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,p,Q,-p"EOARTMENT OF HEALTH
rci( z. �,�3 JUL ,� �,) cJ; �� � ` � 6 1518 HOSPITAL ROAD
CLEE,, GREELEY, COLORADO 80631
CLERK TO THE LO' Ej ADMINISTRATION (303) 353-0586
TO THE B0 ; L HEALTH PROTECTION (303)353-0635
COMMUNITY HEALTH (303)353-0639 ill 1 C
COLORADO
June 27, 1989
Weld Co. Board of Commissioners
P.O. Box 758
Greeley, Colorado 80632
Dear Sirs:
This is to inform you that your engineer designed septic system has been
reviewed by the Weld County Board of Health and approved.
Approved: A copy of the Weld County Board of Health I.S.D.S. Review
Form and your I.S.D.S. Permit are enclosed. PLEASE NOTE THAT THE
SYSTEM MUST DE INSPECTED BY A REPRESENTATIVE OF THIS DEPARTMENT AND BY
THE DESIGNING ENGINEER. BEFORE THE SYSTEM CAN BE APPROVED FOR
OPERATION. THE ENGINEEE gust CERTIFY TO THIS DEPARTMENT. IN WRITING.
THAT THE SYSTEM HAS BEEN INSTALLED ACCORDING TO HIS/HER
SPECIFICATIONS.
Should you have any questions regarding your septic system, please contact
this office at your earliest convenience at 353-0635.
Sincerely,
UMo ?crette., by, 9tiarJar aa-
Wes Potter, Director
Environmental Protection Services
WP/cw
cc: Engineer
I.S.D.S. File
Weld County Department of Planning
t4a7I V1 •90►as
POwnol7
WELD COUNTY BOARD OF HEALTH
` Engineer Designed System Review
APPLICANT: kiELD CO, 6O/9,fD D,C rrn/YI/SS/O/t/c.PS NO: a g? D/ 2.7
LEGAL DESCRIPTION: PT Nevy S 2.3 T V R 66
SUBDIVISION: LOT BLOCK FILING •
SITE ADDRESS: /{v yo, G<J CR 4","
FACILITY : C&nni ,eC//4L Sffctn YAWI/Li_ /41o/,F_ ACRES: , 27
PERC RATE: V ac SOIL: StirrigeL€.- WATER SUPPLY: CC<JCWD
p Ft-
ENGINEER Q .. LIMITING ZONE: 7' b
DESIGN (3.5) EXPERIMENTAL DESIGN (3. 14)
ENGINEER: 9E C</ C 5c,9Ec7/NGIrI
ESTIMATED FLOW: 6 IC G.P.O.
PRIMARY TREATMENT: 'We ran,P. 7flA/7 C'o'r€e£?r mA/t CAPACITY: /aso
DISPOSAL METHOD: 4e.s &'^rizI / c LD SIZE: 36 ,5-42
'2
REQUEST FOR VARIANCE:
STAFF COMMENTS: Th/ DES/a-/t/ is /9 S7ANDfheO RRRSoseF976.d
5) £. D 0_0 SS 9- /s .9QcCP Ere To .f/f9/t/DLF -
_friCLuPA/T FO.e peoPare-40 conin E.ec/f1tt L/SC
STAFF RECOMMENDATION: AFiRQI//L--ENVIRONMENTAL HEALTH SPECIALIS : ar-af
REVIEWED BY BOARD:
B.O.N. DECISION: V APPROVED DENIED TABLED
Aa/Ce ,4
Dale.Paters Chairman
Weld County Board of Health
HSP106P INDIVIDUAL. SEWAGE:: DISPOSAL SYSTEM PERMIT NO. G••••89012.'7
WELD COUNTY HEALTH DEPARTMENT NEW PERMIT
ENVIRONMENTAL HEALTH SERVICES
1516 HOSPITAL R(:3AD, ( REELE:Y, CO 010631
353....0635 E X T .2. 2.5
OWNER WELD CO. BOARD OF COMM. ADDRESS P.O. BOX 758 F'H (303) 356-4000
GREEI_.EY CO 80632
ADDRESS OF PROPOSED SYSTEM 16460 WCR 44
PECKHAM CO 00000
LEGAL DESCRIPTION OF S:I.TE:: : NW4 SEC 23 TWP 4 RNG 66
SUBDIVISION : LOT 0 BLOCK 0 FILING 0
USE:: TYPE : COMMERCIAL... GRADER SHED & MOBILE HOME
SERVICES :: PERSONS 2 BATHROOMS 2..00 LOT ....z::: .67 ACRES
BEDROOMS 0 BASEMENT PLUMBING NO WATER SUPPLY CWCWI)
APPLICATION FEE $150.00
RE:(:: `D BY RECEPTIONIST AID SIGNED BY DONALD CARROI._I_.
DATE: 06/05/89 DATE 06/05/89
. ._ MIN PER INCH LIMITING ZONE ;?!:.3 FEET.
PERCOLATION RATE �.
SOIL.. TYPE Sc, I ..L I-I j(::INT GROUND SI._UII:::' -rte � O"/„ I):I:F'tl:::[::'T':1:1:3N ............
REQUIRES ENGINEER DESIGN .Y.r�.....
FROM THE APPLICATION CA'T :I:ON :INFORMATION SUPPLIED AND THE ON-SITE SOIL... PERCOLATION DATA
THE FOLLOWING MINIMUM I NS'T'A4ATION SPECIFICATIONS ARE REQUIRED :
SEPTIC TANK /.GALLONS, ABSORPTION TRENCH NCI I SQ. F T..
OR
ABSORPTION BED .7c:75'.--SQ. F'T.,
IN ADDITION, T'H S PERM:'•r IS S(JI':�,JEC.T' . t:3 T •IE FOLLOWING ADDITIONAL.. 77RMS AND CONDITIONS : 6014.) u4i e/Jkile,onee4)TIIIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT
MAY P1 REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET
FORTH IN T•I•HE'. WELT) COUNTY I:NI)1VIDUAI... SEWAGE I)ISPOSAI... SYSTEM REGULATIONS INCLUDING
FAILURE: I(:I MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR I :I:NAI...
AP'P'ROVAL.... THE ]ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE
DEPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
SEWAGE DISPOSAL SYSTEM. (.1-,pe 4X...-cd--efaiale7
E T NME' 'Ai_ SF'E::C;:I:AL..:LS'T' AT:
THIS PERMIT 1..S NOT TRANSFERABLE AND SHAL..L. BLCOME VOID IF SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN ONE YEAR OF ITS :ISSUANCE::. BEFORE ISSUING FINAL APPROVAL OF
THIS PERMIT THE WI:::I...D COUNTY HEALTH DEPAR'T'MENT RESERVES THE RIGHT TO ]IMPOSE ADDI-
TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGUI...All (:INS ON A CONTINUING BA-
SIS. F:I:NAL. PERMIT AP'P'ROVAL IS CONTINGENT UPON THE FINAL.. INSPECTION OF THE: COM-
PLETED SYSTEM BY THE: WELD COUNTY HEALTH DEPARTMENT.
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