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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 -
Clerk to the Board
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20190189
WATER SUPPLY INFORMATION SUMMARY Section 31f.28.133,(d), C.R.S. requires that the applicant submit to the County."Adequate evidence that a water supply chat is sufficient in terms al quantity, quality and dependability will be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED Team Hilton LLC application for USR 2. LAND USE ACTION Business use for small home mechanic shop 3. NAME OF EXISTING PARCEL AS RECORDED 1141 Bailey DRive Brighton CO 80603 SUBDIVISION JoAnn FILING 4. TOTAL ACREAGE 2 .26 G. NUMBER OF LOTS PROPOSED 1 BLOCK 1 LOT 11 PLAT MAP ENCLOSED ❑ YES 6. PARCEL HISTORY - Please attach copies of deeds, plats of other evidence or documentation. A. Was parcel recorded wit- h county prior to June 1, 1912? YES ❑ NO B. Has the parcel ever been part of a division of land action since June 1, 1972? !f yes. describe the previous action Parcel appears to have een bunt Y t ND 1- LOCATION OF PARCEL • Include a map deliniatinp the project area and tie 10 a section corner. 1/4 OF 114 SECTION TIOWNSHIP 0 N O S RANGE ❑ E ❑ W PRINCIPAL MERIDIAN: El 6TH ❑ li.M. ❑ UTE ❑ COSTILIA 8. PLAT - Location of all wells on property must be plotted and permit numbers provided. Survoyers plat 0 Yes 0 Na if not, scaled hand drawn sketch 0 Yes ❑ No 9. ESTIMATED WATER REI1UIREMENTS - Gallons per Day or Acre Feet per Year HOUSEHOLD USE if 1 of units 360 GPO AF COMMERCIAL USE # 1 al S.F. 5 GPI) AF IRRIGATION # of was r;PD AE STOCK WATERING ft of head GPO AF OTHER_ GPO AF TOTAL GPD AF 10. WATER SUPPLY SOURCE EXISTING ❑ DEVELOPED WELLS SPRING WELL PERMIT NUMBERS n/a due to age o NEW WELLS - PROPOSED AQUIFERS WRECK OHIO CI AMR% 0 UPPER OAINH IN U LOWER DAwsON ❑ DWYER 0 DIRER © UPPER ARkPAHOE C] LOWER ARAPAHOE Q LARAMIE Fa% HIus ❑ mop. MUNICIPAL ❑ ASSOCIATION ❑ COMPANY U DISTRICT NAME LETTER OF COMMITMENT FOR SERVICE 0 YES ❑ NO WATER COURT DECREE CASE NO.'S f I. €NGINEER'S WATER SUPPLY REPORT 0 YES ENO IF YES, PLEASE FORWARD WITH THIS FORM. {This may 6e umiak -ad befall our review is campletadJ 12. TYPE OF SEWAGE DISPOSAL SYSTEM septic :SEPTIC TANK/LEACH FIELD ❑ CENTRAL SYSTEM - DISTRICT NAME ❑ LAGOON ❑ VAULT - LOCATION SEWAGE HAULED TO ❑ ENGINEERED SYSTEM (Attach a copy al onginAArine desipnl 0 OTHER A portable toilet will be available for customers. the residential toilet is not for their use. We qualify, and have bottled water available, and have far fewer than ten customers per day. We have no full time employees. tin lri.Au,HI. ?VI]N al 1''N1 PM. Clink I. Brian. ,pok,i,. LuLrlLChl uhcui lh';. Asnull,.J,Ih.Prr.,Pl.ul'n, r..i ,E r,i,e,..i.i,n,:-,:, going lonsc-IL, haihoon,,,;., il 5,5;144 You pr, id,: Ihu, ill,: veils rgl,I,545J:,J.al, h. u t.d for !Ili, [1P,inn nuiuP,�nul lei,. l�l u'll he u, u'Iahle for.4shnv:;. pr,iJ.J r,., ne.r ih. pon:hl, lol., and ;44.0, ,.,I. S..,h. all h.J n.�i ,,n,e, undcrP„m,ni,lul R.,ard.. fhri. ( iul lvrul, Pia nnu' 111 Vdcld ('our," Il.l,ar,urnn „I Plannin, tin, i.ct ] 555 N.17 ;1;5I-400-404.11, Conri4knn,lir, Nolicc- Th4.clec,ro„ic and . .ch,J Jox,n.,u„ „he _ ,,d,;41 1„it.Jd.,;,.d and ma.,,, _ , ha i,; iI J.conrd,, l roh,ru-t_ J 4cl r .] 