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Home My WebLink About20030094.tiff MAY-03-96 FRI 07 :28 PM LARRY AND TONI THIEMAN 30A, 438 9260 P. 02 WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW APPLICANT: Hein, Herschel PERMIT NO. ; BP-9600025 (Repair) LEGAL DESCRIPTION: PT: SECTION: 09 TOWNSHIP: 01N RANGE: 66W SUBDIVISION: N/A LOT: 000 BLOCK: 000 FILING: 000 SITE ADDRESS: 14371 WCR 10 Ft. Lupton, Co. 80621 FACILITY: Residential House 2 bedroom ACRES: 10.0 PERC LUTE: 24.0 min/in SOIL: Unsuitable WATER SUPPLY: Private Well SLOPE: 1% N LIMITING ZONE: 3' groundwater Yes ENGINEER DESIGN (3.5) No EXPERIMENTAL DESIGN (3.14) ENGINEER: Acklam Associates - ADDRESS: 1001 E. Bridge St. Brighton, Co. 80601 ESTIMATED FLOW: 450 C.P.D. PRIMARY TREATMENT: Septic Tank CAPACITY: 1000 Exacting DISPOSAL METHOD: Wisconsin Mound SIZE: 568 Ft2 REQUEST FOR VARIANCE: No STAFF COMMENTS: Due to high ground water, a Wisconsin Mound system will be installed. The system is sized for a 3 bedroom home and is therefore oversized for the proposed load. STAFF RECOMMENDATION: Approval ENVIRONMENTAL PROTECTION SPECIALIST: Pam Smith REVIEWED BY BOARD: February 27. 1996 B.O.H. DECISION: APPROVED: DENIED; TABLED: W ,9t Tom Cope, Choi Weld County Board of alth SW/rb-0067 2003-0094 MAY-03-96 FRI 07 :28 PM LARRY AND TONI THIENAN 303 438 9260 P. 03 WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit S : SP-9600025 Status: FINALED Permit Type : RREP C-commercial. R.residential • MEW. REPair. VauLT - Applied: 01/12/1996 • Parcel No: 1471 09 Issued: 02/29/1996 Finaled: 03/01/1996 Location: 14371 WCR 10, FT LUPTON, CO 09-01-66 Legal Debc: APPLICANT HEIN HERSCHEL Phone : (303) 822-5537 12000 PECOS ST SUITE 160, WESTMINSTER CO 80234 OWNER HEIN GEAN M & HERSCHEL R Phone: (303) 857-0548 14421 WCR 10, FT LUPTON GO 80621 SEPT-INSTL GREIN CONSTRUCTION INC Phone: (970) 659-3969 PO BOX 381, BRIGHTON CO 80601 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres: 10. 00 Number of Persons: 4 Basement Plumbing (Y/N) : N Number of Bedrooms: 2 Bathrooms-> Full: 1 3/4 : 1/2 : • Water Public (Y/N) : N Utility Name: —water Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No: Percolation Rate : 24 - 0 Limiting Zone: 3 ft in Desc: GROUNDWATER % Ground Slope: Dir: Soil Suitable (Y/N) : N Engineer Design Req'd (Y/N) : Y In 100 Yr Flood Plain (YIN) : N • Minimum Installation Septic Tank: 1000 gal Absorption Trench: sq. ft . Absorption Bed: 568 eq. ft . Actual Installation • Septic Tank: 1000 gal Absorption Trench: sq. ft . Absorption Bed: 900 sq. ft. 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. CRe as amended. except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit'perauant to CRS 1991 25-10-111 (2). This permit is not transferable. 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 was contingent upon the final inspection of the completed system by the Weld County wealth Department. X Y//A O„„„ 3/(0/qt, Environmental Specialist Ddte MAY-03-96 FRI 07 :29 PM LARRY AND TONI THIEMAN 303 438 9260 P.04 1 • WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit $ : SP-9600025 PERMIT Permit Type: RREP C-commercial, A-residential • NEW. REPair. VauLT Applied: 01/12/1996 Parcel No: I4 Hl Expires: 01/06/1997 Location: 14371 WCR 10, FT LUPTON, CO 09-01-66 Legal Desc: �glke APPLICANT HEIN HERSCHEL Phone: (303) 857- 5537 12000 PECOS ST SUITE 160, WESTMINSTER CO 80234 +y$i1 -�`� OWNER HEIN GEAN M & HERSCHEL R StZ 7537 14421 WCR 10, FT LUPTON CO 80621 SEPT-INSTL GREIN CONSTRUCTION INC Phone: (970) 659-3969 PO BOX 381, BRIGHTON CO 80601 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres : 10. 00 Number of Persons : 4 Basement Plumbing (Y/N) : N Number of Bedrooms : 2 Bathrooms-> Full : 1 3/4 : 1/2: Water Public (Y/N) : N Utility Name: Water Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No: Percolation Rate : 61, (D Limiting Zone: 5 ft p_ in Desc: 6f0114,03.4,,e t Ground Slope: — Dir: _ Soil Suitable (Y/N) : 1Va Engineer Design Req'd (Y/N) : 1'6 In 100 Yr Flood Plain (Y/N) : 0 Iron the spplication information supplied and the en-site soil percolation data the following s.iniaum imstalletion specifications are required, Septic Tank : () gallons, Absorption Trench _ sq. ft . or 05(armt ntilulc Absorption Bed Q0S! sq. ft . In addition, q this permit ie subject torthe following additional terms and t'.