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Home My WebLink About992485.tiff BOARD OF DIRECTORS t*'�"' 4 NORTH WELD COUNTY WATER DISTRICT GARY SIMPSON ERNEST ROSS HIGHWAY 85 • LUCERNE,COLORADO 80645 W.M, McRAY •"lltoe CHARLES ACHZIGER J 1 4r1.3 DON POS$ELT, MGR. ROBERT ARNBRECHT - P0.BOX 56 • PHONE 970-3563020 • FAX 970-395-0997 July 21, 1999 Ray-Glo Holsteins Morwai Dairy(Lessee) 12954 WCR 43 Hudson,CO 80642 RE:Water Service This letter is in response to your inquiry regarding water service to the following described property. 33796 WCR 57 Gill,CO 80624 #232801 Morwai Diary 1. X _Water Service is presently being provided to the above-described property. #232801 Morwai Dairy 2. Water Service can be made available to the above-described property provided all requirements of the District are satisfied. Comments: 3. North Weld County Water District can provide water service to the above-mentioned property with approximately feet of line extension. Comments: If contracts have not been completed with North Weld County Water District within one year from the date of this letter,this letter shall become null and void. Additional Comments: • Sincerely, gn v. dryA.1.1.74— Don Posselt,Manager North Weld County Water District EXHIBIT 992485 9n 9fM� 17I M /h.LN nki /CCCIrCefl/C CM'aT CCCTI??'/O 11990 Grant Street, Suite 402 Northglenn, Colorado 80233 §NVIRO Phone(303)457-4322 Fax(303)457-4609 T0CK,f c. 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 quesl,ions or need further information, please call. Sincere O 1 /43.615 ' ?e Eric W. Dunker,P.E. Environmental Engineer RP 16 1999 Cc: Raymond Anderson RECEIVED 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 Fixtures: Toilet 1 Lavatory 1 Desi n Fi low: From Weld County ISDS Regulations-Table 1 Commercial- Factories&Plants(exclusive of Ind. Wastes): 35 gal/person-day Commercial- Day workers at offices 15 gaVperson-day Such That,Use Average 25 gal/person-dal/ Avg.l°low: 25 gat/person-day X 10 persons= , 250 gaVday Design Flow: 250 gaVday X 150% = 375 alg_ /day Septic Tank: From Weld County ISDS Regulations-30 hr. retention time required for Septic Tanks 375 gal/day X 1/24 day/hr X 30 hours= 468.8 gallons Absorption Field: From Weld County ISDS Regulations-The equation for Absorption-Bed Area is: A=(1.3'O'M1/2)/3.5 where: A=Absorption area for trenches in square feet Q = Design flow in gal/day T= Percolation rate in minutes per inch From the Weld County ISDS Permit No. G-940493 The area where the absorption bed was installed had a percolation rate of 4.9 minnnch For this calculation, 5 min/in percolation rate will be used Area: 375 gal/day1.3•(5 minAn)1/2/3.5 311.5 sQ.ft. in bed Current Conditions: Septic Tank Size: 1,000 gallons Absorption Field Size 396 sq.ft. in bed ZAP/ Ce4W J �ti iSP106P INDIIVIDUAL 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 --ter--'-'-- ADDRESS 33796 WCR 57 . PH (303) 352-189: GILL • CO 80624 ?DRESS OF PROPOSED SYSTEM 33796 WCR 57 GILL CO 80624 =GAL DESCRIPTION OF SITE: NW4 . SEC 14 TWF' 6 RN .4.,4 JBDIVISION: ' 1---'--LE T 0 BLOCK 0 FILING 0 SE TYPE: COMMERCIAL DAIRY BARN _RVICES: PERSONS 4 BATHROOMS 1.00 LOT SIZE 160.00 ACRES . • BEDROOMS 0 BASEMENT PLUMBING NO WATER SUPPLY. NWCWD 'PLICATION FEE $150.00 c'-� _.._ _.__-_ ;CD BY CINDY SALAZAR SIGNED BY RAYMOND M."