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Home My WebLink About20102755.tiff Form No. OFFICE Of THE STATE ENGINEER GWS-25 . -COLOl1ADO DIVISION OF WATER RESOURCES MO Cornenial ekq.,1313 Sa rroan SL,One,Colorado 80203 (303)W3681 827 WELL PERMIT NUMBER -- APPLICANT DIV. 1 CNTY. 62 WD 1 DES. BASIN MD Lot: Block: Fans: Subdtv: APPROVED WELL LOCATOR WELD COUNTY NW 1/4 NW 1/4 Section 28 PATRICK L CRAIG 1942 WCR 53 Twp 1 N RANGE 64 W 6th P.M. KEENESBURG CO 80643 DISTANCES FROM SECTION LINES (303)536.0322 700 Ft. from North Section Line 600 Ft. from West Section Line PERMIT TO CONSTRUCT A WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CgNDIPONS 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 the 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 conatruabn of this well shall be in compliance wkh the Water Well Construction and Pump Installation 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 17. 3) Approved pursuant to CRS 37-92-602(3)(b)(Iq as the only well on a tract of land of 40 acres described as the NW 1/4 of the NW 1/4 of Sec. 28, Twp. 1 N., Rng. 64 W. of the 6TH P.M.,Weld County. 4) The well constructed under permit 182O46 must be plugged and abandoned according to the Water Well Construction and Pump Installation Rules within ninety(90)days of completion of the new well. The enclosed wel abandonment repan form mart be oornpleted a lkne%than to old wd wee plugged and abandoned. 5) The use of ground water from this well is limited to ordinary household purposes inside up to three(3)single family dwelling,the watering of domestic animals,and the irrigation of not more than 1 acre of home gardens and lawns. 6) The return flow from the use of this well must be through an individual waste water disposal system of the non-evaporable type where the water is returned to the same stream system in which the well is located. 7) The maximum pumping rate shall not exceed 15 GPM. 8) The average annual amount of ground water to be withdrawn shall not exceed 1 acre-loot. 9) Plain casing must be installed and property sealed to a minimum depth of 280 feet to prevent diversion of water above this depth. The depth of this well shall not exceed 535 feet which corresponds to the base of the Lower Arapahoe aquifer. 10) This well shall be constructed not more than 200 feet from the location specified on this permit. 11) Use of this permit carpels perm 182618. 12) Emergency verbal approval 9411605 was given on October 7, 1994 for the construction of this well. J. 12�2o/QLf APPROVED • DWR 4tA . , • (Receipt No. 0376541 DATE ISSUED DEC 21 1994 EXPIRATI DATE DEC 996 page 6 attachment "F" - Supplemental Submission to Amendment Application - USR1253 2010-2755 Form No. OFFICE OF THE STATE ENGINEER • GWS-25 .COLORADO DNISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman Si,Denver,Colorado 80203 (303)e6635B1 • LIC WELL PERMIT NUMBER 213693 - -_ APPLICANT DIV. 1 CNTY. 62 WD 1 DES. BASIN MD Lot: Block: Filing Subdrv: APPROVED WELL LOCATION WELD COUNTY PATRICK L CRAIG NE 1/4 NW 1/4 Section 28 1942 WCR 53 Twp 1 N RANGE 64 W 6th P.M. KEENESBURG CO 80643- DISTANCES FROM SECTION LINES (303)536-0322 600 Ft. from North Section Line 1350 Ft. from West Section Line PERMIT TO CONSTRUCT A WELL 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 the 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)(f) and policy of the State Engineer under the following conditions. 