5-4n ih,er r. cul'o, , rr. pica, in n,5J , l} ,o ii J.rb� .I, r, c•ra t and J.,I ,.} the c„nnu,'caI' , t,} d'u;.h,,.copying. d lrl ul',,,o Ih� hikingo[a,} a.fo, co,a !ling the c„nlrnl;. of Il,i;;:ommnni.:nion nr an} a,,linwnl4I35 an}nihanthe nan:.J rcci Pi. nl i, ,I ri.il� I,mhi h'heJ. .II-i•-; (In Behul1(11Bhanh.Bauch. Sent: Thur=Ja,. 1n,u,, u9.' -u1 N 4.54 Pkt Subject: Rr. PRF_IX-II] 51 ('ourrl.lrncu Rn in,. ('nu Irrnl. I need to ask for clarification on this request for additional information on 1141 Bailey Drive. 1. There is no permit for this well, it is simply too old and was not originally permitted; or was built prior to the time permits were required. I emailed Ms. Light, and will ask about details on a well study. 2. Outside vehicles are limited to four, non -mobile, customer vehicles_ The building can fit 2-4 vehicles at a time, entirely within the covered 40x60 space_ The question I think was hour many vehicles total, might be associated with customer activity, which I can say is 8 (four inside, four outside) although we've never needed to do that. Typically three vehicles are inside, and working vehicles remain outside. 3. I think you meant to require the additional information by Monday, August 13, 2018; which literally is in two business days. The email says you require the 'following' information, but it seems you want the preceding information - but that requires us to seek approval from Water Resources in two days. Is that correct? 4. Fort Lupton contacted me and stated they would provide a letter to Planning indicating no issues with the permit. I provide the response by Mr. Hodges, dated with his contact information. Todd Bodge. <thodgcs@fortluptonco.gov> Chris- Claud Chris. LI'El ill, Th.. ,1u, 9- 2011, al;.51 Pkt.(hu.,(nlr In Jun 6 f),ar F tr. fk E3auch,. The tollowin in tormalioli perlhe Dcpanmcni of Public Hcr I, and Ens ironmcnr pr,,.idz riih,r u,npr nl a a 11 prrmii „r d«,u nlalion :mu di, i,inn Li, „n Ih, prnik'rPo and •niih li n,n ha., any yn„Iioli, rEardinc Ihr ah,,,z,nrnrnrnl i..In cnnlaci Lauren Liehi al Ili_h ",I.:_- I, nr,17.-0o.'-?] The tollouin the 11,N, of Mann iu_ Sdnlw.' Pl,ax cla ri i� ho, nu nnlaiJt .. hl,ln (a,m,ialcd ,s'oh the I he nn.;il. Inlul Iin.dudlnc both inJanr, and anidanral al al, one Ihr.,. H„an.e ih i. a within the houndari,s,,l ihc[ r Area. We neeJ documcniaiion re' whcn Lupton l�, hat Jaici. Hoc Thai he connpl,ie application uat,uhmin,daficrp hThe inv,sl i2z.al inn r III heanmu II of SLhll 00 will he rcq�ircd_ W, ncJ the 1„II,,u'ng. no laic char this Mndu), 7.I? 11 this inform anon land the inyesl Gaon NO is not reeciicd by this dine )% ld Count- .sill proceed with the smlation pr and you will he sehcdulcd For El,oard.. Scanning Cover Sheet for Septic Permits Permit # Permit Type: G19700557 Health / EHS History / EHS Conversion History Situs Street Address 1141 BAILEY DR Situs City, State, Zip Sec/TownIRange: 26-01 N -66W Parcel # (12 digits) 147126402008-R6269186 Owner Full Name: Owner Address: Contact Name: Contact Address: TAGAWA GEORGE & GAIL 1141 BAILEY DR COMMERCE CITY,CO 80022 Application Status: Finaled Application Date: 03/11/1996 Owner Phone #: 303 6597808 Contact Phone# Information above has been Verified in Accela by employee noted below s,,,,,„„„ April 30, 2009 