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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 -
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20210989.tiff
14 Hand *ter Duet Billing Address KORNASIEWICZ, DANE A & NELDA L 620 STATE HIGHWAY 62 ERIE, CO S056-9314 Left Hand Water District PO Box 210 Niwot, CO 80544 303-530-4200 Ihwd@Iefthandwater.org Office hours are Monday - Friday 8:30am - 4:30pm Remove Account Service Address 620 STATE HIGHWAY 52 ERIE CO 80516-9314 Description Read Date Prev Reading Present Reading Total Usage US 7/21/2020 2,559 2,606 47,000 Previous Payment Date Previous Payment Amount 7/25/2020 $120.07 Account Information Account 3674.03 Number: Account Type: utility Due Date: 8/21/2020 Billing Period End: 7/31/2020 Total Charges WATER BASIC FEE $31,96 WATER USAGE $311.59 Statement Charges $343.55 Payment or: 08-16-2020 -4200.00 Statement Total $143.55 The information displayed here is provided by Left Hand Water District. If there is a discrepancy, please contact Left Hand Water District. Please note that model bill is only displaying payments made on or after 07/30/2020. Payments made directly to Left Hand Water may or may rot be displayed here r NoCo SEPTIC eee- P uft- P�a�e44io tae Thank you for choosing NoCo Septic for your Onsite Wastewater Treatment System Inspection. Attached you will find our detailed report as well as information to maintain your septic system. Although systems are out of sight, they cannot be out of mind. Routine maintenance is required to ensure a long-lasting system. Below please find a list of recommended maintenance for your system. Frequency Task Notes 3 Year Septic Tank Cleaning Measure sludge, inspect baffles, clean filter if applicable, inspect soil treatment area Subsequent maintenance can be prescribed less or more frequently based on field observations of these initial maintenance activities. r NoCo Septic Inspection Report NAWT Inspector License #129381TC NoCo SEPTIC PO Box 293, Mead, CO 80542 Ij1T!P Date of Inspection 2020-04-24 Pass or Fail Pass Name Dane House Number 620 Pump Station Street Name CO - 52 Year Installed N/A City Erie Tank Size Zip Code 80516 Pump Functioning Vumber of Bedrooms in House 3 Alarm Functioning Septic System Bedroom Rating 3 Soil Treatment Area (aka Leach Field) Septic Tank Year installed 1992 Year installed 1992 Size (Square Feet) 1197 Tank Size 1250 Type Absorption Trenches Tank Condition OK -Deterioration Visual Inspection OK Tank Construction Concrete Compaction Risk YES Operating Level OK Saturation NO 1 or 2 compartment tank 2 Monitor Pipes NO inlet Baffle OK Hydraulic Load Test Pass Mid -Tank Baffle OK Gallons Added "'50 (occupied) Outlet Baffle OK Well or Water District District Effluent Filter Recommended Distance from STA to Well N/A Comments: Some concrete corrosion on septic tank outlet side. Sludge measured greater than 25%, tank was overdue for pumping service. Video of inspection stored here..https://youtu.be/9WHP19u4e2A Shield Your Field Divert rain and surface water away and avoid parking vehicles and plantini trees on your drainfield. AI.