HomeMy WebLinkAbout20070904.tiff 111'01/2005 10:58 3035723516 DUKE E'•ERGY PArA 07/10
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11/01/2005 10:58 3035723516 DUKE ENERGY FAGE 08/10
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OVEL CENTRAL WELD COUNTY WATER DISTRICT
A„j LEASE RE UpN THIS STIRSWITH PAIiM1iHN7
« M AYLE tO-s. xZA{ AVn, Ph.?57.I28«
amoroy,Colorado 8O41 (_tc,e°' - 113 r
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PANANERGY TRANSPORT & TRADING GREELBY, CO 80631
r`'Ai1L PARR/AAKE UERWt
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• 11/01'2605 10:58 3035723516 DUKE ErERGY PAGE 09110
Pt°#e n''it CENTRAL\VL'LP COUNTY�YATF.R 1)STRICT . PLEASE RETURN THIS STUB WITH PAYMENT i
+ArART TO•l• 17t1?M!Avg. Ph.3:71•;211.1 • ,•-'-' .. .tip._.•11$1'';. •
Grecky.Colornd."PM 4 ar 40 WATER BILL .. ' 'USAGE 4" ....,_;,.-410's'/••••,
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PER 1000 GALLON 12/01 ;01/01
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:,.11 • ' Water Restrictions have been t i toc
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kh tpr Fit.1"i t t•i ci v, -h v, bktfil Ail'ed': AMOUNT ACCOUNT RESOURCE RC T:
( _ x: �•aj�_�t,•,H T.; . . . 0501000 86002 H391 •
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•i O1/ t 0/2'004. i 0.07I .07. nie • •..I OPERATE 79153
Mi . GROU- # V'U HER ADDRESS L'CA N
.mMese p �r C. `l C Sr wt•t idt al.\ ATEG i S-UT ATER ',.
DESCRIPTION WATER
1):Jk;; r_rlE1 l�Y TRANSPORT �- TI DNG APPROVED BY DATE_L .41, tf
E5E.r1'7';"i WELD CO. RD.. i5'. VlRGIL MILLER
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PLEASE NAALCIM
•••• •C0UNTY••`,•^' .WATE,R DISTRICT PLEASE RETURN THIS S1IJD WITH PAYMENT !
r•. Cnea+ CENTRAL WELD
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• ' ; .Aar.9I.'M; I IbEIf.'i,; 'PEP. 1000 GP LLCM 1`71 J(1 t ?/R1i 1
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iWater Rcigtri.e tions h,'vrl ',ern i i'f fled
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GROUP ER LOCATION '"°°�" �;:'.A' ,t t1 C, `.t ta• wt. 1 re.. • i"•`
y CATEGORY GORY S-UTIL-WATER DUk 'E:NERG'Y'TFANS�''O1 T & TRDNI4'� ' •. #;.•.
1 DESCRIPTIONWATER t 0;75. WELD CO. t D. 19 `' •
. 0 APPROVED BY , • ';' DAT '
1
E,, VIR6 L MILLER FT. LUPTON, CO S0621-
I1I •.-.J-JJt•,I k?.._..L.0 ... txuJh:l-
11/01/2005 10:58 3035723516 DUKE ENERGY FADE 04/10
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WELD COUNTY HEALTH DEPARTMENT , ` ' ' .• .J
1516 Hospital Road '
r-. Greeley, Colorado "ti'•'1. - -^_.,'.r., ' IDi�F No. der ..ce. 1-
Pli. 353-0540 `�`"� ��~
Applfcatzott for permit to install, construct, an ind�vxduel•.Sewage Disposal System.
l
Owner t! i t : S.� Q ,r C�(J ':�! : Oh (1C Odd Tess ff 0 ,,!-i,,�r : ''�t�(' Phone
Directions to site: Rwy N mi, B mi, S Ali, W ml
F\ 'J 1 i LL.E33......It1... ' .i _ r. 7 1 1 .
Legal Description: Ptn. Sec. ,I. ,T,....,,,, N,-ah W, Sub. Lot_'Bik
r + CI . General Information De t. Use On1
• No. Bedrooms 'J No. Persons ).2. Perc rate (avg. of 3) /-z47/4'1
No. Baths , Basement Plumbing r.f, Zr Soil Type ,
Size of Lot f h' 6,0r Lei H2O Table Depth 71
520 supply (If well give depth,__uyeit Lot Grade,!,
New some Mobile Home Modular Add'n Engineer Desire 'lee tlo
Type of sewage disposal requeste4: If YES-reason:
septic tank‘,/ Privy Other :) p icr^f''r`N-x' r-; f.. Comments:
This is to certify that the system is NOT within 400 ft. of a public sewer: ,lu:,• _ -
I Inetalt-ation instructions: (Minimum Requirements Li
Septic Tank — Gals. Absorption Trenches Sq. Ft.
