HomeMy WebLinkAbout03424 ; '' GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N2 3 4 2 4 1
, t4 109 8th Street Suite 303 Assessor's Parcel No. i •
F 1 Glenwood Springs, Colorado 81601
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9 Phone (303) 945.8212 i
This does not constitute '� f
i }, INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. , '
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PROPERTY
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t Owner's Name ‘-‘1.43 I l%j7LI IAn Present Address 1 1155 6/ ASS I \t=Sla Ri Tin F Phone CM' ¥ 11 +,
71 i) System Location L I I5 r )(?2RSs (\\FSF1 / - Rirl 6- .
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Legal Description of Assessor Parcel No. ; 1
I SYSTEM DESIGN ; r
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75tZ4 NI IK Septic Tank Capacity (gallon) Other
i :' 2A Percolation Rate (minutes /inch) Number of Bedrooms (or other) 2 a 4 W n Cry /
717 rtWocx 1,r-,u., P"7.Cc_ p i i
Required Absorption Area - See Attached
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Special Setback Requirements: 478 , F7 . 7410, c a�� _ L a Y.) /AF.ucN '` o
1 Date '7 " 27 ' Inspector KS, N, ,
1 ( FINAL SYSTEM INSPECTION AND APP (as i nstalled)
d i Call for Inspection (24 hours notice) Before Covering Installation
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k System Installer C 1{'ili. AA� C. ,N1). ( )'.) '' t
Y Septic Tank Capacity / i.nW d +
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Septic Tank Manufacturer or Trade Name c�4-l.
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Septic Tank Access with 8" of surf p
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Y c Absorption Area .1 - '4 o 0 / 1 Z g `7 Wit 1 1 7 - 1 ,p + '
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Absorption Area Type and /or Manufacturer or Trade Name k
: Adequate compliance with County and State regulations/requirements `) 1 I
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Date /(1' 71 JD `�+ 1
I nspector �C" ty pC ;
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At - RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 1 .
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• *CONDITIONS: t 1
± . 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.
1 ( 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- i`
• 1 nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a )
' .i requirement of the permit and cause for both legal action and revocation of the permit. ` i
F. 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material , t
t variation from the terms or specifidations contained In the application of permit commits a Class I, Petty Offense (8500.00 fine — 8 !.
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t ,.' months In fall or both). 3 i
" ' PPLICANT Yellow - DEPARTMENT