__ Don°t Overload Think et the Sink the Commode Limit use of your garbage disposal and �,,►'e Don't flush diapers, avoid pouring fats, grease, solids and ,+t , wipes or other items harsh chemicals down the drain. ii' , meant for a trashcan dawn the toilet. , s• •• + 1 1 . r + I Toilet paper i only Don't Strain Your Drain Use water efficiently and stagger use of water -based appliances, such as your washing machine or dishwasher. all &EPA Onsite Wastewater Treatment Systems Special Issues Fact Sheet 1 Septic Tank Additives Description Because of the presence of significant numbers and types of bacteria, enzymes, yeasts, and other fungi and microorganisms in typical residential and commercial wastewaters, the use of septic system additives containing these or any other ingredi- ents is not recommended. The benefits of consumer products sold as septic system cleaners, degraders, decomposers, deodorizers, organic digesters, or enhancers are not significant or have not been demonstrated conclusively, depending on the product. Some of these products can actually interfere with treatment processes, affect biological decomposition of wastes, contribute to system clogging, and contaminate ground water. The septic tank/soil absorption field system is the most commonly used onsite wastewater treatment system in the United States. It is relatively low in cost, has no moving parts, and requires little maintenance. Septic tanks have a number of important functions, including: Remove oils, grease and settleable solid's. The septic tank is designed to provide quiescent conditions over a sufficient time period to allow settleable solids to sink to the bottom of the tank and floatable solids, oils, and grease to rise to the surface. The result is a middle layer of partially clarified effluent that exits the tank to the soil absorption field. Store settleable and floatable material. Tanks are generously sized according to projected wastewater flow and composition to accumulate sludge and scum at the bottom and top of the tank, respectively. Tanks require pumping at infrequent intervals (e.g., 1 to 7 years), depending on sludge and scum accumulation rates. Digest/decompose organic matter. In an anaerobic environment, facultative and anaerobic bacteria can reduce retained organic molecules to soluble compounds and gases, including H,, CO,, NH3, H,S, and CH}. This digestion can signifi- cantly reduce sludge volume in warm climates. Types of additives and effects on treatment processes