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Home My WebLink About20220197.tiffCOUNTY AT December 28, 2020 Richard & Patricia Stahl 16087 County Rd 40 La Salle, CO 80645 RE: Additional Service Water Service Parcel 105726000028 Dear Mr. & Mrs. Stahl, This letter is in response to a request for water service to serve the following property described as follows: PT SW4 26-4-66 LOT A REC EXEMPT RE- 1748 Parcel 1057260{10028 Water service is presently available to the above described property through tap number 94 on County Road 40 between 33 & 35. Additional water service can be made available to this property with a new tap purchase, provided all requirements of Central Weld County Water District, Northern Colorado Water Conservancy District and the Bureau are satisfied. Please note that ii tr ....t.r to contact Northern Colorado Water Conservancy District rrr 800-369-7246 or petitioning con rr rrratian into the Northern .Colorado Water Conservancy DistrictCentral Weld cannot issue a tap until all requirements are satisfied. This is in accordance with the Rules and Re tlatiorts o !Northern Colorado Mawr Conservancy District. A water fop installation is for a specific parcel of property and a customer wilt not be permitted to extend a service line from one parcel or property to another parcel to provide additional water service. One house will he split through a recorded exemption and require an additional tap purchase. Central Weld County Water District requires that contracts be consummated within one (1) year from. the date of this letter or this letter shall become null and void unless extended in writing by the District. The District will not notify, by separate letter, any prospective landowners of cost increases. The District has the right to review the annual allotment and compare it to actual usage to determine if additional raw water will be purchased and transferred to die District by Tap Holder. It is your responsibility to confirm with your local Fire Protection Authority if fire flow water capacity is required for your project. If you have any questions regarding the above, please contact this office. Sincerely, CENTRAL WELD COUNTY WATER DISTRICT r ' S Linke<District ]Manager SL?rg 2235 2°'d Avenue • Greeley, Colorado 80631 • Phone (970) 352-1284 • Fax (970) 353-5865 Stan Linker, District Manager Architecture Materials Testing �Structural rs4 G Forensic Geotechnical Civil/Planning ROCKY MOUNTAIN GROUP Job No. 147548 May 26, 2015 Mr. Don Buxman Buxman Excavating, LLC 32186 CR 29 Greeley, CO 80631 Re: Replacement On -site Wastewater Treatment System 19056 WCR 33 Rec Exempt RE -1748 (1.31R) Weld County, Colorado Dear Don: Please find enclosed soil evaluation review and design for a replacement On -site Wastewater Treatment System (OWTS) for the above referenced site. A representative of RMG — Rocky Mountain Group performed soil evaluation of two soil profile test pit excavations on April 24, 2015. The profile pits and soil evaluation was performed in accordance with Weld County Department of Health and Environment On -site Wastewater Treatment System Regulations (Regulations). The soils evaluated in the profile pits are documented on the Test Boring Logs. Silty sandy loam soil was encountered to a depth of six feet for profile pit I and five feet for profile pit 2. Groundwater was encountered to a depth of four and one-half feet (4-1/2') below existing grade. No other limiting zones were encountered to the depths explored. The soil evaluation determined a soil. type 2A as described on Table 30-10-I of the Regulations. The OWTS should be designed using a Long Term Acceptance Rate (LTAR) of 0.50 gallons per day per square foot for the soils in accordance with the above mentioned table. An engineer designed septic system will be required for this site due to the depth to groundwater. The bottom of the Infiltrators can be set no deeper than six inches below existing grade. The owner will have to meet the required distance criteria as shown in Table 30-7-1 of the Regulations, enclosed. The location of the profile pits and proposed Soil Treatment Area (STA) will be greater than all horizontal and vertical separation distances as shown in Table 30-7=2. No other objects requiring setbacks from the proposed OWTS as indicated on Table 30-7-1 and 30- 7-2 of Chapter 30 of the Weld County Code, have been located or observed during our preliminary investigation, reconnaissance or detail soil investigations. It is our understanding the existing house has two bedrooms. Therefore, the system was designed with a design flow of 300 gallons/day in accordance with Table 30-6-1, consist of a Southern Office: Central Omee: Northern Office; Monument: 719,488.2145 Colorado Springs, CO 80918 Englewood, CO 80112 Evans, CO 80620 woodland Park 719.687.6077 719.548.0600 303.688.9475 970.330.1071 Erbliflturdletan Iraq: 0750 192 99 44 Ulaenbaater, Mongolia: 976 99106671 ;nvw.rmgenglneers,corn 190fO WCR 33 Rec Exempt RE -1748 (1.31 R) Weld County, Colorado 1,000 gallon two compartment tank meeting the regulations outlined in Section 30-9-20, and an adjusted required soil treatment area of 504 square feet using a gravity system with chambers in an absorption bed. See enclosed calculations. We anticipate an approximate cover of 12" to 24" Cover over the septic tank and a 12" to 18" cover over the distribution box including fill material. Both the septic tank and distribution box must have access from the surface. The bottom of the chambers should not be placed more than 6" below existing grade and will require observation polls on each row of chambers. A pump may be required to raise the effluent into the STA. If a pump is needed it should be placed in a wet well down gradient of the septic tank. The wet well should be a minimum of 2' diameter constructed of concrete or plastic that is water tight. The well will house a Goulds WS03BHf pump or equal that is capable of 30 gpm @ a 10' total head. The effluent will be pumped through 2" diameter Schedule 40 PVC pipe into the distribution box. The pump system shall be controlled by on -off -alarm floats connected to a separate stem capable of providing an alarm, at the house, with audio and visual notification when high water level is reached. We are not aware of any previous septic reports on this lot or neighboring properties that may affect the placement of the proposed OWTS. It is our understanding the existing failing septic system is located north of the proposed system by approximately forty feet. Furthermore, we are not aware of any existing easements or right-of-ways that may conflict with the proposed OWTS. We found no location of any visible or known unsuitable, disturbed, or compacted soils. We do not anticipate difficulties with the construction of this system on this site. We anticipate this area to remain agricultural/residential use for the foreseeable future. There were no difficulties encountered during the site evaluation. During system installation the subsurface conditions encountered in the soil treatment area excavation may vary from those encountered in the profile test pits. Depth to bedrock and groundwater may be different from depths reported in this report. If subsurface conditions encountered in the construction of the system differ from those reported, RMG Engineers should be retained to review the subsurface conditions. The soil evaluation was conducted at the request of Don Buxman in a location determined by Richard Stahl, owner of the existing dwelling. We hope this report will assist you with your needs. Please contact us if you have any questions concerning this matter. Cordially, Thomas M. Cope, P.E. Professional Engineer 4ta sm 5/26/15 s.ick 24995 @L. I0NAL I Rocky Mountain Group - RMG 2 Job No. 147548 t 1 . < 14 - - A,,IM in . c..- 'I _ II I"1 It'- . t A%.a s.♦ Sa> INI• !r i 1114 i Inl u lu1 Le ` Lill aw♦ c. E_al !11! 7l Al i+ 1 lNl lul I+EI lu1 aa, la l a'1 s� L, ••1 1171 L' h _ �f! }4 141� hit 1.. 1 C,iliats 1, atl 11 VICINITY PLAN 19050 WCR 33 WELD COUNTY, COLORADO CLIENT : RICHARD STAHL 16087 WCR 40 LaSALLE, CO 80645 RUG PROJECT ;147548 DATE: 5/19/15 DICKY MOUNTAIN .,CROUP 1601 37th STREET EVANS, CO. 811620 PHONE: {''9711 43O 1111 FAX: (970\ ,50-- 5- r T� w 1 it Eesa l _ _ _ R _ i I "• 5 I 'I "1 rr ill III _BORE LOCATION cuENT : ROCKY MOUNTAIN RICHARD STAHL •aaocnew,l�.a PLAN 16087 WCR 40 GROUP LASALLE CO 80645 1601 37th STREET N G N E E R S/ EVANS, CO. 80620 190§0 WCR 33 RMG PROJECT ff147548 PHONE: (970) 330-1071 LASALLE, COLORADO DATA: 6/1/15 _ FAX: (970) 330-1252 NOTE: INSTALL MW. 42 H-10 QUICK -FOUR INFILTRATOR UNITS IN ACCORDANCE TO MANUFACTURER RECOMMENDATIONS. OBSERVARON PORT (1w) 10 MIL UMER Flow Ml. 1,000 Gallon Septic Tank Distribution Box SEPTIC TANK NTS 15' MIN. PLAN NTS 56' 62' MIN. b O In Z 0 g 3' MAX AK NTS 1475485EP INDIVIDUAL SEWAGE DISPOSAL SYSTEM RICHARD STAHL PROPERTY 19050 WCR 33, LASALLE, COLORADO RMG Engineers Group NNNrJr4/V N N N NN 1601 37TH STREET EVANS, COLORADO 80620 (970) 330-1071 DATE: 6/1/15 PROJ. NO: 147548 DRAWN BY: T.M.C. CHECKED BY: T.M.C. SCALE: N.T.S. SHEET 1 OF 1 • Structural • 6eotactvilcal RMG ENGINEERS M 1601 37' ST. • EVANS, COLORADO 80620 • 970-330-1071 • FAX 970-330-1252 PROPOSED ESTIMATED CALCULATIONS ON -SITE WASTEWATER TREATMENT SYSTEM 19050 WCR 33, LaSalle, COLORADO DESIGN FLOW 2 Bedroom House = 300 gpd Table 30-6-1 SEPTIC TANKS USE: 1000 Gallon Tank Table 30-9-1 ABSORPTION BED Soil Treatment Area (STA) Required = Design Flow gpd) Soil Type = 2a LIAR (gpd/sf) LTAR = 0.50 Table 30-10-1 = 300 0.50 Required Area = 600 sq. ft. Bed x 1.2 Table 30-10-2 Chambers x 0.7 Table 10-10-3 Adjusted Required Area = 504 sq. ft. INFILTRATOR® CHAMBER EVALUATION Allowable Area/Quick Four Infiltrator® Chamber = 12 sq. ft. per unit Infiltrator® Chambers required: _ 504.sgft = 42.0 units 12 sq. ft/unit Minimum Chamber = 42 units 1 USES 3 units wide x 14 units long Scanning Cover Sheet for Septic Permits Permit # G19950090 Permit Type: Situs Street Address Situs City, State., Zip Sec/Town/Range: Parcel # (12 digits) Owner Full Name: Owner Address: Contact Name: Contact Address: Health / EHS History! EHS Conversion History 16087 CR 40 26 -04N -66W 105726000028-R1010396 SCHWAB ALBERT DONALD 2295 MARSHALL ST DENVER,CO 80214 Application Status: Finaled Application Date: 03/11/1996 Owner Phone #: 303 2376111 Contact Phone# Information above has been Verified in Accela by employee noted below Processed by: Report ID: EHS00024v003 Print Date -Time: 8/11/2008 3:35:54PM August 11, 2008 Date Page 1 of 1 •1 (, . i I-iL.J[_ :!f,F :[I+.II:):[':?1I:)l.^I F, L. `3E:.WA(:aFE I):f:_1F='(::1;:+r-•IL... ;!`i" ! r EM F-'f:::r;111_i l W E:I....I:) C (:.1t_IhJ f Y I"•IE:::F��I...."FI-� I)I::"F'r,l=(T'I"!E:=1V"F ErJV::f�C:!I'JIyIF:::hJ"I"f-`il_.. •LIf::AI..."f.l-I C;ip;•i'''1a".::Ic::`1 7 11'3"1'}•-I i1'Vfr"Nt,ll'M (;;C:11.1F; l (FJFiI:_L:1....1:-:Y',1 LO iJ?:1 . 7 ,1 .,; 1-•- i-! 7•\. 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F'•sf'I''F CJ'9AL C1 F' i:il`J :I:I+J<-fl 'fr,L...L_.E.J) Yc3f.f. 1% F'C11' T'f3fil.JA1J(:.L: (_)I:- i=, L._(a(.:'AI.... C)C:(;.I.JE'ANCY F'I�F;I'1:1. f • If:'I.JR;i3l..Jx1!+.fT '1"O C:f:{Ci 1!:i'r-::; •.C;..1 .I.i:! 1.:1.1 ('\`:).1 1I ''1'f TIJL1I - f-KE F'I :If-','�L+I-I"a C"C1F''t L,1f-•1•^11:7 L+!f':H )—F I.!:..; NI6J4' 1t ci:a• t_ • f s 4,. f " HSF1r.16 F' ' INDIVIDUAL SEWAGE DISPOSAL_. c_:Ya"I -. PERMIT NOV G--95OO= C? WELD COUNT Y I-IFAL-T1-I ENVIRONMENTAL HEALI 151 16TH AVENUE COURT. C- ,5_,,• -x36::';5 Ek- DEPAR LIEN'T REPAIR PERMIT 'H -ER VICES iREELEOY, CO BU6 1. i val.L£1. b.l flL='B OWNER SCHW. r• L_BERT DONALD ADDI�;ES;S .. •:i'5 MA1:SHALL_ C'T F'F1 ("mw;) :2' '• 7'-6111 EI)GEL•JATE'R C_(_! Be ADDF ES S OF PROPOSED SYSTEM 16(-) 7 NCR 40 LASALL_E CO 80645 LEGAL DE.^CF;IF'TIOI^J OF I'TLo 11J.^ SUE1DIVIc3'ON•J. USE TYPE: RESIDENTIAL_ I -HOUSE f:rERVICE ' F'ERc3ONS 4 BATHROOMS BEDIROOMS 4 AaE=ME!\.IT SW4.26 1.00 PL_(.JMBINr5 TWd 4 RNG 66 L_OT Cr BL.00K: 0 FILING 1) L.CT -.I7_E BS:a.t?c? FsC=RC_S I'JO Wf,TEF,'; Fa3UPPL_Y C4'JCWD AF'PLT(`ATION FEE $24�;.�?0 I • C:' D E '/ DATE ' (?._•/2�- SIGNED B l• tV f.:,1m*m1 dC N f-. .!_.\JJ.L. DATE 0:21/ '.�:::? t 5 PERCOLATION RATE: MIN PER INfWH L I!l:1'TING IONS 75 FEE"[' Z,C�]:J_-r'YF'E f ..._._ FEEF�r`f: rJT rF.�r_iurJl SLOPE •r. r.�IR f� !"IOIwI RcC_aUIFEE3 ENLINEEIn' d�SIGrJ IN I�.1c? YEAR F1_.c�Oz? F�'Lr�IrJC�raF FROM TIIf ArF'LICATIOrJ Ih:IFOF:MA']"IC1P:1 au1 r='LIED A. D T!-�E OrJ.--: I"! FSc]''..- PL..Rt._OL..ATIOrd r)ATA "I HE:: F-CILI._OWING MINIML.IM INSTALLAT ION G Ef IF'ICfaT']:f.]NS ()RE=. F'v:E QL.]:LF;E'D" SEPTIC TANK GALLONS. ABSoRf4-)"rION TRE=,NC4I14 iq6� SCl. FT. :. .? F - . ( ABSORPYTal:ON BED &oo c. CI. F..r. IN A DITIr, NIn THIS PERI"I I" IS U8JEL;T TO OTH FOL..I_OW]:NG ADDI-I lONfl_ rE:!=:h1S AND c: ON �_� a.'l�a�L5�D �'C �_ _ _ 'THI(ldi PERMIT Ic-, GRAI%JTE=D 'r E:.MPOF4ARI1._Y TO Pd OW C:.ONc TF'uC:::TION TO C(' MME:N(:V E a TI•4IS ?ERIVIO:T.. MAY BE REVC]lc::EI) OR SUSPE!�IDE:D BY THE WE.L_I:l COUI,JTY HEAL._-FI•-I - I.. �I;:Th!E_NT FOR REFS„0N11C` SE'T FORTH IN1"•IE VJE:L_.D COUNTY INDIVIDUAL SEWAGE DI; P(::ic+6•--liL_ SY" .'E"• h'! Rr GULA"rI(:Ih* S INC;L...UI:)7r•JC FATI_U1:E "r (:I MEL"r f31�J`r "F'I:r- NI (JR coNDI•'r'1'(`Ih•.I Tr°IF='OSEI'! T!-IEF;:EC:DN DL INNS TEIhF'OF:AF'r OR FINAL PF'F'F:O'VAL... THE IE;≥LJANC:E OF' TH:I:E:i P'ERMI'T DCOES NOT C:C11JC,1 II (JTE ASSLJMF'TION E'r 1,•.E: DEF'AR-.r OR ]" 'S 1=;.MF'I.-(.1YEE:; OF- I._:LAr_ 'L_iTY FOF�: T 1-1 F ..t UFL" CDR INADE_'OUAC Y OI�' 7111"' SEWAGE I )is .'sAagk. 1 STEM. ENVIF•;ar rf�l... 'rCIA Is r r�A"rE THIS PERMIT IS NOT TRANSFER'AB . AND SI•�A1.._L._ BECOME VOID IF SY•':=i rE M CONEITRUC1�IOPJ HGyC NOT C.._,"DMME:r•JC: ED WITHIN ONE YEAR OF ITS ISSWANCEC - -!FORE:: ISSUING FINAL. AF:'F'r;:OVAL_ OF THIS PERMIT THE WEELD COUNTY HEALTH DEPARTME: Nbml" RESERVES TI -IF_' I�;:LGH"I" TO IMF='OS1= ADDI__. T]:oNPL. TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CO 1rTNt..]ING BR-- C-iiS. FINAL.. PERMIT• APPROVAL_ :LS CCDN`I' INbE:=N'1 UPON THE FINAL. I.NSF'EC:"I-ION OF THE C 01M- PLETED SYST'E M BY THE WELD COUNTY HEALTH DE:F'ARTMEN-1•'. ORI( I!.IAt..._••.AF'I•�'I_..:I:CANI "--,\ iI•-IIJL:;I•JD L-JCHL? -F� hI`: i MA''r, j. 8-7 WELD COUNTY HEALTH DEPARTMENT S t EVALUATION OWNER: SchWGlb ENVIRONMENTAL PROTECTION SERVICES A l ber+ Donald APPLICATION/NO.: ' IJr00°IO SITE: IboB�- VVCR 4Q PTW2SW'IS T 04 R6(0 DATE: v3f22/g5 SUBDIVISION: Yl/al, LT BLK FLG PERCOLATION TEST DATA: Start Time: 31+ Hole No. Hole De th H2O Remain (0 min. ' 1O min. iv min. min. min. min. min. min. min, min. 1RT 1 �� 3 o 149-O 35 3u ;3 ,5 (01 a_______.. - 2 32" r 0 acv a�5 X50 0 3 ____ &,4 7- 3 X4,3 3 33's n a I . c7 _as ao5 165 t's Id,2 4 33 5" 0 Ga ______________________ d�qD a15 as5 05 =5 3.0 3.'{ 5 34.5`' o .___2..E................. IIIII.3+- , o 3� 315 -70 6o 60 ____3 340 6 3 5 a a5 0 Q 55 a55 _ 35 30 _____ g._H.-. _ ________________ 43 $.5 I6.2 ... _______ All measurements in .mm unless otherwise indicated. * - Add H2O Environmental Specialist l6 1 Total 4457 Average Rate PLOT 3 0 c9 40 PLAN NJ '\ drive- F vy o Iha$ SOIL PROFILE brw s"o,'y .Poch u t 019* brn ≤c s j ,Pew 96 L I t r d • . HSF'1(_?6F' APF'L.I(..ATION FOR INDIVIDUAL SEWAGE DTSPO1AL_ SYSTEM N0. C�-•'=1�tr(_r�7(_r WELD COUNTY HEALTH DEPARTMENT REPAIR AF'F'I_..I(:.:ATI(:.i!^� ENVIRONMENTAL HEALTH SE:RVIC:ES 15,17 16TH AVENUE COURT,. GRF_= EL.E'`r'. CO cr-S(:)6 � 1 OWNIE R SCHWAB.. ALBERT DONALD ADDRESS 95 MARSHAI..I.. r F'H (;'-•:(_?3y 7--611.1 EDGEWATER co 80214 ADDRESS OF PROPOSED SYSTEM cV• 1d 8l LA LL A NCR 4( r E CO Si645 LEGAL_ DESCRIPTION OF SI'F'C_; SUEg1)IVIS-ION; USE TYPE: RESIDENTIAL SEF:;VIC.E_Ss PE RSC1h•JS 4 EiEDF UOi ' 4 W.�, HOUSE. BATHROOMS BASEMENT SW4 SEC hoC' PLUMBING ..?6 "IWI=' 4 RN(� 66 LOT (-r > L 0C: K LOT SITE Strr, =i r AC NO WATER E3LJF'F'I._.V 0 F'ILIN6 it RE:L AP'P'LICANT ACk::NOWL.E:DGES THAT THE COMPL...ETENE SS' OF THIS APP!. ICA'1"ION IS CONDITIONAL. UPON FURTHER MANDATOF- Y AND ADDITIONAL.. TESTS AND F:FPORTS AS MAY 1•-jE i EQUI' ED E?Y THE WELD COUNTY HEALTH DEPARTMENT ddr,o ICE Mr"4DE AND F' URNISHED BY THE APPI_.1:(.—.:r;hdT" (_?R BY' T I-•IE WELD COUNTY I-iEAI_.T'H DEPAF:'1"MENT FOR 1='lJFP(m3SE S OF THE EVALUA ION OF THE AF'I'I....IC�Aor'1(:)I'J AND THE ISSUANCE. OF THE PERMIT IS SUBJECT' TO SUCH TERMT:) S ANCONDITIONS AS DE E"MED NECIESSARY TO INSURE COMPI.,.IANC:F WITH RUL_I.. S AND IREGLJL..AT T(1NCJ ADOF'TE D (!i l`1?EI AI :T':I:CL._L':. 1(;?, TITLE :.'`'.'. ( :Rwi 1`� �' AS AME:NDE1). THE; AF'F•'LIfMAIV"r CrRTIFIES "I"HA-r "rHl:PROPOSED C Y' '1 LI`1 WIL_L._ hl(J-To ESL•. L_C.1CA.r._D W:...... :N 4�:_?(_? PEI-&' OF A COMMUNITY iEWAGE BY 81 TFII LJNL'�E=F�SI(�NE1) I-1E.RE:E�Y C;ER'1"IFIE S THAT ALL. STATEMENTS MADE. INFC_1RMA"r.ON AND RE_F'ORT S :EUI(1`1IT'.'I-ED I••IEIq:EW1:T1-I AND REQUIRED 'T -J T..(E t)UI)M:I:T"I"CED I_BY "rI-1E_ AF'F=LTI�ANT' ARE• OF;: W:ILI... E•I:_, REPRE:� E.NTE D "I-0 BE TRUE AND C;ORRE:C T TO "r'F-ICE k:sE:;7"I" LIE- MY KNOWLI__DGE AND :F'+E:LIEI--. AND ARE DESI(: NE.D "I"D I_iC Rl:.41._.:I:ED 01'J BY "rI-IE WEL..D COUNTY I-IEAL...i'F-I DE:PAR.I'ME::hJT IN E':'JAI.._UA•11:hJG "rHE. SAME: F'OI=; F'UF F'f.-11 E.v OF 7r -r• ISSUING THE PERMIT APPL TED FOR FIE.F6:EIN I FURTHER L1Ni:?E S"C ND THAT ANY F=AL...STFICAT:FOhd OR 1�1I ;r; EmF'I":!.dd.3E'INI"rATION MAY I�:E_;:)1.JL 'r IN T! -1E DENIAL_ ijl. "r'1EW APF'I....I( AT.T.C!I'•! OR REVOCATION OF ANY PERMIT' GRANTED F;ASED LJF'ON ;Edr-.:F.1) a^••AF'I 'I...:I:C11TI01J A! al:? IN Ld.EGAI_ ACTION FOR PERJI.JF:Y AS PROVIDED BY LAW. AF'r LIC:;ATION F'EE $:Ly_'C�.(_rir 'k -(""D DY DATE irw';J:22(_?/95 VE: RNON L. OWNERJE-1GL':_N1-_L-iNATUR CJR:f.r .1.'' l,._ raF'1='L.ICAI'JT'� COPY--WCHA.? L�J(_;I-ID--•F..EI-I`� 1"1A'r`„ ].'