HomeMy WebLinkAboutPermit Card.pdfGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401
Glenwood Springs, Colorado 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY /
Owner's Name /'&/7.76/L /
System Location'
/
Permit
Assessor's Parcel No.
This does not constitute
a building or use permit.
Present Address 77$ C'/f zz-7Phone 3/g—C:277/
. Legal Description of Assessor's Parcel No.
27 77crz ego
SYSTEM DESIGN
/D9/9 Septic Tank Capacity (gallon)
Percolation Rate (minutes/inch)
Required Absorption Area - See Attached ne SCL
Special Setback Requirements: iso 51,
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Date rp / A5t
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Other
Number of Bedrooms (or other) 2
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/4/ 30 41i✓T 13.1 .3/4/o
30 0 SQ. T
Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer 7Le
Septic Tank Capacity
1/47e,o t//s 77A/6--
Septic
7. /Cr
Septic Tank Manufacturer or Trade Name c o/tl C ',C7)�-
Septic Tank Access within 8" of surface fr� 5 /
Absorption Area T&0 Sr, /% //(/ 7/ /C CN
Absorption Area Type and/or Manufacturer or Trade Name
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Adequate compliance with County and State regulations/requirements
Other /
Date & `/6 -/¢ Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
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4%/74775'
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. Connection 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 term's or specifications contained in the application of
permit commits a Class 1, Petty Offense ($500.00 fine - 6 months in jail or both).
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