HomeMy WebLinkAbout02199 . �, ..- , �,.., ...
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N: 219
' 109 9th Street Suite 303 Assessor's Parcel No.
Glenwood Springs, Colorado 81601 - IT, , ; .1 e
Phone X303) 945 -8212 t I. a
y ry Othis does o
t ` building cb}(b)itute
INDIVIDUAL SEWAGE DISPOSAL PERMIT ( � t _ g permit� •
PROPERTY \ i (SEE Ps>#rfk� *1 1962) I
Jet" & Nancy Carlson,�.lm' \ ! OSG7•tWeetb4M4�il' 434,.: ,.._. "; .._ ri
Owner's ) Plaslmt Address Phone_ , " r
t■ ]U I/I 1
System Location S (xMALI '
,c 4.1 114' Q,\,,
Legal Description of Assessor's Parcel No. T \_ - ��"l� ° � ' 71 4 7 I,C1- I
L t ) o"4 OA .'. t. w IV
SYSTEM DESIGN c _ . � V t: A i rici ll ;
Septic Tank Capacity (gallon) Other ` • . 1 I_)
1
./ / 1
`-> Cr 11 ion Rate (minutes /inch) Number of Bedrooms (or other)
R ` d'Abaorption Area - See Attached �� a ,� 1
•.F1,b $tback Requlremen7 ' - 7 c.:±M ' ^- 8144774 . C' \ , 5
,�7 re a *4 I
]date / /!/ Y Pact r .....9:0;
' FI I AL SY INSPECTION Ate APPIkgVAt, ,9 u stalled) ` ti > a
'GM tot ln3dectlon (24 hours notioel� etore C oved v insttauwo ' „ Y �`�
't\\ ll!!
_ s -v. gy ti taiier 1 � � /T"31 a `_ V4 ' )LO /k 1 cs• F
\� '\ r - 1�nk Capacity w J
S p tic 4ank ManufeFturer 1 rt, ' \
Septic Tank Access w�Pi`S" f s ac `' � ti , \
Absorption Area '
fit
. ' Absorpyy "rkd /ok Ma�,ulAurbir or ade Na4 / •.- '�-
- 9 ) rf on Area Type t ■
, -,_ Adequate compliance With o S to re ulations/requirements y' \.,\ �` \Q
Other (') l P ).� I u t'\ ' _'• \\ t , \ 1 1
I Date < 1 : A lnsp for //i1 A t
--- RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE i
i *CONDITIONS:
1. All installation must comply with all requiremi nts of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter )
( 25, Article 10 C.R.S. 1973, Revised 1984. . c.
2. This permit Is valid only for connection to stn ctures which have fully complied with County zoning and building requirements. Con-
k nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a
I requirement of the permit and cause for both legal action and revocation of the permit.
3. Any person who constructs, alters, or installs r Individual sewage disposal system in a manner which involves a knowing and material i
variation from the terms or specifications co?talned in the application of permit commits a Class I, Petty Offense ($500.00 fine -
months in jail or both). p
i
Applicant: Green Copy Department: Pink Copy '
', . „ , . i [