•�'fl�l I -' ,11, C8U- NW HEALTH DEPARTMENT ENVIRONMENTAL PROTECTION SERVICES 1517 116th Avenue Court Greeley, Colorado 80631 (303)353-0635 r STATEMENT OF EXISTING FOR SEPTIC SYSTEM • •Ol. 1. ?'' 1p a • • (PLEASE FILL OUT IN BLACK INK ONLY) _ (a OWNER OF RECORD : �� ' � h �rcc6wt PHONE : 3 9 C7 cl Z MAILING ADDRESS: SITE ADDRESS: W G _ r r 3 V City State Zip LEGAL DESCRIPTION: PT: PT: SECTION: 2 G TOWNSHIP: t_lr►'!�, RANGE: (0 4) SUBDIVISION: y LOT: 4- - BLOCK:y FILING:� NUMBER OF PEOPLE: `7//BATHROOMS: / LOT SIZE: 0 BEDROOMS:_(___. RESIDENTIAL r COMMERCIAL BASEMENT PLUMBING: Yes 0 WATER SUPPLY: C IV it) D SYSTEM SIZE: Tank is constructed of I �n��-,� �� ,. and has �, ,�, �r,n,A �,� gallons capacity (material) FIELD: Bed sq. ft. or Trench wr✓L. sq. ft. DATE SYSTEM INSTALLED: You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location, length, width, and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel of ground identified by the above legal description and further states that the system is in good working order and to the best of his/her knowledge is not failing to function properly. I Ii I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby ubmitted and £In -legal -action for perjury as provided by law. w 'I �Y! t. Da Owner Subscribed and sworn to before me this O day ofd LM Witness my hand and official seal. STATEMENT OF EXISTING REVIEWED BY: P&vL My commission expires: vironmenta Notary Public I ti 199bJ' VA rotection Specialist L1L I Z .L `. 1 Yew K BLACK INK ONLY! N E S igo5o Ct33 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631", t. www.weldhealth.org Publicslth Health Administration Public Health B Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education & Planning & Response Tele: 970 304 6410 Tele: 970 304:6420 Tele: 970.304 6415 Tele 970 304 6470 Tele: 970 304 6420 Fax: 970 304 6412 Fax: 970.304 6416 Fax: 970 304 6411 Fax: 970 304 6452 Fax: 970 304 6459 Our vision: Together with the communities we serve, we am working to make Weld County the healthiest place to live, learn, work and play. Septic Permit - Final Application Number:SP-1500191 Owner Name:STAHL RICHARD Site Address: 190S0 CR 33 App Type: Health\Residential\Repair OWTS\Septic DON BUXMAN BUXMAN EXCAVATING LLC 32186 CR 29 GREELEY. CO 80631 Parcel #: 105727000022-R4423486 Legal Desc: 17206 E2SE4 27466 EXC UPRR RES (3R) Work Description: HOUSE EHS SEPTIC GENERAL: Associated Disaster Permit Location Description Number of Bedrooms Number of Persons Parcel Acres Public Water Supply Public Water Supply Utility Repair Reason Type Waive Fees EHS SEPTIC ACTUAL (FINAL): Septic Tank Size, gallons Chamber Model Design Type Lift Station No HOUSE 2 2 81.73 Yes CWCWD Repair for Failure No 1000 Quick4 Standard or High Capacity Mounded Absorption Yes Finaled Application Status: Finaled Applied Date: 06/17/2015 Issued Date: 06/19/2015 Finaled Date : 07/14/2015 The issuance of this permit does not imply compliance with other state, county, or local regulatory or building requirements, nor shall 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, CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to 25-10-112(1)(b), C.R.S. This hermit Is non -transferable and non-refundable. 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 was contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. Benjamin Frissell-Durley July 14, 2015 Environmental Health Specialist Print Date Time: 7/14/2015 Date 11:26:48AM Septic Permit - Final EHS033 Page 1 of 1 Trlsk4.\ ck b`' j9o9v ca '33 spa. ►5ao A (3 �x Briar+ Ex o.•ia)%r ;'cj \et & m Vy C 1E Sc1,.y0 w - r A Yw - AC 5 O a a t r yA4 - a j V - w fn - 1} H Se 64` sa` 55` cwI Q Q Fv11k ?c cask \ CsA't, Iii t DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT :_`= 1555 N. 17th Avenue Greeley, CO 80631 11 "d .0 v www.weldhealth.org Pubiidilcaith Health Administration Public Health & Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education & Planning & Response Tele 970 304 6410 Tole 970 304 6420 rele 970 304 6415 Tole 970 304 6470 Tele: 970.304.6420 Fax 970 304 6412 Fax 970 304 6416 Fax: 970 304 6411 Fax: 970 304.6452 Fax: 970.304 6459 Our vision Together with the communities we serve we am working to make Weld County the healthiest place to live, learn, work and play Septic Repair Permit Application Number: Owner Name: Site Address: SP -1500191 STAHL RICHARD 19090 CR 33 App Type: Health\Residential\Repair OWTS\Septic DON BUXMAN BUXMAN EXCAVATING LLC 32186 CR 29 GREELEY, CO 80631 Parcel Number: Legal Desc: Work Description EHS SEPTIC GENERAL: 105727000022-R4423486 17206 E2SE4 27466 EXC UPRR RES (3R) HOUSE Application Status: Final Pending Applied Date: 06/17/2015 Intake Person: MSWAIN Permit Expiration Date: Associated Disaster Permit No Location Description HOUSE Number of Bedrooms 2 Number of Persons 2 Parcel Acres 81.73 Public Water Supply Yes Public Water Supply Utility CWCWD Repair Reason Type Repair for Failure Waive Fees No Septic Permit With Eng Design EH: Print Date -Time: 6/19/2015 9:32:03AM Page 1 of 3 EHS PERC TEST (SITE) : BOH Variance Required No Engineer Design Required Yes Ground Slope 2 In 100 Year Flood Plain No Limiting Zone Feet 4.5 Limiting Zone Qualifier Equal To Long Term Acceptance Rate 0.5 Percolation Rate Qualifier Greater Than Percolation Rate Value 26 Profile Pits 2 Slope Direction West Soil Type 2A Soil Type Suitable Yes Treatment Level 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: Dosing Specified No Engineer Design Absorption Area Specified 504 Engineer Design Chamber Specified Quick 4 Standared or High Capacity Engineer Design Number of Chambers Specified 42 Engineer Septic System Design Type Specified Chambers -Bed Lift Station Specified Yes Pump Size 30 Pump Specified Yes Septic Tank Size 1000 CONDITIONS: Description: Permit Conditions Comment. Approved based on Engineer evaluation. Construct according to Engineer design. System must be 10 feet from property line. A lift station is required. Lift station must be designed by an engineer. Install septic field along the contours. Install the septic field in the area of the soils perc tests. Place bottom of new septic system no deeper than 6 inches below original grade_ Keep vehicle traffic off of septic system. Septic tank must be at least 10 feet from any potable water line, unless water line is encased. Septic Field must be 25 feet from any potable water line, unless water line is encased. Septic tank and septic field must be at least 50 feet from any unlined ditch. All Weld County regulations are applicable. INSPECTION RESULT: Septic Permit With Eng Design EH; Print Date - Time: 6/19/2015 9:32:03AM Page 2 of 3 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. Benjamin Frissell-Durley June 19, 2015 Environmental Health Specialist Date Septic Permit With Eng Design EH; Print Date - Time: 6/19/2015 9:32:03AM Page 3 of 3 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 l ICI www.weldhealth.org Jr Public Health neann Administration Public Health & Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education & Planning & Response Tale: 970 304 6410 Tale: 970 304 6420 Tele: 970 304 6415 Tale: 970 304 6470 Tele: 970.304 6420 Fax: 970 304 6412 Fax: 970 304 6416 Fax 970 304 6411 Fax: 970 304 6452 Fax: 970 304 6459 Our vision: Together with the communities we serve, we am working to make Weld County the healthiest place to live, learn. work and play Septic Permit Application Application Number: SP -1500191 App Type: Health\Residential\Repair OWTS\Septic DON BUXMAN BUXMAN EXCAVATING LLC 32186CR29 GREELEY, CO 80631 Owner Name: STAHL RICHARD Parcel#: 105727000022-R4423486 Legal Desc: 17206 E2SE4 27 4 66 EXC UPRR RES (3R) Work Description: HOUSE Site Address: 19090 CR 33 App Specific Info: Location Description HOUSE Number of Bedrooms 2 Number of Persons 2 Parcel Acres 81.73 Public Water Supply Yes Public Water Supply Utility CWCWD TERMS AND CONDITIONS A permit fee, as set by separate ordinance of the Board of Weld County Commissioners, shall be required of applicants for onsite wastewater treatment systems, payable at time of application Permit fees are non-refundable; permit applications are non -transferable If both a building permit and an OWTS are issued forth same property and construction is not commenced prior to the expiration date of the building permit, the OWTS permit shall expire at the same time as the building permit. If an OWTS permit is issued for a property that does not require a building permit, the OWTS permit shall expire one year after its issuance if construction on the septic system has not commenced Any change in plans or specifications after the permit has been issued invalidates the permit unless approval is secured from the Health Officer or his/her designated agent Expired permits can be renewed by payment of the permit fee only if: A There has been no change in the plans and specifications of the proposed system as set out in the original application or such change is reviewed and approved by a Division Representative B The surrounding land, its use or zoning has not changed so -as -to cause the original application not to be acceptable under these regulations NOTICE The completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Department of Public Health and Environment (WCDPHE). The issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under article 10 title 25, CRS as amended The applicant certfies that the proposed system will not be located within 400 feet of a communist sewage system. The undersigned certifies that all statements made, information and reports submitted herewith are, or will be, represented to be true and correct to the best of his/her knowledge and are designed to be relied on by the WCDPHE for evaluation for purposes of issuing the permit applied for herein Applicant further understands that falsification or misrepresentation may result in the denial of the application or revocation of any permit granted, and in legal action or perjury as provided by law (C Print Date Time: 6/17/2015 9:05:00AM Septic Permit Application EHS00056 Page 1 of 1 RESIDENTIAL ON -SITE WASTEWATER TREATMENT SYSTEM (OWTS) INSTALLATION PERMIT (New or Repair) NEW OR REPAIR RESIDENTIAL OWTS PERMIT FEE: j7,OO • All payments are due at the time of application submittal; by cash, check or credit card • Incomplete applications will not be accepted (Site and soils evaluation, site plan and design document must be incl X000 d`b PARCEL NO.. I 051R (12 DIGIT NUMBER) LEGAL DESCRIPTION: SECTION T WNSHIP RANGE In a ACRES S I .1? SUBDIVISION LOT BLOCK FILING INFORMATION CAN BE OBTAINED FROM THE ASSESSOR'S OFFICE AT (970) 353-3845 EXT 3650, OR ON THE COUNTY WEBSITE UNDER PROPERTY INFORMATION. Link to property information: iiL,h '_..+ _ �._- , .., �maps. Lt,_; „r:crznaic _r, SITE ADDRESS / 10 C %9 3 DETAILED DIRECTIONS ( SS O v n TO SITE (ATTACH M PROPERTY OWNER: r rc I I LJ ST / MAILING ADDRESS: IJ Q70 C 2 33 CITY C2 9 ST cc 0 ZIP O HOME PHONE('__) WORK PHONE (lzth fly 7 FAX( ) _ EMAIL ADDRESS APPLICANT NAME:�,��.x,.rg MAILING ADDRESS: / 6 t�' 2 �_ CITY •. ST efo zip gO 3 , HOME PHONE: (�J WORK PHONE.9Q) ) / - AX ( 1 EMAIL ADDRESS: 4E-i l u x nn ea r. C 4 m c.. I A PROPOSED USE RESIDENTIAL NUMBER OF PERSONS: 49 NUMBER OF BEDROOMS: TYPE OF STRUCTURE (E souse, abile home) 0 AUXILIARY BUILDING (Rest ential use only) TYPE AND NUMBER OF FIXTURES (shower, sinks, toilet): NUMBER OF PERSONS: TYPE OF STRUCTURE (Ex personal shop, pool house WATER SOURCE. Y PUBLIC WATER SUPPLY (NAME OF SUPPLY) Ce., to a / _ ' le le a O INDIVIDUAL W ELL (PERMIT #) O CISTERN (PERMIT #) "WARNING: Neither Weld County nor any of its affiliates shall be responsible for the use of any information submitted in relation to this OWTS installation permit It is the responsibility of the user to determine under what circumstances the information is being applied, and ensure that the circumstances are suitable to the application of the information Neither Weld County nor its employees are liable for the failure or inadequacy of the onsite waste water treatment system 5 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17"' Avenue Greeley, CO 80631 WEBSITE: www.co.weld.co.us ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420 FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 FAX: (970) 304-6411 AUTHORIZATION FORM RE: R[ PERMIT APPLICATION 0 I.S.D.S. EVALUATION SALE OF PROPERTY 0 WATER SAMPLE Li v1 ti ry a n represent hC S lc 1L1 for the property (Agent/Applicant) (Owner) located at Jgo6 C. IZ LEGAL DESCRIPTION: SEC TWIN RNG SUBDIVISION NAME: LOT BLK I can be contacted at the following phone #'s: Home Work 7712 -54l-bo33" Fax # The property owner can be contacted at the following phone #'s Home I % -� a8 Work Fax # Correspondence mailed to (only one): fl Agent/Applicant Property Owner DATE 1 OWNER'S SIGNA Architecture Materials Testing Structural R � t• Forensic Geotechnical Civil/Planning ROCKY MOUNTAIN GROUP Job No. 147548 May 26, 2015 Mr. Don Buxman Ruxmaii Excavating, LLC 32186 CR 29 Greeley, CC) 80631 Re: Replacement On -site Wastewater Treatment System 19090 WCR 33 Rec Exempt RE -1748 (1.3 l R) Weld County, Colorado Dear Don: Please find enclosed soil c� Treatment System (OWTS) Mountain Group performed 2015. The profile pits and Department of Health and (Regulations). / e 1 std �1i 4,e 1qh a+r- -FqD/e T aluation review and design for a replacement On -site Wastewater for the above referenced site, A representative of RMG — Rocky soil evaluation of two soil profile test pit excavations on April 24, soil evaluation was performed in accordance with Weld County Enviroennent On -site Wastewater Treatment System Regulations The soils evaluated in the profile pits arc documented on the Test Boring Logs. Silty sandy loam soil was encountered to a depth of' six feet for profile pit 1 and five feet for profile pit 2. Groundwater was encountered to a depth of four and one-half feet (4-1/2') below existing grade. No other limiting zones were encountered to the depths explored. The soil evaluation determined a soil type 2A as described on Table 30-10-1 of the Regulations. The OWTS should be designed using a Long Term Acceptance Rate (LTAR) of 0 50 gallons per day per square foot for the soils in accordance with the above mentioned table. An engineer designed septic system will be required for this site due to the depth to groundwater. The bottom of the infiltrators can be set no deeper than six inches below existing grade. The owner will have to meet the required distance criteria as shown in Table 30-7-1 of the Regulations, enclosed. The location of the profile pits and proposed Soil Treatment Area (STA) will be greater than all horizontal and vertical separation distances as shown in Table 30-7-2. No other objects requiring setbacks from the proposed OWTS as indicated on Table 30-7-1 and 30- 7-2 of Chapter 30 of the Weld County Code, have been located or observed during our preliminary investigation, reconnaissance or detail soil investigation. It is our understanding the existing house has two bedrooms. Therefore, the system was designed with a design flow of 300 gallons/day in accordance with Table 30-6-1, consist of a Southern Office: Central Ortice: Northern Office: Monument: 719.488 2145 Culniado Spi ings, CO 80913 Englewood, CO 30112 Hvans, CO 80620 woodland Park; 719.687.6077 719.548.0600 303.688.9475 970 334.1071 Erbil/Kurdistan Iraq: 0750 192 99 44 Uhianh:wtar, Mongolia: 976 99106671 ww we .rmgenginccrs.com 19090 WCR 33 Rec Exempt RE- 1 748 (1.3 I R) Weld County, Colorado 1,000 gallon two compartment tank meeting the regulations outlined in Section 30-9-20, and an adjusted required soil treatment area of 504 square feet using a gravity system with chambers in an absorption bed. See enclosed calculations. We anticipate an approximate cover of 12" to 24" cover over the septic tank and a 12" to 18" cover over the distribution box including fill material. Both the septic tank and distribution box must have access from the surface. The bottom of the chambers should not be placed more than 6" below existing grade and will require observation ports on each row of chambers. A pump may be required to raise the effluent into the STA. If a pump is needed it should be placed in a wet well down gradient of the septic tank. The wet well should be a minimum of 2' diameter constructed of concrete or plastic that is water tight. The well will house a Goulds WS03BHF pump or equal that is capable of 30 gpm @ a 10' total head. The effluent will be pumped through 2" diameter Schedule 40 PVC pipe into the distribution box. The pump system shall be controlled by on -off -alarm floats connected to a separate stem capable of providing an alarm, at the house, with audio and visual notification when high water level is reached. We are not aware of any previous septic reports on this lot or neighboring properties that may affect the placement of the proposed OWTS. It is our understanding the existing failing septic system is located north of the proposed system by approximately forty feet. Furthermore, we are not aware of any existing easements or right-of-ways that may conflict with the proposed OWTS. We found no location of any visible or known unsuitable, disturbed, or compacted soils. We do not anticipate difficulties with the construction of this system on this site. We anticipate this area to remain agricultural/residential use for the foreseeable future. There were no difficulties encountered during the site evaluation. During system installation the subsurface conditions encountered in the soil treatment area excavation may vary from those encountered in the profile test pits. Depth to bedrock and groundwater may be different from depths reported in this report. If subsurface conditions encountered in the construction of the system differ from those reported, RMG Engineers should be retained to review the subsurface conditions. The soil evaluation was conducted at the request of Don Buxman in a location determined by Richard Stahl, owner of the existing dwelling. We hope this report will assist you with your needs. Please contact us if you have any questions concerning this matter. Cordially, Thomas M. Cope, P.E. Professional Engineer re o , S M, • •. { 5/26/I5 24995 .ii Rocky Mountain Group - RMG 2 Job No 147548 0 50 100 800 SCALE, 1" = 200' SITE LOCATION PLAN 19090 WCR 33 WELD COUNTY. COLORADO CLIENT : RICHARD STAHI 16087 WCR 40 LaSALLE, CO 80645 RMG PROJECT #147548 DATE: 5/19/15 DCKY MOUNTAIN GROUP 1601 371h STREET EVANS, CO 80620 PHONE: (970) 330-1071 FAX: (970) 330-1252 3bxn 8WrtD&r9# r i w i r i „ a LiM /: — •-C. tt' vae,vfia — TEST BORING 1 DATE DRILLED: 4/24/15 REMARKS: GROUNDWATER @ 4 5' '1/24/15m — ,. , I I L I p w w I a a a > ¢ w cn OJ z F- o ¢ TEST BORING: 2 DATE DRILLED: 4124/15 REMARKS: 4 5' GROUNDWATER@45 4/24/15 p = °0 a } w co o z w w F a a o Q a °e 1 TOPSOIL I TOPSOIL brown, moist �` brown, moist 1' ' =' I •_ !. 