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HomeMy WebLinkAbout20031619.tiff tettrig4 SEPTIC INFORMATION FORM -- ff I To obtain an I.S.D.S. permit, one must file an "application for Individual Sewage Disposal System" at the Weld County Environmental Health Services office and O pay the application fee:Ca"repair' e s�iall be charged for the expansion, replacement, or repair of an existing system. The following information must be COLORADO• provided on the septic information form. PARCEL NO.: O y55 351 000 3/40 (12 DIGIT NUMBER) CAN BE OBTAINED FROM THE ASSESSOR'S OFFICE AT (970) 353-3845 EXT 3650 PROPERTY OWNER: If nree. wer.2 MAILING ADDRESS: lone c✓. el' sr CITY honian d ST Co ZIP Sosii HOME PHONE: (no) 663-y09/ WORK PHONE ( 970 ) 2 z/-vsir FAX ('ne) 5'91-/a7s APPLICANT NAME: H E r tsr oh- MAILING ADDRESS: Join w. frri 5 r CITY goveta,ct ST to ZIP fon? HOME PHONE: (470 ) 64.3 -Yon i WORK PHONE ( coo ) aai-LASns— FAX ( 970) v9/-/n - az' r'EGAL DESCRIPTION PT N'//cx PT SE'/y SEC 35— TWN '7 RNG (,6 ACRES ye SUBDIVISION iv/,,ry LOT BLOCK FILING 6x.,.;7j wl L,,,ui $w.eNtS -"- DESCRIPTION OF BUILDING (EX:HOUSE, MOBILE HOME.MODULAR.SHOP,OFFICE) /- tea,..„Lea f,q,,,,e, SITE ADDRESS it/on-s- y cr DIRECTIONS TO SITE 1-}w3 8S N047-k+ 7v A/v,vv. wet 9g cgs7 .R.c,-ri, Es ,/ Sid, n-F Ai," NEW PERMIT X REPAIR PERMIT VAULT PERMIT $ 375 $ 375 $ 150 IF OBTAINING A REPAIR PERMIT, PLEASE LIST PREVIOUS OWNERS OF THE PROPERTY: FLOOD PLAIN YES 407 CENSUS TRACT RESIDENTIAL YEScr is COMMERICAL ca l° NUMBER OF PERSONS 'oZ BASEMENT PLUMBING YES �Qj NUMBER OF BEDROOMS tf BATHROOMS: FULL 3 3/a a. '/z JC 0 )MkTER SUPPLY: PUBLIC YES ( ) NAME PRIVATE YES /NO CISTERN YES /NO WELL YES NO WELL PERMIT# a-' (0 9Yl PERC HOLES MARKED FOR INSPECTION BY SPECIALIST S NO 2003-1619 Form No. OFFICE OF THE oTATE ENGINEER Gws-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver,Colorado 80203 (303)866-3581 1099 WELL PERMIT NUMBER 246946 - DIV. 1 WD 1 DES. BASIN MD APPLICANT APPROVED WELL LOCATION WELD COUNTY NW 1/4 SE 1/4 Section 35 HEATHER L WEIR Township 9 N Range 66 W Sixth P.M. 1050 W 8TH ST INSTANCES FROM SECTION LINES LOVELAND, CO 80537- 1900 Ft. from South Section Line 2000 Ft. from East Section Line • (970)663-4091 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)(ll)(A)as the only well on a tract of land of 40.00 acres described as the NW 1/4 of the SE 1/4, Sec. 35,Twp. 9 N, Rng. 66 W, Sixth P.M.,Weld County. 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) 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. 7) This well shall be constructed not more than 200 feet from the location specified on this permit. (Pa, //9/O3 APPROVED SKB ' haft y GnnPJI.Y ���diA�C +�d State Engineer By Recei t No.0503623 DATE ISSUED 01-09-2003 EXPIRATION DATE 01-09-2005 STATE OF COLORADO r- WATER DIVISION ONE OFFICE OF THE STATE ENGINEER 7e4) Division of Water Resources F Department of Natural Resources 810 9th street, suite 200 Weld County Planning Department '87P'/ Greeley,Colorado 80631 , 20REELEY OFFICE Phone: (970)352-8712 April 2103 Bill Owens FAX: (970)392-18162-1816 APR 2 2 2003 Governor www.watecstate.co.us Greg E.Watcher Executive Director RECEIVED Hal D.Simpson,P.E. State Engineer Chris Gathman James R.Hall,BE. Weld County Acting Division Engineer 1555 N. 17th Avenue Greeley, CO 80631 RE: Heather Weir, Well Permit No. 246946 Dear Chris: This will confirm for you my conversation with Ms. Weir regarding the uses of her well. The well permit issued for the subject 40-acre parcel located in the NW ''h of the SE 'A of Section 35, Township 9 North, Range 66 West, 6th Principle Meridian allows several uses. Of interest to you, as I understand it, is the use that allows the "watering of domestic animals". The well may be used to water any domesticated animals that are owned by the property owner without restriction to number or type. We defer to the County's property zoning regulations to control the number and type of such animals. The key is the property owner must own the domesticated animals. If the owner chooses to manage the animals through a "home business" or other such entity for the sake of tax concerns, that will not typically change the evaluation, provided the property owner wholly owns the subject "home business". By contrast, the well may not service a wildlife habitat (the animals are not considered domesticated), or a feed-lot (a commercial operation as opposed to a "home business"), or a boarding operation (the animals are not owned by the property owner), etc. If you have any additional questions, please feel free to contact me at the telephone number listed above. Sinc -rely, Scott C. Cuthbertson, P.E. Assistant Division Engineer c: Heather Weir EXHIBIT Z Hello