HomeMy WebLinkAbout20200352.tiff Previous Balance: 0.00
WATER Used 2604 63.60
ARWP,INC. Pres 78877
PO BOX 247
FT LUPTON,CO 80621
303-8574210
PAY PAST DUE AMOUNT BY 04126!2018 TO AVOID
INTERRUPTION OF SERVICE
JOSE CASTILLO I YOU OWE 63.60 by 05110
15600 CASLER AVE. After 05/10 pay 69.96
FT. LUPTON CO 80621
Acct#CAS446
Last Pmt 563.00 04/05
SVC:03/01-04101 (31 days)
JOSE CASTILLO
After 05/10 pay 69.96
YOU OWE 63.60 by 05/10
ARWP,INC.
PO BOX 247
Acct#CAS446 FT LUPTON,CO 80621
15600 CASLER AVE
6' . .f7 1 I .• _
HSF:'tObi:' INDIVIDUAL"SEWAGE DISPOSrrk... SYSTEM- PERMIT G-870204'
. WELD COUNTY HEALTH DEPARTMENT NEW PERMIT
ENn+:l:RONMENTAI_. HEALTH. SERVICES
1516- HOSPITAL AI._ ROAD, GREE_LF Y, CD 0.106';31
OWNER �!I::i`d�l:!:i�L`,,x, I:T} .
ADDRESS 12502 NORTH 1ST STREET PH (3E 3) 841 -4B8,
9'
L' o51er 1=ARKEr-` • CO 80174
ADDRESS OF PROPOSED SYSTEM i_600 + : F '_- -
I...L.+rf�L. Jul I T . LUPTON CO i�Jc�ba T - .
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SUBDIVISION :
DESCRIPTION OF SITE : SW4 SECS ::?crr 'T•Wr' . RN':� ti
SUBD:!:V'i ;S']:ON : AFTST ,r;RAT RAr i',`F!1=TTrS. !..OT `•>r BLOCK 46 FILING 0
USE TYPE: - h'I:::Si DEN'i-''6L_ _
SERVICES : PERSONS '; 3 HyATI-IFSOOrji. 22..O. 1 .00 , -
i.-L]'r S:C�.L. ACRES
BE_DROOM,Sf 3 BASEMENT PLUMPING NO WATER SUPPLY 'AF•;IST
•
APPLICATION FEE $150,00 -
RE:C ' X) BY cl: F`EY D:EANNE SIGNED BY ED '.JEiNNINGS
DATE , 09/- �7r 07. - DATE 09/.2c 1:1`' •
r
PERCOLATION RATE 23.6 MIN PER :I:NCri'•! LIMITING ZONE . 2 FEET
SOIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION
REQUIRES ENGINEER: DESIGN NO
FROM TI-IL APPLICATION INFORMATION 1:IIN SUPPLIED . 15T��i _THE ON-SITE -
1-SITE SOIL PERCOLATION A l'IO DATA
THE FOLLOWING MINIMUM IINSTI.1!.:LAT•:I:ON SPECIFICATIONS ARE. REQUIRED :
. SEPTIC TANK 1000 GALLONS, ABSORF'TTON TRENCH . 67S SE . FT.,
, OR
. ABSORPTION BED, 909 S(,1. I"=-T'.
