HomeMy WebLinkAbout20101269.tiff • •
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
Ira
1555 N 17TH AVE
GREELELEY, CO 80631631 WEBSITE: www.co.weld.co.us
ADMINISTRATION (970) 304-6410
FAX (970) 304-6412
O PUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420
VI FAX (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES (970) 304-6415
COLORADO FAX (970) 304-6411
November 5, 2008
Daniel L. Ochsner
18905 County Road 394
LaSalle,Colorado 80645
RE: Daniel L. Ochsner ISDS No.: 0800056
Permit No.: SE-O8OOO7O
On November 3, 2008, an evaluation of the existing individual septic disposal system at:
17164 1-25 Frontage Road,Weld County, Colorado;
Section 02, Township 03 North, Range 68 West,
• was conducted by Stephen J.Wiatrowski,an Environmental Health Specialist of this department.
The existing individual septic disposal system is of sufficient size and capacity to adequately handle the
proposed load. This evaluation is based on a final treatment capacity for a 1 bedroom residence.
Be advised,neither the County of Weld nor any of its agents or employees undertake or assume any
liability to the owner of the above property, to any purchaser of the above property or to any lending agency
making a loan on the above property or in the report.
This inspection was conducted for the purpose of determining compliance with current regulations and for
detecting health hazards observable at the time of inspection. This does not constitute a warranty that the
system is without flaw or that it will continue to function in the future. Inspections requested during
periods of snow cover and high soil saturation may be of questionable value to potential buyers due to
adverse conditions. Evaluations based on Statements of Existing(S.O.E.)relies on information the
property owner provides, under oath, indicating current status of the system and representing to the best of
his/her knowledge the system is not failing to function properly.
If we can be of any further assistance,please contact our office at (970) 304-6415.
Sincerely,
Stephen J. Wiatrowski
•
Environmental Health Specialist
SJW/ms
2010-1269
Little Thompson WateDistrict °r� • ` t.% f ir'
835 East Highway 56 FOR BILLING INFORMATION
Benhoud,CO 80513-9237 CALL: 970-532-2096
www.hwd.org Account# Bill Date TOTAL DUE
• 1465 10/20/08 33.53
Type Due Date
CYCLE 2 11/15/08
DAN AMOUNT PAID
OCHSNER
C/O LARRY SCHROEDER '<.:'c'E<'-�� "
18905 WELD CTY RD 394
LASALLE CO 80645 e _ ;it A
�. �..
00000014654 0000033530
DETACH AND RETURN ABOVE STUB WITH REMITTANCE CYCLE 2 01465
Account# Service Address Billing Period Bill Date Due Date TOTAL DUE
1465 17164 1-25 Access Rd 09/21/08 to 10/20/08 10/20/08 11/15/08 33.53
Previous Current Mult. Usage Cd Description Charge
Date Read Date Read
09/15 1693466 10/13 1698577 GAL 5111 CU WATER 33 .53
•
Current Charges 33 .53
Little Thompson Water District TOTAL AMOUNT DUE 33.53
Previous Balance due upon receipt .
* A 1% Penalty will be added to delinquent accounts .
Rates :
Residential 5/8"Base = $22 . 80/mo
0-25, 000 = $ 2 . 10/1000gals
25 , 001-40, 000 = $ 2 . 65/1000gals
>40, 000 = $ 2 . 70/1000gals
Legend: E - Estimated Reading
• Cd - Code Little Thompson Water District
CU Current Use (gallons) 835 E Hwy 56
MC - Miscellaneous Berthoud, CO 80513
CR - Credit 970-532-2096
LITTLISHOMPSON WATER STRICT
Directors: District Manager:
Alex Sauer,President Richard H.H.Whittet
Jim Cooper 835 E.Highway 56
Kathy Gallivan-Cris[
• Mac Juneau Berthoud,CO 80513
Dave Lorenz
Richard Macomber P 970.532.2096
Gary Olson F 970.532-3734
www.LTWD.orP
October 31, 2008
Don Ochsner
17164 I-25 Access Road
Platteville CO 80651
Mr. Ochsner
Your tap at 17164 1-25 Access Road is sufficient to supply water to your proposed business.
Little Thompson Water District does not believe your usage will go up significantly from a private
residence to a business residence and office. Keep in mind this does not include any additional fire
protection.
Sincerely,
•
wl ,VP.
Todd Cooper
Construction Inspector
•
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7 '
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SUC N UP 4 7r
PUMPING AND INSPECTION REPORT
FOR SEPTIC TANKS
STREET ADDRESS:
SYSTEMS CLEANER UC
Unless a section has been checked NA, ALL ITEMS in that section must be completed. Items marked w
an asterisk(*) are minimum approval criteria items and any such item marked FAIL means the system cam
qualify for a use permit. All other NO/YES items are for information only and will be so noted on the i
permit. This form must be completed for ALL tank pumping.
PUMPING AND INSPECTION CONDITIONS pumped? MI ES ONO
Were all compartments of multi-compartment tanks pum P
Was all liquid and sludge removed leaving no more than 3 inches in tank? PATS ONO
If any of the above were marked 'NO'you must provide an explanation of the reasons why it was not posse
to do so:
• .,x /Dock com mts
ESTIMATED CAPACITY OF TANK(s) lit)o gal I P
PRIMARY TREATMENT UNITS (septic tanks)
Tank Operational Status 81S ❑FAIL
*Discharge/leakage? NA- ❑PASS ❑FAIL
*Infiltration? OYES
Located under building? S, OYES
Back flow after pumping?
Tank ComponentsS ❑FAIUFA-CL,
*Ta ASS ❑FAIL
*Tank Integrity ❑PASS ❑FAIL CRC
*Dosing Siphon lv*Internal ❑PASS ❑FAIL allilf Tees/baffles ❑PASS ❑FAIL Cc1�FP�
*Effluent Filters/screens
NAw1----
• Blackwater tanks/vaults ❑PASS ❑FAIL
*No outlet/connection
*High water alarm ❑PASS ❑FAIL ❑NP
/Q
Pump Date
Signature of Pumper
istt',#:. Weld County Environmental Health Services Department
1555 N. 17th Avenue
Gre
eley,ey, CO 80631 Phone: (970) 304-6415
Fax: (970) 304-6411
Iiiiige
COLORADO RECEIPT
October 31, 2008
Application Number: ISDS-0800056
App Type: Health\Residential\ISDS\na
Owner Name: DANIEL L OCHSNER
18905 CR 394
LA SALLE, CO 80645
Site Address: 18905 ACCESS RD 1-25
MEAD, CO 80542
Rcpt# Pmt Type Pmt Method Ref# Pmt Date Amount Cashier Comments
EHS-0800467 Paid Cash 10/31/2008 $ 150.00 SCERRILLO
Total Payments: $ 150.00
•
0
• •
Weld County Environmental Health Services Department
1555 N. 17th Avenue
Gre
eley,ey, CO 80631 Phone: (970) 304-6415
Fax: (970) 304-6411
lope
COLORADO RECEIPT
October 31, 2008
Application Number: SE-0800070
App Type: Health\Residential\Statement of Existing\na
Owner Name: OCHSNER DANIEL L
18905 CR 394
LA SALLE, CO 80645
Site Address: 17164 ACCESS RD 1-25
MEAD, CO 80542
Rcpt# Pmt Type Pmt Method Ref# Pmt Date Amount Cashier Comments
EHS-0800466 Paid Cash 10/31/2008 $ 10.00 SCERRILLO
Total Payments: $ 10.00
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