HomeMy WebLinkAbout20040755 )
I
ea CENT AL WELD COUNTY WATER DISTRICT PLEASE RETURN THIS STUB WITH PAYMENT --
PLEASE MPHE
cEEcrc Sx�' ts.3 'kega,.o. !J.,u�i-s.
pavaREE To-� 2235 2nd Ave. Ph.352-1284
�` G[eeleY.Colorado 80631 t i :50 4
Illllll^!!Joao
SPII
RECD AU G-0
BILL I ICArC
- REC1P AUG F I 2003 A /ACCOUNT R • -( RC
0501000 ( i G016
E EYED PROJECT PROCESS VENDOR#
EACE 0 OPERATE a 5
PER., 1000 GALLONMIEMMI «,
_ six szm TOLI
UP# VOUCHER ADDRESS LOCATION
;,.f _ t.. iz:l Qvui3m
CATEGORY
DESCRIPTION >
APPROVED BY DATEBj—u
Rusty Ha kin
1 a j3 16'.: t mac., ,( rt 00 1.',j 7 3 :• ,.It :
SERVICE
Ij$ ADDRESSD
1 00 ]
SERVICE
A0DRE55 - t M.f. J. AVENUE
.F•d'.)ill.
A
I ..
ii
Sc-'
C
There is currently an open permit for the installation of the septic system. Once that permit is
closed and approval received from the Department of Public Health and Environment, that
information will be provided to the Department of Planning Services. The current permits are
attached.
10/15/03 WED 13:04 FAX 970 376380 DUKE ENERGY - PAUL PA$x. J 002
I••! F'"•O6I" INDIVIDUAL_ SEWAGE DISPOSAL SYSTEM PERMIT ' 911OO11
WELD COUNTY HEALTH^ A tTH DEPARTMENT REPAIR PERMIT
ENVIRONMENTAL HEALTH SERVICES
1517 16TH AVENUE COUR'T', GF;EELECY„ CO SO631
333-O635 EXT. 225
•
OWNER ASSOCIATED NATURAL GAS ADDRESS 1324 MOTH 7TH
(,REE.LEY _':C? 806,=i
ADDRESS ES OF PROPOSED SYSTEM 3OO9 W 49TH ST
GREELE Y CO SO631
L..EG!'??.. DESCRIPTION• yl. OF SITE: SWW4 SEC: 2S 'rWP S RNG 66
SUBDIVLOT 0 BLOCK 0 F• XL..IHL3 0
Itimgruet
USE TYPE: CONTROL ROOM
SERVICES: PERSONS 10 BATHROOMS 1 .00 LOT SIZE 5.00 ACRES
BEDROOMS 0 BASEMENT PLUMBING NO WATER SUPPLY CWCWD
APPLICATION LEE $125,.00
RCC'D BY
CINDY :'}AL!AZAR SIGNED B1' LARRY L..C1B!•!Fi'Y E:R
DATE O3/OS/94 DATE O3/OS/94
r' :Fti(:r(:1L..r:•r :I:C1i••! RATE 100,0 MIN PER INCH LIMITING ZONE 2 FEET
SOIL. TYF'E UNSUITABLE F'L:i:CC::N-r GROUND SLOPE :';, DIREC;-r:r.Ohl
REQUIRES ENGINEER DESIGN YES IN 100 YEAR rump PLAIN ZONE NO
F'ROr1 HE. APPLICATIONINFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE: REQUIRED:
SEPTIC" TANK 1.000 GALLONS, ABSORPTION TRENCH SO. FT.
DR
^ ABSORPTION BED 700 SO. F T„
It- )DIT:i )H., THIS PERMIT IS SUB.:TE:CT TO THE FOLLOWING ADDI'r!TONAL. 'rERi*IS AND
TH X s PERMIT IS GRANTED Y'E."lF'ORAR:CL..Y TO ALLOW CONSTRUCTION TO COMMENCE. THIS I••'i:-:F M I'T
1AY D1= REVOKED I::!R SUSPENDED ;'r THE WELD COUNTY HEALTH LE.F'rilwTmF.'N T !"'O�: tic;:r-:,.}�...' REASONS N .� -<?:::'r'
:or. i I..I IN THE WELD COUNTY INDIVIDUAL.. SEWAGE: 1)XSaRC SAL SYSTEM REGULATIONS µi,JLATIONiS'; INCLUDING
i�.:l:!...! RF TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING' �TEMPORARY (:1R FINAL
-:F•F''F:OVAL. THE: ISSUANCE Or THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE
:' :PARTIiE:ia•r OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF T'i-sE
:iE.WAf:E DISPOSAL SYSTEM.
'TOLL, :JEFF 03/22/94
ENVIRONMENTAL AL wF•i:c,r';LTS'r DATE
E
IH:I:;:i PERMIT IS NOT TRANSFERABLE AND 3HAL..L. BECOME: VOID IF SYSTEM CONSTRUCTION I-i HAS
•IU^ COMMENCED WITHIN Tl••II1 I ONE. YEAR OF ITS ISSUANCE. BEFOt":F:. ISSUING FINAL L APPROVAL Or.:
ri-i:c s PERMIT THIN WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI-
TIONAL! ION•'-IAL,. TEEMS AND coN;arT'Ioi s REQUIRED TO MEET OUR REGULATIONS Om F: co tr:r.'-II_LNG k<F'i....
