HomeMy WebLinkAboutSeptic InfoGARFIELD 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 building or use permit.
owner's Name _#Z,t=· :z..':z:-=: .... A......__...vf_.._..&.....,1~)1;~f<~~-· ~Present Address 1=4: ~/ 6/w.,V I 5 Phone f'~$ -7¢.S-$
system Location __ ._s-;~JIJAi&.,,~IH~· ..,.&.:::..-=----------------------------
Legal Descrip.tion of Assessor's Parcel No. --.-:>--=~::=...il---:Z=-~9_z._-=~::::;;._-'/~d9._.:;:'tP'---=c:>--'=Z=--Z..-==----------
SYSTEM DESIGN
/tlt2P Septic Tank Capacity (gallon) _____ Other
_ ___,.4'-'~'---Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3
Required Absorption Area -See Attached :S '7'...S-S ~~ l~r, //t/ "77{,e:../'(C/(-,'--:33
Special Setback Requirements: 1-71-S~, /C'T //fl 25,G:p + ~&J
Date _...;:~:------L.9_.--'-/_.;~=--~ lnspector _~;J/,~--J.~d1:...::;..._;c..__.......,l~VV-:~/i;....:~=::::..;:::::;..;0~/l/:.-L.. __
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hou rs notice) Before Covering Installation
System Installer 0 blW61E...
Septic Tank Capacity -...!..~~"6)~t9-.1t2<::-· --==G~A.J.....:t-;;_,,;._. _;...pt......: ... ~:;_~~A-=-'-5~/;~,,.-.:=e;;........ _______ _
Septic Tank Manufacturer or Trade Name ____ A"'"t ..... 'tPo......£<....=_..L._~;;;_:...;~-...:2i~C--=C/::;.__~--------
Septic Tank Access within 8" of surface ------:,,,,.\G..J.-£:..i.=--,;;=--··· ------------------
Absorption Area 4 57? .S <e..t CZ:: /d t:Zdc/1'
Absorption Area Type and/or Manufacturer or Trade Name _;:? .0 ta{7.§ oL Ag c ~ (a
Adequate compliance with County and State regulations/requirements -----rV: ...... '£~· .......:S=---------
1
Other ___________ ~----------~---::::--------,---------------
Date fb -/b - / (p lnspector __ ~-T""-~-"-c-~-«d~~~·"e:;.~~~.e ===-----
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
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 1964.
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, alte rs, or installs an individual sewage disposal system in a manner which
involves a knowing and material variation from the terms or specifications contai ned in the application of
p e rmit commits a Class 1, Petty Offense ($5 00.00 fine -6 month s in jail or both).
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