-ANDERSON .DATE 10/10/94 DATE 10/10/94 • l�> -TT-. :RCOLATION RATE 4.9 MIN PER INCH' • LIMITING :'YpNE 3 FEE , JIL TYPE UNSUITABLE .PERCENT GROUND SLOPE 1% D1;RECTIO ' E .,/' ;QUIRES ENGINEER DESIGN YES • IN-• 1QO YEAR FLOOD,F'LAIN - ' NO (--t'OM THE APPLICATION INFORMATION SUPPLIED AND THE ON SITE-SOIL PERCOLATION DATA • 4E FOLLOWING MINIMUM IN� .- , N SPECIFICATIONS ARE REOUIRED: • - SEPTIC TANK )00 LLONS. ABS_ORPT.ION TRENCH: 100 SO. .FT. ABSORF'TION BED SQ. FT. ADDITION, 4IISPERIvni:T et_ I _SUBJECT T THE FOLLOWING ADD ONAL TEpaLMS ANDJNDITIONS: . tf e.�j �iC �C R h�i TO '�� HIS MIT AIS PERMIT IS GRANTED •TEMPORARILY TO ALLOW CONSTRUCTION (-dal`cY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SE JRTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING aILURE TO MEET ANY TERM OR CONDITION IMPOSES), THEREON DURING TEMPORARY OR FINAL 'PROV ►L. .THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE PAF:TMEN.T OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEDUACY OF THE :WAGE DIAPOSA. SYSTEM. v.J" JJ r 05/01/95ai/95 (J '7b PAM SMITH l 1� a ENVIRONMENTAL SPECIALIST DATE -IS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS DT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF -ITS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI- ZONAL TERMS AND CONDITIONS REOUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA- S. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM- _ETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. TE �� YSTEM 'INSTALLER F FINAL INS •T J --'rte. YSTEM ENGINEER .Mt o. APPROVAL _ •:•, YPE OF• SYSTEM INSTALLED • ENV • AL ' CiAL'IST ISSUANCE OF THIS PERMIT DOE NOT IMPLY COMPLIANCE WITH OTHER STATE. COUNTY LOCAL REGULATORY OR BUILDING REQUIREMENTS. NQR SHALL IT ACT TO CERTIFY THAT :-(E SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND OCAL REGULATIONS ADOPTED PERSUANT TO ARTICLE 10 ,.TITLE 25, CF,a 197.3, AS AMENDED, XCEFT FOR THE F'URPO'3E OF ESTABLISHING FINAL AfiPRO(d L rOF AN INSTALLED SYSTEM FOR 3SUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO' CRS'`15 73 25.--�10r111 (21. (pia oil Vveril Ioz> 17:Fjetaet, - _ _ off` N cvp o0.1)4--C ttreAcit c� Tht vti iSt-eqce WELD COUNTY HEALTH DEPARTMENT a_' 1516''Hospital Road Permit No. /(/L-3(/` r ` Greeley, ,Colorado- "OH., 353-0540 /L.)� A k iea An for permit to install, construct, an Individual Sewage Disposal System ��9-CAl.,4 J'/I,Ei c at ass �7?t tit"c` ' Phone Sc3 /_, Directions to site: Hier Rd.: N mi, mi, S mi, mW mi _ ;Legal Description: Ptn:flffiThi Sec. IL/ ,T i/ N,"R /,,4jW, Sub. Lot Blk' I General Information . Dept. Use Only ( t=;-: Na. Bedrooms No. Persons """ Perc raie°(avg. of 3) ,5t Na. Baths - J Basement Plumbing A,1 Q , e ' 'So,i2 Type/ellekg 54.0 Size of,Lot f�i cl�,yi 1 s H20 Table Depth r H2O supply (If well give depth) V &e1,/) Lot Grade--i.,4 30,& t ‘ New Home Mobile Homey Modular Add'n ' Engineer Design Yes 1X No- Type`of sewage disposal requested If YE reason: . `S'eptic tank) Privy__ Other Comments: x This is to certify that the system is NOT within 400 ft. of a public sewer x Linstallation instructions: (Minimum Requirements) f -} rx ,Septic ,Tank / O6/6 Gals. Absorption Trenches oCQ S4r• Et Other • Special Instructions Seepage Bed 3Q Sq 'Pt. This system will be cDnstructed and installed in accordane the above sp eti 'icat and regulations regarding individual sewage disposal systems in Weld County, e . , Coloradan$ This permit shall expire at the same time as the building 'permit, or, if no building:permit is issued, the permit shall expire 120 days after its issuance if construction has not been commenced. Date: Owner: 1 �;_" { %,., Applicant: — The plans and specifications as shown are approved pending paymypt yf ermit fee. Date: �i(.C Sanitarian: 8( LCfl t% re Cr The above system inspected an i and to comply with plan and desc11iption. Systems Contractor:_ st` Sanitarian: -- Engineer Review:, t (Date) (Signature) . )permit Fee r$ `1 ;:01,nc ''E } f 1 -. •+*r" _�ceived, by -y777 .17 rG 4� ,¢ > e X54 " nr , �CUl pJ* X y blLyfx'"a kti 4 Yr+''� 1 4y4 k.