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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20220738.tiff
COMMERCIAL ON -SITE WASTEWATER TREATMENT SYSTEM (OWTS) INSTALLATION PERMIT (New or Repair) NEW OR REPAIR COMMERCIAL OWTS PERMIT FEE: $950.00 NEWO REPAIR/REPLACE/ADDITION D • 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, engineer design document, along with site plan must be included) PARCEL NO.: 147131200097 (12 DIGIT NUMBER) LEGAL DESCRIPTION: SECTION 36 TOWNSHIP 1N RANGE 66 ACRES 15.08 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: http://www.co.weld.co.us/maps/propertyinformation/ SITE ADDRESS 989 Highway 85, Brighton CO 80601 DETAILED DIRECTIONS TO SITE (ATTACH MAP) Map is attached PROPERTY OWNER: SHARON AND ROBERT BAUMGARTNER MAILING ADDRESS: 989 Highway 85 CITY Brighton ST CO ZIP 80601 HOME PHONE: ( 303)594-5505 WORK PHONE ( ) FAX ( ) EMAIL ADDRESS: baum5@msn.com APPLICANT NAME: CRAIG BAUMGARTNER MAILING ADDRESS: 989 Highway 85 CITY Brighton ST CO ZIP 90601 HOME PHONE: ( ) WORK PHONE (303) 907-6903 FAX ( ) EMAIL ADDRESS: ccsbaumgartner@msn.com PROPOSED USE: (Refer to Table 30-6-2 of the Weld County OWTS Regulations for Average Wastewater Flow): O MULTI-FAMILY/BOARDING HOMES/MOBILE HOME PARKS TYPE OF USE (Ex. mobile home park, boarding home, triplex): NUMBER OF PERSONS (i.e. boarding homes): NUMBER OF BEDROOMS or SPACES (i.e. mobile home parks): COMMERCIAL/1ND USTRIAL TYPE OF USE (Ex. repair shop, office, dog kennel, restaurant): NUMBER OF EMPLOYEES: FLOOR DRAINS EXISTING OR PROPOSED: YES Trucks and Cranes parking lot O RECREATIONAL/INSTITUTIONAL TYPE OF USE (RV Park, day camp, church, school, public pool): NO EPA CLASS V INJECTION WELL INVENTORY REQUEST FORM COMPLETED: YES WATER SOURCE: O PUBLIC WATER SUPPLY (NAME OF SUPPLY) C INDIVIDUAL WELL (PERMIT #) 59948-F O CISTERN (PERMIT #) NO X *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. Form 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 EXST WELL PERMIT NUMBER 59948 DIV. i WD2 DES. BASIN -F MD BAUMGARTNER ROBERT & SHARON CIO ANDREW JONES 1011 11TH AVE GREELEY, CO 80631- (970) 353-8819 CHANGE/EXPANSION OF USE OF AN EXISTING WELL APPROVED WELL LOCATION WELD COUNTY NE 1/4 NW 1/4 Section 31 Township 1 N Range 66 W Sixth P.M. DISTANCES FROM SECTION LINES 330 Ft. from North Section Line 2440 Ft. from West Section Line UTM COORDINATES Northing: Easting: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant 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 37-90-137(4) and the findings of the State Engineer dated G /6 200,3 4) Approved for the expanded use of an existing well constructed under permit no. 56991-F. ermit no. 56991-F will be cancelled. 5) The maximum pumping rate of this well shall not exceed 50 GPM. 6) The average annual amount of ground water to be appropriated shall not exceed 5.3 acre-feet. 7) Production is limited to the Laramie -Fox Hills aquifer. 8) The geophysical logging requirement is hereby waived. 9) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 10) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 11) This well shall be at least 600 feet from any existing well, completed in the same aquifer, that is not owned by the applicant. 12) This well shall be not more than 200 feet from the location specified on this permit. 13) Pursuant to CRS 37-90-137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the well owner shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. 14) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. NOTE: The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years upon which the amount of water in the aquifer is allocated, due to anticipated water level declines., APPROVED JMW Receipt No. 0506000 State Engineer By DATE ISSUED 07-30-2003 EXPIRATION DATE 07-30-2004 1 nit # it Type: Scanning Cover Sheet for Septic Permits SP -0000059 Health / Commercial / New Street Address 989 HWY 85 City, State, Zip own/Range: 31-01 N -66W I # (12 digits) r Full Name: r Address: ct Name: ct Address: 147131200097-R2227103 Application Status: Finaled Application Date: 04/24/2008 BAUMGARTNER ROBERT L & SHARON A 1564 MANOR VVAY BRIGHTON,CO 80601 Owner Phone #: 303-659-3223 BAUMGARTNER ROBERT AND SHARON 1564 MANOR WAY BRIGHTON,CO,80601 Contact Phone# 970-659-3223 nation above has been Verified in Accela by employee noted below yatiA-4 ssed by: April 24, 2008 Date ): EHS00024v003 e -Time: 4/24/2008 9:15:07AM Page 1 1 .,y ' WELb COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 ;rmit #: SP -0000059 Sec/Twn/Rng: 3101 66 wner: BAUMGARTNER ROBERT AND SHARON pplicant: BAUMGARTNER ROBERT AND SHARON ;rmit Type: CNEW C=Commercial, R=Residential + NEW, REPair, VauLT Ircel #: 1471-31-0-00-081 )cation: PENDING ADDRESS ND WCR 4 9cri H(j)dgal Description: 16022 N2NE4NW4 31 1 66 EXC E100' (4WE SECT,TWN,RNG:3 istaller: rIC'e:CLOttit Fina led Status: ISSUED Applied: 02/03/2000 Issued: 02/22/2000 Finaled: ( - I z, J QO ascription: SHOP/OFFICE ammercial: Y Residential:N of Persons: of Bedrooms: BasementPlumbing: Bathrooms - Full: 0 3/4: 0 1/2: 4 1 rater Public: N Water Source:, rater Private: Y Cistern: N 'Well: Y Well Permit #: Acres: 18,6 ;rcolation Rate: 5 Limiting Zone: 3 ft 0 in Description GRAVEL Ground Slope: 0 Dir: ' Soil Suitable: (Y/N) N Zgineer Design Required: (Y/N) Y In 100 Year Flood Plain: (YIN) N [inimum Installation Septic Tank: 1000 gallons Absorption Trench: 0 or t Absorption Bed: 265 ctual Installation Septic Tank: 1000 gallons Design Type:00 • Absorption Trench: Absorption Bed: NOTICE square feet square feet square feet square feet Chambers le issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor shall t to certify that the subject system will'operate in compliance with applicable state, county and local regulations adopted persuant tc Tide 10, Title 25, CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local cupancy permit persuant to CRS 1973, 25-10-111 (2). Ills permit is not transferable, The Weld County Department of Public Health and Environment reserves the right to impose ditional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon th ral inspection of the completed sysiem.by the Weld County Departjrient of Public Health and Environment. Environmental Health Specialist rim S_FWAL I)poo Date 1/6 cr 4 tra "61' �V� Mrtite04-11-6W QM -0d .-Q-ind.5 Were, eel p 16' t (s1(' 77 - ieC cgUa 404H)93 211 nit #: ner: Acant: nit Type: gel #: ation: al Description: 3 ECT,TWN,RN taller: WILD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 SP -0000059 Sec/Twn/Rng: 31 01 66 BAUMGARTNER ROBERT AND SHARON BAUMGARTNER ROBERT AND SHARON, CNEW C=Commercial, R=Residential + NEW, REPair, VauLT 1471-3f=0-00.081 ! j(I3(2...oc) 'P7 1T1 WON 66 EXC E100' (4 RIVE 16022 N2NE4NW4 31 1 Finaled Status: ISSUED Applied: 02/03/2000 Issued: 02/22/2000 Finaled: 91121 Cab cription: SHOP/OFF10E nmercial: Y 'Persons: Bedrooms: ter Public: N ter Private: Y Residential: N asement Plumbing: Bathrooms - Full: 0 3/4: 0 1/2: 4 Water Source: Cistern: N Well: Y Well Permit #: Acres: 18.6 :olation Rate: 5 Limiting Zone: 3 ft 0 in Description GRAVEL ;round Slope: 0 Dir: Soil Suitable: (Y/N) N ;ineer Design Required: (Y/N) Y In 100 Year Flood Plain: (Y/N) N iimum Installation septic Tank: 1000 gallons Absorption Trench: 0 or Absorption Bed: 265 ual Installation Septic Tank: Mgallons Absorption Trench: Absorption Bed: Design