HomeMy WebLinkAbout20052063.tiff tom_ DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
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1555
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Greeley,,C0C 606 806311
Website: www.co.weld.co.us
Administration: (970)304.6410
11119 Fax: (970)304-6412
Public Health Education &Nursing: (970)304.6420
Q Fax: (970)304-6416
Environmental Health Services: (970)304-6415
COLORADO Fax: (970) 304-6411
March 16, 2006 S r"
AR_
Justin A. and Andrea Davis
65898 County Road 99
Grover, CO 80729
RE: Justin A. and Andrea Davis No: ISDS-06023
Permit No.: SE-0600025
On March 16, 2006 an evaluation of the existing individual septic disposal system at:
65898 County Road 99, Grover;
Section 32, Township 12, Range 60,
was conducted by Pam Smith, an Environmental Specialist of this department.
The existing individual septic disposal system is of sufficient size and capacity to adequately
handle the proposed load. This evaluation is based on a final treatment capacity for a 3 bedroom
residence.
Be advised, neither the County of Weld nor any of its agents or employees undertake or assume
any liability to the owner of the above property, to any purchaser of the above property or to any
lending agency making a loan on the above property or in the report.
This inspection was conducted for the purpose of determining compliance with current
regulations and for detecting health hazards observable at the time of inspection. This does not
constitute a warranty that the system is without flaw or that it will continue to function in the
future. Inspections requested during periods of snow cover and high soil saturation may be of
questionable value to potential buyers due to adverse conditions. Evaluations based on
Statements of Existing(S.O.E.)relies on information the property owner provides, under oath,
indicating current status of the system and representing to the best of his/her knowledge the
system is not failing to function properly.
If we can be of any further assistance,please contact our office at(970) 304-6415.
Sincerely,
Pam Smith
Environmental Health Specialist
form:pst73Appvd
Page 1 of 1
Jacqueline Hatch
From: Charlotte Davis
Sent: Tuesday, September 27, 2005 4:28 PM
To: Jacqueline Hatch
Subject: USR-1511
Jacqueline,
I am in receipt of information regarding the Waste handling plan for USR-1511. The applicants have provided the
information for the waste handler, but did not indicate type of wastes or chemicals that may be generated or
stored on site(items#1). I called Carol Davis today to inquire about items#1 . According to Carol the
only trash generated is household type trash and all equipment and vehicles are maintained off property.
Condition 1C has been satisfied and can be removed.
Questions or comments contact me below: Regards, Char
Charlotte Davis, MPH
Weld County Dept of Public Health and Environment
1555 N. 17th Avenue
Greeley, CO 80631
(970) 304-6415 x 2208
Fax (970)304-6411
09/29/2005
FAX TRANSMISSION
DEPARTMENT OF PLANNING SERVICES
Planning Division
NORTH OFFICE
918 10TH Street
GREELEY, CO 80631
jhatch@co.weld.co.us
PHONE: (970) 353-6100, Ext. 3540
W� Ci FAX (970)304-6498
SOUTHWEST OFFICE
4209 CR 24.5
COLORADO LONGMONT, CO 80504
PHONE: (720)652-4210, Ext. 8730
FAX: (720) 652-4211
To: Char Date: 9/13/05
Fax: 2183 Pages: 3
Phone: 2208
From: Jacqueline Hatch
Subject: USR-1511 Davis
COMMENTS:
Char,
The applicants dropped this off for USR-1511 the Davis's. It is there waste management plan.
Carol Davis can be reached at 303-995-4101 cell.
If you have any questions please do not hesitate to contact me.
Thanks
Jacqueline •
CONFIDENTIAL
This facsimile is intended only for the use of the individual or entity to which it is addressed and may contain information that is
privileged.confidential,and exempt from disclosure under applicable law. If the reader of this facsimile is not the intended recipient
nor the employee or agent responsible for delivering the facsimile to the intended recipient,you are hereby notified that any
dissemination,distribution,or copying of this communication is strictly prohibited. If you have received this communication in error,
please notify us immediately by telephone and retum the original message to us at the above address via the U.S. Postal Service.
Thank you.
