQ kZ "" Phone 3o94' (19_
System Location _. 1 C kii` tc, io
oZ [ 1_1 0144-- 0°
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
Septic Tank Capacity (gallon)
Percolation Rate (minutes/inch)
Required Absorption Area - See Attached
Special Setback Requirements:
9.2-5
Date
Inspector
Other
Number of B drooms (or th=r),
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer DAAnk.e4----
Septic
Tank Capacity A90 0
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
" I ig
Absorption Area Type and/or Manufacturer or Trade Name
ab1;1 )
jg4-6
dda, 74 -
Absorption Area
Adequate compliance with County and State regulations/requirements_Lp24
Other
Date 11- ( -08 Inspector 10,14474
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All 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. Con-
nection 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 terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6
months in jail or both).
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