Loading...
HomeMy WebLinkAbout20033306 Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg.,1313 Sherman St,Denver,Colorado 80203 (303)866-3581 21 WELL PERMIT NUMBER 240116 - APPLICANT DIV. 1 WD 1 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY SW 1/4 SE 1/4 Section 22 MARK WEIMER Township 6 N Range 64 W Sixth P.M. 32736 WCR#50 PISTANCES FROM SECTION LINES KERSEY, CO 80644- 150 Ft. from South Section Line 1650 Ft.from East Section Line (970)396-8053 UTM COORDINATES PERMIT TO CONSTRUCT A 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 pursuant to CRS 37-92-602(3)(b)(II)(A)as the only well on a tract of land of 67 acres described as that portion of the SE 1/4,Sec.22,Twp.6 N, Rng. 64 W,Sixth P.M.,Weld County, more particularly described on the attached exhibit A. 4) The use of ground water from this well is limited to fire protection,ordinary household purposes inside not more than three(3)single family dwellings,the irrigation of not more than one(1)acre of home gardens and lawns,and the watering of domestic animals. 5) The maximum pumping rate of this well shall not exceed 15 GPM. 6) Production from this well is restricted to the Laramie-Fox Hills aquifer,which corresponds to the interval between approximately 100 and 400 feet below the ground surface. Plain casing shall be installed and grouted to prevent production from other zones. 7) The return flow from the use of this well must be through an individual waste water disposal system of the non-evaporative type where the water is returned to the same stream system In which the well is located. 8) This well shall be constructed not more than 200 feet from the location specified on this permit. NOTE: Expired permit no.222171,was previously issued for this lot. JJ a y//Sk Z • 2003-3306 APPROVEDSKB // /� , An% r� State Engineer APR 16 2002 B EXPIRATION MR 1 6 Receipt No.0489375 DATE ISSUED DATE a / OFFICE OF THE 5_ .'E ENGINEER • 518 Centennial Bldg., 1313 Sherman Sl,D.mer,Colorado 802O3 (303) 868-3511 PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE CHANGE IN OWNERSHIP/ADDRESS / LOCATION —WELL PERMIT, UVESTOCK TANK OR EROSION CONTROL DAM p��� 1. NEW OWNER ;C, FECEIVE1 NAMES) ___.__Mark A.,_Weimer and Kristi L. Weimer JAN 2 3 Mailing Address 32736 Weld County Road 50 City, SL Zip Kersey, CO 80644 M sou iyA ENGINF Phone Fr ( ) _ _ _ core 2. THIS CHANGE IS FOR ONE OF THE FOLLOWING: _ ® WELL.PERMIT NUMBER.. 222171 • ❑ UVESTOCK WATER TANK NUMBER ❑ EROSION CONTROL DAM NUMBER...___ _ ecSZOP 3. WELL LOCATION: COUNTY Weld,._„•,,.._..•_,•.,,_, ;, OWNER'S WELL DESIGNATION.• (Address) (City) (State) WD) South 1/2 1/4 0l el..... _1/4, Sec. Twp,6•;_ _ O N. or❑S., Range_ 64 ❑E..r I W. P.M. Distances from Section Lines._......_...____. Ft. from❑N.or❑S_Une, . FL from❑E.or❑W. tine. Subdivision _._._ Lot _�.„..__.._ Block Filing (Unit)_._ 4. UVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY__ 1/4, Sec. Twp ❑N. «❑S., Range ❑E. or❑W. P.M. 5. The above listed owner(s) say(s) that he (they) own the structure described herein. The existing record is being amended for the following reason(s): ® Change In name of owner. ID Change In mailing address. ❑ Correction of location. 6. I axe) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. (Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury In the second degree and Is punishable as a class 1 misdemeanor.) Name/Title (Please type or print) • Signature Date Mark A. Weimer and Kristi L. Weimer Znial..A ,Q� 'q l' L (, , „t_ January 19, 2001 FOR OFFICE USE ONLY •)R MAILING CHANGE IN Ox'NBRSHIP ADDRESS. ) pD a . 