4) The use of ground water from this well is limited to ordinary household purposes inside one single family dwelling, the watering of domestic animals, and the irrigation of not more than 1 acre of home gardens and lawns. 5) Production from this well is restricted to the Lower Arapahoe aquifer which corresponds to the interval between 285 feet and 545 feet below ground surface. Plain casing shall be installed and sealed to prevent production from other zones. 6) The maximum pumping rate shall not exceed 15 GPM. 7) The annual amount of ground water to be withdrawn shall not exceed 3 acre-foot. 8) The return flow from the use of the well must be through an individual waste water disposal system of the type so that not less than 2%of the total amount of water withdrawn 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 insure a maximum productive Ide of this well, perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above�tt. -le, • APPROVEDJLV 4 . • ' y RA er Receipt No 0435134 se w DATE ISSUED NOV U U 1�8 EXPIRATION DATE NUV ° 6 2060 page 7 attachment "F" - Supplemental Submission to Amendment Application - USR1253 • Fora No. . OFFICE OF THE STATE ENGINEER • GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Idg.,1313 Sherman Bt,Denver,Colorado 80203 (303)866-3581 827 WELL PERMIT NUMBER 227168 _ APPLICANT DIV. 1 WD 1 DES.BASIN MD • APPROVED WELL LOCATION WELD COUNTY ANTONINA M SCALERA SW 1/4 SW 1/4 Section 21 720 JUDSON ST Township 1 N Range 64 W Sixth P.M. LONGMONT,CO 80501- DISTANCES FROM SECTION LINEg 142 Ft.from South Section Line (303)485.5752 237 Ft from West Section Line PERMIT TO CONSTRUCT A WELL 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 wee 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)(II)(A)as the only well on a tract of land of 40 acre(s)described as the South • 1/2 of the South 1/2 of the Southwest 1/4 of Section 21,Township 1 North,Range 64 West of the Sixth Principle Meridian, Weld County. 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 issuance of this perms hereby cancels permit no.217549. 6) Production from this well is restricted to the Lower Arapahoe aquifer,which corresponds lo the Interval between 370 feet and 630 feet below the ground surface. Plain casing shall be Installed end grouted to prevent production from other zones. 7) The maximum pumping rate of this well shall not exceed 15 GPM, 8) The return now 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 welt shall be constructed not more than 200 feet from the location specified on this permit. NO fE:To insure 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. NOTE:The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years upon which the amount of water in the requiter Is allocated,due to anticipated water level declines r 7/7//2/ 4 14,40.9 APPROVED MTT a�iru tom • State Engineer OY • JUL 122102 ,Receipt No 0463242 DATE ISSUED JILL 1 3 mePt' •SION DATE page 8 attachment "F" - Supplemental Submission to Amendment Application - USR1253 • 0 Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg. 1313 Sherman St.Denver,Colorado 80203 IIII (303)866-3581 LIC WELL PERMIT NUMBER 282682 - - -_ APPLICANT DIV. 1 WD 1 DES BASIN MD APPROVED WELL LOCATION WELD COUNTY SW 1/4 SW 1/4 Section 21 ROCKY MOUNTAIN WILDLIFE CONSERVATION CNT Township 1 N Range 64 W Sixth P M 1946 CR 53 DISTANCES FROM SECTION LINES KEENESBURG, CO 80643- 900 Ft from South Section Line 1040 Ft. from West Section Line (303)536-0118 UTM COORDINATES (Meters,Zone:13,NAD83) PERMIT TO CONSTRUCT A WELL Easting. Northing: r ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT I CONDITIONS QF APPROVAL ',) 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 welt 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)(II)(A)as the only well on a tract of land of 40.00 acre(s)described as the N 1/2 . of the S 1/2 of the SW 1/4 Sec 21, Twp. 1 N,Rng.64 W, Sixth P M.,Weld County. 