HomeMy WebLinkAbout03564 T •
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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit n: 3564 1
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109 8th Street Suite 303 Assessor Parcel No.
Glenwood Springs, Colorado 81601
` • Phone (303) 945-8212 .
This does not constitute •
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
PROPERTY Q t n/ x '[ �C � ,.
• Owner's Name 1 D 6 1 1e " Present Address � Ce ?SQ s i /T C e Phone " ' 9L- - r+
Y System Location 4f 3a3 CR a t (1 sill co v &sa-
• Legal Description of Assessor's Parcel No. —
1-0 c o ( 4 i4arick `
SYSTEM DESIGN
•
i ISO i ; ideptic Tank Capacity (gallon) Other '
Q 6.L.-414, //1
F Z ® Percolation Rate (minutes /inch) Number of Bedrooms (or other) 4 6.1 ? i.r.,Qca ..
Roc,"t'. I_ cat i j6/3 39 -it" I ' ti
Required Absorption Area - See Attached
hi* v Conn, dial - Mr-QC rr - 36 a14-f
' ` F /f+' 4 3 t4N -/TJ 'I3 ' v l9 f t
• Special Setback Requirements: ,
77IC0 go 14 Hyra 1 `y 8, s
Date 1 • 1 `CI Inspector .. .-
' FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
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Call for Inspection (24 hours notice) Before Covering Installat i
1 Li System Installer r D /1 ji ∎ c4+e ) m1f (71 e.) At
•
Septic Tank Capacity. /5 0 c, A
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� `tf Septic Tank Manufacturer or Trade Name ( f j 4
1 •
Septic Tank Access within 8" of surface
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• Absorption Area ,
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Absorption Area Type and /or Manufacturer or Trade Name
� S -�,„ /
Ad equate compliance with County and Stateregulations /requirements.Xe— 3y� ) C'td .7x-*t7J7O N.• , Ati- pi
Other '' ,, l111 ,) a '
Date ` - 01 Inspector `1-l•Sr *• ,v2 _
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE ,
*CONDITIONS:
S 1
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- ,
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a f
requirement of the permit and cause for both legal action and revocation of the permit. •
3. Any person who constructs, 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 )ail or both).
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