1 F, t, % a -a 1 SAND, SILTY SAND, SILTY orown, moist to wet, fine grained brown, moist to wet, fine grained Ih � I 2.5 2.5-- I I I N, 5- - 5A I I. ••iHait diSl "' ARCHITECTS -MG ENGINEERS TEST BORING LOGS JOB No 147548 FIGURE No. DATE 5/14/15 Structural. Ccot ichnie RMG ENGINEER 1601 37th ST. ® EVANS, COLORADO 80620 • 970-330-1071 ® FAX 970-330-1252 PROPOSED ESTIMATED CALCULATIONS ON -SITE WASTEWATER TREATMENT SYSTEM 19090 WCR 33 LaSalle COLORADO DESIGN FLOW 2 Bedroom House SEPTIC TANKS USE: ABSORPTION BED = 300 gpd 1000 Gallon Tank Soil Treatment Area (STA) Required = Design Flow (qpd) LTAR (gpd/sf) = 300 0.50 Required Area = 600 sq. ft. Bed x 1.2 Chambers x 0.7 Adjusted Required Area = 504 sq. ft. INFILTRATOR CHAMBER EVALUATION Allowable Area/Quick Four Infiltrator® Chamber = 12 sq. ft. per unit Infiltrator® Chambers required: 504 sq. ft = 42.0 units 12 sq. ft/unit Minimum Chambers = 42 units USE: 3 units wide x 14 units long Table 30-6-1 Table 30-9-1 Soil Type = 2a LTAR 0.50 Table 30-10-1 Table 30-10-2 Table 10-10-3 j NOTE: INSTALL MIN. 42 H-10 QUICK -FOUR INFILTRATOR UNITS IN ACCORDANCE TO MANUFACTURER RECOMMENDATIONS. Flow Rlw RM1 SEPTIC TANK NTS PLAN 3' MAX NTS -` TRENCH J O I p In N W ' 2 W W ofoIE N F A -A NTS 10 MIL LINER INSTALL FROM TOP INFILTRATOR TO 2' BELOW EXISTING GRADE. I47548SEP NDIV DUAL SEWAGE D SPOSAL SYSTEM R CHARD STAHL PROPERTY 19090 WCR 33, LASALLE, COLORADO RMG Engineers Group NNNNNNNNNNN 1601 37TH STREET EVANS, COLORADO 80620 (970) 330-1071 DATE: 6/1/15 SCALE: PROJ. NO: 147548 N J .& DRAWN BY: T.M.C. SHEET 1 CHECKED BY T.M.C. OF N CA ad Ul E N d O b � w LL 3 u 0) O- - N in C Om {0 f0 'u Y i '7c0 - cow M Q E FUt cm M N mL Y r V C 5 L) O CZ (0' - WI. act d C 0ct -.L • c0 c E C E C y Y i w F I t u) LU IC) a o co L Y 3 (0 E rn (' m< O C', C) Lo O' O LO. O O 0 `7 r r r r r r LJ p U -c O E c Y fl O p ' p N Lo Lo 1O Q O1' N Lo Lo in N N N N N ciiY L ( C c N C N O O W O o Cj LO O a Lo p r r N r r N o C cn a o p0 O O O O O c O C C O OJ aJ.`D r r r r r r r r m _ C_c c C 5'O U) p O LO Lf) L1) In N Q o m T c Un Q d N N N N N N N N LU Cl. (0 U n C 1!) ( �O �ifi N t1 O O O O O J -J r r N r r N r r a C 0row C. O j J Ln LA (o ((o Lo O r o a v E a c c 0 N C -D C° E m a -S o D � m m FE E w c O O 0 mLeLyn O H CO (n a a Ln rJ- T L try r F`, O F@ Y m r aawQ Lon o` v v w a c w _ o �° cQ v Q H o J cm 05 a�i c0 O .C a'C O) N d O �t?l N mD C/] �_ C GC mC c y 3 O U) O (4 Q d) N C O (D W 0 _T 0 O - Ol OI T,N J E YQ a Q vL c . O0 a�.c C — t Q c` —L ns Z ar ;, a O z o m N wm oto.- m -aJ Q N E w m (I) (I] J c N J T a o O 0 O cn M M vz� 'C',' 0) '4 III a. O O - - - In - - - - - -. - W ` C m w a aii W a OO C d W O Ol CN CL a n m (Y o O O LO o o 1O o O C` W w LT J W (D U) 0) M N r Q W E a O1 O O O O Co O O O a N N v L1_ W I- co OIQ Q E O J J C - - - - -- -- -- __. - --- Cu O c O u) u) O O LO O oN + a I ` a] V f1 c0 c co ' N N q CO r r O C, I - W a W W m O O O ca _ W O .... C �. C W —. 61 Y W W (U to a W- Q I — CD C7 W rq (Y) r to ,`- 7 C v C C N O N (n U] m O C) W 0 WO. Y m N N 0.' C7 v CD CD O 0 Y c Q I 1 U EO u C70- [b c m [b [b [b amp Xo rr a a a a a CI ai u ) a W C C ow = in = mE �_ W 60 _mE _ O.a) E E U) Q F- v EEoN N u) o E J E J E� m N E > o o m o m _m o F q J E J E JU JU U T U a _("J .-. _ E -O N _� W J (I) Y O U U W ON� - J UU) 3c0 O l`7 U) / V) ) ('.30 V) J W J (I) Cl) Cl) O C N N M M V N O Ti C Cn Co C O CO2 I (d C Ul C O) Co a M III CD a, LA Architecture Materials Testing Structural RM I• Forensic Geotechnical Civil/Planning ROCKY MOUNTAIN GROUP Job No. 147548 June 2, 2015 Mr. Don Buxman Buxman Excavating, LLC 32186 CR 29 Greeley, CO 80631 Re: Dosing Siphon Pump option 19090 WCR 33 Rec Exempt RE -1748 (1.31R) Weld County, Colorado Dear Don: This letter is an addendum to the Replacement OWTS system design dated May 26, 2015. This letter provides an alternative to the pump system described in the May 26, 2015 design. A mechanical automatic dosing siphon may be used instead of the electrical pump. A 2" diameter dosing siphon with a 12" drop contained in a 2' diameter wet well may be used. This will provide an estimated 23.5 gallon dose with approximately 12 doses per day. An alternative would be a 2" diameter dosing siphon with a 4" drop contained in a 4' diameter wet well. This will provide an estimated 31.3 gallon dose with approximately 10 doses per day. Both options will require an effective screen around the siphon or screened effluent coming into the wet well. This system will work best if the outlet of the wet well will travel in a minimum 1'% slope thru a 3" diameter pipe to the distribution box to be evenly distributed to the bed. Please contact me if you have any questions, Cordially, Thomas M. Cope, P.E. Professional Engineer Southern Office: Colorado Spi ings, CO 80918 719.548.0600 Central Office: f+nglewood, CO 801 12 303.688.9475 S? RE SM. IS '.. • •• 24995 `� • ss��IVA l Northern Office: Monument: 719.488.2145 Evans, CO 80620 Woodland Park: 719.687.6077 970,330.1071 Erbil/Kurdistan la aq: 0750 192 99 44 Ulaanbaatar, Mongolia: 976 99106671 www.raiigcngtnccrs.com Dosing Siphons are used to convert small continuous liquid Iloi,vs Intu large, intermittent closing floods for pressu�lz'Lng uistrihution system; where geography allotws loi gravity discharge "ON" Drool Qwtl "OFF" Sipnon -- I lex hose !iiEr!_ 17 DV T FLT; �-—Suppoir liip 2 -inch (50 -mm) Dosing Siphon Components cifications Ellluenl screen Bell External (:onneclo Orenco's 2 -inch (50 -mm) Dosing Siphon is enclose;! within an Diencoscreened vault for dosing from within a single-conlparhuent septic tank. Included a/tth the siphon rare a vaull, mesa screen, suppoit pipo, flax we and a textured external connector For mare information on Orenco's screened vaults, refer to he Sc!eened Vauils Technical Data Sheet (NTD-SV-SV-1). 031204, 0S1204F, OS1208, OS1208F, OS1210 OS1210F, 001212. OS1212F, 08121 Li OSI2 14F Product Code Diagram osiz[J[I Signal final apron: Blank = no signal Moat r - signal Iloal incIurleii Drawdow%n. in. (Hunt: 1)1 = L (100) 08 = 8 (200) 10 = 10 (254) 12 — 121305) I4 = 14 (356) Siphon diameter. in. (inm): 2 =- 2 (50) Dosing siphon Materials of Construction Siphon and support pipe PVC per f STNI D 1784, D 1785, and D-2241 Screen top and base Blue law -viscosity polyurethane Screen body Black medium density polyethylene with UV stabilize! Vaiil! hndy PVC pipe ;ier ASTMI D 1(84 and SOS 432E Vault base Fiberglass reinforced plastic Hex hose Plastic Dimensions, nominal OS1204 OS1208 0S1210 OS1212 OS1214 Siphon diameter; in (mn1) 2 (50) 2 (50) 2 (50) 2 (50) 2 (50) Drawdown, in. (mm) 4 (102) 8 (203) 10 (254) 12 (305) ' 4 (356) :vg. discharge, gpm'Usccl 30 (1.89) 30 (1.89) 34 (2.5) 34 (2 5) 38 (2.4) 'vault height, in (mm) 48 (1219) 18 (1219) 48 (1219) 48 (1219) 48(1219)- Vault diameter in. (mm) 15 1375) d (3(5) 12 (300) 12 (300) 12 (300) X = 'ON'' level frrnt tank lap, in. (mm) 12 (305) 7 (432j 1 I (432) 17 (432) 17 (�32) Orenco Systenis® Inc. , 814 Airway Ave., Sutllerliii, OR 97479 USA a 800-348-9843 • 541-459-4449 • www,orenco.com N70-SI-SI-1 Rev. 1.2, c7 09/14 Page 1 of 1 E N E W z a N Q K, m a (n 9 0r oft Cl w p f ¢ z c 8';? I - z In 11��II I rn 8 w o' -. .� va rgo- w o J r N. o m. �� n, - L. O to 4) W E m c_ b I CV E Q) 4- (O A Cl) 0 CO V J 0) O N L S N C U 0 N E c p I ao -- E N E 4 o o ' '' vp .... N N N c . C cLi o o n a .� .L ` o m u m � v ti; o vl a. T `? uL- c IN/1 N m a J •4 O O N 41 r o to h O ii CL c C . . O U@ ti N -O $ Z J U o in O 4 O Ui N 3 lL Jl_ d� G N O E rLL� � � 3 G V N o 00 — U C. -S - a c n n N• U C T N a E Q ai T N N 0 Ol a m w 0 - 'o C O a ci a u� s Architecture Materials Testing � � � Structural Forensic Geotechnical Civil/Planning ROCKY MOUNTAIN GROUP Job No. 147548 May 26, 2015 Mr. Don Buxman Buxman Excavating, LLC 32186 CR 29 Greeley, CO 80631 Re: Replacement On -site Wastewater Treatment System 19096 WCR 33 Rec Exempt RE -1748 (1.31R) Weld County, Colorado Dear Don: Please find enclosed soil evaluation review and design for a replacement On -site Wastewater Treatment System (OWTS) for the above referenced site. A representative of RMG — Rocky Mountain Group performed soil evaluation of two soil profile test pit excavations on April 24, 2015. The profile pits and soil evaluation was performed in accordance with Weld County Department of Health and Environment On -site Wastewater Treatment System Regulations (Regulations). The soils evaluated in the profile pits are documented on the Test Boring Logs. Silty sandy loam soil was encountered to a depth of six feet for profile pit I and five feet for profile pit 2. Groundwater was encountered to a depth of four and one-half feet (4-1/2') below existing grade. No other limiting zones were encountered to the depths explored. The soil evaluation determined a soil_ type 2A as described on Table 30-I0-1 of the Regulations. The OWTS should be designed using a Long Term Acceptance Rate (LIAR) of 0.50 gallons per day per square foot for the soils in accordance with the above mentioned table. An engineer designed septic system will be required for this site due to the depth to groundwater. The bottom of the Infiltrators ca.n he set no deeper than six inches below existing grade. The owner will have to meet the required distance criteria as shown in Table 30-7-1 of the Regulations, enclosed. The location of the profile pits and proposed Soil Treatment Area (STA) will be greater than all horizontal and vertical separation distances as shown in Table 30-7=2. No other objects requiring setbacks from the proposed OWTS as indicated on Table 30-7-1 and 30- 7-2 of Chapter 30 of the Weld County Code, have been located or observed during our preliminary investigation, reconnaissance or detail soil investigations. It is our understanding the existing house has two bedrooms. Therefore, the system was designed with a design flow of 300 gallons/day in accordance with Table 30-6-1, consist of a Southern Office: Central OR1ee: Northern Office: Monument: 719.488.2145 Colorado Springs, CO 80918 Englewood, CO 80112 Evans, CO 80620 woodland Park 719.687.6077 719.548.0600 303.688.9475 970.330.1071 ErbiltKurdlslan Iraq, 0750 192 99 44 Ulaenbsater, Mongolia; 976 99106671 www.rmgenglneera,com 190fO WCR 33 Rec Exempt RE -1748 (1.31 R) Weld County, Colorado 1,000 gallon two compartment tank meeting the regulations outlined in Section 30-9-20, and an adjusted required soil treatment area of 504 square feet using a gravity system with chambers in an absorption bed. See enclosed calculations. We anticipate an approximate cover of 12" to 24" cover over the septic tank and a 12" to 18" cover over the distribution box including fill material. Both the septic tank and distribution box must have access from the surface. The bottom of the chambers should not be placed more than 6" below existing grade and will require observation polls on each row of chambers. A pump may be required to raise the effluent into the STA. If a pump is needed it should be placed in a wet well down gradient of the septic tank. The wet well should be a minimum of 2' diameter constructed of concrete or plastic that is water tight. The well will house a Goulds WS03BHf pump or equal that is capable of 30 gpm @ a 10' total head. The effluent will be pumped through 2" diameter Schedule 40 PVC pipe into the distribution box. The pump system shall be controlled by on -off -alarm floats connected to a separate stem capable of providing an alarm, at the house, with audio and visual notification when high water level is reached. We are not aware of any previous septic reports on this lot or neighboring properties that may affect the placement of the proposed OWTS. It is our understanding the existing failing septic system is located north of the proposed system by approximately forty feet. Furthermore, we are not aware of any existing easements or right-of-ways that may conflict with the proposed OWTS. We found no location of any visible or known unsuitable, disturbed, or compacted soils. We do not anticipate difficulties with the construction of this system on this site. We anticipate this area to remain agricultural/residential use for the foreseeable future. There were no difficulties encountered during the site evaluation. During system installation the subsurface conditions encountered in the soil treatment area excavation may vary from those encountered in the profile test pits. Depth to bedrock and groundwater may be different from depths reported in this report. If subsurface conditions encountered in the construction of the system differ from those reported, RMG Engineers should be retained to review the subsurface conditions. The soil evaluation was conducted at the request of Don Buxman in a location determined by Richard Stahl, owner of the existing dwelling. We hope this report will assist you with your needs. Please contact us if you have any questions concerning this matter. Cordially, ee 5/26/I5 `gyp'' j 24995 izz Thomas M. Cope, P.E. ��`l+0IVAI Professional Engineer Rocky Mountain Group - RMG 2 Job No. 147548 a. V4ts1 } 1]al a .na (�.t I, I'n`i 1.l SaA: ` It 1u • 1 �4 t�i1 QSi t • w I L31. sa 1i ii;i _ a L_•1 ±�I 1n1 I ul l Ly1 L.t as 1u Ialal 1, r�iti51, „i 1 _. ,. I .r VICINITY PLAN 19050 WCR 33 WELD COUNTY, COLORADO CLIENT : RICHARD STAHL 16087 WCR 40 LoSALLE, CO 80645 RUG PROJECT =147548 DATE: 5/19.15 DICKY MOUNTAIN ,GROUP 1601 37th STREET EVANS, CO. 80620 PHONE: �}3,�0I �3�f))30-1071 FAX: (9701 3O -12S2 li YI 11 ys p 1 %� Sf { '�1 -.tom-• I iZ .Il. 1 I II a [ T toc 04 w.y�y it f/ 1 ac__ _ - � j BORE LOCATION cuENT : )ROCKY MOUNTAIN RICHARD 087WCRTA4L PLAN GROUP LASALLE CO 80645 1601 37th STREET NG NN E EVANS, CO. 80620 190§0 WCR 33 RMG PROJECT 147548 PHONE: (970) 330-1071 LASALLE, COLORADO DATE; 6/1/15 FAX: (970) 330-1252 NOTE: INSTALL MIN. 42 H-10 QUICK -FOUR INFILTRATOR UNITS IN ACCORDANCE TO MANUFACTURER RECOMMENDATIONS. i.. OBSERVATION PORT (1w) 10 MIL LMER - b I Flow A 1,000 Gallon - b � Septic Tank _ �r 56' i 3' MAX Distribution 5 •� _________ ) BoX MIN. 62' MIN. - PLAN 3'MAX NTS orai. ■aC 10 MIL L NER + abl* o -- R19TALL FIiOY rr M(Mird,L TOP RL#R.TRATOR �L'KtWrT � ti TO Y BE OM ate.rf RMrtam b Dail E)MMI G GRADE SEPTIC TANK NTS A - A' NTS 1475485EP INDIVIDUAL SEWAGE DISPOSAL SYSTEM RICHARD STAHL PROPERTY 19050 WCR 33, LASALLE, COLORADO RMG Engineers Group 1601 37TH STREET EVANS, COLORADO 80620 (970) 330-1071 DATE: 6/ 1 15 SCALE: PROJ. NO: 147548 N.T.S. DRAWN BY: T.M.C. SHEET 1 CHECKED BY: T.M.C. OF 1 • Structural • C3ectach lkral RMG ENGINEERS 1601 37' ST. • EVANS, COLORADO 80620 • 970-330-1071 • FAX 970-330-1252 PROPOSED ESTIMATED CALCULATIONS ON -SITE WASTEWATER TREATMENT SYSTEM 19050 WCR 33 LaSatle1 COLORADO DESIGN FLOW 2 Bedroom House = 300 gpd Table 30-6-1 SEPTIC TANKS USE: 1000 Gallon Tank Table 30-9-1 ABSORPTION BED Soil Treatment Area (STA) Required = Design Flow (gpdj Soil Type = 2a LIAR (gpd/sf) LTAR = 0.50 Table 30-10-1 = 300 0.50 Required Area = 600 sq. ft. Bed x 1.2 Table 30-10-2 Chambers x 0.7 Table 10-10-3 Adjusted Required Area = 504 sq. ft. INFILTRATOR® CHAMBER EVALUATION Allowable Area/Quick Four Infiltrator® Chamber = 12 sq. ft. per unit Infiltrator® Chambers required: _ 504 sq. ft = 42.0 units 12 sq. ft/unit Minimum Chamber = 42 units USE: 3 units wide x 14 units long Scanning Cover Sheet for Septic Permits Permit # G19950090 Permit Type: Situs Street Address Situs City, State., Zip Sec/Town/Range: Parcel # (12 digits) Owner Full Name: Owner Address: Contact Name: Contact Address: Health / EHS History! EHS Conversion History 16087 CR 40 26 -04N -66W 105726000028-R1010396 SCHWAB ALBERT DONALD 2295 MARSHALL ST DENVER,CO 80214 Application Status: Finaled Application Date: 03/11/1996 Owner Phone #: 303 2376111 Contact Phone# Information above has been Verified in Accela by employee noted below Processed by: Report ID: EHS00024v003 Print Date -Time: 8/11/2008 3:35:54PM August 11, 2008 Date Page 1 of 1 •1 r) . i • 1 i I_.1L.i[_ _)enF :E1+.17::!:E':?11:)1.)(11_. `+Ic:.WA(:al:_. 1.):C.:_ar''C.:1;:af-•IL... { ! W E: I.... I:? 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Iii...."it11.._ I"ti E:_f'_iL11__A'IF:I.,C:.1+J;i1 A1)C1f"'II.::I) F. :F? •3l..JAP11' 1,(1 r11C"I"I('I,_E.: :L':!. '1`:f"I"1....1-:: ;"_'`'.:1.. l'::I=11:1 :Lsi!:�:•':, f§l:a Alwll.a�l1)G:=I1. ,.._ 1_Yt:E.:f='"F F•C')f; "I"Hf� F'l..Jlid III JCIN C11' E:::fci l AE3Lii: H:L'I'IIIG F"I1\1AL F'•sf'F'f CJ':?Fil_ C]F" i:ir1 :l:I+J<f r,L...L..E.T) CJY 3'I'f."a"I •F"CJI�' Y... • •_.