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Home My WebLink About20091671.tiff OISF-'106P INDIVIDUAL SEWAGE r,;s. ::7c3AL_ :'Y TE::r F'':RMIT NO. o—etwo2C> WELD C. .tN T`:' HEALTH F•! DEPARTMENT REPAIR PERMIT X:.t'i:•Ii{ONi''...:!'4 A1_. HEALTH SERVICES 151? I: i-vE:h.tt II:. COURT,, GREE,..,..•i'. CO 80631 353-0 . 5 OWNER BRENNER. L..E::E:.r"uN1::. i rDDh4:S4ii 25471 WU1? 5(:r PH t 30 3 3 284-505 i ERSEaY CO .80644 ADDRESS OP PROPOSED D SYSTEM 25471 WCF: '5(' KEE:SEY :;O 80644 LEGAL DESCRIPTION OF SITE; SE4 nac 3% T WP 5 rZi it"a 64 SUBDIVISION: LOT 0 BLOCK 0 FILING 0 USE TYPE: COMMERCIAL i$DS/O} . ' ri 4/CFi.1 T i EI•4fEN. ',YIN • SERVICES: PERSONS 4 BATHROOMS 2.00 LOT SIZE ,55.00 ACRES BEDROOMS :3 BASEMENT PLUMBING G NO WATER SUPPLY CWCWT3 APPLICATION FEE $35.00 ..00 REC:") BY !KORRTCCN..'..ORFAINE SIGNED BY HURMA..CHITT1,N.OEN DATE 02/11/S5 DAl E: 02/11/85 PERCOLATION RATE T5.0 MIF•I PER INCH LIMITING ZONE 'u' FEET SOIL TYPE SUITABLE PERCENT GROUND SLOPE. 0":: DIRECTION REQUIRES ENGINEER DESIGN! YES IN 100 YEAR F!_.OOI> PLAIN Z014E INTO FROM THE APPLICATION INFORMATION SUPPLIED AND THE OH`! SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: SEPTIC "TANK 1250 GALLONS, ABSORPTION TRENCH 1200 SC;:. F i_ OR ' ADSORPTION BED SO. Fl . • I)I}I TItlll . THIS PERMIT :, Sl.Il.:l:Yl:::(:. .11..i THE FOLLOWING ADDITIONAL TERMS AND GORDITIONS: THIS PERMIT IS (RANI o TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE.. THIS PERMIT MAY E:E REVOKED Or; ;si.:SF'EM3,Eti F?': rHt WELD COUNTY HEALTH DEPARTMENT FOR REASONS ASON'S SET FORTH IN THE WELD COUNTY tY INDIVIDUAL SEWAGE E>ISPOSAL. SYSTEM REGULATIONS INCLUDING FAILURE T O MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL. APPROVAL.AL.. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION nY THE DEPARTMENT OR ITS EMPLOYEES OF LIABILITY. FOR THE FAILURE E OR INADEQUACY OF THE SEWAGE DISPOSAL SYSTEN. . rWOl?'i KE THOMAS' X—•—STAFF 06/2Z/85 ENVIRONMENTAL SPECIALIST DATE THIS PERMIT IS NOT TRANSFERABLE BLE AN.) ≥I••ti...__ BECOME VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED:ED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUINO FJ:I`•:AI APPROVAL OF THIS PERMIT !E: _.! :' HEALTH DEPARTMENT SER.E.- Tt R *P ADDI— TIONAL I 3.3I:., THE•. l.:L:....i::• COUNTY ! •.rsi... F: RESERVES -IE;. RIGHT TO IMPOSE O5tY D T"7t:NAL. TERMS AND ..Ot•il•...•E xcJhlc. Fi+.':.isii.l:.:F' ."r; TO MEET OUPREGULATIONS ON A CONTINUING BA— SIS. FINAL. PERMIT APPROVAL VAL. IS CONTINGENT UPON THE FINAL.. INSPECTION DE THE COM— PLETE. SYSTEM,.:"!'i." BY THE WELD COUNT HEALTH{t r:•A r...r."," SYSTEM INSTALLER SE:...s"" FINAL INSPECTION DATE 06/25/85 ,`'STEM ENGINEER ER �!E_:tif�'lE ,&. SHORT APPROVAL 4 THOMAS ).•'-1^) —STAFF :: •�• f� ` I;:PDTI•..E„ TA.� TYPE OF` SYSTEM 1:.15:T;....._ED "TAN!' EN•IV:CRONl'tENTAL.. SPECIALIST • THE ISSUANCE (1F `'!-i i:.:E':!IIT DOE :.... .. .:', _.... , COMPLIANCE. .. 1 !i•' t.:i:'•. !:i•:.•iL:l:. WITH OTHER STATE. COUNTY OF 0C. !. REGULATORY T.iI OR L;UI!-•.'ING (•:;•:.i•,,:Tr.:i...!'`;FC•Y t S. NI:I!'. ,.:I•iA:_.L_ IT ACT TO CERTIF.': THAT •r., 1...,.Z.1A CT :..�,.�... _M ,.. I '•Orr'. , N ,.E. �W APPLICABLE S•Y A T COUN r Y AND -•— `,'SUBJECT:� �•, ..::?.. ,+.!:. ....... ....'r_.. .. 4•' ;tom, t..._. WITH E::. r.., ...._F. .. �t E. .+. t ... r. T. E. .. . _ ., CRS 1975. AS A!"!1».i•.4:JETi. .i:)'::FiL.. r;t:.... ?S...ra i•J:�.Ji�'i.. f�... .... t .�. '1::.f'".:.)�...•i!'•.� ... .. ... X^i::F:T F THE .;;... .1.. .?:: CrESTABLISHING c: 1.,;•; 3" INSTALLED ;STEM! F0 . FOR •( s: �i.» r...» i-:..