The URL can be used to link to this page

Browse Search

Home My WebLink About991884.tiff LEFT HAND WATER DISTRICT March 19, 1999 Wendy Timmerch 649 HWY 52 Erie, CO 80516 Re: 649 HWY 52 Erie, CO 80516 TO WHOM IT MAY CONCERN: The property located at the above address or legal description is within the "SERVICE AREA"of Left Hand Water District. The tap fee for the above named property has been paid. This entitles one living unit lot to receive water service at this location. If you have further questions regarding this matter, you may contact me at the District office. Sincerely, Kathryn A. Peterson General Manager 991884 P.O. Box 210 •Niwot CO. 80544•(303) 530-4200 • Fax (303) 530-5252 -/-0�� / APPLICATION Rat' INDIVIDUAL SEWAGE DISPUSAL SYSTEM No. / WELD COUNTY HEALTH DEPARTMENT New _. / ENVIRONMENTAL HEALTH SERVICES Repair _ 1516 Hospital Road, Greeley, CO 80631 Vi/i t/s 353.0540 EXT. 270 BP _. ADDRESS:= , i /, , f f /`, PHONE ''''' ',/ / ADDRESS OF PROPOSED SYSTEM �__L_.1.. / _c: LEGAL DESCRIPTION OF SITE: PT.H,, ' c <, S._—_ _—,T_�___, R_SUBDIVISION_ __. _ _-__ LOT , .BLOCK FILING USE TYPE: RESIDENTIAL "- ,` _ INSTITUTION COMMERCIAL___ OTHER SERVICES: PERSONS 1/1 BATHROOMS . ? __LOT SIZE -', Pr 4'`i `.' 116,4 BEDROOMS -.' BASEMENT PLUMBING ` --_- WATER SUPPLY TYPE OF SEWAGE DISPOSAL REQUESTED: Wo r' /'k /y,,,, ' ..5"7 ° ," ` ", `/ Applicant acknowledges that the completeness of this application Is conditional upon further mandatory and I taint additional or tests s and reports as may be required by the Weld County Health Department to be made and furnished by the app by . Weld County Health Department for purposes of the evaluation of the application; and the issuance of the permit Is subject to such terms and conditions as deemed necessary to Insure compliance with rules and regulations adopted under Article 10, Title 25, CRS 1973, as amended. The applicant certifies that the proposed system will not be located within 400 feet of a com- munity sewage system.The undersigned hereby certifies that all statements made, Information and reports submitted here- with and required to be submitted by the applicant are, or will be, represented to be true and correct to the best of my knowl- edge and belief, and are designed to be relied on by the Weld County Health Department in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result In the denial of the application or revocation of any permit granted based upon said applicatioer,n and in legal action for perjury as provided by law. Application fee • by !� s . /Dated /; '__ Owner/Agent Signature Date OR DEPT. PERCOLATION RATE WATER TABLE DEPTH_i USE ONLY SOIL TYPE ° C - s- _ PERCENT GROUND SLOPE!