HomeMy WebLinkAboutSystem Design SpecsGARF r ELD cou NrYB 9i.t?l I :.^N D sAN lrArl oN D EPARTM ENr
10S Eighth Sireet, Suite 401
Glenwood springs, cololuoo'ãìoor Permit gTAA
Phone (97})945-8212 Assessor's Parcel No
INIIIVIDUAL SEWAGE DISPOSAL PERMIT
PROPËRTY
'Owner's Name (VO c///t/K E/& Phone 77F <?s7Present Address
z/?oo 3
Oiher
This does not constitute
a building or use rmit.
System I ocation
Legal Descripiion of Assessor's Parcel No'
SYSTEM DESIGN
Req
spe
Date
2 Septic Tank CaPacitY (gallon)
uired Absorpiion Area - See Attached 263 -sQ,fftl
lor other) L
frcf-U"W-.-- 4-?s/ < Percolation Rate (minutes/inch)Number of Bedrooms
cial Setback Requirements:3/S sQ, tr tttlEtp*e7 a-+--
lnspector
P (as installed)
Gallfor lnspection (24 hours notice) Before Cove ring lnstallation
System fnstaller
Sepiic Tank CaPacítY
Septic Tank Manufacturer or Trade Name
Septíc Tank Access within 8" of surface
Absorption Area
Absorption A'rea Type andlor Manufacturer or Trade Name
AdequatecomplíancewiihCountyandStateregulaiions/requirements
Other
Date lnspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
1. Ail installation must comply wíth all requirements of the colorado state Board of Health lndívidual 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. connectioñ 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 legal aciion
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 the application of
permit commits " ó1"r, 1, petty offense ($500.00 fìne - 6 months in jail or both).
White-APPLÍCANT Yellow- DEPARTMENT