HomeMy WebLinkAbout20100627.tiff Form No.• OFFICE OF THE STATE ENGINEER
GWS-25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St.,Denver,Colorado 60203
(303)866-3581 EXST
WELL PERMIT NUMBER 279515 -
APPLICANT DIV. 1 WD 1 DES. BASIN MD
Lot: B Block: Filing: Subdiv:RECORDED EXEMPTION 700-18-1-RE 748
APPROVED WELL LOCATION
WELD COUNTY
SE 1/4 NE 1/4 Section 18
JLW INVESTMENT LLC Township 6 N Range 63 W Sixth P.M.
351 GLENCOE STREET DISTANCES FROM SECTION LINES
DENVER, CO 80220- 1630 Ft. from North Section Line
646 Ft. from East Section Line
(303)349-7586 UTM COORDINATES (Meters,Zone:13,NAD831
CHANGE/EXPANSION OF USE OF AN EXISTING WELL Easting: Northing:
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 ensure 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)(I)and the policy of the State Engineer for appropriation of ground water
tributary to South Platte River system.
4) Approved for a change of use of an existing well constructed under permit no.260927. The issuance of this permit hereby
cancels permit no.260927.
5) The use of ground water from this well is limited to drinking and sanitary facilities as described in CRS 37-92-602(1)(c),
for a commercial business. Water from this well shall not be used for lawn or landscape irrigation or for any other purpose
outside the business building structure.
6) The pumping rate of this well shall not exceed 15 GPM.
7) The annual amount of ground water to be diverted by this well shall not exceed 1/3 acre-foot(108,600 gallons).
8) Approved as the only well on a tract of land of 44.00 acre(s)described as Lot B, County Exemption No.799-18-1-RE 748,
Weld County,reference attached exhibit"A".
9) 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.
10) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all
diversions must be maintained by the well owner(recorded at least annually)and submitted to the Division Engineer upon
request.
11) This well shall be located not more than 200 feet from the location specified on this permit. g D.S. AP V?-aa0 r
APPROVED / a, x n ADB State Engineer- By
Receipt No.3635337 DATE ISSUED 12-17-2008 EXPIRATION DATE 12-17-2010
2O1O-0627
oR080 s3.o o/io.a.
b DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
WEBSITE: www.co.weld:co.us
ADMINISTRATION: (970) 304-6410
Elio FAX: (970) 304-6412
O PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
FAX: (970) 304-6416
T T .ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415
COLORADO • FAX: (970) 304-6411
February 25, 2009
Jesse White
JLW Investment, LLC
351 Glencoe Street
Denver, Colorado 80220
RE: Individual Sewage Disposal System Permit No.: SP-O8OO131
Location: 37525 Highway 392
Dear Sirs:
This is to inform you that your Engineer Designed Septic System has been reviewed by the Weld
County Board of Health and approved.
Approved: A copy of the Weld County Board of Health I.S.D.S. Review Form
and your I.S.D.S. Permit are enclosed. PLEASE NOTE THAT THE SYSTEM
MUST BE INSPECTED BY A REPRESENTATIVE OF THIS DEPARTMENT
AND BY THE DESIGNING ENGINEER, BEFORE THE SYSTEM CAN BE
APPROVED FOR OPERATION. THE ENGINEER MUST.CERTIFY TO THIS
DEPARTMENT, IN WRITING, THAT THE SYSTEM HAS BEEN
INSTALLED ACCORDING TO HIS/HER SPECIFICATIONS.
Should you have any questions regarding your septic system, please contact this office at (970)
304-6415.
