The URL can be used to link to this page

Browse Search

Home My WebLink About20192999.tiffWATER SUPPLY INFORMATION SUMMARY Section 3Q•28-133,8, C.R.S. rorpriree that the applicant submit to the County,"Adequate evidence that a water supply that is sufficient in terms of quantity, graality and deeerrdalilitt will be availabla to ensure an adegl ate supply ei want 1. NAME OF DEVELOPMENT AS PROPOSED `a a L. CA 1--L- r i { 2. LANE USE ACTION' s 3. NAME OF EXISTING PARCEL AS RECORDED ` 1 - _ O0 --(,-)i-2_ SLIROWISION FILING BLOCK LOT 4, TOTAL ACREAGE 1_1 ,S ) B. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED S 6, PARCEL HISTORY - Please attach copies of deeds, plats or other evidence or documentation. A. Was parcel recorded with county prior to June 1, 1972? 0 YES 0 NO B. Has the parcel ever been part of a division of land action since June 1, 1972? ❑ YES 0 NC /f yes, describe the preen actrrrrt 7. LOCATION OF PARCEL - Include a map deliniatin the project area and tie to a section comer. "_ 1/4 OF , 1I4 SECTION ,.) I TOWNSHIP !rN ❑ S RANGE N' (Q 0 E PRINCIPAL MIIERIDIAN: 0 6TH 0 N.M. 0 UTE © COSTIUA 8, PLAT • location of all wells on property cast be plotted and permit numbers provided. Surveyors plat D Yes 0 No if not, scaled band drawn sketch ❑ Yes .❑ No 9. ESTIMATED WATER REOUWREMENTS - Gallons par Day ay Acre Feet per Year HOUSEHOLD USE 4 L. of units \ 0_____ GPO AF 10. WATER SUPPLY SOURCE VXISTING 0 DEVELOPED WELLS SPRING WELL PERMIT NUMBERS L' ""' 0 NEW WELLS rROPOSO AOL'OO rc .rsx nee a auavut C.] MPS ORApAc(¢e ❑ urn oAwuce1 n Lewor ARAPANOE 0 tawa Doom i LARA E Fox rats COMMERCIAL USE of S.€. GPD AF — o t DAKOTA IRRIGATION It of acres 091 AF 0 oiuor I ❑ MUNICIPAL 0 ASSOCIATION El COMPANY WATER COURT DECREE CASE NO.'S STOCK WATERING It of head GPO AF OTHER - GPO AF TOTAL GPI; AF 0 DISTRICT NAME LETTER OF COMMITMENT FOR SERVICE 0 YES 0 NO 11. ENGINEER'S WATER SUPPLY REPORT 0 YES O NO IF YES, PLEASE FORWARD WITH THIS FORM. ('hiz mull ha suga:rod hafnre mu r WEER a cnmpre;vd.1 12. TYPE OF SEWAGE DISPOSAL SYSTEM SEPTIC TANK/LEACH FIELD 0 CENTRAL SYSTEM • DISTRICT NAME ❑ LAGOON ❑ VAULT - LOCATION SEWAGE HAULED TO 0 ENGINEERED SYSTEM ;attach a cc 'j at ugaresrng design 0 OTHER Maxwell Nader From: Sent: To: Subject: Attachments: Follow Up Flag: Flag Status: Diana Granados <dianagranados970@gmail.com> Wednesday, January 30, 2019 3:38 PM Maxwell Nader Special Review Questionnaire Gmail - Well Permit Question.pdf Follow up Completed 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. Max, I wanted to send you over proof that I spoke with the Colorado Division of Water, I am helping my mom complete the USR questionnaire. I spoke with Ivan and he explained that I had to have the well permitted with the GSW-44 form for the secondary residence. He informed me that the well has the capacity maximum of three residences and to maintain livestock. I have completed the GSW-44 form and I believe it will take around 3-6 weeks. I have attached the followup email Ivan sent me after our phone conversation. Please let me know if you need any more information. Thank you, Diana Granados dianagranados970@gmail.com (970) 313-7620 1 1/30/2019 Gmail - Well Permit Question M Gmail Well Permit Question 1 message Diana Granados <dianagranados970@gmail.com> Franco - DNR, Ivan <ivan.franco@state.co.us> Mon, Jan 28, 2019 at 10:23 AM To: dianagranados970@gmail.com Diana, It seems likely based on our phone conversation on 1/28/2019 that the well in question could be re -permitted to serve the additional uses you described. You'll need to complete a gws-44 well permit application and include all the relevant information. This process can take 3-6 weeks. Make sure to note that the well is completed into the Laramie -Fox Hills Aquifer. I attached your old well permit file as well. Let me know if you have any questions. Regards, Ivan Franco, P.E. Water Resources Engineer COLORADO Division of Water Resources p,_par.rnunt of Ka;ural Rcsou-cvs P 303.866.3581 / F 303.866.2223 1313 Sherman Street, Room 818, Denver, CO 80203 ivan.franco@state.co.us / www.water.state.co.us 2 attachments .1 gws-44.pdf 134K .1 DWR_1405581.pdf 175K https://mail.google.com/mail/u/0?ik=5bfbb79af8&view=pt&search=all&permthid=thread-fD/03A1623925686116231504&simpl=msg-fD/03A162392568611... 