� y yCN ''4 •. vn Y „ ":7 c r 1a ti : �kY A a 1 f 4 ! S y r n • I' h r— n^ A <s , 1 n mEmoRAnDum • (44\( 4,_) 1119€ To Planning Department Date October 28, 1987 COLORADO From Health Protection Services !/l�"`��%�et �� subject: I.S.D.S. : ANDERSON, RAYMOND OWNEF: ANDERSON, RAYMOND • ADDRESS:- •2 9t9 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 accomcdate the proposed alterations indicated below to the structure(s) served by this system. CURRENT FLOW:. ADDITIONS: PROPOSED TOTAL: Old Mobile Home New Mobile Home Person.; 4 0 — 4 Bedrocus 2 1 — 3 Bathrocms 1 1 — 2 Est. GPD __Permit on Record: NAME Anderson, Raymond N0. 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 accomodate the proposed alterations to the structure(s) served: • STATEMENT OF EXISTING SEPTIC SYSTEM OWNER OF RECORD: IFA-r 1✓l o s( tit At A ct C. 1.2 S on? MAILING ADDRESS: . J3 RR 79 G [N c 1P 57 (r/a do dGPRONE:, 5;- i ?r`Z / LEGAL DESCRIPTION: PT Wu $!/ Sec iii .T (, - R G Subdivision /V d Lot Blk Filing Bedrooms 3 Bathrooms *V-- - Water Supply N b 21i wet-A / -140,44 Acres• Use type N]d �y ,,-c N 0 M P Lot.Size - l' ` /r SYSTEM SIZE: Tank is constructed of mt ci 2 etc /c id has � d U__gals capacity ABSORPTION BED: /—/G) ,6- Sq. Ft. Total Date System Installed .9 - If - d O 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 istat stime that on tt a system is in good he parcel of ground identified by the above legal description and further 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 revocation of any permit granted based upon this information hereby submitted and in. legal action for perjury as provided by law.. • U -- a E-, 67 : Owner 4 , Date /�ell da of Oen/A- A) , 198\ Subecrned nu sworn topbefore me this a — y by ,_.,aYL��t-e Mx Commission 'Expires March 28, 199 Witness my hand and official seal. My commission expires . Date �� U otary.Pu I 3.) /'v -4SP1i.)6F' INI?:'VIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G--='40493 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COURT- GREEL EY. CO 80631 . • / 353-063T, EXT.2. 5 -- y /' S. 5 r F- (,i:.3; 3'52-1391 ;�ti+lE f: ANDERSON, RAYMOND ••� ADDRE��S,.. ��7{+'.� WCR `' r''� , GILL CO 3062.4 :DDRESS OF PROPOSED SYSTEM 33796 WCF: 57 GILL CO 30624 =GAL DESCRIPTION OF SI-uE: NW4 SEC 14 TWF' 6 RN . 4 jBDIVISION: ' ?-ILO? 0 POCK 0 FILING O SE_ TYPE: COMMERCIAL DAIRY BARN • t '1' 1 ► ;_0 ACRES cR`1ICE�: I-'LFiSONt`--, 4 BATHROOMS 1.�>�! LL.. i SIZE '6L r BEDROOMS 0 BASEMENT PLUMBING, NO WATER SUPPLY NWCWI •='PL I CATION 1-EE $150.00 l ?X,(C) 3 iC'D BY CINDY SPLAZAR SIGNED BY RAYMOND M. ANDERSON DATE 10/10/94 DATE 10/10/94 _•' ERCOLATION RATE 4.9 MIN PER INCH LIMITING 'ZONE FEE_,. OIL TYPE UNSUITABLE PERCENT GROUND SLOPE l',: DIRECTION E ), / EQUIRES ENGINEER DESIGN YES IN *1-00 YEAR FLOOD PLAIN —C e NO `{ 'WOM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL PERCOLATION DATA • -!E FOLLOWING MINIMUM IN ,_.t-i s . 