There are three general types of commonly marketed septic system additives: Inorganic compounds , usually strong acids or alkalis, are promoted for their ability to open clogged drains. Product ingredients (e.g., sulfuric acid, lye) are similar to those used in popular commercial drain cleaners. These products can adversely affect biological decomposition processes in the treatment system and cause structural damage to pipes, septic tanks, and other treatment system components. Hydrogen peroxide, once promoted as an infiltration field reconditioner, has been found to actually degrade soil structure and compromise long-term viability of soil treatment potential. Its use to unclog failed infiltration fields is no longer recommended. Organic solvents, often chlorinated hydrocarbons (e.g., methylene chloride, trichloroethylene) commonly used as degreasers and marketed for their ability to break down oils and grease. Organic solvents represent significant risks to ground water and wastewater treatment processes. These products can destroy resident populations of decomposer and other helpful microorganisms in the treatment system. Use of products containing organic solvents in onsite treatment systems is banned in many states. Introduction of organic solvents into onsite systems located in states that ban the use of these products may trigger liability issues if ground water becomes contaminated. SIFS-1 Biological additives , like bacteria and extracellular enzymes mixed with surfactants or nutrient solutions, which mirror but do not appear to significantly enhance normal biological decomposition processes in the septic tank. Some biological additives have been found to degrade or dissipate septic tank scum and sludge. However, whether this relatively minor benefit is derived without compromising long-term viability of the soil infiltration system has not been demonstrated conclusively. Some studies suggest that material degraded by additives in the tank contributes to increased loadings of BOD, TSS, and other contaminants in the otherwise clarified septic tank effluent. Other products containing formaldehyde, paraformaldehyde, quaternary ammonia, and zinc sulfate are advertised to control septic odors by killing bacteria. This objective, however, runs counter to the purpose and function of septic tanks (promoting anaerobic bacterial growth). If odor is a problem, the source should be investigated because sewage may be surfacing, a line might have ruptured, or another system problem might be present. Another variety of consumer products is marketed for their ability to remove phosphorus from wastewater. These prod- ucts are targeted at watershed residents who are experiencing eutrophication problems in nearby lakes and streams. Phosphorus is an essential nutrient