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} GARFIELD COU \4TY BUILDING AND SANITATION DEPARTMENT Permit 266 1
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
Phil & Carolyn MeadowcroA) sent Address 5387 154 Rd. 1725, Glenwood phone 945 -4944
System Location 0659 Dolores,Circle, Westbank Mesa, Lot 20, Glenwood Springs
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
Septic Tank Capacity (gallon) Other
. S Percolation Rate (minutes /inch) Number of Bedrooms (or other)
3
Required Absorption Area - See Attached
Special Setback Requirements:
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Date c7
- S ^^ / Y Inspector 7 •i s u-en _ • mac' - 4,1 • _ vµ -..
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FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer 4th ,vr2
Septic Tank Capacity a' 2 S 0
Septic Tank Manufacturer or Trade Name C O,at ill's'.
Septic Tank Access within 8" of surface V ES
Absorption Area • S 6 0(' MRAAS /n aNr 7 6 a-
Absorption Area Type and /or Manufacturer or Trade Name Z A) / / 1_ i 7 F/ 7 pi( 4o l AIL/ r-1
Adequate compliance with County and State regulations /requirements ( A — )
Other J
Date )) ` a fi 9� Inspector
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 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 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 Jail or both).
White - APPLICANT Yellow DEPARTMENT