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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 ~Z. :3 S Assessor's Parcel No. This does not constitute a buildin g or use permit. Owner's Name -::Ji;,=.t>.~>$.~L_~.L~--"'-"'W,-=.-,'/'-'Z-=---Present Addre_ss .3.S-S" a /J'/P(pc;u.J Q Af;hone Z/-,1--Z/ f'-r System Location·---------------------------------- Legal Description of Assessor's Parcel No. __ --Z.-=-_/--'-7-----'-'7---"-~-5-_=--=-Y=-_CJ_,.,,Z=-C?--_z_---L..7 _______ _ SYSTEM DESIGN /Z:::;---o Septic Tank Capacity (gallon) Z Percolation Rate (minutes/inch) _____ Other Number of Bedrooms (or other) __ 1-...L..--_ Required Absorption Area -See Attached 4-ho S/{1 /'/,' ;)./ #,e:-Af cJ/ -f-3 7 (;2.-+.s Spacial Setback Requirements: s-.s-,z. st( I r7; IN ·B .& p -t-1-& «-4 $"· Date 7-Z Z -/6' Inspector ...:7//vi ~L...S:c?A/ FINAL SYSTEM INSP ECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer ££Pt/ c£1t: A ZZ-0;1/" £X c A I Septic Tank Capacity /.S-£JCJ . CA (__ Septic Tank Manufacturer or Trade Name __ .r-./kf£--"'----'~ft!'""""'--'u/,=---=_./g;:"'--=-....;;.S~-7'-___;;;C.=~'-c;:;;=-------------- Septic Tank Access within 8" of surface --------,r-,Y: ..... '£c....:' =-----'-$ _______________ _ Absorption Area --4~--><=$:::....:c?~-=_5::.....·-=\:-~~___.D<---<--........ -_..L../-"--A/"'---L.r_.~'--lo-L,e=-~/z!(i:::......=e-::...LA_!'_{/ ____ _ Absorption Area Type and/or Manufacturer or Trade Name .3 Z Ud'JZS o/-At<c 30.s Adequate compliance with County and State regulations/ requirements -----.Yc......."£"--'e:.~.::::.S::...._ _____ _ Other ~----~------~----~---~-----:--------~-~ 57--/ 6 Inspector ~ (~--- RETAIN WITH RECEIPT REC~NSlRUCTION SITE Date 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 permit and cause for both legal action and revocation of the permit. - 3. Any person who constructs, alters, or installs an individual sewage dispos al 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). White -APPLICANT Yellow -DEPARTMENT