HomeMy WebLinkAbout20222195.tiffDEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
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Greeley, CO 80631
www.weldhealth.org
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Fax 970 304.6412
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Tele: 670 304 6470
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Our vision: regelher with The comm ankles we serve, we are working le reeks Weld Goofy The healthiest piece to lire, team, we* and play.
Application Number:
Owner Name:
Site Address:
App Type:
Parcel Number:
Legal Desc:
Work Description:
Septic Permit New
SP -1500070
PREMIER COMMUNITY HOMES
16109 LAMB AVE
FORT LUPTON, CO 80610
HearthSResidentialRNew OWTS\Septic
JAY SCOLNICK
PREMIER COMMUNITY HOMES LTD
1635 E LAYTON DR
ENGLEWOOD, CO 80113
130926309007-R3445205
3AR L7 BLK 78 ARISTOCRAT RANCHETTES 3 FG
MANUFACTURED HOME
EHS SEPTIC GENERAL:
Associated Disaster Permit No
Location Description 16109 LAMB AVE FT LUPTON
Number of Bedrooms 4
Number of Persons 4
Parcel Acres 1
Private Water Supply Permit Reference Number 296569
Public Water Supply No
Waive Fees No
Public Ii i 1th
Emergency Preparedness
8 Respcnae
Tele: 970 304 6420
Fax 670.304 6459
Application Status:
Final Pending
Applied Date:
03/11/2015
intake Person:
CSALAZAR
Permit Expiration Date:
SEPTIC SIZING INFORMATION:
From the application information supplied and the on -site soil percolation data the following minimum
installation specifications are required:
Septic Tank Size (GAL):
Bed Absorption Area for Rock & Pipe(Sqft.)
Trench Absorption Area for Rock & Pipe (Sqft.)
Bed Absorption Area for Chambers (Sqft.)
Trench Absorption Area for Chambers (Sqft.)
1250
788
656
551
459
Print Date - Time: 3/23/2015 9:07:27AM Report ID: EHS00066v001 Page 1 of 2
Form Nc.
.CT.W8=25
OFFICE OF THE STATE ENGINEER
COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bidg., 1313 Sherman St.. Denver, Colorado 80203
APPLICANT
(303) 866.3581
1148
WELL PERMIT NUMBER 296569
DIV. 1 Wag DES. BASIN MD
PREMIER COMMUNITY HOMES LTD
1635 E LAYTON DRIVE
ENGLEWOOD, CO 80113-
(303) 573-0067
PERMIT TO CONSTRUCT A WELL
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)(b)(ll)(A) as the only well on a residential site of 1.05 acre(s) described as lot 7,
block 78, filing 3, Aristocrat Ranchettes Subdivision, Weld County.
4) The use of ground water from this well is limited to ordinary household purposes inside one single family dwelling. The
ground water shall not be used for irrigation or other purposes.
5) The total depth of the well shall not exceed 240 feet, which corresponds to the base of the Lower Arapahoe aquifer. At a
minimum, plain casing shall be installed and grouted through all unconsolidated materials and shall extend a minimum of
ten feet into the bedrock formation to prevent production from other zones.
6) The pumping rate of this well shall not exceed 15 GPM.
7) The return flow from the use of this well must be through an individual waste water disposal system of the
non -evaporative type where the water is returned to the same stream system in which the well is located.
8) This well shall he constructednot more_than 200 feet from the location specified on this permit.
NOTE: To ensure a maximum productive life of this well, perforated casing should be set through the entire producing
interval of the approved zone or aquifer indicated above.
NOTE: This permit will expire on the expiration date unless the well is constructed by that date. A Well Construction and
Test 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 e tery§con
request form (GWS-64) available at: http://www.water,state.co.us
APPROVED
JLV
State Engineer
Receipt No. 3667304
Lot: 7 Block: 78 Filing: 3 Subdiv: ARISTOCRAT RANCHETTES
APPROVED WELL LOCATION
WELD COUNTY
NW 1/4 SW 1/4 Section 26
Township 2 N Range 66 W Sixth P.M.
DISTANCES FROM SECTION LINES
1450 Ft. from South Section Line
530 Ft. from West Section Line
UTM COORDINATES (Meters,Zone:13,NAD83)
Easting: Northing
1? .74 - ff
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