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) Production from this well is restricted to the Lower Arapahoe aquifer,which corresponds to the interval between 290 feet and 550 feet below the ground surface. Plain casing shall be installed and grouted to prevent production from other zones 6) The pumping rate of this well shall not exceed 15 GPM 7) 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 8) This well shalt be constructed not more than 200 feel 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 an amount of acres other than applied for based on the description of acres claimed for this well request. You are hereby notified that you have the right to appeal the issuance of'his permit, by filing a written request with this office within sixty(60)days of the date of issuance,pursuant to the State Admipistrative Procedures Act (See Section 24-4-104 through 106.CRS ) !-2•18.10 i \,.../ ii r'i / . LTROVED__ e.n ' ei t No 3643789 - DATE ISSUED 02-18-2010 - EXPIR)4TION 61&FEU 02-18 2012 page 9 attachment "F" - Supplemental Submission to Ame dment ApplicationU- USR1253 • • r Form TSTATE OF COLORADO for OtTicc Ilse Only 0 No. i OFFICE OF THE STATE ENGINEER GWS-11 1818 Centennial Bldg., 1313 Sherman St., Denver,CO 80203 8/2007 I Phone—Info:(303)866-3587 Main:(303)866-3581 _ I Fax:(303)866-3589 http:llwww.water.state.co.us_ CHANGE IN OWNERSHIP/ADDRESS Ktc:tivtu CORRECTION OF THE WELL LOCATION DEC 01 2009 Review instructions on the reverse side prior to completing the form. WATER FiES:" - Name,address and phone of the person claiminq_ownership of the well: STATE EN, ... NAME(S): Rocky Mountain Wildlife Conservation Center, Inc. Mailing Address: 1 94 6 County Road 53 City,St.Zip: Keenesburg, CO Phone 303 ) 536 _0118 This form is filed by the named individual/entity claiming that they are the owner of the well permitted as referenced above. This filing is made_pursuant to C.R.S. 37-90-143. — WELL LOCATION: Well Permit Number: 108288 Receipt Number: 4"-C /c.rUZ County WELD Well Name or#(optional) 2245 County Road 53 Keenesburg, CO 80643 (Address) (City) (State) (Zip) NE 1/4 of the SE' 1/4,Sec. 2 0 , Twp. 1 ®N. or❑S., Range 64 ❑E. or®W., 6th P.M. Distance from Section Lines: 1584 Ft. From❑ N.or(I S..- 250 Ft. From 3 E.or❑W. Line. 41) Subdivision Name Lot , Block , Filing/Unit The above listed owner(s)say(s)that he,she(they)own the well described herein. The existing record is being amended for the following reasons: ®Change in name of owner®Change in mailing address❑Correction of location for exempt wells permitted prior to May 8, 1972 and non-exempt wells permitted before May 17, 1965. Please see the reverse side for further information regarding correction of the well location. I (we)claim and say that I(we)(are)the owner(s)of the well described above,know the contents of the statements made • herein, ande that they are true to ur11knowledge. _ Signatur,e(s)orthe new ow Please print the Signer's Name&Title Date / i Patrick Craig - Executive Director 11/02/2009 i i e ponsibility of the new owner of this well to complete and sign the form. Signatures of agents are acceptable if an ri ' al letter of agency signed by the owner is attached to the form upon its rect. For Office Use Only '�E�D AS A mope pi AND/OR MAILING ADD (--./---) _ •--• ..16J42.