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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20232214.tiff
Application Number: Owner Name: Site Address: App Type: Parcel Number: Legal Desc: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org Septic Permit New SP -2300004 BINGLEY STEVEN & BINGLEY KATHERINE 44485 CR 29 WELD, CO Health\Commercial\New OWTS\Septic STEVEN BINGLEY 44485 CR 29 PIERCE, CO 80650 055320100013-R7463398 PT S2NE4 20 8 66 LOT A RE 2085 (.70R) Work Description: RV PARK EHS SEPTIC GENERAL: Application Status: Final Pending Applied Date: 01/05/2023 Intake Person: PUBLICUSER4710 Permit Expiration Date: 1/5/2024 Associated Building Permit Associated Disaster Permit Full Bathrooms Location Description Number of Persons Parcel Acres Private Water Supply Private Water Supply Permit Reference Number Project Description Public Water Supply Septic Permit Expiration Date No No 10 CR29 and CR 90 nearest major cross roads. Septic system will serve a small 10 space campground located at the northeast corner of our property (44485 CR 29 Pierce, CO 80650). 10 31.59 Well 329391 Septic system will serve a small 10 space campground located at the northeast corner of our property (44485 CR 29 Pierce, CO 80650). No 1/5/2024 EHS PERC TEST (SITE) : % Ground Slope Engineer Design Required Engineer Job Number In 100 Year Flood Plain Limiting Zone Feet Limiting Zone Qualifier Health Administration Vital Records 4_:r: -4113-'i.3,-6410 Frr: 970-K4-6412 Public Health L Clinical Services 642C Fox: 970- A -x+.16 8 Yes 44485CR29 No 8 Greater Than Environmental Health Services Tele:97i-304-6.t 5 Fox: 970-304-64i Communication, Education & Planning Tele: 97e -21N -647o Fot: 970 X1.1-6452 Emergency Preparedness & Response tele, : 9,12-361-6.110 Fox: 97'3-3:`4-:452 Page 1 of 3 Public Health Long Term Acceptance Rate Profile Pits Slope Direction Soil Description Soil Type Soil Type Suitable Treatment Level 0.35 2 Southeast Sandy Clay Loam 3 Yes Level 1 SEPTIC SIZING INFORMATION: From the application information supplied and the on -site soil percolation data the following minimum installation specifications are required according to the Engineer's evaluation: Engineer's Specified Installation Recommendations: Absorption Trench 2640 Dosing Pump Chamber Size Dosing Specified No Engineer Design Chamber Specified Qulck4 Plus Standard Engineer Design Number of Chambers Specified 220 Engineer Septic System Design Type Specified Chambers -Bed Lift Station Specified No Pump Size Pump Specified No Septic Tank Size 2500 CONDITIONS: Description: Commercial OWTS Comment: Onsite wastewater treatment system must be 10 feet from property line. Install the soil treatment area within 50 feet of the soils test location. Construct onsite wastewater treatment system according to Engineer design. Septic tank must be at least 50 feet from any well. Soil treatment area must be at least 100 feet from any well. Building sewer or effluent lines must be 50 feet from any well unless the lines are encased. Sewer line to septic tank must have at least 1/8inch/ft. fall. Pump and alarm floats must be mounted on a stem separate from the pump discharge piping to allow for removal, adjustment, and replacement of the float without removing the pump. Where unperforated plastic pipe and fittings are used for gravity flow, the minimum wall thickness of the pipe shall conform to ASTM Standard D 3034 or equivalent or greater strength. Schedule 40 pipe is preferred, solid core pipe only. Install inspection ports at the ends of each trench or corners of each bed. An engineer approval letter approving system as installed per engineer design is required. Engineer designed OWTS must be inspected by the design Engineer prior to backfilling. All Weld County regulations are applicable. INSPECTION RESULT: Description: Site Status: Approved to Issue Comment: NOTICE This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in the Weld County Onsite Wastewater Treatment 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 employees of liability for the failure or inadequacy of the sewage disposal system. This permit is non -transferable and non- refundable. Before issuing final approval of this permit 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 is contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. Health Administration Vital Records „Ir,:97p �J,t 641r[) Fri., 97o- o4-6-112 Public Hrallh d Clinical Scivica: Environmental Health Communication, Services Education d Planning Tile. Y7D-a0.1-64l5 Fora: 97C-+04 Emergency Preparedness d, Response Page 2 of 3 Public Health Alex Clemments Environmental Health Specialist Health Administration Vilal Records Tele: 970.304-6410 Fax; 970.304.6412 Public Health a Clinic 3c -retool Tete: 970-304.6420 Fax: 970-3046416 January 13, 2023 Date Environmontol