for aquatic plant growth and limiting its input to inland surface waters can help curtail nuisance algae blooms. Aluminum (as alum, sodium aluminate, aluminum chloride, and activated alumna), ferric iron (as ferric chloride and ferric sulfate), ferrous iron (as ferrous sulfate and ferrous chloride), and calcium (as lime) have been proven to be effective in stripping phosphorus from effluent and settling it to the bottom of the tank. An important side effect of this form of treatment, however, can be the destruction of the microbial population in the septic tank due to loss of buffering capacity and a subsequent drop in pH. Treatment processes can be severely compromised under this sce- nario. Finally, baking soda and other flocculants are marketed as products that lower the concentration of suspended solids in septic tank effluent. Theoretically, flocculation and settling of suspended solids would result in cleaner effluent discharges to the subsurface wastewater infiltration system. However, research has not conclusively demonstrated significant success in this regard. References Andress, S. Jordan, C. 1998. Onsite Sewage Systems. Virginia Polytechnic Institute and State University, Civil Engineering Department, Blacksburg, VA. Angoli, T. 2000. Hydrogen peroxide not recommended to unclog failed drainfields. Small Flows Quarterly Vol. 1 No. 2, p. 42-44. Clark, G.H. 1999. The Effect of Bacterial Additives on Septic Tank Performance. Master's thesis, North Carolina State University, Department of Soil Science, Raleigh, NC. Dow, D., and G. Loomis. 1999. Septic Tank Additives. University of Rhode Island Cooperative Extension Service Onsite Wastewater Training Center, Kingston, RI. Hairston, J.E., G. Speakman, and L. Stribling. 1995. Protecting Water Quality: Understanding Your Septic System and Water Quality. Alabama Cooperative Extension Publication wq-125.al, June 1995. Developed with support from Auburn University, Auburn, AL. Olson, K., D. Gustafson; B. Liukkonen; and V. Cook. 1977. Septic System Owner's Guide. University of Minnesota Extension Services Publication PC -6583 -GO. University of Minnesota, College of Agricultural, Food, and Environmental Sciences, St.Paul, MN. Rupp, G. 1996. Questions and Answers About Septic System Additives. Montana State University Extension Service, Bozeman, MT. Virginia Polytechnic Institute and State University (Virginia Tech). 1996. Septic System Maintenance. VTU publication no. 440-400, October 1996. Water Quality Program Committee, Virginia Polytechnic Institute and State University, Blacksburg, VA. 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S:31: RV:E(::E::;:S r: I::F FRN1SS ? BATHROOMS ::.. ;:1 ) L..(.JT s:i.zi. ,:30..00 ACFI S BASEMENT 1='1.••L.Jl''€5:<:1: h1(:) Y(:SUPPLY €...F..1-.1..11;) APPLICATION F E::E:: s€s:1. () .. C)() D BY (:::1: N DY Slrl..