HomeMy WebLinkAboutOWTS SpecsGARFIELD COUNry BUILDING AND SANITATION DEPARTMENT
108 Eíghth Street, Suite 401
Glenwood spríngs, color"Jo ãroot Permit ? 4 Z 4
Phone(g7o)g45-s212Assessor'sParcelNo.
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name
ThÍs does not constitute
a buildíng or use permit.
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Other
System Location
Legal Descripfion of Assessor's Parcel No'
SYSTEM DESIGN
/eAA SePtic Tank caPacitY
PresentAddress
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(gallon)
'z e percolation Rate (minutes/inch)Nu
Special Setback Requirements: ët':S
g¿1¿ *5"- 7- .fr I "7 lnsPector
FTNAL SYSTEM INSPECTION AND APPROVAL (as instalted)
callfor lnspection (24 hours notice) Before covering lnstallation
mber of Bedrooms (or other) 3
Ff t/ttt R¿rfc/ r 41- 8-*'
Required Absorpiion Area - See Attache ¿ 5'ZT Sq'
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"f/(T A ISystem lnstaller
,/a eeSepiic Tank CapacitY
Oiher
Date
CSeptic Tank Manufacturer or Trade Name
Sepiíc Tank Access wiihin 8" of surface
Absorption Area _s- z_s-
Absorption Area Type andlor Manufacturer or Trade Name
Adequate compliance with county and state regulations/requirements
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lnspecior
RETAIN WITH RECEIPT R AT CONSTRUCTION SITE
CONDITIONS:
1. All installation must comply wiih atl requírements of the Colorado State Board of Health lndividual Sewage
Disposal systems chapier 25, Article 10 c.R.s. 1973, Revised 1984.
2. This pennit is valid only for connectíon to structures which have fully complied with County zoning and
building requirements. Connectioñ to or use wíth any dwelling or siructures not approved by the Building and
Zoning office shall automatícally be a violation or a requirement of the permit and cause for both legal actíon
and revocation of the Permit'
3. Any person who constructs, alters, or ínstalls an individual sewage disposaf system in a manner which
involves a knowíng and materíal variation from the terms or specifications contaíned in the application of
permit commits a Class 1, Petty Offense ($500.00 fine - 6 months in jail or both)'
White -APPLTCANT Yellow - DEPARTMENT
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