HomeMy WebLinkAbout20061731.tiff ut,«,.uuo OJ:13 J/G-3y5-U77( NORTH WELD WATER PAGE 01/01
BOARD OF DIRECTORS NORTH WELD COUNTY WATER DISTRICT
CHARLES ACHZIGER 33247 HIGHWAY 85 • LUCERNE, CO 80648
RALPH PRIOR
"�JOHN JOHNSON DON POSSELT, DISTRICT MANAGER
•
CE BUCK RINEHART P.O.BOX 56 • PHONE(970)356-3020 • FAX(970)395-0997
NELS NELSON
www.nwcwd.org • e-mail: wateo nwcwd.org
February 21, 2006
RE:Meter Number 218 002
To Whom It May Concern:
North Weld County Water District provides domestic water service to the property located at
7291 WCR 80,Fort Collins,CO. The current owner of the property is Dennis and Erin Berkey.
North Weld County Water District grants permission to the owner for use of this tap to serve a
small dairy operation. The owner has been advised that as the herd continues to grow as
projected over the next 5-10 years,line improvements will be required to sustain the projected
usage.
Respectfully,
Alan Overton
District Engineer
EXHIBIT
2006-1731
DEC-16-2005 FRI 09: 10 AM W,C,ENV IR0NMENTAL HEALTH FAX NO. 976. 304 6411 P. 02
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH ANT)ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY,COLORADO 80631 2 0 a3 �f
• PHONE(970)304-6415 FAX(970)304-6411.
STATEMENT OF EXISTING SEPTIC PERMIT
Permit#: SE-0S00085 Sec/Twn/Rng: 17-07-67 PERMIT
Owner: DYECREST DAIRY-TERRY DYE Applied: 09/23/2005
Applicant: FRAZER SHARYN
Parcel#: 0705-17-- -
Location: 7291 CR 80 FT COLLINS
Legal Dew:
Description: HOUSE .
Commercial: N Residential: Y Acres: 20
#of Persons: 3 Basement Numbing Y
#of Bedrooms: 4 Bathrooms-(Pull): 2 (3/4): 0 (1/2): 0
Water Public: Y Water Source: NWCWD
Water Private: N Cistern: N Wel : N Well Permit Number:
Septic Tank: 1250 Tank Material: CONCRETE
Absorption Trench: 1000 sq. R.
Absorption Bed: 0 sq.R Year Installed: 1980
NOTICE
The property owner/agent has certified by Notary Seal that the above described septic system is in fact installed as described,and
exists at this time on the parcel identified above by the parcel number and/or legal description,and further states that the system
IS/IS NOT in good working order and to the best of his/her knowledge IS/IS NOT failing to function properly.
The property owner/agent Anther understands that any falsification or misrepresentation may result in the revocation of any permit
granted based upon this information hereby submitted and in legal action for perjury as provided by law.
The Statement of Existing Record relies on information the property owner or his/her representative provides,under oath,indicating
current status of the system and representing to the best of his/her knowledge that the system IS/IS NOT filing to function properly.
lauimw of the Statement of Existing Permit for any system does not constitute assumption that the site was evaluated or inspected
during any phase of construction by this Department to meet regulations.
x 9'or7 J5-
vimntnental Heal Specialist Date
Fun:S Ex1ST
DEC-16-2005 FRI 09: 10 AM W ENVIRONMENTAL HEALTH FAX NO. 970 304 6411 P. 03
.. WELD COUNTY DEPARTMENT OF PUBLIC SOE# ASOMAS
if ID• HEALTH AND ENVIRONMENT ORG PERMIT#
I' 1555 N. 17"AVENUE REPAIR#
GREELEY,COLORADO 60631 LOAN#
PHONE: (970)304-6415 ISDS#
I - FAX: (970) 304.6411
STATEMENT OF EXISTING FOR SEPTIC SYSTEM
ii • I ' a • (PLEASE FILL OUT IN BLACK INK ONLY)
PARCEL NO. 9aDS- I -3000Ia1-
PROPERTY OWNERI ittlrintft(�erYt( MIL PHONE NO. (97CCk %I- OagIP
MAILING ADDRESS t13'7 fltxtlt Caunkj Une? o4 14 ttallin5 Co gQ ..)14'
City State Zip
•
DESCRIPTION OF BUILDING(es. house, mobile/modular home,shop,office) Qivskrtei rP-Sida-YIG 't_
SITE/LOCATION ADDRESS 7 a a.;I Ls)Ct--Esc
C.2 City State Zip
LEGAL DESCRIPTION PT SW`s PT SECTION__ TOWNSHIP,_ RANGE la
SUBDIVISION LOT BLOCK PILING
CENCUS TRACT LOT SIZE/ACRES a0 041261:
COMMERCIAL YES g) RESIDENTIAL elePPIO
NUMBER OF PERSONS_ BASEMENT PLUMBING C S L"NO
BEDROOMS_ BATHROOMS-FULL D2 3/4 1/2
WATER SUPPLY-PUBLIC CO5NO NAME ir..W.D
PRIVATE Y j WELL YE 'STERN YES4 WELL/CISTERN#
SYSTEM SIZE; Septic tank material is constructed of rimer. C.. and has l D.5O gallons capacity.
