HomeMy WebLinkAbout20000105 DEPARTMENTOF PUBLIC HEALTH AND ENVIRONMENT
1555 N. 1AVENUE
GREELEY,COLORADO 800631
ADMINISTRATION(970)304-6410
PUBLIC HEALTH EDUCATION AND NURSING(970)304-6420
O
FAX(970)304-6416 ENVI RONMENTALHEALTH SERVICES(970)304-6415
FAX(970)304-6411
COLORADO
November 15, 1999
Phil Brink
EnviroStock, Inc.
1597 Cole Boulevard, Suite 310
Golden, Colorado 80401
Subject: Ray-GIo Holsteins, USR #1245, Dust Abatement, Fly Control, and Odor
Control Plans
Dear Mr. Brink:
The Weld County Department of Public Health and Environment (WCDPHE) has
reviewed the Dust Abatement, Fly Control, and Odor Control Plans for the Ray-GIo
Holsteins dairy. The Plans were submitted in a comprehensive document titled
Management Plan for Nuisance Control, dated October, 1999. The Plans were
submitted to fulfill conditions of approval 2(C), 2(D), and 2(E), of USR #1245.
The WCDPHE has found all three (3) Plans to be adequate as submitted.
If you have any questions, please do not hesitate to call me at (970) 304-6415,
extension 2209.
Sincerely, U7 V-eXt
Trevor Jiricek, MAES
Supervisor
Environmental Protection Services
tj\cafo\RAYGLO
7 cc: Sheri Lockman, Weld County Planning Department
Raymond Anderson, Ray-GIo Holsteins
6Y ar arm 2000-0105
01- t 0-9oov PL /333
F �- \con utct
1597 Cole Boulevard, Suite 310
Golden, Colorado 80401
NVI RO Phone (303) 238-3501
Fax (303) 238-3504
TOCK,f .
Monday, November 01, 1999
Trevor Jiricek /cid County Planning f ;p
Weld County Dept. of Public Health& Environment NO v 1999
1555 North 17th Ave. 3
Greeley, CO 80631 E C g-
iliprs
Subject: Manure and Wastewater Management Plan for Ray-Glo Holsteins, USR# 1245
Dear Trevor:
Weld County Board of Commissioners approved Ray-Glo Holsteins' Site Specific Development
Plan and Use by Special Review Permit# 1245 on October 20, 1999. The Board's Resolution
does not require that any additional items or changes be added to the Manure and Process
Wastewater Management Plan (MMP) that was originally submitted to your office on August 20,
1999. A copy of the MMP was submitted to Derald Lang of the Colorado Department of Public
Health and Environment on October 21, 1999.
The existing wastewater pond was built in 1994. Samples of the liner were recently collected
and are being analyzed by a professional engineering firm to insure the liner is adequate to
comply with state Confined Animal Feeding Operation regulation requirements. Results from
this analysis will be forwarded to the Weld County Department of Health and Environment, and
the Colorado Department of Health and Environment.
Ray-Glo Holsteins has not initiated construction of the new wastewater retention structure. Prior
to and following construction, geotechnical sampling and testing will be conducted to insure the
new wastewater pond is designed and built in accordance with the criteria described in the CAFO
regulations, including professional engineer certification of the liner. Sampling and testing
results will be forwarded to the Weld County Department of Public Health and Environment and
the Colorado Department of Health and Environment.
USR#1245 Development Standard No. 20 requires that"Dust suppressant shall be placed
adjacent to the homes directly across from the main entrance to the facility (south access) and a
portion of the main access. Dust suppressant shall be placed as needed and shall be applied at
least 150 feet beyond each residential structure." The facility's Nuisance Management Plan has
been amended to include this requirement and is attached for your review.
Serving Environmental Needs of the Livestock Industry
There are four septic systems associated with this Special Review Permit. Three are residential
systems and one is a commercial system serving the milking barn. As required,the milk barn
septic system, Permit No. G-940493 has been inspected and certified by a Registered
Professional Engineer. Copies of the I.S.D.S permit form, design flow calculations, and engineer
certification are included. The septic system associated with the home at 33796 WCR 57 is
already permitted and a copy of the permit, approved 9-17-1980, is included. Statement of
Existing Use forms, and filing and inspection fees for the two unpermitted septic systems have
been submitted to the Weld County Department of Health and Environment (copies attached).