Type: bTfuxid-kkswrd • square feet square feet square feet square feet Chamber. NOTICE issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor sh; a certify that the subject system will operate in compliance with applicable state, county and local regulations adopted persuan ;le 10, Title 25, CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a lot pancy permit persuant to CRS 1973 25-10-111 (2). peris_not transferable, The Weld County Department of Public Health and Environment reserves the right to impose tional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon inspection of the completed system by the Weld County Departmejt of Public Health and Environment. � 1 x S_FINAL Environmental Health Specialist )01?ot! Date • WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, COLORADO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 nit #: ner: �1icant: nit Type: rel #: ation: al Desc: SP -0000059 Sec/Twn/Rng: 31L1-66 BAUMGARTNER ROBERT AND, SHARON BAUMGARTNER ROBERT AND SHARON CNEW C=Commercial, R=Residential + NEW, REPair, VauLT 1471-31-0-00-081 PENDING ADDRESS HWY 85 AND WCR 4 PERMIT Applied: 02/03/2000 Expires: 01/28/2001 cription: t- 0-- < unercial: Y Residential: N 'Persons: 0 Basement Plumbing: 'Bedrooms: 0 Bathrooms - Full: 0 3/4: 0 1/2: 4 .er Public: N Water Source: er Private: Y Cistern: N Well: Y Well Permit Number: Acres: 18.6 :olation Rate 5 Limiting Zone 2, ft o in Description .-v,�z 'mound Slope Direction -- Soil Suitable (Y/N) NI ineer Design Required (Y/N) In 100 Year Flood Plain (Y/N) r t the application information supplied and the on -site soil percolation data the following minimum installation specifications are fired: Septic Tank I Cleo gallons, Absorption Trench square feet or Absorption Bed Z5" square feet Chambers ddition, this permit is subject to the following additional terms and conditions: r- Zx2 A� NOTICE -- permit is granted temporarily to allow_ construction to_ commence. This permit may be revoked or suspended by the -Weld ity Department of Public Health and Environment for reasons set forth in the Weld County Individual Sewage Disposal Systf ilations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of Lit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage sal system. permit is not transferable. Before issuing final approval of this permit the Weld County Department of Public Health and ronment reserves the right to impose additional terms and conditions required to meet our regulations on a continuging basis. I permit approval is contingent upon the final inspection of the completed system by the Weld County Department of Public th and Environment. This permit expires one year from the application date. S PERMT cuo‘kAk 9(42-4?/ Environmental Health Specialist Date WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW PROPERTY OWNER: Robert and Sharon BaumgartnerPERMlT NO.: SP- 0000059 (CNEW) LEGAL DESCRIPTION: PT: SECTION: 31 TOWNSHIP:1 RANGE: 66 SUBDIVISION: LOT: BLOCK: FILING: SITE ADDRESS: Hwy 85 and WCR 4 Brighton FACILITY: Commercial office 10 workers ACRES: 18.6 PERC RATE: < 5 SOIL: Unsuitable WATER SUPPLY: Private well LIMITING ZONE: 3' 0" gravel - XXX ENGINEER DESIGN (3.5) EXPERIMENTAL DESIGN (3.14) ENGINEER: Cecil R. Crowe ADDRESS: 735 Denver Ave Ft. Lupton ESTIMATED FLOW: G.P.D. 225 PRIMARY TREATMENT: Standard tank CAPACITY: 1000 gallons DISPOSAL METHOD: Absorption bed SIZE: 265 square feet REQUEST FOR VARIANCE: STAFF COMMENTS: The system is adequately sized for the proposed load. The system will utilize replacement soil having a perc. rate of 10 mpi. STAFF RECOMMENDATION: Approval - - ENVIRONMENTAL -PROTECTION SPECIALIST: Steve-Wiatrowski- REVIEWED. BY BOARD: 