1/1 Address: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org Bedroom addition verification for Weld County 14753 CR 18 Septic Permit No.: G19940165 Your septic system size will depend on the type of system installed, the percolation rate/soil type for the property, and number of bedrooms in the residence. Original no. of bedrooms: Septic tank size: Field: Trench: Comm. Kennel Soil Type/Pert rate: 1000 gallons Sq. ft. or Bed: 600 Sq. ft. Under current regulations effective 2018: New no. of bedrooms: Needed septic tank size: Needed field size: Trench 2 bedroom Residence 1000 gallons Sq. ft. or Bed 7.5 mpi YEAR INSTALLED: 450 Sq. ft. 1995 Existing septic system is adequately sized for a 2 bedroom residence and does not need upgrade or alteration to system as long as it is in good working order. Environmental Specialist: Health Administration Vital Records Icic: 9/0 304 6410 Fax: 9/0-301-64 I'2 Katie Sall, EHS Public Health & Clinical Services Icic: 9/0 304 6420 Fax: 910-304-64 16 Environmental Health Services Tele: 970-304-6415 Fax: 970-304-6411 Communication, Education & Planning Tele: 970-304-6470 Fox: 970-304-6452 Date: 12/21/18 Emergency Preparedness 8 Response Te le: 970-304-6470 Fax: 970-304-6462 Public Health Historical Septic Permits Cover Sheet Permit # G19940165 Permit Type: Health / EHS History / EHS Conversion History Situs Street Address 14753 CR 18 Situs City, State, Zip WELD, CO 80621 Sec/Town/Range: Parcel # Application Status Owner Full Name: Owner Address: Owner Phone #: 130921000052-R0174989 Fineled COUGHLIN SHAWN 14755 WCR 18 FORT LUPTON,CO 80621 303 0000000 App Date Information above has been Verified in Accela by employee noted below X August 25, 2009 Processed by: Date 1 s'06P INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G-940165 WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COURT, GREELEY, CO 80631 353-0635 EXT.2225 REPAIR PERMIT OWNER COUGHLIN, SHAWN IL S . ADDRESS 14755 WCR 18 PH (303) 000-0000 Cse t48 FT LUPTON CO 80621 ADDRESS OF PROPOSED SYSTEM 1.4"41-55 WCR 18 FT LUPTON CO 80621 LEGAL DESCRIPTION OF SITE: E2 SE4 SEC 21 TWP 2 RNG 66 SUBDIVISION: LOT 0 BLOCK 0 FILING 0 USE TYPE: COMMERCIAL KENNEL SERVICES: PERSONS 1 BATHROOMS 9.99 LOT SIZE 80.00 ACRES BEDROOMS 0 BASEMENT PLUMBING NO WATER SUPPLY PWELL APPLICATION FEE $125.00 RECD BY CINDY SALAZAR DATE 04/21/94 SIGNED BY MARILYN GREIN DATE 04/21/94 PERCOLATION RATE 7.5 MIN PER INCH LIMITING ZONE 8 FEET SOIL TYPE SUITABLE PERCENT GROUND SLOPE 07. DIRECTION REQUIRES ENGINEER DESIGN YES IN 100 YEAR FLOOD PLAIN ZONE NO FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: SEPTIC TANK 1000 GALLONS, ABSORPTION TRENCH SQ. FT. OR ABSORPTION BED 600 SO. FT. IN ADDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS: 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. PAM SMITH 05/18/94 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 TO MEET OUR REGULATIONS ON A CONTINUING BA- SIS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM- PLETED SYSTEM BY THE WE LD COUNTY HEALTH DEPARTMENT. SYSTEM INSTALLER 1(6.U' FINAL I N ECG i OINF DATE `O SYSTEM ENGINEERAPPROVAL TYPE OF SYSTEM INSTALLED _4.. 