September 9, 2005
To Whom It May Concern:
USR 1511
The property known as lot B of Recorded Exemption#3227 WCR36 is being serviced
by:
Waste Management—Fort Collins
500 E Vine Drive
Fort Collins, CO 80524
970-482-6319
Acct # 855-0904728-2534-9
Alan L Davis
I Page 1 of 2
�+ Custom' DAVIS, AL & CAROL
NVOICE Account mbar: 855-0904728-2534--9
WASTE MANAGEMENT Invoice Date: 09/'01/2005
WASTE MANAGEMENT - FORT COLLINS Invoice Number: 1246960-2534-3
500 E. VINE DRIVE Due Date: Due Upon Receipt
FORT COLLINS, CO 80524 WM ezPay Account ID: 00000-31799-04000
(970) 482-6319 Current Invoke Amount Total Amount Due
1-866-482-6319 • _._— .-_ _._—_.._ _
27.71 ,
APlease pay total amount due. Thank you for your
Description Amount business.
Previous Balance 2.45
. Total Credits and Adjustments 0,00
Total Payments Received 2.45-
Total Current Charges 27.71
Total Amount Due 27.71
Total Amount Past Due 0.00 PLEASE REMIT PAYMENT BY SEPT. 20. OTHERWISE, THERE
f v a . MAYBE AfJ INTERRUPTION 1N SERVICE.
: I '. SEPTEMBER SERVICE .'; .' r FUEUENVIRONMENTAL CHARGE WILL ADJUST WITH FUEL
COSTS.
Description Amount
Commercial 27.71
Total Current Charges 27.71
•
Want to pay this bill on-line? Go to www.wm corn to learn
more about WMezPay and make a convenient, secure
payment.
rki iM 1:. TAM , ; Qv* o., : , , lii4:IIIAr. 14 ,T . +AS tF !, .: A ii I- Total Rue
27771 0 00 .._ I_ —0.00 . 0.00 _—__.. . 0.00 -- ! 27.71
We keep From everyday collection to environmental protection,
Ill�i'1�� w Think Green, Think Waste Management.
clean. NASCAR`is a registered trademark of the National Association for Stock Car Auto Racind, lots.
Payment Coupon < i�ltt +Ili :i"I Waste Management
Please detach end encase this portion with your introduces W M eZPayt I
VIIIV�. 855-0904728.2634-9
payment- do not send cash. Pay your WM bill on-line
WASTE MANAGEMENT - FORT COLLINS r VIY014;04049 .,,.s .':. ! tisilii ,Iay tiumbe at www.wm.com.
500 E. VINE DRIVE '
FORT COLUNS.CO 80524 09/01/2005 1246960-25344 Paying by credit card?
{870) 482-0319 _ ff _ Please fill out the reverse
1-896-4820319 , y , 040.09tels T 't 3 15;Tt►M lilt ", ; , : kaltit #idd; „2:4 side of the Payment
•
I Upon Receipt 27.71
WilmerCoupon.
er Keep America Beautiful Vision Award for
jcivk, social and environmental stewardship j
2534855090472801246`1600000000277100000002771 9
001721801 AT 0292 "AUTO 760524280542-972814 CP22534C55 lloollililellsololietilltIlioliselelolilselsilliolloolliliiill
llaeblleeeelele,letlnlillo1.tleseleelillu,ltnelleliellle,el Please make WASTE MANAGEMENT - FORT COLLINS
DAVIS, AL & CAROL Check PO BOX 78251
3314 COUNTY RD 36 Payable To: PHOENIX AZ 860624251
MEAD CO 80542-0728
:?
Printed ea
FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ABOVE recycled paper.
I'M n
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, COLORADO 80631
PHONE (970) 304-6415 FAX (970) 304-6411
STATEMENT OF EXISTING SEPTIC PERMIT
Permit#: SE-0500015 Sec/Twn/Rng: 10-03-68 PERMIT
Owner: DAVIS ALAN L & Applied: 02/22/2005
Applicant: DAVIS ALAN& CAROL
Parcel#: 1207-10-2-00-057
Location: 3314 CR 36 MEAD
Legal Desc:
Description: HOUSE
Commercial: N Residential: Y Acres: 5
#of Persons: 2 Basement Plumbing: Y
#of Bedrooms: 4 Bathrooms - (Full): 1 (3/4): 0 (1/2): 0
Water Public: Y Water Source: LITTLE THOMPSON WATER DISTRICT
'Water Private: N Cistern: N Well: N Well Permit Number:
Septic Tank: 1000 Tank Material: CONCRETE
Absorption Trench: 948 sq. ft.
Absorption Bed: 0 sq. ft. Year Installed: 1972
NOTICE
The property owner/agent has certified by Notary Seal that the above described septic system is in fact installed as described,and
exists at this time on the parcel identified above by the parcel number and/or legal description,and further states that the system
IS/IS NOT in good working order and to the best of his/her knowledge IS/IS NOT failing to function properly.
