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Home My WebLink About20041305.tiff WELL INFORMATION DATA CASE Name of applicants H. F. SCHdOLD►H Nailing Address, CANS, com.@mADO 80612 }• '/Well Permit or Registration Number f 37 Location of Well ' From the SS oornor of Sao 22, TION, N67W, 6 Ai, point of beginning; thence North 858', thence Wont 647.5' . Section , Township Range Give bearing and distance from Section corner or distance , N - S and E - N from section lines. DATA, DATE' Feb 24, 1961 (Drilled by Cummins Nell Service, Greeley, Colo) Depth of well 107' feet. Depth to Static Water Level 14 feet. Horsepower of electric motor nit Diameter - discharge pip. sae inches. Pressure at sprinkler head n/a per sq. inch. CAPACITY OF WELL' 15 gpm 1. Actual measurement ecm (ab not use pump-teat date) 2. Or one of the following measurements' 2a. WEIR it.); � INCHES DISCHARGE PIPE __ IWCREsI ' `� 'McRae 2b. I. D. PIPE ry Il INCHES 2004-1305 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY,CO 80631 . PHONE (970) 304-6415 FAX (970) 304-6411 Vssurripi. Permit #: SP-0000587 Sec/fwn/Rng: 22-10-67 Status: Owner: BLANEY DARLENE Applied: 10/03/2000 Applicant: SCHROEDER H. D. Issued: 10/20/2000 Permit Type: KNEW Commercial,R=Residential+NEW,REPair,VauLT Finaled: //r 7/au) Parcel #: 0303-22- - - Location: 56145 WCR 21 CARR 22-10-67 Legal Descrip�tl;�/Am n ^� Installer: �J Description: MODULAR Commercial: N Residential:Y Acres: 80 #of Persons: 2 Basement Plumbing: N #of Bedrooms: 2 Bathrooms- Full: 2 3/4: 0 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit #: 7937 • Percolation Rate: 26 Limiting Zone: 8 ft 0 in Description % Ground Slope: 0 Dir: Soil Suitable: (Y/N) Y Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N Minimum Installation Chambers Septic Tank: 1000 gallons Absorption Trench: 7004 square feet or Absorption Bed: 0 square feet Actual Installation • Septic Tank: iCXo gallons Absorption Trench: Rot) square feet Absorption Bed: square feet Design Type: G, A NOTICE 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 adopted persuant to Article 10.Title 25,CRS as amended,except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973 25-10-Ill (2). This permit is not transferable The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department offP Public QHealth and Environme x •? /—I�'-C! Envi onmental Health Specia ' Date Form'5 FINAL • r DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT 1555 Y,CN. 1HAVENUE GREELE COLORADO 80631 C ' ADMINISTRATION(970)304-6410 PUBLIC HEALTH EDUCATION&NURSING(970)304-6420 O FAX(970)304-6416 ENVIRONMENTAL HEALTH SERVICES(970)304-6415 FAX(970)304-6411 COLORADO September 25,2000 Darlene Blaney 56145 Weld County Road 21 Carr, Colorado 80612 RE: Blaney,Darlene ISDS No.:00-071 Permit No.: SE-0000089 Dear Ms. Blaney: • On September 13,2000,an evaluation of the existing individual septic disposal system at 56145 Weld County Road 21,Carr, Colorado; Section 22,Township 10 North,Range 67 West, was conducted by Steve Wiatrowski. The existing individual septic disposal system is of sufficient size and capacity to adequately handle the proposed load.This evaluation is based on a final treatment capacity for a 2 bedroom residence. Be advised, 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 or in the report. This inspection was conducted for the purpose of determining compliance with current regulations and for detecting health hazards observable at the time of inspection. This 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 snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. 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. If we can be of any further assistance,please contact our office at 304-6415. Sincerely, Ste'hen Y. Wiatro Environmental Health Specialist • SlW/pc-1331 • .Enclosure(1) • cc: Weld County Department of Planning WELL CGUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT I '7 1555 NORTH 17TH AVENUE GREELEY,CO 80631 , PHONE(970) 304-6415 FAX (970) 304-6411 LI:TEI;-\\°12Q2( Permit #: SP-0000587 Sec/Twn/Rng: 22-10-67 Status: Owner: BLANEY DARLENE Applied: 10/03/2000 Applicant: SCHROEDER H. D. Issued: 10/20/2000 Permit Type: RNEW C=Commercial.R=Residential+NEW.REPair,VauLT Finaled: ( 1 ?fay Parcel #: 0303-22- - - Location: 56145 WCR 21 CARR 22-10-67 Legal Descrip�tl;,,iAm �o� Installer: �(�( Description: MODULAR Commercial: N Residential:Y Acres: 80 #of Persons: 2 Basement Plumbing: N #of Bedrooms: 2 Bathrooms - Full: 2 3/4: 0 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit#: 7937 Percolation Rate: 26 Limiting Zone: 8 ft 0 in Description %Ground Slope: 0 Dir: Soil Suitable: (Y/N) Y Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N Minimum Installation Chambers Septic Tank: 1000 gallons Absorption Trench: 7004 square feet or Absorption Bed: 0 square feet Actual Installation Septic Tank: 1CX=n gallons Absorption Trench: R:c0 square feet Absorption Bed: square feet Design Type: G.a . NOTICE. 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 adopted persuant to Article 10.Title 25,CRS as amended,except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973 25-10.111 (2). This permit is not transferable The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environme . x n iVnn� l-I C Envi onmental Health Speci t Date Form:S_FINAL (nit DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT Y N. ENUE 80631 .-. GREELEY,COLORADO 80631 ' ADMINISTRATION(970)304-6410 CPUBLIC HEALTH EDUCATION&NURSING(970)304-6420 FAX(970)304-6416 ENVIRONMENTAL HEALTH SERVICES(970)304-6415 FAX(970)304-6411 COLORADO September 25, 2000 Darlene Blaney 56145 Weld County Road 21 Carr,Colorado 80612 RE: Blaney,Darlene 1SDS No.:00-071 Permit No.: SE-0000089 Dear Ms. Blaney: On September 13,2000,an evaluation of the existing individual septic disposal system at 56145 Weld County Road 21,Carr,Colorado; Section 22,Township 10 North, Range 67 West,was conducted by Steve Wiatrowski. The existing individual septic disposal system is of sufficient size and capacity to adequately handle the proposed load.This evaluation is based on a final treatment capacity for a 2 bedroom residence. Be advised,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 or in the report. This inspection was conducted for the purpose of determining compliance with current regulations and for detecting health hazards observable at the time of inspection. This 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 snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. 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. If we can be of any further assistance,please contact our office at 304-6415. Sincerely, Ste hen . Wiatrowski Environmental Health Specialist SJW/pc-1331 • Enclosure(1) cc: Weld County Department of Planning Hello