HomeMy WebLinkAboutSeptic Design SpecsGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighih Street, Suite 401
Glenwood springs, colo'.Jo ãr oor Permit 5e6 3
Phone(g7o}g45-8212'Assessnr,'sParcelNo'
Ii'{DIVIDUAL SEWAGE DISPOSAL PÊRMIT
PROPËRTY
Owner's Name P l5 PresentAddress
Legal DescripÍion of Assessor's Parcel No'
SYSTEM DESIGN
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Septic Tank CaPacitv (gallon)
Percolation Rate (minutes/inch)
Required Absorpiion Area - See Aitached
Special Setback Requirements:
,/'-24-'* lnsPector
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Oiher
Number of Bedrooms (or other)
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This does noi constitute
a build or use permit.
Phone
System Location'- -S','4 '
Date
FINAL SYSTEM INSPEGTION AND APPROVAL (as installed)
Callforlnspection(24hoursnotice)BeforeCoveringlnstallation
Sysiem lnstaller p
{ë LSeptic Ïank CaPacity'
Sepiic Tank Manufacturer or Trade Name
Septíc Tank Access r¡¡ithin 8" of surface
Absorption Area {
Absorption Area Type andlor Manufacturer or Trade Name
AdequatecomplíancewithCountyandStateregulations/requirements
T
Other
Date -3/*/"ç lnspecior
RETAIN WITH RECEIPT RDS AT CONSTRUCTION SITE
CONDITIONS:
1. All installation must comply wíth all requirements of the Colorado State Board of Health lndividual Sewage
Disposal systems chapter 25, Article '10 c.R.s. 1973, Revised 1984-
2. This pennit is valid only for connection to structures which have fully complied with county zoning and
building requirements. Connectíon to or use r¡¡ith any dwelling or structures not approved by the Building and
Zoning ofäce 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 disposaf system in a manner which
involves a knowing and materíal variation from the terms or specifications contained in ihe application of
permit commits u ô1"=r 1, Petly Offense ($500.00 fìne - 6 months in jail or both)'
White -APPLICANT Yellow - DEPARTMENT
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