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 PURSUANT 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). ORIGINAL -APPLICANT; COPY-WCHD WCHD-EHS MAY, 1984 aiSP 106Po.r. - y. INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G-940165 WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES 151716TH AVENUE COURT, GREELEY, CO 80631 353-0635 EXT.2225 REPAIR PERMIT OWNER COUGHLIN, SHAWN ADDRESS 14755.WCR IF! PH (303) 000-0000 FT LUPTON CO 80621 ADDRESS OF PROPOSED SYSTEM,14755 WCR 18 :FT LUPTON CO 80621 LEGAL DESCRIPTION OF SITE: E2 .SE4_SEC.2I TWP 2-.RNG.66..' SUBDIVISION: LOT 0 BLOCK 0 FILING 0 USE TYPE: COMMERCIAL KENNEL SERVICES: PERSONS 1 BATHROOMS 9.99 LOT SIZE 80.00 ACRES BEDROOMS 0 BASEMENT PLUMBING -ND WATER SUPPLY PWELL APPLICATION FEE $125.00 RECD BY CINDY SALAZAR DATE 04/21/94 SIGNED. BY MARILYN GREIN DATE 04/21/94 PERCOLATION RATE 7.5 MIN PER INCH LIMITING ZONE 8 FEET SOIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION REQUIRES ENGINEER DESIGN YES IN 100 YEAR FLOOD PLAIN ZONE NO FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: SEPTIC TANK 1000 GALLONS, ABSORPTION TRENCH SQ. FT. OR ABSORPTION BED 600 SQ. FT. IN ADDITION. THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS: THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT MAY BE REVOKED DR 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. PAM SMITH 05/1B/94 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 TO 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. SYSTEM INSTALLER i'e,IIG1/4-_, FINAL I SYSTEM ENGINEER gi.;C, APPROVAL TYPE OF SYSTEM INSTALLED 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). ORIGINAL --APPLICANT; COPY-WCHD WCHD-EHS MAY. 1984 4.4 f 1-'0202,41 v€7 q /(S 4- as 7o 41O boo oa '71 -z Zee) WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW APPLICANT: Shawn Coughlin PERMIT NO.: G-940165 (Repair) LEGAL DESCRIPTION: PT: SE4 SECTION: 21 TOWNSHIP: 2 N RANGE: 66 W SUBDIVISION: n/a LOT: 000 BLOCK: 000 FILING: 000 SITE ADDRESS: 14755 WCR 18, Ft. Lupton FACILITY: Commercial Greyhound Kennel (40 dogs) ACRES: 80 PERC RATE: 7.5 SOIL: Suitable WATER SUPPLY: Well LIMITING ZONE: > 8 feet Yes ENGINEER DESIGN (3.5) No EXPERIMENTAL DESIGN (3.14) ENGINEER: Eric Krch, Acklam Associates, Inc. ADDRESS: P.O.Box 795, Brighton, CO. 80601 ESTIMATED FLOW: 750 G.P.D. PRIMARY TREATMENT: Standard tank CAPACITY: 1000 gallons DISPOSAL METHOD: Absorption bed SIZE: 600 Square feet REQUEST FOR VARIANCE: Yes, See attached. STAFF COMMENTS: The permit is to add a diverter valve and a new absorption bed to the existing septic system. The system is 60 percent oversized for the proposed load. STAFF RECOMMENDATION: Approval ENVIRONMENTAL PROTECTION SPECIALIST: Pam Smith REVIEWED BY BOARD: Apri1 25, 1995 4 B.O.H. DECISION: APPROVED: 11 An ) /etc orma Taylor, Chairwoman Weld County Board of Health DENIED: TABLED: WELD COUNTY BOARD OF HEALTH VARIANCE REQUEST APPLICANT: Shawn Coughlin PERMIT NO.: G -94O165 (Repair) LEGAL DESCRIPTION: PT: SE4 SECTION: 21 TOWNSHIP: 2 N RANGE: 66 W SUBDIVISION: n/a LOT: 000 BLOCK: 000 FILING: 000 SITE ADDRESS: 14755 WCR 18, Ft. Lupton FACILITY: Commercial Greyhound Kennel (40 dogs) ACRES: 80 VARIANCE REQUESTED: A reduction of the recommended flow of 30 gallons per day per dog to 5 gallons per day -,per dog. STAFF COMMENTS: State guidelines recommend 30 gpd per dog. However, this facility is going to be used only for raising greyhounds and not for use as a public grooming and boarding kennel. Wastewater is from sanitation purposes only. According to the American boarding Kennels Association, only 4.5 gallons per day per dog is needed for sanitation needs. The system is 60 percent over sized. STAFF RECOMMENDATION: Approval ENVIRONEMENTAL PROTECTION SPECIALIST: Pam Smith REVIEWED BY BOARD: April 25,y1995 B.O.H. DECISION: APPROVED: t/7 DENIED: Norma Taylor, Chairwoman Weld County Board of Health TABLED: I-'ISF:' :L 0 ::F; :1:1-•11:x:I:''J1::()t.JAI... SEWAGE DISPOSAL S,ii;,..i.€Eii :;I:.:I.;11:1T €'IO. G--`i'lf::1=:: WELD COUNTY HEALTH T 1 I DEPARTMENT T1'il:::F 1-T ENVIRONMENTAL HEALTH SERVICES 1517 :L6TI-'I AVENUE COURT, CO :3{)t"Y;:i:1. .,:. •- 2 225 OWNER (:r(:itJ(:)1I1...:c:F•I S:3€.!AWI•'€ ADDRESS (.)l:: PROPOSED SYSTEM I::.M ADDRESS ..:S .I.'" -.x`-.55 Wt. R .L0 1.•1..1 (-.:Y0..Y ) 00C.1'--'0f)f,)0 FT 1-.,UPTON CO i:if,6.l:':1. 00000 €...E::(:it:iL DESCRIPTION (:1€:: S:3:I: T!: g E2- Sa E:4 S::E::(:: 21 -I)JI:' 2 RN(: 66 c:: LJJ•:• I) :€: %J :I: S::!: (:11'1 :: LOT <: BLOCK fi FILING 0 (.JS:3l::: TYPE:: ;; COMMERCIAL x:{"1L.. IKI:::i••ENE::E... SERVICES:: PERSONS :I. BATHROOMS 1•IF;(:i(:)1Y14: ---9. LOT „..Z 00.00 ACRES BEDROOMS C) BASEMENT PLUMBING NO WATER S:it.Jl::'F'€...'Y 1:: W1;::E...l.