HomeMy WebLinkAbout03586 �{
GARFIELD COUNTY BUILDING AND SANITATION DEPARTryIETIT Pbrrou N^ 35 86
109 8th Street Suite 303 -'1 \ \ V ) 1' Asriessor's Parcel No.
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4 Glenwood Springs, Colorado 8160i % `
Phone (303) 945-8212
This does not constitute
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INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. `
PROPERTY 'V /1 1/A� ��j f ` A IyJ' n • {1/y(� x 1 0 / � r
Owngr's Nemeli ����� /a / 1�-^� Present Address O, +' � - �O7` 1 �� Phoned" "1 I `ry . '
System Location -
Legal Description of Assessor's Parcel No. 4
SYSTEM DESIGN •
I at.ro Septic Tank Capacity (gallon) Other ;
2 Percolation Rate (minutes /inch) Number of edrooms (or other) 3
/000 0' 5 A•J&D GR -11 4E4cIf B �
MD j
Required Absorption Area - See Attached S7 4D' tb' LF..4C F _� .S / -rf C, I ipmIst..p� l 8� 3 5k .Z &X� 34 ay:7C
' Special Setback Requirements: 0 a 4 c fi C ets Ct 4c k+E s .77 >
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Date //- 2- 0 1 Inspector C o.-44 W ,/Alr. -- \�
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FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
' Call for Inspection (24 hours notice) Before Covering Installation
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I System Installer 7+ i V c < "• -, ^'r - ii /WC/ •
' Septic Tank Capacity iaX�
Septic Tank Manufacturer or Trade Name ( r r 4 (.. . 414-17 414-17
Septic Tank Access within 8" of surface Y` J
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Absorption Area
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• n Absorption Area Type and /or Manufacturer or Trade Name 3 r' Ou) s 9 ,-dF/177 fig) 2 � , 7 ' ,
ti Adequate compliance with County and State regulations /requirements Yj�
Other / ` -
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` Date � 11 /') . .o / Inspector r -. l . !�
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.
t 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- x
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.
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r 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 ($500.00 fine — 6
months In jail or both).
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- -.- - White - APPLICANT Yellow - DEPARTMENT ,
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30' t. as Shown - • aA
on tiers Orchard Plat tad
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70696' 30' Ent. as Shown
on Antlers Orchard Plot
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