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Home My WebLink About20221763.tiffForm No, OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 APPLICANT 1148 WELL PERMIT NUMBER 298842 DI V. 1 WD 2 DES. BASIN MD Lot: PREMIER COMMUNITY HOME LTD 1635 EAST LAYTON DR ENGLEWOOD, CO 80113- (303) 573-0067 PERMIT TO CONSTRUCT A WELL 6 Block: 75 Filing: 3 Subdiv: ARISTOCRAT RANCHETTES APPROVED WELL LOCATION WELD COUNTY SE 1/4 SW 1/4 Section 26 Township 2 N Range 66 W Sixth P.M. DISTANCES FROM SECTION LINES 1020 Ft. from South Section Line 2152 Ft. from West Section Line UTM COORDINATES (Meters Zone:13,NADS3) Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL ,) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(b)(I I)(A) as the only well on a residential site of 1 acre(s) described as lot 6, block 75, filing 3, Aristocrat Ranchettes Subdivision, Weld County. 4) The use of ground water from this well is limited to ordinary household purposes inside one single family dwelling. The ground water shall not be used for irrigation or other purposes. 285 feet - ADF 5/17/ 16 5) The total depth of the well shall not exceed .266 -feet, which corresponds to the base of the Lower Arapahoe aquifer. At a minimum, plain casing shall be installed and grouted through all unconsolidated materials and shall extend a minimum of ten feet into the bedrock formation to prevent production from other zones. 6) The pumping rate of this well shall not exceed 15 GPM. 7) The return flow from the use of this well must be through an individual waste water disposal system of the non -evaporative type where the water is returned to the same stream system in which the well is located. This well shall be constructed not more than 200 feet from the location specified on this permit. NOTE: To ensure a maximum productive life of this well, perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above. NOTE: This permit will expire on the expiration date unless the well is constructed by that date. A Well Construction and Test Report (GWS-31) must be submitted to the Division of Water Resources to verify the well has been constructed. An extension of the expiration date may be available. Contact the DWR for additional information or refer to the extension request form (GWS-64) available at: http:flwww.water.state.co.us NOTICE: This permit has been approved for a distance from the south section line that is different than the distance specified on the well permit application. The distance was modified in order to place the well on the subject lot. You are hereby notified that you have the right to appeal the issuance of this permit, by filing a written request with this office within sixty (60) days of the date of issuance, pursuant to the State Administrative Procedures Act. (See Section 24-4-104 through 106, C.R.S.) NOTE: Total depth of the well was amended to 285 feet - L�I�J 911111-) based on site specific geologic conditions - ADF 5/17/16 ) APPROVED JMW State Engineer Recei+t No. 3671445 DATE ISSUED ` 09-17-2015 EXPIRA ' ION DATE 09-17-2017 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 www weldhealth.org Public Health Health Adminlatration Public Health & Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education 8 Planning & Response Telex 970 304 6410 Telly 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 voicn Together with the communities we serve, we ate working to make Weld County the healthiest place to live, loom work artd pfay. Septic Permit - Final Application Number:SP-1500355 Owner Name:PREMIER COMMUNITY HOMES LTD Site Address: 16417 COLEMAN AVE Finaled FORT LUPTON, CO 80621 App Type: HealthlResidentiallNew OWTSISeptic JAY SCOLINICI4 PREMIER COMMUNITY HOMES LTD 1635 E LAYTON DR ENGLEWOOD, CO 801137000 Parcel#: 130926312006-R3448605 Legal Desc: 3AR L6 BLK 75 ARISTOCRAT RANCHETTES 3 FG Work Description: MANUFACTURED HOME EHS SEPTIC