HomeMy WebLinkAboutApplication-PermitOARFIELD COUNTY DEPARTMENT OF EIVIRONIIINTAI. HEALTH
20]lj Blake Avenue
Glenwood Springs, Colorado 81601
System Location ,'0 /', z
Contractor
1. Construction approval:
Plans and location are hereby approved. le'C3 g
Pere. rate / inches in V minutes* //.r e • ft. of
6 0
absorition area 1.er bedroom.
X VOW 8 .feet feet minimus re-
auirement. I su_ :est
Mani•II•01•11.1mi .1014•1614•11.
Date 2 S 73 Inspector
2. Final approval of system:
No system shall be deemed to by in compliance with the Sewage
Dieposal Laws until the assemb:Led system is approved prior to
covering any part.
8* septic tank cleanout gas seal
v _ Proper materials and assembl
Ade•uate absor tions area
Adeate concrete co' ear {dry weUe on7.�r)
Covenant.e_s ned
4-�i
Date
73
Inspector
*4 Retain with permit records at construction site.
COLORADO DEPARTMENT OF HEALTH
COUNTY REQUEST FOR SERVICE 4./.79/? -4 PROGRAM rte' RECEIVED BY d / `y DATE .7 7/% -4
LOCATION NAME , -a1 , 1 ,I
REPORTED BY ADDRESS C- ..-�c� .. TELEPHONE 1 e`�" a.. 44
SERVICE REQUESTED Le -49t1 , L -L 4Q , L.tJ
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ACTION REPORT
ACTION BY DISPOSITION
DATE
SH -M-7( (4 -7? -50)
1'
we'
GARFIELD COUNTY ENVIRONMENTAL HEALTH
2014 BLAKE AVENUE
GLENWOOD SPRINGS, COLORADO.
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
RECEIPT #§012
OWNER: x6rna ji-ra-e-/ ADDRESS: ,'W,'W EHOI?fl-72‘v
CONTRACTOR1 aelidE -27.1.rrid ADDRESSI /t44) CA0/4 e41,/, PHONEs_91/C,6•264
SITE =AMMO?. i A Cl k NO. OF BEDROOM: 45 Rif. tor suss /0 Ares.
Application for an individual sewage disposal permit is hereby submitted. The
individual sewage disposal system will be constructed in aocordance with the
regulations concerning individual sewage disposal systems within Garfield County.
This application is valid for six (S) months from date signed.
SIGNATUREIK
DATE: 3/ (/72
Percolation test
Minutes per inch:
Recommended minims vise of leaching system
Recommended minivan size of tanks
• ' ""l• 0".
n
.44
PLOT PLAN
4-7
DATEt
SANITARIAN: -
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