-- - . _.._ • State Engineer By / Date • page 10 attachment "F" - Supplemental Submission to Amendment Application - USR1253 • • r � • The following septic permits are attached: 1. (1942 CR 53 -section 28) Permit#184140 2. (1946 CR 53-section 28) Permit#2 13693 3. (2020 CR 53-section 21) Permit#227168 4. (2245 CR 53 - section 20) Permit#198288 • • page 11 attachment "G" - Supplemental Submission to Amendment Application - USR1253 • i 1942 CR 53 Permit H::►F'1.O(4F' • INr 1 V T DOAI. ial-GrytiL D I w:;l (r 4. 5'c,'';l E:.l's (:•t rtl`I1't t•II). ,:-.',,rt(►C,;•. WE';. i t:ot.111ry HEA1..Itt 1)F:PAPIMiJtI NEW F'1 u11: 1 ENU IF:ONMl N TAL HE.AI Ul ;'►I..i VJ i'E:':i 1`1.' 161H AJFNL1L t•CiURI. : rEEi.F.Y. CO O4fa."i1 353-06 39 E?:I ..:.''r.'ti"S OWNER L :AIG. PAT ADDRESS 1;.;1'%;' N 53RD PH ':o: . 82S-5E.( LONI;MONT Cu 00;ir►., ADDRESS OF PROPOSED /ST E::t'i 194..' WI:R NOD`.-ON CO ct(1:,4 LEGAL AL DESCRIPTION t11•' SITE: N2 NW4 r..E.C ;.:8 rwt' 1 1*11; 64 SUBDIVISION: IOI 0 BLOCK 01 l> FILING 0 I.Itit' TYPE: RESIDENTIAL. MODULAR HI)M1 1:;ERVICES: PERSONS 4 BF)1HROOM'.., : .OU L..t. T SI'_E. 80.00 ACrtF•:':t iILDROt)19`_ 3 >EIA:3C:MEIl1 I'LtJML'.tl:t.l NO WATER SUPPLY PWE.:LL. APPLICATION;CATION FEE $10.00 RE:1' I! ;p CINDY SALrZAR SIGNED F/Y PAT CRAIG T►ATF 02/23/94 DATE {,'.'/:•:.:i/94 PERCOLATION SATE 1.:i.O MIN PER INCH LIMITING ZONE E3 FEET '1 Yr'i:. SUITABLE F"ERCE.I•Ir GROUND SLOPE J:,: DIRECTION REQUIRES ENGINEER DE.EJ.ON MU !N 100 YEAR ►•L.OOD PLAIN 'QNE NO FROM '1t-ft. APPLICATION LNFUFtMAITON :Ih1PLLEt AND THE ON--61TE ';OIL "Two! ATION DATA IF;E. FOLLOWING MINIMUM .IHfiTALl.11I.rUN SPECIFICATIONS ARE lLa11JIREDs SEPTIC TANK 1OOO UAI.l.Ut1$.. ABSORPTION TRENCH 600 SU. I T. OR • r:,l•'•dOFP1•.i I1U BED 1313 SO. r i . IN ADDITION, THIS PERMIT J '3l.lrs0L►::1 TO THE FOLLOWING ADDITIONAL ILI'•IIS AND T'IIIS P'ERMI'T IS GRANTED 'TEMPORARILY 'iii ALLOW CONSTRUCTION to COMMEP•ICF:. THIS f'EP4hiT MAY BE REVOKED OR SUSPENDED F/V TOE WELD COUN I Y HEALTH T)EI•ARTME!!T r'OR REASONS SET FORTH IN THE WELD FOONTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM I;L:GIII AT1.ONE. INCLUDING FAILURE ".0 MEET ANY TERM OR CONDITION !MEWED iHERE:s')N DURING TEMPUT•:AR'r OR FINAL APPROVAL. THE ISSUANCE or THIS rrRNIr DOES NO1 I:;UNt;TIT11Tr ASSUMPTION 8i IHE DEPARTMENT OR ITS EMPLOYEES III- l.:Irts1I.1 TY TOR rit'. rr111.tiiltr. OR TNf,IE IIJ„Le or I1*. SEWAGE DISPOSAL SYSTEM. C _ /J PAM SMITH 0: 'ti/4n 3-AP -WI h NV I RONl'IEN T AL.. SP'EC:I AL. !:z,r 1)A rE '(N1:3 PERMIT IS NOT TRANSFERABLE ANL; SHALL L'FCOMI"' vu-U i r SY'TE.1't CONSTRUCTION HAS NTII' COMMENCED WITHIN ONE (FAR OF ITS ISSUANCE. I t.FORE ISSUING L:INAI. .:.I='I'ROVAL OF T HI PERMIT? THE WELT) COON"Y HEALTH t'rEF'AF:TMENl' F:F SERVE.i-: THE ir:: RIGHT. 