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Home My WebLink About20193947.tiffCENTRAL WELD COUNTY WATER DISTRICT April 25, 2019 Manuel Gallegos -Herrera & Apryl L. Herrera 25868 County Rd 48 Kersey, CO 80644 RE: Additional Water Service Dear Mr. & Mrs. Herrera, This letter is in response to a request for water service to serve the following property described as follows: PT N2NE4 8-4-64 LOT B REC EXEMPT RE -2820 Parcel: 105308000050 Water service is presently available to the above described property through tap number 1794 located on CR 48 between CR 51 & 53. We understand that the customer has an application pending with Weld County Planning for a second home and business on the property. Regarding the USR application-- All properties with commercial activity are subject to District backflow prevention requirements. The applicant must contact our office to determine the exact requirements for their property, as instructions for installation are specific to the property and a full survey of the tap holder's water usage practices for their business and residences will be required. One water tap may serve the business and a second residence providing that there is only one owner involved and one specific parcel of property. The existing tap has a 300,000 gallon annual water allotment. If the annual water allotment is exceeded a CBT surcharge will be assessed on all additional water usage. In addition, a multiple unit surcharge of $3.50 will be added to the monthly bill. The following restrictions apply: 1. Water service which involves two or more residences on the same water tap generally means that both pressures and flows are inadequate during the periods of peak usage. The District's responsibility ends at the customer's side of the meter yoke in the meter pit and poor pressures or flows attributed to the second residences are the responsibility of the customer. 2. Once a customer's water service has been designated as having an additional residence involved and a multiple unit surcharge has been assessed to the account, the charge will remain on the account indefinitely, regardless of whether the additional residences are occupied or not. In the event that the additional residence has been removed from the property, or the water service line has been permanently disconnected to the additional residence, the customer may request that the dwelling unit charge be removed from their account. This request must be in writing, stating the circumstances involved, and will be addressed by the Board at the next regular scheduled meeting. The customer will then be advised of the Board's decision in writing. 2235 2nd Avenue • Greeley, Colorado 80631. • Phone (970) 352-1284 • Fax (970) 353-5865 Stan Linker, District Manager CENTRAL WELD COUNTY WATER DISTRICT 3. In the event that the parcel of property involving additional residences is sold, so that the "one owner - one property" rule is violated, a second water tap will have to be purchased to serve the additional residence. If service from existing tap 1794 is determined to be insufficient additional water service can be made available to this property with a new tap purchase, provided all requirements of Central Weld County Water District, Northern Colorado Water Conservancy District and the Bureau are satisfied. A water study, which includes a review of the District's system in this water service area, must be completed prior to an additional water tap being sold. A water tap installation is for a specific parcel of property and a customer will not be permitted to extend a service line from one parcel or property to another parcel to provide additional water service. Central Weld County Water District requires that contracts be consummated within one (1) year from the date of this letter or this letter shall become null and void unless extended in writing by the District. The District will not notify, by separate letter, any prospective landowners of cost increases. The District has the right to review the annual allotment and