HomeMy WebLinkAboutPermit and Design Specs,.
LD COUNTY BUILDING AND SANITATION DEPARTMENT
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108 Eighth Street, Suite 401 permit 4 51 f
Glenwood Springs, Colorado 81601
Phone(g7o)g45-8212ASSeSSor'sParcelNo
INDIVIDUAL SEWAGE DISPOSAL PERMIT This does not constitute
a building or use permit.
PROPERTY
Owner's Name
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System Location
Legal Description of Assessor's Parcel No nAû vl .J t,
SYSTEM DESIGN
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Septic Tank Capacity (gallon)Other
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Required Absorption Area - See Attached
Special Setback Requirements:
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Percolation Rate (minutes/in
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(as installed)
Callfor lnspection (24 hours notice) Before Covering lnstallation
System lnstaller
Septic Tank Gapacity
Septic Tank Manufacturer or Trade Name
Septi c Tank Access within B" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with county and state regulations/requirements
Other
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RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health lndividual Sewage
Disposal Systems 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. Connection 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 constructs, 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 a Class 1, Petty Offense ($500.00 fine - 6 months in jail or both)'
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