GENERAL: Associated Building Permit Yes Associated Building Permit Number MFG16-00029 Associated Disaster Permit No Location Description 16417 COLEMAN AVE FT LUPTON Number of Bedrooms 4 Number of Persons 4 Parcel Acres 1 Private Water Supply Permit Reference 298842 Public Water Supply No Waive Fees No EHS SEPTIC ACTUAL (FINAL): Septic Tank Size, gallons 1250 Absorption Trench, sqft 459 Chamber Model Quick4 Standard or High Capacity Number of Chambers Instated 39 NOTICE The issuance of this permit does not Imply compliance with other state, county, or local regulatory or building requirements, nor shall ii act to certify that the subject system will operate in compliance with applicable state, county and local regulations adopted persuanl 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 persuanl to 25-10.112(1)(4), C.R S This permit 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. Nicholas Trautner September 06, 2016 Application Status: Finaled Applied Date: 10/19/2015 Issued Date: 10/23/2015 Finaled Date : 09/06/2016 Environmental Health Specialist Date Print Date Time: 9/7/2016 10:27:06AM Septic Permit - Final EHS033 Page 1 of 1 Parcel Number: Legal Desc: Work Description: DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 www.weldhealth.org Health Adminlalrancd Vital Records Tele 970 304 8410 Fax 970 304 6412 Public Health a Clinical Services Tele970 304 6420 Fax 970 304 8416 Environmental Health Services Tale 970 304 6415 Fax 970 304 6411 Communication, Education S Planning Tele, 970 304 6470 Fac: 970 304 6452 public Health .w..I P... b-• Emergency Preparedness 8 Response Tele: 970 304 6420 Fax: 970 304 6459 Our vision rage/ Mar with the communities we serve, we are walking to make Weld County the healthiest place is five, learn, work and play. Application Number: Owner Name: Site Address: Septic Permit New SP -1500355 PREMIER COMMUNITY HOMES LTD 16417 COLEMAN AVE FORT LUPTON, CO 80621 App Type: Health\Residential\New OWTS\Septic JAY SCOLINICK PREMIER COMMUNITY HOMES LTD 1635 E LAYTON DR ENGLEWOOD, CO 801137000 130926312006-R3448605 3AR L6 BLK 75 ARISTOCRAT RANCHETTES 3 FG MANUFACTURED HOME Application Status: Final Pending Applied Date: 10/19/2015 Intake Person: CSALAZAR Permit Expiration Date: EHS SEPTIC GENERAL: Associated Disaster Permit No Location Description 16417 COLEMAN AVE FT LUPTON Number of Bedrooms 4 Number of Persons 4 Parcel Acres 1 Private Water Supply Permit Reference Number 298842 Public Water Supply No Waive Fees No SEPTIC SIZING INFORMATION: From the application information supplied and the on -site soil percolation data the following minimum installation specifications are required: Septic Tank Size (GAL): Bed Absorption Area for Rock & Pipe(Sqft.) Trench Absorption Area for Rock & Pipe (Sqft.) Bed Absorption Area for Chambers (Sqft.) Trench Absorption Area for Chambers (Sqft.) 1250 788 656 551 459 Print Date - Time: 10/23/2015 3:47:37PM Septic Permit With Calc EHS066 Page 1 of 3 NOTICE This permit is granted lemporEdly to alloy, construction to commence. This permit may he revoked or suspended by the Weld County Department of FubIIC Health and Environment for reasons set forth in the Weld County Individual Sewage Disposal system Regulations including failure to meet any lean or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption ey the department or Its employees of Iiaoillty for the failure or inadequacy of the sewage disposal system This permit Is non -transferable and non-refundable. Before issuing frnel approval of This permit the Weld County Department of Public Health and Erw ronmenl 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 inspeclian of the completed system by the Weld County Department of Public Health and Environment Benlarnin Frissell.Durley October 23, 2015 Environmental Health Specialist Date Print Date - Time: 10/23/2015 3:47:37PM Septic Permit With Calc EHS066 