compare it to actual usage to determine if additional raw water will be purchased and transferred to the District by Tap Holder. It is your responsibility to confirm with your local Fire Protection Authority if fire flow water capacity is required for your project. If you have any questions regarding the above, please contact this office. Sincerely, CENTRAL WELD COUNTY WATER DISTRICT StaLiriket`,'i5istrict Manager SL/kn 2235 2' Avenue • Greeley, Colorado 80631 • Phone (970) 352-1284 • Fax (970) 353-5865 Stan Linker, District Manager Gmail - CWCWD 022819 billing Page 2 of 3 Account Number 001794-02 Description 1000 Gallons Meter Readings Previous Present 1009 1012 Usage 3 Readings Dates Read Code Previous Current Actual 1/22/2019 2/19/2019 Water Minimum Charge Water Usage Charge CBT Surcharge Previous Balance Payment Received $16.50 $1.65 $0.00 Total Current Charges Total Due $19.80 ($19.80) $18.15 $18.15 Please write account number on all payments and correspondence. You may pay your bill at www.cwcwd.com Prrnimtim r CENTRAL WELD CDIINTY WATER DISTRICT 2235 2nd Avernie Greeley, CO 80631 **INVOICE ENCLOSED** CUSTOMER Manuel Herrera & Apryl Hildda SERVICE ADDRESS 25868 County Rd 48 ACCOUNT NUMBER 001794-02 AMOUNT DUE $18,1` DILLING DATE 02128/19 DUE DATE 03I15/19 ANNUAL ALLOCATION YTD USAGE 300 13 CENTRAL WELD COUNTY WATER DISTRICT 2235 2nd Avenue Greeley, CO 80631 970-352-1284 Manuel Herrera & Apryl 1-Iiluda 25868 County Rd 48 Kersey, CO 80644 PRESORTED FIRST CLASS MAIL US POSTAGE PAID GREELEY GD PERM[T NO. 74 Apryl Herrera <aprylh134 a©gmail.com> To: Kathy Naibauer <kathy@cwcwd.com> Thank you!! Mon, Mar 18, 2019 at 2:48 PM https:I/mail. google. comlmail/u/0?ik=ae309ffd2e&view=pt&search=all&permthid=thread-f... 3/18/2019 Gmail - CWCWD 022$19 billing Page 3 of 3 On Mon, Mar 18, 2019 at 2:47 PM Kathy Naibauer <kathy©cwcwd.com> wrote: Account Number 001794-02 Description 1000 Gallons Meter Readings Previous Present 1009 1012 Usage 3 Readings Dates Read Code Previous Current Actual 1/2212019 2/19/2019 Water Minimum Charge Water Usage Charge CET Surcharge Previous Balance Payment Received $16.50 $1.65 $0.00 Total Current Charges Total Due $1980 ($19.80) $18.15 $18.15 Please write account number on all payments and correspondence. You may pay your bill al www.cwcwd.com Water 1 f ma rrrfim CEN1'R L WELD COUNTY WATER DISTRICT 2235 2113. Avexaie Greeley, CO 80631 **INVOICE ENCLOSED** CUSTOMER Manuel Herrera & Apryl Hikida SERVICE ADDRESS 25868 County Rd 48 ACCOUNT NUMBER 001794-02 AMOUNT DUE $18.15 BILLING DATE 02!28119 DUE DATE U3/15.+19 ANNUAL ALLOCATION YTD USAGE 300 13 CENTRAL WELD COUNTY WATER DISTRICT 2235 2nd Avenue Greeley, CO 80631 970-352-1284 Manuel Herrera & Apryl Hikida 2`868 County Rd 48 Kersey, CO 811644 II..IrII rrrIIrr IrrIrIr II.,hI PRESORTED FIRST CLASS MAIL US POSTAGE PAID GREELEY CO PERMIT NO.74 https:l/mail. google. comlmail/u/0?ik=ae309ffd2e&view=pt&search=all&permthid=thread-f... 3118/2019 Scanning Cover Sheet for Septic Permits Permit # Permit Type: 'SP -0100193 Health / Residential / New Situs Street Address 25868 CR 48 Situs City, State, Zip Sec/Town/Range: 08 -04N -64W Parcel # (12 digits) Owner Full Name: Owner Address: Contact Name: Contact Address: 105308000050-R0532201 PHELAN MICHAEL E 10314 CR 23 FORT LUPTON,CO 80621 PHELAN MICHAEL E 10314 CR 23 FORT LUPTON,CO,80621 Application Status: Finaled Application Date: 04/25/2001 Owner Phone #: 3038572141 Contact Phone# 9708572141 Information above has been Verified in Accela by employee noted below X June 02, 2008 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date -Time: 6/2/2008 11:49:28AM 11 1 I WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREM.FY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit #: Owner: Applicant: Permit Type: Parcel #: Location: SP -0100193 Sec/Twn/Rng: 08 04 64 `PHELAN'MICHAEL E PHELAN MICHAEL E RNEW C --Commercial, R=Residential + NEW, REPair, VauLT 1053-08- - - 25868 CR 48 08 04 64 Legal Description: Installer: Fina led Status: ISSUED Applied: 04/25/2001 Issued: 