HomeMy WebLinkAboutOWTS InfoGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
- 108 Eighth Street, Suite 401
Glenwood Springs, Colorado 81601 Permit f %
Phone (970) 945-8212 Assessor's Parcel No.
INDIVIDUAL SEWAGE DISPOSAL PERMIT
This does not constitute
a building or use permit.
PROPERTY
Owner's Name Present Address dig ;I ,41A" Phone —j" -,7p7
System Location
Legal Description of Assessor's Parcel No. %1791 4 `
SYSTEM DESIGN
Septic Tank Capacity (gallon) Other
Percolation Rate (minutestinch) Number of Bedrooms (or other)
Required Absorption Area - See Attached
Special Setback Requirements: 630 SQA �I��/�. /�� �� �/s3 WI—%S' C;A� ¢s
Date 13 16 Inspector
FINAL SYSTEM INSPECTION AND APPROVAL (as Installed)
Call for Inspection (24 hours notice) Before Covering Installation
System InstallerSeptic Tank Capacity
L=2 %'^ /� 5r�
Septic Tank Manufacturer or Trade Name C&�_&6rZZ-
Septic Tank Access within 8" of surface r ' S'
Absorption Area S # _ _
Absorption Area Type and/or Manufacturer or Trade Name f %'
rP Yp --
Adequate compliance with County and State regulationstrequirements
Other
Date :'fir=, Inspector
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 1 a C.R.S. 1973, Revised 1984.
2. This permit is valid only for connection to structures which have fully compiled 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).
While -APPLICANT Yellow- DEPARTMENT