The dairy would like to satisfy the terms of the Board Resolution and record their plat as soon as
possible. Please review the attached Nuisance Management plan, septic system information, and
your file copy of the MMP at your earliest convenience and let me know if any additional
information is needed by WCDPH&E prior to approval.
Sincer
hill() Brink
Environmental Analyst
C: Raymond Anderson, Ray-Glo Holsteins
Lahrsai-beekrnan, Weld County Department of Planning Services
Encl: Ray-Glo Holsteins Nuisance Management Plan
Septic System Permits, Statement of Existing Use forms
Serving Environmental Needs of the Livestock Industry
Ray-Glo Holsteins
Envimstock, Inc—5005-01
Management Plan
For
Nuisance Control
A Supplement to the
Manure & Process Wastewater Management Plan
for
Ray-Glo Holsteins
33796 WCR 57
Gill, Colorado 80624
Developed in accordance with
Generally Accepted Agricultural Best Management Practices
Prepared By
NVIRO
TOCK,L.
11990 Grant Street, Suite 402
Denver, Colorado 80233
October, 1999
"Serving Environmental Needs of the Livestock Industry"
Ray-Glo Holsteins
Envirostock, Inc—5005-01
Table of Contents
Introduction 3
Legal Owner, Contacts and Authorized Persons 3
Legal Description 3
Dust 4
Odor 5
Pest Control 6
Insects and Rodents 6
References 7
'Serving Environmental Needs of the Livestock Industry'
Ray-Glo Holsteins
Envirostock, Inc—5005-01
Introduction
This supplemental Management Plan for Nuisance Control has been developed and implemented
to identify methods Ray-Glo Holsteins will use to minimize the inherent conditions that exist in
confinement feeding operations. This supplemental plan outlines management practices
generally acceptable and proven effective at minimizing nuisance conditions. Neither nuisance
management nor this supplemental plan is required by Colorado State statute or specifically
outlined in the Colorado Confined Animal Feeding Operations Control Regulations. This is a
proactive measure to assist integration into local communities as required by Weld County
Zoning Ordinance, Section 47 -Livestock Feeding Performance Standards. These management
and control practices,to their best and practical extent,will be used by Ray-Glo Holsteins.
Legal Owner, Contacts and Authorized Persons
The legal owners of Ray-Glo Holsteins are Raymond and Kevin Anderson
Correspondence and Contacts should be made to:
Raymond or Kevin Anderson
33796 WCR 57
Gill, Colorado 80624
(970) 351-0949
The individual(s) at this facility who is (are)responsible for developing the implementation,
maintenance and revision of this supplemental plan are listed below:
Raymond Anderson Owner
(Name) (Title)
Kevin Anderson Owner
(Name) (Title)
Legal Description
The confined animal feeding facility described in this NMP is located at:
The NW 1/4 of the NW'''A, and the N'A of the N' of the SW'/, of the NW'/o of Section 14,
Township 6 North, Range 64 West of the 6th principal meridian, Weld County, Colorado.
"Serving Environmental Needs of the livestock Industry"
Ray-Glo Holsteins
Envirostock, Inc—5005-01
Air Quality
Air quality at and around confined animal feeding operations is affected primarily from the
relationship of soil/manure and available moisture. The two primary air quality concerns at
dairies are dust and odor. However,the management practices for dust or odor control are not
inherently compatible. Wet pens and manure produce odor. Dry pens are dusty. The two
paragraphs below outline the best management practices for the control of dust and odors that
Ray-Glo Holsteins will use. The manager shall closely observe pen conditions and attempt to
achieve a balance between proper dust and odor control. Additional reference information on
odor and dust control as guidance to the dairy manager is attached in section "References".
Dust
Dust from pen surfaces is usually controlled by intensive management of the pen surface by
routine cleaning and harrowing of the pen surface. The purpose of intensive surface management
is twofold; to keep cattle clean and to reduce pest habitat. The best management systems for dust
control involve moisture management. Management methods Ray-Glo Holsteins shall use to
control dust are:
1. Pen density
Moisture will be managed by varying stocking rates and pen densities. The animals wet
manure and urine keep the surface moist and control dust emissions. Stocking rates in new
portions of the facility will be managed to minimize dust.