05/29/2001 Finaled: ifJ"a6, ,01 Description: MODULAR Commercial: N Residential: Y Acres: # of Persons: 2 Basement Plumbing: N # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2: 0 Water Public: Y Water Source: WELD CENTRAL Water Private: N Cistern: N Well: N Well Permit #: Percolation Rate: 21.8 Limiting Zone: 8 ft 0 in Description Ground Slope: 0 Dir: Soil Suitable: (Y/N) Y Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N Minimum Installation Septic Tank: 1000 gallons Absorption Trench: 675 or Absorption Bed: 909 Actual Installation Septic Tank: ( MD gallons Design Type: `4 P Absorption Trench: Absorption Bed: 5 square feet square feet square feet square feet Chambers NOTICE The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor shall it act to certify that 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 1973 25-10-111 (2). This Hermit is not transferable, 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 was contingent upon the final inspection of the completed system by the Weld County Department o blic1Healt and Environment. x Form: S_FINAL SjS nvironmental Health Specialist Date 1 1 ti /00 Ye sQ MID P -4r FOR OFFICE USE ONLY ISMAPPLICATION FLOW SHEET Owner: Ph -2 ct Permit #: S P 6 1 D O (! 3 Location: Date B Legal Description: Fr' 4/-6 7 Comments Information Form Complete 11016 Skif it A) n "nh� I �, Authorization Form Received r Flood Plain? Yes/No Parcel Number Received Map Drawing Received Site Inspection Date 6 -2i -0l , Engineer Design? Yes/No N Date Engineer Design Rec'd Customer Notified Date Staff Approval Sent Date Staff Approval Recd Pero Data Entr'd in Computer Date of BOH Approval Eng Approval Letter Sent (Letter, Permit, BOH Review) 'f^ Date of Final Inspection 0 [fj 1 If) Eng Approval Letter Recd Variances Needed? Yes/No Sent Variance Staff Approval Rec'd Variance Staff Approval Variance BOH Approval Variance BOH Approval Sent (Variance, BOH Review) Additional Comments: 716 M4 aatee`/- 5OI S/ 6---a3-1()) M:lernpralaepttelllowa heat500.wptl WELL) COUNTY DEPARTMENT OF PUBLIC HEALTH AN]) ENVIRONMENT .. , 1555 NORTH 17Th AVENUE GREELEY,' COLORADO. 80631: '- ' - PHONE (970) -3045415 :.FAX (970) 304-6411 - Permit #: SP -0100193 . • ' Sec/T.wn/Rng: 08 04 64 Owner: PHELAN MICHAEL E Applicant: PHELAN MICHAEL E Permit Type: RNEW . C=Commercial, R=Residential + NEW, REPair, VauLT Parcel #: 1053-08- - - Location: CR 48 08 04 64 '. Legal Desc: PERMIT Applied: 04/25/2001 Expires: 04/20/2002 Description: MODULAR '- Commercial: N Residential: Y u ,.1 r '- ; , : ' , Acres:: 5 # of Persons: 2 Basement Plumbing: N ' # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2: 0 1,' Water Public: Y Water Source: WELD CENTRAL Water Private: N Cistern: N Well: N i Well Permit Number: Percolation Rate. c91 1€,• • •:Li'miting,Zone>S ft— - irr- ' Description Ground Slope Direction may.. Soil Suitable (Y/N) Engineer Design Required (Y/N) "... - „In. 100 Year Flood Plain (Y ) ►•..� From the application information supplied and the on -site soil percolation data the following minimum installation specifications are required: Chambers- . Septic Tank /C)n::)' ` gallons,: Absorption Trench. G:4 5 square feet cac2 or - ' Absorption Bed 903' square feet So In addition, this permit is subject to the following additional terms and conditions: 1x454- S7 �► tc i`�I 'C - LS"- T�y.J`, fittt l-`tT-7 _via ty �- : '1 r• • • . • NOTICE This permit is granted temporarily to allow construction to commence.