'N SPECIFICATIONS ARE REQUIRED: SEPTIC Tf`INlt t.:it;_0 7 'LLONS. ABSORPTION TRENCH 100 SO. .FT. OR ABSORPTION BED SCL FT. 'i ._.IDITION. Tlf c PERMIT -11,'-�SUBJECT Tr; THE FOLLOWTNG ADDITIONAL TERMS AND NDITIONS' f+� y_ — • — —`—' F�— . `—' ' e 1r! ,IE PERMIT IS GRANTED 'CEMPORARILY TO ALLOW CONSTRUC'nION T i�. LE, -_ L .. HIS '- _. MI ,AY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT '-OR REASONS SET 3F:TH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING ILURE TO MEET ANY TERM OR CONDITION IMPOSED. THEREON DURITE, TEMPORARY OR FINAL. r•� NOT CONSTITUTE T f ,_B Y '='F'F:0�1�a1.:... '?"l-iE. ISSUANCE OF THIS PERMIT DOES ASSUMPTION I��tty THE EPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE CR INA EOLA`=ACY OF THE .EWAGE DI$jF'OSAL SYSTEM, 11J 0 PAM SMITH 0 01 Pi't C ad;- 1 ENVIRONMEI TAL SPECIAL'S T DATE 61)1S PERMIT IS NOT AND SHALL t BECOME C IF SYSTEM CONSTRUCTION HAS .H r rau f TRANSFERABLE ��~1s=1_�_ �•..IID a ��aTE :OT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL. AF'PRL'itvAL OF 'HIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT F:ESER:VEE. THE RIGHT 10 IMPOSE ADM.... ' :ONAC_ TERMS AND CONDITIONS REQUIRED "rO MEET OUR REGULATIONS ON - CONTINUING BA— ...IS. FINAL F'EP.MI" APPROVAL IS CONTINGENT INGENT UPON THE FINAL INSPECTION IC.`N O•- THE COM- LETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. • ''.,'STEM INSTALLER LER _____I V• I _._ FINAL INS- .I ''STEM ENGINEER _ 4', _ APPROVAL /s.e.L. _ ._..._,_-_.____.... ✓PE OF SYSTEM INSTALL=E_L, -lam ENV '..1,N+ LEN 414, SI. -CIALIST -'-!F ISSUANCE OF THIS PERMIT DOE.:'. NOT IMPLY COMPLIANCE WITH OTHER STATE. COUNTY =CAL REGULATORY OR BUILBINtt REQUIREMENTS. NOR SHALL._ IT ACT TO ,:ERTIFY THAT -E ',rIJLCIECT SYSTEM WIL.... OPERATE IN CCMFLIANCE WITH APFLICABLE STATE,ATE. COUNTY A''JE .JCAL REGULATIONS ADOPTED PERSUANT TO ARTICLE 10„ TITLE 25, CRS 1973, AS AMENDED. ::C.'EF'T FOR THE PURPOSE OF ESTABLISHING FINAL AF'PROV_.::L',_,:OF' AN .INSTALLED SYSTEM FOR1�: 7SUANCE OF=' A LOCAL OCCUPANCY PERMIT PURSUANT TO CR 1197: 25--1c —111 (:''? w . .r,. /o 1/ Z/oz) / atrasittfrat- IN.J\ ‘-iNtir - vi-e ,N,JIN?::-.< 1 V • , , ' 3 , s • Q- f _ r N. C. f uoz7 S. • sf , DEPARTMENT OF HEALTH 1516 HOSPITAL ROAD /ft OREELEY, COLORADO 80631 I(/ ADMINISTRATION (303)353-0586 111111111e: HEALTH PROTECTION (303) 353-0635 COMMUNITY HEALTH (303)353-0639 J LOAN APPROVAL COLORADO Request No: 053-88 Date Received: 4/28/88 Date Forwarded: 5/5/88 Fee Paid: $50.00 Date: 4/28/88 TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: SEND TO: CENTRAL BANK ATTN: LORI PHONE I/ 352-5800 INFORMATION: Address _ 33126 WCR 33, Greeley, CO Legal: PT S2 , PT_ SW4 , Sec 14 , T 06, R 66 W, Age of House Subdivision , Lot , Bik , Filing Property Owner KEVIN & MARY Original Owner Tank Pumped on 5(3/88 By Slim's Sanitation ISPARTMENTAL RECORD SEARCH: Permit # G-889048 Name ANDERSON, KEVIN & MARY Bathrooms 2 Bedrooms 3 Total Acreage 5 Tank Capacity 1000 gals. Field Size 800 sq. ft. Water Supply North Weld Date of Final Inspection INSPECTION COMMENTS: Date of Inspection Mav 3_, 1988 Soil Conditions: Dry x Saturated Snow—covered _ Residence: Occupied x Vacant FINDINGS: Sewage Disposal System: Satisfactory x Other Bacteriological Water Test: Acceptable x Other COMMENTS: DATE: May 5, 1988 — SIGNATURE: I C-cJ�Q7�i nvir mental Health Specialist 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 in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable ^t the time of inspection, and does not constitute a warranty that the system is without aw or that it will continue to function in the future. Inspection requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Water sample reports reflect the bacteriological quality of the water supply at the time the sample was taken. _ 4.,4 60. • INDIV:CDIJAL.;_SEWAGE ,D) T-OSAL.