HomeMy WebLinkAbout03286 IIa. -, V u. 1
i 4 1 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N_ 3 2 Pt ' ) °
,
.
9 109 8th Street Suite 903 Assessor's Parcel No. r
sj Glenwood Springs, Colorado 81601
1 l Phone (303) 945 -8212 2
G ( I This does not constitute
i ' INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
r PROPERTY Q I r S Co ?/6 of v 4
� y ;
x] L' S +. S�Ph s� t: /5 — x 90 .3
I ( c
4 Owner's Name — A l b a, \1 -, Present Address _ Ph ne
t
f F)X Ruth Si (-- Co gl b5-a___
1 f System Location
e $ Legal Description of Assessor's Parcel No. L Df 5 2e te Kg M?Y p12. say lJd. r
1 SYSTEM DESIGN
Cr o-F 042? Its.
• Septic Tank Capacity (gallon) Other ( E FC SITE T E n A , / t
J ( 1. I •' l �` /�I
t : Percolation Rate (minutes /inch) Number of Bedrooms (or other)
( 1 e a
Required Absorption Area - See Attached i
0 Special Setback Requirements:
r
i
4 y Date ____ —_ Inspector
? ve
FINAL SYSTEM INSPECTION AND A (as Installed)
' CaII for Inspection (24 hours notice) Before Covering Installation t
), System Installer. --
i y Septic Tank Capacity) C50 C A ._ Len 4 � [ y {1L•' ri 4 i7
{.
Septic Tank Manufacturer or Trade Name _ ' ;
i Septic Tank Access within 8" of surface ___
Absorption Area • o (3 ( X G F () u M (T S IN A (3 C D OF 'f RO.-✓ -S OF (O `
'
�� ;. m 114 FI -S (c
Absorption Area Type end /or FAanufacturst or�Trade Ne e ; ,
A t` Adequate compliance with County and State " gulatigns(requlre rents ( i
if . Other 3 - 0 P A Otto' { . 4 -.r = 5 --a90 N. f r
,I Date Inspector
3 _ i3. DO RETAIN WITH RECEIPT Rt .. - f ti l *OttICTION SITE « ;
l' *CONDITIONS: i a
s ` 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 -
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 ,t
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 ?
j S variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense (6500.00 fine — 8 ,, ■
months in jail or both). •
.,
White APPLICANT Yellow - DEPARTMENT