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HomeMy WebLinkAboutOWTS Design SpecsGARFIELD GOUNTY BUILDING ANIJ SANITATION DEPARTMENT ï:jJTJ?,å'lii;åill:J:1.,, Perm, s:s*Y Phone (g7O) 945-8212 Assessor's Parcel No' INDIVIDUAL SEWAG.E DISPOSAL PERMIT PROPERTV Owner's Nattle /4ë /Lp Present Ad System Location. Legal Descriplion of Assessor's Parcel No SYSTEM DESIGN /z-s*æ Septic Tank CaPacitY (gallon) ¿?3 "t Lè êÅ .S-oz Other of Bedrooms (or other)4- Phone fr?É1e=r This does not constitute a buildi or use ¿ z { Percolation Rate (minutes/inch) Required AbsorPtion Area - See Special Setback Requirements: Date lnspecior Attached ¿3 fr¿¿/ frø,u¿í*-{z &4= 1J /'éz Q*lS Number/3 se, { eQ. FINALSYSTEMINSPEcTIoNANDAPPRoVAL(asinstalled) Callfor lnspection (24 hours notice) Before Covering lnstallation lnspector RETAIN WITH RECEIPT AT CONSTRUCTION SITE ô System lnstaller Sepiic Tank CaPacitY Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area Absorption Area Type andior Manufacturer or Trade Name AdequatecompliancewithCountyandSiateregulations/requirements Other Date CONDITIONS: l. All installation must comply wiih all requirements of the colorado state Board of Health lndividual sewage DisposalSystemsChapter25,Articlel0c.R.S.lgT3,Revisedl9B4. 2. This permit is valid only for connection to structures whÍch have fully complied with County zoning and building requirements. connection to or use with any dwelling or structures not approved by the Buifding 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 índividual sewage disposal system in a manner which involves a knowing and materíal variation from the terms or specifications contained in the application of permit commits " ó1"r" 1, petty offense ($500.00 fine - 6 months in jail or both). White -APPLICANT Yellow - DEPARTMENT