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I GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit _ 3 Z � $ c
' p � 109 8th Street $$ulte 303 Assessor's Parcel No.
l al'l/ Glenwood Springs, polorado 81801
Phone (303) 945-8212
i c ■. T his does not Constitute
d 4 INDIVIDUAL SEWAGE DISPOSAL PERMIT / a building or use permit. {
4 PROPERTY / -�/ ' �Q
' by e- �0 l 1 Li 1 Present Address 'RIC 7 CP"/ / fitd3
Phoneq / O ff'
° Owner's Name �. n / o -- 5
d System Location / OR " � ( 1 � � C�
1.I, Lqpal Description of Assessor's Parcel No. !.� . -
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SYSTEM DESIGN / / v 'i f/
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f t �(/ V ✓ Septic Tank Capacity gallon) ■ / Other
f l Cr � � i / � 4 / �..
F $.. Pe rcolation Rate (mi utegpngh)r —, Number of edrgoms (or other) I . I '
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R , ;5,35 ` hr s? b,4gb ,other? . L t fCN , f •.4'kj , t
1 Required Absorption Area - See Attached ' 3& r ' tt4c A C � S A) i' ee' i'i O A ,
f $ Special Setback Requirements: 'Wei CI / . c H' e' - 'r / J,�. t ttE-'4 C ft > ) q4 j 1
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• Date 5.--P/ P ' i L_ Insp I '� - �� �-.
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t FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
' Call for Inspection (24 hou n lice) Bef re Covering Installation
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t S ys t em I ns t a ll er .
' � Septic Tank Capacity (aTT
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Septic Tank Manufacturer or Trade Name ._- —'
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Sc v' Septic Tank Access within 8" of surface _._____
/to 7 n - �tcH
I t A bsorption Area / ��� �� r-
' `f Absorption Area Type and /or Manufacturer or Trade Name
t .'• Adequate compliance with County and State regulations/requirement
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Other .7
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j. ' ) Date J f+c —DO Inspector f 4.r k•r:
RETAIN WITH RECEIPT RECO S AT ONSTRU \ION SITE it� t j
i *CONDITIONS:
l 1. All installation must comply with all requirements of the Colorado State Bo otHealth Individual Sewage Disposal Systems Ch :
�
' ; 25, Article 10 C.R.S. 1973, Revised 1984.
2. This permit is valid only for connection to struct�irgs which have fully com ied withunty zoning and building requirements. CA "? ::' .'
3' nection to or use with any dwelling or structures not approved by the Bu ii i' gan Zo ng office shall automatically beaviolationo a'�
requirement of the permit and cause for both �bal acts n a ditto n of a ermit. { .
j 3. Any person who constructs, alters, or installs anilldivid I e ge isp sal system in a manner which involves a knowing and material '
variation from the terms or specifications cont a a ap permit commits a Class I, Petty Offense ($500.00 fine — 8 , ; :
(_ months in )ail or both). / . ;' • � E /� T/ 1
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