HomeMy WebLinkAboutSystem Design SpecsGARF' ELD
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Glenwood springs, coloiuJo'ãìoor e*^vflf
Phone (g70) 945-8212 Assessor's Parcel No
INDIVIDUAL SEWAGE D¡SPOSAL PERMIT
PROPERTY
Owner's Name Present Address
This does not constitute
a bui or use permit.
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System Location'
Legal Descripiion of Assessor's ParcelNo'
SYSTEM DES|GN
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Required Absorption Area - See Aitached
Special Setback Requírements:
Daie
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Sepiic Tank CaPacitY (gallon)
Percolation Rate (minutes/inch)
Other
Number of Bedrooms (or other)
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lnspector t'¡/¿s
(as installed)
Callfor lnsPection (24
Sysiem Installer
hours noiice) Before Covering lnstaliation
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Sepiic îank CaPacitv'
CA
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface -'
Absorption Area
Absorption Area Type andlor Manufacturer or Trade Name
AdequatecompliancewithCountyandStateregulations/requirements
Other
Date
CONDITIONS:
1. Ail instailation must compry wíth arr requirements of the cororado state Board of Hearth rndividuar sewage
Disposal systems cnapiei 25, Article 10 c'R'S' 1973' Revised 1984'
z. This permít is valid only for connection to structures which have fully complied with county zoning and
building requirements. connectioñ to or use u¡ith any dwelling or siructures not approved by the Building and
Zoning ofäce shall automatically be a violation or a requirement of ihe permit and cause for both legal action
and revocation of the Permit'
3. Any person who constructs, alters, or ínstalls an individual sewage disposal system in a manner whích
involves a knowing and material variation from the terrns or specifìcations contained in the application of
permit commits u ð1r." 1, Petty Offense ($500.00 fine - 6 months in jail or both)'
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RETAINWITHRECEIPTRECORDSATCONSTRUcTIoNSITE
White -APPLTCANT Yellow - DEPARTMENT
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