-I:: :1.:1. /05/9:1. .:3:€: (:;NII:::I) BY t:Sl:::l CF:: E iJ1..:I I•-AUF' DATE :1.L/05/9:1. PERC(:)LAT:I:(:)NI 1: T1E: { ..1 lMl:EN! !"'I:::I:I:N1(::I--I 1...:€:ITI:E-T:1:NNG ZONE c3 FIE:E::I- :E1.-. TYPE S:3UI F'E(:`.11*I'T' (:iF;(:)t.11' D S: 31...(:)1"1::: ;�`�•.. I):I:FR,I:(:r':c:(:)N1 W I: E::(:k(-J:r F3 is}1::1: GN k1(: FROM THE I::::1...l:CAT:i:(:)Nl :ENFORF-IATION S:i(.JF PI..-:l:ED ND 'T€ EE (:)N S:l:TE:: :on... PERCOLATION DATA :I:I•€(:•1 MINIMUM INS3'T'(rLL. A T:t:c I S:3FP'E::(::II::1:(::A T:1:(:)N1S:3 A1":: F I:::r.; Li:CFI:.:1:) ail:F=TIC:: TANK :1.000 ABSORPTION 'TFE 4(E•! F:"T,. (BS:3c:iI:F' T:l:(:)141 I::EI) ,.i v) S:3{:! d F" T .. •I.NI ADDITION, THIS PERMIT .E.S;3 `:3tJT:�,•1I::.t.; T T (.) T HIE. 1•' (.)1...L.•T•)W.I.I`1C; ADDITIONAL TIE.IYIS:S AN D CC)FIDa: T:l:t:)NlS:3:. iii :1: PERMIT :I;TEMPORARILY TO AI. -1•..(:1W C:(:)I'•IS:3TI":(•J(::T :CciI l T(7 (::(:llYl1YIE::NI( I:::.. 'TFI:I:S:3 PERMIT IYIE �Y ICI:;: RE;:1d(:)1C1;::D OR ::3(.1S;aE'END1:::D IY TI••II:;: WI :I...P 1 (II JI•I'I Y HEALTH DI:::PAR TIYII:::I•NT- 1:: (:)F4 I-.! `:S:3()1•,I::3 S:11:::.T. F:'(:JJ: .•i :1:NI 'rh!..: WI;::I...D COUNTY :I:NID:I:V:1:DUAL.. SEWAGE DISPOSAL SYSTEM RE::c .11... 5T:l:(:)H INN:I..-LJI):1:141(:1 !"-A:1:I...(- RE:: O MEET f ii'' T1:::FR;IY€ (:)l c:(:)loll):J:'T:I:(:)J�l :IlY1F'(:1SaE::I) -r-FIE:J I::C)NI I)(.JF :1:N!(3 €E:1"II::.t:)FR:A Y C]!:: F:!: t F'F'ROVAL .. HE:: ISS:3t. ANI(::E (:)F' THIS €E:::F:IYI:I:'T I)(:)E::S:3 NOT t:;(7E-•IS:3'T:C'T(-J'TE:: AS:3S5t.11YIFP'•T:(:(:114! D1: PAR TME::I ('T C)1": :I:'I ; E::lYll' l...L YE::E::S3 C11" LIABILITY l::I:]I: 'TI•1E: FAILURE c:1;: C]l... .T1 1E S:3i:ui c;i-: D:I: S:3F'(:1Saf•'+1•.. S:SYS:3T EM ,. L..AF:F Y DIYIF•'S:3E::Y :I.:L/:1.{s'/9:I. ENVIRONMENTAL r:3i::I::.(;:t:nl...:I:S:}T I)A TE:: THIS F'I:::h;MYE:I: :r:1I.3 141(:)'T -T1'1I) S:il-•Jr l ---I.-. I:{1:::C OMY11: V(:):I:r :1:1: SYSTEM ION HAS NOT (::E:)IYNYII:::NiC',E::l) WITHIN (:)!NE: YEAR (JI:: :1: TS:S :I: S;3S:3t. ANl(::E .. I:}E::F: c]1:;;1E: ISSUING F' :l: O -TI..I:1:S:3 PERMIT •TF1E WEE:€...I) ((:)(.JN1TY J—FI:A11... r!1 DEPARTMENT l':(:::S:31:::EVES THE RIGHT .T(:) :C1YlF'(:)S:3E:: SDI):I:•••• •T:J:()N1(1... •TE::F;E*1:3 f'AN11) (:(:)NIT):I:T:1:(:)141S:S FEE::4:1t.J:I:I::r:I) TO 1?!I:::E::-T• (:)L.li RE::4:'3t.Jl...AT:1.(:)141;:} (:)1�-1 A (:::(:)Fr1:E141(•J:I:1l(:3 B .... S:3 :1:::'s.. FINAL PERMIT :I:S:3 (:.'()Nl•T:I:NI(:;l:i:N€T LJ!::.CJNI -T1••11: I:: :t: :I:NIS:3I::i:::C;T:I ONI OF TI--IlE CUM-- F`l...E I FED SYSTEM BY THE:: WELD COUN-TY HEAd..--TH DE::PAF....ME-:N T.. S3Yf:3•TE: M :f:141S T AL..1...E::I`� F: a:l i ii... INSPECTION I)A-TE: SYSTEM 1E:14E(3IN11Ei:F AF`F'Ft(:)Vrtl.•. TYE"•I: OF SsYS:3Tl::M INIs:STAI•,.l...IEE 1:::N1V:EF:(:)I IvI!:Nlr-r 1... 