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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 9th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945 -8212
REPAIR
-�! I Thls does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT 4i 1873 a building or use permit.
Owner
Ron & Cathy luphe l C r p r S
System Location 0056 S. Pine Satan
Licensed Installer _ 6B11er
* Conditional Construction approval is hereby granted for a / - 5 (.) gallon
—1!— Septic Tank or _ Aerated treatment unit.
Absorption area (or dispersal areal computed as follows: •
Perc rate of one inch in _ minutes requires a minimum of sq. ft: of absorption area per bedroom.
Therefore the no. of bedrooms x sq. ft. minimum requirement = a total of _sq. ft. of absorption area.
May we suggest:
Date . Inspector •
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover•
ing any part.
1 .- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
�'• Proper materials and assembly.
(•i Trade name of septic tank or aerated treatment unit.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
_ Adequate cornpliance with County and State regulations /requirements.
Other
!/ // � / /
Date l %, / • _ Inspector yr '
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 of 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 I, Petty Offense
($500.00 fine — 6 months In )all or both.).
Applicant: Green Copy Department: Pink Copy