Other_ or
,,_,
Special Instructions_ Seepage Bed _ _`Sq. Ft.
This system will be constructed and installed in accordance with the above specifications
and regulations regarding individual sewage disposal, systems in Weld County, Colorado.
This permit shall expire at the same time as the building permit, or, if no building permit
is issued, the permit shall expire 120 days after its issuance if construction has not
been commenced.
Date: 11 L, 1, ,'Q 9 Owner: _ _
Applicant: - `h,, 1, ),.1 ;{k,; y., .,
The plans and specifications as shown are approved pending"payiaent of permit fee.
Date: - 6(7 /7?
Sanitarian: 463041.02aSiekt,o4.e.e 654.t)
The above system inspected end found to comply with plan and deshr pt on. •
Systems Contractor: Date: ¢ �7 + .r
Sanitarian:
•
Engineer Review: v _ -
(Date) (Signature)
roc)
Permit Fee: $ %✓ •
.
P -._ ..
Received by: .
_r_ . .f: ,'.•; 4.'. , t' _ . . , ,.'.,1 Date: 1.; :,' f 1 ,''•r 1; •
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11/01/2005 10:58 3035723516 DUKE ENERGY PAGE 06/10
i:;tTvA1 Af:'F.:LI:C.:ANT; COPY-•WCHD W0I•'D •-E:FIS MAY, i `i'F:il,
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. C;•P6<02 ? r'
WELD COUNTY HEALTH DEPARTMENT NEW PERMIT
ENVIRONMENTAL HEALTH SERVICES
' 1516 HOSPITAL ROAD, GRE'ELEY, CC s30c;at
353-0 635 E:XT.22'
4r.::F7 AS S O•::I:f1TL.I) NrlTL)F'tAl... GAS ADDRESS 6075 w(::R 19 ,f
PH (: +J.a) ;;;:i.r'....4��a%...
FORT LUPTON CO E3 62i
)RES.t or PROPOSED SYSTEJ1 607"_i bJ[;F 19 aY
. FORT L.UF''TON CO (30621
;Ai._ DESCRIPTION OF SITE: SE4 SEC 3;:4 TWF'' 2 RNG 67
r r LOT 0 BLOCK 0 FILING 0
TYPE:: : CC.LMMr CTfii.. GAS BLENDING STATION 4500 ' LT,
LICE S ! PERSONS i BATHROOMS 1 .00 LOT SIZE . ;:..00 ACRES
BEDROOMS 0 BASEMENT PLUMBING NO WATER SUPPLY V'WEL1..
:'L I C-A T I O N FEE $150,00, .
'I} BY RANGI=L, MARY SIGNED EY JAMES W. MILLS
DATE r)9/{)E3/ 6 DATE 09/08>>86
;COL..ATICIN RATE 102.6 M:EN PER INCH LTM1TIN(; ZONE 5 FEET
L. TYPE UNSUITABLE P1:•:ROENT GROUND SLOPE OZ. DIRECTION
UIRE'S ENGINEER DESIGN YES
)M THE APPLICATION INFORMATION SUPPLIED AND T3'* ON•- ''1 rL SO'ft.. PERCOLATION DATA
FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQU:1F:I'',
E PTTC TANK 1000 GALLONS, ABSORPTION TRENCH SQ. FT.
OR
ABSORPTION LED SLR.. ET.
ADDITION, THIS PERMIT IS SUBJECT TO THE FCILLOWTN(:. ADDITIONAL TERMS AND
1:X PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT
C BE REVOKED l.l'. SUSPENDED BY TI-I:: WELD COUNTY HEALTH DEPARTMENT r=0F REASON'S ;`'ET
'TM IN THE WELD COUNTY INDIVIDUAL SI WAC,L .•D1:SF•O AL SYSTEM R GULAr IONS INC:I..•UL`:rNC
il..uIr,E TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURI:N(:. TEMPORARY OR FINAL
"ROYAL. THE ISSUANCE Cr THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE
›ART MI N'T' (:1R ITS EMPLOYEES E_S OF LIABILITY IT'Y FOR THE FAILURE OF. :INADEQUACY or THE
4AGE DIS'POSAL.. SYSTEM.