2. Regular manure removal
Ray-Glo Holsteins will conduct regular manure removal. Typically, manure removal and pen
maintenance will be conducted several times per month.
3. Water Trucks
Should nuisance dust conditions arise, water tanker trucks or portable sprinkling systems
will be used for moisture control on pens and roadways to minimize nuisance dust
conditions.
4. Dust Suppressant
Dust suppressant shall be placed as needed adjacent to the homes directly across from the
main entrance to the facility(south access) and a portion of the main access. Dust
suppressant shall be applied at least 150 feet beyond each residential structure.
"Serving Environmental Needs of the Livestock Industry"
Ray-Glo Holsteins
Envimstock, Inc—5005-01
Odor
Odors result from the natural decomposition processes that start as soon as manure is excreted.
The process continues as long as any usable material remains as food for microorganisms living
everywhere in soil,water and the manure. Odor strength depends on the kind of manure, and the
conditions under which it decomposes. Although occasionally unpleasant,the odors are not
dangerous to health in the quantities customarily noticed around animal feeding operations and
fields where manure is spread for fertilizer. Ray-Glo Holsteins will use the methods and
management practices listed below for odor control:
1. Establish good pen drainage
Dry manure is less odorous than moist manure. The dairy will conduct routine pen cleaning
and surface harrowing to reduce standing water and dry or remove wet manure.
2. Regular manure removal
Reduce the overall quantity of odor producing sources. The dairy will conduct routine pen
cleaning and harrowing several times per month
3. Composting
Composting destroys odor-causing bacteria,pathogens and weed seeds, and is an excellent
method of recycling manure into a clean,valuable product. It also reduces total manure
volume by approximately 50%.
4. Reduce standing water
Standing water can increase microbial digestion and odor producing by-products. Proper
pen maintenance and surface grading will be conducted by the dairy to reduce standing
water. The stormwater ponds will be dewatered regularly in accordance with the Manure
and Wastewater Management Plan for Ray-Glo Holsteins. No chemical additives or
treatments of the stormwater ponds for odor control are planned. Research to date indicates
poor efficacy, if any, of these products.
5. Land application timing
Typically air rises in the morning and sinks in the evening. Ray-Glo Holsteins will consider
weather conditions and prevailing wind direction to minimize odors from land application.
Typically,land applications will be timed for early mornings.
If Weld County Health Department determines nuisance dust and odor conditions persist, Ray-
Glo Holsteins will increase the frequency of the respective management practices previously
outlined such as pen cleaning, surface grading and pen maintenance. Additionally, if nuisance
conditions continue to persist beyond increased maintenance interval controls, Ray-Glo
Holsteins will install physical or mechanical means such as living windbreaks and/or solid
fences to further minimize nuisance conditions from dust and odors.
'Serving Environmental Needs of the Livestock Industry'
Ray-Glo Holsteins
Envirostock,Inc—5005-01
Pest Control
Insects and Rodents
Insects and rodents inhabit areas that 1)have an adequate to good food supply and 2) foster
habitat prime for breeding and living. Key practices Ray-Glo Holsteins will use to manage
insects and rodents are to first eliminate possible habitat and then reduce the available food
supply.
Ray-Glo Holsteins will control flies by:
1. Regular manure removal
Manure management removes both food sources and habitat
2. Reduce standing water
Standing water is a primary breeding ground for insects
3. Minimize fly habitat
Standing water,weeds and grass,manure stockpiles,etc. are all prime habitat for
reproduction and protection. Reduce or eliminate these areas where practical.
4. Weeds and grass management
Keep weeds and grassy areas to a minimum. These provide both protection and breeding
areas.
5. Minimize stockpiles or storage of manure
Stockpiles of manure provide both breeding and protective habitat. Keeps stockpile use to a
minimum.
6. Biological treatments
Parasitic wasps are excellent biological fly control and are widely used. The wasps lay their
eggs in fly larvae hindering fly reproduction.
