HomeMy WebLinkAbout20220856.tiffApplication 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 -2000416
W3 LEGACY, LLC
6644 CR 56
,CO
Health\Commercial\New OWTS1Septic
AGPROFESSIONALS
3050 67TH AVE
GREELEY, CO 80634
095719100065-R8945536
PT NE4 19-5-67 LOT B REC EXEMPT RECX15-0078
Work Description: OFFICES W/SHOP SPACE
EHS SEPTIC GENERAL:
TApplicalion Date
Number of Persons
Parcel Acres
Public Water Supply
Public Water Supply Utility
Septic Permit Expiration Date
EHS PERC TEST (SITE) :
Application Status:
Final Pending
Applied Date:
10/16/2020
Intake Person:
SMMENDOZA
Permit Expiration Date:
10/16/2021
10/16/2020
10
13.55
Yes
Little Thompson Water
14/16/2021
Engineer Design Required
Engineer Job Number
In 100 Year Flood Plain
Limiting Zone Feet
Limiting Zone Qualifier
Long Term Acceptance Rate
Profile Pits
Soil Description
Soil Type
Soil Type Suitable
Yes
3123-07
No
8
Greater Than
0.3
2
Clay Loam / Silty, Clay Loam
3A
Yes
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le'lc. 970 204 44 10
fox; 470• ,04.6412
Publie health
CRnkaf SLrylcer
'97) 104 6420
Few 910.104-64 ion
Environmental Health
Services
lain: 9?0 304 hit S
Fns; 97G 304 64t
Communication,
Education L Planning
1ele; 97G-1.04 6470
I'M: 970X4 6452
Emergency Preparedr,■n
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tele:9/0-104 6470
Fox. 970-3(14-64S2
Page 1 of 2
Public Health
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 Bed
Engineer Design Chamber Specified
Engineer Design Number of Chambers Specified
Engineer Septic System Design Type Specified
Septic Tank Size
432
Quick4 Plus Standard
38
Chambers -Bed
400
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 10 feet from
any potable water line, unless water line is encased. Building sewer or effluent lines must be
at least 5 feet from any potable water line, unless water line or sewer line are encased. Soil
treatment area must be 25 feet from any potable water line, unless water line is encased.
Sewer line to septic tank must have at least 1/flinch/ft. fall. Effluent line from septic tank to
distribution box must have at least 1/8inchtft. fall. 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. Th .Rer ltbtril !_trftna rable anp 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.
Alex Clemments October 21, 2020
Environmental Health Specialist Date
ti *rib Adminlrlrallan
Vital Rncorch
?ok: 970 .1104 6410
Fu?: 970,17.4 6412
Publk H ith i
Cilnkal Sorvic,i
Inge:41J ''04 6470
910304,641.6
EnvhonmonlaiNoon Communication,
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Tele: 9 i': 304.64I s
FM: 9.70344 641I
Education I Planning
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Page 2 of 2
Public Health
Little Thompson Water District
835 E Highway 56, Berthoud, CO 80513
(970) 532-2096 www.ltwd,org
Office Hours: M -F 7em - 5pm
Customer Name: W3 LEGACY LLC
Bill Print Date: 08/31/2021
6644 CR 56
71''. j!f it
840301
09/25/21
44.33
•
INSTRUCTIONS FOR ONLINE ACCOUNT ACCESS AND PAYMENT OPTIONS ARE ON THE BACK OF THE BILL
77 1}ama
07/21/21 147782 1 08/24/21 149563
Water Usage Billing Detail
Usage Calculation:
Level 1 : 1 781 @ .00255 = $4.54
30
20
10
Usage Calculation Total: $4.54
THOUSAND GALLONS USED
Mi I
Aug Oct Dec Feb Apr Jun Aug
Water Usage YTD
69,191
I '' I� _ � Ir-1 1 rF 6�,- I !r7;T_ 7-... - 5 ,I�n 2 t� G._
34 -- _I 1781
•
Balance Forward
Payment - Thank you! 08/05/21
Adjustments
Water Base
Water Usage
`1j-':� ,
lL 5in�{L•4�'�'''
1738
Total Current Charges
Message: Please visit our website at LTWD.org to learn how to monitor your water use and set leak
alerts with new smart meter technology.
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT
Little Thompson Water District
835 E Highway 56, Berthoud, CO 80513
LTWO830A 1444 1 AB 0.461
7000004348 00.0006.0221 1444/1
Illldlrlhlllnllll"1iIIII"l'IhPI11I'I191IIIIII11"I1'IIIIhh1
W3 LEGACY LLC
PO BOX 1449
' { FORT MORGAN CO 80701-1449
89.73
-89.73
0.00
39.79
4.54
44.3 3
44.3 3
Please write your account number in the memo line of your check
6644 CR 56
r` l n i -r frriDgiLl 64"19
840301 C 09/25/21 Jr 44.33 1
0008403016000 004 L4339
hlINIIIIIlIIhhhhlIIIIII"II'lllIlllllllhlullllllllhllllllllllll
LITTLE THOMPSON WATER DISTRICT
835 E STATE HIGHWAY 56
BERTHOUD, CO 80513-9237
Phone:
LT -1007-12
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