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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2 818
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 NameCnl n_ High a Service Present Address 5000 Sweetwater Rd, GypattmPhone 970 - 524 -7900
System Location 5000 Sweetwater Rnad, Gypsum
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
S C t}sptic Tank Capacity (gallon) Other
0u
/ /T, 1 ( 1l P ercolation Rate (minutes/inch) Number of Bedrooms (or other) •
�c 1 h C,L7/2 /{ (i /3
Required Absorption Area - See Attached 4 /1 4 Fire' sc e t u Na 14- be G(
Special Setback Requirements:
L �
Date 7 at `i7 inspector i o c97 :a ' -•••
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for inspection (24 hours notice) Before Covering Installation
System Installer S TiP+h%,c , JO nJ t / 1 4
Septic Tank Capacity / 0WVP3 •
Septic Tank Manufacturer or Trade Name gek4a -4UN� •• � p ria
Septic Tank Access within 8" of surface 4P /—s �c T
Absorption Area 4? S l i ` / A d 0 / 0
Absorption Area Type and /or Manufacturer or Trade Name M: J U ITS _I. A P, ren--7 ¢��
Adequate compliance with County and State regulations/requirements
Other rsift's - ^L ? 4 /e!t j c /Lr( Fey- t'tc,.tffiC tC'< <•
Date 2- / v- 1 Inspector 114
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 (5500.00 fine — 8
months In (ail or both).
White - APPLICANT Yellow - DEPARTMENT