044 • 125O1 Stele Engineer By Dale Court Case No. Div. I Co. • WELL__Basin MO Use FORM No. . PUMP INSTALLATION AND TEST REPORT For Office Use only ows32 10194 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER '-1. WELL PERMIT NUMBER 240116 - 2. OWNER NAME(S) Mark Weimer Mailing Address 32736 Wc ' #5o p 2 u^v 4'0 City, St. Zip Tearsey, CO 80644 Phone ( 970) 396-8053 S. WELL LOCATION AS DRILLED: SW 1/4 sr, 1/4,Sec. 22. Twp. 6 N , Range 64 w DISTANCES FROM SEC. LINES: 1c ft.from Ibt Sec. line. and 165 ft. from a Sec. line. um) r west) SUBDIVISION: LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA:Type submersible InstallationCompleted 9-20-02 Pump Manufacturer arm-le-1g Pump Model No. 7LS 07412 • Design GPM 7 at RPM q a c n , HP 75 , Volts 22 n , Full Load Amps Pump Intake Depth 140' Feet, Drop/Column Pipe Size 1 " pvr Inches, Kind arh 80 w/12-3 nen wire ADDMONAL INFORMATION FOR PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: ❑Electric 0 Engine O Other • Design Head feet, Number of Stages , Shaft size inches. 5. OTHER EQUIPMENT: Airline Installed❑Yes®No, Orifice Depth ft. . Monitor Tube Installed ❑Yes®No, Depth ft. Flow Meter Mfg. none Meter Serial No. Meter Readout❑Gallons,O Thousand Gallons,❑Acre feet,❑Beginning Reading 6. TEST DATA: ❑Check box if Test data is submitted on Supplemental Form. Date Total Well Depth 220 Time Static Level 39 ' Rate (GPM) 12 Date Measured q_2n_n7 Pumping Lvl. 140' 7. DISINFECTION: Type H.T.H. Amt Used 6 ozs. 8. Water Quality analysis available.❑Yes 0 No 9. Remarks • 10. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] CONTRACTOR Lesh Drilling Inc. Phone (970 ) 834-2868 Lic. No. 21 -B• Mailing Address Pr) nnu R6 _20,14- r. . r OI15f. Name/Title (Please type or print) yrz 7 Date Edwin D. Lesh, Pres. // 279.-30 a- FORM ces;0. WELL CONSTRUC.. .3N AND TEST REPORT , - For Office Use only 10/94 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 1313 Sherman St.. Rm 818. Denver. CO 80203 ,.a, WELL PERMIT NUMBER 240116 a OWNER NAME(S) Mark Weimer Mailing Address 32736 WCR #50 P .O.. Pox 410 City, CO 80b44 Phone, St. Zip Zip llercny,CO 80b44 ( 97n) ia6_8053 3. WELL LOCATION AS DRILLED: sw 1/4 ss 1/4,Sec. r Twp. 6 __4_, Range 64 w DISTANCES FROM SEC. LINES: 1 s 0 ft. from knagantJ uml Sec. line. and 1s cn , ft. from wgr was,Sec. line. OR SUBDIVISION: LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: 4. GROUND SURFACE ELEVATION ft. DRILLING METHOD Standard Rotary DATE COMPLETED 9-17-02 . TOTAL DEPTH 220 ft. DEPTH COMPLETED 220 ft. 5. GEOLOGIC LOG: 6. HOLE DIAM. On.) From (ft) To (ft) Depth Description of Material(type,Size,Color,Water Location). 11 0 41 •8 5 220 n' - 7 Tercet ' • 2 20 Weathered chale 20 32 Cray chalc with thin renal 7. PLAIN CASING 7enec OD On) Kind Wall Size From(ft) To(ft) 17 - 76 uncty colored sandctorie 6.5 steel .250 1 ' above 40 76 - 115 Gray chalo with thin 4.5 pvc .303 ,_5_> 90 candctnne ctreakc 4. 5 ;we . 303 210 770 r- 135 - 199 Gray candctnnn with thin sha 1 e ctroaks PERF.'CASING: Screen Slot Size: 02 199 - 270 Gray chale 4. 