HomeMy WebLinkAboutSeptic InfoGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401 3
Glenwood Springs, Colorado 81601 Permit
Picone (970) 945-8212 Assessor's Parcel No.
INDIVIDUAL SEWAGE DISPOSAL PERMIT This does not constitute
la building or use permit
PROPERTY ['�iQOe �oDD
owner's Name .) e9DIV2 O Present Address
Phone 379 ,7Z Z
System Location /
Legal Description of Assessor's Parcel No. l S �3� ¢ �d 4✓-�
SYSTEM DESIGN
Septic Tank Capacity (gallon) Other
O Percolation Rate (minutesrinch) Number of Bedrooms (or other)
Required Absorption Area - See Attached 07 qV- h4 -1a 1117eeA1e_1'
Special Setback Requirements: f
Date �"' Z:3 Inspector YV/GSO�
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer1 e_ 7__ �-Sid _ .--
Septic Tank Capacity 69 O
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
Date Inspector 4 -
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
ONDITIONS:
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. 1978. 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 terms 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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