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date -Time: 4/30/2009 2:38:16PM HSF'IO6P INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G-700557 WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COURT, GRE:E:LEY, CO 80631 353-0635 EXT.2225 NEW PERMIT OWNER TAGAWA. GEORGE & GAIL ADDRESS 1141 BAILEY DR PH (303) 659-7808 COMMERCE CITY CO 00022 ADDRESS OF PROPOSED SYSTEM 1141 BAILEY DR COMMERCE CITY CO 80022 LEGAL DESCRIP'T'ION OF SITE: S2 SEC 26 -T-WP 1 RNO 66 SUBDIVISION JOANN LOT 11 BLOCK 1 FILING 0 USE TYPE: RESIDENTIAL ISDS 066-•-93/R--9 3034; /HARDMAN SERVICES: PERSONS 2 BATHROOMS 1.00 LOT SIZE 2.50 ACRES BEDROOMS 3 BASEMENT PLUMBING NO WATER SUPPLY #'WELL APPLICATION FEE $0.00 RECD BY X STAFF DATE 10/06/70 SIGNET) BY ROBERT HARDMAN DATE 10/06/70 PERCOLATION RATE I.0.{) MIN PER INCH LIMITING ZONE:: 0 FEET SOIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION REQUIRES ENGINEER DESIGN NO IN 100 YEAR FLOOD PLAIN ZONE HO FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL PERCOLATION DATA T'HE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: SEPTIC TANK 1000 GALLONS, ABSORPTION TRENCH SO. FT. OR ABSORPTION BED 1000 SQ . F'T' . 1N ADDIT'ION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND CONDI T:E OHS : THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION To COMMENCE. THIS PERMIT MAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET FORTH IN THE WE:L.D COUNTY INDIVIDUAL., SEWAGE DISPOSAL.. SYSTEM REGULATIONS INCLUDING FAILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL.. APPROVAL. THE ISSUANCE OF TI•;:ES PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE DEPARTMENT' OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE SEWAGE DISPOSALSYSTEM. X STAFF 10/06/70 ENVIRONMENTAL SPECIALIST DATE THIS PERMIT IS NOT TRANSFERABLE 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 T'O MEET ' OUR REGULATIONS ON A CONTINUING BA- SIS. FINAL. PERMIT APPROVAL-- :I:S CONTINGENT UPON THE FINAL. INSPECTION OF THE COM- PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. SYSTEM INSTALLER SEt_F SYSTEM ENGINEER TYPE OF SYSTEM INSTALLED TANK FINAL INSPECTION DATE 10/21/70 APPROVAL X STAFF ENVIRONMENTAL SPECIALIST 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 1973, AS AMENDED, EXCEPT FOR THE PURPOSE OF ESTABLISHING FINAL. APPROVAL OF AN INSTALLED SYSTEM FOR ISSUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25••-10-•111 (2) . t:w Io:I:NAL--AF'F:'I._ICAN'T' n COPY--WCHD WCHD-EHS MAY 1984 .A WELD COUNTY HEALTH DEPARTMENT 1Sth Street and 17th Avenue P. O. Box 1227 Greeley, Colorado Application for Permit to Install, Construct, Alter or Repair Individual Sewage Disposal System. ner r Sp nsor • tiot''a1' Address of Site Mailing Address General Information 1. Living Units I 2. No. of Bedrooms 2. Dimensions W T. P 3. No. of Baths 3. Material 4. Basement Drain 4. Type Inlet 5. Automatic Dishwasher Type Outlet Ad. ess Ne0-1(lacri 4A Phone 6. Garbage Disposal 7. Automatic Laundry t Q,�iiJ S. Size of Lot el 9. Type of Soil u.<4"401-4.— 10. Percolation Test I t,/ D ' *'r+••µ- 11. 12. 