•SYSTEM :PEW ?•'fIT NO. ' G.--88904;:, F.,: WEED IVUNTY �1-FEALTF[ +f.L.F'ARTMf�WT :NEW PERMIT: ,EN'r IF cNMENTAL, :HE:°AVIH -SERVI: �S.': ::'',:•„:- ;..` • • .A . " 1516 OSF`ITAL=..•'ROAD • GRElELE'i. CO '80.631 . . . :. • F R3 2226 WNEF; : ANDEl S:1.3: KEVI;N .t- MAR.Y'. ' • : ADpl ESS .31Z6-.. 1C.R 33 -PH: (:303)• 352-•. .:' GREI=LEY `CCI:• 80631 • D.ARES',S tF;:'PROPOSED SYSTEM 331 26� .WCR 33 : • • .• .: x. r.r LEL.EY . CO '$0631 ac AL DCSGF+:.I F'1'] ON ..O . 'I.. >' S? W :SC C: • 1 4' :TWt: - 6 'BLOCK : ':.. 1JTDIVISTON.: . : .... - . !...OT . 0 BLOCK 0 ' FILING . 0 . EFiVICE. PERSONS. .h' BATHI�.OBMS'. -2.00.: ≥. :"•" • : • -. ••••;' . .... •:' -'''.. :• •:••••• - •• • - . ' LOT 'S.IZE 5,.00 -A.CRE.S ._ • : • _. :BEDROOMSBASEMENT .F'UJKB.ING .:YES t1ATER •St:tl~'F°LY owcwD • - , ,•- E C:'D BY COFFE'r. DIANNE I NE.D ;BY: KEVIN -,'ANI} F SON. . . . DATE"' 0•/.0'•%.';:'s:s • •DATE:.•0540�a/88 . LIZ.COI,ATthN• _,Fi.ATL- .`\ ,.�� .KIN FIFA INCH' LIMITING•.ZONE FEET OIL TYPE '. piT( Bl_F : F'ErRCENT'' GROUND .VLp �C_ ell,: DIRECTION • E( UT•RES... EN&INFER D :SI:GN NO.,. .,. • . ROM t THEN::AFJ'L..ICA:T:COM' I.NruRr1ATION SUPPLIED:.:) AND.:: .1I4E ON-..:�S1TE. SO] L •F'ERCi L T Off! DATA HE: I'OLLOWI: t MIN:TKIM INSTALLATION SF'E '..F:I( A•rION�s 'ARE REQ JTRED :,. :SEPTIC; .:TA K 4 000 - ALLON , A.B; ORI"T IOW: TRENCH' • 560 '!3Q.., 11-T.. _� . • AI SQRF�::tION BED SOS.. FT. +lE' ADDITI.ON.`: THIS PERMIT. Ts-SUBJECT TO. THE. .FOLLOWING ADDI.T::I0iVAL_ : TERMS', AND -ONI?I.TI.ONS • . _...... '._.. :-- ,- ....:: - ---- . ;•._- . �.__.._.._...... 'HIS F'ERIIT.'r• 'IS xF At•' ED •T E_hr°OF.I F:1LY "!'U ALI OW ;CONS'r RuC'FlOW TO CONMENG'E:'.s T'..I:E S • Ff 'r MI: AY• BE: RE1.QI(:ED.'. OR •`.SLISI='EN'DED.1BY THE WELD COUNTY _HE:A.LtTI..I DCF°ARTi1E:ir FOR REASONS' SET -f:1RTH_ IN` •1'I-IE..• W1:L..D COUNTY •INDIA/IDUAL. SEWAGE DISPOSAL -SYSTEM RF„L:GUI._A'1'IO S INCLUDING 'A:..LURE' : U) MEET ANY TERM O)' CONDITION. IMPOSED TI1ErE.O.N. :•DURTNG TEMPORARY. OR FINAL iF'f•Rf'VA€k.,' 'THE ISSUANCE :OF THIS PERMIT }DES rI.OT A:A:INSTITUTE, A.S.M'UMF'TION BY THE:. 'EPAF:TMENT ..OF: 'Ts EMPLOYEES: .OF LIABILITY FOR . TUE.'FAI`I.1RE.;QR INADFDUACY OF THE EWAGE DISPOSAL SYSTEM, . A .TGr R] NE'rsOLU. • 05V05/88 E IVIROI*1EN T AL .S F'FCIAI_.I:ST . : DATE -HIS. PERMIT NOT TFANtsFEF(ABLE AND SHALL.:..'E{ECOu1L VOID IF STEM CUNS'rriUCT:[ON IlA, •101 COMMENCED `WITHIN )NE ,YEAR OF ITS ‘ISSUANCE:: BEFORE -ISSUING FINAL 'APPROVAL OVAL O1 "HIS PERMIT ,THE. WELD COUNTY. HLAL..'rlI" DEF'ARTME`r4T.. RE 'ERV S THi': RIC;HT TO IMPOS'f-_'. •ADIi:E - •IfJ;NAL TEStiS AND CONDITIONS ,REDU:I RED TO MEET °OUR REGULATIONS ON 4. CONTINUING -.BA- ';IS, EINAL,.• .FERMIT HF'PRcjyAL CS :coon NGENT'. .LIPO THE 1- IN.AL.•• IN,'F'f:CT'ON',OF THE. COM-- 'LE.TED `SYS'TEM. BY THE. WELD .fw•0UNT f HEAl._TI-L• DEPARTMENT . - ;YET'E M INSTALLER•UNKN.OWN'.. . • FINAL I:NSI'EC'f':TON • .DATE 05/05,f:88 'YSTL[i. ENGINEER • - AN'.C'`ROVAL .ALICIw •R.INLD.OL:U -Yr?F: OF- SYSTEM INSTALLED TANK I�NV.IRb:�NMEN'r�IL. SPECIAL.]: >T ISSUANCE OF THI,S`•..P RM'IT. 