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HomeMy WebLinkAboutSystem Design Specs and Site PlanGARFIELD COUNTY BUILDING AND SANITAI IUN Utt-'P,rt 1 will\ n • 108 Fighth Street, Suite 401 Permit Glenwood Springs, Colorado 81601 Assessor's Parcel Na. Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name System Location Legal Description of Assessor's Parcel No._ SYSTEM DESIGN r%e)A7A//e1-L This does not constitute a building or use permit. Present Addresse/ Z/45 CR. 33/ Phone /e e - Septic Tank Capacity (gallon) Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached/X/� 77- /4' , / Special Setback Requirements: 5© �Q, f 7 /4 e 7p Date /g Inspector_ Other FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before,foCovering Installation System Installer O AfLt e Septic Tank Capacity / -e) 4L Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface � �Q y%r' 7,A/ // Absorption Area Absorption Area Type and/or Manufacturer or Trade Name .514- zeiv/73- -- Adequate compliance with County and State regulations/requirements Other _ �r Date 9 /' �/ S Inspector C � RETAIN WITH RECEIPT RECORDS 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 mariner 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 Sep Sy sir Alit cA � /o2/3 cia 331 ) DIA 5 I.3 Q /3' 7„ ,1v, t i'! 7 cm -Ay �S / / //[, at,LG/4- T S+�✓1d`iv4f 9 a -v: S 4aecia_fei 8- 0, 444-- ,tf S.e()+1 L y'•wl 72 Pe ntas So it / cafs 34 ,rt ,/ e - 's 5r -1-,e.14"0.- /2SO 8.,141.7 Gonerei 0/ /2" ft ride% S ci,etvtGe. 40 PvL C,-/ r -a -R-01-1 S -t --IN," /z- , A /1 i7/ -- P 15 y" S D 2 �yrtc/n sz.,,.w P'.jmt-)