= - REQUIRES ENGINEER.DESIGN ( ),YES 6) No f • } f • f • • • • • f f • f • • • • f • f • f • • • R 6 • f M f f • • • R • f • • • • • • • • • • f • f INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT From the application information supplied and the on-site soil percolation data, the following—minimum installation specifi- cations are required: SEPTIC TANK_-L ; ' " GALLONS, ABSORPTION TRENCH = SQ. FT. or /.; ABSORPTION BED tr-' SQ. FT. In addition, this Permit is subject to the following additional terms and conditions: / This Permit Is granted temporarily to allow construction to commence. This Permit 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 by the Department or its employees of liability for fihe failure or loadequacy of the sewage disposal system. Environmental Specialist Date This Permit is not transferrable 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 additional terms and conditions required to meet our regulations on a continuing basis. Final Permit approval is contingent upon the final in- spection of the completed system by the Weld County Health Department. SYSTEM CONTRACTOR _ FINAL INSPEC e2ais$ SYSTEM ENGINEER __.APPROVAL._ 4 � Date / Env ronmerital Specialist 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 lati an adopted pursuant to Article 10,Title 25, CRS 1973, as amended, except for the purposes of establishing final approval ppr Installed system for Issuance of a local occupancy permit pursuant to CRS 1973 25.10.111 (2). n.IMnet.nnnurent• rnnu.wrun WCHD-EHS February, 1981 -40i;ii , e,_ , 4 -5( y --r i - . eg`7'). .37(/- .-- P 106P c.•)6 I::' INDIVIDUAL EE WAGE lli A i:Y i::: .i):I:S P t:a E A i... SYSTEM PERMIT N Li., F-820071 WELD COUNTY HEALTH DEPARTMENT NI:::Li PERMIT . ENV:IRONMl:::liTAL HEALTH SERVICES • 1 .:> I 6 HOSPITAL ROAD , R f:::E:.L..IE:''r , CO 80631 353-0635 • EX T .2225 ., 25 OWNER u:I: "'''' J i' .. ADDRESS , 5 c:. I iFF'I] t.^.1:1,x; +=;1 .... ,.i ...t t E:F �:, ! I..."i .; , 1 i:::I�.�i::.l...i... �..) , .-i lJ Y ..:�.. ERIE CO 80516 ADDRESS OFF PROPOSED SYSTEM 649 I•IWA Y ERIE Cti 1:30.51 ., • LEGAL DESCRIPTION:I:FF'I•Tt:ai4 OF :1:•TI::: W4 ;: i:::4 SEC $1 ••i LiP 2 F+;NCY '^58 - `..' ; i t I'+ T t:?N : f...i:a i 0 BLOCK ::} FILING 0 USE TYPE : COMMERCIAL SERVICES : PERSONS 4 a.;A..i'I i f is t:1 i:1 ivi`•:' 2.00 LOT SIZE I::: ? i '.:k ACRES BEDROOMS BASEMENT if:::NT PLUMBING iio WATER ,::1JI::'h'LY 1...I''THD • APPLICATION FEE iE: $0 .00 REC ' D BY X `:T A l I' SIGNED BY lilt::N:t:l i:::?...i._ WILTS Dr'11•i::: 11 /15/82 DATE 11 /15/82 PERCOLATION 5.0 MIN FE::FS INCH LIMITING ZONE i�; fF1:::l:='"i. I...!,t.'i.l I...F:i J .f:t:a N RATE I'i::: SOIL '" •• UNSUITABLE PERCENT GROUND SLOPE 30% DIRECTION 11'I�'i::: REQUIRES I..:i::}f...... . ...i::.. . DESIGN NO I . FROM .I'i'•iE:: APPLICATION INFORMATION St.af='{::'f...a:ii::I) AND THE ON—SITE SOIL i"'f:::fsC;t?i...r'ti"T1:{:ai~! i)A'TA I,ilt:: FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS r`•I R C:: REQUIRED : SEPTIC.I.t.' TANK 1000 GALLONS, ABSORPTION TRENCH ;':..t:".? ; Q. F i . . OR ABSORPTION BEET) .tl95 Staff. FT. J ADDITION, THIS PERMIT IS J SUBJECT TO T I•'E I E FOLLOWING ADDITIONAL TERMS 13 N I) CONDITIONS : __________ ............