- This'permvt may be revoked or suspended by the Weld County Department of Public Health and - Environment for reasons. set forth in the. Weld County Individual Sewage Disposal System Regulations including failure to meet any term or condition imposed thereon during temporary or final 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 permit is not transferable. '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. This permit expires one year ruin the annlicatlon e. --• - ' , Form: S_PERM'r 'vo' :rte. r 'F'L• . . :r, ••,' . . . • •,En' J. T: . on ntal Health•Specialist ' ` Date ,_WW,COUNTY COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 1VQRTH 17TH AVENUE, GREELEY, CO 80631 PHONE: (970) 304-6415 FAX: (970) 304-6411 Permit Number: SP -0100193 04-25-2001 Amount: $315.00 Payment Method: Owner Name: PHELAN MICHAEL E Applicant Name: PHELAN MICHAEL E Parcel Number: 1053-08- - - Site Address: Location: CR .48 08 04 64 Check APPLICATION / RECEIPT Initials: SKE Receipt Number: HAP -01193 Notation: 1998 Total Fees: $315.00 This Payment: $315.00 Total All Payments: 315.00 Balance: $0.00 Account Code 256041400-4221-400 256041400-4221-400 256041400-4221-400 256041400-4730-400 Description New Septic Permit Repair Septic Permit Vault Permit Potable Water Amount $315.00 $0.00 $0.00 $0.00 Description: MODULAR Commercial: (Y/N) N 5 Number of Persons: 2 Basement Plumbing: (Y/N) N Number of Bedrooms: 3 Bathrooms: Full - 2 3/4: 0 1/2: 0 Water Public: (Y/N) Y Water Source: WELD CENTRAL Water Private: (Y/N) N Cistern: (YIN) N Well: (Y/N) N Well Permit Number: Residential: (Y/N) Y Acres: NOTICE Applicant acknowledges receipt of the individual sewage disposal system guide and that the completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Department of Public Health and Environment to be made and furnished by the applicant or by the Weld County Department of Public Health and Environment for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under article 10, title 25, CRS as amended. The applicant certifies theat the proposed system will not be located within.400 feet of a community sewage system. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are, or 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 Weld County Department of Public Health and Environment in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said applicaion and in legal action of perjury as provided by law. This application expires one year from the signature dates --2- Owner/Applicant Form: RT HAPP Date star% WilDe SEPTIC INFORMATION FORM To obtain an I.S.D.S. permit, one must file an "Application for Individual Sewage Disposal System" at the Weld County Environmental Protection Services office, and pay the application fee. A "repair" fee shall be charged for the expansion, replacement, or repair of an existing system. The following information must be provided on the septic information form: PARCEL NO.: I o5'o po o O S'b THIS CAN BE OBTAINED FROM THE ASSESSOR'S OFFICE AT (970) 353-3845 EXT 3650 PROPERTY OWNER Mc g ZA MAILING ADDRESS 1O3 I y L 3 CITY ) r L i(Pia it./ ST C'cQ ZIP got, Z-) HOME PHONE 6,5) $ 7- 1'f 1 WORK PHONE ( ) fro FAX ( ) /•,� APPLICANT NAME f iii C4A1L MAILING ADDRESS 143►+/ vi K- CITY F LLVP - kJ ST Cri ZIP iri) 6 - HOME PHONE ;5u3) �� 7-+'{1 WORK PHONE ( ) FAX ( ) LEGAL DESCRIPTION PT PT -SEC / ~tWN / 1-RNG 44Y ACRES 5 - SUBDIVISION LOT B BLOCK FILING DESCRIPTION OF BUILDING (ex: House, Mobile Home, Modular, Shop, Office) Enony LA7-, SITE/LOCATION ADDRESS x',131) foa4' weir 5'F f � oS 3 6r r�D Y 8 DIRECTIONS TO SITE Fiom lieRSE7 - . 4?t+ al) RD S3 qtrX55' Vn11-ass 1- 4i8" - lu6 r 10ov' NEW PERMIT ✓ REPAIR PERMIT VAULT PERMIT $315 $315 $150 IF OBTAINING A REPAIR PERMIT, PLEASE LIST PREVIOUS OWNERS OF THIS PROPERTY FLOOD PLAIN YES IVD CENSUS TRACT /4 RESIDENTIAL (fa, , NO COMMERCIAL YES PeD NUMBER OF PERSONS BASEMENT PLUMBING YES le, NUMBER OF BEDROOMS 3 BATHROOMS: FULL 3/4 1/2 WATER SUPPLY: PUBLIC / NO NAME ,D.,64 -n C.e 2R 2 - YES / NO WELL YES / NO WELL PERMIT # PRIVATE YES / NO CISTERN 1q99 SP -a / 00 03 S PLEASE DRAW A MAP TO YOUR PROPERTY N R Weld County Health Department Percolation Test and Soils Data 5/22/01 FILE NO. 01.1073 MAY 2 3 2001 Property Address Legal Description LOT B OF RE 1053 -08 -1 -RE -2820, WELD COUNTY, CO allazoirilaim i Property Owner Info Name Street City, State, Zip Phone - MIKE PHELAN 10314 WELD COUNTY ROAD 23 FORT LUPTON, CO 80621 303-857-2141 I Saturation and Swellin 1 Groundwater 1 Smeared Surfaces Removed: YES Encountered at (GREATER THAN 8 (feet Sand or Gravel Added: NO tstimated depth to maximum water table if not encountered in profile: Date and Tim- Presoak Water Added: 5/17/01 date seasonal 3:0U ime Amount of Presoa Water Added: 15 gallons Is area believed seasonal fluctuations result in a seasonal to be subject to which could water table within 8' of surface? Date and Time Percolation Test Started: 5/18/01 date 3:45. time I Slope Determination in Absorption Area Did Water Remain in Hole After the Overnight Swelling Period? 