•...... L:'IC... FINAL d.. F•.. i••:•.: ':•i:.. Cr- AN :I1�4 , :t. .t:;;:i(.J ICI;::E '::t Ni .._...... 'f-l;.::.;L! Ar C`, PERNII P9RSUANT TO CP 1973' 25-3 -111 ... 1 WONT O .'NA!..-•APPL [CANT.. ,:':::.'r' -WCH(: I 9 (A:CHxl_ HG MAY. 3 e4 2009-1671 'r+P':.Ocil"' INDIVIDUAL SEWAGE D..ISc:•riSAL. SYSTEM PERMIT NO.. 0_'4749030 • WELL) COUNTY HEAL'E. I I)L"P;•1F\TMENT. NEW PERMIT is r ::NV:E:RONMEN i AL.. HEAL1 H SERVICES _ 1517 161H H AVENUE NUE COURT,a i::•iREELE::Y, CO 80631 353-0635 EXT.2225 )WNER BRE:NNEF.., L.E EAN1E ADDRESS 25471 ) ) 284-505 KERSEY 4 1DPF<!E.3S OF PROPOSED SYSTEM Li546 9 WCR 50 . KERSEY CO 80644 ..E•''GAL DESCRIPTION OF SITE t SE4 SEC: 32 TtIJP 5 RHO 64 >tJEtI).CVISICJrdc LOT 0 FLOCK C' FILING 0 SE: TYPE: RESIDENTIAL HOUSE 3ERVICESt PERSONS 2 , ..E RI:::OOHS 2.0( LOT SIZE 4.00 ACRES BEDROOMS 3 BASEMENT PLUMBING NO WATER R SUPPLY CWCWU F'F'LICATIC)N =EE. $0.00 E::C 'D BY CINDY SAL.,AZAR $1 NE~1) .Y LEEANE BREMNER DATE 03/14/94 DATE 03/14/94 • 'ERCOL..A T ION RATE 0..0 ,VEIN PER INCH LIMITING PONE 0 FEET ;OIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION tEG(DIRE S ENGINEER DESIGN NO IN 100 YEAR FLOOD PLAIN ZONE NO ROM THE APPLICATION INFORMATION SUPPLIED AND n*.: ON—SITE SOIL PERCOLATION DATA -FIE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: ' SEPTIC" TANK :L0000 GALLONS. ABSORPTION TRENCH SQE w..:. u • OR ABSORPTION BED 510 SQ. FT. :E .DD:C"T ION„ THIS PERMIT IS "suL,ji::C"T• TO THE. FOLLOWING ADDITIONAL TERMS AND • ::E:11'ICi:E:T IONSt ........._....__......_-..._.__...-.......__.._......_•___.....__......._.....-....._..._.......__-_.._._._.-...__._w._...—...___.... ......___. _._ ' 'HIS PERMIT IS GRANTED TEMPORARILY rc) ALL.Ut'J CONSTRUCTION TO COMMENCE. THIS PERMIT EAY BE REVOKED OR SUSPENDED BY .ii-IE WELD COUNTY HEALTH TH DEPARTMENT FOR REASON SET 'ORM IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULA'T'IONS INCLUDING AILURF TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL :P'PRO'VA1.._ THE. ISSUANCE OF THIS PERMIT T• DOES HEn CONSTITUTE ASSUMPTION BY THE >EPAF T MINT OR ITS EMPLOYEES EE1S OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE ;EWAGE DIDISPOSAL SYSTEM. PAM SMITH 03/14/9/4 ENVIRONMENTAL SPECIALIST DATE HI: 3'ERftt E` I; HU • I,;F,;.l i • ::kALLLE. istNL SHi-s[._L. E.:ECUME. VOID IF SYSTEM CONSTRUCTION HAS !OT COMMENCE{) WITHIN O1'!E YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF HIS PERMIT' THE WE!...:D COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI`. 'I:UNAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING DA- 1:S. FINAL.. PERMIT APPROVAL. IS CONTINGENT UPON THE. FINAL INSPECTION OF THE COM•-- ._.E. ED SYS'T'EM BY THE WELD -OUN T:` HEALTH i DEPARTMENT. Y'a'rEM INSTALLER UNKNOWN FINAL.. INSPECTION DATE 03/14/94 YSTEM ENGINEER APPROVAL. PAM SMITH YF:c. OF :,'('43TEJ1 INSTALLED ALl...ED TAI4!. E NVIRONHENTAL t;PE::t..1ME.AS E r:" ISSUANCE Or... THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH EITHER STATE, COUNTY OCAL REGULATORY O!:.. BUILDING REQUIREMENTS,IRE.MENTS.. NOR SHALL ".T ACT TO CERTIFY THAT s`..1^..". �YUks.TE Y SYSTEM y OPERATE I' 'H SST•^ COUNTY AND I :arj:i_..•, 1 E:�t:t}I . IN 'tli.T s. APPLICABLE r•t"fiEC 0 •I'TLE CRS 19'"3 AMENDED, ti_I`:;i"i[». REGULATIONS iA::rt::�::•'s.:::X} !:'!:':. Sl.!:��I'•� ! . ;:' r:r i•:; ..:�._,::. :'. C.' ,.:., �!�; :'�y!E~.1'...:F:.r_'. ..CEP, QFL rt••I�:. .I!•:F . �:.:A:..... ...:; FINAL. APPROVAL 4INSTALLED SYS• Er r:.R -r « .f :i') OF i E .s'�I4i>._ e•:; }. f "j1= AN. SYSTEM `S: `E: _ `� :! •Y -PERMIT PURSUANT •C: CRS 1973 25-10-111 ,._i . ,•r.,,',.,„I Ar•. .. •rr....j c . fr•.., +.v'.