Page 3 of 3 RESIDENTIAL ON -SITE tiYASTEIAATER TREATMENT T SYSTEM (0` /TS) INSTALLATION PERMIT (New or Repair) NEV, OR REPAIR RESIDE ii_AL OWTS PERMIT FEE: 5750 00 All payrnefis are due at the tirrie. or application Slibmi zal: by cast, check or crEdtt card ' inCornpdete applications will not be accepted (Sire and 50 HS e'�al:.i�r4or,, size plan and design document musr be included PARCEL NO.: '�}r� �hr hi ryJ /_/ �7 �L■_� Pi FY /SO / GC 1�_3 (i^i DIGIT 1Zn ra LEGAL DESCRIPTION: SECTION 026, TOV SHIP 4/ RA GE J . CKES I SUBDIVISION l `r?.544 crab k_ he_S Lo-:- BLOCK 75 Fa 1N - �} NFOR\jLLTION CAN BE OBTAINED FROM TI -E ASSESSOR'S OFFICE AT (970) 353-3845 EXT 3650, OR ON THE COUNTY WEBSI.i L, UNDER PROPERTY INFORMATION. Link to property information. weld, �. s; � �`�t : x}::7 .1.•3545.-iCr' 'MnLer.71-11`)r :;Itior P � �, ; -al ort�...r��.e:�..t..._ SITE ADDRESS l f� �f/ 7 ea/rpria,ly f £ 214_,A41, Co>C6 of DETAILED ED DIRECTIONS TO SITE (ATTACH MAP) ) I s f cPri j'i 'S , 0/1.) 1} / 'a k.4 to l'( f vc. • J- S 6rei PROPERTY OWNER: 1?1c m M [o r r' fhowr e c L lei MAILING ADDRESS: / .c Z-7. L,, 7{p,,u Aie CITY EA' (:GIk' .e6//. '7 G'D HOME PHONE: ( O?) 330? -_3 7 ? c WORK PHONE ( d3) S.3- o6J FAX ( EMAIL ADDRESS: Li 5c.G I _pc ka+ eo,,.,-) APPLICANT NAME: E r MAILING ADDRESS: , S . Z6), / ti PROPOSED USE: G f 4-744/v. y `. Ca /4.1/6,e - CITY ST Co 7TP ga l_ff RESIDENTIAL NUMBER OF BEDROOMS: Lf NUMBER OF PERSONS: 14 - TYPE OF SIRUCTURE (Ex. house, mobile home)e / /6-c,766.1, A / Awe O AUXILIARY BUILDING (Residential use only) TYPE AND NUMBER OF FIXTURES (shower, sinks, toilet): NUMBER OF PERSONS: TYPE OF STRUCTURE (Ex. personal shop, pool house) WATER SOURCE: O PUBLIC WATER SUPPLY (NAME OF SUPPLY-) Pr fDEVID UAL WELL (PERMIT k) �f O CISTERN (PERMIT ;') /‘ 9/7 Cafewia41 August 27, 2015 Premier Community Homes 1635 East Layton Drive Englewood, Colorado 80113 Attn: Jay Scolnick Re: Percolation Test and Septic System Design Lot 6 Block 75 — Aristocrat Ranchettes Northern Colorado Geotech Project No. 176-15 40#044101orthern Colorado Geotech 2956 29th Street, Unit 21 Greeley, Colorado 80631 Phone: (970) 506-9244 Fax: (970) 506-9242 Northern Colorado Geotech has performed a percolation test and septic system design for the above referenced project northeast of Fort Lupton, Colorado. The design is attached with this letter. If you have any questions or if we may be of further assistance, please do not hesitate to contact us at (970) 506-9244. Sincerely, NORTEK CO Doug Leafe President Attachments: Site P Logs of Borings Septic System Design Criteria Septic System Cross Sections cc: Addressee (4) LOG OF BORING No. 2 CLIENT Premier Community SITE Lot 6 Block 75 Aristocrat Ranchettes Fort Lupton, Colorado Approx Surface Elev.: 94.7 ft 0.5 6" TOPSOIL SILTY SAND Tan, dry to wet, loose 2.0 SANDY LEAN CLAY Brown to grey, moist, medium stiff 30 BOTTOM OF BORING WATER LEVEL OBSERVATIONS 1 WL None vv D WL None A B When Checked 6 Days A B. ARCHITECT/ENGINEER Sheet 1 of 1 PROJECT Proposed Residence and Septic System SAMPLES TESTS 9421 I. 92 7 91.7 ort ern 400AColorado Geotech 2956 29th, Street, Unit 21 Greeley, Coiorodn 81163 t Phone. 970-546-9244 Fax. 970-506-9242 a w IT) rr Et W 0 e Cl) W W >O L ccoo w w w 0 o 2 2 a_ Ore >W z z z? Oo x - STARTED 7/17/15 DRILL CO. Drilling Eng FINISHED 7/17/15 DRILL RIG GeoP robe LOGGED BY DML APPROVED NCG PROJECT NO. 176-15 DML 1 LOG OF BORING No. 4 Sheet 1 of 1 CLIENT SITE Premier Community Lot 6 Block 75 Aristocrat Ranchettes Fort Lupton, Colorado Approx Surface Elev.; 94.8 ft o 6' TOPSOIL. SILTY SAND Tan, dry to wet, loose 2.0 SANDY LEAN CLAY Brown to grey, moist. medium stiff 3.0 B0TT0M1 OF 130RiN 943 92.9 91.8 0 J U_ I a 0 T 4 ARCHITECT/ENGINEER PROJECT Proposed Residence and Septic System SAMPLES tr w ❑ z TESTS 0 w '�- vi ` - LLJce LJJ Z> W ua ZLLI d❑ w 0_Ly mw ❑ aace s - >-. LL 20 z 0a II - WATER LEVEL