Ye.`% _r(V 8-4I-R7 f) SCOTT PERKINS rN1' ' 0?/2 )/f}7
C cmp 1 - 1 Ai X.-- ENVIRONMENTAL SPECIALIST DATE
1S PERMIT IS NOT TRANSFERABLE AND SHALL. BECOME VOID IF SYSTEM CONSTRUCTION HAS'
f' COMMENCED W:ElHI'1 ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF
IS PERMIT THE WELL) COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDT.•.
JNA1_, TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA-
T. FINAL_ PERMIT APPROVAL IS CONTINGENT UPON THE F/NAL INSPECTION OF 1HE F';7M..
TED SYSTEM EY TH1, WELD COUNTY HEALTH DEPARTMENT.
S'TE.f :INSTALLER ......._NaT ...` Yy!.,..,._.._._. ...FINAI_ :IN.SF' r. il,ATE s 7 ?o-g1
STEM h.NGLN{_=:C:.h, ......___.•......_..._._ ...«.,....,,»,.,----APPROVAL— . ._ '.. ..,,.....,........._......._.....,....,...........
�'E OF SYSTEM INSTALLED ...,J/14 M,117 ' VIM i •:NTAI. SPECIALIST
E rSSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE:, COUNTY
'^ LOCAL. REGULATORY Y OR BUILDING REQUIREMENTS,MENTS, NOR SHALL IT ACT TO CERTIFY THAT
SUBJECT SYSTEM WILL OPERATE TN COMPLIANCE WITH APPLICABLE ,STATE, COUNTY AND
1AL REGULATIONS ADOPTED Pt~.kS'JANT TO ARTICLE 10, TITLE 2!;, CI.. 19'"r.3, AS AM ND1:::)),
C ;P T FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL Or: AN INSTALLED SYSTEM FOR
tilt rF: (7r A LOCAL OCCUPANCY PERMIT PURSUANT TO CPS 1973 25 °1 0-1 1 4 (2) .
11/01/2095 10:58 3035723516 DUKE ENERGY Few-iE of/1:1
. L K,FJc.} . -Ck1"0..kl^rk
P10;$I:: INDIVIDUAL DIVIDUAL. ii's1=:'urlfili` DISPOSAL SYSTEM PERmIT NO.. G-90140
•
OE::LD COUNTY HEALTH DEPARTMENT NEW PERM L1
1
ti.:!•1V:C+':i:iNl'1ENTAt., HEALTH SERVICES
1.;I1i7 1.6T'It A4,EN!..11 . C:CJuI^:I . ORC.L I.L:Yt CO l+f7C::1
553-065 ! X.T 22Ztl
ER C,<:>:::.u.i TRANSPORT TRADING ADDRESS S PtBOX t 99.:� ' PH (3,r,. ),. .' :-,��,°i.. . ..:!
,f�'1 4�
DENVER CO F021., •
NESS S'S:i OF PROPOSED E::D SYSTEM 6075 WCR 1.
F.T LIPTON CO E;)O62l .... •%A . .,
Al., LI :S C :1:1^''*"r':•TN OF SITE SEC ;1,":≥ '!'WP „:1 FtiMIs 67 ..
blvT:'r:i.O :: I...C)T C LL.,OCK 0 .►••.FIi._I1'ti:r 0
1.1,PE CCJliI'1t.RCIr1i.. OPFICt':: SHt)F'L1LIt..DT.N0 .
'I N l!.3 a PERSONS 30 BATHROOMS 2.00 - LOT SIZE ZE. 5,00 ACA:si
J:?F 101?CT(:ll"1S 0 BASEMENT ENT F'L,Ul1I:JINC No WATER SUPPLY r4 WEL_L
•
i...:[C'+.t"T.1,1.11+I FEE 9s10.00
'D BY C:rFIT>Y s3AI..i12ts'r: SIGNED BY ROBERT L. 1'''F:A1`:ETON
DATE ':'i,/<,'./9 DA,'TI::: 06/0a_/i".:'. .
c:oi..ii tch•i rl;r;t':': s""::".'.�..'' IT!l:ll PER :l:l•ICi.r LIMITING ZONE 6 PEE', .