13. Water Table Depth 14. Other Water Supply, mod, Lot Grade Septic Tank 1. Liquid Capacity 9/-a Field •' Secondary Treatment /1 1. No. of distribution lines 2. Trench: Width •ti• Length-� 3. Type Filler Material 4. Depth of Filler Material S. Gravel Size 6. Type Tile 7. Depth of Cover S. Other Gallons Bed '`/94 -Z,/, — The Permit is to remain in full force and effect for six (6) months from date, until revoked for non-compliance. This system will be constructed in accordance with the above specifications and regulations governing non - municipal sewage disposal systems, in accordance with Regulation No. 1 of the Weld County. Health De- partment. Date:(51 ( 4 r� 0 M 9 The plans and specifications as shown are approved, pending pa en o permit fee./ sanitari .a�. AA (/ �ANAd -4,. Date: (t61 /770 The above systei ins ected : nd • nd t i comply with the plan and description. Installed by PERMIT FEE Received b Please use reverse side for Plot Plan or use separate • sheet of paper. GREELEY alliapp TRIBUNE 'WELD COUNTY HEALTH DEPARTMENT ENII4QNMENTAL PROTECTION SERVICES '1517 16th Avenue Court Greeley, Colorado- 80631 (303)353-0635 Weld County Health Department FEE $10.OO: 9- a 3 - 3 � #: • �► • 7,00557 LAN #: Isns #: REPAIRS: 9.3 D, •3 STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) OWNER OF RECORD: Qeorld. and 4; I l eir wet. PHONE; _g0, .$-'/- vow MAILING ADDRESS: IN!' ley )6 Ile_ SITEADDRESS: HO .Ba, icy ; Ve i.rtich4Pn Co. J'0601 tit), State Zip ar ii-fdAv Yakd f City State Zip LEGAL DESCRIPTION: PT: PT: SECTION:� TOWNSHIP: N RANGE: W SUBDIVISION: id A !IA NUMBER OF PEOPLE: 3 BLOCK:_l_ FILING:_ $EDROOMS: BATHROOMS: 02 WATER SUPPLY:Weil eil / COMMERCIAL BASEMENT PLUMBING: Y ( LOT SIZE: acres SYSTEM SIZE: Tank is constructed of _L d C r e. and has /o0 gallons capacity (material) FIELD: Bed /QU/) or Trench square feet. DATE SYSTEM INSTALLED:,_,_�___R &e ;e ;n5141/1-4 !9'ra- keach eId /'4'4 You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location, length, width, and distance from the dwelling - The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel of ground identified -by the above legal description and further states that the system is in good working order and to the best of his/her knowledge is not failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in legal action for perjury as provided by law. / Date Subscribed and sworn to before me this d day of bY 9 Witness. my hand and official seal. Q -s3: dr- Date STATEMENT OF EXISTING REVIEWED BY: ZcgdZr-Jdrrafl) Owner My commission expires: oy-st--97 Notary Public Environmental Protection Specialist 0?. 10. 91 02:10 ?M P02 • 4-147 84.1 SEPTIC TANK )4% Zwv 15L--. O U S BLACK INK ONLY! nn in nn n S%* onn s .r HSPL06F' INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITNO. 6-930345 WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COURT, GREELEY, CO £30631. 353-0635 EXT. 222 5 REPAIR PERMIT OWNER TAGAWA, GEORGE & GAIL ADDRESS 1141 BAILEY DR PH (303) 6597808 BRIGHTON CO 80601. ADDRESS OF PROPOSED SYSTEM 1141 BAILEY DR BRIGHTON CO 80601 LEGAL.. DESCRIPTION OF SITE: SEC 26 TWP 1 RNG 66 SUBDIVISION: JOANN LOT 11 BLOCK 1 FILING 0 USE TYPE: RESIDENTIAL.. SOE 939149 SERVICES: PERSONS 5 BATHROOMS 2.00 LOT SIZE 2.50 ACRES BEDROOMS 5 BASEMENT PLUMBING NO WATER SUPPLY F'WELL APPLICATION FEE $125.00 RECD BY CINDY SALAZAR DATE: 09/24/93 SIGNED BY GEORGE & GAIL TAGAWA DATE 09/24/93 PERCOLATION RATE 4040 MIN PER INCH LIMITING ZONE ?8 FEET SOIL TYPEPERCENT GROUND SLOPE „ DIRECTION O. REQUIRES ENGINEER DESIGN , Op IN 100 YEAR FLOOD PLAIN ZONE Zia FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: SEPTIC TANK GALLONS, ABSORPTION TRENCH _ SO. FT. (000 .A.