:IN ADDITION, THIS PERMIT .IS SUBJECT iO THE FOLLOWING ADDITIONAL... TERMS AND '
CONDITIONS :
ii•'ii:s F'i i MI1 :I:r,4 GRANTED f'f.�t``r (J3,A ..r': ALLOW _(:.iii ,.Ti:•yUT;TIt2i�! TO -1i��1' —
-PERMIT_ I' F�;S:I_.,i i f�r�lp ICI
m iyi`-ED C`.Jlt :US '1=:Na',+E�: ? T:{�r' -i-FIT::' i.Elh:1- O COUNTY HEALTH DEPARTMENT i��UI` REASONS
�i rl r l' �
FORTH IN THE WILD COUNTY :I:i,l'!'3]:'r� :a:U,',L, SEWAGE ., SET
' � I �.,. ,,,,, ... rl:. A17.,Si"�f1f�l.- �)., ._ REGULATIONS�SINCLUDING
i.1 i�ll:_1J'':: T �r�r i i..i (.,{},,�.. � ti,I,,, .r=r C ix 4
FU LURE. TERM ._I' IMPOSED THEREON 11R'1 TEMPORARY
_I_I,:I�T".:l:E;tli :Iri, � iEff.-:FI.�(:J AU RING -il_. �LT!=�:r-1Fk11' +`IF1Ek:�T,'it.,
,, 'Et:: :I: • SuH ,• ... .i I.•l:i: , �'E`RN1't' DOF .S NOT ci.fi•l ,]_.I T,i+.T.i._ IM iN
APPROVAL,f,i.! r'4�_.n THE .� ' i, !' i�I,. rlh�,ti 1. ,.i-':L'[. l:��r THE
kii 1 ARTME:.i•IT! M;; ]. T:' C�Ii I oft l', OE: i,-E`r o:I:I IT`ir -noR •iI-IF FAILURE. OR INADEQUACY -
HL
..I::.WAt., :` D {:,\`H.+SAL SYSTEM.,
�h� -C \Y3- ..-Z1 C- c° ` 44„....,14.0-/K--r7 .C•OIT PERKINS - t:
Taq- `� _ NV:I:RONMENTAI... SPECIALIST DATE:.
11-fIS PERMIT 1:S NOT TRANSFERABLE AND SHALL DE CONE ONF: VOID IF `i'srFM CONSTRUCTION r
�1(�11' COMMENCED Ls ..�....�., c ." .. .'" I I C::C,.I ,r� t I•'.1� .'r:IlJi- HAS
_WITHIN -O E Y1:::13i'1 OF ,. T,. ISSUANCE.,, i:E' SS AlTHIS PERMIT 'Ifl:: WELD COUNTY HEALTH '1 -I" .il�:l: :.,.:,. _:I: 'If� FINAL
OF
IF•I-'r'fr�Tr'ai:N 1 I ESF:1�•ri:::S THE RII:{,Fllf- IiT O IMPOSE ADDI—
TIONAL t _
IONAL. 'TE ME AND CONDITIONS REQUIRED REGULATIONS- t'y,i I:::I: +- '' dLJ]:i+!!:•, • im----
,,. I;w FINAL APPROVAL 1S CONTINGENT
Lll 'I�!i�_..!l1�I..iI:' Cu.. . I ,
' ., :. f'--:F.�sl.�l_. INSPECTION OF THE t,[:1�"i_._.
f'I...i_.TE:D SYSTEM BY THE WELD COUNTY HEAI..T'I-I DEPARTMENT:.
SYSTEM INSTALLER 06c'ti. i
SPID7iI0 DA..E
SYSTEM ENGINiEF R W _
TYPE OF SYSTEM INS Tr:r. l..l_E.
