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INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT NO. G -••94047:L
WELD COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SERVICES
1517 16TH AVENUE COURT, GREELEY, CO 80631
353-0635 EXT.2225
NEW PERMIT
OWNER BORYS, DAN ADDRESS 4890 N 119TH ST PH (303) 665-5339
'T-+(131 ERIE CO 80516
ADDRESS OF PROPOSED SYSTEM WCR 3
LONGMONT CO 80501
LEGAL DESCRIPTION OF SITE: SE4 NE4 SEC 31 TWP 3 RHO 68
SUBDIVISION: LOT 0 BLOCK 0 FILING 0
USE TYPE;: RESIDENTIAL MOBILE HOME
SERVICES: PERSONS 4 BATHROOMS 2.50 LOT SIZE 19.56 ACRES
BEDROOMS 4 BASEMENT PLUMBING YES WATER SUPPLY L_NGPK
APPLICATION FEE $:1.50.00
REC'I) BY CHAD YOUNG
DATE 09/30/94
SIGNED BY DAN BORYS
DATE 09/30/94
PERCOLATION RATE 19.0 MINI PER INCH LIMITING ZONE: 6 FEET
SOIL.. TYPE UNSUITABLE PERCENT GROUND SLOPE 6% DIRECTION N
REQUIRES ENGINEER DESIGN YES IN 100 YEAR FLOOD PLAIN ZONE':: NO
FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED:
SEPTIC TANK 1250 GAL.LONS, ABSORPTION TRENCH SQ.. FT.
OR
ABSORPTION BED 1764 SQ . FT.
IN ADDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND
CONDITIONS:
THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS- PERMIT
MAY BE REVOKED OR SUSPENDED BY THE: WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET
FOR'T'H IN THE WELD COUNTY IND:I:V:I:DUAI... SEWAGE: DISPOSAL SYSTEM REGULATIONS INCLUDING
FAILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL
APPROVAL_. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE
DEPARTMENT OR ITS EMPLOYEE:S OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
SEWAGE D1 spg AL.. SYSTEM.
/%(‘)i�j 'ENVIRONMENTAL -SPECIALIST SPECIALIS'T' - - DA'T'E
THIS PERMIT IS NOT TRANSFERABLE AND SHALL... BECOME VOID IF SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL.. APPROVAL. OF
THIS PERMIT THE WELD COUNTY HEAI...'T'I-I DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI-
TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA—
SIS. FINAL PERMIT APPROVAL.. IS CONTINGENT UPON THE: FINAL... INSPECTION OF THE COM—
PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT.
SYSTEM INSTALLER __,__�_,�- , Zzgmc FINAL IN;
SYSTEM ENGINEER .."Aelr�� _..._._ �7R�ige./ '.....-..-..--'APPROVAL
TYPE OF SYSTEM INSTALLED ._.22Ge, , e
PAM SMITH 10/26/94
E:C'Yi� DATE
ENVIRONMENTAL_. SPEC:1:AL1S'T
THE ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE-„ COUNTY
OR LOCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHAI...L 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, CF;S 1973, AS AMENDED,
EXCEPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN INSTALLED SYSTEM FOR
ISSUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-111 (2).
ORIGINAL -APPLICANT„ COPY-WCHD WCI-ID--EHS MAY, 1984
C.
O
O/4-00 74/
3 O,
LONGS PEAK WATER DISTRICT
1 • • • • • • • • • • • • • • • • • • • • • • • • 1 •
O87{ Vermillinn Road • I.nngmnnt,( () A0504 • (101) 176-1847 • IpwdMrq
PARAGON SERVICE DOGS (CAROL HEIDE N)
14737 CR 3
LONGMONT CO 80504
TO PAY ONLINE OR RECEIVE BILLS VIA EMAIL PLEASE VISIT LPWD.ORG.
AC'iJJh" NUMBER
1600 02 23
PREVIOUS READING
1476263
DATE Bill MAILED
03/31/2025
PRESENT READING
1520834
TIER 1 20000 @ $4.65 = 95.00
TIER 2 22000 @ $4.85 = 112.20
14.91
TIER 3 2571 @ $5.25 =
TIER 4 @ $6.00
SE; VICE cROM
02/21/2025
GALLONS USED
44571
Monthly Base Fee For Standard Residential Taps is $25.501 Month
14737 COUNTY RD 3
SERVICE ADDRESS
ACC3LNT r .W3cR
LONGS PEAK
[I TRICT
WA•T•E•R DIS, , , , ,
9875 Vermillion Road
Longmuot,C'O 80504
(303) 776.3047
BILLING ADDRESS
160032.02
PARAGON SERVICE DOGS (CAROL HEIDEN)
14737 CR 3
LONGMONT CO 80504
[-,4
03/24/2025 ri5FG
SF ,.E TO
03/24/2025 1 31
DE SCRIP- rh
WATER
PREVIOUS BALANCE
PAYMENTS
ADJUSTMENTS
EN>
04/15/2025
247 B',
242 36
2426CP
c0
5 DAYS AF'ER :iE ATE , :LE :ATE
252.61 I
CLE DATE
247.31
04/15/2025 160032 22
3 JAYS S :A:e_3',2LE.A7E
5 AFER E.JJ
25261 247.31
SERy+CE ADDRESS
14737 COUNTY RD 3
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