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' 04/01 05/01 440 454 MEIN_NG, JAMES L. & LORI L .
16662 COUNTY ROAD 29
PLATTEVILLE, CO 80651
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2011-0100
MAY-24-2010 MON 05:00 PM W C ENVIRONMENTAL HEALTH FAX NO. 970 304 8411 P. 01
Post-it.Fax Note 7671 Cate5,2- p Ipayes� a
To 7v'1r1 1e 01(�G From 1"��_tr tyke 5�4,rL
Co./Dept. •J Co.
one c anent 7OUNTY HEALTH DEPARTMENT
t110.3G�}-(0LI11 VENUE COURT, GREELEY, CO 80631
ax �O3- 51 SS F "C( (G..3p�{_� L� � � 35 EXT 2225 FAX (970) 356-4966
Permit # : SP-9600206 Sec/Twn/Rng: 09 03 66 Status : ;haled
Permit Type : RNEW Croommorelal• R-rosidencial . NEW, REPair, Vauz.T
'All 001 000011 Applied: 04/15/1996
Parcel No : .3,244-6-9---G-G4,944 I L L, CA . 0c' Issue
d: 02/24/1999
Finaled: . /- /,S/_ / ,99
Location: TEC WCD 35, PLATTEVILLE 09-03-66
Legal Desc : 16562 NW4 9 3 66 EXC BEG AT THE W4 COR OF SEC 9
14230 36 CR WELD
APPLICANT BACKSTROM T E & ANNE E
14230 WELD CO RD 36, PLATTEVILLE CO 806651
OWNER BACKB'I1ioM T E & ANNE E
14230 WELD CO RD 36 , PLATTEVILLE CO 80651
SEPT-INSTL SELF Phone : (970) 999-9!
X, GREELEY CO 80631
SEPT-INSTL BARRY SCHAEFFER DIGGING SERVICE Phone : (970) 284-5:
231 4TH AVE, LASALLE COLORADO 80645
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Description: HOUSE
Commercial (Y/N) : N Residential (Y/N) : Y Acres : 6 . 00
• Number of Persons : 2 Basement Plumbing (Y/N) : Y
Number of Bedrooms : 2 Bathrooms- > Full : 1 3/4 : 1 1/2 :
Water Public (Y/N) : Y Utility Name : CWCWD
Water Private (Y/N) : Cistern (Y/N) : Well (Y/N) :
Water Permit No :
Percolation Rate : 10 . 7 Limiting Zone : 04 ft 03 in Desc : GROUNDWATER
as Ground Slope : Dir : Soil Suitable (Y/N) : N
Engineer Design Req' d (Y/N) : Y In 100 Yr Flood Plain (Y N) : N
Minimum Installation
Septic Tank : 1000 gal Absorption Trench : sq. ft .
Absorption Bed: 749 sq. ft .
Actual Installation
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Septic Tank : , 05 gal Absorption Trench: +y5 sq. ft .
Absorption Bed: sq. ft .
Design Type :
NOTICE
The issuance of this permit does not imply compliance with other scat:, county or local rccula:ory or building requirements, nor
-Ss:.l it act to certify chat the sub;act system will operate in compliance with appllo:ble state, county and local regulations
odopted persuant to Article 19, title 25, CRS as amended, except for the purpose of eatoblishing final approval of installed
nystem :or issuance of a local occupancy permit pereuont to CRS :971 2G-•s-111 (21 .
This perm_: io not :rann crab_e_ .ha Weld County Health Department reservco the right co impose additional terms and conditions
;Jiesd 7,1 meet our nogtiationu on a aottinoi nc basis. Final permit approval was cont-tncent upon the final inspocticn o the
•o. .e_ed system ny do weld County Health ()spar:mane. -
MAY-24-2010 MON 05,00 PM W C ENVIRONMENTAL HEALTH FAX NO, 970 304 6411 P, 02
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