•, APPLICATION f'r-T':I:(:II•I FFl:1.:: $12 5.00 RE::(:: ' is BY CINDY S:3 ii..S V .f sl DAIL 04/21/94 SIGNED BY MARILYN (::iRl::: I t•l DATE F:. 04/21/5'4 1••'1::.1•';(.: (..rl... t i :i'.c: ' I stir 4 I (:. ... J i t.I. I*I l: I::.v.: =well LIMITING ZONE _P._ FEET SOIL.5/e 1::'1:::R' l::i l t GROUND SLOPE "'„ DIRECTION I::.I`-I(-i.I. NL':.1::. !"; C)E:. S:3 .1. 4:11'•1 w° IN :I.',)0 YEAR FLOOD PLAIN ZONE FROM THE APPLICATION INFORMATION SUPPLIED AND 1I-'ll::: ON —SITE S:3(:1:1:1... I::'I:::1:L(::(:)I...r'irI:(:iE'1 T-1•'ll::- FOLLOWING I''I:I:N:!:1''1(.11'1 :I:1sFSi3ir'lI...31::'E::(:::rI:-:i.c:: s.ii(::rl•d 1'lftil::: F::I:::(;tt.FIF:lii::D:: SEPTIC I .!:(:: TANK :'Ir'il...l...(:1i•"I`::3 ABSORPTION TRENCH SO. I:: -•T (:111 ABSORPTION BED SQ. FT. :1:1••1 ADDITION. :r: PERMIT IS SUBJECT 1TO THE : I:: (:ll. ,,.(:31,-•I(::� ADDITIONALTERMSANDCONDITIONS:: �A A - DATA iTA Ti-'€:I:S:3 PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO (::(:)M1•M!E::NIc:E::.. THIS ::!:::I:R:I'FI:!:.T €'!1''F4f f'.{1::: REVOKED D (:)F: SUSPENDED BY THE WWJL:I...x:3 COUNTY T--1 HEALTH H DEPARTMENT FOR 1:.1:::1"1::3(:)h'1':3 SET FORTH :I.1 1 THE WELD COUNTY Y INDIVIDUAL SEWAGE DISPOSAL SYSTEM M REGULATIONS INCLUDING F:•i^I:I:I...t.JRIE: TO MEET ANY TE::I:#1'! OR (:;(:3I••I):):LT-:I:(:3I••I :I:i'II'(:J':;1;::3:) T•1•'IE::1:';1::(:ii-1 i)(.JR:i;a:l•lc. TEMPORARY OR FINAL r'=Fl APPROVAL. THE ISSUANCE (::I::: (:11::. .Ti-'I:!:S(3 PERMIT 1)(:3ES:3 NOT CONSTITUTE taS:3::::1JlyI::.f 1:(::altl BY THE DEPARTMENT T'1Y11:::I FT OR ITS EMPLOYEES S (:ii:: LIABILITY FOR THE FAILURE F:: OR INADEQUACY OF T!•-il::: SEWAGE WA(. I:.. J:..I.1'...., AL,. S:S f i T l:: M t �• .. � J I rS.� ENVIRONMENTAL SPECIALIST !...:I:`:;I DATE THIS PERMIT II3 NOT TRANSFERABLE AND SHALL E:;!:::(::(:il''IE:: L•'(:i:1.I) :€:I:F SYSTEM CONSTRUCTION HAS NOT T COMMENCED CE D WITHIN (:)III::: YEAR OF: ITS ISSUANCE. 1:<E::rl:iRE:: ISSUING FINAL Fl... APPROVAL OVf"rr... OF THIS PERMIT THE WEi:€...1) COUNTY HEALTH DEPARTMENT RE::::: I :kVI:::S:i '1111 : RIGHT 1.. TO IMPOSE ADDI— TIONAL TERMS AND CONDITIONS REQUIRED TO MEET (:)t.JF2 I: I:::(:•I(.JI...(I.I.t:1i•ISa c:tII r"t c::(:IFFT':I:Nt.J:l:N BA— SIS. IS:3., FINAL PERMIT AF'F'F;(:iVA1.., IS CONTINGENT t.JI:'(:3I I •TI• -11::: FINAL :LNSPE::(::T:L(:)l••€ OF TH"€E:: COM— PLETED SYSTEM BY TF-Ii::: WE::I...I) COUNTY 't HEALTH I DEPARTMENT, ORIGINAL —APPLICANT (:.`.O Y'.-..W(::I• D tsJ(:;l--li:)... I:::l••€ 3 MAY, :1.''r'04 WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW APPLICANT: Shawn Coughlin PERMIT NO.: G-940165 (Repair) LEGAL DESCRIPTION: PT: SE4 SECTION: 21 TOWNSHIP: 2 N RANGE: 66 W SUBDIVISION: n/a LOT: 000 BLOCK: 000 FILING: 000 SITE ADDRESS: 14755 WCR 18, Ft. Lupton FACILITY: Commercial Greyhound Kennel (40 dogs) ACRES: 80 PERC RATE: 7.5 SOIL: Suitable WATER SUPPLY: Well LIMITING ZONE: > 8• feet Yes ENGINEER DESIGN (3.5) No EXPERIMENTAL DESIGN (3.14) ENGINEER: Eric Krch, Acklam Associates, Inc. ADDRESS: P.O.Box 795, Brighton, CO. 80601,• ESTIMATED FLOW: 750 G.P.D. PRIMARY TREATMENT: Standard tank CAPACITY: 1000 gallons DISPOSAL METHOD: Absorption bed SIZE: 600 Square feet REQUEST FOR VARIANCE: Yes, See attached. STAFF COMMENTS: The permit is to add a diverter valve and a new absorption bed to the existing septic system. -The system is 60 percent oversized for the proposed load. , STAFF RECOMMENDATION: Approval ENVIRONMENTAL PROTECTION SPECIALIST: Pam Smith REVIEWED BY BOARD: March 28, 1995 B.U.H. DECISION: APPROVED: DENIED: TABLED: Norma Taylor, Chairwoman Weld County Board of WELD COUNTY BOARD OF HEALTH VARIANCE REQUEST - WELD COUNTY I.S.D.S. REGULATIONS APPLICANT: Coughlin, Shawn PERMIT NO.: G-940165 Repair LEGAL DESCRIPTION: PT: SE4 SECTION: 21 TOWNSHIP: 2 N RANGE: 66 W SUBDIVISION: *** LOT: 000 BLOCK: 000 FILING: 000 SITE ADDRESS: 14755 WCR 18, Ft. Lupton FACILITY: Commercial Kennel (100 dogs max) ACRES: 80.00 VARIANCE REQUESTED: Reduction of recommended flow of 30 