HomeMy WebLinkAbout00075A GARFIELD COUNTY DEPARTME' t HEALTIT
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k. Conotruotton approval for at._ 'Mc t , " 04,-°n-re _ t rna Hranswe x t , sa t
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abic.orption area CaPtiltt ted 4
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r. area per betroora
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r to te / .2 74 occitztr . .. e eseri.Arreeco-
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gyPtedh Shall be cleatgue:t to be In cratriolImper wata trio w» • a
+OW until the attt:eiablcri cystem is coorovert raticr raa onvtrtny ce
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ft ' senttc clyartout cs•at
Muer- tnaterlatc- and tiet.err,b1r
Adequate absorotion arra
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A./Retain with permit recordr at kiwnstra<Thop
8:16 PAKII]
O.T..!';id'.t)QD SPR1N'13 COLORh1:O
APPLICATION FOR INDIVIDUAL SWAGE DISPOSAL S1LSTEN PERMIT
RECEIPT #
MP-
OWNER s1f oS _____.ADDRESS s TELITIIONE
irony e c�
CCNTRACTOR do�� ADDR}3.5:4��`_, -?E5-& TE.DFP1tiSka(7 /
SITE LOCATION 6j1Go� NO, OF BE'AIROCKSs le SIZE OF, LOT;
Application for an individual sewage disposal permit is hereby suhnitted., Tha
individual sewage disposal system will be constructed in accordance with the
regulations concerning individual sewage disposal systems within Garfield County,
____
This application is valid for six (6) months from . -to sign<
• 1)4TEs roliJ. �� >��� SIGNAT u �..
Perculation test results: D-C Minutes per inchs_�
Recommended minimum size of leaching system: / O )( g
Recommended minimum size of tanks / 0 d j
PLOT PIAII
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I COLORADO DEPARTMENT OF HEALTH
COUNTY • REQUEST FOR SERVICE
PROGRAM c.Q /Z RECEIVED BY 7. /4.-• DATE -S �� ��__ ° -
x
LOCATI ON :/- !n - ad. NAME c� Cedar
REPORTED BY „Q� ADDRESS /fllii,,J edar TELEPHONE
SERVICE REQUESTED- _ �. �� . ,i.., _ui � i �.� 2. "at; L -
0040 /t a.a,ii�1>s � U /a 1.1" icy, �U ..I � v I 0 1
v
•
ACTION REPORT
ACTION BY DISPOSITION
DATE
SH -M -7' (4- 71 -so) / y ..
•
COLORADO DEPARTMENT OF HEALTH
COUNTY y • REQUEST FOR SERVICE �;r,
PROGRAM i Z RECEIVED BY rite DATE _ . g 7 "--
LOCATI ON�.�, ° &. -40A _,,��/��
REPORTED BYE. CC ,.C. ADDRESS . ''. algae° TE LE PHONES V ".2/2Q
J
SERVICE REQUESTED _ r 't .C. f %- r... -a i .
ACTION REPORT
ACTION BY DISPOSITION
DATE
SH -M -71 (4- 71 -5D)
•