HomeMy WebLinkAbout20020412.tiff x
tr
.pS -,!* *,'!:!4!-- ,-.rf {�.
.`} a 1 •h P"34 te` L JI! 4 Y' ! '--,'-:*-04..0„,,t4,. .,=1,,,
-"- Y., '" r 4£
:. rtry :paw .:3 i5� .;.- _
'f -.- 1oA, •.
!«,,,,,,c„ t t }a § '°tom f 11 :f � }i����tl 1 11.1.;7'.-}� `�- �xi n • Itkr r it t ,� ..
J i A'jf �,�.444 i.l 'r. 9 i.C " � M ' .. 1 .�,,,,,Los.-Fs,„,,,,,;f .. 'ti .7v
IH IIaa !!,,77-447.47.70142;1"'a^^c'I.y li` t Is t!" '""' „'" <
yypyr k y k,i .d �y:�.G, /�� Ides 3 7,--.J.,,,,,- �y. " j • ...'*.-w
II
iii WA;Ja W v '''.777':1'7
�Mf i.. J .,L iN I 5. R 4.K" Y 44 •
o -ri,Y k.4* ,;;t:k '..L^''�u iy`yr }„ t' w 'r,`r•, S'7-'3i,—.t '.=sr y6t k: k .+? •
. a �ry3�{ r p /fit ( D i+'� 14 II • r �- . �, 1 K,��.' ,.
c:_,;,-..- -,--
," aF er4,:,sh„: t : s 5' ,�`-, rr�4 :,5X , ,r�IF ,� +s..",.-
�zE Ott 111 as ,ta. 4 �•4 Ate r
i"t "ZRi'^. >} Na t r ,4� I^t+ta..e .'". '',"..,??-,t.,' A^' +a .
fh tD w ? • Q 0 ? t
y`X r4 tJr, yY • [.r r kr !•i, W≥li a •'fir°.y. .n, ,li 1,
x
'5 • ti.{ .mot } M *:!i .., } 4 „
Date: 02/22/2002 1:58:50 PM
p• bVV o Yl I I a. „Is202/2002,
2_ 04,/a_
,.......
„. .
- -` x rstY
&1u.
‘6-uuu llC 1
WELD COUNTY DEPARTMENT OF( BLIC HEA LT AND ENVIRONMENT
1555 NORTH I7TH AVENUE
GREELEY, CO 80631
PHONE (970) 304-6415 FAX(970) 304-641 I
Permit #: G 19940470 Sec/Twn/Rng: ?? Status: FINAL
Owner: VAUGHN ARDITH Applied: 09/30/1994
Applicant: VAUGHN ARDITH Issued: 09/30/1994
Permit Type: C=Commercial, R=Residential + NEW, REPair,VauLT Finaled:
Parcel #: 1309-27-2-21-006 ��
Location: 15024 MARY AVE FT LUPTON CO 80621
Installer:
Description: MOBILE HOME TRACT 6
Commercial: N Residential: Y
# of Persons: I Basement Plumbing: N
# of Bedrooms: 3 Bathrooms: $1 .50
Water Public: Water Source:
Water Private: Cistern: Well: Well Permit #:
Percolation Rate: 12.7 % Ground Slope: 0
Soil Suitable: (Y/N) S
engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
Actual Installation
Septic Tank: 1000 gallons Absorption Trench: 0 square feet
Absorption Bed: 1350 square feet
Design Type:
NOTICE
The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor shall it act to
certify that the subject system will operate in compliance with applicable state, county and local regulations adopted persuant to Article 10,
Title 25, CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit
persuant to CRS 1973 25-10-I I I (2).
This permit is not transferable. 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 continuing basis. Final permit approval was contingent upon the final inspection of
the completed system by the Weld County Department of Public Health and Environment.
x
Environmental Health Specialist Date
Form:H_PLAN
EXHIBIT
A
" :11r..•:)c:: INDIVIDUAL SEWAGE DISPOSAL SYSTEM
/
WE::I...X) COUNTY HEALTH DEPARTMENT HEW PERMIT
E::NV:I:Iti(:)!'•Ih'I3:::1'•I-!'A1... {••Il:::A1...T'I-! Si:::Rr.':!:(:::1:::
1517 16TH AVENUE COURT, GiRl;:I::l...i:':'Y,. CO 00 631
::":.
353.0635 EX T.2225
..2;i:2
)WNE:I:;: VAL r.:•Il-u : ,^,RX):!:'r•l..I ADDRESS!:;.E::#:>S 7522
FT LUPTON CO 00621
^;X)X)I E::st:3 OF PROPOSED SYSTEM 15024 MARY A V E
FT I...1.IF 1 OIN CO B062J.
