HomeMy WebLinkAbout20203099.tiff BRIGGSDALE WATER COMPANY
312 MAIN STREET, P.O.BOX 92
BRIGGSDALE, CO. 81611
JANUARY 18, 2020
The Briggsdale Water Co. agrees to furnish a water tap to:
38659 HIWAY 14
BRIGGSDALE CO. 80611
for one single family dwelling .
Jerry Warner
Preside t
Briggsdale Water Co.
..�:1:rue l i , i„r'Y .: i• r _
Weld Counlll_Emyironrriental Health Services Department
1555 N. 17th Avenue
t .. Greeley,CO 80631
r;: .. Phone (970)304-6415
Fax: (970)304-6411
Web:waldhealth.org
i
Septic Permit - Final
Application Number. SP-1300199
Owner Name; BRIGGSDALE GAS&CO INC
Site Address: 38657 HVVY 14
WELD, CO 80611 Frna led
App Type: Health lCommerciahRepairiSeptic Application Status:
JAY PIER Ready to Final
BUILD WEST CONSTRUCTION LLC Applied Date:
606 ELDER ST 08/27/2013
KERSEY,CO 80644 Issued Date:
08/28/2013
Parcel#: 054521000007-R0272993
Legal Desc: PT SVV4SE4 21-8-62 LOT A REC EXEMPT RE-1521 Finaled ite
Date
App Specific Info:
rLocation Description 38657 HWY 14 BRIGGSDALE
Repair Reason Type Repair for Failure
Application Date 08/27/2013
Septic Permit Expiration Date 08/27/2014
Waive Fees No
1/2 Bathrooms 2
Public Water Supply Yes
Public Water Supply Utility 6riggsdala
Pa roc'Acres 1.58
Actual Installation:
Septic Tank: 1OOr) }r'~ gallons Absorption Trench' _ sq ft Chambers
p' Absorption Hed: + 5 t} , sq ft
Design Type: t k Chamber Model a.?` ..._. _... R4/
NOTICE
The issuance of this permit does not empty[compliance with other state,county or local regulatory of building requirements.nor shall it act to certify that
the subject system will operate in compliance with applicable state,county 502 local regulations adopted persuant lu Article 10,Titte 25,CRS es
amended except for the purpose of estahlisking final approval of inslalled system for issuance ea local occupancy permit persuant to CRS 7973
25-19-111(2)
This permit is non•tran#Nimbi*and non•rarundaglp The Weld County Department of Public Health and Environment reserves the right to impose
additional terms and conditions requirsd to meet cur regulations one cortinuing 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 � /7- 13 -/3
Environmental Health Specialist Date
Report ID: EHS00033v006 Page 1 of 2
Print Date Time_ 9/912013 2:51:32PM
Application Number: SP-1306499
Owner Name: BRIGGSDALE GAS&CO INC
Site Address: 38657 HWY 14 \
WELD, CO 80611
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Report ID: EH5000330306 Page 2 of 2
Print Date Time: 9/012013 2:51:32PM
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