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Home My WebLink About20121237.tiff State of Colorado Water Resources - Well Permit Search Page 1 of 1 • �'JJJiJs1J i)1v1:.1i. i.i 41 JIr- rl ' r Available Search Options: Receipt 1! Permit Number U Owner ll location(PLSSa Location(UTM)11 Address 11 Parcel ID j Subdivisior_11 Actions 1 Number Suffix Rpl Permit Number 222813 (-) Additional Filters Limit to Geographical Area Umit to Use Limit to Status I` Search JLJI Search Hints 1 Result Receipt Permit Owner/Applicant Q40 Q150 Sec 15 RNG PM Subdi-visl4!] View 0453753 222813-- MARCY DEWEY NE SW 1 5.0N 65.0W S EXEMPTION NO 0961.01-3-Rf1251 Export Results Last Refresh:1/5/2012 12:01:32 AM Copyright©2009 Colorado Division of Water Resources.All rights reserved. G`Brh r 4ec'/4t SSE', I /[! �Zots mp INol/ L4-a, *IA--/2•'o-r 7o • 2012-1237 http://www.dwr.state.co.us/WellPermitSearch/default.aspx 1/5/2012 WATER SUPPLY INFORMATION SUMMARY • Section 30.28-133Jd1, C.R.S. requires that the applicant submit to the County,Adequate evidence that a water supply that is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED ='Eh/Ly ,01/9 RC 4) 2. LAND USE ACTION 1/5-72_ 3. NAME OF EXISTING PARCEL AS RECORDED ,Cc G'947 _ pe/as/ SUBDIVISION FILING BLOCK LOT 4. TOTAL ACREAGE o2 D., 3 5. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED O YES 6. PARCEL HISTORY - Please attach copies of deeds, plats or other evidence or documentation. A. Was parcel recorded with county prior to June 1, 1972? O YES 0 NO B. Has the parcel ever been part of a division of land action since June 1, 1972? O YES O NO If yes, describe the previous action 7. LOCATION OF PARCEL - Include a map deliniating the project area and tie to a section corner. 1/4 OF 1/4 SECTION / TOWNSHIP 5 ❑ N ❑ S RANGE 1 ❑ E PI W ,INCIPAL MERIDIAN: O 6TH 0 Ik.M. ❑ UTE ❑ COSTILLA PLAT - Location of all wells on property must be plotted and permit numbers provided. Surveyors plat 0 Yes O No If not, scaled hand drawn sketch ❑ Yes O No 9. ESTIMATED WATER REQUIREMENTS_ Gallons per Day or Acre Feet per Year 10. WATER SUPPLY SOURCE ❑ EXISTING ❑ DEVELOPED 0 NEW WELLS • WELLS SPRING PROPOSED AQUIFERS (CHEL7 Dee HOUSEHOLD USE # of units GPO AF WELL PERMIT NUMBERS ❑MURAL 0 UPPER ARAPAHOE ❑UPPER GAYBRN 0 LOWER ARAPAHOE ❑LOWER DAWSON ❑!AMMO FOX HILLS COMMERCIAL USE # of S.F. IlLite4 GPO AF ❑OBEYER ❑OAAOYA ❑GYRES IRRIGATION S of acres GPO AF STOCK WATERING A' of head GPO AF O MUNICIPAL WATER COURT DECREE CASE NO.'S O ASSOCIATION OTHER GPD AF ❑ COMPANY O DISTRICT TOTAL GPD AF NAME LETTER OF COMMITMENT FOR SERVICE ❑ YES ❑ NO 11. ENGINEER'S WATER SUPPLY REPORT O YES y' NO IF YES, PLEASE FORWARD WITH THIS FORM. (This may be required before our review is completed.) 12. TYPE OF SEWAGE DISPOSAL SYSTEM IIIISEPTIC TANK/LEACH FIELD O CENTRAL SYSTEM - DISTRICT NAME ❑ LAGOON O VAULT • LOCATION SEWAGE HAULED TO O ENGINEERED SYSTEM (Attach a copy of engineering daaign, O OTHER • WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW PROPERTY OWNER: Dewey Marcy PERMIT NO.: SP-0000227 (New) LEGAL DESCRIPTION: PT: SECTION: 1 TOWNSHIP: 5 RANGE: 65 SUBDIVISION: n/a LOT: BLOCK: FILING: SITE ADDRESS: Pending Hwy 263 .5 miles east of WCR 47, Greeley FACILITY: Commercial farm shop - 7 employees ACRES: 17.0 PERC RATE: <5.0 SOIL: Unsuitable WATER SUPPLY: Well LIMITING ZONE: At grade - sand/gravel XXX ENGINEER DESIGN (3.5) EXPERIMENTAL DESIGN (3.14) ENGINEER: Tom Cope, Total Engineering ADDRESS: • ESTIMATED FLOW: 459 G.P.D. PRIMARY TREATMENT: Standard tank CAPACITY: 1000 gallons DISPOSAL METHOD: Absorption bed SIZE: 748 square feet REQUEST FOR VARIANCE: STAFF COMMENTS: The system is adequately sized for the proposed load. The system will utilize replacement soil having a percolation rate of 30 minutes per inch. The system must be 100 feet from the well and irrigation ditch. STAFF RECOMMENDATION: Approval ENVIRONMENTAL PROTECTION SPECIALIST: Pam Smith REVIEWED BY BOARD: May 23, 2000 B.O.H. DECISION: APPROVED: { DENIED: TABLED: r ' Ben Slater, hairman 'I/7/7 e( Weld Coy ty Board of Health • M:IPAMUSDS{5-3boh.wpd WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, COLORADO 80631 • Vi PHONE (970) 304-6415 FAX (970) 304-6411 Permit #: SP-0000227 Sec/Twn/Rng: 01 05 65 PERMIT Owner: MARCY DEWEY AND JANE - Applied: 04/17/2000 Applicant: MARCY DEWEY AND JANE Expires: 04/12/2001 Permit Type: CNEW C=Commercial,R=Residential + NEW,REPair,VauLT Parcel #: 0961-11-0-00-091 Location: TBA HWY 263 1/2 M PAST WCR 47 01 05 65 Legal Desc: Description: FARM SHOP Commercial: Y Residential:N Acres: 17 # of Persons: 7 Basement Plumbing: N # of Bedrooms: 0 Bathrooms - Full: 0 3/4: 0 1/2: 2 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit Number: 222813 • r ry�; Percolation Rate x--�_)tC' Limiting Zone ft in DescriptionoitAO /(' U≤<E ( % Ground Slope Direction Soil Suitable (Y/N) 1L.` J "'Engineer Design Required (Y/N) \j.(`:i In 100 Year Flood Plain (Y/N) From the application information supplied and the on-site soil percolation data the following minimum installation specifications are required: Chambers Septic Tank [U'CC' gallons, Absorption Trench ' square feet or Absorption Bed 9� square feet )y- '1y7}n',+,�1addition, this permit is subject to the folio,{jl�.ing additional terms and L conditio9ts:r� 1 \)l�]t f,�.t,- l,`L.crllU.r\ /A�,�� .cl_f 'l,,,,„,. (ic,-„, ._, 1 1 ,Y ri,tht I It- 'lX^ t��rJ rlci A L I.0,3:A.C NOTICE This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in the Weld County Individual Sewage Disposal System Regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. This permit is not transferable. Before issuing final approval of this permit the Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuging basis. Final permit approval is contingent upon the fmal inspection of the completed system by the Weld County Department of Public •Health and Environment. This permit expires one year from the application date. Form:S_PERMr Environmental Health Specialist Date DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMEN 1555 N. 17TH AVENU O806 GREELEY,COLORADO 8063 • ADMINISTRATION(970)304-641 ' PUBLIC HEALTH EDUCATION AND NURSING(970)304-642 C FAX(970)304-641 O ENVIRONMENTAL HEALTH SERVICES(970)304-641 FAX(970)304-641 COLORADO May 31, 2000 Dewey and Jane Marcy 24576 Weld County Road 64 Greeley, Colorado 80631 RE: Individual Sewage Disposal System Permit No.: SP-0000227 Location: Pending address Dear Mr. and Mrs. Dewey: This is to inform you that your Engineer Designed Septic System has been reviewed by the Weld County Board of Health and approved. • Approved: A copy of the Weld County Board of Health I.S.D.S.Review Form and your I.S.D.S. Permit are enclosed. PLEASE NOTE THAT THE SYSTEM MUST BE INSPECTED BY A REPRESENTATIVE OF THIS DEPARTMENT AND BY THE DESIGNING ENGINEER. BEFORE THE SYSTEM CAN BE APPROVED FOR OPERATION. THE ENGINEER MUST CERTIFY TO THIS DEPARTMENT, IN WRITING, THAT THE SYSTEM HAS BEEN INSTALLED ACCORDING TO HIS/HER SPECIFICATIONS. Should you have any questions regarding your septic system, if you have any further questions please contact this office at(970) 304-6415. Sincerely, i Stephen J. Wiatrowski Environmental Health Services SJW/rb-1250 cc: Total Engineering, Tom Cope • Hello