HomeMy WebLinkAboutSystem Design Specs 03.12.2018GARFIELD COUNTY BUILDING AND SANITATION DEPARTft¡ENT
l0B Eighih Street, Suite 401
Glenv¡ood springs, c"rtr"¿o aìaor Permít -fê Z 7
Phone(g70)g45-B212Assessor'sParcelNo.
Ii-ID¡VIDUAL SEWAGE D¡SPOSAL PERMIT
PROPERTY
owner's Nr*. ft / /N {Elfu ÉilfpPresent Adcíress
This does noi constiiute
a building or use permii.
z Phone -Y7 772ê
System Locaiion
Legal Descripiion of Assessor's Parcel
4No- ê
/aa/ qA,t, z
SYSTEM DESIGN 7fe &4¿, z
/,,r, '.Septic Tank CaPaciiY (gallon)
Percolation Raie (minutes/inch)Number of B
Required Absorption Area - See Atiach ed *5-zg *s€),
Specíal Setback Requirements
Daie
4 -*/z-/8 Inspector
S S (as installed)
callfor lnspectíon (24 hours notice) Before covering lnstallation
edrooms (or other) 3,rf n/rørtt/¿,,/ * 4 f d- f=
apaz
Other -/y'A¿ls^g-sr{o/
bsa s *'il
///8E? +53*t-4
Sysiem lnstaller
&Å¿.,Æ,¿ -s FSepiic Tank CaPaciiY
Septic Tank Manufaciurer or Trade Name :l/a,4a)øs c a
Septic Tank Access within B" oí suføce
Absorption Area R
Absorption Area Type andlor Manuíacturer or Trade Name
Adequa.re compliance wiih county and state regulations/requirements
Oiher
Date 3 *?d
-./ v(,-t'-) / l¿t lnspecior
RETAIN WITH RECEIPT RE DSAT CONSTRUCTION SITE
CONDITIONS:
1. All installation must comply wiih all requirements of the Colorado State Board of Healih lndividual Sewage
Disposalsystems chapter25, Article 10 c.R.s. 1973, Revised 1984.
2. This permit is valid only for connection to structures which have fully complied wiih County zoning and
building requiremenis. Conneciion to or use v¡ith any dwelling or structures not approved by the Building and
Zoning office shall automatically be a violation or a requirement of ihe permit and cause for both legaf action
and revocation of the Permit.
3. Any person who constructs, alters, or installs an individual sewage disposal sysiem in a manner r¡¡hich
involves a knowing and materíal variation from the terms or specifìcations contained in the application of
permit commits a Class 1, Petty OÍlense ($500.00 fine - 6 months in jail or both).
White -APPLÍCANT Yellow- DEPARTMENT
¡1uwq 1-,{à>g? çr{rl! ): l^:¡S at)..")"t "¡d ,, þXoÇ" "-u'{^q'J ¡:l{.\5i *t ",41lr ä?\dSvin2çtTIIÇr,r!:^ú(. --?^ô r\hhlhllþî?þ.'¡Ç,ti' alt og 'Prø¡¿ Y attet Ç*l{.n Ç"1 ) *tÞç *7 *,,7 -.¿ta,t ' vlY f '4o qN7hn4l l&sçt$lf7ìe??Yf Ia-t ìç#NJtt0'lkJa