0.5 % to the WEST direction _ Hole 1 NO Hole 2 NO Bedrock 1 Hole 3 NO Encountered @ (GREATER THAN 8 (feet Hole 4 NO Hole 5 NO Estimated depth if not encountered in profile: " Hole 6 NO Percola'Tion Rate Measurement Deep (In) Percolation Rate (min/in) Hole 1 36 20.83 Type of Bedrock: 1 Hole 2 38 16.67 Hole 3 39 27.78 Is bedrock fractured or weathered? Hole 4 37 27.78 Hole 5 36 20.83 Is bedrock believed (perc to be permeable rate < 60 minfin)? Hole 6 38 16.67 Average 21.8 r Weld County Health Department Percolation Test and Soils Data [Profile Hole Information (cont.L__ (Note: Soils must be classified using unified system ASTM D2487 Depth in Feet Profile Hole Log 1 0 - - - 2 - 4 SANDY CLAY (SC) - 6 - 9 - r10 (Certification I certify that the above information is correct and complete to the best of my knowledge and that all tests were performed in the accordance with the provisions of Weld County Health Department individual sewage disposal regulations by myself or under my supervision. High Plains Engineering 735 Denver Avenue Ft. Lupton, CO 80621 303-857-9280 SITE MAP x r t r 10.1 a LEGEND o - Percolation Holes X - Percolation Profile Hole A- Soil Profile Hole X Lo f Nf� k McRAE & SHORT, INC. 1231 8th Avenue Greeley, Colorado 80631 Telephone (970) 356-3101 Engineering, Surveying, Planning & Land Development May 5, 2004 PROJECT NO. 04035 Ms. Char Davis Weld County Dept. of Public Health & Environment 1555 North 17th Avenue Greeley, CO 80631 RE: USR APPLICATION - OWNER:.HERSCHEL HOLLOWAY\ LOT B, RE 2820, SEC. 8, T4N, R64W, 6th P.M., WELD COUNTY, COLORADO Dear Ms. Davis, We have reviewed the original ISDS permit (SPO100193) on this site and a copy is attached. Atrequest is being made by Herschel and Becky Holloway for a Use By Special Review to operate a home -based business for service on oil well sites. At the present time, only Herschel and Becky reside in the home and the daughter, Amy, helps during the day in answering the phone and doing some bookwork. On this basis, our evaluation would be that the existing septic tank and leach field (designed for 6 residents) would not be overloaded. I have ad- vised the Holloways that if the operation of the business increases in the future and additional employee areas are created, the system would need to be re-evaluated.2 if you have any questions, please call our office. Respectfully, McRae � Short, Inc. Gerald B: McRae; P.E. & L.S. Colorado Reg. No. 6616 cc: Herschel & Becky Holloway ;'b9 ... ... a.o O :CD 661(3 r":m± RECEIVED MAY 0 _.2004 anatiENTAI REALM BYO WELD COUNTY DEPARTMENT OF PUBLIC: HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit #: SP-O1OO193 SeclTwn/Rng: 08 04 64 Owner: PHELANMICHAEL E Applicant: PHELAN MICHAEL E Permit Type: RNEW C-C:ommer ial, R -Residential + NEW, REPair, VauLT Parcel #: 1053-08- - - Location: 25868 CR 48 08 04 64 Legal Description: Installer: Finaled Status: ISSUED Applied: 04t25/2001 Issued: 05/29/2001 Finaled: b. .0 Description: MODULAR Commercial: N Residential: Y Acres: # of Persons: 2 Basement Plumbing: N # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2: 0 Water Public: Y Water Source: WELD CENTRAL Water Private: N Cistern: N Well: N Well Permit #: Percolation Rate: 21.8 Limiting Zone: 8 ft 0 in Description % Ground Slope: 0 Dir: Soil Suitable: (Y/N) Y Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N Minimum Installation Septic Tank: 1000 gallons Actual Installation Septic Tank: I MO Design Type: g-4 P) Absorption Trench: 675 or Absorption Bed: 909 5 square feet square feet gallons Absorption Trench: square feet Absorption Bed: /666 square feet Chambers YOTICl