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GARFIELD COUNTY BUii DING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401
Glenwood Springs, Colorado 81601
Phone(970)945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
owner's Name ]3j,(l/LgAA./
System Location SA/11£
PresentAddress 9'f~~
Permit ef-? 7 4
Assessor's Parcel No.
This does not co nstitute
a building or use permit.
Legal Descrip,tion of Assessor's Parcel No . _ _./'--~?~Z'--3 __ 2--'-/_4:~~c?._'?/~c:J-~~'--1--_,__ ________ _
SYSTEM DESIGN
/t'J( I .S .,;:__ //2t}t2 Se pt ic Tank Cap aci ty (g allon) _____ Other
_____ Percolation Rate (m inutes/in ch) Numb e r of Bedrooms (or other) 3
Required Ab sorption Are a -See Att ac h ed .S-r.:r ,,S"f? /?;'/~ 0£A/C#' 7'-~ Alf'c 3 ~ ~
l?.3eJ ..S.f;, .r-f //(/ .G~P -1-+z. A,f'c.. _g~:s
Date _4L.__-_,,_,/;_-.L_t/:_---L-/_,7'------Inspector ~ hJ/L.E?JA/
Sp e cial Se t back Requirements:
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspe ction (24 hours notice) Before Covering Installation
System lnstaller __ ---=CJ=---W--"~---=-r..:~;...__/( ____________________ _
Septic Tank Capacity __ ~£~)('/ .SU AfG=
S eptic Tank Manufacturer or Trade Name ------------------------
Septic Tank Access 1..vithin 8" of surface -------------------------
Absorption Area _ __;.S=----=<:==S-=-_ ...... c 5l~'if2~--'C:~L__.__~t....LW->C...__-+71<,....LiLll;on<Z..L..:c;=· .!.41/L.-______ _
Absorpt ion Area Type and/or Manufacture r or Trade Name ----->""""---· 5="'--_ ___.AL....<-'&--'--C___::__~3=-iC,~s...:..._
Adequate compliance with County and State regulations/requiremen ts \./£ .5
---7-r---~=-='--------~~-
Other
-~-------------~--~-~---------~--~-~
Date _1---~~""""'$_ ..... _,,._(---t7~--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 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
bu if ding 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).
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