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<br />/ ~ 7 PERMIT # <br />~-"' - SAN JUAN BASIN HEALTH UNIT <br />DURANGO. COLOf7AD0 <br />3803 NO. Maln Ave. ~, o. •os ~.o +[~c~wowc a•+•s~oz <br />9,3D, ~x~~ h~f ~ a,,.a,na <br />a••~svo. <br />APPLICATION AND PERMIT TO INSTALL CONSTROCT ALTER. OR REPAIR INDIVIDO i. SWAGE SYSTE_w <br />PERHIT EXPIRES 120 DAYS PROM ISSDANCE <br />OWNER OR SPONSOR: <br />MAILING ADDRESS: <br />ADDRESS OF SITE: <br />PARCEL NUMBER: <br />GENERAL INFORMATION: SEPTIC TANK:~o?X <br />1. Livinq units C~~ptiG[~ia~ iquid capacity /A~(~E: Mat. G~7 tP~G(~ <br />2. Number of be rooms <br />3: Number of bathrooms sxTeNDSD AERl1TION: <br />4. Automatic laundry L/~_ 1. ity _ <br />5. Garbage dis opal ~G $. 2. Final tr <br />6. Lot size ~ 3~~~~ •F-r`_t subsurface rge <br />7. Water supply ~~- b. surface discharge <br />' O, ~~/~ ' SOBSORFACS DISPOSAL: <br />8. Percolation rate ~~ ~ o <br />9. Soil profile '~' . Bed 70~{~Lines ~ Len th~6 /~ <br />~~~ /~~ Width /iTr DepthCover 1 t -I" <br />ii <br />10. Bedroc depth ~' <br />11. Water table depth ~ GOON' c3O <br />Bottom <br />COMMENTS: Slop <br />~ Gls~ S~/Sed,.~l~ yo" f~ ro~ti o n s-~re~ sides o~ es ~-q~ <br />~A.M../Q~~7 .~~Min R~fl! ~'h/~O~t9~ G~r~~/C w~J~~Qi2k/kQ Q~r~ <br />~ /~I ~ta.•~•,. ~o'~« run on .ei-~~l ~v side, o~ p a~a 1~e~ rra.-~rv /i., ~ <br />;~ cross/ ~,-f-h S~~• g0 ov .s~e~ cre~e~si~ erc~05/~~ S~ `/O, <br />v~o~iz ra¢i .$c1~ ~/O f/,rocry~i f~~C'r.,~vPi+~" ovPiv ~i7~cli~'. /~ <br />/lilah,~~ So p// .Oe-{~au(G .~-O~J/Ea c/i ~'/e~c~ fo r+o~~f•~ l rr~i(9a~oti . ~../U- ~1~. <br />AGREEMENT: ~ LJ ~Mw ~~~~ S ~(.I ,~/(tJ 0 7` ~CG~~U fO G7'/~ /t/IOD~//U •'t al~ <br />This system 1 ~~(~1S~s~ruc ed in a or~danc~ wir~i~~above specifications and re/qula- <br />tions governing individual sewage dispo1 s'al systems of the S n Juan Ba si"n~"Heal t~h._De)p t(J~.~j7 'l <br />DATE: ~ / APPLICANT: y • ~~ ~ a ~,/r,(~jM~•~apY//..n.~/ / /d"/ '~J <br />The pla s a d specifications as shown are approved, pending payments of fe . <br />c iatvyc <br />INSTALLED BY: SANITARIAN ~ •J <br />PERMIT FEE: 5 ~~ RECEIVED HY !.t>~ ~ DATE: I7 ~~ <br />A PINAL INSPECTION IS REODIRED ~r ~ ~ / ~ ~~~ <br />Location of tank/control panel <br />The above system has been inspected and found to comply with the plan and description. <br />SANITARIAN: DATE: <br />~ S / C// C~ YC i / olLJ <br />