5 pvc .303 150 210 8. FILTER PACK 9. PACKER PLACEMENT: Material gravel Type Size .125 x _250 lntervai Sn_77Q Depth 10. GROUTING RECORD: Material Amount Density Interval Placement REMARKS: clement 10 en ft 6 gal 0-50 pumped benton the 1 DISINFECTION: Type H.T.H. Amt. Used 6 ozs. WELL TEST DATA: O Check box'lf Test Data is submitted on Form No. GWS 39 Supplemental Well Test. TESTING METHOD" ' • Bai for Static Level 19 ft. Date/Time measured 9-17-02 , Production Rate 17 gpm. Pumping level 140 ft. Date/Time measured 9-17-1)2' , Test length (hrs.) several • Remarks 3. I have read the statements made herein and know the contents thereof,and that they are true to my knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S.,the making of false statements herein constitutes perjury in the second degree and Is punishable as a class 1 misdemeanor.] CONTRACTOR Lesh Drillinq iInc. !mortal 49•7Q 83 68 LIc. No21—B Mailin Address Name/Title (Please type or print) • Date Edwin D. Lesh, Pres. 9�30 -c, v ""••••• • ---. DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT '_ { 1555 N 17THAVEf 74 GREELEY, CO 80631 '< - .*" j WEBSITE ww• oo weld co Us - ik ADMINISTRATION (970),304-410 s° �r FAX(970)304-&I12- 3 I sPUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420 FAX(970)304-6416, ti _r ;j ENVIRONMENTAL HEALTH SERVICES (970)X04-615 �� • � < ® `• e FAX(970)'304 -- { ST F PSROVAL OF ENGINEER-DESIGNED SYSTEM Owner Name: Mark W= r Location Address.i-TB WCF66. Gill. The engineer-design. hdivicual Sewage Disposal System proposed for the above property, and designed by, Nod rrCelorado Geotech is hereby approved subject to the following oov di' • >_ Construct eroing to the engineers design,placing the bottom of the bed at existi g tirade and IJS1 •. `'berimeter liner. Keep field at least 100' away from the well and the irrigation ditch l '� jet-je-is3; (diwfri^- ' er/applicant for I.S.D.S. Permit No.:SP-0200054--under thee provision of thesWeld • ' qty ndividual Sewage Disposal System Regulations,do hereby understand and agree r approval by the Director of Health Protection Services, I may `. proceed With the cons «'•n •f my engineer-designed sewage disposal system pnorto approval by;the Weld S = •ard of Health, but thattheBoard ofHealth reserves the right to' } • disapprove any or all p lof he system de ' n when it considers my application. I understand , 'e-'and agree that I pr own risk a t I may beseguired by the Board to remove any or all of the system ins •i'or to Board of eaith consration of my application. Environmental Health 1 a i-t Owner/Applicant 07 Ia-oA a.Ilaloz Date Date 3 - WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW PROPERTY OWNER: Mark Weimer PERMIT NO.: SP- 0200054 (Rnew) LEGAL DESCRIPTION: PT: SECTION: 22 TOWNSHIP: 6 RANGE: 64 SUBDIVISION: LOT: BLOCK: FILING: SITE ADDRESS: TBD WCR 66, Gill FACILITY: Residential 3 Bedroom home ACRES: 3.13 PERC RATE: 50.8 SOIL: Unsuitable WATER SUPPLY: Well#222171 LIMITING ZONE: 4'6", Claystone XXX ENGINEER DESIGN (3.5) EXPERIMENTAL DESIGN (3.14) ENGINEER: Northern Colorado Geotech (Doug Leafgren) ADDRESS: ESTIMATED FLOW: G.P.D. 675 PRIMARY TREATMENT: Standard tank CAPACITY: 1000 gallons DISPOSAL METHOD: Absorption bed SIZE: 1245 square feet REQUEST FOR VARIANCE: STAFF COMMENTS: The system is adequately sized for the proposed load. Due to shallow Claystone, the bed will be at grade with a PVC liner around the perimeter. STAFF RECOMMENDATION: Approval ENVIRONMENTAL PROTECTION SPECIALIST: Deborah Blandin REVIEWED BY BOARD: 2/26102 B.O.H. DECISION: PPROV • N DENIED: TABLED: Chairman Weld Co ty Board of Health a ENvTROMAEHTAL HEALTH SERVICE41D.e'SOE SSSY1lwe.rghn.r r.rbr.wpa r ..,r„,,,,,,may!. :`2,1'.f:':',1:.,-,T,, ;�� d V 9 ,,,,, I ' �� i- '- r a s k a — :: a o ,, `', DE�,AATMENT OF PUBLIC HEALTH AND ENVti4 T �" 1555 , F '4 �G EELEY, CO c. . e �t {u c _ � UVEBStTE co wet r ' t ADMINIS i 970)304 '� ;, i .asxr i 1 .ry Kft 3 {trK 4.1 6 g79 rff"1. di _; PUBLIC EAITH EDUCATION D+�.