+ci5n OR Q:-.6. dtf„uo �„o ot.1 (jABSORPTION BED � _ _ _ SO. F T . CONDITIONS: IN ADDITION, THI[ PERMIT IS SUBJECT' TO THE FOLLOWING AD►ITIONAL T RMS AND , THIS PERMIT' IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT MAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT 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. P -30-93 444 ENV ©NI NTAL_SI='ECIALIST ��_�DATE THIS PERMIT :[S NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF THIS PERM:I:T THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI- TIONAL TERMS AND CONDITIONS REQUIRED T'O MEET OUR REGULATIONS ON A CONTINUING BA- SIS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL.. INSPECTION OF THE COM- PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. ORIGINAL -APPLICANT; COPY-WCHD WCHD-EHS MAY, 1984 • I-ISP1 06P APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM NO. G -9:s0345 r WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL. HEALTH SERVICES 117 16TH AVENUE COURT, GREELEY, CO 80631 353-0635 EXT.2225 REPAIR APPLICATION OWNER TAGAWA, GEORGE & GAIL ADDRESS 1141 BAILEY DR PH (30;:i) 6t59-7808 BRIGHTON CO 80601 ADDRESS OF PROPOSED SYSTEM 1141 BAILEY DR BRIGHTON CO 80601 LEGAL DESCRIPTION OF SITE: SEC 26 TWP 1 RNG 66 SUBDIVISION: JOANN LOT 11 BLOCK 1 FILING 0 USE TYPE: RESIDENTIAL SOE 9391(49 SERVICES: PERSONS S BATHROOMS 2.00 LOT SIZE 2.50 ACRES BEDROOMS 5 BASEMENT PLUMBING NO WATER SUPPLY PWELL.. APP'LICANTACKNOWLEDGE: S THAT THE COMPLETENESS OF THIS APPLICATION IS CONDITIONAL UPON FURTHER MANDATORY AND ADD:ET:EONAL TESTS AND REPORTS AS MAY BE REQUIRED BY THE WELD COUNTY HEALTH DEP'ARTMENT TO BE: MADE AND FURNISHED BY THE APPLICANT OR BY THE WELD COUNTY HEALTH DEPART'MEN'T FOR PURPOSES OF THE EVALUATION OF THE APF'L:ECA'T'ION 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 :I.O, TITLE 25, CRS 1973, AS AMENDED. THE APPLICANT CERTIFIES THAT THE PROPOSED SYSTEM WELL NOT BE LOCATED WITHIN 400 FEET OF A COMMUNITY SEWAGE SYSTEM. THE ONDERSTONED HEREBY CERTIFIES THAT ALL STATEMENTS MADE, INFORMATION AND REPORTS SUBMITTED HEREWITH AND REQUIRED TO BE SUBMITTED BY THE APPLICANT ARE, OR WILL FOE. RE PRE:SENTE I) TO BE TRUE AND CORRECT TO T'HF: BEST OF MY KNOWLEDGE AND BELIEF, AND ARE DESIGNED TO BE RELIED ON BY THE WELD COUNTY HEALTH DEPARTMENT IN EVALUATING THE SAME FOR PURPOSES OF ISSUING THE PERMIT APPLIED FOR HEREIN. I FURTHER UNDER- STAND STAND THAT ANY FALSIFICATION OR MISREPRESENTATION MAY RESULT IN THE DENIAL OF THE: APPLICATION OR REVOCATION OF ANY PERMIT GRANTED BASED UPON SAID APPLICATION AND :rN LEGAL ACTION FOR PERJURY AS PROVIDED BY LAW. APPLICATION FEE: $125.00 P M SMITH RECD BY CINDY SALAZAR DATE 09/24/93 OWNER/AC�EN'F SIGNATURE TDATE ORIGINAL -APPLICANT; COPY-WCHD WCHD-EHS MAY;, 1984 WIOC COLORADO October 6. 