A:S, FINAL PERMIT AF'!'ROVAL. �-
:r•`-T CONTINGENT hlT L.1F'Ciht THE ^:rN!':L, INSF4',:;'r.T,EIN or .T.HI::: i::;:li*I-••
I...E rI D SYSTEM BY THE WELD COUNTY !-IETAL-rl••t DEPARTMENT.
3 r
:`.iTt::,lri :INSTALLER
�
F:r! ENGINEER
Yi E SYSTEM INSTALLED . _ _ _•
. . _._..._......
... ...., ENVIRONMENTAL.... c I:(:7Iiv....::";•
-HE ISSUANCE OF THIS PERMIT DOLES NOT ii'iri...Y COMPLIANCE ' ti i
,�., � Il LOCAL REGULATORY .-.!t. WITH OTHER ;; ' COUNTY
.r
..•, : 4 . BUILDING REQUIREMENTS, SHALL r T 0 CERTIFY -•,..FI 'f,ixi�ti.:��•r• SYSTEM WILL :" ;.....r•. : ]:F'Y' THAT
OPERATE E IN COMPLIANCE LIANCE WITH APPLICABLE STATE.
•.411,_. .,... REGULATIONS ADOPTED �•, .I. H r~11�. L..1:[:.N..,..._t. ~ 1
A3X'r !ED F'Ii RSUA ARTICLE O TITLE COUNTY t,i•II.
XC;F�:i�''T• F!71,• THE PURPOSE .; #�i7' '1.O �'•:•!=;1 W....._ 3. ry i .. L.1": �,�,: CRC1977. �� AMENDED,
• AS
UR OSE cx ESTABLISHING r BL IS IF•G FINAL APPROVAL •,...,.,_
.e:s":ilJ,at'�IC,r. .r.. ! � or AM INSTALLED :—:'`;SYSTEM I...C�i�;
i.i A LOCAL is GC'LJi�'Al-CY PERMIT r`J1-:;:sL.AN1 Ti.' ' 1973 G
..,,-::••••1, .-.• -•• ... '
•
' F .. CAH r COF'! - WC.I"
10/15/0.3 WED 13:05 FALL 970 37$.,,6380 DUKE ENERGY - PAUL PAN 2003
± S •1, 6P INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G-91027;
91O2
WELD COUNTY HEALTH DEPARTMENT NEW PERMIT
ENVIRONMENTAL HEALTH SERVICES
1517 16TH AVENUE COURT, GREELEY , CO 80631
353-0635 EYT 2225
OWNER ASSOCIATED NATURAL GAS ADDRESS S005' WET •49TH ST, PH (303) 356-5-
GREELEY CO 80631
ADDRESS OF P'ROP'OSED SYSTEM 3009 WEST 49TH ST
GREELEY CO 80631
LEGAL DESCRIPTION OF SITE : 5W4 SEC 25 TWI' 5 RNG. 66
SUBDIVISION: LOT 0 BLOCK 0 FILING 0
USE TYPE COMMERCIAL CONTROL ROOM
SERVICES : PERSONS 10 BATHROOMS 1 .00 LOT SIZE 5.00 ACRES
BEDROOMS 0 BASEMENT PLUMBING NO WATER SLIF'F'! Y CWCWD
APPLICATION FEE S150.00
RLC ' L) BY CINDY SALAZAR SIGNED BY DELBERT THOMPSON
DATE 01 /17/91 DATE 01 /17/91
PERCOLATION RATE 140.0 MIN PER INCH LIMITING ZONE Z FEET
SOIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION
REQUIRES ENGINEER DESIGN YES
FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED :
SEPTIC TANK 1000 GALLONS, ABSORPTION TRENCH SQ. FT.
DR
ABSORPTION BED 475 SQ. FT.
IN ADDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND
: --_-
THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS FERMI
MAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT 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 DY THE
DEPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
SEWAGE DISPOSAL SYSTEM.
-1-C dk r, 12 - y - ?/ C PAM SMITH 05/8/91
ENVIRONMENTAL SPECIALIST DATE
THIS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF
THIS PERMIT THE, WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI-
TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA-
SIS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION 0r THE COM-
PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT.
SYSTEM INSTALLER _..1_,414e Cam FINAL INSF TI DATE W41(___
E `'TEM ENGINEER ., t . $lr11, APPROVAL
TYPE. OF SYSTEM INSTALLED 240r.
ENVIRONMENTAL S'P'E=CIAL,?c1_-^
THE ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE , COUNTY
OR LOCAL REGULATORY OR BLLLLDING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT
THE SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND
LP-- 1_ REGULATIONS ADOPTED PERSUANT TO ARTICLE 10 , TITLE 25, ERS 1973, AS AMENDED
E>. _PT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL. OF AN INSTALLED SYSTEM FOR
ISSUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 75-10-111 ( 2) .
ORIGINAL.--APPLICANT; COPY-WCHD WCHD-EHS MAY, 1984
Hello