• T13fil.JAPJ(: L: CIF- A L._0C.:;i1L... CNdIC;.I.JF'ANCY FI. F;I'1:1: 1- F"'LJR';: L.JA!+.I'1. "I"C] C;Filri :14•:1.1' ::; C;..1 I.(:! 1.:1.1 (',`:)„ fiF":'"l'f"ThIF11 (-KaF'I :If'.'•'�L+II C"C1F'Y L,1f'IIi:1 L+11'H )_F::I.!:..; n -16J44•' 1C1fl l• HoiAse— • Ckc&auWrto I.j �`�~3q' r r 4 HCIF'IC)6P ' INDIVIDUAL SEWAGE DISPOSAL-. SYa I EM PERMIT NO. 9--95009C) CO WELDCOUNTY I-Jr•__AL-Ti-I DEF'ARTMI-N•1- REPAIR PERMIT ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COLJRT'r' . GREELE. CO 90631. •�I.-Ir-1 _J[7..1 �I E • real j—�... OWNER SCHWAB, AL-? ERT DONALD ADDI�;ESS .... 'i'C i1ARSHAI_.L_ Cl' F'IJ t:=t):'J :, '7 6111 EI)GEWATER C(_! Be ADDRESS OF PROPOSED SYSTEM 16t?ci7 NCR 40 LASALLE CD 8064`_=5 LEGAL UF=^CF;IF'TIOhJ OF SI'TE� UJ.^ SUI-,DI':)or I0N USE TYPE: RESIDENTIAL_ I -JOUST= c:iERV'ICL—:. ' F'EFe."S0NS 4 ElATF-IRDOMS ?BEDROOMS 4 BA SEMEN C 5W4 SEC:; 1.00 PL(.Jr' BINCJ .^6 TWF' 4 RNG 66 L_OT- t.) BL.OL.; :. C) FILING C) L.CT c:I7_F !3�=).C)O FiL:RE_S NO ('•Jri TE h; SUPPLY CWC!WD APPLICATION FEE 24C ).C )C ) DATE - r ).__'/- �=)/r C� SIGNED E;Y VE::F�:NC:Jrd CI IL. DATE"_ C) _I, :.':.i,' PERCOLATION R"PTE. I MIN F'EfF; INCW:I_•I L.:[I�]:L'TINCJ IC!NE: N"E F- 1 GL!7:1_ C'YI 'E_ (,t — _._._ !='EFsr`I: NT .. �O(JN % SL!:: PE 0 Y. DIE;! CTIOh! F:E"C?UIREc:' EN -t. IiEcijtN IJ. r? IN 100 YEAR FI._.C:'['I) PLl:•ilN lLJ FROM rl IL AF•F'i...ICATION Ir:IFOF�;MA'1-IC'lr••I EaUF'F='LIED AND THE Or•J--` I"! E SOLI... PERCOL..ATION DATA rI IE:: ••__••.i _L._C-!UJ:I'N(� PiT3JIh'll_Jhl INSTi1LL..A-110N 't f::'[' .... -ICrA14I:0NS f•yRE.=. RE C..L.1:ERE'I)II L. F._F'TIC "rAh•Jk:: f.3AL L_C1hJSa r�HSDI;;r'T ION l 'rNC)! ! (Q6o st r= I . (.3 F. ABC: ORF'T 31'01•) BED �� SCI. F II•J Ar;I.)ITa:C,lr�1, THIS PERM ' "1" IS (JE'JEC. I CO THE f-OLLO�JI:NC:.r ADDITICIN 1 hJJ:: F'ERrIIl" :C.c CaRAIJI'ED "rEMPDF(FnRIL_'Y TO Pd OW C;ON:aTFa.JC "FICIN TCl CC MMF=:h•J(�'E:. THIS F'E: RI I:Ia.. MAY BE REVC: K.E::D OF; SUSPENDED BY THE' WE.L_I:) COUI'•J-I-Y HI:_Al.._'r'I•-I DI PAI:;,TlyIE_r••IT f•!: R REASONIZ:.; SE'T FORTH IN "'i 1-•IE WELD C:,UUNTY INDIVIDUAL S[_ WAGE' D1SP(::iC+6-�iL_ •�=Y":+l"C R[= GULA"r10NS IN!C!....UI7Ir•JC i FATI_U!=':L. "r (:l MEE.I lil'•J''r' •"C'!=f�:hl (71 CCihJDI"r'1'(]h.l '!:MC='C]SF�I 'T'IIFI:E:C:iN Dl.1F::[NG l'L•_Mr'OF;AF:Y OR FINF1•L APF'RO'•JAL... THE IE;≥LJEiI'JCE CIF' TH::C:i F'ERMIT DOES NOT C:OI%JLil•I ILJTE ASSLIMF' I° TC.JN r^? l"FIE DI PARTMEN'T OR ] J I MFlI._(IYEE S OF- ...I •i. FOF�: T H F UFgE O INADEEQUAC Y (71 ! ! •i i• .SEWAGE Ii 7: c:iSA. .SYEM ST. - €l! EN'•JIF•;OI " a. I i�L..45--:Car DATE: Q,pTHIS PERMIT IS NOT TRANSFE -%HEIL.E� AND SI•JA1.._L._ BECOME VOID :[F SY•': iTEM CONsTRtic"i :[Orl HAS NOT C,"DMME.:NC:;ED WI-rHl:ry ONE YEAR OF IT I. -.-J ANCE. F!E=:FOF:E: ISC.iUI:NG F:[P.IAL. AF'F'r;;OVA1... OF TI-JIS PERMIT THE WELD CO(. NTY ! IEALTH DEPARTIIE!'J"I- RT SERVES THE F1,1GI-Al' r'O IMPO S1= TIONAL. TERMS AND CONDITIONS REQUIRED TO MEET OUR F�:EGUL.ATIDNS ON A CONTINI.JING IAA — SIS. FINAL PERMIT APPROVAL I7 CONTINGENT UPON THE FINAL. INSPEC:I-IC:II- OF TFIE C011 — PL ETED SYSTEM BY THE WELD COUNT`,' HEAL_TI-J DE:F'AF:TMEN-r Y DRI(:ilrJ(>�L... riF'1='L..:f.Ci11*•I'1 %. 1.Jr''i'•—L'JL:;I•lD WCHI))•- E:I I`:ci i"IA'1 ]. ?F�'I 4 WELD COUNTY HEALTH DEPARTMENT ALEVMUATION OWNER: Schwab ENVIRONMENTAL PROTECTION SERVICES A l ber+ D.bn& 4 APPLICATION NO.. /: r2OO IO SITE: 160$x- INCR +0 PT W2SW'IS T 04 R _OHO DATE: 03j22/15 SUBDIVISION: a, LT BLK FLG r ____ ___________ ___________ - PERCOLATION TEST DATA: Start Time: 3,U, Hole Hole H2O (0 1O /0 min. No. Depth Remain min. min. min. min. min. min. min. min. min. MET o v�D 33'' X15 1 3 3u _ X15 7.o 2 31" 0 3 +0. &14 _,3 X13 a �a5 ao5 165 , c7 3 331t I a� d ass 8Ss5 4 33 5.. a� 3.2 3.0 3I. 0 O 3+ 3_ 3o 515 5 345'' -70 60 60_. ____ , 0 4.2 •fln±_•_____ 0 a v a� ay55 0 5 6 3s 30 a,5 43 g,5 Ib2 All measurements in .m unless otherwise indicated. * - Add H2O Total Environmental Specialist l 'f, Average Rate .I PLOT PLAN T SOIL PROFILE brw s"o,'y /o&*4ry 96 ' P o y L CI try 30 ho jroa8 g�� 0 5 ` Mo+&+ brw ccw4 N PO WCR 40 I - - - - I HSF'1t::?6F' APF'L.I(..ATION FOR INDIVIDUAL SEWAGE DTSPu-sAL_ SYSTEM NO,. C�-•'=1Crr("?�7r._r WELD COUNTY HEALTH DEPARTMENT REPAIR AF'F'I_..I(:.:A-rI(:.il^J ENVIRONMEN"IAL. HEALTH SERVICES 15,17 16TH AVENUE COURT,. GRf_= EL.E"'r'. CO cr-S(:)6 � 1 OWNIE R SCHWAB.. ALE ERT DONALD ADDRESS 95 MARSHAL.(.. r F'H (;'-•:(? �") -'--•"'.-611.1 EDGEWATER co 80214 ADDRESS OF PROPOSED • SYSTEM 1c7(_?(� l LA LL A NCR 4( r E CO Si645 LEGAL_ DESCRIPTION OF SIT'C_: SUEg1)IVIE-IONa LJSL= TYPE : RESIDENTIAL SEF:;VIC.E_Ss PE RS0NS 4 F3EDF UOi ' 4 W2 HOUSE. BATHROOMS BASEMENT SW4 SEC hoC' PLUMBING :,?6 TWI=' 4 RN(� 66 LOT UI64L 0C: K LOT SITE El(_r. =i r ACRES NO WATER E3LJF'F'I._.V 0 F'ILIN6 it AP'P'LICANT ACk::NOWL.E:DGES THAT THE COMPL...ETENE SE' OF THIS APP!. ICA'1"ION IS COMA-I-TflNAL. UPON FLJRTHL'-F: MANDATOFtY AND ADDITIONAL.. TESTS AND REPORTS AS MAY BE i EQUI' ED E?Y THE WELD COUNTY HEALTH DEPARTMEN r ddr,o ICE Mr"4DE AND f' URNISHr D BY T!- E APPL.7:(.-.:r;hdl" ["P, BY' lI-•IE WELD COUNTY HEALTH DEPAF:'1"ME NT FOR 1='iJF Pt1SE S OF THE EVALUAI ION OF THE API 'I....IC [CA I, AND THE ISSUANCE. OF THE: PERMIT IS SUBJECT TO SUCH TERMS AND CONDITIONS AS DEEMED NECESSARY TO INSURE COMF'I.,.IAIVC:F WITH RUL_I: S AND IREGLJL..AT IC1NS ADOF'TE D UNDEI AP7:T:I:CI. C 1(;>, TITLEW :.'`:'. ( :Rwi 1`� ,' AS AME:NDE1). THE; AF'F•'LIfMAIV"r Cr_' RTIFIE_S "I"HAT "rl-!E:� PR[)POSEI) C Y' '1 LI`1 WIL_L._ hl(J-To ESL•. L_C.1CA.r._D W:...... :N 4(_?(_? FE'E:l" OF A COMMUNITY ;EWA(:7L'E S`{ST ICI. TFII LJNL'�E=F�SI(�NE1) I-1E.RE:E�Y C;ER'1"IFIE- THAT ALL. STATE=MENTS MADE. INFC_1RMA-rION AND REPORTS SUIDMIl""I"ED I••IEPq'I_WITI-I AND REQUIRED '1"-J TiE_ SUI)M:I:T"I"CED I_BY "rl-1E_ APF=1.41CANT' ARE• OF;: W:ILI... E'I:_, REEPRE SE�.NTE D "I-0 BE TRUE AND (";OF?RE:I I" TO "r'F—ICE k:iE:;7"I" C'iF=' MY KNOWLl__DGE AND :F'iE:LIEI--. AND ARE DESIGNED "I"O I_iE Rl:.4I._.:!:EI') C:11'J BY THE WEL..D COUNTY 'IF-. DEL'- DE:PAR.I"ME::hJT IN E':'JAI.._UA•11:hJG THE. SF5ME:='fW'�I P'UF F'(. -J1 E. 7 OF 7r -r• LJJ:N[a THE PERNIT APPL-J:EI? Fr)k I IE.F:F=IN. I F'LIFiI"I IE:Fi Llhli:?E:F;: S"CAhJD THAT Ar.!Y F=AL...SIFICAT:[OhJ OR 1�1I ;r; EmF'I:!:�• . •_'NTATION MAY I�:E_;:)(.JL"r IN T! -1E DENIAL_ 1* r',- - APF'I....I( AT.T.ClN OR REVOCATION OF ANY PERMIT' GRANTED BASED UPON ;E;r-.:r.l) a^AF'I 'I...:I:CI;TICirJ A! JI:? IN L...EGAI_ ACTION FOR PE=:RJ(.JP:Y AS PELAW.ROVIDDLAW. AF'r LIC:;ATIOhJ F'EE $:Ly_'C�.(_ri r 'k -(""D DY DATE irw';J:22(_?/95 VEWRNON :E(_;IL. OWNERJE-1GF':_NT' -_LiNATUR Df-)"rE. CJR:f.GTIdF�I_ rF''-'L.ICAI'J r� COPY--WCHA.? L�J(_;I-ID--•AEI-I`� I"1A'r`„ 1.'•�'fl�l I -' Wk .l1, COust HEALTH DEPARTMENT ENVIRONMENTAL PROTECTION SERVICES 1517 16th Avenue Court Greeley, Colorado 80631 (303)353-0635 I STATEMENT OF EXISTING FOR SEPTIC SYSTEM • •Ol. 1. I e • • (PLEASE FILL OUT IN BLACK INK ONLY) OWNER OF RECORD : [.v PHONE:3 3 9 C7 c/a MAILING ADDRESS: .. I SITE ADDRESS: W a 3 1 YS7 City State Zip LEGAL DESCRIPTION: PT: PT: SECTION:2 , TOWNSHIP: _.-l►rf�; RANGE: (e6 SUBDIVISION: y - LOT: 4 - BLOCK:y FILING: // NUMBER OF PEOPLE: `7 BATHROOMS: 1 LOT SIZE: 0 BEDROOMS:_(_ RESIDENTIAL r COMMERCIAL BASEMENT PLUMBING: Yes 0 WATER SUPPLY: C IV it) D SYSTEM SIZE: Tank is constructed of I �n��-,� �� ,. and has L, ,�, V_r,n,,• �,� gallons capacity (material) FIELD: Bed sq. ft. or Trench wr✓L. sq. ft. DATE SYSTEM INSTALLED: ry You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location, length, width, and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel of ground identified by the above legal description and further states that the system is in good working order and to the best of his/her knowledge is not failing to function properly. I Ii I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby yub.uitted and ilia -legal -ac.zion for perjury as provided by law. 'f : I f Da Owner 1 Subscribed and sworn to before me this O day ofT s . 1 LM Witness my hand and official seal. STATEMENT OF EXISTING REVIEWED BY: My commission expires: Notdry Public F 199-j' VA vironmental Protection Specialist I Z I O k K a BLACK INK ONLY! N W E S igo5o Ct33 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 '. E.p•V! www.weldhealth.orgixhlica1#il Health Administration Public Health B Clinical Enviren mental Heattlh Communication, Emergency Preparedness Vital Records Services Services Education & Planning & Response Tele: 970 304 6410 Tele: 970 304 6420 Tele: 970.304 6415 Tele 970 304 6470 Tele: 970 304 6420 Fax: 970 304 6412 Fax: 970.304 6416 Fax: 970 304 6411 Fax: 970 304 6452 Fax: 970 304 6459 Our vision: Together with the communities we serve, we am working to make Weld County the healthiest place to live, learn, work and play. Septic Permit - Final Application Number:SP-1500191 Owner Name:STAHL RICHARD Site Address: 190S0 CR 33 App Type: Health\Residential\Repair OWTS\Septic DON BUXMAN BUXMAN EXCAVATING LLC 32186 CR 29 GREELEY. CO 80631 Parcel #: 105727000022-R4423486 Legal Desc: 17206 E2SE4 27466 EXC UPRR RES (3R) Work Description: HOUSE EHS SEPTIC GENERAL: Associated Disaster Permit Location Description Number of Bedrooms Number of Persons Parcel Acres Public Water Supply Public Water Supply Utility Repair Reason Type Waive Fees EHS SEPTIC ACTUAL (FINAL): Septic Tank Size, gallons Chamber Model Design Type Lift Station No HOUSE 2 2 81.73 Yes CWCWD Repair for Failure No 1000 Quick4 Standard or High Capacity Mounded Absorption Yes Finaled Application Status: Finaled Applied Date: 06/17/2015 Issued Date: 06/19/2015 Finaled Date : 07/14/2015 The issuance of this permit does not imply compliance with other state, county, or local regulatory or building requirements, nor shall 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, CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to 25-10-112(1)(b), C.R.S. This narmit Is non -transferable and non-refundable. 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 was contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. Benjamin Frissell-Durley July 14, 2015 Environmental Health Specialist Print Date Time: 7/14/2015 Date 11:26:48AM Septic Permit - Final EHS033 Page 1 of 1 u E j9o9v ca '33 sp •• x Soo A (3 �x Briar+ aX CAXNh � uu� 'l.t m Vy C 1E A Y 5 a AC a t r yA4 - a j w w _ a I 1} H Se 64` sa` 55` c g' Iii t G rl$-*r'`)VNu. \O x. V QC^ 7TC� 1'R.Yti��('0.TDS'-YES T DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ,1 `= 1555 N. 17th Avenue WGreeley, CO 80631'_ �4www.weldhealth.org pubg th Health Administration Public Health & Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education & Planning & Response Tele 970 304 6410 Tole 970 304 6420 rele 970 304 6415 Tole 970 304 6470 Tele: 970.304.6420 Fax 970 304 6412 Fax 970 304 6416 Fax: 970 304 6411 Fax: 970 304.6452 Fax: 970.304 6459 Our vision Together with the communities we serve we am working to make Weld County the healthiest place to live, learn, work and play Septic Repair Permit Application Number: Owner Name: Site Address: SP -1500191 STAHL RICHARD 19090 CR 33 App Type: Health\Residential\Repair OWTS\Septic DON BUXMAN BUXMAN EXCAVATING LLC 32186 CR 29 GREELEY, CO 80631 Parcel Number: Legal Desc: Work Description EHS SEPTIC GENERAL: 105727000022-R4423486 17206 E2SE4 27466 EXC UPRR RES (3R) HOUSE Application Status: Final Pending Applied Date: 06/17/2015 Intake Person: MSWAIN Permit Expiration Date: Associated Disaster Permit No Location Description HOUSE Number of Bedrooms 2 Number of Persons 2 Parcel Acres 81.73 Public Water Supply Yes Public Water Supply Utility CWCWD Repair Reason Type Repair for Failure Waive Fees No Septic Permit With Eng Design EH: Print Date -Time: 6/19/2015 9:32:03AM Page 1 of 3 EHS PERC TEST (SITE) : BOH Variance Required No Engineer Design Required Yes Ground Slope 2 In 100 Year Flood Plain No Limiting Zone Feet 4.5 Limiting Zone Qualifier Equal To Long Term Acceptance Rate 0.5 Percolation Rate Qualifier Greater Than Percolation Rate Value 26 Profile Pits 2 Slope Direction West Soil Type 2A Soil Type Suitable Yes Treatment Level 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: En ineer's Specified Installation Recommendations: Dosing Specified No Engineer Design Absorption Area Specified 504 Engineer Design Chamber Specified Quick 4 Standared or High Capacity Engineer Design Number of Chambers Specified 42 Engineer Septic System Design Type Specified Chambers -Bed Lift Station Specified Yes Pump Size 30 Pump Specified Yes Septic Tank Size 1000 CONDITIONS: Description: Permit Conditions Comment. Approved based on Engineer evaluation. Construct according to Engineer design. System must be 10 feet from property line. A lift station is required. Lift station must be designed by an engineer. Install septic field along the contours. Install the septic field in the area of the soils perc tests. Place bottom of new septic system no deeper than 6 inches below original grade. Keep vehicle traffic off of septic system. Septic tank must be at least 10 feet from any potable water line, unless water line is encased. Septic Field must be 25 feet from any potable water line, unless water line is encased. Septic tank and septic field must be at least 50 feet from any unlined ditch. All Weld County regulations are applicable. INSPECTION RESULT: Septic Permit With Eng Design EH; Print Date - Time: 6/19/2015 9:32:03AM Page 2 of 3 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. Benjamin Frissell-Durley June 19, 2015 Environmental Health Specialist Date Septic Permit With Eng Design EH; Print Date - Time: 6/19/2015 9:32:03AM Page 3 of 3 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 www.weldhealth.org .Public Health neann Administration Public Health & Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education & Planning & Response Tale: 970 304 6410 Tale: 970 304 6420 Tele: 970 304 6415 Tale: 970 304 6470 Tele: 970.304 6420 Fax: 970 304 6412 Fax: 970 304 6416 Fax 970 304 6411 Fax: 970 304 6452 Fax: 970 304 6459 Our vision: Together with the communities we serve, we am working to make Weld County the healthiest place to live, learn. work and play Septic Permit Application Application Number: SP -1500191 App Type: Health\Residential\Repair OWTS\Septic DON BUXMAN BUXMAN EXCAVATING LLC 32186CR29 GREELEY, CO 80631 Owner Name: STAHL RICHARD Parcel#: 105727000022-R4423486 Legal Desc: 17206 E2SE4 27 4 66 EXC UPRR RES (3R) Work Description: HOUSE Site Address: 19090 CR 33 App Specific Info: Location Description HOUSE Number of Bedrooms 2 Number of Persons 2 Parcel Acres 81.73 Public Water Supply Yes Public Water Supply Utility CWCWD TERMS AND CONDITIONS A permit fee, as set by separate ordinance of the Board of Weld County Commissioners, shall be required of applicants for onsite wastewater treatment systems, payable at time of application Permit fees are non-refundable; permit applications are non -transferable If both a building permit and an OWTS are issued fort? same property and construction is not commenced prior to the expiration date of the building permit, the OWTS permit shall expire at the same time as the building permit. If an OWTS permit is issued for a property that does not require a building permit, the OWTS permit shall expire one year after its issuance if construction on the septic system has not commenced Any change in plans or specifications after the permit has been issued invalidates the permit unless approval is secured from the Health Officer or his/her designated agent Expired permits can be renewed by payment of the permit fee only if: A There has been no change in the plans and specifications of the proposed system as set out in the original application or such change is reviewed and approved by a Division Representative B The surrounding land, its use or zoning has not changed so -as -to cause the original application not to be acceptable under these regulations NOTICE The completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Department of Public Health and Environment (WCDPHE). The issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under article 10 title 25, CRS as amended The applicant certfies that the proposed system will not be located within 400 feet of a communist sewage system The undersigned certifies that all statements made, information and reports submitted herewith are, or will be, represented to be true and correct to the best of his/her knowledge and are designed to be relied on by the WCDPHE for evaluation for purposes of issuing the permit applied for herein Applicant further understands that falsification or misrepresentation may result in the denial of the application or revocation of any permit granted, and in legal action or perjury as provided by law (C Print Date Time: 6/17/2015 9:05:00AM Septic Permit Application EHS00056 Page 1 of 1 RESIDENTIAL ON -SITE WASTEWATER TREATMENT SYSTEM (OWTS) INSTALLATION PERMIT (New or Repair) NEW OR REPAIR RESIDENTIAL OWTS PERMIT FEE: j7Q.00 • All payments are due at the time of application submittal; by cash, check or credit card • Incomplete applications will not be accepted r (Site and soils evaluation, site plan and design document must be incl PARCEL NO.. I ` is (12 DIGIT NUMBER) LEGAL DESCRIPTION: SECTION "1' )WNSHIP RANGE ACRES ., SUBDIVISION LOT BLOCK FILING INFORMATION CAN BE OBTAINED FROM THE ASSESSOR'S OFFICE AT (970) 353-3845 EXT 3650, OR ON THE COUNTY WEBSITE UNDER PROPERTY INFORMATION. Link to property information: L: ' .. _ _ , .,_ . _,s [i;._ap P;_YP _L it:or_radr_ u, i, SITE ADDRESS / 10 C %Z 33 DETAILED DIRECTIONS TO ffwY ss soVA To SITE (ATTACH PROPERTY OWNER: r I 'f c I -l- SY Ii / MAILING ADDRESS: _/7070 C /Z 3- 3 CITY MAP) To C 2 9 3� ST C cl _ ZIP HOME PHONE:( ) WORK PHONE (1]th fly • c299 FAX ( ) EMAIL ADDRESS: APPLICANT NAME: _�,�rm �.x,.r� MAILING ADDRESS: 3a! / 6 [' 2 2� CITY C. p• . ST eo ZIP 3 6 3z HOME PHONE: (- .