1111::: :I:C)F"- -TH:l: 3 PE::F':I`i7:-T l)(:)1::: a Flu....... (::(:)j?!I::l.-.:I:AN1(::E:: WITH ( TFI!:I: STATE::., Ct:)t.1N Y OR I. -.()fl I";E::(:F(.1LA T(:)i"; Y OR I:{L1:L:... D:I:NI(:3 REQUIREMENTS, NOR S:3E"IAI...L.. .I:T ACT TO CE:::R'T:1:F'Y TI•'IA T. •'1.1••IIE: `.:3LJB iE::("T SYSTEM WIL..l... OPERA -1E IN COMYIFL..IAN10E WITH AF1:€...ICr BL..-.... S.(.ATl:., COUNTY AND l..•Ot AL FEE:::(• (.JL..A T:I:(:)I4ES ADOPTED PERCUA€'•€.T. .r'(:1 AF: T:Ci::E...1' :I.$)•T:l:'1"I...JE: :'.t:i ., CR8 :1.973 • 3S:3 AMENDED„ I:::XCrll''T 1 Oh. tElL: F'L1F4F'(:)S:3E:: UI 1:;:S;3••I'A11..,:I' 1III -*!G I I:NIO! Alh.OVAI.-. OF AN :I:NV>roI...J...I P SYSTEM F'C)F4 IS3S UANICE:: (7F: A 1...C]L AI.•. OCCUPANCY F'E:::FR:IYE:I:'T 1"'(.JF; 3LJANNT• -T(:) (::F•`•' :1.97 .- c:.....:1.0 :I.:I.:E. ( tI::C(:,:I:..... L:c. iNl'1 C(:)F'Y.---Lc::F-!l) W(::I••ID-••1:::I1E3 IYAY., :l.iC)!.T !.IS:: I06F:. :I:14 D I:V:I:Dt.Jfll..- S:3EWf1(-r31: DISPOSAL SYSTEM 1='IEIIYI:I: r- NO.. G':I.()x:'.' -3 :(:)t..;izl'T'Y !••lEE:Ad..-'r'I••l I)1:::f:A TEYII:::I=1T I41E W PERMIT l••IIE: it. TH :L ;5:1.7 :L 1I'-! f` ��Ji:::hll.Jl::: C:Clt.114'r„ t;;1�:1:::1:::I...I :Y., (:) 353 ') x�: 5 i:::x-T• , ::r•.:-,,:1 OWNER X:�1.J1...TE.I a.11:'.,}DI?1 I:SS x: o H:r(a1--1WAY .` 2 F E -I (;303 56:5..-.8:}r.,,. ADD E::S3Sa (:J1::PROPOSED SYSTEM ,:(} F1:l:(:il••IWAY :z2 CO ::305:L6 E._E::(:'1E•1E... I::'r :l:[:114! CII::' s:ETE:: W2. NE'l i3EC; 6 T'WP I RN 3 63 1_01' () l... C (:; i< r7 FILING {7 USE TYI::'E::::. RESIDENTIAL l'•I(:)1 Il:: BATHROOMSt.-(J r l3 i:ZE I().. ()f� --; BASEMENT F:`l...l.JlYlJf:�:E'.14I(:; YES:3 11JA -TE::I:: SSl.1F'F='E...Y I...l::- TI -!I) f1I:'F'I..-:t:C`I' T:1:C)l-'1 F :1..: 'I>J..`3()..0() b BY C:I14EDY S:3AL.., AAR X)ATE :1.:1. /0r/9 :1. S:1:(:11 -•II: D {Y (:',I:::Nw: I•: iu...'T'I-•IALJF' DA-TE :1.:i/05/9:1, :1: (:1141 RATE .. �1 MYl:r i i F:'1:I:; :I:I4E(::FI 1...:1: IYI:E:'r':1:c C.(:11u: ` - -- - 4 '•aL.l:1:'r'AI...1:: PERCENT (:]E;,()t.JNX) X):I:I:tE:CT:1:(:)141 W :I:1 E:`S 11•EC :1:I-Il:I:_I'; I?!.Ei:I:(:Ti4l 1I(1 1:R011 THE: APPLICATION INFORMATION!Hl..-LED AND f HI::. ON —BITE �:5(,1.I.L I••`l::.l•(.,(.11...AT ION 1.1A I A 'Hit F''O1._L_OW:I:I EG M IN IMUM :I:hNTAE...I...A'T':ION S: SPE:::(:i:l:l:'':I:( ATIONS:3 nil- F;I:_CTU I:I: I SI:F:'T:I:c TANK :L000 ., :LCINI TRENCH .'.'4 f:S(:2.. F=•T., ABSORPTION BED 7(:3(") {:S(:!.. :1:l- AX)X):I:T:I:(:)1'-I., 'ri--i:I:S:3 1:'I:::1:';IYi:1: T- IS S:SLJXrEC:T TO -ii--u:: I:'(:11...1...(:1t�J:I:I\Ic•i i i)I):I:'T:I:(:)i•I1... TERMS NNIX) (::(:)l4II):1: T:L (:E41;iS TF•€:I:S3 1='I:l:MYl:I: T :I:S:S (alh1'TF:I) T1=:EY1l:.(:)1:iA1ti:I:1...Y TO AI._L..(:JW((:)l°ITiUJT3:(:1141 r'(:J COMMENCE. THIS l::rl:il:I: T lY AY X+1::: RE:::V(II<1 I) (:1F SUSPENDED BY 1111 W1:::I...I> (;(:11.Jill Y 111:::f11... Tl l DI:::F:' 1L TMEI1'T F''(:ll:'; REASONS 1 (II k"III :1:141 Y'F11:_ WI:::I...I) COUNTY :I V I DUAL.,, S:31:::Wc i(:]1::: I):I:S:ii Ii::SA1... 