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CULoRAGO DEPARTMENT OF HEALTH A"' l
WATER POLLUTION CONTROL COMMISSION
4210 East it Avenue
Denver, Colorado 80220
-- APPLICATION FOR APPROVAL OF LOCATION --
FOR SEWAGE TREATMENT FACILITIES
Submit in duplicate Complete only Parts A b B See Instructions
Applicant: Interladco, Inc.
Address : 515 West 12th Street', Loveland. Colorado 80537 CP.O. .Rnx O4O)
A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW:
1 . Size and type of treatment facility: 36;
raccirc;G4a4T.laemitiis-s)xrny
2. Location of Facility: NE1/4 , Sec. 18, T5N, R67W of the 6th P.M.
3. Name of watercourse into which effluent is discharged: No discharge
4. Location of effluent discharge: Not applicable
5. Describe and give distance downstream of water plant raw water intake nearest this
effluent discharge: Not applicable
6. Est.project cost: 5.24,000.00 Est.bid opening date: 7-1-72 Est.compl .date: g-1-72
7. Project layout and design criteria: (Attach separate sheets or report showing
entire service area with respect to surrounding areas , habitable buildings , loca-
tion of potable water wells with 4 mile, effluent discharge point and topography
of area, population to be served. )
8. Additional information may be required, upon request of the District Engineer and
local health department officials . This may include (a) relationship of this
facility to area-wide plan, (b) flood plain data, (c) provision for maintenance
and operation of the facility including odor control (d) legal status (district ,
association, municipality) .
9. Have you contacted local planning and building officials or other county officials
regarding building permits , zoning matters , special use review permits and other
similar matters : Yes Weld Co. Planning Board & Board of County Commissioners No
(Name of those contacted)
10. Consulting Engineer: Hogan & Olhausen , P. C.
Address : 2300 West Eisenhower Blvd. , Loveland, Colorado Telephone 667-6286
The undersigned applicant agrees to supply information necessary for Review of Plans and
Specifications and to secure signatures of the appropriate local government officials prior
to submission. (See part B on back of this sheet.)
/-
4-18-72
Date Signature of-Applicant
Warren A. Stobbe
TYPE) NAME
President, Interladco, Inc.
I'
i
pthil gi o
720431
B. SIGNATURE OF LOCAL GOVERNMENT OFFICIALS: The undersigned* have reviewed the
proposal for the location, construction, operation, and point of effluent discharge
of the above-described sewage treatment facility, and RECOMMEND APPROVAL or DIS-
APPROVAL in space provided below:
RECOMMEND RECOMMEND
DATE APPROVAL DISAPPROVAL
-71/7/7
/J t Signal r for ocal eal epa tment
41/477-2- DA 1
Signature for Pi nning Commission
/7/72 0 � /1-"-e_ZS-1
Signature for Board of Coun y Commissioners
Signature for Mayor of City Manager of
Municipality
*Before plans and specifications will be accepted for review, the applicant must show
hereon the action taken on the project by the Local Health Officers, representative
of the Planning Commission, representative of the Board of County Commissioners , and
the Mayor or City Manager of the municipality that might be affected by the discharge
of this waste.
C. THE FOLLOWING FOR STATE HEALTH DEPARTMENT USE:
I , the undersigned District Engineer, have the following comments :
1 . Is this plant located so that it can serve the needs of the present and/or
future logical service area? 7,,,e4 e
f � .fente G'i'e.Ser. 'Z`
2. Is the plant located where it is likely to create nuisance problems for
existing or now planned development? Qn /y �f nri'etai./7 mamiedine,c/
3. Has a sufficient amount of suitable land been set aside for expansion?
/140 ey4//Siors net42,21fed
4. Has the developer or owner of the facility made provision for adequate funding
to buy, maintain, operate, and repair or replace in kind the facility?
5. Are there any community water supply intakes within 5 miles downstream of the
effluent discharge points? /1/p c1icandry/e.,
D. RECOMMENDATIONS: /Q�/r0e4/ — deed azlela filled, snow/44,y ml ana
Date: 2778, /2f �rj��i Signature�te47 / iv11.4/
W'-3 (Rev,3-71-20)
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