G.P.D. per dog to 5 G.P.D. per dog. STAFF COMMENTS: State guidelines recommend 30 G.P.A. per dog. However, this facility is going to be used only for raising greyhounds and not for use as a public grooming and boarding site. Waste water is from sanitation purposes only. According to the American Boarding Kennels Association, only 4.5 G.P.D. per dog is needed for sanitation needs. STAFF RECOMMENDATION: Approval. ENVIRONEMENTAL PROTECTION SPECIALIST: Allen Storie REVIEWED BY BOARD: June 28, 1994 B.O.H. DECISION: APPROVED: DENIED: TABLED:4___ Chairman Weld County Board of Health . t APPLICATION FOR :E:€'•Ity:I:'w:FJ)(.JAE... SEWAGE :(::I:#:}F'(:IE:S('{I... SYSTEM 1''1O. €:;i--..tr.::lt:k:l6 WELD (::c tii•IT'( HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES 1517 16TH E"I '':ll::.r R.Jl::. COURT, GRE::.k:.1...1:.:'.. CO C:i0i:x..J.l. .., :'.: " () 63 5 EXT.2225 (:)IWJN'•ll:::l:: C:(:)I.J(:'iI" IE...:E:I E SHAWN FWN ADDRESS (:11" PROPOSED SYSTEM H;:.i i E''(.1 I:l:: iE'hE...:I:(::r"i'1' :I:(:Jh. ADDRESS :L47;:'.'% tJ(::I::: .I.S:S i::'Ed (;:ir:).: ) C)0CJ....,;):)0C FT LUPTON CO 80621 0{)0r)r) LEGAL DESCRIPTION OF cS:E:T•E:i:;. F::h:' ;:;I:::r4 ::SEE(:: 21 'T -WP ,.':: laIIc '(f. c:: SUBDIVISION ;€: (:il-•I ;, €...CO•T• t) ;(:;I...(::k(:::I< C) FILING 0 USE::: TYPE ;:c:(:)E''IE''IE:::E:::(:;€:r'=,1... KI::;E•iCIE::I... SERVICES :: f:'1::,1:4:.S(:)h•E;:? 1 BATHROOMS LOT SIZE 80.00 ACRES BEDROOMS S ;) BASEMENT T PLUMBING 1-1(:1 WATER SUPPLY I::'t1JI:::!...E.-. APPLICANT NT ACKNOWLEDGES :E T'!..€F:T 'Ci'I€:::(:'.[:JEY€F:'€...€:::-7!:::I••E€:::::T.:; (:J€::' -T'€.d:€::: rt!:='€'!.-.:I:(::-a`iT•:€:c:i.i :!:::; CONDITIONAL UPON FURTHER I..II:::I MANDATORY ( rI-'I:() ADDITIONAL 1)I• AL... TESTS AND REPORTS AS MAY BE REQUIRED I:!:€:41:::r) I::,i, THE WELD COUNTY lI'IT'r HEALTH I"I DEPARTMENT I: -I € il:NC I. .T.(:1 BE MADE AND FURNISHED la::il'•II:'t::I' BY THE APPLICANT OR BY THE ISJI:::I-..):) COUNTY HEALTH DEPARTMENT E::.e)I : PURPOSES OF THE E !:::Vr1€...U.;('i':!:c)F•I (:)E::' THE AP€::'€...:I: CAT -:I: (:!I'.1:; AND T•I'•il::: ISSUANCE (:il::. THE PERMIT :1:.:+ SUBJECT T(:1 ::SI.I(:iH-•€ T-€:::I°:€YIf:S i`FHI) CONDITIONS :I:(:11-•E;:i AS I)(:::E:NIE[: NECESSARY TO INSURE COMPLIANCE (j:c:T'i I I'4UI...I::.{:x i'iN••€I) REGULATIONS i':I:(:)I''l::S AD)(:11::'T-E:::I) U141I)E.:I::: ARTICLE :LO., -I l. T'L..I::: 25 CRS 1973, AS AMYlE:::Ni)I:D.. THE APPLICANT CERTIFIES :I:r:S THAT Tl..!!::: PROPOSED SYSTEM WILL I'•I(:)T € L: LOCATED D WITHIN 400 FEET (:)I:' r . COMMUNITY SEWAGE GE::: SYSTEM. THE IF.. UNDERSIGNED HEREBY CERTIFIES THAT s'AI...I... STATEMENTS I£IA1)E:::•t :1:F•II:'(:JI:4EY€i'sI:E:iJN F"i;I:i> REPORTS SUBMITTED HEREWITH AND REQUIRED TO f;,sE... SUBMITTED BY THE APPLICANT ARE, ,. OR WILL I:'.E:::., REPRESENTED iii 1:ci:;: TRUE AHD I::(:)RF:I:::(::= T ( (:1 THE :(:;1:::: 'i OF MY KNOWLEDGE AND I:tiE'::I..:I:l::i' AND i''11:`:I::: DESIGNED TO I -:;I::, RELIED (:11=1 I:{Y THE LII:::I...J COUNTY HEALTH I..€ DEPARTMENT i i III EVALUATING THE SAME FOR PURPOSES OF ISSUING THE PERMIT F';I::'E:''1...:I:l::(J FOR I--CE:::1:.1::::1:i••E.. I FURTHER I.J1'•II::I:::€:; ;:3'T'i'>FI'CI) THAT ANY ELF !" A!...'C:x.I.E" .L(si->i'I':!:r: 1-I OR I''I:E:l:::E;;:F:'I: l:i:-`::i1:::1-1 Lr•5.1.a:(:iiI MAY RESULT T 3:N TI--!!::: DENIAL IJ:t'rl... (.)I:: THE f`':'F:'!.-.:I:(:::i'i'i':I:(:JN (:II:; REVOCATION 1:11::- r:II`f' l::'E:::I:II:I'... (:1E:R:s'-'•sh.'s..r€:::I) :f:€=-i#:>I:::I) UPON SAID APPLICATION AND :111 I E...I..:(.i(;I..- ACTION FOR PERJURY t'1::= PROVIDED BY LAW. APPLICATION FEE €.12 .,00 MARILYN (:iF;,l:::3:Jti 1::!:: C ' I) BY CINDY ;.ir':I..-A::.i'AE:: DATE 04/21/94 x,1.4.