11 Ii I I:::(:'1(.11...A-T:1:(:)ft :I:N(::1...I.ID:I: ill :f FAILURE TO EE1:-1:T ANY TERM CI:: CONDITION :LEl1 (:)S:3lE:I) -TH•'ll:1: E ON I)IJI:';:I: hl(:TEMPORARY (']E:ti AF:'I i o1.iAI-.... '1111 :1:S:3S:St.JA1NI(I : 1)1 l"1••i i I::I :I';M I:'I X1)1:::S141C3T CONSTITUTE AS:3.:SLiil1::''r1:(:)11 X: Y 1111::: I)I:_PART I'll Ill (:11": :I: TS:S I:-M1''L.,(: Y1-S:S OF I...:I:AX•:::I:I...:1 1 Y' F''OF -r'1•'1E:: F:'�:1:1...I.JRi::: C11 INADEQUACY ii( UI r I.•€1::: SEWAGE I):l:S:)1"'(:1S:3A1... SSYS:S r'1:::i-I L..AR Y X)1:IYIF:'S:31ii:Y :1.:1.1:1. l: NV:LI: (:Ji4llYli: N TAI... SPECIALIST THIS PERMIT:I: ;:S 1II:1'T TI:4A14ES:SE='1:::F AI:,E...E:_ (•I4EX) S:YF•EAi...l... E I:C OMYME: V(:]:I:1) :i:I::' SYSTEM (:;(:31'•1S:STFit.1(:`,'r':I:(: N HA I4I(:1'T' (: (:11Y11YlI:i:l41(::1':I) lfJ:l:-Tl-"I:l:l-�L (:1141E:: f'l:::AF'i cu------. IS:SS:SUAl4i(: E., I:=1:F:'(:)l:'il:_ :1:S:SS:St.1:1:I-`IC- I:.:1:141ASE... AF'F:'1: (:OVr=A1... (:11::' 'r-1•'1:I:S:S F:'I:::I:l"l:l:'T' "('I••E: W1:::I...I) C:(:3U141-TY I•'il::AL...TI--I DEPARTMENT r'l••I1:: 1"::I:(a1'•I'r' 'T(:1 :I.IYIF:OSal:: AX)X):I:•••- ..(':1:(:31-�IAI... 'TERMS AIII) I'SI:::cILi:L1E:X) 'T(:i 1YMEET- 01.11:: REoul...Ar-I(:NS ON A I:IIN'T:1.€41L.I:CNG I :r..• F:-:1:I41A1-.. PERMIT :I:S:`s (:.(:ll4E'T:[II(:11:::hN'T I.JI::'(:3141 1 -ii: J :1:141A1... :I:I�Ic:3F:.l:(:i'T:l:(:1141 (:1F:' 'T'!.lc: (::ciiYi -- FE...1:::-TEX) '.:SYS:S'....:1i BY .r-E-'ll:.: W1:l._ (:;I)CJ14TY l-IrEAL_-rI-1 DEPAl:ti"fME::NT.. SYSTEM :I NS:STAl...i...h:1«;......................................_.---.---.......-•---............................................1= ]:E41AI-.. :I:E••i I::'1:(::'r':E(:n I ENGINEER T 1::: (al=' Y'TE=:11 .1:I La TAI...E...1ii:X} ......................... E:ri............................................................................................................... 4 4:J � Y 4 `' .. � .f. l,(-llyllYll::.1k! r f'I€... :::il-'L-:,(...E. AL...i. 1:5 T :1:f:3S:i.JAl41(::1::: OF T h::; !::.E:F;MYMI'r' I)(:)l:_f:S 11C)1 ICYII:'€...Y (::(:]IYIFI..IANC:E:: tJ:l:'l-1••I (:]'TI••IE:::f;:STATE, (:r(:11.J141-rY C1F4 1...(:3(.:I'll... I::1:::(at.Ji..ly'T(:il'';Y (:J1"; XtJ:1:1...X):E:I'-I(:3 I: E;:(:1t.1:I:F';E::1YIE;:14I'TS3 I'•I(:)F ;:iHAL..L-. :1T ACT TO (::IE:I:T:I:F:'Y TF•1�' T' THE SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE W:E: T1••1 APPLICABLE S:S'TATE::., COUNTY A1411) LOCAL REc;L.11...AT:l.ONS ADOPTED F''I:::l:::c3LInl••1'1. .l_O ARTICLE :l.0• TITLE 25., (::1'4::? .I.9/n., i S AMENDED;, l:::XC;I:::F:'T F: FOR T1•"EI': 1:''Ul:' POSal::: OF I:::S:S h-'iB€...:l:s:SH••l:I:MI' . 1:-:1:h1A4... f`,F'1:'IO JAI... (:i1=' AN J t-VS'TAL_€...FD SYSTEM l=:-C+F�: ISSUANCE (:lF:' A I...00AL.. (:lC(:;t. PAI•I(::Y PERMIT PURSUANT T(:) ClLS:3 ;1.97:3 :'.5....:I.C)....:1.:1.:1. (2) .. ORI(-I:1:I•IAI..