HomeMy WebLinkAboutSystem Design SpecsIf,IDIV¡DUAL SEWAGE DISPOSAL PERruTIT
t'ROPERTY
-
OlYner's Name
GAHI-ltLU Ut_rUl\ I Y ÞL|lLlJ¡l\L7 nl\L, trntrr rñr rvr\ ulr nr\ I rv¡Lrr I
108 Eíghth Street, Suiie 401
Glenwood Springs, Colorado 81601
Phone (g7O) 945-8212
Permii {72 =Assessor's Parcel No-
This does noi consiíiute
a buílding or use permìi.
s3â Phone 3/7'8é/7PreseniAddress Ó777
Sysiem Locaiion
Legal Descripiion of Assessor's Farcel No
SYSTETfi DESIGi!
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Sepiic Tank CaPaciiY (gallon)
Percolaiion Rate (mÍn uies/inch)
Oiher
Required Absorpiion Area - see Attache ¿ 7AA
Specialseiback Requirements: ã40
Number oÍ Bedrooms (or other) -f
.sq, ft; l// V-&E/l/e H t {7
'q"æh/ Føtr* 7p
7 4-*=.
Q'4-'
o^r" lþ .^ Ze */7 lnspector t r,/l¿ S a//
(as insialled)S
callfor f nspection (24 hours notice) Befo¡'e covering lnstallation
System lnstaller
Sepiic Tank CapaciiY o
Sepiic Tank Manufacturer or Trade Name
Sepiíc Tank Access v'¡iihin 8" of suface
Absorpiion Ai-ea
,tJo r.ilé.seo
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Absorption Area Type andlor Manufacturer or Trade Name
Adequaie compliance vrith county and siate regulaiions/requiremenis
fb e,Ë r{KC 3ês
3
Oiher
Date 1*Z {-za lnspecior
RETAIN WITH RECEIPT RFCORDS AT CONSTRUCTION SITE
CONDITIONS:
1. All ínstallaiion must comply r,,¡íth af I requíi-emenis oí ihe Colorado State Board of H;'F-JÍî lndividual Sewage
Disposal systems chapter 25, Ariicle 10 c.R.s. 1973, Revised 1984.
2. Thîs permit is valid only for connection to structures which have fully complied with Couniy zoning and
buílding requiremenis. Connection to or use wíih any dwelling or struciures not approved by the Buifding and
Zoning ofíice shall automaticalfy be a víolaiíon or a requirement oí the permit and cause for both legal actíon
and revocation of the Permít.
3. Arry perscrn who constructs, alters, or insi.slls ul¡ Lidlvlelual sc',vcgc elilporal ûy5ten1 l¡l u r¡ranner which
involva.s a knowing and materÍal varía'rion from the term.s or specíficaiions contaíned in the application of
permii commiis a Class 1, Petiy Offense ($500.00 fine - 6 months in jail or both).
Whäe -APPLICANT Yellow - DEPARTT]ENT
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