�J a(970 x020 A9 oo " ,.. f .ENVIRONMENTAL HEALTH SERVICES 970)'' . s y o 'FAX(870 �4y to TM. 4 February 27, 2002 ' s. -w '31r,4,\,'., „14- �*ea , Werner > t P.O. Bo 43A a '> ` Kersey,.CO$0644 RE Individual Sewa ;' is s • I System Permit No SP-0200054 Location•tTBD • ,Gill Dear Mr. Weimer . Ir i This is to'inform youth '•u ! ngineer Designed Septic System has been reviewed by the Weld County• Board of nit approved. '4', £ A copy of the`, f• my Board of Health I.S.D.S.Review,Form and your 1 Sala S,gilt a = -osed PLEASENOTE THAT THE SYSTEM MUST BE- :INSPECTED: RESENTATIVE OF THIS DEPARTMENT=AND BY THE' ;DESIGNING`E R° =R BEFORE THESYSTEM"CAN BE APPROVED:FOR 'OPERATION: GINEER`MUST'GEf3TIFY O THIS DEPARTMENT :IN lu NG 3A�' lI a STEMq� IAS BEER NSTALLED CCORDING TO iW �Y E Y ": leT'` qJ R .{ , 1{Y ' d v1 L h A ---L--Should ou have any a $ ._ __ . '" '" .,. "" .t. __ ,_ y q regarding your septic system, please contact this office at your earliest convenience-at L �) ' • 15. Sincerely, Ste 4rwatrowski Environmental Speciali ' w cC Doug Leafgren,E . _r Northem'Colorado Gegtec ,#052-Q1 `} F 4 r - WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, COLORADO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit#: SP-0200054 Sec/Twn/Rng:22-06-64 PERMIT Owner: WEIMER MARK & KRISTI Applied: 02/08/2002 Applicant: WEIMER MARK&KRISTI Expires: 02/03/2003 Permit Type: RNEW CsCommcrcial,ReResidential + NEW,REPair, VauLT Parcel #: 0801-22-0-00-083 Location: CR 66 &HWY 37 22-06-64 Legal Desc: Description: HOUSE Commercial: N Residential:Y Acres: 3.13 # of Persons: 2 Basement Plumbing: Y # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 1 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit Number: 222171 Percolation Rate DO•S Limiting Zone ft ( in Descriptiotn tU-A`j`1toF�C- % Ground Slope 2% D" lion N E Soil Suitable (Y/N) 1\►o Rvgineer Design Required (Y/N) \lS In 100 Year Flood Plain (Y/N) 140 From the application information supplied and the on-site soil percolation data the following minimum installation specifications are required: Chambers Septic Tank I °0O gallons, Absorption Trench square feet or Absorption Bed 1 a L)5 square feet IA() In addition, this permit Is subject to the following additional terms and conditions: Cct1&rcuCT ileeo .Dreg -RD ikie 2.ts bcslGnl . Au_ L0&Lt3 ea4NTti 15th REeauLfnni'J APPbJ . Kt E P 1' t_b A-r LLAS— ice' ccPtc'notwr:w nNin ' .k€IATIpp] jit(3't • NOTICE This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in 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 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 is contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. This permit expires one year from the annllcation date, _ of a0?.o-o°- Form:s PEsarr v' ental Health Specialist Date WELD COUNTY DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT 1555 NORTH 17TH AVENUE, GREELEY,CO 80631 PHONE: (970)304-6415 FAX: (970)304-6411 WEBSITE: WWW.CO.WELD.CO.US APPLICATION/RECEIPT Initials: SC Permit Number: SP-0200054 Receipt Number: HAP-02054 02-08-2002 Amount: $315.00 Payment Method: Check Notation: 8257 Owner Name: WEIMER MARK & KRISTI Applicant Name:WEIMER MARK&KRISTI • Parcel Number: 0801-22-0-00-083 Site Address: Location: CR 66 &HWY 37 22-06-64 Total Fees: $315.00 Total All Payments: $315.00 This Payment: $315.00 Balance: $0.00 Account Code Description Amount 2560-4140042214203 New Septic Permit $315.00 2560-41400-42214203 Repair Septic Permit 50.00 2560-41400-42214203 Vault Permit S0.00 2560-41400-44104203 Potable Water 50.00 Description: HOUSE Commercial: (Y/N) N Residential: (Y/N) Y Acres: 3.13 Number of Persons: 