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?7esa County Health Department Fi:P::IT for lion-Municipal IIIIIIIIIIIIII I <br />515 Patterson Ave. 92)~ Dis os System <br />Grand Junction, Colo. i;15J} sss <br />Construction Address y Z - /f/C~ Permit ,~ <br />.~~ 40 'C°l'k. <br />Subdivision/Location ~~~/' ~fj,~„1_~ Lot 31}:. Filing <br />Owners IJame ,~~j/~ e,~r~ o,-„~/~~~r„ Address Z~~~/o3?U <br />Septic <br />Type of Field V~PE ~~q,,,,_._Tank Caaacity gal. Aeration <br />DIET:;IBUTIOi] SYSTL'I <br />Length ft. X ldidt:r X Total depth ft. <br />~eptii of gravel ft. anti Cubic yards used <br />Use Trenches ft. long. each with f[. between each Trench <br />SPECIAL COriDZTIOidS: <br />This pere~it is issued with tine understanding that the sewage disposal <br />system will be located and constructed in accordance with the State <br />of Colorado and :Mesa County }Jealth Department Regulations. Tiris <br />-- -permit-is valid for 120 days and rust be available to the I?ealt <br />i~epartment F,epresenta 'ves upo ~e est during construction. <br />SYSTE??) ST ;;E ~P C" 'D I}I:FORL' LAP.T}J COVES . <br />PL ~II1' ISSUi;~ BY: Date: ~~-c~-~ <br />FINAL EY: Date: <br />