'DOES -NOT'. I•tipL-Y GOFIF'L.I:;ANCE •,WITH :OJ i HEF . Sir ATE , .COUNTY ]Fi ,LOCA .F EGUL.ATORY.: OR RU':[LDINfr RE. t: iRE?7F:N`fu :NOR-SHALL :[T AC 1'.T0'T0 :CERTIFY, :TAT CkfE:: SUBJECT:::,SV.TEM•:,4ILL. OPERATE :IN:`COMF'L TA1NCE, :•W1 14 -AF'F'L.ICA I...E STATE , CCJt.Jr4I.s_- .;AND _OCAL REGULATIONS.IONS. ADOPTED I ERS.UANT TO.:1•ARTT:F::L.C .1{0.:::TI II:..E '`-'25 f: CRS 1 973 .. AS AMENDED IXCrEE'T: FOF::.'`THE. PURPOSE.. O1= E:STABL..1SH1NQ *FT NAL.,•AlF'ROVAL OF AO INSTALLED. SYSTEM FOR C1SUANCE 01- .A =LOCAL OCCUF'As+ICY F'ERM:I:T: rURSUANT''T:O CRS 1.97.3-.•2''>—'i ----; r'.;' ( ) bb4,1� I. • Si DOCUMENT: STATEMENT OF EXISTING ' DISKETTE: HES2B - . STATEMENT OF EXISTING SEPTIC SYSTEM ,JJ (Fill out in ink) OWNER OF RECORD: n a V i n '>` /V i Q rill A n de (5 011y/ MAILING ADDRESS: 33/9 G v,c, k ,3 3 PHONE: .3,102-34 SITE ADDRESS: ,SQ/9/.-(' . LEGAL DESCRIPTION: P1 ca P2 a,34.. Sec Cdr TWNSP Q( RNG 00 Subdivision: Lot: Block: _ Filing: r 4 Bedrooms _3 Bathrooms c2 Water Supply fop PA W Lcl (.6V r1> • Use type 1 M' Q I I. 1/ Lot Size 6Acres / SYSTEM SIZE: Tank is constructed of C O n C/'-L fiD and has /10 0 gals capacit (material) ABSORPTION BED: 50e3 Sq. Ft. Total - Date System Installed /9 75 You are required to draw a diagram of the system on the reverse side of this form ar indicate position, length, width, and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic systE is in fact installed, as described, and exists at this time on the parcel of grour identified by the above description, and further states that the system is in got 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 i revocation of any permit granted based upon this information hereby submitted and i legal action far prejury as provided by law. '' M0) S, (7 g tit. ,.1 'L `-QN"), Date Owner 2, 19 674 Subscridand sworn t before e this day of by . it , O ,QQ l,/ , , `-, - r - Canonission Expktes.Mdtth 1&, , r,Witnies ny- hand. and official seal. My commission expires e. Date Nota Public A 5v 11990 Grant Street, Suite 402 Denver, Colorado 80233 HdI RO Phone (303) 457-4322 • 1� Fax (303) 457-4609 TOCK,tt,�a Tuesday, August 31, 1999 Sherri Lockman Weld County Planning Department Weld Co. Admin. Offices 1555 North 17th Street Greeley, CO 80631 Subject: Ray-Glo Holsteins USR Permit Application Dear Sherri: Following up on our conversation this morning, 1 have enclosed Statement of Existing for Septic Systems forms for two of the three homes at Ray-Glo Holsteins. Thank you for forwarding the originals to the Weld County Health Department. A copy of each form is also included for your convenience. If you have any questions, please call me at (303) 457-4322. Sincerely, t • 77 / ??a t_ Philip Brink Environmental Analyst Enclosures Planning Dap, SEP 7 1999 RECEIVED Serving Environmental Needs of the Livestock Industry C•°°ry ""4pP•n WELC -OUNTY HEALTH DEPARTMENT SE# mb ENVIK-NMENTAL PROTECTION SERVICES ORG PERMIT# cilt 1517 16TH AVENUE COURT REPAIR#_ GREELEY,COLORADO 80631 LOAN#_ ,.34a,�I„° PHONE: (970)353-0635 ISDS# FAX: (970)356-4966 .,I I STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT, IN BLACK INK ONLY) PARCEL# 08 01 14 0000 0 PROPERTY OWNER R,ay- G 1 D 401-STEIN S PHONE NO. (9701 397 09N y MAILING ADDRESS 33'19 (I, WCR 57 GILL CO 804Zt4 City State Zip DESCRIPTION OF BUILDING (ex house, obile/modular home,shop,office) MOUSE SITE/LOCATION ADDRESS 54M E 45 A 50 V E ��W�� City State Zip LEGAL DESCRIPTION PT PT I /14' SECTION 