2 Basement Plumbing: (Y/N) Y Number of Bedrooms: 3 Bathrooms: Full- 2 3/4: 1 1/2: 0 Water Public: (Y/N) N Water Supply: Water Private: (Y/N) Y Cistern: (Y/N) N Well: (Y/N) Y Well Permit Number: 222171 NOTICE Applicant acknowledges receipt of the individual sewage disposal system guide and that the completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Department of Public Health and Environment to be made and furnished by the applicant or by the Weld County Department of Public Health and Environment for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions o deemed necessary to insure compliance with rules and regulations adopted under article 10. title 25.CRS as amended. The applicant certifies that the proposed system will not be located within 400 feet of a community sewage system. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are,or will be, represented to be true and correct to the best of my knowledge and belief, and are designed to be relied on by the Weld County Department of Public Health and Environment in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said applicaion and in legal action of perjury as provided by law. Elk mac a do expires me year X Myths donahue da►w J 'a • vn.. 48/e1 Owner/Applicant Date Perm:ltr HAPP At�rthem Colorado Geotech August 23, 2001 2956 29th Street,Unit 21 Greeley,Colorado 80831 Phone:(970)5064244 Fax:(970)508-0242 Mr. Mark Weimer 32736 Weld County Road 50 Kersey, Colorado 80644 Re: Geotechnical Engineering Report Proposed Weimer Residence and Septic System Weld County Road 66, ' -Mile East of Hwy 37 Northern Colorado Geotech Project No. 052-01 It has come to our attention that the owner would like to use infiltrators in the proposed leach field instead of the pipe and gravel system specified in the septic system design. It is our opinion that Infiltrators may be used instead of the pipe and gravel. Based on the percolation rates and the proposed 3-bedroom residence, a total of 40 infiltrators will be necessary. The infiltrators should be placed within the area where the pipe and gravel are shown on the septic system cross section included in our Geotechnical Engineering Report (Northern Colorado Geotech Project No. 052-01, dated August 6, 2001). The infiltrators should be covered with on-site soil or Imported wicking sand as specified by the `Septic System Design Specifications" — number 8. All other aspects of the septic system design, including the mounding of the system and placement of a PVC liner around the exterior of the leach field should be followed. If you have any questions concerning this letter or any of our consulting services, please do not hesitate to contact us. Sincerely, NORTHERN COLO O G CH Prepared by: Doug Le g G. President • Reviewed by: Gary G. Weeks, P.E. Vice President Copies to: Addressee (4) Northern Colorado Geotech September 16, 2002 2956 29th Street,Unit 21 Greeley,Colorado 80631 Phone:(970)506-9244 Fax:(970)506-0242 Mr. Mark Weimer 32736 Weld County Road 50 Kersey, Colorado 80644 Re: Septic System Observation 27725 Weld County Road 66 Gill, Colorado Northern Colorado Geotech Project No. 052-01 On September 11, 2002 a representative of Northern Colorado Geotech observed the installation of the septic system at the above referenced residence northeast of Gill, Colorado. The system, including a 1,500-gallon septic tank, 40 infiltrators, distribution box, engineered fill material, and PVC liner appeared to be constructed in general accordance with our septic system design for the project If you have any questions