The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements. nor shall it act to certify that 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 1973 25-10-111 (2). This permltJs nQUransferable, 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 was contingent upon the final inspection of the completed system by the Weld County Department o blic)-iealtj and Environment. x Form: S_FINAL SiS nvironmental Health Specialist Date 'N, . • • fi June 24, 2004 Becky and Hershel Holloway 25868 County Road 48 Kersey, CO 80644 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Greeley, CO 80631 Website: www.co.weld.co.us Administration: p70) 304-6410 Fax: (970) 304-6412 Public Health Education & Nursing: (970) 304-6420 Fax: (970) 304-6416 Environmental Health Services: (970) 304-6415 Fax (970) 304-6411 RE: Becky and Hershel Holloway No: ISDS-04064 Permit No.: SP -0100193 On June 21, 2004 an evaluation of the existing individual septic disposal system at: 25868 County Road 48, Kersey; Section 08, Township 04, Range 64, was conducted by Pam Smith, an Environmental Specialist of this department. The existing individual septic disposal system is of sufficient size and capacity to adequately handle the proposed load. This evaluation is based on a final treatment capacity for a 3 bedroom residence. Be advised, neither the County of Weld nor any of its agents or employees undertake or assume any liability to the owner of the above property, to any purchaser of the above property or to any lending agency making a loan on the above property or in the report. This inspection was conducted for the purpose of determining compliance with current regulations and for detecting health hazards observable at the time of inspection. This does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Evaluations based on Statements of Existing (S.O.E.) relies on information the property owner provides, under oath, indicating current status of the system and representing to the best of his/her knowledge the system is not failing to function properly. If we can be of any further assistance, please contact our office at (970) 304-6415. cerely, irMC Pam Smith Environmental Health Specialist, form:pst73Appvd . FIELD INSPECTION FORM ISDS Request No: 4064 Plan Referral No.: Date Received: 06/09/2004 Received By: MS Fee: $0.00 Date Inspected: Owner Name: Becky and Hersel Holloway Phone of Contact Person: 970.284.6251 Mailing Address: 25868 County Road 48 Kersey, CO 80644 Site Address: 25868 County Road 48, Kersey, CO 80644 Legal Description: PT PT Sec 08, Twn 04 N, Rng 64 W Subdivision: Lot Blk Flg Water Supply: CENTRAL Residential/Commercial Total Acres: 4.68 Permit on Record: PHELAN MICHAEL E Permit No: SP -0100193 S.O.E.: N System Size: Tank Percolation Rate: minutes per inch SoilType: Engineer Design: Yes/No gallons Trench square feet Bed square feet Percent Ground Slope Direction The septic system identified abov dl alteration(s) indicated below to the tructure(s) served by this system. Current Flow Description: MODULAR Persons: 2 Bedrooms: 3 Bathrooms: 2 Bsmt Plumb: N Additions 1 0 0 The e ' ng septic system ' - ' equir- . - ommended to hav e folio acco odate - ' ropo - alterations to the Environmental Health Specialist U.`�ll cSv� \24$& 0-1,L . tArixicowk-6 cture(s) s ed: t4IiHj S NOT of sufficient size to accomodate the proposed Proposed Total MODULAR 3 3 2 N. g alterations m . . e to J112 r r-cou-ei6 44 SA form: isdsinsp WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit #: SP -0100193 • • Sec/ wn/Rng: 08 04 64 Owner: VUEZMWCHAEL E Applicant: PHELAN MICHAEL E Permit Type: RNEW O -Commercial. R tial + NEW, RE>'air, VauLT Parcel #: 1053-08- -. - Location: 25868 CR 48 08 04 64 Legal Description: Installer: ENVIRONMENT Finaled Status: ISSUED Applied: 04/25/2001 Issued: 05/29/2001 Finaled: b-0-6 ,01 Description: MODULAR Commercial: N Residential: Y Acres: 5 # of Persons: 2 Basement Plumbing: N # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2. 