- conditions: &5fl5fUct F c-led 9 tj0 )au,t I.- Sys a/e�e,,,,,U ir1P_ & Amt. NOTICE This permit is granted temporarily to allow construction to comntnce. Thre permit may be revoked or suspended by the Weld County Health Department for reasons sat forth an 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 the failure or inadequacy of the sewage disposal system. This permit is not transferable. 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 inspection of the completed ayatem by the weld County Wealth Department. X Sla 2Isel19( Form No. - OFFICE OF THt STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES L 818 Centennial Bldg., 1313 Sherman St.,Denver,Colorado 80203 EKSI (303)866-3581 WELL PERMIT NUMBER 024'457W - _ APPLICANT DIV. 1 WD2 DES. BASIN MD Lot: A Block: Filing: Subdiv:1471-09-3-RE1822 APPROVED WELL LOCATION WELD COUNTY _ SE 1/4 SW 1/4 Section 9 RON & JAIME SISNEROS Township 1 N Range 66 W Sixth P.M. 7315 JELLISON ST DISTANCES FROM SECTION LINES ARVADA, CO 80005-3855 62 Ft.from South Section Line 1580 Ft.from West Section Line (303)423-8213 UTM COORDINATES PERMIT TO USE AN EXISTING WELL Northing: Easting: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved for the use of an existing well constructed under permit no. 30119 pursuant to CRS 37-92-602(3)(b)(I)and policy of the State Engineer under the following conditions. 4) The use of ground water from this well is limited to ordinary household purposes inside two(2)single family dwellings, the watering of four(4)large non-commercial domestic animals,and the irrigation of not more than 10,100 square feet of home gardens and lawns. 5) Production from this well is restricted to the Laramie-Fox Hills aquifer. 6) The maximum pumping rate of this well shall not exceed 15 GPM. 7) The annual withdrawal of ground water from this well shall not exceed 2.39 acre-feet. 8) The return flow from the use of this well must be through an individual waste water disposal system of the type so that not less than 2%of the total amount of water withdrawn is returned to the same stream system in which the well is located. 9) This wall shalt be located not more than 200 feet from the-location specified on this permit. 10) The issuance of this permit cancels permit no.30119. , NOTE:The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years upon which the amount of water in the aquifer is allocated,due to anticipated water level declines. 'ir -940/02 APPROVED 206.0" „miry�� MTT ��VV/IAAG��CCC • State Engineer Cr /� 7/yy) g din Receipt No.0496846 DATE ISSUED l• 1' figllaG �PIRATION DATE MAY-03-95 FRI 07 :20 PM LARRY AND TONI THIEMAN 303 438 9=50 P. 05 ..a. LOG AND' HISTORY ;4 WELL LOG WELL DAT /S_, Ground Elevation Date Started Type Drilling Date Completed - ) .2 s Water Hole D'ameter: From To Type of Material Lac'. Perf. in. from ft. to_z'��! ft• m. from ft. to f9/7 ft. es 3r Cl i. - in. from ft. to ft. ?S tin S A7 •167 S • CASING RECORD , //_i � el c • jcp y/i' She1C k Cemented from 'Tf/ >/,t .fly rend R.t _ .� P��l.a+iltIyy Cast $ / j- sA/ 3}1 Sha-G Sizekktndddld/from if ft. to ft. 34 ygS 144 €ecL .5let Veer Size kind trom�ft. to.Wt. Y4c Lac S/.. -4 &,,,, �/ Stzc_. kind—from—ft. to ft. YPc 6�' 'S�L.etla �1 gas. 4k sLJ Lai Per�o��rated Casing 460 466 siva, Size?4 kind_uU4 frotn7 ft. to t• 144 6ri Lod BG-1 • ‘1f vs- Sc. Jt Sm....e s-4.4 '' a-'" size_ , kind____from— ft. to— ft. 'WC 730 S....44 00 Size, kind_from ft. to ft. 73V 74Y s<.�-� I.." Ver gip fh.4Q S or TEST DATA t no TQ/ f Date Tested 79, pv $-h44/ . Type of Pump i..1Length of Test Constant Yield Drawdowil PUMP DATA (To be fille14) Type of Pump t./ Outlet Size / Driven by / Horsepower Use additional paper if necessary tb complete DEPTH TO WATER // 7 log andattach. "WI DEPTH `�� WELL DRILLERS STATEMENT State of Coloracjp Q �A ss • e �� O g p County of lLd i ,trr�f?