} ii WORK PHONE O ! - AX ( 1 EMAIL ADDRESS. a� tau x.* -t Ca r-, C 4 ma, 1. C a . PROPOSED USE RESIDENTIAL NUMBER OF PERSONS: 4 NUMBER OF BEDROOMS: TYPE OF STRUCTURE (E Ouse, iobile home) 0 AUXILIARY BUILDING (Rest ential use only) TYPE AND NUMBER OF FIXTURES (shower, sinks, toilet) NUMBER OF PERSONS: TYPE OF STRUCTURE (Ex personal shop, pool house) WATER SOURCE. �+ qq�� Y PUBLIC WATER SUPPLY (NAME OF SUPPLY )_ Cr,� �4 a 1½/I Y/a 0 INDIVIDUAL WELL (PERMIT #) 0 CISTERN (PERMIT #) "WARNING- Neither Weld County nor any of its affiliates shall be responsible for the use of any information submitted in relation to this OWTS installation permit It is the responsibility of the user to determine under what circumstances the information is being applied, and ensure that the circumstances are suitable to the application of the information Neither Weld County nor its employees are liable for the failure or inadequacy of the onsite waste water treatment system 5 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17"' Avenue Greeley, CO 80631 WEBSITE: www.co.weld.co.us ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420 FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 FAX: (970) 304-6411 AUTHORIZATION FORM RE: R[ PERMIT APPLICATION O I.S.D.S. EVALUATION SALE OF PROPERTY O WATER SAMPLE v1 Boxmarl�t represent, c k S itc 1J for the property (Agent/Applicant) (Owner) located at #19 O 5-0 c 1Z J LEGAL DESCRIPTION: SEC TWIN RNG SUBDIVISION NAME: LOT BLK I can be contacted at the following phone #'s: Home Work 2-20 -54/- (?G3,( Fax # The property owner can be contacted at the following phone #'s Home -I % 0 ' 73 7 Work Fax # Correspondence mailed to (only one): fl Agent/Applicant Property Owner DATE 1 OWNER'S SIGNA Architecture Materials Testing �Structural R �• Forensic Geotechnical Civil/Planning ROCKY MOUNTAIN GROUP Job No. 147548 May 26, 2015 Mr. Don Buxman Ruxmaii Excavating, LLC 32186 CR 29 Greeley, CC) 80631 Re: Replacement On -site Wastewater Treatment System 19090 WCR 33 Rec Exempt RE -1748 (1.31R) Weld County, Colorado Dear Don: Please find enclosed soil c� Treatment System (OWTS) Mountain Group performed 2015. The profile pits and Department of Health and (Regulations). i)ee34• +- qh/e S aluation review and design for a replacement On -site Wastewater for the above referenced site, A representative of RMG — Rocky soil evaluation of two soil profile test pit excavations on April 24, soil evaluation was performed in accordance with Weld County Enviroennent On -site Wastewater Treatment System Regulations The soils evaluated in the profile pits arc documented on the Test Boring Logs. Silty sandy loam soil was encountered to a depth of' six feet for profile pit 1 and five feet for profile pit 2. Groundwater was encountered to a depth of four and one-half feet (4-1/2') below existing grade. No other limiting zones were encountered to the depths explored. The soil evaluation determined a soil type 2A as described on Table 30-10-1 of the Regulations. The OWTS should be designed using a Long Term Acceptance Rate (LTAR) of 0 50 gallons per day per square foot for the soils in accordance with the above mentioned table. An engineer designed septic system will be required for this site due to the depth to groundwater. The bottom of the infiltrators can be set no deeper than six inches below existing grade. The owner will have to meet the required distance criteria as shown in Table 30-7-1 of the Regulations, enclosed. The location of the profile pits and proposed Soil Treatment Area (STA) will be greater than all horizontal and vertical separation distances as shown in Table 30-7-2. No other objects requiring setbacks from the proposed OWTS as indicated on Table 30-7-1 and 30- 7-2 of Chapter 30 of the Weld County Code, have been located or observed during our preliminary investigation, reconnaissance or detail soil investigation. It is our understanding the existing house has two bedrooms. Therefore, the system was designed with a design flow of 300 gallons/day in accordance with Table 30-6-i, consist of a Southern Office: Central Ortice: Northern Office: Monument: 719.488 2145 Colorado Spi ings, CO S0918 Englewood, CO 30112 Hvans, CO 80620 woodland Park; 719.687.6077 719.548 0600 303,688.9475 970 334.1071 Erbil/Kurdistan Iraq: 0750 192 99 44 Ubianhaotar, Mongolia: 976 99106671 w we .rmgengincers.com 19090 WCR 33 Rec Exempt RE- 1 748 (1.3 I R) Weld County, Colorado 1,000 gallon two compartment tank meeting the regulations outlined in Section 30-9-20, and an adjusted required soil treatment area of 504 square feet using a gravity system with chambers in an absorption bed. See enclosed calculations. We anticipate an approximate cover of 12" to 24" cover over the septic tank and a 12" to 18" cover over the distribution box including fill material. Both the septic tank and distribution box must have access from the surface. The bottom of the chambers should not be placed more than 6" below existing grade and will require observation ports on each row of chambers. A pump may be required to raise the effluent into the STA. If a pump is needed it should be placed in a wet well down gradient of the septic tank. The wet well should be a minimum of 2' diameter constructed of concrete or plastic that is water tight. The well will house a Goulds WS03BHF pump or equal that is capable of 30 gpm @ a 10' total head. The effluent will be pumped through 2" diameter Schedule 40 PVC pipe into the distribution box. The pump system shall be controlled by on -off -alarm floats connected to a separate stem capable of providing an alarm, at the house, with audio and visual notification when high water level is reached. We are not aware of any previous septic reports on this lot or neighboring properties that may affect the placement of the proposed OWTS. It is our understanding the existing failing septic system is located north of the proposed system by approximately forty feet. Furthermore, we are not aware of any existing easements or right-of-ways that may conflict with the proposed OWTS. We found no location of any visible or known unsuitable, disturbed, or compacted soils. We do not anticipate difficulties with the construction of this system on this site. We anticipate this area to remain agricultural/residential use for the foreseeable future. There were no difficulties encountered during the site evaluation. During system installation the subsurface conditions encountered in the soil treatment area excavation may vary from those encountered in the profile test pits. Depth to bedrock and groundwater may be different from depths reported in this report. If subsurface conditions encountered in the construction of the system differ from those reported, RMG Engineers should be retained to review the subsurface conditions. The soil evaluation was conducted at the request of Don Buxman in a location determined by Richard Stahl, owner of the existing dwelling. We hope this report will assist you with your needs. Please contact us if you have any questions concerning this matter. Cordially, Thomas M. Cope, P.E. Professional Engineer S M. 5/26/I5• • 24995 m•� ssfoAL1 Rocky Mountain Group - RMG 2 Job No 147548 It 'a. I s I PROFILE P11 2 O 1� L S Sr TEST BORING 1 DATE DRILLED: 4/24/15 REMARKS: GROUNDWATER @ 4 5' 4124115 TOPSOIL brown, moist SAND, SILTY brown, moist to wet, fine grained w ( z TEST BORING: 2 p w W DATE DRILLED: PO a a o 4124/15 Q U REMARKS: 9 ¢ 4 5' GROUNDWATER@45 m 4/24/15 TOPSOIL ,, ' brown, moist ,1 ,, ii 2. v 5-0- 4Majia*1sie 'fl' tYnLi!c.nT CO 0$ -Fl w�r+i`usinA ARCHITECTS CMG ENGINEERS SAND, SILTY brown, moist to wet, fine grained TEST BORING LOGS z z O a o 0 f/) U o cc a Lu r m 2.5- N, 5.0 — JOB No 147548 FIGURE No. 3 DATE 5/14/15 Structural' fcatachnic RMG G ENGINEER 1601 37th ST. ® EVANS, COLORADO 80620 • 970-330-1071 ® FAX 970-330-1252 PROPOSED ESTIMATED CALCULATIONS ON -SITE WASTEWATER TREATMENT SYSTEM 19090 WCR 33, LaSalle, COLORADO DESIGN FLOW 2 Bedroom House SEPTIC TANKS USE: ABSORPTION BED = 300 gpd 1000 Gallon Tank Soil Treatment Area (STA) Required = Design Flow (qpd) LTAR (gpd/sf) 300 0.50 Required Area = 600 sq. ft. Bed x 1.2 Chambers x 0.7 Adjusted Required Area = 504 sq. ft. INFILTRATOR. CHAMBER EVALUATION Allowable Area/Quick Four Infiltrator® Chamber = 12 sq. ft. per unit Infiltrator® Chambers required: 504 sq. ft = 42.0 units 12 sq. ft/unit Minimum Chambers = 42 units USE: 3 units wide x 14 units long Table 30-6-1 Table 30-9-1 Soil Type = 2a LTAR 0.50 Table 30-10-1 Table 30-10-2 Table 10-10-3 NOTE: INSTALL MIN. 42 H-10 QUICK -FOUR INFILTRATOR UNITS IN ACCORDANCE TO MANUFACTURER RECOMMENDATIONS. OBSERVATION PORT (typ) 10 NIL UNER y aan a+ ro. fe .ufNna Flow u o I m I 1,000 Gallon " I I 1 11111111 I I-1 I L` Septic Tank II I Distribution Box Rlw FM; SEPTIC TANK NTS 5' MIN PLAN PLAN NTS 56 - 62' MIN. J O I 6NO 'n W o 2 W ofo N F A —A NTS 10 MIL LINER INSTALL FROM TOP INFILTRATOR TO 2' BELOW EXISTING GRADE. I47548SEP ND'IV DUAL SEWAGE D SPOSAL SYSTEM R CHARD STAHL PROPERTY 19090 WCR 33, LASALLE, COLORADO RMG Engineers Group N N N N fV N N N N fl/ 1601 37TH STREET EVANS, COLORADO 80620 (970) 330-1071 DATE: 6/1/15 PROJ. NO: 147548 DRAWN BY: T.M.C. CHECKED BY: T.M.C. SCALE: N.T.S. SHEET 1 OF 1 E CA ad U1 E N d J b � w LL m u - Q- m a in = C Om C m o 'u Y '7cO- cow M Q E FUt cm M d m In Y r V C v O cZ WI. act 43w C Oct • c0 c E E U Y I to in (!) O O NH U C N a (' m Q 0 a) O ' el Ln a O tO O O c- N •- •--- p -c O E c Y j O p 'p U) LO It) (O rV+ LO LO in N N N N N J U _cii Y L L C C N C O c m m m 3 c U o a LO O o 1!) o r N r r N O c- C a O p O O O O O O C N C 0 2 J dJ r r r .- .- r r r a a _ m _ C_c c c d) d L 7 O O LO If) l0 II) N U.� N r r r r r U m O ID �7 D Q j d N N N N N N N N p Cl. (0 U � � T n C � �O �ifi (YO (u O O 1!) O o O J r r N r r N r r a� fn C J C j to u] CO (OO O (/) r o a y c C I. E N N C i`v., o m a c Li � 'hi O C 4) U C CO E J L. 'o —.--- .-- 1-- O (ca 1-m o v W? C N LL LL Y) w a CU) o cQ Ho J O 0 a O c0 .N U] 7≤ CC a •C O Ce mD � c y O U) N N w mC N C N (D �p N N �. J (�Q ILCU WE Y c ? O V L C N F--T,� m > 3@ Q E O z o m m N wpm i O L' U E w E a N m I- C Y U] J C Daopo N L O L T M M r vz� 'C',' O O T L a) a) ea d Co G. u I s 0 4) C) E I- I - .3 C m m w a @ ai) m N a 00 N O O C N CL o b n ma v U) o o o LO o o u) o V C` W U) N r r Qm E -.-J 4) O O O O C 7 O O O O Nr O o I- co CA Q Q E O J J C C_+ Cu C O ,n O O O LO O + a c' m V LO (I O co (O O C, I - w a w o o — m C C V) iNN CO m ? > ? m m - N N N N V g M r CT 07 C N O 4-I V] m m O C) C) 0 mo y Y m m m 0.' CL' (Y Q' C7 v C� C7 O C7 E fl) s Q I E c) m Y o Y Y o Y Y o m u o m m m amp X o w o a a a a a .. ca aj a Al C c = = w'o� _ aa) E E U J Cc U) O) Q v EEoN u) o E E> m m o N o F LNE L_ E JU J U U >, N -. m E m _ m m _m N a mU N Y O J (/) CO U _mU U ~ J U () to W io cct cm oN T Ci) m mJ m J CO U) O r N N M V N O Ti (t3 Co a) C O CO2 E a, M III CD Architecture Materials Testing MStructural Rt- Forensic Geotechnical Civil/Planning ROCKY MOUNTAIN GROUP Job No. 147548 June 2, 2015 Mr. Don Buxman Buxman Excavating, LLC 32186 CR 29 Greeley, CO 80631 Re: Dosing Siphon Pump option 19090 WCR 33 Rec Exempt RE -1748 (1.31R) Weld County, Colorado Dear Don: This letter is an addendum to the Replacement OWTS system design dated May 26, 2015. This letter provides an alternative to the pump system described in the May 26, 2015 design. A mechanical automatic dosing siphon may be used instead of the electrical pump. A 2" diameter dosing siphon with a 12" drop contained in a 2' diameter wet well may be used. This will provide an estimated 23.5 gallon dose with approximately 12 doses per day. An alternative would be a 2" diameter dosing siphon with a 4" drop contained in a 4' diameter wet well. This will provide an estimated 31.3 gallon dose with approximately 10 doses per day. Both options will require an effective screen around the siphon or screened effluent coming into the wet well. This system will work best if the outlet of the wet well will travel in a minimum 1'% slope thru a 3" diameter pipe to the distribution box to be evenly distributed to the bed. Please contact me if you have any questions, Cordially, Thomas M. Cope, P.E. Professional Engineer Q RE /. • • •• 5 .4995 `� R° uilA �ss��hJAL Southern Office: Central Office: Northern Office: Momumaent: 719.488.2145 Colorado Spi ings, CO 80918 f:nglewood, CO 801 12 Evans, CO 80620 Woodland Park: 719.687.6077 719.548.0600 303.688.9475 970,330.1071 Erbil/Kurdistan la aq: 0750 192 99 44 Ulaanbaatar, Mongolia: 976 99106671 www.rmgcngiu ecrs.coIn 17• . � Y! r ♦ 141 '*r jy 1.�k tiA'fit{•, d+!`�' •;1 till:' i:i41...ffl:; __ Ii] i.['.] I F Dosing Siphons are used to convert small continuous liquid tlol,vs !ntu large, intermittent closing floods for prassul!zing oistrihlltion systems where geography allovvs l01 gravity discharge I/�e �1�yLu�7 -- Support lli!1 Orenco's 2 -inch (50 -mm) Dosing Siphon is enclose;3 within an Diencoscreened vault for dosing from within a single-conlparhuent septic lank. Included a/fth the siphon are a vault, mesa screen, suppofl pipe, flax we and a textured external connector For mare information on Orenco's screened vaults, refer to the Scleened'Vaulls Technical Data Sheet (NTD-SV-SV-1). x Standard Modes s .: 'II 0SI204, OSl204F, 0S1208, OSI208F, OS1210 Os121 OF. OS1212, l OS1212F,, 081211, OSl2I4F Drifvetlowtt I TTT[- — Ehluent acre.; Product Code Diagram "OFF"- Bell oSO 2 [-1 LI External connector — . T�,liona, float apt -on. Blank = no signal float J,( F signal float inclu �c1 a _ -_ — t- T��- • Drawdown. in. (111mh n4 c (100) r 08 8 (200) lk : / -•n••-..: y 1, r 10 = 10 x254) •- itd I?— 12 1305) EE ( 14 = 14 (356) Siphon diameter. in (Inm): f 2 2(50) I lex hose —' -- ' ' • •:.___ _ y. Dosing siphon 2 -inch (50 -mm) Dosing Siphon Components cifications Materials of Construction Siphon and support pipe PVC par PSTM D 1784, D 1785, and D-224 I Screen toll and base Blue low -viscosity polyurethane Screen body Black medium density oolyethylene \with UV slabllize! Val II! hndy PVC pipe ;,er ASTM D 1 /84 and SOS 1132E Vaut bate Fiberglass!einfarced plastic Flex hose Plastic,• Dimensions, nominal OS1204 OS1208 OS1210 OS1212 OS1214 Siphon diameter. In. (mm) 2 (50) 2 (50) 2 (50) ? (5(1) 2 (50) DIa'wwdovn, in. (nlm) 4vg. discharge, gpm 1Uscc Vault height, in (mm) 4 ( 102) 8 (203) 10 (254) 12 (305) ' 4 (356) 30 (1 89) 30 (1.89) 311 (2.5) 34 (2 ;l) 38 (2A 48 (1219) 48(l219 48 (1219) 48 (1219) 48 (1219) Vault diameter, in. (mm) 15 1375) u (3(5) 12 (300) 12 (300) 12 (300) _ "ON" level frrnt tank lap, in. (mm) 12 (305) 7 (432) 1 /(432) 17 (432) 17 Orenco Systenis® Inc. , 814 Airway Ave., Sutlrerlin, OR 97479 USA a 800-348-9843 • 541-459-4449 • www.orcnco.cam NTD-SI-SI-1 Rev. 1.2, @ 09/14 Page 1 of 1 N E w z a 1 O1 w rc m a m aa U) O O — u, M iI 1/ Ti1 w f W I p¢ z c w z rn rn •C n (Y r. 4 v µ . a va 'I- w 1 o J K m m I� ,n v, N L a C JQ v v 0, . v m E c p I a, -- — Do, oo c v p O` .... N N C `¢ C W C7 c o U)L ? LL O O (1 O_ .C h C' yvyI mu) I- o c 00 ,n v, rn a, a J o -er' a IU 1: U to h 0 Co.) N N 2 N U r �.. ., on D ti y O J I — C OrLDj W� 4 C) vi N 3 Cl) C 0 to 4) W E m c_ b I CV E Q) 4- (O A Cl) 0 CO V J 0) O O 0, v Co o o 00 — U 6 C O a rt r�— h N 3 o E o m E 0 L. _ L O (U7 w r 3. v N C m N, 4 0` v 13) _ C fl; U C T aN Q a, -flu,-' N 0 Ol a I O ids _ In + C O Lii a o � a � Xeel Energy' AB 01 000607 18427 B 3 C II"'lIII'IIIIIilIiuilIIIuIIIIIIIllI"I"'I'IIII'I'IIIIiIIiiIIIII PATRICIA STAHL 16087 COUNTY ROAD 40 BLDG MAIN LA SALLE, CO 80645-9205 05/26/2021 Public Service Company of Colorado d/b/a Xcel Energy CR021-1-1 P.O. Box 8 Eau Claire, WI 54702-0008 1-800-895-4999 TDD 1-800-895-4949 a Dear Patricia Stahl: Thank you for your inquiry concerning verification for address listed below: Our records show the following: Customer Number: Service Name: Service Address: Service Dates: the period of time service has been in your name at the 2953498 Patricia Stahl 161087 County Road 40 Bldg Main La Salle, CD 80645-9205 09/27/1995 Xcel Energy is committed to working with you to provide quality customer service. If you have additional questions about your account, please call us at 1-800-895-4999 or visit us at our website www.xcelenergy.com, Sincerely, Xcel Energy Customer Contact Center 7 XcelEnergy AB 01 000608 18427 B 3 C iIlllililliiuiiilllliiiiliiiilluiuilliilliliulllllillluillnni RICHARD R STAHL 16087 COUNTY ROAD 40 LA SALLE CO 80645-9205 05/26/2021 Public Service Company of Colorado d/b/a Xcel Energy CRO21-1-1 P.O. Box 8 Eau Claire, WI 54702-0008 1-800-895-4999 TDD 1-800-895-4949 Z I Dear Richard R Stahl: Thank you for your inquiry concerning verification for the period of time service has been in your name at the address listed below: Our records show the following: Customer Number: Service Name: Service Address: Service Dates: 9238163 Richard R Stahl 19050 County Road ;33 Bldg Hse La Salle, CO 81)645-9210 06/30/2014 08/01/2014 Xcel Energy is committed to working with you to provide quality customer service, If you have additional questions about your account, please call us at 1-800-895-4999 or visit us at our website www,xccllc!nergy.com, Sincerely, Xcel Energy Customer Contact Center 5/26/2021 Gmail - Letter of Proof of Service Letter of Proof of Service 1 message Pstahl 2677 <pat.stahl2677@gmail.com> To: assistcsc@atmosenergy.com To Whom It May Concern: Pstahl 2677 <pat.stah12677@gmail.com> Wed, May 26, 2021 at 1:45 PM I am a customer and property owner who is in the process of completing a subdivision of two homes on said property. The addresses are as follows: 16087 County Road 40 LaSalle CO 80645 and 19050 County Road 33 LaSalle, CO 80645. The latter is a rental. You have been providing service for both houses since at least 1995. As part of the requirements of the subdivision with Weld County, I am required to submit written correspondence showing that both houses are currently eligible to receive gas service. It can be as simple as replying to this email and stating that Atmos Energy provides gas service to 16087 County Road 40 and 19050 County Road 33. The service for 16087 County Road 40 is under my name - Patricia Stahl I am relatively sure that we are listed somewhere in the records for 19050 County Road 33 under Richard Stahl as landlords as we have had to maintain service between renters. Any assistance that you can provide would be greatly appreciated. Regards, Pat Stahl h ttps:llm a i 1. googl e. comlmail/u/0?i k--4 chf9ec84f&view = p t& se arch=ail&perm th id =thread -a °/a3Ar-41124152613 8 306074 3& si m pt -m sg-a%3Ar3l 7246329... 