�' - i'� F' .ROI a1 JAL SPECIALIST
IST
THE ISSUANCE OF THIS P'ERMI'T DIJE:.S' NOT IMPLY COMPLIoi-. E WITH OTHER STATE, COUNTY
OR LOCAL REGULATORY ORY nr BUILDING REQUIREMENTS': NOR SHALL IT ACT rU CERTIFY THAT
THE SUBJECT SYSTEM u:L:I_.i_. uPERA"I E IN COMPLIANCE C" WITH APPLICABLE STATE, COIJNI'Y AND
LOCAI._`RLGULA T J ONS ADOPTED D PERS'LiANT TO ARTICLE iti•}, TITLE 25, CRS 1973 , AS AMENDED,
EXCEPT T- FOR THE PURPOSE OE EIS T AI i. L I IfNir F]:NAI... APPROVAL OF AN INSTALLED SYSTEM FOR
ISSUANCE OF A ILOCAL,. OCCUPANCY PERMIT PURSUANT 10 CRS 1973 25-1.0-111
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1
• 4'V.-%-t_
721
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•
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4044e-
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
': " 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org
Septic Repair Permit
Application Number: SP-1700376
Owner Name: CORONA CAROLINA SALINAS
Site Address: 15600 CASLER AVE
FORT LUPTON, CO 80621
App Type: Health\Residential\Repair OWfSIMinor Application Status:
CAROLINA SALINAS CORONA Final Pending
Applied Date:
15600 CASLER AVENUE 11/09/2017
FORT LUPTON, CO 80621 Intake Person:
Parcel Number: 130927410009-R0041688 SMONGE
Legal Desc: 2AR46-4 L4 BLK46 ARISTOCRAT RANCHETTES 2ND FILING Permit Expiration Date:
Work Description: HOUSE
EHS SEPTIC GENERAL:
Associated Disaster Permit No
Number of Bedrooms 3
Number of Persons 2
Parcel Acres 0.99
Public Water Supply Yes
Public Water Supply Utility Aristocrat Ranchettes
Page 1 of 2
Health Adminisk&Non PAR*HoaNh a Envcanmanial HeoHh Cammunkahon, E nct9ency Proparodnoss
Vital Rocwds Virdeal3orvlcos sorvie.$ Education a Planning ;Rosponso
i,,kl'.IJo:OA 4';41 LI 9/0 l,4rx: 9T13;01 .-I I lob.:9 W.V'•H?p tab.;91^r.104.6d/Q
Foie 9706144412 fpk: 910-2CA.6416 Fun' 911.),1°1 S F as: y7C.Y.4 44:4 Fax, 9',70,3 0,1-640-2 PublicHeeltb
EHS PERC TEST(SITE) :
SEPTIC SIZING INFORMATION:
From the application information supplied and the on-site soil percolation data the following minimum installation
specifications are required according to the Engineer's evaluation:
Erigirteer's Specified Installation Recommendations:
CONDITIONS:
Description: Minor Connection
Comment: Connection from new residence to existing septic system. Call Weld County Health
Department for inspection of new sewer line from foundation to connection with existing
system.All Weld County regulations are applicable. Building sewer or effluent lines must be
at least 10 feet from any potable water line, unless water line or sewer line are encased.
Sewer line to septic tank must have at least 1/8inch/ft.fall.
INSPECTION RESULT:
Description: Site in Office Inspection Status: Approved
Comment:
NOTICE
This permit is granted temporarily to allow construction to commenco.This permit may bo revoked or suspended by lie Weld County Department of
Public Health and Environment for reasons set forth in the Weld County Onsite Wastewater Treatrnenl System Regulations Including failure to meet
any term or condition hmposed thereon during temporary or fnal approval.The issuance of this permit does not constitute assumption by the
department or its employees of liability for the failure or inadequacy of the sewage disposal system.This permitls nprt-transforable and
rton-refundable.Before issuing final approval of this permit 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 Is contingent upon the final
inspection of the completed system by the Weld County Department of Public Health and Environment.
Katie Sall November 09, 2017
Environmental Health Specialist Date
Page 2 of 2
Health Admint halian Public kee%i Envconmenfnl Hoolth Ccmmuntcattart, Emorgancy Preparodnwt
%filol Rocordi Clinical Salvia as limit es Educations Planning &Romaine
!dal ;ci 4.4t 111 No;97p:km 64?i3 lcf.sr 9.7C:,10.1,64 l 5 T!+lo;?7fi•?D4 4.113 1..1,.:s/u:104.1410
V41a; 9%9.301-6412 Fox: 97p•�¢1•frIi6 fax: 970-J0i-6413 for: 97C O;,ae;2 tai; ?7-rOI.6452 P th
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