0 i Water Public: Y Water Source: WELD CENTRAL Water Private: N Cistern: N Well: N Well Permit #: Percolation Rate: 21.8 Limiting Zone: 8 ft 0 in Des iption % Ground Slope: 0 Dir: Soil Suitable: (Y/I) Y.: _ . . Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N Minimum Installation Septic Tank: 1000_gal)ons Absorption Trench: 675 or Absorption Bed: 909 Actual Installation {r' -1s* # Septic Tank: , 61C] gallons Absorption Trench: sr Design Type: /Z-4 P ) Absorption Bed: N0riC square feet square feet square feet square feet Chambers The issuance of this permit does not imply compliance with other state, county or local regulatory or building r quiremeau, nor shall it act to certify that the subject system will operate in compliance with applicable state, county and local regulation 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 1973 25-10-111(2). • ,• ' This nermlt Is not transferablg, The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations as a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department o}blic)iealt and Environment Poem: s+t. S� A viranmeetal Health Specialist C-aky , r ."•e. Jt� tJ's r .l• • 1 't' r rl (1)ct_' .4 ,1 r • ' L. • I_ I. s:". '1 t I't ' • IL • • I {• 4 Y .. .r' r .r�t' ' •, iot) r ,96t • + be -.D :. • r t j r j.., 12,4 P :1.. �: r. "6EJ;t C: r'.'4t•.,'�^:.{."t ..,.. .t�-. ' I: .r't.... n•t• . I. ,, L .1' •+�. 3T� ".I' �.�;" ..I r .-J,. . r' r •.F.r %J'tS si Rt iJ':<: 1"a .3ik S S:'•' w , ., r' .•y:' 1.: . :;L a St�'.r-, r :1.' r •u tr.1—J ..J!'.J 1I. 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COLORADO SITE ADDRESS OR LOCATION: PARCEL NO: ISDS NO: DATE RECEIVED: RECEIVED BY: FEE: INDIVIDUAL SEWAGE DISPOSAL SYSTEM EVALUATION t&kR 4 4<-e� l 6e-ki /O o's O000cri (THIS CAN BE OBTAINED FROM THE ASSESOR'S OFFICE AT (970)3M-3845 EXT 3650) PROPERTY OWNER: eLkii-if.r4P .tiati6 PHONE: S4- zasl MAILING ADDRESS: x.44 2 cc,S l) cmr STATE ZIP APPLICANTS NAME: PHONE: C___ (IF DIFFERENT FROM OWNER) APPLICANT ADDRESS: (IF DIFFERENT FROM OWNER) CPIY STATE LEGAL DESCRIPTION: PT: PT: SEC: TWN: 1 1J RNG: SUBDIVISION: I Pr WATER SOURCE: LOT: BLK: FLG: Opt/alai OSA, Weritk_ ORIGINAL OWNER OF SEPTIC SYSTEM: PERMIT N] -- 10a(q CURRENT FLOW (Ho PERS BEDROOMS: BATHROOMS: BASEMENT PLUMBING: Rec Exemp) ADDITIONS ZIP ACRES: 4. M eiei? �iela.v\ SOE:YES/NO PROPOSED TOTAL 3 2 - NEITHER THE COUNTY OF WELD NOR ANY OF ITS AGENTS OR EMPLOYEES UNDERTAKE OR ASSUME ANY LIABILITY TO THE OWNER OF THE ABOVE PROPERTY, TO ANY PURCHASER OF THE ABOVE PROPERTY OR TO ANY LENDING AGENCY MAKING A LOAN ON THE ABOVE PROPERTY OR IN THE REPORT. 4- IVicRAE & SHORT, INC. 1231 8th Avenue Greeley, Colorado 80631 Telephone (970) 356-3101 Engineering, Surveying, Planning & Land Development June 17, 2004 PROJECT NO. 04035 Ms. Pam Smith Environmental Health Services Weld County Health Department 1555 North 17th Avenue Greeley, CO 80631 RE: INDIVIDUAL SEWAGE DISPOSAL SYSTEM - HAROLD & BETTY HOLLOWAY 25868 WELD COUNTY ROAD 48, KERSEY, CO 80644 This engineering review is being prepared to analyze the adjusted flow rates into this system. The original system was approved under Permit No. SP-01OO193 and finalized June 26, 2001. A copy is attached. Application is now being made for a USR for a small business. The em- ployees will be on site briefly in the morning and evenings. The prop - posed use of the existing ISDS would be: 2 residents (1 bedroom), 1 pa partime office worker and 6 employees (offsite workers). Sewage loads would be as follows; 2 residents X 75 gpd = 150 gpd 7 day workers X 15 gpd = 105 gpd Peak loading 150% Design loading 255 gpd X 1.5 = 382 gpd Present Design : 3 bedrooms X 2 people X 75 gpd = 450 gpd Peak loading 150% X 1.5 675 gpd RECEIVED JUN 1 8 2004 ENViRON fENIAL REAM SERVICES -2 - June 17, 2004 PROJECT NO. 04035 Ms. Pam Smith Environmental Health Services Weld County Health Department 1555 North 17th Avenue Greeley, CO 80631 RE: INDIVIDUAL SEWAGE DISPOSAL SYSTEM - HAROLD & BETTY HOLLOWAY 25868 WELD COUNTY ROAD 48, KERSEY, CO 80644 (Continued) Therefore, the proposed loading would be at about 60% of the system's design load. Under this