1/1 5/27/2021 Gmail - Letter of Proof of Service Gmail Letter of Proof of Service Assist - CSC <AssistCSC@atmosenergy.com> To: Pstahl 2677 <pat.stah12677@gmail.com> Both of these addresses are presenting to be active in our system. Thank you, Atmos Energy From: Pstahl 2677 <pat.stahl2677@gmail.com> Sent: Wednesday, May 26, 20212:45 PM To: Assist - CSC <AssistCSC@atmosenergy.com> Subject: [EXT] Letter of Proof of Service Pstahl 2677 <pat.stahI2677@gmail.com> Thu, May 27, 2021 at 11:50 AM CA. "IONS: Don't he qi� l �It to �;hok. I Ili 's g..,p�')ull is RirR 5� ]£3 '"Cs ' 3 7itS x&fi: a of Atmos, `:,d`a '' +', I;; s's ,:t's" _..,, eu iks ). �. p e e` F. c 3 Q+n' L L a e e9t.i 01 u, „� ,.7i` e:i:k.l`b .� ₹t:,I l� .9k �s �.� 9"t,4 t3tdtli t. II°3Cb aaaJll� ?I' s1l'$%�P know the content 1.� t% fl [Quoted text hidden] https:Hmail.google.con/ma!Vu/0?ik=4cbf9Gc84f&view=pt&search=all&permmsgid=msg-f%3A1700934816103827436&simpl=msg-f%3A170093481610... 1/1 'vi energy, www.olmosenergy.com Gas Usage Trend xoc LL C O a. E C U Account Number: 3019717708 Customer Name: PATRICIA STAHL Service Address: 16087 COUNTY ROAD 40 LA SALLE CO 80645-9205 DUE DATE 06107121 Account Summary _ Billing Date: 5/19/21 Previous Balance T 85.51 Payment(s) -85.51 Current Charges 53.83 Total Amount Due (see. reverse ror billing details) Important Messages from Your Natural Gas Company TOTAL DUE $53.83 $53.83 LOWER YOUR WINTER GAS BILLS WITH BUDGET BILLING Enroll in budget billing now to better manage your heating bills this winter. Avoid the highs and lows in your natural gas Go paperless with E -Bill and sign up for other billing and payment options bills as the weather changes. Budget billing works year-round, at wt+vw.atmosenergy.com, continually adjusting for how much you use and for changes in the cost of natural gas. For instructions on reading your Atmos Energy bill, please visit For residential customers only. Qualifications apply. To enroll, www.atmosenergy.com/yourbill. log in to your Account Center at www.atmosener .corn or call 1-888-286-6700. gg CONTACT US: Emergency Phone 2417: 1-866-322-8667 Customer Service M -F 'lam - 6pm CST: 1-888-286-6700 Save energy, money and emissions with rebates on smart thermostats, • High -efficiency gas furnaces, water heaters and home upgrades. For details, visit atmosenergy.com/rebates. Keep this portion for your records Page 1012 ®i Return this portion with your check or money order and include your account number. If paying in person, please bring the bill. energy® Account Number Due Date Total Amount Due 3019717708 06107/2021 $53.83 111111 111111 1111111111111 Amount Enclosed: $ To update your mailing address or donate to energy assistance check here and complete the form on the back. ATMOS ENERGY fCMAIL.ATMOS.20210520_5220.afp.002597 PO Box 740353 PATRICIA STAHL Cincinnati Ohio 45274-0353 16087 COUNTY ROAD 40 �h I I JI II r II III i Jnrnu I i Ih n 16 LA SALLE CO 80645-9205 III I I I III II I I II I I IIIII 1 III I II U lillillillirrihii,ililillnlrliillliilnnuillllllliluhinrr 0000000000000000000600030197177D80000053834 6/2/2021 IMG_2867.JPG energy, Dear ANNE THOMASSON-CURREY, This is confirmation of your payment to Atmos Energy. Your payment has been received with the following details: Payment date: 05/10/2021 Payment amount: $76.37 Payment method: Bank Draft Confirmation number: 900006012063 Account Number: 4013900831 Service Address: 19050 COUNTY ROAD 33, LA SALLE CO 80645-9210 Atmos Energy appreciates your continued business. To manage your preferences, click here. Other Ways to Pay Make a One -Time Payment Click to make an online payment now. Pay by Phone Call i-8B&28g-B700 and use the automated phone system or speak to an agent. Pay in Person cer near you. u Lt VIE the area immediately. CALL 911 and call us at from a. safe distance. https://mail.google.com/mail/u/0/#inbox/FMfcgzGkXdBJvXjGCAPtMgTvZgvTQKi?projector-1 &messagePartld=0.1 1/1 Meter Readings Read Dates Account Number Description Previous Present Usage Read Code Previous Present 000094-01 1000 Gallons 3964 3970 6 Actual 11/17/2021 12/16/2021 Previous Balance CR Water Service Water Minimum Charge Water Usage Charge CBT Surcharge $37.11 -$35.00 $19.27 $7.68 $0.00 Please write Account Number on all check payments and on all correspondence. Please use the Bill ID to set up Auto Pay. Auto Pay is deducted the 15th of each month. You may pay your bill & setup AutoPay at www.cwcwd.com Water D J F MA M J J A SO Total Current Charges $26.95 Total Amount Due $29.06 EBill Bill ID 0432 00003991 Customer Richard R & Patricia H Stahl Service Address 16087 County Rd 40 Billing Date Account Number 12/21/2021 000094-01 Due Date Amount Due 01/15/2022 $29.06 Annual Allocation YTD Usage "'Surcharges apply if Allocation is exceeded** 300 10 Central Weld County Water District 2235 2nd Avenue Greeley CO 80631 970-35�-1284 Account Number 003433-01 Description 1000 Gallons Previous Balance Payment - Check Water Minimum Charge Water Usage Charge CBT Surcharge Meter Readings Previous Present 3 4 $19.27 -$19.27 $19.27 $0.00 $0.00 Read Dates Usage Read Code Previous Present 1 Actual 11/19/2021 12/20/2021 Please write Account Number on all check payments and on all correspondence. Please use the Bill ID to set up Auto Pay. Auto Pay is deducted the 15th of each month. You may pay your bill & setup AutoPay at www.cwcwd.com Water 0 Total Current Charges $19.27 Total Amount Due $19.27 EBIII Bill ID 0432 00008293 Customer Richard & Patricia Stahl Service Address 19050 County Road 33 Billing Date Account Number 12/21/2021 003433-01 Due Date Amount Due 01/15/2022 $19.27 Annual Allocation YTD Usage **Surcharges apply if Allocation is exceeded** 228 1 Central Weld County Water District 2235 2nd Avenue Greeley, CO 80631 970-352-1284 S 0 IV X J CWCWD TAP FEE AGREEMENT Tap # THIS AGREEMENT, made and entered into this day of June , 2021_, by and between the CENTRAL WELD COUNTY • WATER DISTRICT, hereinafter called the District, and owner, as listed on Deed, hereinafter called Customer, Owner Name: Richard R Stahl Owner Name: Patricia H Stahl WITNESSETH: WHEREAS, District has been organized as a legal body and is known as the Central Weld County Water District, and WHEREAS, Customers are taxpaying electors within said District, or desiring to join said District, and, WHEREAS, Customers are desirous of acquiring one water tap of 5/8 inches in diameter from the said District, *Annual Allotment = 228,000 gallons *Surcharge = $5.00/TH gallons with annual increases NOW, THEREFORE, in consideration of the premises and the terms of this agreement, it is mutually agreed as follows: FEES: 1. Customer agrees to pay the tap fee of S_ 73,000.00 Seventy -Three Thousand & No/100 Dollars. 2.: LEGAL DESCRIPTION: The description of the premises for which this tap is being purchased is as follows: Proposed lot A RLDK21-0001, a portion of PT SW4 26-4-66 LOT A REC EXEMPT RE -1748 Parcel # TBD 3. This agreement, when approved by the Board of Directors, shall become a legal and binding contract upon all parties hereto. 4. Customer further agrees to execute any and all easements needed by District at no expense to District, across Customer's property for the purpose of installing the District's service line and meter pit constructed by District. District shall be responsible for restoring surface area back to reasonable condition at District cost, 5. It is further mutually agreed that this agreement shall extend to and be binding upon the heirs, executors, administrators and assigns of the parties hereto. Said Tap cannot be sold separately from the property ert listed in the Legal Description. SPECIAL PROVISIONS: 6. Customer further agrees to the following special provisions: District will need to verify disconnection of water service from Tap 94 to the second home within 30 days of RLDK21-0001 application approval. Installation of the new tap and customer's severing of the old connection can be coordinated between the customer and the District to avoid having a lapse in service. 7. Customer further agrees to abide by the rates established and the riles and regulations of the District as all now adopted or as may be further adopted or amended by the District from time to time. 8. In the event that the District is not able to set the tap for any reason, said District will retain, from the tap fee or line extension fee, any monies used for engineering, recording fees, administrative fees, construction fees, etc. that the District has incurred. The unused portion of the tap fee will then be returned to the Customer. WATER USE: 9. Customers are not permitted to resell water received from the District. A water tap installation is for a specific parcel of property and in no case will a customer be permitted to extend a service line from one parcel or property to another parcel to provide additional water service. Customers may be permitted to provide water service to a second and additional residence on the same parcel of property from one water tap with Board approval. One water tap may serve a second or additional residence providing that there is only one owner involved and one specific parcel of property. A monthly surcharge for each dwelling and/or business unit shall be paid in addition to the regular rate schedule. Water service, which involves two or more residences on the same water tap generally means that both pressures and flows are inadequate during the periods of peak usage. The District's responsibility ends at the customer's side of the meter yoke in the meter pit and poor pressures or flows attributed to the second residences are the responsibility of the customer. Once a customer's water service has been designated as having an additional residence involved and a dwelling and/or business unit charge has been assessed to the account, the dwelling and/or business unit charge will remain on the account indefinitely, regardless of whether the additional residences are occupied or not. No refunds for dwelling and/or business unit chaises will be granted. In the event that the additional residence has been removed from the property, or the water service line has been permanently disconnected to the additional residence, the customer may request that the dwelling and/or business unit charge be removed from their account. This request must be in writing, stating the circumstances involved, and will be addressed by the Board at the next regularly scheduled meeting. The customer will then be advised of the Board's decision in writing. In the event that the parcel of property involving additional residences is sold, so that the "one owner - one roe ' rule is violated, a second water tap will have to be purchased to serve the additional residence. ALLOTMENT: 10- Customer agrees to pay any and all charges hereinafter levied by said District for said taps and to abide by all regulations adopted by said District. The District has the right to review the annual allotment and compare it to actual usage to determine if additional raw water will be purchased and transferred to the District by Customer. METER ACCESS: Ii. The District policy states that the meter locations shall be readily accessible to the District at all times from landscaping and/or fencing, etc. It is the customer's responsibility to plan and maintain landscaping so that rocks, trees and shrubs will not interfere with either the maintenance or meter reading for the individual meter. In the event the customer fails to keep the meter accessible, the District has the right to remove and/or trim ail restrictions within a five (5) foot radius of the meter it, INDIVIDUAL WATER TAPS The purpose of this section is to establish the policies and procedures governing the issuance and installation of individual water taps. The purchase o/a water tap by a customer provicles the customer with the r•i(,T/ii to receive water service fur the specific parcel gfpropertyk/enrifled in the tap application,fbr-nr_ Upon purchase of'a water tap, the citsionwr does not own any tangible asset as the mete/ -pit and associated equipment remain the propel iv of the District to include the raw water share. The customer's right to receive water service is specifically tied to the land and that right to service does remain with the property. The customer has the option, upon board approval, to temninate this right to service, in which case the District will remove the water meter; however, no refunds will be made to the customer. If in fact the meter is removed, a water tap will need to be purchased using the current tap fee schedule in effect and service can be reestablished to the property. The Board of Directors have the authority to execute the Tap Fee Agreement form on behalf of the District. The Manager will present all Tap Fee Agreements to the Board for approval at the next regular scheduled meeting and the minutes of the meeting will reflect the action of the Board on the Agreements. It is the District's policy that all individual water services be within the boundaries of the District and this is to be accomplished within 120 days from the date water service has commenced. Accordingly, a customer must, as a part of the application process, agree to include the property to be served within the District. This property inclusion is necessary so that the Weld County Assessor's office will place the property on the tax rolls of the District and the property owner(s) may vote in District elections. The specific requirements and procedures for property inclusions are contained in Section 10 (Property Inclusions and Exclusions) to these Regulations. In the event the property to be served is already within the District, then the property inclusion process is unnecessary. The District may refuse to serve a customer for any of the following reasons: r The customer rgfilses to comply with Di.strict'.s rides and regulations including excessive delinquencies in payments to the District for any services previously provided. INSTALLATION AND LOCATION OF WATER METERS. The District, utilizing the customer's tap fee, will be responsible for all costs of the water meter installation, subject to the restrictions contained within these regulations. The costs of installation are meant to include the tapping of the District's main line, a road crossing if necessary, the water line from the main line to the meter pit and the cost of all material and labor involved in the installation of the meter pit. The meter pit will be located approximately five (5) feet inside the customer's property line whenever practical. In the event the costs of the water meter installation exceed the specified installation charges for that size of meter, the District may require the customer to pay the additional installation charges. The Customer understands and agrees that the District's responsibility for maintenance and repair of the District's lines and equipment extends only as far as the water meter, and that construction of the service line between the District's meter and the Customer's facilities, and any maintenance or repairs required in connection with such service line, is the Customer's sole responsibility at Customer's sole cost and expense. The responsible for the following costs associated with the installation of a new water meter: The service line from the water meter to the home or business that will be served. The costs associated with an extension of 'a main water line, f such extension is necessary. The schedule for the installation will be determined by the District. Although reasonable efforts will be made by the District to comply with individual customer requests, the District will not be bound by these requests. The installation of water meters will only be accomplished by District personnel, or those specific agents designated by the District to install water meters. Individual customers will r of be permitted to install any water meters. The mewr locution situp her read//vread//v accessible to the District err Irll tirrrec. It is the € ustarrrer.c rc'.slsunciblfliv top/an anal n; aintain 1mwscrtping so that trees or shrubs ;twill not interf€'re with either' the maintenance or nZeter reading for the individual meter. In the event the customer fails to keep the meter accessible. the District has the right to remove and/or trim all restrictions within a five (S) foot radius of the meter pit. iThe