-l-Jbein duly sworn, deposes and says: he is the driller of the above described ell; he has read the above map and statement, knows the content thereof, and the same is true of his own knowledge. ' lt� License Nv. !/J l) 3 Subscribed and sworn to before me this day of , 19—. My Commission expires , 19 . Notary Public FORM TO BE MADE OUT IN QUADRUPLICATE: I Opleted. riginal WHITE PINK croot, is forithe Ownler &YELLOW copy for he Driller. WHITE State FORMEngineer within Copy must be filed with the MUST BE AN is ORIGINAL COPY ON BOTH MAY-03-96 FRI 07 :20 PM LARRY AND TONI THIEMAN 303 438 9260 F. 04 OCT z5 1967 • 1� ItpnPnnnr mt wR]-25-66 STATE OF COLORADO /T/ 20 V1;4S DIVISION OF WATER RESOURCES JU�J2 t: .ex No. J OFFICE OF THE STATE ENGINEER " J fi] UseIDW MAP AND STATEMENT FOR WATER WELL FILING a�(jp Use nn 9 Registered PERMIT NUMBER C /// Qv e,r7 Know all Caen by these presents: Taal the�{ndPrsi 1 d ' claimant(s), whose address is ?. ( -�� L , City < X1-1 -B• ' states: Claimant(s) Is (are) the owner(s) of well No. ocated as sho n o .the map below; the he total number of acres of land owned by him (them) to be itF t a cm this we i 19 t was commenced on'this well by act construction / ; ay of e/ 'tested capacity of said well is g (grim) (cfs), for which claim is hereb ma e for A . / purposes; that the average annual amount of water to be diverted is acre-ft. ; and that the aforementioned statements`arc made and this map and statement arc filed in compliance with the law. State of Colorado . ) ss County of ) Claimant(s) Subscribed and sworn before me this day of • 19 • My Commission expires Notary Public MAP .. THE WELL SHALL BE LOCATED WITH REFERENCE TO GOVERNMENT SURVEY CORNERS OR MONUMENTS, OR SECTION LINES BY DISTANCE AND BEARING. • feet from (North or South) section line . feet from (East or West) section line IF WELL IS FOR IRRIGATION, THE AREA TO BE IRRIGATED MUST BE SHADED OR CROSS- HATCHED. The square below will be used to in9icate the location of the well and the irrtgated land. 1 I I I ' 1 ®'I cn I , , , WELF LOCATION I i I e _County i 1 • I , 1-W 1/4_t5-g---1/4, sec. 7 - T T r - - r - -' T. Igo R. (!%kel/ V P. M. . i • ' • I , 1 (• _ < Ground Water Basin i i II i Water Management I I - District I X i t 1 Domestic wells may be located by the ,_ _,t,__ _1- ' 1 mi. following: LOT , BLOCK I I I t I I i I i I SUBDIVISION i i I ' i ' , I I I • ACCEPTED FOR FILING IN TILE OFFICE OF THE STATE ENGINEER OF COLORADO ON THIS DAY OF , 19 . cf2rw Fwineer MAY-03-96 FRI 07 :21 PM LARRY AND TONI THIEMAN 303 438 9260 P. 06 ...... a WRJ s-66tiEg1(L'�!W'i?@ STATE OF COLORADO 24 % A PERMIT TO.USE GROUND WATER a,, APPLICATION FOR: A PERMIT TO CONSTRUCT A WELL �,,,,a 1 a 1S)67, / / OTHER Application must be completed satisfactorily before acceptance SYAT[ 'ENG NEER PRINT r00Rp�TYPE �} `/ �/ ��/LOCATION OF WELL APPLICANT L. to PIArr1 C1 AV �� COUNTY N4' �L O Street Address 4f Z %71.401 /3 S_ __ / sr h. sec. 7- ' �tm B A-EYp1E'4t( T. I i. . R. 64 P.M. City s State 0 Use of ground water 80,77P S T, c, Ground Water Basin Owner of land on which well Water Management t_ , is located District Number of acres to be irrigated USE DIAGRAM ON THE BACK OF THIS SHEET TO Legal description of LOCATE WELL. irrigated land Other water rights on �/O this land Driller —t---e--------21,740• j Owner of irrigated Driller's ) // land Address eA7V /Lie CL0-6J Aqulfer(s) ground water is to be obtained / from tern-- t-4_4 /1( ,t--Liz ESTIMATED WELL DATA C Signature of Applicant t. quantity of ground water to be claimed: CONDITIONS OF APPROVAL Est. Max. Yield /5-e GPM or CFS Est. average annual amount to be used in acre-feet Storage capacity AF Anticipated start of drilling /60419 47 Hole Diameter: r It in. from Q ft. to (so ft. S in. from 60 ft. to g0t2 ft. a Casing: plain Lt fin. from r7 ft. to ,,,O ft. V- in. from go ft. to 7e-D ft. Perf. .it in. from 7e-r) ft. to Roy ft. in. from ft. to ft. PUMP DATA: Outlet , 'Type �rsfr- HP Size This application approved This application approved PERMIT NUMBER 3011.9 CONDITIONAL PERMIT NO. (Permit good for one (1) year after date DATE ISSUED MAR 16 1967 of issuance) DATE ISSUED State E�n9' eer •/j, '� �/�/f Chairman Ground Water Commission by f(/�p 'ay.(��' k//.vey„e by Hello