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":W:,4E- CONQUEST 'AIL CO ADDRESS 'I384 WC1=C 4b PH (Ct:):`.; ';S4-5t:).'"1
KER':;EY CO 110 344
E OF OPOSED SySTEN 25347' WCR r6
- KERSE Y CO C c4 1
Lr.^EAL DESCRIPTION OF SITE'. SEC.: ≥ TWF' 4 R1'dr 64
::,ur;r r� .;.'!'•;JM. LOT 0 BLOC V: 0 FILING 0
OSE "YREr, COMMERCIAL BRINE WATER DI:3F'OSAL FACILITY �1 /^
.yE-; r L a .� {.: LOT
SIZE
4.00 ACRES
_; ,;ts;It L,—, f��.i-'<W!:!'1 - BATHROOMS .�).,. _C T' 'IcC
:��EDF:O;:.NS 0 EASE.MENT PLUMBING NO WATER SUPPLY GRELY
., JF,I 7r:AT ION FEE $7 i.%.0()
:::.f'.) 3Y JOANNA C ALLEGOS, --STAFF 9113tlED) BY DALE S. BUTCHER
IJr{T,• '.)6 '. . .'`x'7• DATE 06/2w ,r;•_;
PERCOLATION !SATE 0.0 MIN PER INCH LIMITING ZONE 0 FEET
r'•IL TYPL SUITABLE PERCENT GROUND SLOPE 0% DIrECTION .
y E' r• NO N E -�L r...,1 n O
' . _�'\..Ilf;.rc: ENGINEER DESIGN � « 9.C)L) YEAR FLOOD PLAIN i.v:-.E NO
"1-' APPLICATION INFORMATION F AND THE ON—SITE SOIL N DATA
='r:C:•'":. ,c:: �I�3 I:aF�l�R.°I; IL3�1 SUPPLIED Yt.lll f'1=1�tL�T]Lr=.'T %;
"ICE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED?
SEPTIC"I"C TANi:,. 4C_'O') GALLONS., AEGOF;P T ION 'RE C..I. 1••1 20. F.T.
OP
ABSORPTION rsED EQ. FT.
1';r w,171 DAL. THVi PERMIT IS SUBJECT TO THE FOLLOWING_ A'_'►DITIONAL. TE.-F.; E: AND
t...._i TA.-.-TIGi',1:.:r ..---- — —..- —_._. _ -. ... --..--.__ _.._.___._--...._.......__ _.___._.........—..
TH r rtr 13 GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. "f O' h'I''
'';f'1`f -:€f; (EVOF::ED OR 'SUSP'ENDED )`i':' THE WELD COUNTY HEALTH ALTH DEPARTMENT 7-.;:m -E.A .ON 3E7
-i-t T^ THE E WELD Of)UNT`' INDIVIDUAL SEWAGE DISPOSAL SYaTEI". REGULATIONS'. INCL.._'I! E
F»,ILUF:M T'_' MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY T-.F. P L
i'•E'P'F J)A.-. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION 714Y THE
:iEr:,' 'TENT OP IT'2 EMPLOYEES OF LIABILITY FOR THE FAILURE OF: INADEQUACY CF THE
SEW AtIE DISPOSAL SYSTEM.
JEFFREY L. STOLL•• M.P.H. C)u.fEEO' %'
ENVIRUMMEI�i AL ',SPECIALIST DA''.=
-1 1.•E• PEv-;MIT 13 NJT TRANSFERABLE AN 1D SHALL BECOME VOID IF SYSTEM CONSTRUCTIC':' i-+'(^.::
NOT CCt•MENCED WITHIN ONE YEAR OF ITS ISSUANCE.c. BEFORE ISSUING F'Ir4AL APPROVAL Cr
THI . F'E!'MIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES ES THE f-:IGi-Of TO IMPT E AD S1-.
ICNI • TERMSCONDITIONS NS REQUIRED TO MEET OUR REGULATIONS ON A CCNTINVI I!3 !--
T _1 r,l_ � ;.s-� � AND 'OivL�. s IC
▪ =. FI`.IAL PERMIT APPROVAL I. CONTINGENT UPON THE FINAL INSF'E':_,TION EF THE C h';.•..
PL_T'ED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. •
SYSTEM r_INS-IX-LEE' FINAL INSF, ^TIO!+. I j'�`� 7
S'''j,.r>-.:c JGINEER ,. ...r.. APPROVAL ---__— —.---!._.
"APE or SYSTEM INSTALLED _ Del E VIROI .NTAL SPECIALIST
"r;--IE ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE. C'_`•UNi"1
:'"°._.1C(:'._ REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO CEf:`i IF V TI-:i^;.:.
- SUEJEC"' SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COU T'i '4NT.
LOCAL REGULATIONS ADOPTED PERSUAfs.iT TO ARTICLE 1(3, TITLE 25, CPS 1977, 1-S ZT':ENDc ,
EX T' E PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN INSTALL EO T`''" .=.'JR
EXCEPT =OF' Inc- '-,.- •_
IFFOAN OF \ LOCAL O FANCY PERMIT PURSUANT TC CRS I77Z 25—•?.';)-1a;i ;; ).
2003-2444
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Attachment To
USR 996 Amendment Application
Water Supply
The facility uses bottled water for drinking which is the only necessary use for potable water.
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