114. TOWNSHIP C RANGE 6 Y' SUBDIVISION -- N A - LOT-NA- BLOCK-NA- FILING-N A- CENCUS TRACT -N A- LOT SIZE/ACRES -N A- COMMERCIAL YES c.1. RESIDENTIAL NUMBER OF PERSONS''_''_2 BASEME PLUMBING YE O BEDROOMS_ BATHROOMS_ ^ FULL 1- 4 1/2, 1 WATER SUPPLY PUBLIC NAME N oRT/t WE'-P C0V NT)/ WATEQ 'r. Di57RIG 2RIVATE YE CISTERN YE WELL YES' N I WELL PERMIT#=N A— SYSTEM SIZE: Septic tank material is constructed of CONCRETE and has 000 gallons capacity. FIELD: Trench a 7O _square feet or Bed square feet YEAR INSTALLED x'421 You are required to draw a diagram of the system on the reverse side of this form an 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 a fists at this time on the parcel of ground identified by the above legal d. ription and further states that the syste ►s s not in good working order and to the best of his/her knowledge• n.t ailing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and ' legal actio for perjury as provided by law. DATE OWNER 1 (Y:0°)V# vi. ((c- iVI Subscribed and sworn to before me this ,3�yIY day of 44'j/tat , 199 9 , by Witness my hand and official seal. My A commission expires: —0 S .=lOO/ ',Gag / /9 7 dil Jnincti DATENOTARY PUBLIC STATEMENT OF EXISTING REVIEWED BY ENVIRONMENTAL PROTECTION SPECIALIST N 11,000 GAL TANK 33' 33196 WGR 51 Noase 5e ti� a00,,,r,e.nuao, WELL' "OUNTY HEALTH DEPARTMENT SE# ENVh .4MENTAL PROTECTION SERVICES ORG PERMIT# k 1517 16TH AVENUE COURT REPAIR#_ 11CC GREELEY,COLORADO 80631 LOAN#_ Snag*alai.M PHONE: (970)353-0635 A ISDS# FAX: (970)356-4966 lia I STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUTfl IN BLACK INK ONLY) PARCEL# 080! 1400000 PROPERTY OWNER_SA A y- G 1 0 ucfl iTG l N S PHONE NO. (170) 391 -• 09 N q MAILING ADDRESS 21 (2 WCR. 57 GILL- CO 8062 4{ City State Zip DESCRIPTION OF BUILDING(ea house, obile/modular home,shop,office) MOUSE SITE/LOCATION ADDRESS 544 E A 5 h$0 LIE '•City State. Zip LEGAL DESCRIPTION PT PT N W 1/ SECITON,4_ TOWNSHIP Co RANGE G, V- SUBDIVISION — NA- — LOT-NA- BLOCK-NA- FILING-N A- CENCUS TRACT -N A-- LOT SIZE/ACRES -NA- COMMERCIAL YES Nc(J) RESIDENTIAL NUMBER OF PERSONS= Z BASEME PLUMBING LLB S BEDROOM BATHROOMS FULL 1. '3/4 1/2_ 1 WATER SUPPLY PUBLIC UTILITY NAME NoRtif WELD covwry WAYE&. Di5Tgicr RIVATE () CISTERN WELL YES- NO WELL PERMIT#=N A-- • SYSTEM SIZE: Septic tank material is constructed of CANGRITE and has 4090 gallons capacity. FIELD: Trench .27O —square feet or Bed square feet . YEAR INSTALLED /421 You are required to draw a diagram of the system on the reverse side of this form jn black ink qi 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 a ists at this time on the parcel of ground identified by the above legal ription and further states that the syste is s not in good working order and to the best of his/her knowledge j� ailing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and ' legal actio for perjury as provided by law. DATE OWNER o^ C?W vi-74 i'ir) Subscribed and sworn to before me this .444 day of gei q/zo-t 1991_, by O Witness my hand and official seal. My commission expires: //-0 5 -= O/ /. .3/ /999 _ .nzra R��2r&i,A DA NOTARY PUBLIC STATEMENT OF EXISTING REVIEWED BY ENVIRONMENTAL PROTECTION SPECIALIST /W O° GAG TANK WOg 33, 331u WGR 4T NOUNS o_ ir 3Lieeenn.