HomeMy WebLinkAbout20260286 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
PHONE (970) 304-6415 FAX (970) 304-6411
Finaled
Permit#: SP-0100375 Sec/Twn/Rng:15 05 65 Status: ISSUED
Owner: - SCHEOPNER DAVID & TERESA Applied: 07/20/2001
Applicant: SCHEOPNER DAVID & TERESA Issued: 07/30/2001
Permit Type: RNEW C=Commercial, R=Residential + NEW,REPair, VauLT Finaled:
Parcel #: 0961-15-0-00-060
Location: 2101 E 24 ST GREELEY 15 05 65
Legal Description: 12433 SW4NE4 15 5 65 EXC 3.78A N & E OF
ROAD ALSOEXC BEG AT
Installer: 3lv il„A„_
Description: MODULAR
Commercial: N Residential:Y Acres: 29
# of Persons: 2 Basement Plumbing: N
# of Bedrooms: 4 Bathrooms - Full: 2 3/4: 0 1/2: 0
Water Public: N Water Source:
Water Private: Y Cistern: N Well: Y Well Permit#: 234222
Percolation Rate: 11 Limiting Zone: 8 ft 0 in Description: GROUNDWATER
% Ground Slope: 0 Dir: Soil Suitable: (YIN) Y
Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1250 gallons Absorption Trench: 696 square feet
or Absorption Bed: 948 square feet
Actual Installation
Septic Tank: la I ,,
gallons Absorption Trench: �q4,9 square feet a
Absorption Bed: square feet
Design Type: Cfuvat S�
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 1 1 (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 epartment of Public Health and Environment.
I)
x aAkCa till3k)'1
Environmental Health Specialist Date
Form:S FINAL
1
WELD COUNTY HEALTH DEPARTMENT
x - 1555 17�th Ave. v7 i i`9
ezc C+�L' #0-"wr`l' .43 Greel Colorado No. SOS`
Application for Permit to Install, Construct, Alter or Repair Individual Sewage Disposal System.
0 r or Sp9xismoAddress Phone
Address of Site / 0,9 Air.
• Mailing Address / 491F-4. ..;, d � J y 17 5--- pp
�
General Informationror Septic Tank
1. Living Units I�+' .1.-- 1. Liquid Capacity /ei€2O Gallons
2. No. of Bedrooms J 2. Dimensions W D
3. No. of Baths 3. Material �z.p rj
4. Basement Drain 4. Type Inlet
5. Automatic Dishwasher Type Outlet
6. Garbage Disposal Afa
7. Automatic Laundry t Secondary Treatment
8. Size of Lot y�cDi
9. Type of Soil Field {J Bed ,
10. Percolation Test
11. Water Supply 1. No.of distribution lines
—
12. Lot Grade 2. Trench: Width
13. Water Table Depth _ 3. Type Filler Material a
14. Other 4. Depth of Filler M4�terial " "
5. Gravel Size 7 - rye "
6. Type Tile f"
7. Depth of Cover
8. Other
The Permit is to remain in full force and effect for six (6) months from date, until revoked for non-compliance.
This system will be constructed in accordance with the above specifications and regulations governing non-
municipal sewage disposal systems, in accordance with Regulation No. 1 of the Weld- County Health D
partment.
Date: .. /- 7 2— Applicant.,
The plans and specifications as shown are approved, pending payment o permit f .
Sanitarian: i;• / ''
Date:— -,f!/2.-, qi - -
The above syste ' pected ,d found too a ply wit the plan and description.
Installed by L�.�+ �LI/ . te:
a
San' rian: .
PERMIT FEE $ a,?S. d""
Received by fz��, a� Date .,J-a/,
Please use reverse side or Plot Plan or use separate sheet of paper.
LIMO•
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Form OFFICE OF THE STATE ENGINEER Cia-re? q c4
GWS-25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial(31dy., 1313 Sherman St.. Denver. Colorado 80203
(303)866-3581
1397
WELL PERMIT NUMBER 283083 - A
APPLICANT DIV. 1 WD 2 DES. BASIN MD
Lot: 2 Block: Filing: Subdiv:UNION COLONY LANDS
APPROVED WELL LOCATION
WELD COUNTY
SE 1/4 NE 1/4 Section 15
DAVID &TERESA SCHEOPNER Township 5 N Range 65 W Sixth P.M.
2101 E 24TH STREET DISTANCES FROM SECTION LINES
GREELEY, CO 80631- 2462 Ft. from North Section Line
1151 Ft. from East Section Line
(970) 353-5571 UTM COORDINATES (Meters,Zone:13,NAD83)
PERMIT TO CONSTRUCT A WELL Easting: 530197 Northing: 4472184
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 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 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)(c)for the relocation of an existing well, permit no.283083. The old well must be
plugged in accordance with Rule 16 of the Water Well Construction Rules within ninety(90)days of completion of the new
well. The enclosed Well Abandonment Report form must be completed and submitted to affirm that the old well was
plugged.
4) The use of ground water from this well is limited to fire protection,ordinary household purposes inside not more than one
(1)single family dwelling(s),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 pumping rate of this well shall not exceed 15 GPM.
6) This well shall be constructed not more than 200 feet from the location specified on this permit.
NOTICE:This permit has been approved subject to the following changes:The distances from section lines were
calculated from UTM coordinate values provided with the permit application. You are hereby notified that you have the right
to appeal the issuance of this permit,by filing a written request with this office within sixty(60)days of the date of issuance,
pursuant to the State Administrative Procedures Act. (See Section 24-4-104 through 106, C.R.S.) ,o
APPROVED
ADB L-Y AO • ✓Z06-7cc___
State Engineer By
,Receipt No. 3645045B DATE ISSUED 4-27-2010 EXPIRATION DATE 04-27-2012 ,
10/19/25,7:34 PM Payment History
Payment Status Details (As of 10/19/2025 7:32 :32 PM
MST) Cuter bi //
PAYMENT AMOUNT $178.79
Name Account
SCHEOPNER JOHN 062-788880-01 — ul l
01111
Initiated By
System Initiated Recurring Payment
Email Confirmation#
Jcselkhunter22@gmail.com 3132938936
Customer Phone Payment Account
970-353-3710 1st bank 1ST BANK*****9959
Date Time Event Status
Payment Request
Payment Processing
10/7/2025 01:19:43 AM MST ACH-WEB-Recurring Payment Request Initiated for$178.79 Initiated
10/7/2025 01:32:16 AM MST Payment Sent for Processing Processing
10/7/2025 06:05:27 PM MST Payment Completed Paid
Payment Notification Processing
Email Processing
10/7/2025 01:32:16 AM MST Receipt e-mail to customer. Sent
E-mail Sent to:Jcselkhunter22@gmail.com
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