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Home My WebLink About991682.tiff not Post-it" Fax Notet 4 371 Date' l. pages -'� Fror5 ILL 1 f t‘'-t_l G. �— ,, T° "iy�- �J�!Lt,��iVi.� Co/Dept Ca (— r, t bJ(..l./,, Pho Phone# phone It DEPARTMENT OF HEALTH u(µ 1517 - 16 AVENUE COURT Fax q _�-�c� - = Fax o CY-^U ��5( '� �(:-5�IGREELEY, COLORADO 80631 IN E i,veuv nrriev vtLt, ADMINISTRATION (303)353-0586 HEALTH PROTECTION(303)353-0635 COMMUNITY HEALTH (303)353-0639 COLORADO CLOSING DATE: 04/05/94 REQUEST NO: 056-94/408 FAX FEE ($2.00) : 03/24/94 DATE RECEIVED: 03/24/94 NEW LOAN FEE $90.00: 03/24/94 TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: SEND TO: _ REALTOR NO. : 454-3452 OWNER NO. : (H) PICK-UP: Layne Payant - Payant Real Estate OWNER NO. :__ (W) FAX TO: Layne Payant FAX NO. : 454-3112 INFORMATION: Address: 29950 WCR 57, Greeley, Colorado 80631 Age of Septic: 1977 Legal: PT: W2 PT: NW4 SEC: 02 TWN: 05 N RNG: 64 W Subdivision: N/A LOT: 000 BLK: 000 FLG: 000 Property Owner: Koberstein, Roger Original Owner: Trimber, David L. Tank Pumped on: 03/23/94 By: Art's Sanitation Service Licensed: Yes PERMIT ON RECORD: Name: Trimber, David L. _ Permit No. : G-770080 S.O.E. : No Bathrooms: 2 Bedrooms: 3 Total Acres: 5.00 Date of Final Inspection: 07/18/77 Water Supply: North Weld Well Permit No. : N/A Tank Capacity: 1000 gallons Field Size: 870 square feet INSPECTION FINDINGS: Date of Inspection: 03/29/94 Soil Conditions : Dry xxx Saturated _ Snow-covered Residence: Occupied Vacant xxx Sewage Disposal System: Satisfactory xxx Other Bacteriological Water Test: Acceptable xxx Other _ COMMENTS: None Applicable. - g DATE: 03/31/94 SIGNATURE: ! 7 mil—_ - c-, - Environmental Protection 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 at the time of inspection, and 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 sncw 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. 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. 991682 1516 II 'cpitnl Road= 30 Grccle Colorado- PIRMIT N0. Ph. '53-0540 Application for permit to Install, Consliuct, on Individual Sewage Disposal System, `� owner >��U/� L / ��/7'l�C� ///02 '�'W SY`� Phan�67- ?7r/P f�(lclr c ss 60,ye �7/7 -- , Direction to site: 11,,,y Rd, N Ili., E_mi,, S_mt., W mi. red .� 7 96 6 .2 -- S'o a '6A or G r r)/ . Legal Uescription:"!�'IRr"' `� r Sec, , -j N,c.....W Subdiv, _—. Lot ©Ik fGeneral Information DcptTUsc Only No. (3cclroom. _ __ No. Persons Pere. Role (Avg. of 31 ^' Na. i.;oths // I.3(,scmcnt PIunrhinq 1/ O Q,�LJ/ - Sol Type_ . ......- 7 Size of Lot / j I I,U fnhlc UCIJth_....L to" {}{.O supply well give dcpin /, yG�^�f� (thief C Lot Grade ._ --_- ...._ �_ New Home Mnf,rle ) (only Modular /\dd'n Requires l_nrlinccr Design Yes No Type of sev71 cli,•poscil rcr1ue•cted: --- ------- ------ !�,`1- - If yes — reason '�' Septic tank______ Privy__- Other ..._______4, T)1r a 5 t <' c',`r. II f y l J,I, 1 Ihr. -: li , h ,�, sillC.onimcnis: I ', Ni'1 t(:I Il'Iit ' !(fit • r '1 f~AbII,- ,SILO r X -- IItiSlallntion instructions: (Minimum Requirements) • Septic Tank_ i�t � Gals. /Absorption Trenches (e(P _O Sq. Ft. Other or { ' t 4 ci Seepage bed _ �C Sq. Ft. _ Special Instructions no of {Zia 4 (pieta + cam, L ) uwee 1h„: c,stcln will he cnnslruclr(I ,i,,rl inSI(I I .( in accordance ,villt than a1)ave specifications and regulations re- 7r(linq individual sewc'gr (IIsp(,;<.iI systerns in Weld County, Colorado ibis permit shall i:' pir(• (it Ow some tin,c os the building permit, rr,, ( nr, rnl< i per it is issued, the permit shall expire 120 dov alter rl _i:st,nr e, if construction has not b,:r c¢n,nu. i Dole: . -Owner: . Applicant' - The pions and specifications os shown ore approved pending payment of permit fee. Date: 411.4 1 77 . Sanitarian i frJU.8‘,L'ta @ , AtLeo) lh' ahove systcn, insper.Ie(i mu) Iound in comply with plan and (IC,,cril)lion. Systems Contractor: C-60.)---...P.-1.-...CM-3 - Dale: — --7 'I2) _?2__..�__ c t\.,.Qaicky- `'-, A Sanitarian:_ lf. Engineer Review: - - CP Q! mole) is,,noh,rcI O Permit Fee: `��• / • t(j r `:.6d �,t�!/ .0 2 5 - 77 Received by: Dole: - • r r. b K, 7q1` �t' )'• NY x'`. • • tt • Wk1P'Iz r�F f WILL i 6i!3L0 I ' 1/9'+ F FR l r •� ) (` IT X17 I t.(.';`:I .. •:.h. j .000 CAL,; . 1 T O !. 2 C 1 1 . FIRST CLASS MAIL US POSTAGE PRE-SORTED �+. PERMIT NO.1 .Rodin904s...445,4104i444..444,4,4.4;41: ITl71[e J;• • • r P\ gyp AAil� tt 'i WACi1 E 3E:. vf :_ .•t:. .CH:. . C.,• DUE AND PAYABLE ON THE 10TH OF THE MONTH. ii - Pay this amount alter the 10th m. NWCWD P.O Box 56 Lucerne.CO - IWDI•llfdJtlllillll•Il��t�ill�1�'11��i�'��It�1El,l�i�l�ll��l�il • • • • Hello