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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 4/3~ Assessor's Parcel No. This does no t constitute a building or use permit. Owner's Name ?ti /11 ;::rj/&tt/ Present Address 9 9? C~ Z Z 9" Phone----- System Location _ __::..5~:A~l14,..:;....L .... V"'--------------------------- Legal Description of Assessor's Parcel No. __ Z;:::_l---:.7--"?---'0=---~S/;;...._..;/'---"0~/"--0"---0_3 _________ _ SYSTEM DESIGN / Z..S-o Septic Tank Capacity (gallon ) Other Z / Percolation Rate (minutes/inch) Number of Bedrooms (or other) &-: RequiredAbsorptionArea-SeeAttached ?13 Sf, r;,-IN JR~c/( -1--52-cf-?-s Special Setback Requirements: 7 3 s-se, rr, /N. (3£7> -f-6 z..._ G(-f. s Date f=-27'-/&, ln~pector ~ ~ FINAL SYSTEM INSPECTION AND APPROVAL {as installed) Call for Inspection (24 hours notice) Before Covering Installation System lnstaller _""""'.Si......_/_G ___ /___.h....._.1 ...... C. ............. S_A..___ _ ____,£; ....... ~._.:_c_A......._. ---------- Septic Tank Capacity _ __._/_2 ____ ~--~-·--~.-------------------- Septic Tank Manufacturer or Trade Name __ ,(h ____ _,z:_~---· _-_CA __ ._'5_._/ ___ C_., o_· ..... ~---~__.!f"""'""',?~..;..~..J.·/._~_. ---- Septic Tank Access within 8" of surface ____ V:........,e;:o;;,._=5----------~------ Absorption Area --""0_../ ...... 3,__--"-~-\-'-'~/-:,_-_../_._-";:_--'~--...---:;;"'-1 ........ ~"""";h............_.Ll/cJL..;c,,.:;.. ..-6..:....Y-~---- Absorption Area Type and/or Manufacturer or Trade Name --=~::;;._"""'Z-;:;.,.__..;;(t."'1-....... ~ .... · ........... 13~-~ _.;C/::;......_,,?"_--..:::4'=1-. -· ----.J.'1=~...:5:.-. Adequate compliance with County and State regulations/requirements ___ j.,....V:: .... '& .... ..=....--5 .... · ·-· ------- Other ~-------------------------~------~ Date 1-/.5--/& Inspector ~ t?'~~ , 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 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 per mit and cause for both legal action and revocation of the permi t. · 3. Any person who constructs, alters, or installs an indi vidual sewage disposal system in a manner w hich 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). White ·APPLICANT Yellow · DEPARTM ENT