Hool!h Services Tele: 970-304-6415 Fax: 97,1 64H Communication. Educol on & Panning Tele: 970-304-6470 Fax: 970.304-6452 Emergency Pruparodnesr a Response Tele: 970-304-6470 Fax: 970- _ s.2 Page 3 of 3 PublicHealtb r© DNR COLORADO Division of Water Resources Department of Natural Resources WELL PERMIT NUMBER 329391 - RECEIPT NUMBER 10026035 ORIGINAL PERMIT APPLICANT(S) STEVEN BINGLEY PERMIT TO CONSTRUCT A NEW WELL APPROVED WELL LOCATION Water Division: 1 Designated Basin: Management District: County: Parcel Name: Lot: A Physical Address: Water District: 3 N/A N/A WELD REC EXMPT 0553-20-1 RE2085 Block: Filing: 44485 COUNTY ROAD 29 PIERCE, CO 80650 SE 1/4 NE 1/4 Section 20 Township 8.0 N Range 66.0 W Sixth P.M. Well to be constructed on specified tract of land ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shad 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 shad 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)(b)(I) and the policy of the State Engineer dated April 9, 1985 for appropriation of groundwater tributary to the South Platte River system. 4) The use of groundwater from this well is limited to drinking and sanitary facilities as described in CRS 37-92-602(1)(c), for a commercial business. Water from this well shad not be used for lawn/landscape/greenhouse irrigation, domestic animal/livestock watering, or for any other purpose outside the business building structure(s). 5) The pumping rate of this well shad not exceed 15 GPM. 6) The annual amount of groundwater to be withdrawn by this well shad not exceed 1/3 acre-foot (108,600 gallons). 7) Approved as the only well on a tract of land of 31.603 acres described as Lot A, Recorded Exemption No, 0553-20-1-RE2085, Weld County, more particularly described on the plat map included in the well permit file. 8) The return flow from the use of this well must be through an individual wastewater disposal system of the non -evaporative type where the water is returned to the same stream system in which the well is located. 9) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner and submitted to the State Engineer on a monthly basis, or other interval acceptable to this office. 10) Pursuant to Rule 6.2.3 of the Water Well Construction Rules, the well construction contractor shad submit the as -built well location on work reports required by Rule 17.1 within 60 days of completion of the wed. The measured location must be accurate to 200 feet of the actual location. The location information must include a GPS location (UTM coordinates) pursuant to the Division of Water Resources' guidelines. 11) ADVANCE NOTICE REQUIRED - Pursuant to Construction Rule 6.2.2.1 (2 CCR 402-2), licensed or private drillers and pump installers must provide advance notification (by 11:59 pm the day before) to the State Engineer prior to each of the following for this well: the start of well construction, the initial installation of the first permanent pump, and the initial installation of a cistern connected to the water well supply system. Any change in the date of construction/installation must be re -noticed prior to the activity (by 11:59 pm the day before). Information regarding the notification process and a link to the electronic notification form can be found on the Division of Water Resources website at dwr.colorado.gov Printed 12-22-2022 For questions about this permit call 303.866.3581 or go to https://dwr.colorado.gov Page 1 of 2 WELL PERMIT NUMBER 329391 - RECEIPT NUMBER 10026035 NOTE: This well may be located in an area where one or more confining layers may be penetrated during drilling. A hydrogeologic aquifer evaluation has not been completed for this well permit. In accordance with Rule 10.1.2 (Wed Construction Rules, 2 CCR 402-2), all persons authorized to construct wells must investigate and become familiar with the geology of potential aquifers, confining layers, anticipated water quality problems, and known contaminated water -bearing zones that may be encountered in the area of the proposed drilling activity. The Applicant or Driller may request a hydrogeologic aquifer review by submitting an AskDWR to the "Hydrogeology Section" Topic. NOTE: This permit will expire on the expiration date unless the well is constructed by that date. A Well Construction and Yield Estimate Report (GWS-31) must be submitted to the Division of Water Resources to verify the well has been constructed. An extension of the expiration date may be available. Contact the DWR for additional information or refer to the extension request form (GWS-64) available at: dwr.colorado.gov Issued By SARAH BRUCKER Date Issued: 12/22/2022 Expiration Date: 12/22/2024 Printed 12-22-2022 For questions about this permit call 303.866.3581 or go to https://dwr.colorado.gov Page 2 of 2
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