•'mu.ory9'e WELT 'OUNTY HEALTH DEPARTMENT SE# e ENVIK,NMENTAL PROTECTION SERVICES ORG PERMIT# ,Lik,i klmi 1517 16TH AVENUE COURT REPAIR# GREELEY, COLORADO 80631 LOAN# S ,tiSI-a WS PHONE: (970)353-0635 ISDS# FAX: (970)356-4966 STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN $LACK INK ONLY)i I PARCEL# 080119+000001 PROPERTY OWNER KAY — 61.O HO L5TEi N 5 PHONE NO. ( 1 MAILING ADDRESS 33764 WoR 57 SILL CO B06z9- City State Zip house DESCRIPTION OF BUILDING(ex. mobile/modular home,shop,office) 1+0 USE SITE/LOCATION ADDRESS SAME AS Agog" City State Zip LEGAL DESCRIPTION PT _ PT NW 't SECTION 1'}TOWNSHIP b RANGE 6 4 SUBDIVISION - NA - LOT-A- BLOCK -NA- FILING-NA- CENCUS TRACT - NA LOT SIZE/ACRES -N A- COMMERCIAL_YES() RESIDENTIAL YES NO NUMBER OF PERSON _ Z BASEME LUMBING YES N BEDROOMS 3 BATHROOMS FULL 1 1/2_ Z WATER SUPPLY PUBLIC UTILITY NAME NORTR WELD COUNTY Waft DIsrRICT 1RIVATE YES NO CISTERr WELL YES/NO WELL PERMIT it --NA- SYSTEM SIZE: Septic tank material is constructed of CONGR1TE and has 4 UVO gallons capacity. FIELD: Trench 300 _square feet or Bed square feet YEAR INSTALLED 1956 You are required to draw a diagram of the system on the reverse side 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 ription and further states that the syste is 's not in good working order and to the best of his/her knowledge's ' n i t ailing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted an ' al actio for perjury as provided by law. DATE O R 1/2'` [' C _�(� �cn9') J Subscribed and sworn to before me this • cSJ/ n day of cTL , 199 9 , by 0 Witness my hand and official seal. My commission expires: //-05-AGO/ /1.0 y,...W, /999 _ 107��9. (d DATE NOTARY PUBLIC STATEMENT OF EXISTING REVIEWED BY ENVIRONMENTAL PROTECTION SPECIALIST N ►,0 331bµ warm 14005E 1.30! 4000 6gll0N Pvve< INCR �� 1 / a�sc•stia""°°p.ryew. WELD COUNTY HEALTH DEPARTMENT SE# r � , ENVI VMENTAL PROTECTION SERVICES ORG PERMIT# 1517 16TH AVENUE COURT � REPAIR#_ 1C GREELEY,COLORADO 80631 LOAN#_ .t-.w M..Q-.nv PHONE: (970)353-0635 ISDS# FAX: (970)356-4966 STATEMENT OF EXISTING FOR SEPTIC SYS (PLEASE FILL "OUT IN PARCEL# . O801 I itoc 000 i PROPERTY OWNER KA V - 61.0 He LSTEI N 5 PHONE NO. MAILING ADDRESS 3 3 7 4 µ W oft 57 .5I L.1- CO B obi if City State !L Zip DESCRIPTION OF BUILDING(ex. house mobile/modular home,shop,office) 1+0 USE SITE/LOCATION ADDRESS SAME AS ABOU6 City State Zip NW LEGAL DESCRIPTION PT _ PT N. .SECTION I I+ TOWNSHIP to RANGE to I{ SUBDIVISION -N A- . LOT-NA- BLOCK MA- FILING-NA- CENCUS TRACT - NA LOT SIZE/ACRES -N A- COMMERCIAL ) RESIDENTIAL NO NUMBER OF PERSONS 1 BASEMEPTPLUMBING NO. BEDROOMS 3 BATHROOMS FULL_ 3/4 1/2_ 1 WATER SUPPLY PUBLIC min NAME NORTH. WELD COUNTY WATEt DISTRICT RIVATE CISTER WELL YES/NO WELL PERMIT# -NA- • SYSTEM SIZE: Septic tank material is constructed of CONCRETE and has 4 06O gallons capacity. FIELD: Trench S tJO _square feet or Bed square feet YEAR INSTALLED 1156 You are required to draw a diagram of the system on the reverse side 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 d ription and further states that the syste, g s not in good working order and to the best of his/her knowledge js is not ailing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted a 'n legal actio for perjury as provided by law. DATE O R -) Subscribed and sworn to before me this c-eirai day of 41 ren1l , 199 _, by 0 Witness my hand and official seal. My commission expires: /l-OS-a00/ taig a3/, /999 %/Zc DATE NOTARY PUBLIC STATEMENT OF EXISTING REVIEWED BY ENVIRONMENTAL PROTECTION SPECIALIST N v E •_ tak ;slot war fl • \v- �� 140)5E 3j! Aig 4000 64lLON TANK hIeR: 57 Hello