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HomeMy WebLinkAbout03557 r , • t GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N2 3557 (� 109 8th Street Sulte 30 Assessor's Parcel No. • \ Glenwood Springs, Colorado 81801 Phone (303) 945 -8212 This does not constitute L INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. i. PRQPERTY \ jp �__� �` \ �y Owner's Name -� 1" 't'� h/ Present Address 3 �a $ Q2a I. )C 0 0 Phone 1 R 1 1;1 -) 't SyllemLocation31 ? t. Qot L 1l/ tRcAt a lI 1. r " % 1 Legal Description of Assessor's Parcel No. j f f t SYSTEM DESIGN 4 100 0 C' 4 Septic Tank Capacity (gallon) Other . + n < Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 U, VG i Required Absorption Area - See Attached I U1Dtla -y$1 14.04/K Lk (` D RCQ ` Special Setback Requirements: Date SA_ 01 Inspector t'^) a r, FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation • • i ' 1 . ; ; System Installer l 1za - tt - S \d1tLimt1r 4 co Septic Tank Capacity /000 c,4- n e Septic Tank Manufacturer or Trade Name ` �+r Septic Tank Access within 8" of surface �'� ' c- Absorption Area — . 14- - • . OU Y A _ . 'l^ rf' • Absorption Area Type and /or Manufacturer or Trade Name y / Adequate compliance with County and State regulations /requirements / /'�J y -�- (� Other e . c Date n • 16 O / Inspector ilac. - Al p , RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE s *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. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning oft ice shall automatically be a violation ors 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 ($500.00 fine -6 t. , months in jail or both). White - APPLICANT Yellow - DEPARTMENT r