_._._. THIS PERMIT IS GRANTED NTEi 'T'I::: 'iF'ORAR:I:i...Y •1O A1...1...iOW CONSTRUCTION TO COMMENCE, THIS PERMIT i..l�:,, ... COUNTY FOR,.:,:''I"�• ,_i I::. REVOKED SUSPENDED �•{��' r'I••1#'; WELD t.;t.!i.;i i 'i� HEALTH DEPARTMENT • REASONS S i::. , ,..:H i l•. .I.i•: „lf::: WELD (::t::,i.,N..I..Y INDIVIDUAL SEWAGE DISPOSAL. SYSTEM REGULATIONS INCLUDING r;ILI..IRi::. TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY Y OR I::•:I:i': i::•,L APPROVAL , THE ISSUANCE OF THIS PERMIT I:•r• J)1If' NOT CONSTITUTE ASSUMPTION 1:{Y .THE :)i:::E;:;N i ;"I IE:(!T (1ri ITS>.> EMPLOYEE 3r LIABILITY FOR THE FAILURE OR INADEQUACY OF •T•i..l I::: SEWAGE DISPOSAL SYSTEM . X STAFF 01 /21 /83 ENVIRONMENTAL SPECIALIST . DATE T E THIS PERMIT M:E: ,`.:' i•`1t:a.i'. TRANSFERABLE AB1...E:: AND ;'l•dr•iE._i... :cfI:::l:;t:afME:: \'i:a:I:I) IF SYSTEM CONSTRUCTION I..I,::, NOT COMMENCED WITHIN ONE YEAR .,. .. ..U1,Ni.,I::: . BEFORE ISSUING FINAL r1iF'f�'IF.C:i',,�r"1i... Oi. ..t:s r' . .....I,1::.i.s.:1-..t: In.i.......i:1:i`. I•.1::: t:a FF� ITS ISSUANCE .I, THIS PERMIT THE WELD COUNTY HEALTH .DEPARTMENT RESERVES THE RIGHT TO i:MPt:i:"I:. ADDI— TIONAL TERMS AND CONDITIONS REQUIRED t.l:1:RI:::.1':1 ..Ii::? Ili:::i:::"i OUP REGULATIONS ON A CONTINUING NI::: BA— SIS. UPON..... .... FINAL ;::.I.:�., FINAL PERMIT APPROVAL .,.,: CONTINGENT t..f�' r THE f::: INSPECTION OF r'I••I I::: COM— PLETED SYSTEM BY Ti•1L: WELD COUNTY HEALTH DEPARTMENT. SYSTEM.:: r.: � 1�.r`i IN:: T r1 i...I. 1:::EFi UNKNOWN FINAL INSPECTION DATE 02/2i /84 :.:..:.... .:.I::•M ENGINEER 'APPROVAL 1Ai1EiI)i i:i: THOMAS f.....;;,..i.;tir:1::• I SYSTEM INSTALLED TANK ENVIRONMENTAL SPECIALIST THE ISSUANCE OFF, THIS PERMIT I)t:al:E NOT :#:iii:rL_Y COMPLIANCE WITH tyil..IL:l: STATE, COUNTY t:ai<: LOCAL F::Li:: ..J A I ..:il: Y OR BUILDING RE•(�t.aII::i::.MIE:i•J T '; NOR SHAL..I... IT ,OCT 10 CL:F..r..CF�Y. .r.HAT . THEE ' • APPLICABLE COUNTY U i' I i";,::. SUBJECT .�. r;'"i'I:�iii WILL OPERATE :i.i•1 COMPLIANCE WITH 11�'1::'l...:!:t;r1 I�I...I::: STATE ,�'T'I::: , ,_1'�t'T'`r' AND TO ARTICLE 3 r 1..1 AMEN... i...•..Jt.:.al... F�..I::.f.:rli.l...r'I I ,L t.1r•J�` ADOPTED I�!E::i�':::..,I'ii�i i ';�t:1 r�lr. f .,. i...i::: ! ';:', TITLE 25, . CRS C;lF�:., i �r r,:i, AMENDED, , • li::.YL�::N i r'OR THE PURPOSE OE ESTABLISHING FINAL APPROVAL .. A INSTALLED i A.........._ ,.:YS I ...I FOR OF l l. 1•• i. I t ...': :;r_N;.,_. OF A LOCAL '. 1. ..UP 4'I i C 1` PERMIT PURSUANT TO t..'S,l 1973 25-10-111 ( 2) . 4I AL.Hiu,, h (p ,'L r f -- gin -S? J5 3 '/ � v r 3-> 3- ! ' �y ; -F-/ 5) ii / 66, K___,. Hello