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GARFIELD COUNTY DEPARTMENT OF E'WIRONM NTLL HEALTH
2014 Blake Avenue
Glenwood `springs, Colorado 81601
5ystern Location
Contractor
1. Construction approval:
Plans and location are hereby approved.
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Pers. rate
/ inches in .740 minutes* 2r -e s . ft. of
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guirement. i s+.iggest / Y / 2 e� .�t.GQ
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Date / 7 7 3....rr Impactor
Rinal approval of system:
NO system shall be deemed to be; in compliance w:sth the Sewage
Disposal Laws until the assemb:.ed system is approved prior to
covering any part
1--0 8's sut1c tank clearout with gas sea3
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1/1(41 Covenan s. signed
Dates E
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** Retain with permit records at construction site.
1
OWNER:
CONTRAC 1 OR: ? ADDRESS:
:
GARRILI:: COL' N": ETJF'lCf?'1Ni ITAL. iti-4,..`7
2614 L'LAF:c AVENUE
GLENWOOD SPRINGS, COLORiUX)
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
RECEIPT 4
ADDR1 SS :a& J x..92 - ii i PHOM
PHONE:
........_...moo
SITE LC : AT.; ON:glizzudija_144,1) NO,, OF BE:ORC IL5.: 3.____ _SIZE OF L,OT:_g d..tJll41.f
Application tor an individual sewage disposal permit 5s hereby submittede The
individual sewage disposal system will.. be constructed in accordance with the
regulations concerning individual sewage disposal systems within Garfield County.
This application it; valid fox six (6) months from date signed
DATE:_
SIGNATURE:
Petcuin' ;ran test results:
-,...... _� , Minutes per. .i.xich :
Recom-n . -:&A minimum si7E7: of lc-tch.ing &Irs*c m:
RecommnreicX minimum si , of tank:
Pi OT PLAt3
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as �BQrn
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T
Co urrtyx Road
`14
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T.6Si.93W.of6th.R..
This is to certify that on the 6fli day of May, 1959, t Made a
East 27o.o feet of the SW.54NEft of section I1, T 6SR. 9a
RM. ,l Garfield County Colorado. I found a one Stori
With coMpostlon roof and a born with woodshiagle roo
within the boundary .lines of the described property
this plot.
Wast. %.5 _es
of 6m. Pl47-
[ ,
S9, I made a'survey of the
11, 7 : 6 S R.93W. of the 6 tit
a one storyfframe house
..shimgle roof to be located
property a shown on
adf
LAND SURI1EYOR
1
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