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Application Number:
App Type:
Applicant Name:
Owner Name:
Parcel #:
Legal Desc:
Septic Permit - Final
SP -0800119
HealthlCommerciallNewiVault
DEAN ANDERSON
ANDERSEN PROPERTIES LLC
P D BOX 865
GREELEY, CO 80032
ANDERSEN PROPERTIES LLC
060329100001-83923805
PT S2NE4 AND PT N2SE4 29-6-56 BEG S4 COR SEC 29 N01 O29'W 2505.15' S84D40'E 599.46 TO
POB NOOD02'W 225.99' S84D40E 1685-64' S05D19'W 250' N84D40'W 931.42' N01 D19'W 25.1T
N84D40'W 710.24 TO POB
Weld County Environmental Health Services Department
1 555 N. 17th avenue
Greeley, CO 80831
Phone,' (970) 304-6415
Fax. (970) 304-6411
wrww co weld co us
Site Address: NOT ASSIGNE=D
Status: Ready to Final
Applied: 06/20/2008
Issued: 03/27/2007
Finaled: 001442007
064e1.2105
Sloe Mc In o. .
1/2 Bathrooms
3/4 Bathrooms
Application Date
Associated Building Permit
Associated Building Permit Number
Basement Plumbing
Full Bathrooms
Location Description
Number of Bedrooms
Number of Persons
Other Water Supply Utility
Parcel Acres
Private Water Supply
Private Water Supply Permit Reference
Number
Public Water Supply
Public Water Supply Utility
Repair Reason Type
Septic Permit Expiration Date
Waive Fees
Waive Fees Comment
Year Installed
0
0
06/20/2008
No
0
NOT ASSIGNED
0
2
No
No
2005
JEHS Perc Tes ( ite):
Engineer Design Required
Engineer Evaluation Received
Engineer Job Number
Engineer Letter Received
Ground Slope
I 100 Year Flood Plain
Limiting Zone Feet
Limiting Zone Inches
Limiting Zone Qualifier
Percolation Rate Qualifier
Percolation Rate Value
Slope Direction
Soil Description
Soil Type Suitable
Variance Required
Weld County Environmental Health Services Department
1555 N. 17ti. Avenue
Greeley, CO 83631
Phone: (970) 334-3415
Septic Permit - Final Fax: (970) 304-3111
MAW co.weld.co.us
Minimum Installation:
Absorption Bed
Absorption Trench
Additional Terms and Conditions
Bed Option 1
Bed Option 2
Bed Option 3
Chamber Option 1
Chamber Option 2
Chamber Option 3
Septic Tank Size
Trench Option 1
Trench Option 2
Trench Option 3
VAULT WAS INSTALLED 1N 2005_ NOVV TAKING OUT PERMIT
FOR VAULT.
1000
Actual installation:
Septic Tanis: gallons Absorption Trench: so ft
Absorption Bed : so ft
Design Type: Chamber Model
Chambers
NOTICE
The issuance of this permit does not imply compliance with other state, county, or local regulatory or building requirements, nor shaft it act to
certrfythat 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 CRS 1473 26,10-111 (2)
This_xermit is non -transferable and non-refundable The Weld County department of Public Health and Evnironment reserves the
right to impose additional terms and sand Lions 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_
X
Environmental Health Specialist Date
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