OBSERVATIONS WL None W.D WL None A B When Checked 6 Days A.B Northern JOSSIColorado Geotech ?.956 29CIt Slreel, Wit 21 Greeley, Colorado 80631 Phone 97Q -S06-9244 Fax -/0-506-9242 STARTED 7/17/15 DRILL CO. Drilling Eng LOGGED BY DML NCG PROJECT NO. FINISHED 7/17/15 DRILL RIG GeoProbe APPROVED DML 176-15 LOG OF BORING No. 6 Sheet 1 of 1 CLIENT Premier Community SITE Lot 6 Block 75 Aristocrat Ranchettes Fort Lupton, Colorado Approx Surface Elev.: 94.9 ft. 5 5" TOPSOIL SILTY SAND Tan, dry to wet, loose 20 SANDY LEAN CLAY Brown to grey, moist, medium stiff 0 t3OTTOM OF BORING ARCHITECT/ENGINEER PROJECT Proposed Residence and Septic System Q W SAMPLES _ _ TESTS - W cc m co 9. Q � D 0 z W a MOISTURE, I- (75 z W OL 00 WATER LEVEL OBSERVATIONS WL None W D WL None A.B When Checked 6 Days A B Northern "'se/crack) Geotech 2t 5G 2I IIi Slreel Unit 21 Crelcy. Colorado 30631 Plane 9/0.506.9244 Fax: 9 70.50 6.9242 _ STARTED 7/17/15 DRILL CO. Drilling Eng LOGGED BY DML NCG PROJECT NO. FINISHED 7/17/15 DRILL RIG GeoProbe APPROVED DML 176-15 Premier Community Homes Lot 6 Block 75 - Aristocrat Ranchettes Northern Colorado Geotech Project No. 176-15 SITE CONDITIONS It is our understanding that the site will be used to construct a new residence that will have 4 bedrooms. The site is vegetated by native grasses and weeds. The property is bordered to the north, west and east by vacant lots. Coleman Avenue is located to the south. We are unaware of any existing septic permits for the site, or of the presence of natural or cultural features at the site. A total of six percolation test borings and one soil profile boring were drilled on July 17, 2015. The percolation borings were drilled at depths ranging from of 3 to 5 feet and the soil profile boring was drilled to a depth of 8 feet. The borings were drilled at the locations show on the Site Plan, Figure 1. Soils in the area of the proposed absorption bed consisted of silty sand and sandy lean clay to a depth of 5 feet. Siltstone bedrock was encountered at a depth of 5 feet in the profile boring. The absorption bed must remain 4 feet above the bedrock layer, Summary boring logs are attached with this report. The borings were located in the field by pacing from property lines and/or existing site features. Relative surface elevations at the boring locations were obtained by measurements with an engineer's level from a temporary bench mark (TBM) shown on the Site Plan. The accuracy of the boring locations and elevations should only be assumed to the level implied by the methods used to determine each. Groundwater conditions were elevated in each boring at the time of subsurface explorations, and one day after the drilling. Groundwater, or the physical features present from past high groundwater were not observed to a depth of 8 feet. SEPTIC SYSTEM DESIGN CRITERIA 1. Percolation Test Results: Test Boring No. 2 3 4 5 6 7 Percolation Rate (min/in) 10 10 6 8 7 8 Design Rate, Avg perc rate = 8 min/in, = Soil Type 1 with a LIAR of 0.8 2. Min Bed Area: Q = 4 Bedroom = 525 gallons per day Area = 525 / 0.8 = 656 * 1,2 (Bed) = 788 sf Infiltrators = 788 * 0,7 = 552 / 12 = 46 Standard Quick 4's Premier Community Homes Lot 6 Block 75 -- Aristocrat Ranchettes Northern Colorado Geotsch Project No. 176-15 INSTALLATION INSTRUCTIONS 1. Excavation should be performed in such a way as to limit/eliminate traffic over the area of the absorption bed. 2. All wastewater lines shall be constructed of compatible pipe, primer, bonding agent and fittings. 3. Use Schedule 35 pipe except where piping is placed under driveways or roadways — in these locations use Schedule 40 pipe. 4. All system piping shall be bedded with select, granular material. Material may be on -site or imported material. 5. Compact soils around tank and distribution box to ensure piping will remain level and settlement will not create bellies within the piping. Hello