+..rr. 1.1!'+UY1....C:'LYC MA 40001 l May 19, 1977 ACTIVE TAPS • TAP FEE AGREEMENT THIS AGREEMENT, made and entered into this day of TY;t .•. , 19 t? -j, by and between the CENTRAL WELD COUNTY WATER DISTRICT, hereinafter caged the District,and Leeane Brenner _-_--and hereinafter called Customer, WITNESSETH: WHEREAS, District has been organized as a legal body and is known as the Central Weld County Water District, and WHEREAS, Customers are taxpaying electors within said District, or desiring to join said District,or and, WHEREAS, Customers are desirous of acquiring one water tap of 5/8 inches in diameter from the said District, NOW, THEREFORE, in consideration of the premises and the terms of this agreement, it is mutually agreed as follows: 1. Customer agrees to pay the tap fee of S 3,500.00 • Three Thousand Five Hundred and 00/100 Dollars. 2. In the event it is not economically feasible to extend the water to the property line of Customer, which • matter is in the entire discretion of District, then all sums paid hereunder shall be returned to Customer and the agreement shall be null and void. 3. The description of the premises for which this tap is being purchased is as follows: Lot B Recorded Exemption No. 0963-32-4-RE779 being part SW 1/4 SE 1/4 Section 32, Township 5 North,Range 64 West of the 6th P.M.,Weld County Colorado,per map recorded March 13, 1992 Book 1328 Reception No. 2280805 with easement for roadway and utility 20' wide shown on Recorded Exemption map recorded under Reception No. 1602398. 4. This agreement, when approved by the Board of Directors, shall become a legal and binding contract upon all parties hereto. 5. Customer further agrees to execute any and all easements needed by District at no expense to District, across Customer's property for the purpose of installing any pipelines constructed by District. District shall be responsible for restoring surface area back to reasonable condition at District cost. 6. It is further mutually agreed that this agreement shall extend to and be binding upon the heirs, executors, administrators and assigns of the parties hereto. 7. Customer further agrees to the following special provisions: • 8. Customer further agrees to abide by the rates established and the rules and regulations of the District. r «:rrmr,cc wc.rrr:rnt; ,ht>nnt,ies hereto have hereunto and hereunder set their signatures the day and WHEREAS, Customers are taxpaying electors within said District, or desiring to join said District, or and, WHEREAS, Customers are desirous of acquiring one water tap of 5/8 inches in diameter from the said • District, NOW, THEREFORE, in consideration of the premises and the terms of this agreement, it is mutually agreed as follows: 1. Customer agrees to pay the tap fee of$ 3,500.00 Three Thousand Five Hundred and 00/100 Dollars. 2. In the event it is not economically feasible to extend the water to the property line of Customer,which matter is in the entire discretion of District,then all sums paid hereunder shall be returned to Customer and the agreement shall be null and void. 3. The description of the premises for which this tap is being purchased is as follows: Lot B Recorded Exemption No. 096 3-32-4-RE779 being part SW 1/4 SE 1/4 Section 32, Township 5 North,Range 64 West of the 6th P.M.,Weld County Colorado,per map recorded March 13, 1992 Book 1328 Reception No. 2280805 with easement for roadway and utility 20' wide shown on Recorded Exemption map recorded under Reception No. 1602398. 