about this letter or if we may be of further assistance, please do not hesitate to contact us at(970) 506-9244. Sincerely, NORTH N COLORADO GEOTECH V AL,Doug Leafgre , P Pre- •i-nt gREO PP.Q CP R V by: • co:.Qy • wF(,_do• P � • 23012 a.ary G.Weeks, .p.. ;r`' ice President jjAl° .. , , 1 Copies to: Addressee `(2) WCHD—Ms. Pam Smith (1 —faxed) Northern Colorado Geotech August 23, 2001 2956 29th Street, Unit 21 Greeley, Colorado 80631 Phone: (970)506-9244 Fax: (970)506-9242 Mr. Mark Weimer 32736 Weld County Road 50 Kersey, Colorado 80644 Re: Geotechnical Engineering Report Proposed Weimer Residence and Septic System Weld County Road 66, '/2-Mile East of Hwy 37 Northern Colorado Geotech Project No. 052-01 It has come to our attention that the owner would like to use infiltrators in the proposed leach field instead of the pipe and gravel system specified in the septic system design. It is our opinion that infiltrators may be used instead of the pipe and gravel. Based on the percolation rates and the proposed 3-bedroom residence, a total of 40 infiltrators will be necessary. The infiltrators should be placed within the area where the pipe and gravel are shown on the septic system cross section included in our Geotechnical Engineering Report (Northern Colorado Geotech Project No. 052-01, dated August 6, 2001). The infiltrators should be covered with on-site soil or imported wicking sand as specified by the "Septic System Design Specifications" — number 8. All other aspects of the septic system design, including the mounding of the system and placement of a PVC liner around the exterior of the leach field should be followed. If you have any questions concerning this letter or any of our consulting services, please do not hesitate to contact us. Sincerely, NORTHERN COL DO GEOT Prepared by: iii: \hC Doug L fgr , P: •• President Reviewed by: Gary G. Weeks, P.E. Vice President Copies to: Addressee (4) WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit#: SP-0200054 Sec/Twn/Rng:22-06-64 Status: ISSUED Owner: WEIMER MARK & KRISTI Applied: 02/08/2002 Applicant: WEIMER MARK& KRISTI Issued: 02/26/2002 Permit Type: RNEW C=Commercial, R=Residential + NEW,REPair,VauLT Finaled: Parcel #: 0801-22-0-00-083 Location: 27725 CR 66 22-06-64 Legal Description: Installer: ` l Description: HOUSE Commercial: N Residential:Y Acres: 3.13 # of Persons: 2 Basement Plumbing: Y # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 1 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit#: 222171 Percolation Rate: 50.8 Limiting Zone: 4 ft 6 in Description: CLAYSTONE % Ground Slope: 2 Dir: NE Soil Suitable: (Y/N) N Engineer Design Required: (Y/N) Y In 100 Year Flood Plain: (Y/N) N Minimum Installation Chambers Septic Tank: 1000 gallons Absorption Trench: 0 square feet or Absorption Bed: 1245 square feet Actual Installation Septic Tank: is o gallons Absorption Trench: square feet Absorption Bed: 129j square feet Design Type: 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 fmal 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 fmal inspection of the completed system by the Weld County Department of Public Health and Environment. En ronm tal Health Specialist Date Form:S_FINAL ,--__) Northern Colorado Geotech August 23, 2001 2956 29th Street, Unit 21 Greeley,Colorado 80631 Phone: (970)506-9244 Fax: (970)506-9242 Mr. Mark Weimer 32736 Weld County Road 50 Kersey, Colorado 80644 Re: Geotechnical Engineering Report Proposed Weimer Residence and Septic System Weld County Road 66, %-Mile East of Hwy 37 Northern Colorado Geotech