FIELD: Trench ION, square feet or Bed square feet YEAR INSTALLED I ifO
You are required to draw a diagram of the system-on the reverse side of this form j6 black Ink only and Indicate
location,length,width,and distance from the dwelling.
The undersigned property owner hereby certifies that the above described septic system is in fact installed,as
described,and J�,��t this time on the parcel of ground identified by the above legal d 'on and further states
that the cyst. ' tie good working order mod to the best of his/her knowledge I not fa ng to function properly.
I further understand that any falsification or misrepresentation may result lit revocation of any permit granted based
upon this information hereby submitted and in legal action for perjury as provided by law.
Q-as-0S
DATE OWNER St./Atilt
���"" 1 _ —
Subseeibed and sworn to hofo.:= �.'_, day of c+.2I1,l1Qyft Oi'N - , 20 aS,
By `Ti.rrt... - 5'e. 0/_.p�0 ff
Witness my hand an i o sal. G My minis a r
a �
DATE `r,Oo CaOF`P= NO Y P IC
STATEMENT OP EXISTING RE ' ' BY 1f^"r's''
NVIRONMENT HEALTH SPECIALIST
DEC-16-2005 FRI 09:10 AM W,C,ENVIR0NMENTAL HEALTH FAX NO, 970.304 6411 P. 04
2
Aestk t11,b
-7aa tR.-S�
DEC-16-2005 FRI 09: 10 AM W ENVIRONMENTAL HEALTH FAX NO. 970.404 6411 P. 05
WELD COUNTY HEALTH DEPARTMENT
1516 Hospital Road Permit No. -
Greeley,, Colorado
•
PH. 353-0540
Application for permit to install, construct. an Individual Sewage Disposal System.
/ , t! ,
Owner �.• x.. .) Address "7"..)::•-•/ ;•r'!, 1:/ Phone '
Directions to site: Hwy Rd. N mi, E_mi, S mi.,' W mi
co N 7 L,1_,.../i.-d,t,r
Legal Description: Ptn. . :; 1c Sec. I : ,T /N, it ,%W, Sub. Lot
-i--7-4;=,: -7 '74,2 ir�t''.`'- r - _— .
General Information I De t. Use Onl
if
No. Bedrooms No. Persons Pere rate (ay . of 3) hi
__
No. Baths Basement Plumbing Al, Soil Type �x
Size of Lot ,,,,,..,...)/9 _ H2O Table Depth ,77,57/
H2O supply (If well give depth) li iil//',I..e Lot Grade - ,moo �d
New Home Mobile Home Modular Add'n ,/i)'.i',dJ Engineer Design Yes )( No
Type of sewage disposal requested: If YES-reason: --
Septic tank k Privy Other Comments:
r
This is to certify that the system is NOT within 400 ft. of a public sewer
t Installation instructions: (Minimum Requirements) r
Septic Tank A) o C7C� Gals. Absorption Trenches / (7 7 Sq. Ft.
Other or
Special Instructions Seepage Bed a / C _ 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 s =• ti-1 Owner: A ..J.: ' - ' —._.
Applicant: _
The plans and specifications as shown are approved pending payment off permit fee.
Date: 7/71 7-
Sanitarian: SCfJ
The above system ins ected and found to co,N)
ly with plan and d scr tion.
Systems Contractor: - _, W-„, � n Date: -j .130 ‘V
Sanitarian: e 1.4V\ gQ`L ,
c
Engineer Review: -
(Date) • (Signature
Permit Fee: , $ ' _�-
/
Received by: . • ••••••• _ Date:
19-79-122
DEC-16-2005 FRI 09: 10 AM W,X.,,ENVIRONNENTAL HEALTH FAX NO. 970-44 6411 P. 06
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