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.b 4 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N ° — 3 3 1 i F t
. 109 8th Street Suite 303 Assessor Parcel No. a, ;
•' Glenwood Springs, Colorado 81601 }
Phone (303) 945 -8212 t `
T his does not constitute i
i a building or use permit. !. `,
INDIVIDUAL SEWAGE DISPOSAL PERMIT
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' PROPERTY
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■ ' System Location , , •
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Lega Des c ription of Assessor's Parcel No. \ J
4 SYSTEM DESIGN r
Ma $ it' Septic Tank Capacity (gallon) Other — / 2 - c , ' " < r
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/7 Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 cQ C ),1/4041, 4
, Required Absorption Area - See Attached ,��f N 763 Sq FT ZS /r4-4./ frwrof6 6 �
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,$,t A — SS"6 57 Tr - 30 Lraci Cmts. ,E,J f
Special Setback Requirements:
., Date 1 Inspe ctor r4• l ° -
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,, • FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
t t ' System Installer al CAW Gk f ..
r Septic Tank Capacity 156b 'N '
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Car/P././fit
Septic Tank Manufacturer or Trade Name - r
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. Se ptic Tank Access within 8" of surface 7
O P t..$4}eelf rt1i i ce) k t. 6 t c
Absorp Area \ a.. ;
c 3 �c%. 6. Absorption Area Type and /or Manufacturer or Trade Name ;
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* Adequate compliance with County and State regulations/requirements r.
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.} Other
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Date (P' 12 - gym Inspector � - �.„
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RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
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•CONDITIONS: f '
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter !, i
25, Article 10 C.R.S. 1973, Revised 1984. y
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- 3
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. i
+ 7 3. Any person who constructs, alters, or Installs an individual sewage disposal system in a manner which Involves a knowing and material ` r
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 ')
f months In Jail or both). h !
ti - White - APPLICANT Yellow - DEPARTMENT