'l U IMPOSE ADD I T .IONAL. TL RoS AND CI1t40YT•UN$ REWIRED To MEET OUR RE..:lULAT IUNL'; ON A CONTINUING £A•- 61S. FINAL PERMIT At•PRI1VAL_ CONTIWiLNT UPON THE'. I !NAL INSPECT-GM OF THE COM F L._TLL t,Y h'I E_N fs THE 'FELL COUNTY I NEAT.'III DEPARTMENT. SYSTEM INSTALLER . . FINAL INI3PF.C'' O r, "a7/_!' Y61 E_M ENGINEER . ..._.APPROVAL, 1 PE 01 SISTEM INSTALLED E.N) F: Nt'11::NTAI.. `;F'k(:FAL.IS'r i FIF: .u3i,liANr_:E OF THIS PERMIT DOES NOT TMPI Y COMPLIANCE tam OTHER STATE. COUNTY OR LOCAL. REGULATORY UT': BUILDING 1'EQU1F:EME.NTS, NOR SI-IAI..L IT ACT ID CERTIFY THAT THE $LIT ;.r:('T SYSTEM WILL OPERATE IN C.:O11FI TANCE WITH APPLICABLE STATE. COUNTY AND LOCAL. REGULATIONS ADOPTED PERMIAN.' TO ARTICLE 10. TITLE 21!„ CR!: 1973. AS AMENDED. :!:10:EP T F Ok i TIE. F'1 tRr•OSI. UI- ES 1 ADL1I*tXHCO 1:INAL. AF'P1 OE?AI. 1:1t AN 11.1S;ALL.Eli -:YSTL=1'1 V OR ISSUANCE OF A LOCAL OCCUPANCY PERMIT t"IJF: IIAN I T1:) LFri:, 1973 '25-10-111 s .. • IC:•,::ru.i . ...r.l.' r/.......lr • ,_ IJf`'L.I1� ....•f i.. I"t a ,..� .r,.... page 12 attachment "G" - Supplemental Submission to Amendment Application - USR1253 • • 1946 CR 53 Permit • WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970)353-0635 EXT 2225 FAX (970)356-4966 Permit # : SP-980O374 Sec/Twn/Rog: 28 01 64 PERMIT Permit Type: RNEW C.commercia 1. s.residential • New. Nepait. VNL1 Applied: 08/14/1998 Parcel No: 1475 28 00004t Expires: 08/09/1999 Location: 1942 WCR 53 KEENESBURG Legal Desc: 8334 -A N2NW4 28 1 64 EXC OG&M (2.7R) 1942 53 CR WELD APPLICANT CRAIG PAT Phone : (303) 536-0322 1942 WCR 53, KEENESBURG CO 80643 OWNER CRAIG PATRICK L & SHELLEY R 1942 WELD CO RD 53, KEENESBURG CO 80643 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres: 80 .00 Number of Persons: 3 Basement Plumbing (Y/N) : N Number of Bedrooms: 3 Bathrooms-> Full : 3 3/4 : 1/2 : Water Public (Y/N) : Utility Name: Water Private (Y/N) : Y Cistern (Y/N) : N Well (Y/N) : Y Water Permit No: Percolation Rate: art(_ Limiting Zone: eft __. in Desc: - e% Ground Slope: ) Dir: Soil Suitable (Y/N) : `/ • Engineer Design Req'd (Y/N) : In 100 Yr Flood Plain (Y/N) : K1 Fran the application infornstlon supplied and the on-site soil percolation date the following minimum installation specifications ere required: Chambers Septic Tank: 1cco gallons, Absorption Trench 3 2 - sq. ft. 17 or Absorption Bed sq. ft . In addition, this permit is subject to the following additional terms and conditions: 161U►-,-��.c sir -y. NOTICE this permit is granted temporarily to allow construction co commence,. This permit may oe tevolied or suspended by the +told County Health Department for reasons set toith in the Weld 7..:.%y individual sewage disposal system regulations including tailors to meet any term .; c.-rtdition imposed thereon dining temporary or Orval approval issu.. ce of this permit does not constitute assumption by the department or its empinyees of l...o.lity for the failure or inadequacy of the sewage disposal system. this permit is nc.t transferable aetote issuing final approval of this permit :.`.c W''.d Cocnty Health Department reserves the rigst to impose additional terra and csnditi.ns repaired to meet out regulations on a cc •tnu.ng basis Final perm__ approval L. con:irgert upon the final Inspection of the completed sys cy the Weld =ou-ty Health ::epartmen• ' X SIS Envi onme a Specialist Date • page 13 attachment "G" - Supplemental Submission to Amendment Application - USR1253 • • 2020 CR 53 Permit • WELD ;UNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY,CO 80631 PHONE(970)304-6415 FAX(970)304-6411 Finated Permit #: SP-0000445 Sec/Twn/Rng: 21-1-64 Status: ISSUED-, Owner: SCALERA ANTONINA M. Applied:07/14/2000 Applicant: SCALERA ANTONINA M. Issued: 08/08/2000 Permit Type: RNEW C=Commercial,R=Residential.NEW.REPan,VauLT Finaled: Parcel #: 1475-21- - - Location: 2020 WCR 53 KEENESBURG 21-1-64 Legal Description.J1C ;L A J 0— Installer: `v�.