-...•AF'F.I...:I:C;A141-T:, (::oF,Y..•.w(::F-II) WCI.ID....El--Is M Y., :I.'!#:Sf'1 H P1 6P INDIVIDUAL SEWAGE DI POSAL... SYSTEM PERMIT NO. G•..91025f3 WELD COUNTY HEALTH DEF'ARTME-:NT NEW PERMIT ENVIRONMENTAL... HEALTH SERVICES 1 .517 16TH AVENLE COURT, GREELEY . CO 80631 353-O635 EXT.2'225 OWNER BULTHAUP, GENE ADDRESS 6913 HWY 52 PI -I (303) 665µ 854f3 I:::RIE CO 80516 ADDRESS OF PROPOSED SYSTEM HWY 52 ER1:E CO 80516 LEGAL.. DESCRIPTION OF ,S'ITE: W2 NE4 SEC 6 TWF I RNG 68 SUBDIV:[SION : LOT 0 BLOCK 0 FILING t 7 USE TYPE: RE:SI:DENTIAI._ HOME >lRVICE:S: PERSONS 2 BATHROOMS ?.'. O LOT SIZE: 80.O() ACRES BEDROOMS 3 BASEMENT PLUMBING YES WATER SUPPLY I. -f:'1- > APPLICATION F E E $ 1 50 0 0 RI= CD B CINDY SAL.AZAR DATE 11/05/91 SIGNED BY GENE BULTHAUP DATE 11/05/91 PERCOLATION RATE !I ' MIN PER INCH L..IMIT-ING ZONE ≥. . FLEET SCl1:L TYF�E �� Ays i �ERCI.NT GROUND ,SLIJII L,.r DIRECT ION a'.._ _.. REQUIRESENGINEERDESIGN All,,,, FROM THE APPLICATION INFORMATION SUPPLIED AND T HI:" ON -SI'T'E:: SOIL PE::F';C:OL.Al I:ON DATA THE FOLLOWING MINIMUM INSTAL.I...AT] ON SF FE ICAT :IONS Aid REQUIRED: SEPTIC TANK /c__ (AI ...I...ONS, ABSORPTION TRI-N(:'.I"I _fL SQL. FT. OR ABSORPTION BED SQ F'T'. IN ADDITION, THIS PERMIT IS SUB ,Ji:::CT TO THE:: I=OI...LOW :I:NG ADDITIONAL... TERMS AND CONDITIONS: ----------.....---.......-.------.--..__.-_.._..___-..._-._...__.._..___.._.-.-._. _..__._.-____.. 'T'H:I:S PE:RMI:T IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE::. THIS PERMIT MAY BE: REVOKED OR SUSPENDED BY THE WEI_.D COUNTY HEALTH DEPARTMENT FOR REASONS SET FORTH IN THE WELD COUNTY INDIVIDUAL SI:::WAGE:: DISPOSAL SYSTEM REGULATIONS .1NCI ...UDING FAIL.LJRI: TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR IINAL.. APPROVAL_. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE DEPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAIL- OR INADEQUACY OF THE: SEWAGE DISPOSAL SYSTEM, 1 / , " ENV I RONMEN W - SF . AL I � DATE \t THIS PERMIT IS NOT TRANSFE=RABLE:. AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL.. OF THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI- TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA-- SIS. FINAL PERMIT APPROVAL :[S CONTINGENT UI ON THE FINAL... INSPECTION OF THE:: COM - PL_ETEI? SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. ORIGINAL.. -APPLICANT; COPY--WCHD WCHD-EHS MAY, 1984 1'-1 ::• x-' -1 f: f [i {.. - _ . f..71.s 5..= i_. - 1:-. r -z € -I. 1. ; L`•- - a -.t 1' I" HF E) .i. ..i 1::. ' :'•`•i I:r E :) .i.. �_ P O S �.. ' ' .... j::. I:`- I ( i :. i:r --- ;:} I {•1.....-: rS !1, l) COUNTY I'•IEALT i•I JtI..F: iI , f I:N f I::. - 'Ii:CA ....T.I.ON N 1... � N " '€ 1......1" i i::. s l i... 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