..E CAL DESCRIPTION OF SITE:::: ;.31:i:(:; ;';f 'T'WF:' 2 I•:i'iu 66
:3I.JX:D I:V:!S I(:)N: ARISTOCRAT I"ti ar•€(:`h•!!:::'TT'li::f: LOT 0 BLOCK 0 FILING
.JS3E:: TYPE:: RESIDENTIAL I'•IT':l:FlL.. MOBILE:)X:{:(:I...I::: HOME ' TRACT r a
i3E:F:V:1:(: I::S:3.1 PERSONS :I. BATHROOMS 1 . 50 LOT SIZE 1 .00 ACRES 11II ll(
BEDROOMS 3 BASEMENT PLUMBING NO WATER SUPPLY r',f::T`:i
`,I: h'I_. :CiAT':IOI'I FEE I?:<':'.r5::i„nt)
:I::C'X) BY (:I••IAX) YOUNG s:IG1NET:i BY i'`,1=: ):L'TH V UGH I
•
DATE ;)9,'30/9 J • DATE.:: 09/30/94
:: .. (A1 FIE ET
L:::1:iC;(:)I...F,'T'1:(:)I'•I RATE 2+� 4•t:l:I+1 1::'l:F� TI'I(:;hl Lim""f':I:!'•1Gi r'(:)1•IE:: D I €::.I::.T'
::3(:)2:1... TYPEPERCENT ilRO O
GROUND 5;31... .!::'!": r:'; DIRECTION
:E::(:flJ:1:l:::E::E: I::NG:I% irR DESIGN no .. {){) I /O....... N^
.._... I'l'•I 1 YEAR I::'!. (:iC)X) :::•I...r'y:I +! ONE !W._.....
',..:*ROM THE APPLICATION I...:I:CAT:I:ON INFORMATION SUPPLIED AND THE ON-SITE 1O:I:I... PERCOLATION DATA
fl-EE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS c)I\1;:3 ARE F{I::: :?i.J"!:F:;!:::1)I:
SEPTIC TANK Ion_ GALLONS, ABSORPTION TRENCH 19 _ sO. FT.
OR
ABSORPTION BED SC., F T
:II'•I ADD:I"i :I:cwitr.,`,: I::F::€:::I`'I:!:'T' I';:i ':;I..JI:�'rl:..CI. .i.C. r' Il::: F:' :it...l...(:11, i:€ !c ",DD:l:'T':I:;.. .,Ir`,I... T!: I::'ivl'' r>, ix:CONDITION 3:: bb .( -..JI.tu_5( Dil/.....�0..... ...k.... R(...:.11(2...� � "`` .. ...r� ...y' ! tl ,13150.'.6
• U
1141A. tow This i s !-•F•.I•I•!-{. , .s C.:ikFiNT I:: I i::.l'PC.[h+:rah•'.E.L..•r I .. i•"f I lJ" '0751 ! + '
MAY BE REVOKED '): SUSPENDED � .. .. ,.. i ! ..Jf�..(. ..(:i !(: !" 1 �.' r:- . ;-'.. '
X (.!:: :3I.J 3l''END!.;:X) BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS *7:ET
T
FORTH :IN THE: WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL'(:)SAL. S::`r•S. i E N REGULATIONS :',:l'ICL..I-J.(:%:s:i i:.:
FAILURE TO MEET ANY rIE:RE''I (:)1::: CONX):!:T:I:C)N IMPOSED THEREON DURING TEMPORARY OR r:!:!' A:...
APPROVAL. THE ISSUANCE OF THIS PERMIT X)t:)E::;:3 NOT CONSTITUTE ASSUMPTION BY THE
X)t::I'At:;:T'I'tC l!T' (:)t�: :1:'T'�3 I:::tYll::'1...(:)'YI:::E:::S:3 (:11::' €...:I:r=5X:i::1...:1:'T"Y' 1::('�f:: T I€I::: c::^ , ,
SEWAGE DISPOSAL SYSTEM. .I.{....... ...ii,.. t..l, INADEQUACY t ... THE
V oP1/1 Wit‘cikt
(� l::.!'•IJ.I.I.(:)€'•II Is::.l'•I I r-51... ::il::'E:(::2:r'1I...:l:c: ;' );r", !..:
THIS PERMIT IS I''•I(7T TRANSFERABLE AND S"ah4/11...I... BE::(:`(:)!*U:: VOID 3:I::' SYSTEM CONSTRUCTION r:!:ON €l::.
NOT COMMENCED WITHIN ONE YEAR (:1I" ITS ISSUANCE. F.,.:::I::'(:ORI::: ISSUING FINAL ,•tP;::Ri:)'•.:,:::i...
THIS I::'t:::I I1:I THE WELD (:'OI.JI••I'T Y HEALTH .DEPARTMENT X)tE:l�'AE:::TI'Il:I I RESERVES THE F:::l:(:I•�T' ''•l IMPOSE A::i:: :' •
-T:I:(:)NAL_ TERMS AND CONDITIONS REQUIRED T(:) MEET (:)I.JR REGULATIONS AT':I:(: 1•+S ON A CCI',••':TI NII.':I:'•- .::; B;'..,—
'•:`1:`S.. FINAL PERMIT APPROVAL(:)VfAI... IS CONTINGENT (.)!::'(:)INN THE FINAL :i:NSI::'!::CT'Ic: OF THE t::: COM—
PLETED.
!••'{...E T E:,I) +Yc,' (I«€•I BY THE WELD COUNTY HEALTH X)€::.!••'AR # €EIS!T .,
Hello