water meter, the external remote readout device (if utilized) and all associated equipment contained within the meter pit are the properly of the District. In the event that this property is damaged, the District will repair or replace the damaged equipment anal ' , in the opinion of 'the District, customer's negligence caused the damage, the repair costs will be billed to the customer. The sn.ctoiner i.s responsible to ensure that the meter location is at final grade level prior to installation of the meter. The District will not be rc:rponsible for the expense of meter- relocation if required after initial installation due to a change in grade level. In the event this situation occurs, the District will make the relocation and, in no case, will a customer be permitted to relocate or adjust the meter located on his/her property. A water meter will only be installed on property owned by the customer or within an easement provided to the District by the property owner. RELOCATION OF WATER METERS. The relocation of water meters will only be accomplished when unusual circumstances prevail (for example: a house moving, L relocation etc. . A customer desiring the relocation ofa water meter will make the request in writing to the District and include specc reasons for the requested relocation. The District will either approve the request and relocate the meter at the customers expense or the District will inform the customer, in writing, that the request was disapproved. REQUIREMENTS EMENTS AND RESTRICTIONS ON WATER SERVICE. The following general requirements and restrictions apply to all water service provided by the District: Continuity of Service. The District will use reasonable care and diligence to provide constant and uninterrupted supply of water for customers. The District will not be responsible if the supply of water shall fail, be interrupted or become affected through an act of God, the public enemy, by accident, strikes, labor troubles, or any cause beyond the reasonable control of the District. Interruptions of Service. Interruptions of water service will occur periodically for normal maintenance and for reasons beyond the control of the District. The District will make every effort to minimize the inconvenience to the customers; however, an advance notification of a service interruption will not be made to individual customers. Exception to this procedure will be handled by the District on a case -by -case basis. Customers having a valid requirement for advance notification on service interruptions should make these requirements known to the District in writing. The District will not reimburse customers for any damages incurred as a result of a service interruption. The Customer understands and agrees that all amounts due under the terms of this Agreement, as well as all fees, rates, tolls, penalties, or charges for services, programs, or facilities fiumished by the District constitute a perpetual lien on the property served, and that any such lien may be foreclosed in the same manner as provided by the laws of the State of Colorado for the foreclosure of mechanic's lien. C.R.S §32-1-1001(1)(j). In the event Customer fails to abide by any of the terms or conditions of this Agreement, Customer agrees to pay all costs and expenses incurred by the District as a result of the breach including direct and consequential damages, loss of revenue, attorney fees, court costs, expert witness fees and other expenses. The District shall shut off or discontinue service for account delinquencies or other violations of the District's rules and regulations as now adopted or as may be ftirther adopted or amended by the District from time to time. Colorado Big Thompson and Windy Gap ProjectW'ater. All of the water rights owned and used by this District in its day to day operations are Colorado Big Thompson Project Water and Windy Gap Project Water. This water is controlled and administered by the Northern Colorado Water Conservancy District. The Northern Colorado Water Conservancy District encompasses 1.5 million acres of land, including all of the area currently served by Central Weld County Water District. The NCWCD requires that all CBT water be utilized within the boundaries of NCWCD and in the event that a District tap is to be located outside of the boundaries of the NCWCD, Windy Gap water rights would have to be utilized. Resale of Water. Customers are not permitted to resell water received from the District. A water tap installation is for a specific parcel ofproperty and in no case will a customer be permitted to extend a service line Jron: one parcel or property to another - parcel to provide additional water service. Unlawful Use of Water. Customers are not permitted to make any alterations or connections to the Districts water distribution system or individual water meter that would result in an illegal use of water. An illegal use oftirrater in this case means that a customer rr have received more water than would have registered on the water meter under normal circumstances. Any illegal connections or alterations to the District's systern will be handled in the following manner: 1. The illegal connection or alteration will be corrected as soon as possible by the District. 2. The customer's water service will be terminated as soon as possible. 3. The customer will be billed a fee for illegal use of water, as well as, for the costs associated with making the necessary repairs. The fee for the illegal use of water is determined by Board. 4. The restoration of the customer's water service will be considered by the Board at the next regular scheduled meeting, providing that all fees and charges have been paid in full by the customer involved. Pumping Surcharge. The majority of the District's distribution system operates by gravity; however a portion of the system does require a pump station to adequately maintain main line water pressure. Pump stations are costly to operate and maintain. The expenses associated with these stations are more appropriately borne by the customers receiving the service, rather than being considered as a District wide expense. Accordingly, customers being served directly by a pump station will pay a pumping surcharge, which will be a percentage of their normal water bill. (May not be applicable to parcel) Cross Connections. A cross connection is defined as any alteration or connection to the District's distribution system which could permit the flow or backflow of non -District water into the distribution system. The most common example involves lawn sprinkling systems, where lawn water with fertilizer could be drawn back into the District's main lines if the main line pressure were to drop dramatically. Customer agrees to provide backflow protection on their side of the meter if any backflow hazards are present on their property. Any damage resulting from a cross connection and the costs associated with the repairs will be borne by the customer involved. Water Delivery Pressures and Standards. The Colorado Department of Health requires that domestic water be delivered at a pressure of 20 pounds per square inch (PSI)and new services below that figure will not be installed. The District's standard for water pressure at the meter pit is 45 PSI. Individual services for customers may drop below this standard during summertime peak usage periods; however, it is the goal of the District to maintain the 45 PSI pressure for all customers on a year around basis. I Pressure Settings on Regulators. All water taps installed by the District have a pressure regulator which is pre-set at 45 PSI. Customers are not permitted to adjust the regulator or accomplish any modifications within the meter pit. A customer experiencing high or low pressure should contact the District office so that District personnel can correct the situation. High Freisuarec and Dar►acrgcls to Currtonrer's f't rr.>c r n . The District operates main transmission lines at pressures up to 150 PSI. Individual meters have a regulator to ensure that the customer's delivery pressure remains at 45 PSI. In the event this regulator fails, and over a period of time they frequently do fail, the customer will experience high pressure throughout his/her residence. For this reason, the customer's service line (all material and equiprnent from the discharge side of the meter yoke) must be designed and installed with the capability of withstanding pressures up to 150 PSI. The District will not guarantee that the regulator or any other equipment will not fail and the District is not responsible for any damage to a customer's property caused by high pressures. Additionally, any metered water lost because of a water leak due to high pressures remain the responsibility of the customer. You should protect yourself from high pressure by installing a regulator inside vour home. Financial Adjustments to Water Bills. The District will not make any financial adjustments to a customer's bill because of high usage due to a water leak on the customer's service line or within the residence/business. As an exception to this policy, if special circumstances prevail and the customer feels that an adjustment is warranted, then the special circumstances should be documented in writing and the matter will be considered by the Board of directors at the next regular scheduled meeting. Water service which involves two or more residences on the same water tap generally means that both pressures and flows are inadequate during the periods of peak usage. The District's responsibility ends at the customer's side of the meter yoke in the meter pit and poor pressures or flows attributed to the second residences are the responsibility of the customer. Once a customer's water service has been designated as having an additional residence involved and a dwelling unit charge has been assessed to the account, the dwelling unit charge will remain on the account indefinitely, regardless of whether the additional residences are occupied or not. In the event that the additional residence has been removed from the property, or the water service line has been permanently disconnected to the additional residence, the customer may request that the dwelling unit charge be removed from their account. This request must be in writing, stating the circumstances involved, and will be addressed by the Board at the next regular scheduled meeting. The customer will then be advised of the Board's decision in writing. In the event that the parcel of property involving additional residences is sold, so that the "one owner - one property" Rile is violated, a second water tap will have to be purchased to serve the additional residence and parcel. C.B.T. RAW WATER SURCHARGE. A surcharge is assessed to accounts that exceed the annual allotment of water established for the applicable size meter during the water year, which is from November 1 st to October 31st. The surcharge is as established by the Board. WINDY GAP WATER SURCHARGE. In addition to the monthly surcharge shown for Windy Gap water, a surcharge is assessed for all water used over the annual allotment for the applicable size meter during the water year, which is from November 1 st to October 31st. The surcharge is as established by the Board. (May not be applicable to parcel) ANNEXATION: The District shall remain the sole and exclusive potable wafer providerfor the Tap to the extent the District is able and willing to provide potable water service as requested. An annexation to a City or Town may forfeit any right for continued water service. New water service may then he required to be purchased at such fees provided by said City or Town. The current District tap becomes forfeited or transferred to said City or Town at landowner's expense. All City or Town rates and regulations will tlrert be applicable. No refunds f •orn said District apply V. A Petition for , vclusion will be required to be signed by landowner a nd f led by the District in accordance to Colorado State Statute 32-1-501(1), C.R.S. The Petition Jbr Exclusion will then be filed at a public meter after publication of'notice of the hearing pursuant to Colorado Slate Statute 32-1-501(?), C.R.S. This Agreement shall not be construed to waive any of the privileges or immunities the District or its officers, employees, successors and assigns are lawfully entitled to present pursuant to law, including but not limited to the Colorado Governmental Immunity Act, §24-10-101 et seq., as amended, and any other privilege or immunity of the District. IN WITNESS WHEREOF, the parties hereto have hereunto and hereunder set their signatures the day and year first hereinabove written. rsjenaru Is. Mani ii Patricia H Stahl CENTRAL WELD COUNTY WATER DISTRICT BY: ATTEST: c 7 DATE.�a r?-No.873631 RECEIVED FROM SSeot 4j - I hr. wS&'t� "c' DOLLARS O, FOR RENT ar _ ct FOR CJI�CJ I CASH CHECK FROM / TO DMONEY ORDER OCREDIT 7 CARD BY ACCOUNT PAYMENT BAL. DUE PE1I1'ION FOR INCLUSION STATE OF COLORADO ) )ss COUNTY OF WELD ) CENTRAL WELD COUNTY WATER DISTRICT TO: THE BOARD OF DIRECTORS OF THE CENTRAL WELD COUNTY WATER DISTRICT I/we, being all of the owners of the below described real property, which property is capable of being served with the facilities of the aforesaid District hereby petition the Board of Directors of said Central Weld County Water District to include the below described real property within the boundaries of said District. Assent to the inclusion of such property is hereby given by the below signers, which signers constitute all of the fee owners of said below described property. LEGAL DESC: Proposed lot A RLDK2l-0001. a portion of PT SW4 26--I-66 LOT A REC EXEMPT RE -1748 Parcel # TBD Dated this / day of _1 L i.. ?01 I/ Richard R Stahl STATE OF COLORADO ) Patricia H Stahl )ss COUNTY OF WELD ) The foregoing Petition was acknowledged before me this '! <_ day of by r _ :. i Witness my hand and official seal, My commission expires: Notary Public DELIA CORRAL NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20194024595 MY COMMISSION EXPIRES JUNE 28, 2023 20J: 6/10/2021 Gmail - RE: RLDK21-0001 Stahl Rural Land Division and CWCWD water study results fri Gmail Pstahl 2677 <pat.stah12677 cc ggmaiI.com> RE: RLDK21-0001 Stahl Rural Land Division and CWCWD water study results Kathy Naibauer <kathy@cwcwd.com> Wed, Jun 2, 2021 at 4:17 PM To: Pstahl 2677 <patstah12677@gmaiI.com> Richard and Pat, Attached are the results of the water study you requested, as well as a copy of the backflow prevention requirements. Hard copies are being mailed to 16087 CR 40, LaSalle, CO 80645. Please note that the pricing quoted in the study letter is good for 30 days. If you have any questions after reviewing the attachments, I am working remotely and can be reached at 970 3812897. Thanks, Kathy Naibauer Central Weld County Water District 2235 2nd Ave Greeley, CO 80631 Phone 970 352 1284 From: Kathy Naibauer Sent: Wednesday, May 26, 20211:17 PM To: 'Pstahl 2677' <pat.stahl2677@gmail.com> Subject: RE: RLDK21-0001 Stahl Rural Land Division Pat and Richard, The water study is in process and you will be contacted by our Operations Manager if he has any questions as he reviews the project and gathers information to complete the study. I will email and mail study results once they become available. I don't have any concerns that are additional to those stated in our referral response. Once the tap purchase is complete, I will communicate that to Weld County Planning. You will be provided with a receipt for your tap fee payment and a copy of the tap agreement for your records. Thanks, Kathy Naibauer httpsJ/mail.google.conVmaiVu/O?ik— f9ec84f&view=pt&search=all&permmsgid=msgf%3Al701495217094353544&simpl=msg-f%3A170149521709... 1/2 6/10/2021 Gmail - RE: RLDK21-0001 Stahl Rural Land Division and CWCWD water study results Central Weld County Water District 2235 2nd Ave Greeley, CO 80631 Phone 970 352 1284 From: Pstahl 2677 <pat.stahl2677@gmail.com> Sent: Wednesday, May 26, 202112:04 PM To: Kathy Naibauer <kathy@cwcwd.com> Subject: RLDK21-0001 Stahl Rural Land Division Dear Ms. Naibauer, I am responding to your referral for our rural land division, parcel #805726000028, tap #94. We requested and received a will serve letter from your office in late December of 2020. We recently requested a study for the cost of the tap for the property 19050 County Road 33, the other house on the parcel. Given that we have a will serve letter and are in process of a study, I am checking to see if you have any further concerns regarding our land division. Please let me know if you need any further information, or I can respond to any further concerns. Regards, Pat and Richard Stahl 2 attachments mn STAHL STUDY.pdf 109K mn Backfiow requirements Stahl CR 33.pdf 607K https:ffmail.google.comlmaiVu/07ik=4cbf9ec84f&view=pf&search=all&permmsgid=msg-f%3A1701495217094353544&simpl=msg-f%3Ai 70149521709... 2/2 5/25/2021 Gmail - RLDK21-0001 Stahl Rural Land Division CGS Unique WE -21-0038 1011 Gmail Pstahl 2677 <pat.stahl2677@gmail.com> RLDK21-0001 Stahl Rural Land Division CGS Unique WE -21-0038 1 message Pstahl 2677 <pat.stahl2677@gmail.com> To: Carlson@mines.edu Dear Ms. Carlson, Thank you for reviewing my geological survey and for your response to Chris Gathman. Tue. May 25, 2021 at 4:31 AM In reading your comments, I wanted to assure you that no additional building is planned on this property. This is a very unique situation as it is really only the legal separation of two houses which are a very old homestead. In fact, the newest house has been there since 1953. If any additional building would ever occur, a building permit would be completed with all necessary site -specific geotechnical requirements. I appreciate the time you took to review my geological survey. Regards, Pat Stahl httpsJ/mail.google.com/maiVu/0?i"cbf9ec84f&view--pt&search=ail&permthid=thread-a%3Ar-0310276421121780644&simpl=msg-a%3Ar-006941834... 