Sincerely,
Stephen J. Wiatrowski
Environmental Health Services
SJW/ms
cc: Lamp Rynearson and Associates Engineer Job No.: 0208023.00-020
WELD COUNTY BOARD OF HEALTH
ENGINEER DESIGNED SYSTEM REVIEW
PROPERTY OWNER: JLW investment, LLC PERMIT NO.: SP-0800131 (CNEW)
LEGAL DESCRIPTION: PT: SECTION: 18 TOWNSHIP: 6 RANGE: 63
SUBDIVISION: LOT: BLOCK: FILING:
SITE ADDRESS: 37525 Highway 392
FACILITY: Office w/ 5 employees and 20 daily visitors ACRES: 44
PERC RATE: 8.8 SOIL: Suitable WATER SUPPLY: Private well
LIMITING ZONE: None
XXX ENGINEER DESIGN (3.5) EXPERIMENTAL DESIGN (3.14)
ENGINEER: Bradley Allan Curtis
ADDRESS:
ESTIMATED FLOW: G.P.D. 263
PRIMARY TREATMENT: Standard tank CAPACITY: 1000 gallons
DISPOSAL METHOD: Absorption bed SIZE: 497 square feet
REQUEST FOR VARIANCE:
STAFF COMMENTS: The system is adequately sized for the proposed load.
STAFF RECOMMENDATION: Approval
ENVIRONMENTAL PROTECTION SPECIALIST: Steve Wiatrowski
REVIEWED BY BOARD: 2/24/2009
B.O.H. DECISION: APPROVED: U( DENIED: TABLED:
4 -'1 er( / IL-,-AZ 4---""'
Chairm n //
Weld County Board of Health
Weld County Environmental Health Services Department
1555 N. 17th Avenue
Greeley, CO 80631 '
III C Phone: (970)304-6415
COLORADO Septic Permit - New Fax: (970) 304-6411
www.co.weld.co.us
Application Number: SP-0800131 Applied: 07/07/2008
App Type: Health\Commercial\New\Septic
Applicant Name: CURTIS, BRADLEY
LAMP RYNEARSON & ASSOCIATES INC
806 8TH STREET
GREELEY, CO 80631
Owner Name: JLW INVESTMENT LLC(45%) &
Parcel Number: 079918000021-R1169286
Legal Desc: 7628 PT 18 6 63 S89D31'W 1050' S0D08'E 2057' S69D08'W 313' S0D0S'E 25' N69D08'E 721.52'
N16D44'W 318.45' N73D34'E 218.35' S18D49'E 300.93' N69D08'E 491.6'N0D08'W 1700'M/L LB
REC EXEMP RE-748 (.09L) SITUS: WELD 000000000
Site Address: 37525 HIGHWAY 392
App Specific Info:
1/2 Bathrooms 1
3/4 Bathrooms 0
Application Date 07/07/2008
Associated Building Permit
Associated Building Permit
Number
Basement Plumbing No
cull Bathrooms 0
Location Description 37525 HIGHWAY 392
Number of Bedrooms 0
Number of Persons 5
Other Water Supply Utility
Parcel Acres 44
Private Water Supply Well
Private Water Supply Permit 0260927
Reference Number
Public Water Supply No
Public Water Supply Utility
Repair Reason Type New
Septic Permit Expiration Date
Waive Fees No
Waive Fees Comment
Year Installed
Percolation Rate B,n Limiting Zone 5 ft -• in Description
Ground Slope Li Direction Ug! Soil Suitable (Y/N)
y Engineering Design Required (YIN) In 100 Year Flood Plain (Y/N) !
From the application information supplied and the on-site- soil percolation data the following minimum installation specifications are required:
Septic Tank /0OO gallons Absorption Trench sq ft or Absorption Bed qqQ? sq ft
Chambers BioDiffuser Trench Bed
Infiltrator Quick4 Standard or Hi Capacity Trench Bed
BioDiffuser ARC 36 Standard or Hi Capacity Trench Bed
Weld County Environmental Health Services Department
1555 N. 17th Avenue
Greeley, CO 80631
WillC. Phone: (970) 304-6415
O Fax: (970) 304-6411
COLORADO Septic Permit - New www.co.weld.co.us
In addition, this permit is subject to the following additional terms and conditions:
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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 failrue or Inadequacy of the sewage disposal system.jbtg
permit is non-transferable and non-refundable.Before issuing final approval of this permit the Weld County Department of Public
Health and Evnironment 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.
Envir'dnment Health Specialist Date
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