HomeMy WebLinkAboutSystem Design SpecsGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
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4540Permrt
Assessor's Parcel No.
This does not constitute
a building or use permit.
e-PROPERTY
Owner's
System Location
.,
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
Date
Present Address PnoneQ,Ub-27 77
S
lnspector
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Septic Tank Capacity (gallon)Other
Percolation Rate (minutes/inch) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements:
Date lnspector
F¡NAL SYSTEM INSPECTION AND APPROVAL (as installed)
Callfor lnspection (24 hours notice) Before Covering lnstal
System lnstaller
Septic Tank Capacity
Septic Tank Manufacturer or Trade Name ffþç
Septic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements 7*
Other
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health lndividual 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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