HomeMy WebLinkAboutSeptic InfoGARFIELD COUNTY BUILDING AND SANITATION DEPAK J Ml:::N I
108 Eighth Street, Suite 401
Glenwood Springs, Colorado 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Permit
Assessor's Parcel No.
Th is does not constitute
a bu ilding or use permi t.
owner's Name WA a.st.fl/ OtJ!Zt>PresentAddress ~Z(;?L cit ZZb Phone ~Ill-796'7
System Location ________________________________ _
Legal Descripjion of Assessor's Parcel No. _-lZ~/-""'Z-S"j~-....;O=-....... Z~--'Z....:....ii&.::.....:0::::;.......1.Z...,-~O~Y _______ _
SYSTEM DESIGN
I Z $:AP Septic Tank Capacity (gallon)
I
_____ Oth er
. 3 '3 Percolation Rate (minutes/inch) Number of Bedrooms (or other) __ 1..1-..-____ . _
Requi redAbsorptionArea-SeeAttached /3'S-Sf. r~ /Al m.t';Vc# r 62! R--'fs
SpecialSetbackRequirements: 88Z .St(1 ~T /N B'$'J?-/--7<f' cf-?-.s
Date 7-ZS -,/k ln~pector ,;::1lin /A//Lsad
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer ______________________________ _
Septic Tank Capacity -J..L.::.;~=-0=------------------------
Septic Tank Manufacturer or Trade Name _iair;..i..~ .. ~-1<4-~~--""'~~-==~~-------------
Septic Tank Access within 8" of surface ~~-¥A:..;:-~--------------------
Absorption Area ---=~:;.;;..""'-::...o. ;..:;.:;..--"'"--------------------------
Absorption Area Type and/or Manufacturer or Trade Name ~ o/ r 6:Z. ~
Adequate compliance with County and State regulations/requirements ---'¢;..yf--------------
Other~-------------------------------------~---
Date C /JI. ·16. 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 Sew age
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 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 permi t 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 applica tion of
permit commi ts a Class 1, Petty Offense ($500.00 tine - 6 months in jail or both).
White -APPLICANT Yellow · DEPARTMENT