I,. •iyi'4. ::.l:I:'T'AEL!i; PERCENT 43;j.11,I0 ;E`sl._(.*'r o'. DII T::CTI:7,N .
I.IIRIi:l:; ENCi:rNE:E"FC 1)F:Si:EiN YIL a •
' T I ON. I3LIf'F'L.:I T' AN THE ON—SITE ;::011. l�I:':';.i.:OL.A":']:t:it•E Ya.•,'T{':
M Il'•IE.: APPLICATION '1'I�If'',:,�; ,f�i
FOLLOWING MINIMUM ..;H'3•"r'11...1...ATICll•. +,;,;Pl::+::":I'"i(:' r I• ARE I^;rc-i 1.";:f:CD::
iwp'( .C c. 7A K 1000 riff I `/l A1'{:^sBI"'F'TI Jl'1 RE�.t4t l•'I S iiT.. i''• ..
/500 i S « Otw:
F`'rkt�;(•RPT:i0N - :1 :(7 1Ev ) `SQ. r..1... tld T w ,
PERMIT I,7; i 'T'3 THE F QLL OW:T.N(a ADDITIONAL. 1••lE:F:I'I:a AND (- ' '�.�i '
r1T)r.)1:�i 1:cJl�,� TO/5:i fr._1t�1'1:r . ...., :3UI.Jr�c:•r
'11-T1 MS:I ............_.._. : W..,_. .__.._....,,,....... . _....,..... ............. ._....... ._.._......._.,....... ,..._.__....-... ........_....,......_...._....................... .......
S3 I'I".RNI T 12 GRANTED TEMPORARILY ' $ t" 11� �I 'I •s• '11-ii. t�'h::f+I°!:1:1'
<: :[L_'r ! ..) ALLOW I::.�Ma1'F.Ll..•'T:tt: l To :(:III E. lt;f�.
OE !:,: .','I <E::1! OR SUSPENDED BY THE WE J) COUNTY HEALTH DEPARTMENT r i:)R M:p a(.JNSE> S
't'H :I:1••• TII1 . WIE:I..L C;:DI IN'T"s' INDIVIDUAL DUAL SEWAGE DISPOSAL SYSTEM TF:M REGULATIONS 'NC;I..T.)D T I,_
I•,.I.JkEE: TO MEET ANY TE"x:1'1 O12 CONDITION IMPOSED TI.4ERE'ON x+1.1R:C1•O TEMPORARY iii E'J•II';t...
Rovi=L.. TH•'tli:. ISSUANCE OF rH:[S3 1"'E:r i' :r'T' DOES NOT C:(:)NS7I'1'urE ►•^,":S UMT''"t•T.eN BY 'T':•':1:.
Al 'i i'II- I T OP ITS EMPLOYEES OF :..1:d4I•:l:I..:r'T Y FOR 71,4E "''AII..L:Rf:: 1:11'i ±NetItID,E'r:rIJAl::Y C?F' .'lily..
AGE r;1'.'rI.•]SAI... : YsI F_M.,
eic^„ 2 /D r i -7 a_C4 ."r I.DY SC.HMID'T C;;12:1;)/92'
�j j ENVIRONMENTAL :;1 ECIAL.:r'i'T DATE
Si PERMIT C NC)'T. TRANSFERABLE AND SHALL BECOME VOID ]:l=• 5>Ya'rEm CONSTRUCTION 1'1OS
i:I::lY +l :Nf:;r:.i) W. T'H'rN COME: YEAR OF ITS ISSUANCE. O F'C):IE ISSUING T'INA'._ AP:,*R "VAL ':,F
`.3 FERN/1 THE JJEI••I COUNTY Y HEALTH Tar-.FAh'TME N T' RESERVES.. THE R I^:••i'T. TO 1''IPt' C ADDX—
.NAL T•I::RM£.i AND CONDITIONS RI:::C)1.11:f`FI' TO MEET OUR ItE(;)Ui_F'r'i I :)I.1S3 ON n C'_(,iNT:,:N:01.Ni: I'.iA—
.. ,. PERMIT ,",!'I�'RIN iI., IS CONTINr3r'NT UPON THE #'•1 L. j.E•KI';il'•'4' '. ..1.011 D.:- Ti r;rl,l.�• .
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1'lE::.t7'.. .,Yc:a_(I�;ri L' ( THE L E:..D IOW-4TY HEALTH DEPARTMENT. 1, .A1( 92_.,1( C 2_ 1—f 1�• , .s7
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