- 04/ 21/94 /'..:;. OWNER IE:::!:;:,/li(:_3E:1-,€T SIGNATURE DATE WCHD-EHS MAY, 1994 AA�CKLAM EISSOCIATES,INC. , SURVEYING - ENGINEERING May 4, 1994 Weld County Department of Environmental Services 1517 16th Ave. Court Greeley, Co. 80631 Attn: Ms. Pam Smith Environmental Specialist RE: Sean Coughlan Septic Permit G-940165 Per our discussion yesterday, two letters are being forwarded to you. This letter being one of the two, addresses the technical aspect of the proposed absorption bed. The other letter addresses the details of the proposed and existing use of the building being serviced by the septic system. This second letter will be from the applicant, Sean Coughlan. As Mr. Coughlan is providing his letter directly to you, I will recap the information he has provided us to help ensure consistency. The existing and proposed septic system is to service the main building shown on the site plan. This building has no toilets or bathing facilities. It is used to prepare food for the dog kennel facilities and cleaning of feeding bowls for the dogs. The kennel area and runs are on a dirt surface so no waste is discharged into the septic system. Typically 40 dogs are boarded at a time, with no more than 100 dogs as a maximum. Animal feces are bagged and hauled to a landfill. Mr. Coughlan has indicated that an average of 5 GPD/Dog is the water usage rate for food preparation and bowl cleaning. He provided the percolation rate of 7.5 min/inch for the existing absorption bed. 1001 E. BRIDGE ST • P,O_ BOX 795 • BRIGHTON, COLORADO 60601 TELEPHONE (303) 659-8546 Page 2 of 2 Weld County Dept. of Environmental Services RE: Sean Coughlan Taking the above into account the following calculations will identify the minimum bed size. 100 dogs @ 5 GPD = 500 GPD Peak Rate 1.5 (500GPD) = 750 GPD Bed Area - A = 750 J = 586.8 sq. ft. 3.5 Use a Bed Area of 600 sauare feet 15.0' wide by 40.0' long Please note that the length of the bed is -to be revised from the 38.0 feet shown on the plan previously provided. This analysis should satisfy the County's absorption bed sizing criteria based on Mr. Coughlan's information. If any further information or adjustments are required contact me at your earliest opportunity. ACKLAM ASSOCIATES, INC. Eric L. Krch, P.E. ELK/clj CC: Ken Grein File WELD COUNTY BOARD OF HEALTH VARIANCE REQUEST - WELD COUNTY I.S.D.S. REGULATIONS APPLICANT: Coughlin, Shawn PERMIT NO.: G-940165 Repair LEGAL DESCRIPTION: PT: SE4 SECTION: 21 TOWNSHIP: 2 N RANGE: 66 W SUBDIVISION: *** LOT: 000 BLOCK: 000 FILING: 000 SITE ADDRESS: 14755 WCR 18, Ft. Lupton FACILITY: Commercial Kennel (100 dogs max) ACRES:' 80.00 VARIANCE REQUESTED: Reduction of recommended flow of 30 G.P.D. per dog to 5 G.P.D. per dog. STAFF COMMENTS: State guidelines recommend 30 G.P.D. per dog. However, this facility is going to be used only for raising greyhounds and not for use as a public grooming and boarding site. Waste water is from sanitation purposes only. According to the American Boarding Kennels Association, only 4.5 G.P.D. per dog is needed for sanitation needs. STAFF RECOMMENDATION: Approval. ENVIRONEMENTAL PROTECTION SPECIALIST: Allen Storie REVIEWED BY BOARD: May 24, 1994 B.U.H. DECISION: APPROVED: . DENIED: TABLED: Chairman Weld County Board of Health Lotit cVfr, nvitou11.1 (to du 614.64 1 trop d KeitiLeB e. ,tka. t "- , rd, U()c OpfM/- a�l� s �v It ----Q �►e.r-iasc, sySdc�s� .PROPOSED KENNEL ' AND RUt1S WO' ER WELL a SPRINT do FIELD "� l accomol-2673 chge -ry R11oar P KENNEL KENAEL E' %STING KEW DENGE W Z ti N 1) w -------- PUELtc DEVELOPMENT STANDARDS RICHARD R. BLUNDELL AMENDED SUP -431 ENV 3229 B 1329 REC 02281978 03/25/92 10:15 $10.00 1/001 F 1800 MARY ANN FEUERSTEIN CLERK & RECORDER WELD} CO, CO 1. The Site Specific Development Plan and amended Special Use Permit is for a greyhound kennel as submitted in the application materials on file .in the Department of Planning Services and subject to the Development Standards stated herein. The maximum number of greyhound .dogs shall not exceed 250. 2. Approval of this plan may create a vested property right pursuant to Article 60 of Title 24, C.R.S., as amended. 3. The applicant shall remove, handle, and stockpile manure from the kennel area in a manner that will prevent nuisance conditions. The manure pile shall not be allowed to exist or deteriorate to a condition that facilitates excessive odors, flies, insect pests, or pollutant runoff. The manure storage site shall have a water -tight surface which does not permit seepage or percolation of manure pollutants into the ground. 