HomeMy WebLinkAboutOWTS Design Specs.ARF' ELD "o,*Io:rJL?li :#i :ii:ä l'".
GlenwoPd SPrings' Colorado 81601
I Phone (970)945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
UTHF\ñ' I IVIEI\ I
permít -{e7Z
Assessor's Parcel No. '
This does not constitute
a buíldin OT USE rmit.
Address Z.I C /,3/Phone ?//-g:_53-Z:A7óPROPERTY
Owner's Name
System Location tr
Legal Description of Assessor's Parcel No'
SYSTEM DESIGN
/ Z{a SePtic Tank CaPacitY (gallon)Oiher
lation Rate (minrrtes/inch)Number of Bedrooms (or other) *
73 s- sQ,,ffn/ Kørrf¿r{.r-
¿-ëêa7Ê
5O p.,ro ¿)z Q- 4-
7/-- q- 4_>
Special Setback Requirements:EîZ "sQ"//1/ ãEÞ +-Required Absorption Area - See Attached
Date
?É
F
lnspector
(as installed)
Callfor lnspection (24 hours notice) Before Covering lnstallation
System lnstaller
Septic Tank CaPacitY &Ac
Septic Tank Manufacturer or Trade Name
Septic Tank Access wiihin B" of surface
AbsorPtion Area
Absorpiion Area Type andior Manufacturer or Trade Name z
Adequate compliance with County and State regulations/requirements
Other
r(
ê
Date 3 e-/ g lnspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
"o*?:tllll3,;',"t''" must comprv with an "1î'iTT',?t-':":".],::T?i.i"
Board or Hearth rndividuarsewase
Disposal s1l'iuÁ" cnapiei 25' Artícle 10 c'R's' 1973' Revised 1 984'
2. This permit is valid only for "onnu"ìion
to structures which have fully complied with county zoning and
buitding requiren",çnts. conneciío;ì;å,.*; *'tl 1Y:Ïelling
or stiuctures not approved by the Building and
Zoning office sha, automaticary be a vioration or a requiremãnt of the permit and cause for both regar action
, [îi i;ffitff:*:i:H:arters, or insraus an índividuar sewage disposal svstem in a manner which
invorves a knowing and materíarvåriatíon from the terms or speifìcations contained in the apprication of
permit "o*'i., " ór"., 1, Petly off"n," ($500.00 fine - 6 months in jail or both).
White -APPLICANT Yellow - DEPARTMENT