Project No. 052-01 It has come to our attention that the owner would like to use infiltrators in the proposed leach field instead of the pipe and gravel system specified in the septic system design. It is our opinion that infiltrators may be used instead of the pipe and gravel. Based on the percolation rates and the proposed 3-bedroom residence, a total of 40 infiltrators will be necessary. The infiltrators should be placed within the area where the pipe and gravel are shown on the septic system cross section included in our Geotechnical Engineering Report (Northern Colorado Geotech Project No. 052-01, dated August 6, 2001). The infiltrators should be covered with on-site soil or imported wicking sand as specified by the "Septic System Design Specifications" — number 8. All other aspects of the septic system design, including the mounding of the system and placement of a PVC liner around the exterior of the leach field should be followed. If you have any questions concerning this letter or any of our consulting services, please do not hesitate to contact us. Sincerely, NORTHERN COL DO GE7li-'2"E7 Prepared by AT Doug Le�fgr •.. , P. . ',,,....•.. President Reviewed by: Gary G. Weeks, P.E. Vice President Copies to: Addressee (4) Northern Colorado Geotech September 16, 2002 2956 29th Street,Unk 21 Greeley,Colorado 80631 Phone:(970)506-9244 Fax: 970)506-9242 Mr. Mark Weimer 32736 Weld County Road 50 Kersey, Colorado 80644 Re: Septic System Observation 27725 Weld County Road 66 Gill, Colorado Northern Colorado Geotech Project No. 052-01 On September 11, 2002 a representative of Northern Colorado Geotech observed the installation of the septic system at the above referenced residence northeast of Gill, Colorado. The system, including a 1,500-gallon septic tank, 40 infiltrators, distribution box, engineered fill material, and PVC liner appeared to be constructed in general accordance with our septic system design for the project. If you have any questions about this letter or if we may be of further assistance, please do not hesitate to contact us at (970) 506-9244.__ r-� Sincerely, NORTH RN COLORADO GEOTECH Doug Leafgre , P. . Pre- 'I-nt siQREG � / by ( : Y 12 • f, wary G. Weeks, .;••, ice President cy��F • .. Copies to: Addressee(2J WCHD—Ms. Pam Smith (1 —faxed) WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (979) 304-6415 FAX (970) 304-6411 Permit#: SP-0200054 Sec/Twn/Rng:22-06-64 Status: ISSUED Owner: WEIMER MARK & KRISTI Applied: 02/08/2002 Applicant: WEIMER MARK & KRISTI Issued: 02/26/2002 Permit Type: KNEW C=Commercial, R=Residential + NEW, REPair, VauLT Finaled: Parcel /I: 0801-22-0-00-083 Location: 27725 CR 66 22-06-64 • Legal Description: 140Installer: Description: HOUSE Commercial: N Residential:Y Acres: 3.13 # of Persons: 2 Basement Plumbing: Y # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 1 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit//: 222171 Percolation Rate: 50.8 Limiting Zone: 4 ft 6 in Description: CLAYSTONE % Ground Slope: 2 Dir: NE Soil Suitable: (Y/N) N Engineer Design Required: (Y/N) Y In 100 Year Flood Plain: (Y/N) N Minimum Installation Chambers Septic Tank: 1000 gallons Absorption Trench: 0 square feet or Absorption Bed: 1245 square feet Actual Installation Septic Tank: 1500 gallons Absorption Trench: square feet Absorption Bed: t 2'liy square feet c}o Design Type: 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 fmal 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 Environment. x 10-i S-O,2 EnS,ronm tal Health Specialist Date Form:S_FINAL Hello