4. This agreement, when approved by the Board of Directors, shall become a legal and binding contract upon all parties hereto. 5. Customer further agrees to execute any and all easements needed by District at no expense to District, • across Customer's property for the purpose of installing any pipelines constructed by District. District shall be responsible for restoring surface area back to reasonable condition at District cost. 6. It is further mutually agreed that this agreement shall extend to and be binding upon the heirs, executors, administrators and assigns of the parties hereto. 7. Customer further agrees to the following special provisions: 8 Customer further agrees to abide by the rates established and the rules and regulations of the District. IN WITNESS WHEREOF, the parties hereto have hereunto and hereunder set their signatures the day and year first hereinabove written. CUSTOMER SIGNATURE CENTRAL WELD COUNTY WATER DISTRICT (Property Owner) 4 �r Leeane Brenner ' • • 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 1324 WELL PERMIT NUMBER 2414404 - - DIV. 1 WD 1 DES. BASIN MD APPLICANT Lot: B Block: Filing: Subdiv:0963-32-4-RE1566 APPROVED WELL LOCATION WELD COUNTY NW 1/4 SE 1/4 Section 32 HADLEY& LEE BARRETT Township 5 N Range 64 W Sixth P.M. 25471 WCR 50 DISTANCES FROM SECTION LINES KERSEY, CO 80644- 2100 Ft.from South Section Line 2000 Ft.from East Section Line (970)284-5051 • 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)(il)(A)as the only well on a tract of land of 44.35 acres described as a part of • the SE 1/4 of Section 32,T5N, R64W,6th PM,Weld County,and more particularly described in the attached Exhibit A, Recorded Exemption Plat. 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 watering of poultry,domestic animals and livestock on a farm or ranch and the irrigation of not more than one(1)acre of home gardens and lawns. 5) The total depth of the well shall not exceed 330 feet.which corresponds to the base of the Laramie-Fox Hills aquifer. At a minimum,plain casing shall be installed and grouted through all unconsolidated materials and shall extend a minimum of ten feet into the bedrock formation to prevent production from other zones. 6) The depth to the top of the Laramie-Fox Hills aquifer is approximate. To ensure the exclusion of poor quality waterfrom zones immediately above the aquifer,plain casing and grout shall extend through the lowermost coal and/or carbonaceous shale that overlies the Laramie sand portion of the aquifer. 7) The maximum pumping rate of this well shall not exceed 15 GPM. 8) 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. 9) This well shall be constructed not more than 200 feet from the location specified on this permit. NOTE:To ensure a maximum productive life of this well,perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above. NOTICE:This permit has been approved for standard residential uses (Condition 4)instead of livestock watering only as was requested on the application. You are hereby notified that you have the right to appeal the issuance of this permit,by filing a written request with this office within sixty(60)days of the date of issuance, pursuant to the State Administrative Procedures Act. (See Section 24-4-104 through 106,C.R_S_) 4,'i9 yo.q APPROVED 0601 GMB State Encineer By t' • Receipt No.0489480 DATE ISSUED t oY 3 0 2002 EXPIRATION DATE Hello