HomeMy WebLinkAboutOWTS Design Report 05.31.2018GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401
Glenwood Springs, Colorado 81601
Phone (970) 945-8212
Permit
Assessor's Parcel No.
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
PROPERTY
Owner's Name C 0777
System Location_
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
L2 �� Septic Tank Capacity (gallon)
3 Percolation Rate (minutes/inch) Number of Bedrooms (or other)
Present Address/ 4& r.AP Phone 7.0:--05,07
2/773. 3 ?
Other
Required Absorption Area - See Attached
Special Setback Requirements:
Date - 3-f/g
�G p 5" , fz /A/ 7-//t/c,i/ eP- Ls.
ewe d .1,6-P 74- 9--4
'k/G s e,/17
Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer 7,74z L y //O
Septic Tank Capacity / Z
Septic Tank Manufacturer or Trade Name / 0/e �- ,k/f
1.S
Septic Tank Access within 8" of surface %� ���
Absorption Area � D 55? �f
Absorption Area Type and/or Manufacturer or Trade Name
y 5
Adequate compliance with County and State regulations/requirements
Other — . --
Date
Inspector
RETAIN WITH RECEIPT RCORDS 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 tor 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 specifics=tions 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