HomeMy WebLinkAboutOWTS Design InfoGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401 Permit d
Glenwood Springs, Colorado 81601 Assessor's Parcel No.
Phone (970) 945-8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMITa building or use permit.
PROPERTY
Owner's Name
jjf Present Address hone � % _ S G
System Location
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
/2257-0 Septic Tank Capacity (gallon)
Other
� Percolation Rate (minutes/inch)
Number of Bedrooms (or other)_
Required Absorption Area - See Attached ��—� `t
Special Setback Requirements: � Y �
Date _ Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call 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 S
Absorption Area /
Absorption Area Type and/or Manufacturer or Trade Name A,
Adequate compliance with County and State regulations/requirements
c
Other
Date
Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
must comply with
1. All installation 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 terms 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