2/22/00 _ B.O.H. DECISION: APPROVED: DENIED: TABLED: - Bert Slater, Chairman Weld. County Board of Health M; ENVPRO1STEVEUSDSHELLIboh engineer review.eps COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVtRC 1555 N. 17TH GREELEY, COLORAD ADMINISTRATION (970) PUBLIC HEALTH EDUCATION AND NURSING (970) • FAX (970) ENVIRONMENTAL HEALTH SERVICES (970) FAX (970) February 24," 2000 Robert and Sharon Baumgartner 1564 Manor Way Brighton, Colorado 80601 , RE: Individual Sewage Disposal System Permit -No.: SP -0000059 Location: Highway 85 and Weld'County Road 4, Colorado . Dear Mr. and Mrs. Baumgartner: This is to inform you that your Engineer Designed Septic System has been reviewed by the Weld County Board of Health and approved. A copy of the Weld County Board of Health I.S.D.S. Review Form and your.I.S.D.S. . S . D . S . Permit are enclosed. PLEASE NOTE THAT THE SYSTEM MUST BE INSPECTED' BY A REPRESENTATIVE OF THIS DEPARTMENT AND BY• THE DESIGNING ENGINEER, BEFORE THE SYSTEM CAN BE APPROVED FOR OPERATION, THE ENGINEER MUST CERTIFY TO THIS DEPARTMENT, IN WRITING, THAT. THE SYSTEM -HAS BEEN'INSTALLED ACCORDING TO HIS/HER SPECIFICATIONS. Should you have any questions regarding your septic system, please contact this office at your earliest convenience at (970) 304-6415. Sincerely, Pam Smith Environmental Health -Specialist PS/cs - cc: Cecil R. Crowe, P.E., P.L.S., Alpha Engineering Company 'ES01.FRM Date: 2 - $--oo 1 (4 + k L \-1A-‘1 RE: Individual Sewage Disposal System Permit No.: SP -A0 5 Location: kINAI SS A,.i� ``- Dear This is to inform you that your Engineer Designed S by the Weld County Board of Health and submitted. tern has been reviewed The a designed system was de i-e& ased upon: denied as Approved: A copy of the Weld County Board of Health I.S.D.S. S . D. S . Review Form and your I.S.D. S. Permit are enclosed. PLEASE NOTE THAT THE SYSTEM MUST BE INSPECTED BY A REPRESENTATIVE OF THIS DEPARTMENT AND BY THE DESIGNING ENGINEER, BEFORE THE SYSTEM CAN BE APPROVED FOR OPERATION. THE ENGINEER MUST CERTIFY TO THIS DEPARTMENT, IN WRITING, THAT THE SYSTEM HAS BEEN INSTALLED ACCORDING TO HIS/HER SPECIFICATIONS. Tabled: rther info `-• `= required, pleas - act this o ce. Should you have any questions regarding your septic system, please contact this office at your earliest convenience at 353-0635. Sincerely, Trevor Jiricek, M.A.E.S. Director Environmental Health Services TJ/cs- cc: Engineer's Name & Company 2/10/00 THU 11:16 FAX .c._ FEE -1O- ' )3 10:05 E'. Owner Locatia STAFF APPROVAL OF ENGINEER -DESIGNED SYSTEM ame: be and Sharon Baurn iartner Address: Hwy 85 and WCR 4 Briohten The engineer -designed individual Sewage Disposal System proposed for the above property', and designed by �l R. Crowe is hereby approved subject to the following conditi s: at cccQrd`u� heengineer design exc t that the minimum bey# size m t be at least 265 square feet_totengine Alt Weld County LSD_S r uiatians apply. E under Regul Health design Heal,, the syst pr the syst owner/applicant for t.S.D.S. Permit No.: SP- 0000059 provision of the Weld County Individual Sewage Disposal System ns, do hereby understand and agree that after approval by the Director of election Services, l may proceed with the construction of my engineer - sewage disposal system prior to approval by the Weld County Board of that the Board of Health reserves the right to disapprove any or all parts of m design when it considers my application. I understand and agree that I at my own risk and that l may to required by the Board to remove any or all of installed prior to Board of Health consideration of my application. Oviner/Applicant Date TOTI P.01 STAFF APPROVAL OF ENGINEER -DESIGNED SYSTEM Owner Name: Robert and Sharon Baumgartner Location Address: Hwy 85 and WCR 4 Brighton The engineer -designed Individual Sewage Disposal System proposed for the above property, and designed by Cecil R. Crowe is hereby approved subject to the following conditions: Construct according to }the engineer design, except that the minimum bed size must be at least 265 square feet. All Weld Count ISDS regulations a I . I, , owner/applicant for I.S.D.S. Permit No.: SP- 0000059 under the provision of the Weld County Individual Sewage Disposal System Regulations, do hereby understand and agree that after approval by the Director of Health Protection Services, I may proceed with the construction of my engireer- designed sewage disposal system prior to approval by the Weld County Board of Health, but that the Board of Health reserves the right to disapprove any or all parts of the system design when_ it_considers my application. _ -I_understand_ and agree.that_I _ _ proceed at my own risk and that I may be required by the Board to remove any or all of the system installed prior to Board of Health consideration of my application. Environmental Specialist Owner/Applicant TP- /c -DO Date Date ner/Applicant RTHAPP [:D COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 5 NORTH 17TH AVENUE, GREELEY, CO 80631 PHONE: (970) 304-6410 FAX: (970) 304-641 nit Number: SP -0000059 )3-2000 Amount: $315.00 Payment Method: Check E'er Name: BAUMGARTNER ROBERT AND SHARON ilicant Name: BAUMGARTNER ROBERT AND SHARON gel Number: 1471-31-0-00-081 Address: ation: PENDING ADDRESS HWY 85 AND WCR 4 APPLICATION / RECEIPT Initials: RB Receipt Number: HAP000102 Notation: 8120 t1 Fees; $315.00 Payment: $315.00 Total All Payments: 315.00 Balance: $0.00 ount Code )41400-4221-400 )41400-4221-400 )41400-4221-400 )41400-4730-400 cription: Zmercial: (Y/N) Y Iber of Persons: 0 Basement Plumbing: (YIN) Tiber of Bedrooms: 0 Bathrooms: Full - 0 3/4: 0 1/2: 4 er Public: (Y/N) N Water Source: er Private: (YIN) Y Cistern: (Y/N) N Well: (Y/N) Y Well Permit Number: Description New Septic Permit Repair Septic Permit Vault Permit Potable Water Amount $315.00 $ 0.00 $0.00 $0.00 Residential: (Y/N) N Acres: 18.6 NOTICE icant acknowledges receipt of the individual sewage disposal system guide and that the completeness of this application is itional upon further mandatory and additional tests and reports as may be required by the Weld County Department_ of -Public th and Environment to be made and furnished by the applicant or by the Weld County Department of Public Health and ronment for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditic :emed necessary to insure compliance with rules and regulations adopted under article 10, title 25, CRS as amended. The cant certifies theat the proposed system will not be located within 400 feet of a community sewage system. The undersigned )y certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicar ar will be, represented to be true and correct to the best of my knowledge and belief, and are designed to be relied on by the ity Department of Public Health and Environment in evaluating the same for purposes of issuing the permit applied for herev er understand that any falsification or misrepresentation may result in the denial of the application or revocation of any perm fed based upon said applicaion and in legal action of perjury as provided by law. This application expires one year from ti itu re date. ivwit/Qilk)-1,9aZ1,4) o?4/a Date SEPTIC INFORMATION FORM j To obtain an I.S.D.S. permit, one must file an "Application for Individual Sewage Disposal System" at the Weld County Environmental Protection OLORADO� Services