1993 George and Gail Tagawa 1141 Bailey Drive Commerce City, Colorado 80022 Dear Mr. and Mrs. Tagawa: DEPARTMENT OF HEALTH 1517 • 16 AVENUE COURT GREELEY, COLORADO 80631 ADMINISTRATION (303)353-0586 HEALTH PROTECTION (303) 353-0635 COMMUNITY HEALTH (303)353-0639 On September 28, 1993, an evaluation of the existing individual septic disposal system at 1141 Bailey Drive, Brighton, Colorado; Section 26, Township DiN, Range 66W, was conducted by Pam Smith. The existing individual septic disposal system is not of sufficient size and capacity to adequately handle the proposed load. Therefore, be advised that you are required to have the following alteration made to accommodate the proposed alterations'to the structures(s) served: Increase tank capacity by 500 gallons. If we can be of any further help, please do not hesitate to notify this office. Sincerely, Pam Smith Environmental Protection Specialist PS/cs-2040 Enclosure (3) '0j atn Elk COLORADO mEmoRAnDum To Planning Department Dato October 6, 1993 From Pam Smith, Environmental Protection Services Subject I.S.D.S. Evaluation for: Tagawa, George and Gail Ntvnber . 066-9312039 OWNER: Tagawa, Georje and Gail PHONE: 659-7808 MAILING ADDRESS: 1141 Bailey Drive Brighton CO 80601. CITY SITE ADDRESS: Same STATE ZIP LEGAL DESCRIPTION: PT: SE4 PT: SUBDIVISION: JoAnn WATER SUPPLY: Private Well CITY STATE ZIP SEC: 26 TWN: 01 N RNG: 66 W LOT: 011 BLK: 001 FLG: 000 RESIDENTIAL TOTAL ACRES: 1.5 I _ PERMIT ON RECORD: Name: Hardman, Robert Permit No.: G-700557 S.O.E.: System Size: Tank: 1000 gallons Trench: 1000 square feet Bed: N/A square feet Percolation Rate: 10 minutes per inch Soil Type: Suitable Engineer, Design: No Percent Ground Slope: NIA Direction: N/A The septic system identified above is not of sufficient size to accommodate the proposed alterations(s) indicated below to the structure(s) served by this system. CURRENT FLOW Description: House Persons: 3 Bedrooms: 4 Bathrooms: 2 Basement Plumbing: No ADDITIONS PROPOSED TOTAL Description: Adding Bedroom Description: House O 3 1 5 O 2 O No The existing septic system is Required to have the following alterations made to accommodate the proposed alterations to the structure(s) served: Increase tank capacity by 500 gallons. 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. • • ins INDIVIDUAL SEWAGE DISPOSAL SYSTEM EVALUATION Weld County Heahh Department OWNER : --r- Q--Cp0A- J MAILING ADDRESS: 1 4 SITE ADDRESS: 30- }1/LK- tt REQUEST NO: 06L- y L DAM RECEIVED: Q - 3- 93 RECEIVE) BY: '490 $70.00: 9 ` HONE: (,5q - 7 aoS ro Saoa CIT4 STATE ZIP .LEGAL DESCRIPTION: PT: 5C -c+ PT: SUBDIVISION: WATER SUPPLY: a,, W SEC: r (� LOT: 1l CITY TWN: STATE ZIP I N RNG: Co ( W FLG: RESIDENTIAL COMMERCIAL TOTAL ACRES: Is PERMIT ON RECORD: Name: Permit o.: System Size: .Tank:i000 gallons Trench:/alk7 square feet Be Percolation Rate: Engineer Design: Y IC) minutes per inch Percent Ground Slope: C,25 Soil Type: S.O.E.. square feet s,4:410Jbr Direction: The septic system identified above alterations(s) indicated below to the CURRENT ` FLOWW,, Description: 'I`� D - Persons: Bedrooms: Bathrooms: Basement Plumbing: h! The existing septic system is accommodate the proposed alterat one to the structure(s) served: of s ' ficient size to accommodate the proposed s) se4y-this system. ADDITIONS Description: i�kg • i I PROPOSED TOTAL Description: • / RECOMMENDED to have the following alterations made to Qai ca.yao�r•� 41 L Scram ,...a . 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 hot 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. 00.5 S-kut._ RatAiLS)14d1
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