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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401
Glenwood Springs, Colorado 81601
Phone (970) 945·8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Permit
Assessor's Parcel No .
This does not constitute
a bui lding or use permit.
owner's Name Co?I {._ ?£:.£.
System Location Z ...S--0 :s-
Present Address _________ Phone WY-33..?S-
P A:
Legal Descrip.tion of Assessor's Parcel No. Lfz 3 / Z. / t:?C/ 0 .f?c;r
SYSTEM DESIGN
____ Other / 2 S-0 Septic Tank Capacity (gallon)
/CJ Percolation Rate (minutes/inch}
I
Number of Bedrooms (or oth e r)_,__.~'---
Required Absorption Area -See Attached
Special Setback Requirements:
ef.~tJ stp.,r-~ //11' 7££//c//-,L-3'7 tf>-9'-
5.5/ So/, ~/, IN 6£P -1-cf-~ c2 ~ ~
Date gr-/7 -/.:S-Inspector _-=_:-t_-.--"'""/'-'~'-'Y/---'--'""J/V/:.......io... ..... /.-"'C-~5'-=o-"d.....; .. ::.._ ___ _
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System lnstaller _~CJ:;_,:::uJ...r:. . ...J:)11:--:....:~~~/Z~------------------~
Septic Tank Capacity __ ,/'--"'Z-.._S-__ O ____________ ~---------
Septic Tank Manufacturer or Trade Name __ L_b...__..G-:"--'-A'--.........,.C-.......,.,Y..___-__ d_:;.;LJ'-. ·....,5::;....o/_~ . ..._/ ..... C=-------
Septic Tank Access within Btt of surface ---~~,..._.~-·-....... _.S ________________ _
/
A bsorption Are a ---~.....__~---..&J---=S.=----=-~..-· --"-6_ . ..__7;""......_--"-/ c.__V_-:.../3;::;;....;.z--..,..,7.?......_ ______ _
Absorption Area Type and/or Manufacturer or Trade N ame ___ -5"-z.""'-"'---'d::;;_..;..:W;;_:._.:.../~75-=:_s=--....;./l_:...;.'/{--1--.:::.C_--=3~h=:..
Adequate compliance with County and Sta te regul a tions/requirements ___ _,V,o<-.Jt.£"2
/' -----------
Other _~---~--~------~---~~----------~~-
Date 5?-Z-3 -/ .S-Inspector ~/ a./'~:=
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Boar d 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 wi th 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 pe rson 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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