office, and pay the application fee. A "repair" fee shall be char for the expansion, replacement, or repair of an existing system. The following information must be provided on the septic information form: RC EL NO.: 147131000081 SESSOR'S OFFICE AT (970) 353-3845 EXT 3650 THIS CAN BE OBTAINED FROM T OPERTY OWNER Robert L. Baumgartner and Sharon A Baumgartner ILING ADDRESS 1564 Manor Way CITY Brighton ST CO ZIP 80E ME PHONE (303) 659-3223 PLICANT NAME Same as Above WORK PHONE (303J 659-3358 FAX (303)653-0703 ILING ADDRESS CITY ME PHONE ( ) ST ZIP WORK PHONE( ) FAX( ) NEI/4 3AL DESCRIPTION PT N1/2 PT NW 1 /4 SEC 31 TWN 1 RNG 66 ACRES 18-E BDIVISION N/A LOT - BLOCK - FILING - SCRIPTION OF BUILDING (ex: House, Mobile Home, Modular, Shop, Office} Shop/Office E/LOCATION ADDRESS ;ECTIONS TO SITE 1/8 Mile West of Highway 85 on South Side of - WCR 4 N PERMIT x REPAIR PERMIT $315 $3'15. )BTAINING A REPAIR PERMIT, PLEASE LIST PREVIOUS OWNERS OF THIS PROPERTY VSUS TRACT 5IDENTIAL YES O COMMERCIAL flE?NO 11BER OF PERSONS BASEMENT PLUMBING YES sNO V1BER OF BEDROOMS BATHROOMS: FULL 3/4 1/24 4 TER SUPPLY: PUBLIC YES NO UTILITY NAME United Power VATE YES / NO CISTERN YES / NO WELL /YES? NO WELL PERMIT # 2147C DLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMEI 1555 N. 17THAVENt GREELEY, COLORADO 806 ADMViINMSTRATION (970) 304-04 PUBLIC HEALTH EDUCATION AND NURSING (970) 304-54 FAX (970) 304-64 ENVIRONMENTAL HEALTH SERVICES(970) 304-f4 FAX (970) 304-64 AUTHORIZATION FORM 0 SEPTIC PERMIT APPLICATION © SALE OF PROPERTY 0 I.S.D.S. EVALUATION © WATER SAMPLE represent - for the property locate: N1/2NE 1/4Nw14 ;AL DESCRIPTION: SEC 31 TWN 1 RNG 66W,. Weld County,Co,exc E 100' DIVISION NAME: N/A LOT - BLK - be contacted at the following phone #'s: Home Work Other Fax #. Droperty owner -can be -contacted at the following phone #'s 4ER'S SIGNATURE Home 303-659-3223 Work - 303-659-3358 Other (cell) 303-594-5505 Fax # 303-659-0703 DATE February 22 2000 S ' 7 LS.> V �V v U.S. HIGHWAY 85 rri r 0 l V o v 7 C C r 4 p Road File # RE: Other Case No. APPENDIX B WELD COUNTY ROAD ACCESS INFORMATION SHEET 'eld County Public Works Department 111 H Street, P.O. Box 758, Greeley, CO 80632 lone: (970 )356-4000, Ext. 3750 Fax: (970) 304-6497 Applicant NameRobert L & Sharon A Baumgartner Address 1564 Manor Way Date: - Phone 303-659-3223 City Brighton State CO Zip_ 80601 Address or location of access Section 31 Township IN - Range 66W Subdivision Block Lot Weld County Road #4 _ Side of Road Distance from nearest intersection 1/8 mile Is there an existing access to the property? Yes X No # of accesses l Proposed Use: Permanent O Residential/Agricultural ® Industrial O Temporary O Subdivision O Commercial O Other :****** *if ********************************************** *ID *****************************************sir Site Sketch ;gend for Access Description: = Agricultural ES = Residential = Oil & Gas R. = Ditch Road = House = Shed ********************************** W.C.R. 4 SECTION 31 **##F#*****#*i7K#***+K#************************************.************ - FFICE USE ONLY: )ad- - - - - - - ADT - ---Date -- Accidents — - Date )ad ADT Date Accidents Date ainage Requirement Culvert Size Length ecial Conditions ***«*** * ******** Fig ************************************************* ***************** ****r*r*;** viewed By: O Installation authorized ❑ Information Insufficient Title: m:wpfilcs\cnginccr\acc 9/13/00 WED 14:14 FAX fbI • High Plains Engineering 735 Denver Avenue • Fort Lupton CO 80621 Phone 303-857-9280 • Fax 303-857-9238 July 19, 2O00 RE: inspection of the septic system for a part of the North /2 of the NE Vi of the NW A of SEC. 31, TIN, R66W, Weld