HomeMy WebLinkAboutSeptic InfoGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighlh Street, Suite 401
Glenwood Springs , Colorado 81601
Phone (970) 945-8212
Permit 4 c; O g
Assessor's Parcel No.
tNDIVIDUAL SEl/vAGE DISPOSAL PERMIT This does not constitute
a building or use permit
pROPERTY
owner's Name __& 3 /J/::;v ~ Prese;-it Address ~~.S-/L:ol(_A { LAC Phone -----
sys!em location • ~
Legel DescripJion of Assessoi's Pc:rcel No. Z ~__.$_s-zt. ~~ct' :S C:...
SYSTEM DESIGN
+'/ltJtZ Septic Tank Capacity (gallo;i) _____ Other
<f S-: Percolation Rate (minutes/inch) Number of Bedrooms (or other) Z
Required Absorption Area -See Attached 6 (/CJ s~ ... ~ c /Al ~f/k II -1-$7:? 42-1-s
Spacial Setback Requireme;its: s~. rr 1//. -P£P+-6 ° tf!-1-s
Date $-=-/O -/ ~ Inspector ~~-~
Ff NAL SYSTEM INSPECTION AND APPROVAL (as instc:Usd)
Call for Inspection (24 hours notice) Before Covering lnstariation
System Installer 5 A C &!£12 G-~t:J(,{//});2 £KC /l ~ / 8 -C :/ 8 ;T"
Seplic Tank Capacity /' Z:..S-0 G-A L. 1
'
Septic Tank f:/lanufacturer or Trade Name _ __d/p /t.. /?!~:5 CJ -/Z:A 5 7/'--_;c_=--
Septic Tank Access within 8" of surface 1 / · 5 ~----~----·----~~-
Absorption Area V t> t? 5 t( , fi: /ff ZR:£ ~C fl
Absorption Area Type and/or Manufacturer or Trade Name ¢..a ti Al/"/.5
Adequate compliance with County 2nd State regulations/requirements ----::~,.._,._./[:.,._._'9:;;._ ______ _
Other -----------~------=::----------------~~
Dato >=-f 7 -t" IP lnspacior F -1! {b(..f..dJ.,..
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
1. All installation must comply with 211 requirem;nts 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 shafl automatically be a violation or a requirement of the permit and cause for both fsgaf action
and revocation of the permit
3. Any person who constructs, afters, 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 2pplication of
permit commits a Class 1, Petty Offense (SS00.00 fine - 6 months in jail or both).
Wni!; -APPLICANT Yellow -DEPARTMENT