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Home My WebLink About03237 - • r GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N2 3 ? 17 fi ) E 1 109 8th Street Suite 303 Assessor's Parcel No. • - 4 . $ Glenwood Springs, Colorado 81601 4 ', G Phone (303) 945-8212 Y ' This does not constitute . • 4 I SEWAGE DISPOSAL PERMIT ,, a building or use permit. t Pi PROPERTY I; Owner's Name S.Me (q La 'te�sent Address : 0 65f1 el C/�Q"'n- Phone " 0. S V' 'Q✓Yy A l 4 3/a� ,� I.r X? `� yP s '�'"1 Co •$163 ' 7 j Sy stem Location U W 121. i' 4! Gyp5tor Co $ )637'.' ' ! ' Legal Description of Assessor's Parcel No. -- r 4 I ° v y 'SYSTEM DESIGN ■ 1 1000 4 F , 42Se MrkSeptic Tank Capacity (gallon) Other �. • < ID Percolation Rate (minutes /Inch) pq�Number of Bedrooms (or other) �� 4`18 S - I %)* L'µ CM1..78FRJ 7 wcw ril Re Absorption Area - See Attached _ a , Special Setback Requirements: - A LR�ACH Fitz j rt , 1 <: 51 D ''''"11 7Q 11 , Pr ocu t Date �' )b•GT7 Inspector ,TM� �� F t I' tt d' > FINAL SYSTEM INSPECTION A APPROVAL (as installed) yH !'S l . Call for Inspection (24 hours notice) Before Covering Installation r a u 6 System Installer -- S & f k Septic Tank Capacity I Cy 4 Q Q. r P - -- 4 Septic Tank Manufacturer or Trade Name ' i6 CI. ft • t Septic Tank Access within B" o surface y Absorption Area 2 J S y ( � T" n i" A bsorption Area Type and /or Manufacturer or Trade Name I )'4 ttt) 9 _ 21 s x h ShwE'(rf)\ is /' f• Adequate compliance with County -qnd State regulations/requirements 1 0_4) 1 21 � 1j /J © P n t i Other 1 " i k Date 5' I- -c I nspector 4 , f ,) r_y� -fa+r ti' RETAIN WITH RECEIPT RECORDS AT f • I C ONSTRUCTION SITE . •CONDITIONS: ` i 't. 1. All Installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter • t. 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- 44 i 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. d i ', '', 3. Any person who constructs, alters, or installs an Individual sewage disposal system in a manner which Involves a knowing and material f 1 ' variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 8 .; I. months in Jail or both). t t White - APPLICANT Yellow - DEPARTMENT /.