The property owner/agent further understands that any falsification or misrepresentation may result in the revocation of any permit
granted based upon this information hereby submitted and in legal action for perjury as provided by law.
The Statement of Existing Record relies on information the property owner or his/her representative provides,under oath,indicating
current status of the system and representing to the best of his/her knowledge that the system IS/IS NOT failing to function properly.
Issuance of the Statement of Existing Permit for any system does not constitute assumption that the site was evaluated or inspected
during any phase of construction by this Department to meet re ations.
hi
Environmental Health Specialist Date
C``.
Form:S_EXIST
DETACH AND RETURN ABOVE STUB WITH REMITTANCE CYCLE 2 01609
Account# Service Address r M Billing Period ':r1/49ill Date Due Date TOTAL DUE
1609 3314 WC 36 01/21/04 to 02/20/04 I 02/20/04 03/15/04 24.65
Previous Current Ml usage Yr
Date Read Date P Read '' g Ago Cd Description Charge
PREVIOUS BALANCE 24.61
PAYMENTS THROUGH-01/27 24 .61
01/12 1205846 02/12 1212072 GAL 6226 7306 CU WATER 24.65
Ali IZ 64
Little Thompson Water District Current Charges 24.65
I TOTAL AMOUNT DUE $24.65
Previous balance due upon receipt.
*A 1' Penalty will be added on delinquent accounts .
"Yr Ago" = Previous year' s monthly usage for comparison.
NEW RATES-RESIDT 5/8"Base=$15 . 00/mo ARKINS 5/8"Base=$22 . 00/mo
r1.- 0-25 , 000 =$1 . 55/1000gals 1-25 , 000 =$3 . 00/1000gals
25 , 001-40, 000 =$1 . 95/1000gals 25, 001-40 , 000 =$3 . 40/1000gals
>40, 001 =$2 . 20/1000gals >40, 001 =$3 . 65/1000gals
Legend: Little Thompson Water District
Cd - Code 835 E. Hwy 56
CU - Current Use (gallons) P.O.Box G
MC - Miscellaneous Berthoud, CO 80513
CR - Credit (970) 532-2096
DETACH AND RETURN ABOVE STUB WITH REMITTANCE CYCLE 2 01609
Account# Service Address Billing Period Bill Date r:Due Date TOTAL DUE
1609 3314 WC 36 12/21/03 to 01/20/04 01/20/04 02/15/04 24.61
Previous Current
Date Read Date Read Multi '' Usage Yr Ago CO Description Charge
PREVIOUS BALANCE 22.54
PAYMENTS THROUGH-12/29 22 .54
12/09 1199648 01/12 1205846 GAL 6198 6982 CU WATER 24.61
)C---L I 3
2005-2063
Little Thompson Water District Current Charges 24 .61
Inspection information Sheet
VIOLATION: BCS-040141 STATUS: FINALED
DESCRIPTION: 3500 SF EAGLE SPAN STRUCTURAL STEEL BLDG ON CONCRETE SLAB
W/STEM WALL - INCLUDES C-METER ONLY - FOR PERSONAL STORAGE
- FUTURE BUILDING SITE
BASE INFORMATION:
PARCEL NUMBER: 1207-10-2-00-058
LEGAL DESCRIPTION: PT NW4 10-3-68 LOT B REC EXEMPT RE-3227(.15R)
OWNER: DAVIS ALAN L & CAROL J
OCCUPANCY: 28
LOCATION: 3270 CR 36
APP TYPE: NRES CLASS CODE: 328B ZONING DIST: AGRICULTURAL
INSPECTIONS:
Item: 00001 SETBACKS
05/27/2004 By: FP Action: AP
Item: 00002 FOOTING/CAISSONS
05/27/2004 By: FP Action: CO Comments:
CORRECTIONS BEFORE FOOTER POUR
1. SECURE ALL REBAR IN PLACE MAINTAIN 3" COVERAGE TO
DIRT#4  PADS
05/28/2004 By: FP Action: AP
Item: 00003 C METER
05/17/2004 By: BR Action: AP
Item: 00005 REBAR
06/07/2004 By: BR Action: AP
Item: 00008 U/G ELECTRIC
02/08/2005 By: BILL Action: AP
Item: 00010 ROUGH ELECTRIC
02/08/2005 By: BILL Action: AP
Item: 00017 FRAMING
02/08/2005 By: BILL Action: AP
Item: 00021 FINAL ELECTRIC
02/08/2005 By: BILL Action: AP
Item: 00023 FINAL APPROVAL
02/08/2005 By: BILL Action: AP
printed:August 9,2005
form:inspinfo
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