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HomeMy WebLinkAbout02248 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N_ 221-8 109 8th Street Suite 303 Assessor's Parcel No. • Glenwood Springs, Colorado 81601 Phone (303) 945-8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Owner's Name John Mills Present Address P.O. Box 2281, Midland, TX phone_ 915- 682 -6371 System Location 7 W Ranch, Sweetwater Legal Description of Assessor's Parcel No. SYSTEM DESIGN 4,02 fir / © 0C) Septic Tank Capacity (gallon) Othe - 5- "i 7 �� (fi Per la tfon Ha (minutes/inch umber / � of Bedrooms (or other) 3 y' �X/�/a X1.3 Required Absorption Area - See Attached "Y [' S ., 11 a 7 . 6r " Oi/ ' / � a (2 '�p_ ry , y � Special Setback Requirements: -7 .J- Z. � "' Date <0 4 / 97 Inspector = /y. / e FINAL SYSTEM INSPECTION AND APPROVAL (as Installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer S - �', Septic Tank Capacity /I 0 O Septic Tank Manufacturer or Trade Name / e Septic Tank Access within 8" of surface j\ v /r+ _ Absorption Area Type and /or Manufacturer or Trade Name e. / — Adequate compliance with County and Stttate regulations /requirements �— Other ��" "' Date /n 9 T / Inspector 4fr -iii-e 4 - 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. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning off ice 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 I, Petty Offense ($500.00 fine —6 months In )ail or both). Applicant: Green Copy Department: Pink Copy