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99 GARFIELDCOUNTYDEPARTMENTOFENVIRONMENTALHEALTH 0 0)0 _
a 2014 Blake Avenue
g '_ rte„ V- X 4 `one/ Glenwood Springs, Colorado 81601 IT it. 4. i
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L INDIVIDUAL SEWAGE 1 •ISPOSAL PERMIT NV 416
Owner \,,,.../ • ".k f i /e—•••
i System Location Sr • :/ •. ••�.S -- ---- - (^
l Licensed Contractor `, f / 3 '' ' u/? J!'3 /N(/^ C `AE-
„i • Conditional Construction approval is here. granted for e v � we) gallon
VI ,
il X Septic Tank or Aerated -atment unit. \
'I� Absorption area (or diapersal area) computed as foil • s: DO
Perc rate of one inch in A/4 minutes requires a mi • imum of NA sq. ft. of abspcptie a pelf✓. 3 TS
rr•t roo
Therefore the no of bedrooms % x • sq. ft, , inimum re., irement = a total of Ny sq. ft. of absorption area. 1
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May we suggest /1 -, d.
q et Neon 2 S •2= -fr G, 7- i/Ac. 44,..../ n /et, /1 /G0 rie- 2>vezi
../No ztJ p 00a o CP.9-e 4 0 ".,, ,,emit rr-•vc .
Date 2 — F� 77 n- sector ''".•-,
1 � .• / r o t/ •
FINAL APPROVAL OF SYSTEM: l
No system shall be deemed to be in compliance wit e Sewage Dispose Laws until the assembled system is approved prior to cover-
ing any part.
Septic Tank cleanout to wit ' 12" of final grade or aerate. -cress ports above grade.
Proper materials and ass- bly.
Trade name of septi ank or aerated treatment unit.
", Adequate absorp on (or dispersal) area
Adequate co • pliance with permit requirements.
Adequate • •mpliance with County and State regulations /requirements.
Other
Date Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au-
thority granted in 66-44-4, CRS 1963, amended 66 -3 -14, CRS 1963.
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 viola-
tion of a requirement of the permit and cause for both legal action and revocation of the perrrnit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which in 4
volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I,
Petty Offense ($500.00 fine — 6 months in jail or both.
Building Official — Permit White Copy Applicant — Green Copy Dept. — Pink Copy ��
- .1 416
Permit
AR ES V/
Name of Applica f."
Percolation Test $50.00
Amount : /CMS -
(includes final inspection)
Permit Processing Fee $25.00 "7 /9 77
Check (no cash)4irtkeig* Cashier
Money Order
ALL CHECKS ARE TO BE MAD PAYABLE 1 GARFIELD COUNTY CLERK AND RECORDER.
Clerk & Recorder — -ceipt White Copy pplicant — Green Copy Dept. — Pink Copy