4. No permanent disposal of wastes shall be permitted at this site. - - 5, Any new or existing floor drains or liquid waste streams shall be disposed by an authorized Individual Sewage Disposal System. All septic systems shall be installed and maintained in accordance with the Weld County Individual Sewage Disposal • Regulations. 6. Wood shavings, sawdust, and waste materials shall be handled, stored, and disposed in a manner that controls fugitive dust, blowing debris, and other potential nuisance conditions. 7. Fugitive dust shall be confined on this site. 8. A potable water supply shall be maintained for the greyhounds at all times. 9. The maximum permissible noise level shall not exceed 55dBCAM from 8:00 p.m. until 6:00 a.m. and from 6:00 a.m. until 8:00 p.m. shall not exceed 80detAi as measured by 25-12-102, C.R.S. • D. The Soil Erosion Control Plan approved by the Platte Valley Soil Conservation District shall be maintained at all times. 1. The greyhound kennel facility shall comply with the Colorado Racing Commission's Rules and Regulations pertaining to greyhound kennels. 12. Buildings and grounds shall be kept clean, in good repair, and free of trash. All wastes shall be removed from the property on a weekly basis to an approved landfill. .13. No structure shall be constructed mithin Panhandle Laat.ezn Pipe Line Company's 50 -toot right-of-way easement. 14. Written approval shall be .obtained from Panhandle Eastern Pipe Line Company, for the construction of utility lines, streets, sidewalks, and driveways within Panhandle Eastern Pipe Line Company's 50 -foot right-of-way easement. Two working days prior to the start of construction, the utility notification center of Colorado shall be notified so that all utilities can be located and identified. 15. All construction on the property shall be in accordance with the requirements of the Weld County Building Code Ordinance. 16. The property owner or operator shall be responsible for complying with the Design Standards of Section 24.5 of the Weld County toning Ordinance. 17. The property owner or operator shall be responsible for complying with the Operation Standards of Section 24.6 of -the Weld County Zoning Ordinance. 18. Personnel from the Weld County Health Desrtment and Weld County Department of Planning Services shall be granted access onto the property at any reasonable time in order to ensure the activities carried out on the property comply with the Development Standards stated herein and all applicable Weld County Regulations. 19. The Special Review area shall be limited to the plans shown herein and governed by the foregoing Standards and all applicable Weld County Regulations. Major changes from the plans or Development Standards as shown or stated shell require the approval of an amendment of tare Permit by the Weld County Planning Commission and the Board of County Commissioners before such changes from the plans or Development Standards are permitted. Any other changes shall be filed in the' office of the, Department of Planning Services. 20. The property owner or operator shall be responsible for complying with all of the foregoing Development Standards. Noncompliance with any of the foregoing Development Standards may be reason for revocation of the Permit by the Board of County Commissioners. AO,4 4 2.0 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM No. ('f 7 A `r WELD COUNTY HEALTH DEPARTMENT New r ENVIRONMENTAL HEALTH SERVICES L Repair 1518 Hospital Road, Greeley, CO 80031 353-0540' ErT.2770, BP OWNER414,V4;:l,frzil C' ADDRESS Pf -4 4p �4 PHONE °"? -' ADDRESS OF PROPOSED SYSTEM ) u 7 b''/ C/� �7� I LEGAL DESCRIPTION OF SITE: PTLS15> S 4/ , T - _, R J.4-----.' SUBDIVISION Y LOT , .BLOCK , FILING USE TYPE: RESIDENTIAL INSTITUTION COMMERCIAL OTHER SERVICES: PERSONS 1 BATHROOMS - LOT SIZE ,vQ t 64 - BEDROOMS - BASE4T PLUMBING WATER SUPPLY TYPE OF SEWAGE DISPOSAL REQUESTED: /" . r.