7. Baits and chemical treatments
Due to environmental and worker's safety concerns, chemical treatments are a last line of
defense for insect control. However,they are very effective. Baits and treatments must be
applied routinely.
Rodent control at Ray-Glo Holsteins is best achieved by minimizing spillage of feedstuffs around
the operation. Good housekeeping practices and regular feedbunk cleaning, site grading and
maintenance are used to reduce feed sources. Rodent traps and chemical treatments are effective
control methods and will be used as necessary.
In the event Weld County Health Department determines nuisance conditions from pests such as
flies and rodents persist, Ray-Glo Holsteins will initially increase the frequency of the
housekeeping and management practices outlined previously. If further action is necessary, Ray-
Glo Holsteins will increase use of chemical controls and treatments, such as fly sprays, baits and
Rodendicide for pest control.
"Serving Environmental Needs of the Livestock Industry"
Ray-Glo Holsteins
Envirostock, Inc—5005-01
References
These references are provided as a resource to Weld County Health Department and Ray-Glo
Hdlsteins for making nuisance control decisions for the facility. These references represent the
latest and most modem management and scientific information to date for control of nuisance
conditions for the livestock feeding industry.
'Serving Environmental Needs of the Livestock Industry'
10:213'99 14;57 Fig 979 304 6498 WELD PLANNING [1003
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, waP,; ' WELD COUNTY HEALTH DEPARTMENT • • SE It ' "
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th ' ENVI 'MENTAL PROTECTION SERVICES ORG PERMIT#
ki1 ,�y,�! 1517'h.rtl AVENUE COURT- •-_i REPAIR*,, .AA! ., • •GREELEY,COLORADO.00931 " LOAN# • •
ISPe+rrnu - PHONE: (870)353-0533 • ' . • ISDS# -•
• FAX: (970)356.74866, • •
STATEMENT OF EXISTING FOR SEPTIC sits. •
• . (PLEASE FILL•OUT IN .
pARCVJS-. ORfhl'f00000I . '.
• PROPERIYOWS PHONE 14
MAILING ADDRESS 33741 . WCa S7 • •: -GILL GO I0b z•tt `. .
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DESCRIPTION OF WHIMNG(es. bons mobile/modglar home,limp,office) HO US EA 1. - .
swabcATIONADDREss ''SAME - •A5 .4 t/ '-:. •
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• LEGAL DESCR•IFflON . PT • _;ig' NW SECTION SECTION' • . TOWNSHIP ' 6 RANGE. 17-�
SUBDIVISION • —NA-- LOT-NA- . BLOCK -NA- FII1NGJ ,
CENCUS TRACT. . —NIA ' LOT SIZE/ACRIES NA- '. . • •
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•CO• MbERQAL YES NO RESIDENTIAL a s S O . • .-
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N JMBER ay PERSOi 4,r j, . LIIMBINGA L—
• BEDROOMS BATHROOMS FULL_S___ '�4 , ]!1 1•• •
. WATER SUPPLY PUBLIC vrathi.NaNOETA WELDcCWUNTY jWA1PZ DISTR :T
PRIVATE $ C WELL YES INO WELL PE121VIIT# -7NNA"- : ' .
SYSTEM SIZE: Septic tank material is constructed of CONG$E!E and has ' 4(160 gallons capacity.
FIELD: Trench 3 W __square feet or Bed • - square feet • YEAR INSTALLED 1416.6
•
•
You are required to draw a diagram of the system on the reyerseside of this form in black ink only and indicate
location,length,width,and distance from the dwelling. • . .
' The undersigned property owner hereby certifies that the above described septic system is In fact installed,as
•
described,and exists at this time on the parcel of ground identified by the above legal ption and further states
'that the syste no' in good woridng order and to the best of his/her knowledge not g to function
. proper
I further understand that any falsification or Misrepresentation may result in revocation of any permit granted based
upon this information hereby submitted al actio for perjury as provided by law.
DATE . O •
•
• Subscribed and sworn to before me this ' re/ f day of 4' rt.r'f , 199 '
by -
Witness my hand atlas'al seaL My commission expires: : `l-OS-a o/ _
•
jAti.fi, 1999 . /40,, ,), *4,,ezda .
DATE • NOTARY PUBLIC
STATEMENT OF EXISTING REVIEWED BY -. •
ENVIRONMENTAL PROTECTION SPECIALIST.
1.0:26:99 14:58 FAX 970 .04 6498 WELD PLANNING m 004
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• •s.0-1- - 01.. WELT'OUNTY HEALTH DEPARTMENT • SE$ :'
�� ENV) 'MENTAL PROTECTION SERVICES • ORG PERMITS
1517•tvM AVENUE COURT �d REPAIR#
:PHONE:Y,COLORADO-$0631 • ISMLOAN I •
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PHONE: (970)383-0635
•FAX: •(970)386j966
303 '2 31'3507 FATEMENT OF EXISyFJ NG FOR SEPTIC s.).I.EM . '
(PLEASE.}U L'OUR IN. BLACK TNK,ONLY) - .
PARCELS/, O$01 14 QQ9n0[ • •
PfOl'ERTY;OWNER •gay-au) gOLSTEIN S ' ' Billie NQ.•f 7701 iTI .- Cg ii
MAtLitiGADDRESS 33 71 Is ' WCR 57 • • • GILL- • r O SO6 2 tf
: •City • . . State • Zip
. DESCRIPTION OFBIDLDThG(, I! obfieJmodnlarhome,'shop,office)i HOUSE .
s1TEILOCAnONADbRES3 'S%fM-E•"4c 'eke 176 •• • :. : • ; • •
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• I�GALDESCRIPTION 'Pt..- .y IT HW'at.SECTION J , `i'OWNSIDp_G RANGF. 6 f .
• . SUBDIVISION -- NA.- ' • •' 'LOT•NAt, BLOC'K•.NA- .FILINiG-PIA-- _ .
.CENCOSTRACT' -NA•-- LOTSFIX/ACRES ' •? . ' • •
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COM14lERClAL YEI O • ' R>~SiDETi'TIA NQ J • •
MISER OF PERS• - 2 • . • '; IIO r xo ''' •
• BEDROOMS. •S .-.,r • : • BATEROOMS Fu L L' �31a" ; • r1 •
.•WATER SUPPL :PI]BLIC .VTII�TYNAME •.VOR7ti WELP COO#/TY . Wk.Te2 Dis7KrG-
PRIVATE.] wELttYES _. .WELLPEIFar0 ••NA-^ • ' • ,
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' SYSTEM SIZE: Septic tank diaterial iy constructed of CAVORSTF and has ` gallons capacity.
FIELD: Trench :l lO square feet or Bed_ square feet INSTALLED 14$,
Yon are required to draw a diaram of the system on the reverseside of this form Jr black ink only and Indicate
location,length,width,and distance from the dwelling. • . ' ' • .
• The undersigned property owner hereby certifies that the above described septic systsm is in fact installed,as
described,and exist at this that on the parcel of ground identified by the above legal nptfon and further states
that thisysterrelusa in good working order and to the best of his/her knowledge g to function
• properly.
'I farther understand that arty falsification or Misrepresentation may fault in,revocation of any permit granted has
upon this information hereby submitted and • legal antic for perjury as provided by law. • -
•
DATE !O . r.L ear)
•
• Subscribed and Sworn to before me this .j44 _ day of-411041-42j.
` d ` , 1991_3 • •
by
Witness ray hind and official seal. .• My commissionexpires:: .' 'f r-0•S•-�4D/ _
3/ /99 9 • 1� � • _,At�A4c
•DA NOTARYPUBLI �1.C ..', • •
STATEMENT OF EXISTING REVIEWED BY :• . •
•
ENVIRONME`ITAL PROTECTION SPECIALIST
19 14:57 FAX 970 303_1.498 WELD PLANNING ®002
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11990 Grant Street, Suite 402
Northglenn,Colorado 80233
VIRO Phone(303)457-4322
Fax(303)457-4609
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September 15, 1999
Trevor Jiricek
Weld County Dept. of Public Health&Environment
1555 North 17 Ave.
Greeley,CO 80631
Subject:USR No. 1245—Commercial Septic System for Ray-Glo Holsteins'Milk Parlor
Dear Trevor.
EnviroStock,Inc. observed the septic system associated with the Ray-Glo Holsteins milk parlor
on August 27, 1999. EnviroStock also discussed the use and functioning of the system with dairy
owner Raymond Anderson. Based on the field review,EnviroStock's understanding of the
existing system and a review of the ISDS Permit issued by Weld County,it is EnviroStock's
opinion that the septic system is adequately sized to meet the designed use. Copies of calculations
concerning the milk parlor septic system and the ISDS permit are attached.
If you have questions or need further information,please call.
Sincere
vip
c3O�,$.DUN•:0
l t
1 1 �/'7:
lc
Eric W.Dunker,P.E.
Environmental Engineer
Cc: Raymond Anderson
Attachments: ISDS Calculations
ISDS Permit No. G-940493
Serving Environmental Needs of the Livestock Industry
Ray-Glo Holsteins ISDS Calculations
Milk Parlor.
Proposed Number of Persons: 10 Number of Bathrooms: 1/2
Factures: Toilet 1
Lavatory 1
Design Flow:
From Weld County 150.5 Regulations-Table 1
Commercial-Factories&Plants(exclusive of Ind.Wastes):
35 gal/person-day
Commercial-Day workers at offices
15 gal/person-day
Such That,Use Average 25 oat/person-day
/1va.Flow: 25 gal/person-day X 10 persons= 250 gal/day
Design Flow: 250 gal/day X 150% = 375 as Uday
Septic Tank:
From Weld County ISM Regulations-30 hr.retention time required for Septic Tanks
375 gal/day X 1/24 day/hrX 30 hours= 468.8 gallons
Absorption Field:
From Weld County 15O5 Regulations-The equation for Absorption-Bed Area is:
A=(1.3*Q*(T)'c)/3.5
where: A=Absorption area for trenches in square feet
O=Design flow in gaUday
T= Percolation rate in minutes per inch
From the Weld County 15O5 Fermi?No. G-940493
The area where the absorption bed was installed had a percolation rate of 4.9 miMnch
For this calculation, 5 min/in percolation rate will be used
Area: 375 gal/daf1.315 minln)'rz/3.5 311.5 sa.fL in bed
Current Conditions:
Septic Tank Size: 1,000 gallons
Absorption Field Size 396 sq.ft. in bed
!SP106P IN5SVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO: G-940493
• WELD COUNTY HEALTH DEPARTMENT . NEW PERMIT
ENVIRONMENTAL .HEALTH SERVICES
1517 16TH AVENUE COURT. GREELEY, CO 80631 '
353-0635 EXT.2225
INER ANDERSON, RAYMOND..•M. ADDRESS 33796 WCR 57 . PH (303) 352-1E
• GILL CO 80624
)DRESS OF PROPOSED SYSTEM 33796 WCR 57
•
GILL CO 80624
;GAL DESCRIPTION OF SITE: NW4 . SEC 14 TWP 6 RN • 4
JBDIVISIQN: • 11--‘--L1afT 0 BLOCK 0 FILING 0
3E TYPE: COMMERCIAL DAIRY BARN
ERVICES: PERSONS 4 BATHROOMS 1.00 LOT SIZE 160.00 ACRES
• BEDROOMS 0 BASEMENT PLUMBING�� NO WATER SUPPLY- NWCWD
ZCl"
°PLICATION FEE $150.00. 1r e ,
(ef' •3 •
- --
C'D BY CINDY SALAZAR SIGNED BY RAYMOND Mr ANDERSON
„„,.DATE 10/10/94 t DATE 10/10/94
•
EROOLATION RATE 4.9 MIN PER INCH' ` LIMITDVS"IONE •t" 3 FEE C�' !
ML TYPE UNSUITABLE." PERCENT GROUND SLOPE " 4X D3RECTIO 4E „/ 1,
EQUIRES ENGINEER DESIGN YES • IN 1:Q0 FL Q0 YEAR OODPLAIN
al THE APPLICATION INFORMATION SUPPLIED AND THE ON=SIttSOIL'"PERCOLATION DATA
-1E FOLLOWING MINIMUM IN •N 'SPECIFICATIONS ARE• REQUIRED: . -
SEPTIC TAN 00 -•LLONS, ABSORPTION TRENCH: 100 SQ. FT.
OR..:.-_ . •; _.
ABSORPTION BED 1 SQ. FT.. .
1 ADDITION, H PERMIT IS_SUBJECT T -THE FOLLOWING ADT-1..bNAL TER S.AND
JNDITIONS: . • -
-IIS PERMIT IS GRANTED -TEMPORARILY TO ALLQW CONSTRUCTION TO CO 1�ENLt- IS .. MI
AY BE REVOKED OR SUSPENDED till. WELD COUNTY .HEALTH DEPARTMENT FOR REASONS :
3RTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS. INCLUDING
AILURE TQ MEET ANY TERM OR CONDITION IMPOSED, THEREON DURING TEMPORARY OR FINAL
PROV'EL. ",`[,HE ISSUANCE OF THIS PERMIT.DOES -NOT CONSTITUTE ASSUMPTION BY THE
EPARTMEW OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
=WAGE riI POSA5. SYSTEM. -
(r PAM SMITH 05/01/9
(1 ��� ENVIRONMENTAL SPECIALIST DATE
HIS VPERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HA
OT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF
-11_S PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO 'IMPOSE ADD:
ZONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA-
IS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM-
_ETED sysTEri BY THE WELD COUNTY HEALTH DEPARTMENT. •
YSTEM INSTALLER _ FINAL INS • f v TE • h -
.
YSTEM ENGINEER . Mi. AP'PROVAL ' _ �, !`
YPE OF 'SYSTEM INSTALLED ENV �. AL'I A bIST
HE ISSUANCE OF THIS PERMIT DOE NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY
R LOCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT
HE SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WtFH APPLICABLE STATE, COUNTY AN£
OCAL REGULATIONS ADOPTED PERSUANT TO ARTICLE 10,,.arin. 25, CRS 1973, AS AMEND€I
XCEPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROt .. OF AN INSTALLED.SYSTEM F
3SUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO• Cff0 ' 97 1:* '1e"'111 (2).
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w, 'j WELD COUIVTY HEALTH DEPARTMENT
.1,5,... 0-.. Hospital Road , , Permit No :A'
Greeley,'.'eafarado,z..,::...4,--7----‘,.,.,,
2 �/
•a_, 4PH 3-3-040' :'5 J��� '
ea ocr far permit to install, construct an Inciiv ewage Disposal ytsttlem.
Y ��. .1"3. k .%: t lr " � ^S'p��;; A'} 'f' L4C�
1�ers 7 ess ,s /f Phone -cc? ,.
ections to situ Hwy Rd N ' mi, , mf, S `mi, W .mi
s �X -,
;,,^ &.egal Deserip:tian Ptn. lj'� Sec /l/ ,T N„ R ///W, Sub Lat ` "B1Ec
4‘,7,„;,,N.';-j11---
i,ie f ,;+ General Information? • De t :Fse Onl
S, : Bedrooms Na Persons " 'Perc ;rate (avg `. o£ 3) r t1T .-
-kNFa Baths -� ::/ . Basement Plumbing AJ Lk ::r Soil Type��� s4ercPte
'Size.of Lot i /{b , ' �" • H2O Table Depth. ��``,�jCif:-z.
-...*,,,,,,42.,),,.-„,,,R.,-,---l (I€ well give deink) }$r f , 1 Lot Grade5L -:',,`-v±-'271.
,,&. ew jme'₹ Mobile 11°-like. ` Modular ;Add'n Engineer$ Des 7EesyN`
,fib'ypeewof- sewage:disposal r\eques`ted ° , Ti YE reason -,c
'''rx` pt1c 'tank Pri J Other t " _ } "Comments. x f ' • ev`, ,e'er.:
. it +" s " • . ,, a :a a s r -i
This is to certi€y khat the system is'_•NOT within+'400 ft af' a pubjlFiyc s Ter- � y k '
'" I Installation instruct ions (Minimum.Requirements) ra r 'w
�3y N4
• d e}p`�tie Tank / �� Gals Ab rption;Trenched ' t
Special Instructions'- Seepage Bed s
t 4 x - ,. .�.1 I" ", .a/ awn
Th ..system will be constructed and installed.jay,acaotdanc the above sp i iEats,ockr.
sand regulations regarding individual; ewage disposal-systemstin�Weld County, Caiaaadrr
y 4 � 45
1. ' This permit shall expireat;:the same`time as `the building permit, or, if na bualding perrgi
is issied, the permit shall.ex ires120 .da s after its issuance if .construction Eras.not k
P Y• 4. :
been coommenced.' • - r ,
fl,Date: Owner yC 't✓ ,
' • �fApplicant.:.'