1/1 5/26/2021 Gmail - Re: RLDK21-0001 Referral (proposed two -lot rural land division) fri Gmail Re: RLDK21-0001 3 messages Pstahl 2677 <pat.stah12677@gmaii.com> Referral (proposed two -lot rural land division) Dickinson - DNR, Wenli <wenli.dickinson@state.co.us> Mon, May 24, 2021 at 12:20 PM To: cgathman@weldgov.com Cc: patstah12677@gmail.com Hi Chris, Attached are our comments on RLDK21-0001. Please let me know if you have any questions. Best, Wenli Dickinson Water Resource Engineer COCOLORADO Division of Water Resources Department of Natural Resources P 303.866.3581 x8206 1313 Sherman St, Suite 821, Denver, CO 80203 wenli.dickinson@state.co.us I dwr.colorado.gov Forwarded message From: Chris Gathman <cgathman@weldgov.com> Date: Wed, May 19, 2021 at 10:49 AM Subject: RLDK21-0001 Referral (proposed two -lot rural land division) To: Brucker - DNR, Sarah <sarah.brucker@state.co.us> Dear Sarah, I originally did not send to Division of Water Resources because this Rural Land Division had an existing shared Central Weld Tap. However, the applicant is proposing to disconnect the shared tap and install a separate tap. Since, this is technically considered a subdivision — I thought it would be best to send you a referral just in case. Let me know if you have any questions. Thanks, Chris Gathman Planner III Weld County Department of Planning Services cgathman@weldgov.com 970-400-3537 https://mail.google.com/maiVu/0?ik=4cbf9ec84f&view=pt&search=all&permthid=thread-f%3A1700664880937840434&simpl=msg-f%3A170066488093... 1/3 5/26/2021 Gmail - Re: RLDK21-0001 Referral (proposed two -lot rural land division) Stahl Rural Land Division (RLDK21-0001) - DWR comments.pdf 219K Pstahl 2677 <pat.stahl2677@gmail.com> Tue, May 25, 2021 at 4:14 AM To: "Dickinson - DNR, Wenli" <wenli.dickinson@state.co.us> Dear Ms. Dickinson, Thank you for your response to this referral. We have a rather unique situation in that this is not a subdivision in reality. It is a very old homestead in which two houses were never separated. Because Weld County no longer does recorded exemptions, our only means to subdivide was through this process. The second house has been a rental, but my husband turns 77 in a few weeks and we can no longer do the work required to manage it. There is currently only one water tap that serves both houses. We will be putting in a water tap from the Central Weld Water District so that each house has its own tap. The letter from Central Weld Water District regarding their commitment to provide said tap was included in the application. They are in process of completing a study to determine the exact cost. I'm happy to forward that to you as soon as I receive it if you would like. In regard to the well, we do not have a well on our property and therefore, there are no other means to provide a water source other than through the purchase of a second water tap. Regards, Pat Stahl [Quoted text hidden] Dickinson - DNR, Wenli <wenli.dickinson@state.co.us> To: Pstahl 2677 <pat.stahl2677@gmail.com> Cc: cgathman@weldgov.com Hi Pat, Tue, May 25, 2021 at 9:26 AM We regard any division of land which meets the definition of a subdivision as defined in C.R.S. 30-28-101(10)(a) as a subdivision. We are also aware that Weld County considers rural land divisions a subdivision, which are not exempt from the county's subdivision regulations. Even though you are only creating 2 lots, the statute defines this as a subdivision so that is how we evaluated this referral. We do not need the cost estimate from the district. Also, thank you for clarifying that there is no well on the property, we would therefore have no concerns regarding that well in this subdivision. You can fill out the GWS-76, which would be preferable, but it is not required in order to obtain a favorable opinion from our office on the water supply plan. If the county would like another letter from us with an opinion of the water supply for the subdivision, please have them refer this application to us again. Let me know if you have any questions. Best, Wenli Dickinson Water Resource Engineer COCOLORADO Division of Water Resources Department of Natural Resources P 303.866.3581 x8206 1313 Sherman St, Suite 821, Denver, CO 80203 httpsJ/mail.google_oom/maillu/0?ik cbf9ec84f&view=pt&search=all&permthid=thread-f%3Al700664880937840434&simpl=msg-f°%o3A170066488093.._ 2/3 5/26/2021 Gmail - Re: RLDK21-0001 Referral (proposed two -lot rural land division) It6i G m a i i Pstahl 2677 <pat.stahl2677@gmaIIl.com> Re: RLDK21 -0001 Referral (proposed two -lot rural land division) Pstahl 2677 <pat.stah12677@gmail.com> To: "Dickinson - DNR, Wenli" <wenli.dickinson@state.co.us> Dear Ms. Dickinson, I am attaching the GWS-76 for your review. Please let me know if you need anything else. Regards, Pat Stahl [Quoted text hidden) x7l GWS-76 Water Supply Information Summary.pdf 146K Wed, May 26, 2021 at 12:24 PM httpsJlmail.google.conVmaiUu!0?ik=4cbf9ec84f&vievrr-pt&search=all&permmsgid=msg-a%3Ar7819233490150368613&simpl=msg a%3Ar78192 }3494... 1/1 5/26/2021 Gmail - Re: RLDK21-0001 Referral (proposed two -lot rural land division) G m a i l Pstahl 2677 <pat.stah12677@gmail.com> Re: RLDK21 -0001 Referral (proposed two -lot rural land division) Dickinson - DNR, Wenli <wenli.dickinson@state.co.us> To: Pstaht 2677 <pat.stah12677@gmaiI.com> Hi Pat, Wed, May 26, 2021 at 12:49 PM Thank you for your email. We will review the subdivision water supply plan once the county refers this application to us again. We request that the county refer the application so that the county remains part of the correspondence. If you want us to review the GWS-76, please ensure that the form is complete. I noticed that while the referral material indicated that there were two homes, the GWS-76 currently says the proposed use for the subdivision is use in only one home, which is not consistent. The form should also provide water demand estimates. For reference, we use a guideline of 0.3 acre-feet per year of water needed per home. For example, the form could be filled out to indicate use in two residences with an estimated water demand of 0.6 acre-feet per year. Best, Wenli Dickinson Water Resource Engineer COCOLORADO Division of Water Resources Department of Natural Resources P 303.866.3581 x8206 1313 Sherman St, Suite 821, Denver, CO 80203 wenli.dickinson@state.co.us I dwr.colorado.gov [Quoted text hidden] 5/26/2021 Gmail - Re: RLDK21-0001 Referral ro (p posed two -lot rural land division) G m a i l Pstahl 2677 <pat.stahl2677@gmail.com> Re: RLDK21-0001 Referral (proposed two -lot rural land division) Pstahl 2677 <pat.stahl2677@gmail.com> Wed, May 26, 2021 at 2:20 PM To: "Dickinson - DNR, Wenli" <wenli.dickinson@state.co.us>, Chris Gathman <cgathman@weldgov.com> Wenli, Thanks so much for the help. I really do have a Masters degree, but I don't feel like it filling out these forms! I appreciate your patience with me. I am attaching the corrected form. Chris, Can you send another referral? I think all issues have been addressed. [Quoted text hidden] GWS-76 Water Supply Information Summary (1).pdf 146K https limail.google.com/maiUuIO?ik=4cbf9ec84f&view=pt&search=all&permmsgid=msg-a�/o3Ar-8379553997457987572&simpl=msg-a`/`3Ar-83795539... 1/1 5/26/2021 Gmail - Re: RLDK21-0001 Referral (proposed two -lot rural land division) fri Gmail Pstahl 2677 <pat.stah12677@gmaiI.com> Re: RLDK21-0001 Referral (proposed two -lot rural land division) Chris Gathman <cgathman@weldgov.com> To: "Dickinson - DNR, Wenli" <wenli.dickinson@state.co.us> Cc: Pstahl 2677 <pat.stah12677@gmail.com> Dear Wenli, Wed, May 26, 2021 at 2:40 PM Attached is the referral and link to RLDK21-0001. Let me know if you have any questions or need anything else. Thanks, Chris Gathman Planner III Weld County Department of Planning Services cgathman@weldgov.com 970-400-3537 From: Pstahl 2677 <pat.stahl2677@gmail.com> Sent: Wednesday, May 26, 2021 2:20 PM To: Dickinson - DNR, Wenli <wenIi.dickinson@state.co.us>; Chris Gathman <cgathman@weldgov.com> Subject: Re: RLDK21-0001 Referral (proposed two -lot rural land division) L ... - ; This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. [Quoted text hidden] 3 attachments a GWS-76 Water Supply Information Summary (1).pdf 146K an REFERRAL FORM.pdf 694K iii To view application materials and the referral form.docx https J/mail.google.com/mail/ufO?ik--4cbf9ecB4f&view=pt&search=all&permmsgid=msg-f°/"3Al 700854928581485635&simpl=msg-fl/o3A170085492858 _ _ . 1/2 6/10/2021 Gmail - Re: RLDK21-0001 Referral (proposed two -lot rural land division) frG m a i l Pstahl 2677 <pat.stahl2677@gmail.com> Re: RLDK21-0001 Referral (proposed two -lot rural land division) Dickinson - DNR, Wenli <wenli.dickinson@state.co.us> To: Chris Gathman <cgathman@weIdgov.com> Cc: Pstahl 2677 <pat.stahl2677@gmail.com> Hi Chris, Thu, May 27, 2021 at 9:50 AM Attached is a letter with our comments on RLDK21-0001. The resubmittal has addressed our concerns and we are approving the proposed water supply for this rural land division. Let me know if you have any questions. Thanks, Wenli Dickinson Water Resource Engineer COCOLORADO Division of Water Resources • Department of Natural Resources P 303.866.3581 x8206 1313 Sherman St, Suite 821, Denver, CO 80203 wenli.dickinson@state.co.us I dwr.colorado.gov [Quoted text hidden] Stahl Rural Land Division (RLDK21-0001) - DWR 2nd Letter.pdf 214K httpsJ/mail.google.conVmail/u/0?i"cbfgec84f&vieNr-pt&sear =all&perTnmsgid=msg4%3Al700927252224365162&simpl=msg-f%3Al70092725222... 1/1 COLORADO Division of Water Resources DNR Department of Natural Resources May 27, 2021 Chris Gathman, Planner III Weld County Department of Planning Services Transmission via email: coathman wetdpov.com Re: Stahl Two Lot Rural Land Division Case No. RLDK21 -0001 Part of the SW'/a SW 1/ of Sec. 26, 14N, R 66W, 6th P.M. Water Division 1, Water District 2 Dear Chris Gathman: We have reviewed the May 26, 2021 proposal to divide a 9.08 -acre parcel known as Lot A of Recorded Exemption RE -1748 into 2 lots. Lot A wilt be 3.714 acres and Lot B will be 5.368 acres. The purpose of the subdivision is so that each existing family residence will have its own lot. The land wilt be used for residential purposes only. This office previously provided comments on the subdivision on May 24, 2021. Water Supply Demand Water will be used in two household units and the associated water demand is 0.6 acre-feet per year for the subdivision. Source of Water SUPDLy The proposed water supply is service provided by the Central Weld County Water District (CWCWD). According to the letter dated April 5, 2021, the CWCWD currently services the property through an existing tap and has the capacity to provide a second tap for the second home provided that all requirements set forth by the CWCWD are met. This office has not received information that these requirements have been met. The CWCWD provided information about their water supplies in September of 2018. They primarily rely on Colorado -Big Thompson (C -BT) water to supply retail water customers. As of September 2018, the CWCWD owned 5,832 C -BT units and 100 Windy Gap units. The yield of C -BT units and Windy Gap units varies from year to year based on conditions and storage. The dry year water yield is 3,800 acre-feet per year and the average yield is 4,800 acre-feet. In addition, the CWCWD continues to develop additional water supplies, including participating in the Northern Integrated Supply Project (NISP). According to the CWCWD, their current demand is 5,500 units with a commitment to serve 31 additional units. Our office previously commented on the possibility of well no. 120734-A being located on the subject property. According to correspondence with the applicant dated May 25, 2021, there are no wells located on the property. • 1313 Sherman Street, Room 821, Denver, Co 80203 P 303.866.3581 www.coLorado.gov/water Jared S. Polis, Governor I Dan Gibbs, Executive Director I Kevin G. Rein, State Engineer/Director . • ^. F1' RLDK21-0001 Stahl Two Lot Rural Land Division May 27, 2021 Page 2 of 2 State Engineer's Office Opinion Based upon the above and pursuant to sections 30-28-136(1)(h)(I) and 30-28-136(1)(h)(ll), C.R.S., it is our opinion that the proposed water supply is adequate and can be provided without causing injury to decreed water rights, as long as the District is committed to supply water to the lots. If you, or the applicant, have any questions please contact Wenli Dickinson at 303-866-3581 x8206 or at Wenh.Dickinson@state.co.us. Sincerely, Joanna Williams, P.E. Water Resources Engineer Ec: Subdivision file no. 27716 Applicant (at.stahi2677@Finait.com) 6/1/2021 Gmail - RLDK21-0001 Stahl Rural Land Division Gmail Pstahl 2677 <pat.stahl2677@gmail.com> RLDK21-0001 Stahl Rural Land Division Pstahl 2677 <pat.stah12677@gmail.com> Wed, May 26, 2021 at 4:35 PM To: Timothy.bilobran@state.co.us, Allyson.mattson@state.co.us Dear Timothy and Allyson, I am writing to you because Chris Gathman, the planner for Weld County has not yet received a response regarding a referral. I am checking in to see if you have any comments or concerns regarding this land division. Basically, this property is an old homestead that was never legally separated. One house was built in 1907 and the other in 1953. Obviously, both have been there for a long time. There is no new development planned. Please let me know if you have any comments or concerns regarding this matter. Sincerely, Pat Stahl https://mail.google.com/maiVu/0?ik=4cbfgec84f&view--pt&search=all&peffnmsgid=msg-a%3Ar-1339508301308409172&simpl=msg-a%3Ar-13395083... 1/1 611/2021 Gmail - RLDK21-0001 Stahl Rural Land Division j mall Pstahl 2677 <pat.stah12677@gmalI.com> RLDK21-0001 Stahl Rural Land Division Mattson - CDOT, Allyson <allyson.mattson@state.co.us> To: Pstahl 2677 <pat.stah12677@gmail.com> Good Morning Pat, Tue, Jun 1, 2021 at 8:44 AM Thank you for reaching out directly. Both Tim and I work with thirteen counties and our referral responses are often delayed and/or responded to via a consultant. Are there any easements associated with the new parcel accounting for access to both the original and new parcel? CDOT requests an easement be included in the division to account for future access between the two parcels. This is our only comment. Thank you, Ally [Quoted text hidden] Thank you, Allyson Mattson Region 4 Assistant Access Manager, Outdoor Advertising Inspector - Traffic COLORADO .. Department of Transportation P 970 350 2148 C 970 381 8995 10601 West 10th Street, Greeley, CO 80634 allyson.mattson@state.co.us I http://codot.gov/ www.cotrip.org httpsJ/mail.google.com/ma!Vu/0?ik=4cbfgec84f&view--pt&search=all&permmsgid=msg-f%3A1701376114283211795&simpl=msg-f%3A170137611428_.. 1/1 6/1/2021 Gmail - RLDK21-0001 Stahl Rural Land Division JV9 Gmail Pstahl 2677 <pat.stahl2677@gmail.com> RLDK21-0001 Stahl Rural Land Division Pstahl 2677 <pat.stah12677@gmail.com> Tue, Jun 1, 2021 at 6:37 PM To: "Mattson - CDOT, Allyson" <allyson.mattson@state.co.us> Hello Allyson! There is an easement drawn into the plat map accounting for access to both the original and new parcel. Thanks for your response. I do know that you are very busy and appreciate your time. Regards, Pat Stahl [Quoted text hidden] https://mail.google:torn/maiUWO?ik=4cbf9ec84f&view=pt&search=all&permmsgid=msg-a%3Ar-8642735056415049498&simpl=msg-a%3Ar-8542735O,.. I(1 IMG 2240.jpg httpsJ/mail.google.com/mail/u/0/#inbox7projector--1 1/1 6/10/2021 Gmail - How did your work with Platte Valley Conservation District turn out? yG mail Pstahl 2677 <pat.stahl2677@gmail.com> How did your work with Platte Valley Conservation District turn out? 2 messages Land Conservation Assistance Network <administrator@landcan.org> Wed, Jun 9' 2021 at 6:00 AM Reply -To: administrator@landcan.org To: pat.stah12677@gmail.com Hello Pat It looks like you contacted Platte Valley Conservation District on Wednesday, May 26, 2021 on the Colorado Land Conservation Assistance Network. We are glad to see you were able to connect with a resource from our directory of conservation service providers and professionals. Can you help us out by answering a few questions? Did you hear back from Platte Valley Conservation District and if so were you able to accomplish your goals? Please briefly tell us about the outcome of your project How did you arrive at the Colorado Land Conservation Assistance Network and did you find what you were looking for? Would you recommend us to a friend? Would you use the Colorado Land Conservation Assistance Network again? The Colorado Land Conservation Assistance Network is part of the Land Conservation Assistance Network - the largest national conservation platform on the web today. We offer 11 sites of services, sources and tools and professional providers to support our private landowners, forest owners, green businesses and rural communities. Thanks, The LandCAN Team 6/1012021 Gmail - How did your work with Platte Valley Conservation District turn out? Pstahl 2677 <pat.stahl2677cgmail.com> Wed, Jun 9, 2021 at 9:02 AM To: administrator©fandcan.org I did not receive a reply regarding my email request, [Quoted text hidden] httpsJ/mail.google.con/maiVu/0?ik---cbf9ec84f&view--pt&search=all&permthid=thread-i%3A1702090538103416855&simpi=msg-fu/o3A170209053810... 2/2 Hello