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• I l • GARFIELD COUNTY BUILDIN AND SANITATION DEPARTMENT Permit N ^ _ . 3 3 7 A , ,f r
I 109 8th threat Suite 303 Assessor's Parcel No. I F
r. Glenwood Springs, Colorado 81601 ,
I Phone (303) 945-8212
- This does not constitute
• i INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use,permit. a '
1
PROPERTY
Owner's Name \1M°r mAf'J C,f 11I ER Present Address 191. _, r Svn)p 1 ql RIF r Phone (07 rx "
System Location C' ZS Z
Legal Description of Assessor's Parcel No. / � / '
• SYSTEM DESIGN n / / /p��') � ` +
Septi ank Capacity a ion) # 4
I'
Percolation Rate (minutes /inch) Number of Bedrooms (or other), 4 <
r r7 s
• ' Required Absorption Area - See Attached . •
;', Special Setback Requirements: `yy/ /�19
Dat /� "�09 "r d Inspector — vt �, ' '
' FINAL SYSTEM I NSPECTION AND APPROVAL ( installed) r ' +
S
Call for Inspection (24 hours notice) Before Covering Installation
t
System Installer °
Septic Tank Capacity loop ', r
1
Septic Tank Manufacturer or Trade Name inn) A4 p
Septic Tank Access within 8" of surface 1 / 4 11-- r )
a
Absorption Area Q } � p
Absorption Area Type and /or Manufacturer or Trade Name Z2' 2-4 ✓ `a �j t� t ) I N �7T-0 5 ;
Adequate compliance with County and State regulations/requirements VP
• Other
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Date. 0 2.4 -0") Inspector k 5 6T� )
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
'• *CONDITIONS: i 6
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. Con -
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or 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 I, Petty Offense (8500.00 fine — 8 q,
` months In )ail or both). .. _. _......_ __ .�
White - APPLICANT • Yellow - DEPARTMENT "