HomeMy WebLinkAboutApplicationGarfield County
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195 w. l-4th Street
Rifle, CO 81650
(s70) 62s-s200
2014 Blake Avenue
Glenwood Springs, CO 81601
(970)94s-661"4
OWTS PERMIT APPLICATION
WPE OF SYSTEM CONSTRUCTION
ew lnstallation ! Major Repair ! Minor Repair n Alteration n Vault and Haul
BUILDING USAGE WPE
! Dwelling n Transient Use Comm./lndustrial n Non-Domestic
E Other Describe
INVOLVED PARTIES
Property
Mailing Ad
Email Address
contractor: KIOÞ?: f{c-¿f.*I-rërt (!þ<t:.f Phone: ( 77Ð\ 7q Y-AY/O
Mailing Address:
Email Address:e
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Mailing Address
Email Address:
PROJECT IOCATION AND DESCRIPTION
Job Address: /^ZÆ l1-t¿l fr'l
Assessor's Parcel Numb
"r, 2,3 7 æ I I lock
Building or Service Type S hP #Bedroomsr Garbage Disposal(Y/N)_
Distance to Nearest Community Sewer System:
Was an effort made to connect to the Community Sewer System:
Potable Water Source
& Type
,\wett [1 Spring ! Stream or Creek n Cistern
E Community Water System Name
Garfield County Public Health Depaftment - working to promote health and prevent disease
CERTIFICATION
Applicant acknowledges that the completeness of the application is conditional upon such further
mandatory and additional tests and reports as may be required by the local health department to be
made and furnished by the applicant or by the local health department for purpose of the evaluation of
the application; and the issuance of the permit is subject to such terms and conditions as deemed
necessary to insure compliance with rules and regulations made, information and reports submitted
herewith and required to be submitted by the applicant are or will be represented to be true and
correct to the best of my knowledge and belief and are designed to be relied on by the local
department of health in evaluating the same for purposes of issuing the permit applied for herein. I
further understand that any falsification or misrepresentation may result in the denial of the
application or revocation of any permit granted based upon said application and legal action for perjury
as provided by law.
I hereby acknowledge that I have read and understand the Notice and Certification above as
well as have provided the required information which is correct and accurate to the best of
my
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Pro rty Owner Print and Sign Date
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Special Conditions:
Permit Fee:(¿oo,6o 't1'oô,oo Fees Paid: nObooY
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OWTS Permit:-aFM-fi\ok lssue Date:Balance Due:
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Garfield County Public Health Department
Signed Approval Date
Garfield County Public Health Depaftment - working to promote health and prevent disease
06/22/2023