+u `/ Description: MODULAR Commercial: N Residential:Y Acres: 60 #of Persons: 1 Basement Plumbing: Y #of Bedrooms: 3 Bathrooms-Full: 2 3/4: 0 I/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit#: Percolation Rate: 0.5 Limiting Zone: 8 ft 0 in Description %Ground Slope: 3 Dir: E Soil Suitable: (YIN) Y • Engineer Design Required: (YIN) N In 100 Year Flood Plain: (YIN) N Minimum Installation Chambers Septic Tank: 1000 gallons Absorption Trench: 549 square feet or Absorption Bed: 780 square feet Actual Installatio Septic Tank: )t. gallons Absorption Trench: square feet Absorption Bed: l(r:71; square feet • Design Type: NOTICE The issuance of this permit does not imply compliance with other state,county or local regulatory or building requirements,nor shall it act to certify that the subject system will operate in compliance with applicable state,county and local regulations adopted persuant to Article 10,Title 25,CRS as amended,except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973 25-10-1 l l (2). This_permit is not transferable. The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department- f Public Health and Environment. X tin► >n`L I\ ")&P Environmental Health Specialist Date VA, • page 14 attachment "G" - Supplemental Submission to Amendment Application - USR1253 • • 2245 CR 53 Permit • WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit 4 : SP-9600121 Sec/T ,rn/Rng: Status: ISSUED Permit Type: RNEW C-coamatc.al. R-reside nt tar NEW. AEPair. VauLT Applied: 03/07/1996 Parcel No: 1475 20 '• , Issued: 03/18/1996 Finaled: Location: 2245-WCR '53, KEENESBURG CO E2-E2-20-01-64 Legal Desc: APPLICANT FELZIEN GREGORY & TERRY Phone: (303) 853-6492 2245 WCR 53, KEENESBURG, CO 80643 OWNER FELZIEN GREGORY AND TERRY Phone: (303) 853-6492 2245 WCR 53, KEENESBURG, CO 80643 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres: 160 .00 Number of Persons: 2 Basement Plumbing (Y/N) : Y Number of Bedrooms: 5 Bathrooms-> Full: 5 3/4 : 1/2 : 1 Water Public (Y/N) : N Utility Name: Water Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No: Percolation Rate: 10.4 Limiting Zone: >08 ft 00 in Desc: % Ground Slope: 2 Dir: W Soil Suitable (Y/N) : Y • Engineer Design Req'd (Y/N) : N In 100 Yr Flood Plain (Y/N) : N Minimum Installation Septic Tank: 1500 gal. Absorption Trench: 915 sq. ft. Absorption Bed: 1300 sq. ft . Actual Installation Septic Tank: gal Absorption Trench: sq. ft. Absorption Bed: / St:, sq. ft . NOTICE :he issuance of this permit does not imply compliance with other state. county or local regulatory or building requirements. r:or shall it act to certify that the subject system will operate in compliance with applicable state. county and local regulations adopted peisaant to Article 10. Title ≥S. CRS as amended except for the purpose of establishing final approval of installed system for issuance :f a local occupancy persist persuant to CRS 197'4 25-10 11: {2) This permit is not transferable The Weld County Wealth Department reserves the right to impose additional terns and ronditiOns required to meet :UV regalattone on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Meld County Health Department I / t Environmental Specialist Date S/r • page 15 attachment "G" - Supplemental Submission to Amendment Application - USR1253 Hello