HomeMy WebLinkAbout20022448.tiff DEC-27-2001 THU 11:18 AM ENVIRON HEALTH SERVICES 9703046411 P. 01
WELD COUNTY HEALTH DEPARTMENT
1517 16TH AVENUE COURT, GREELEY, CO 80631
(970) 353-0635 EMT 2225 VAX (970) 356-4966
Permit # : SP-9800496 sec/Twn/Rng: 08 04 66 —SMNWNW
Permit Type: RNEW C-commercial, Rere.idential + NEW, REPair, Vau1T
Applied:
Parcel No: 1057 08 000024 Issued: 00
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Finaled: //-e4/-/99
Location: 22434 STATE HWY 60 MILLIKEN 8-4-66
Legal Desc: 17038 82NW4/N2SW4/SW4SW4 8 4 66 EXC BEG NW COR
22434 60 HWY COLORADO
APPLICANT KAMMERZELL EDWARD Phone: (970) 587-2256
22434 STATE HWY 60, MILLIKEN CO 80543
OWNER KAMMERZELL EDWARD J & SHIRLEY M
22434 STATE HWY 60, MILLIKEN CO 80543 .
SEPT-ENGR FREESE ENGINEERING--NO PERC TEST Phone: (970) 352-0100
1523 6TH AVENUE, GREELEY COLORADO 806320913
SEPT-INSTL EXCAVATION SERVICES Phone: (970) 587-4222
1211 N PARK RD, JOHNSTOWN CO 80534
Description: HOUSE
Commercial (Y/N) : N Residential (Y/N) : Y Acres : 40 . 00
Number of Persons: 2 Easement Plumbing (Y/N) : N
Number of Bedrooms: 4 Bathrooms-> Full: 1 3/4 : 1/2:
Water Public (Y/N) : Y • Utility Name: LITTLE THOMPSON
Water Private (Y/N) : N Cistern (Y/N) : N Well (Y/N) : N
Water Permit No: N/A
Percolation Rate: 10 .9 Limiting Zone: 03 ft 00 in Desc: GRAVEL
% Ground Slope: Dir: Soil Suitable (Y/N) : N
Engineer Design Req'd (Y/N) : In 100 Yr Flood Plain (Y/N) :
Minimum Installation
Septic Tank: 1250 gal Absorption Trench: sq. ft .
Absorption Bed: 880 sq. ft .
Actual Installation •
Septic Tank: \2 gal Absorption Trench: sq. ft .
Absorption Bed: get) sq. ft.
Design Type: 1s _
NOTICE
The issuance of this permit does not imply oonplianoe with other state, county or 1O041 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
adopted pertinent to Article 10, Title 35, CHB ea amended, except for the purpose of establiabing final approval of installed .
e cem for innuantc of a local occupancy parnit pennant to CIO 1973 29-10-111 (2).
This permit is not transferable. The weld County Health Department reserve. the right to impose additional terms and conditions
required to meat our regulations on a continuing basis. Pinel permit approval was contingent upon the final inspection of the
�.aampleced system by the Weld County Health Department.
X Sri.
2002-2448
DEC-27-2001 THU 11:19 All ENVIRON HEALTH SERVICES 9703046411 P. 02
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