HomeMy WebLinkAboutSystem Design Report 07.12.2018GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401
Glenwood Springs, Colorado 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name
System Location'
'(M'
Present Address
Permit 5573 Z—
Assessor's Parcel No.
'This does not constitute
a building or use permit.
Phone
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
/0,_.5—Q Septic Tank Capacity (gallon)
Percolation Rate (minutes/inch) Number of Bedrooms (or other) 441
Z/ 7 '/ - ' '/&
Other
Required Absorption Area - See Attached
Special Setback Requirements:
Date 7iZ
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��-Z -��• � /47-L 4r 7_ - 4`4, ` 4.5
Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer 27,e4/j1% S
Septic Tank Capacity
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manufacturer dr Trade Name
Adequate compliance with County and State regulations/requirements
Other
1/A 6 ) y 009,
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77":— 74/ or/
Date 7.—/S --/(5.Inspector
RETAIN WITH RECEIPT R CORDS 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. 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).
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