HomeMy WebLinkAboutSystem Design SpecsGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401
Glenwood Springs, Colorado 81601 Permit
Phone (g7o)g45'5212 Assessor's Parcel No
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name
a building
not constitute
or use permit.
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System Location _.s'Á F
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Legal Description of Açsessor's Parcel No'
SYSTEM DESIG['|.
/flPA Septic Tank Capacity (gallon)Other
Percolation Rate (minutes/inch)Number of Bedrooms (or other) - Z
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Required Absorption Area - See Attache d f/8
speciarsetback Requirements: ifli åå
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Date #-/"?lnspector
FTNAL,SYSTEM INSPECTION AND APPROVAL (as installed)
òallfor lnspection (24 hours notice) Before Covering lnstallation
System lnstaller
Septic Tank CaPacitY ., '
Septic Tank Manufacturer or Trade Name
Septic TankAccess within B" of surface
Absorption Area
Absorption Area Type andlor Manufacturer orTrade Name
Adequate compliance with County and State regulations/requirements
7 f+ H-/e
Other
Date
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONÐITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health lndividual Sewage
Disposalsystems chapter 25, Article 10 c.R.s. 1973, Revised 1984.
2. This permit is valid only for connection to structures which have fully complied with County zoning and
. building requirements. connec,tion to or use with any dwelling or structures not approved by the Building and
Zoning office 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 construots, alters, or installs an individual sewage disposal system in a manner which
involves a knowing and material variation from the terms or specifications contained in the application of
permit commits " Cl""s 1, Petty Offense ($500.00 fine - 6 months in jail or both).
lnspector