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Note to Close Out Permit
NOV 1 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com 13(AU* M% ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION TYPE OF CONSTRUCTION 0 New Installation WASTE TYPE 0 Alteration Repair III Dwelling 1 0 Transient Use 0 Comm./Industrial 0 Non -Domestic 0 Other Describe INVOLVED PARTIES Property Owner: Michael C. Grimm Mailing Address: 6634 CR 346 Silt, CO 81652 Contractor: B&B Plumbing Phone:( Mailing Addre! Engineer: Jeffer Mailing Addl.( PROJECT NA Job Address Assessor's P Building or ! Distance to Was an eff Type of 01 ,a50 Phone:1970 ) 625-3370 C Lc) Phone: ( 970 ) 945-1004 rF44.S-L (-,1\ Lot 6A Block uLtx.1) a-cr b----7 11-0 LI AA Ground Conditions Depth to 1u Ground water table Exca -- © Absorption trench, Bed or Pit 0 Underground Dispersal I 0 Final Disposal by •ooms: 3 Garbage Grinder tem: N/A /ault I 0 Vault Privy © Composting Toilet l 0 Pit Privy I 0 Incineration Toilet Percent Ground Slope 1-6 O Evapotranspiration O Other Water Source & Type O Well Effluent 0 Wastewater Pond 0 Sand Filter Above Ground Dispersal 0 Spring 0 Stream or Creek 0 Cistern O Community Water System Name Will Effluent be discharged directly into waters of the State? 0 Yes 0 No