evaluation, the system would not be overloaded. Any increase in use by the users would require a new analysis. If you have any questions, please call. My office number is (970) 356-3101. Respectfully, McRae & Short, Inc. (C-Iji0e Gerald B. McRae, Professional Engineer and Land Surveyor, Colorado Reg. No. 6616 cc: Holloways Permit #: Owner: Applicant: Permit Type: Parcel #: Location: • WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 SP -0100193 SecfFwn/Rng: 08 04 64 PHELANMICHAEL E PHELAN MICHAEL E KNEW Commercial, R==Residential + NEW, REPair, VauLT 1053-08- - - 25868 CR 48 08 04 64 Legal Description: Installer: Finaled Status: ISSUED Applied: 04/25/2001 Issued: 05/29/2001 Finaled: b_� .0 Description: MODULAR Commercial: N Residential: Y Acres: # of Persons: 2 Basement Plumbing: N # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2: 0 Water Public: Y Water Source: WELD CENTRAL Water Private: N Cistern: N Well: N Well Permit #: Percolation Rate: 21.8 Limiting Zone: 8 ft 0 in Description % Ground Slope: 0 Dir: Soil Suitable: (Y/N) Y Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N Minimum Installation Septic Tank: 1000 gallons Absorption Trench: 675 or Absorption Bed: 909: Actual Installation Septic Tank: gallons Design Type: �`i P 5 square feet square feet Absorption Trench: square feet Absorption Bed: �C square feet Chambers NOTICIid The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor shall it act to certify that 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 1973 25-10-111 (2). This permit is not trapsferpble, 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 was contingent upon the final inspection of the completed system by the Weld County Department o blic)iealt> and Environment. Farm: SPINAL Sf S nvironrnental Health Specialist Date S VI; r c4_eve Fr r S too r so Pr- hkA .9"6 McRAE & SHORT, INC. 1231 8th Avenue Greeley, Colorado 80631 Telephone (970) 356-3101 Engineering, Surveying, Planning & Land Development May 5, 2004 PROJECT NO. 04035 Ms. Char Davis Weld County Dept. of Public Health & Environment 1555 North 17th Avenue Greeley, CO 80631 RE: USR APPLICATION - OWNER:tBERSCHEL =HOLLOWAY\ LOT B, RE 2820, SEC. 8, T4N; R64W;-6th P.M., WELD COUNTY, COLORADO Dear Ms. Davis, We have reviewed the original ISDS permit (SP0100193) on this site and a copy is attached. Atrequest is being made by I1er-.sehel and Becky Holloway for a Use By Special Review to operate a home -based business for service on oil well sites. At the present time, only Herschel and Becky reside in the home and the daughter, Amy, helps during the day in answering the phone and doing some bookwork. On this basis, our evaluation would be that -the existing septic tank and leach field (designed for 6 residents) would not be overloaded. I have ad- vised the Holloways that if the operation of the business increases in the future and additional employee areas are created, the system would need to be re-evaluated.' if you have any questions, please Respectfully, McRae Short, Inc. call our office. Gerald B. McRae P.E. & L.S. Colorado Reg. No. 6616 cc: Herschel & Becky Holloway soiqr- 13s Q: `" 6616 o , A ND Q.,, ,,r�„ . RECEIVED MAY o - 2004 Maxwell Nader From: Sent: To: Cc: Subject: Follow Up Flag: Flag Status: Apryl Herrera <aprylh134@gmail.com> Friday, May 10, 2019 3:32 PM Maxwell Nader Manny Herrera Re: USR Submittal Follow up Flagged Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Maxwell, We are requesting new septic for proposed second dwelling and proposed shop as we want to put a restroom in the proposed shop. We will not be using the existing septic system. Thanks, Apryl On Fri, May 10, 2019 at 3:13 PM Maxwell Nader <mnader@weldgov.com>wrote: Apryl, Environmental Health had one more question "What will the employees use for restrooms? If they use existing septic we need an eng review." Best, Maxwell Nader Planner I 1555 N 17th Ave Greeley, CO 80631 1 mnader@weldgov.com Phone: (970)-400-3527 Fax: (970)-304-6498 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 Hello