The plans and specifications as shown. ate 3ppraved pending:p q ft -f permft
Date
� d '
¢V
Sanitarian: . ��
above s stem ins ected anarcnd ;to com 1 . with 'plan and desc .iptton
The _ y . , P P .Y . � j
• Systems Contractor: _ . „ Date
c/V 't _
Sanitarian
� 4 X �
1.2,11 fin, Y
;tE• n fneer Review a-'0
-tete (Date) : (signature
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0.�cIli mEmoRAnDum -
. . •
•
'lige To Planning Department oat. 33!!�rr October 28, 1987
COLORADO From Health Protection Services % rz $ l
subject I.S.D.S. : ANDERSON, RAYMOND
OWNER: ANDERSON, RAYMOND
ADDRESS: - WCR 57, Gill, Colorado 80624
LEGAL DESCRIPTION: NW4, Section: 14 Township: 06 Range: 64
The septic system identified above x is, is not of sufficient size to
- accomedate the proposed alterations indicated below to the structure(s) served
by this system.
CURRENT' FLOW: .ADDITIONS: z. PROPOSED TOTAL:
Old Mobile Home New Mobile Home
•
Persons 4 0 4
Bedroci is 2 1 3
Bathrocms 1 _ 1
Est. GPD _
. Permit on Record: NAME Anderson, Raymond NO. G800104
System Size: TANK 1000 gal . FIELD -405 sq. ft.
x However, we cannot certify that the system will function as intended 'in the
future. If loading changes or malfunctions occur to the system, we require that
our office be notified so that a review of the system's adequacy be made.
The existing septic system requires the following to adcomodate the proposed
alterations to the structure(s) served:
••
i .
STATEMENT OF EXISTING SEPTIC SYSTEM
OWNER OF'RECORD: /PAri, 1,4044 .4 . MC 4 n -d- cm 3 ont
/ ff .
MAILING ADDRESS: • .3 R 7 9 G 1,0 (.yp 57 4U dp/ PRONE': 35-a / /
Ic
LEGAL DESCRIPTION: PT fru k( Sec Ili T G i
• a G
Subdivision A/ a Lot. Blk Filing
Bedrooms 3 Bathrooms '2-- - Water Supply H o e tk we /-A
• Use type fi d et ,/,..t J-/O M e Lot..Size - c rr 4, Acres• SYSTEM SIZE: Tank is constructed, of , laid Greer-e- and has too 0 gals capacity
(material)
ABSORPTION BED: A-/0 Sq. Ft. Total Date System Installed 'Cl — / /
You are' required to draw a diagram of the system on. the reverse side of this form and
• indicate position, length, width, and distance from the dwelling.
The undersigned property owner hereby certifies .that the above described septic system is
in fact installed, as described. and exists at this time on the parcel of ground
identified by the above legal description and further states that the system is in' good
working order and to the best of his/her knowledge is not failing to function properly.'.
I further understand that any falsification or misrepresentation may result in revocatiot
of any permit granted based upon this information hereby submitted and in legal action for
perjury as provided by law..
/ O - -a_ 8--,- 67 - C--;::),(-) • . % C. towt._
u Owner
Date //��
Subocribed nd sworn to before me this 4914 day of (D(:a•t/v , 198Yk
by _ � z -
A& Commission Expires March 28, 19r
Witness my hand and official seal. My• commission expires .
/a - c2r- el 76,11-14,17 /kitti-sttit-e•-/-.1/t)
Date otary Public
W -e. L 2 dogot?F7 red 3 7
tFuti--ci
5S '
c_(
3 tit/ ,
/ wit' e-
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