County, CO. (Robert Baumgartner, SP0000059) To Whom It May Concern: We made an inspection of the septic system at the above described site and found that the end caps had been installed at the end of each line. The soil placed under the bed was adequate. The system as built according to the approved plans. Sincerely, Cecil R. Crowe, P 09/13/00 WED 14:14 FAX .. • • • • BAUMGARTNER TRUCKING ENTERPRISES INC. 1564 MANOR WAY BRIGHTON, COLORADO 80601 303-6S9-3358 303-659-3223 303-659-0703 fax FAX COVER SHEET DATE: TO: FAX. # FROM: M ESSAGE: 4a400 970 - 30v- (pV// sPovo oa.�9 (4? -r1-/ 4471-4-3 irc. coiceo-. 41/LC, 59- JL,fraz, High Plains Engineering 735 Denver Avenue • Fort Lupton CO 80621 Phone 303-857-9280 • Fax 303-857-9238 July 19, 2000 ECEIVED SEP 1 E IVIR0RIVIE a1AL HEALTH SERVICES RE: Inspection of the septic system for a part of the North 1/2 of the NE 1/4 of the NW 1/4 of SEC. 31, T 1N, R66W, Weld County, CO. (Robert Baumgartner, SP0000059) To Whom It May Concern: We made an inspection of the septic system at the above described site and found that the end caps had been installed at the end of each line. The soil placed under the bed was adequate. The system as built according to the approved plans. Sincerely, Cecil R. Crowe, PE & LS 1233 High Plains Engineering 735 Denver Avenue • Fort Lupton CO 80621 Phone 303-857-9280 • Fax 303-857-9238 July 19, 2000 RECEIVED SEA9R200 ENVIRONMENTAL HEALTH SERVICES RE: Inspection of the septic system for a part of the North '/2 of the NE '/4 of the NW '/4 of SEC. 31, TIN, R66W, Weld County, CO. (Robert Baumgartner, SP0000059) To Whom It May Concern: We made an inspection of the septic system at the above described site and found that the end caps had been installed at the end of each line. The soil placed under the bed was adequate. The system as built according to the approved plans. Sincerely, Cecil R. Crowe, PE & LS 123 .11 F. .. r a�iZl}I�i]5F l} Ltd+ �� FIF1-l7 r�WrI�PJ EC ,-.FP1IC 4AI•IV Ht IL2,IN+:, 20' O 4- PERFORATED PVC PIPE (TYP) REMOVE & REPLACE EXISTING GRAVEL W 5 TO 10 FA4r4L0E5 INCH' PERCOLATION RATE SAN PLOT PLAN 0 SCALE: 1" - 50' 3/4' TO 2-1/2' '413414" ° GRAVEL VII=1,V'. BED CROSS SECTION 2' STRAW .L. I•. � V ,I i.l a EXISTING CROWN() a SM 3 8 SOIL PROFILE SP DESIGN DATA: PURPOSE OF THIS SEPTIC SYSTEM DESIGN IS FOR A TRUCKING COMPANY WITH 10 EMPLOYEES. THE SOIL PERKS AT A RATE OF LESS THAN 5 MINUTES PER INCH. REPLACE SOIL 4 FEET UNDER THE BED AND 4 FEET ON At.L SIDES WITH SOIL THAT HAS A PERCOLATION RATE OF S TO 10 MINUTES PER INCH. 10 PERSONS x 15 GPD/PERSON = 150 GPI) A _ 0 1.5 16 _ 150x1.5 1U 3.5 3.5 USE 32'x17' ABSORPTION BED, USE MOO GALLON SEPTIC TANK. - 204 50. FT. NOTES! 1. PROVIDE A MINIMUM OF FIVE (5) FEET BETWEEN THE DISTRIBUTION BOX AND SEPTIC TANK. 2. PROVIDE A MINIMUM OF FIVE (5) FEET OF SOLID PIPE BETWEEN THE DISTRIBUTION BOX AND THE LATERALS AND PROVIDE A MINiMUI41 OF FIVE (5) FEET BETWEEN THE SEPTIC TANK AND ANY BUILDINGS, ALL CONSTRUCTION IS TO BE IN ACCORDANCE WITH WELD COUNTY, COLORADO WEALTH DEPARTMENT'S INDIVIDUAL SWEAGE DISPOSAL SYSTEM R€GULATIONS. CERTIFICATION: I HEREBY CERTIFY THAT THE SEPTIC SYSTEM SHOWN ON THIS PLAN WA MADE BY ME OR UNDER MY DIRECT SUPERVISION AND IS ACCURATE TO THE E.F.S nF FDOE OR HFLIEF. z 7 CECIL R. CROWE, PCAND LS 1 3.30 12330 -2_c- r NI:Pi IC t)I'SI(iN FOR A PART OF -1 -III. NORTH v: 1►F'I'rIF: NORTHEAST 1./.. c I 'IM' NORTHWEST 'A 111' SEC, 31,'1'l N, Rfi6W, WFI.1) COUNTY, COLORADO HIGI-I PLAINS ENGINEERING 735 DENVER AVENUE, FORT LUPTON CO 80621 PHONE - (303) 857-9280 FAX - (303) 857-9238 SCALE: ]/4" = 1' Q" REVISIONS NY DAT E CONTACT ROBERT 1TAIJMGAR'I'NER SCALE: AS NOTED
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