HomeMy WebLinkAboutOWTS Design SpecsffiÍ,
GARFIELD COUNTY BUÍLDII.IG AND SANITÁ:I ION DEPARTÍV4ENT
l0B Eíghih Sireet,lSuíie 401 -
Glenv¿ood Springs, Colorado 81601
Phone (970) 945-8212
Permit Ú 0/+
Assessorls Parcell{o
IT.JDIV¡DUAL SEWAGE D¡SPOSAL PERI'f IT This does noi consiituíe
a building or use I L-
/ Phone %A"s.sør
pROPERTY
-
6lv,,ner's Name C Preseni Adciress
System Location .g¿îmt{
Legal Descripiion ofAssessor'sPatR,e.l No. Z4ð S-J3 *AO,/A 'L
.SYSTET.v'I DESIGN
/ea e Septic Tank c,,,ljaciV (galIon)
Räte (minutes/inch)/ J Pei-colation Number oí Bedrooms (or other) Z
-çQ, trf ü/ TÆ/val{*Zz Q-#s
Oiher
qdb zþ3Required Absorpiion Area -A.tiached
Special Seiback Requirem
Da're
-t
SPE
Cell for lnspection (24 hours noiice)Covering lnstaliation
Sys'tem lnstaller
3 /.{ "se,Fn^hr ßEg *27 &*^-s
lnspecior *fu ç'6¿s'un/
(as installed)
Sepiic TankCapaciiy
'';
Sepiic Tank llanufacturer or Tdþde Name
!.::. , .,
Sepiic Tank Access r,vithin 8" ofisur=race
I
Absorption Area ,{
_se ,(c S(o-sAbsorption Area Type and/or Flanuíaciurer or Trade Name
Adequaie complíance vriih Counfi anC Siate regulaiions/requirements E-s
Oiher
Daie lnspecior
RËTAIN !\il TH RECEIPT RECORDS AT CONSTRUCTION SITE
CONDITIONS:
1. All insiallation must comply wfth all iequÍrements oí the Colorado State Boarci of Healih lndividual Ser,vage
Disposal Systems Chapter25,Ariicle'i0 C.R.S. 1973, Re'¡ised 1984.
2. This penn[i is valid only for connection to siruciures u¡hich have fully complied with Couniy zoning and
buíÍding requirements. Conneciion to or use l'¡ith any dweiling or struciu¡-es not approved by the Buílding and
Zoning oftice shafl automaticalty be a violation or a requiremeni oí the permit and cause for both legal actíon
and revocatign of the permít.
3. Any person r¡¡ho constructs, aliers, or insialls an individual selvage disposal sysiem in a manner urhich
involves a knowing and maieríal varíation from the terms or speciícaiíons coniained in the applicaiion of
pennii commits a Class 1, Petry OÍiense (S500.00 fine - 6 monihs in jail or boih).
Whäe -APPLÍCANT Yeliov¡ - DEPARTñIENT