� 1' ,.►t. h 1 o C — s ts.41 — Applicant acknowledges that the completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by. the Weld County Health Department to be made and furnished by the applicant or by the Weld County Health Department 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 1973, as amended. The applicant certifies that the proposed system will not be located within 400 feet of a com- munity sewage system. The undersigned hereby certifies that ell statements made, information and reports submitted here- with and required to be submitted by the applicant are, or will be, represented to be true and correct to the best of my knowl- edge 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 understand that any falsificatIon or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said-ap'plicatlon and In legal action for perjury as provided by law. Application fee - / .W //G 7��f/1 ('Y- Reed by \---_k4.?:,‘ A 1. Date D /�-Pl Owner/Anent Signature Date **** FOR DEPT. USE ONLY PERCOLATION RATE WATER TABLE DEPTH SOIL TYPE PERCENT GROUND SLOPE REQUIRES ENGINEER DESIGN ( ) YES ( ) No * * * * * * * * * I # * * * * * * * * * # * * * -* * * * * * * * * * * * * * * * * * * * * * * * * * * * I INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT From the application information supplied and the on•site soil percolation data, the following minimum installation specifi- cations are required: SEPTIC TANK-- GALLONS, ABSORPTION TRENCH SO. FT. or ABSORPTION BED SO. FT. In addition, this Permit is subject to the following additional terms and conditions: 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. Environmental Specialist Date This Permit Is not transferrable 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 additional terms and conditions required to meet our regulations on a continuing basis. Final Permit approval Is contingent upon the final in- spection of the completed system by the Weld County Health Department. SYSTEM CONTRACTOR FINAL INSPECTION SYSTEM ENGINEER APPROVAL Environmental Specialist Date 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 pursuant to Article ,10, Title 25, CRS 1973, es amended, except for the purposes of establishing final approval of an installed system for issuance of a local occupancy permit pursuant to CRS 1973 25.10.111 (2). Orl'el•Applicant; Copy-WCHD WCHD—EHS February,1981 fro r/7 A WELD COUNTY HEALTH DEPARTMENT 1516 Hospital Road Greeley, Colorado PH. 353-0540 I0Oo1 Permit -No Application for permit to install, construct, an Individual Sewage Disposal /1 _l Owner '4.--/-- <>'., /L. `.rr Address6--,-: 2, 4• =f. Phone Directions to site: Hwy 7A' Rd. / N mi, E/kmi, S- mi, W mi System. Legal Description: Ptn. x SCE Sec. 44/ ,T N, W, Sub. Lot Bik • No. Bedrooms No. Baths — Size of Lot 'AF) (s, H2O supply (If well give depth) 9f), • New Home Mobile Home Modular Add'n Type of sewage disposal requested: Septic tank Privy Other ",;, fq -. J f This is to certify that the system is NOT within 400, ft.. of a IGeneral Information I No. Persons Basement Plumbing ,r•:. .r, De t. Use Onl Perc rate (avg„ of 3) 7.5 - Soil Type H2O Table Depth Lot Grade Le...3- D -24 Engineer Design Yes No If YES -reason: ,Comments: public sewer Septic Tank Other . FInstallation instructions: (Minimum Requirements) I ,NJ Absorption Trenches or _\eepage Bed Sq. Ft. Special Instructions Gals. /C45-- Sq. Ft. This system will be constructed and (:b ordance with the above specifications and regulations regarding individual : systems in Weld County, Colorado. This permit shall expire at the same time as the building permit, or, if no building permit is issued, the permit shall expire 120 days after; its issuance if construction has not ' been commenced. Date: f;./- it 47/ 1 / Owner : Applicant: The plans and specifications as shown are approved pending pay ent f permit fee. Date: ��.F-/ The above system inspected and found to comply Systems Contractor: 0 1)-� Engineer Review: (Date) