HomeMy WebLinkAboutSystem Design SpecsIf'JDIVIDUAL SEWAGE D¡SPOSAI. PERF¡IT
PROPERTY
Owner's Narne
Glenwuod Springs, Coforado 81601
Phone (970) 945-8212
PresentAddress
Permit 4Vg4Assessor's ParóelNo.'
This does not constiiuie
a building or use permít.
3s/Pirone
'U^f' z^t,
System Location
Legal Descripiion of Assessor's ParcelNo
SYSTEM DESIGN
, ' ' SePtic Tank CaPacitY (gallon)
RequÍred Absorption Area - See Attached
Specíal Setback Requirements:
Date /z -/ -/7 lnspecfor
D (as instatled)
Gallfor Inspectíon {24hours notice) Before covering fnstallation
z4 a/zz4 ae z7,f-
Oiher
Percolation Raie (minutes/inch)Number oí Bedrooms (or oiher) 3
Wú¿lc/Y * 3>
"* 4a
Q-/-
&*=
System lnstaller
Sepiíc Tank CaPacíiY ê/QL,
Septic Tank Manufacturer or Trade Name
Sepiic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequaie comP líance wiih County and Siate regulaiions/requirements
il,çEe s1æOther
Date
P-3-/7 lnspecior
RETAIN WITH RECEÍ PT RECO AT GONSTRUCTION SITE
CONÐITIONS:
1. All installaiion must comply wiih all requirements of the Colorado State Board of Health lndividual Sewage
Disposalsystems chapter 25, ArtÍcle 10 c.R.s. 1973, Revised 1984.
2. Thís pennit is valid only for connection to structures which have futfy complíed with County zoning and
buíldíng requirements. Connectíon to or use wíth any dwelling or structures not approved by the Buifding and
Zoning ofäce shall automatically be a viofation or a requirement of the permit and cause ior boih legal aciíon
and revocation of the Permit'
3. Any person who constructs, alters, or installs an Índividual sewage dlsposaf system in a manner which
involves a knowing and materíal variation from the terms or specíficatíons contaíned in the applícation of
permii commíts a Class 1, Petty Offense ($500.00 fìne - 6 months ín jaíl or both)-
Whíte -APPLICANT Yellow - DEPARTMENT
AäZF, c-ß. Kr açorrc.Ç<1rc'éRECElVEDJAt't Z + ZÏtl,r,îili,lF.,,.f.fi ?#HJ^Io(,aG{'CF,¿.rÇrêr¡ot'fÇt;L\,/8,"\\\(Gh