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• GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (903) 945 -8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT 'e 1872 a building or use permit.
Owner Orrin Helgoland C. , ; 7
System Location Parcel E Rolling Meadows Subdivision
Licensed Installer Minter
Conditional Construction approval is hereby granted for a o (JO 0 gallon
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_ .L' _ Septic Tank or — Aerated treatment unit.
Absorption area (or dispersal areal computed as follows:
Perc rate of one inch in —!_n__ minutes requires a minimum of sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 3 x sq. ft. minimum requirement = a total of ;' sq ft of absorption area
5_ ' Bert ^ /1 /c /X3 rn / X�/ I X 2 4 3 /0 /✓ Try ' iCe e '.
May we suggest: ,. ��, ^F • F pieta.) •
Date . Inspector
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover•
ing any part.
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Proper materials and assembly. M r 49
Trade name of septic tank or aerated treatment unit
Adequate absorption (or dispersal) area. i(�'Y ��•��- ___000
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations /requirements.
Other
Date —_.— _ Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health Individual 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 of 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 tine — 6 months in jell or both.).
Applicant: Green Copy Department: Pink Copy
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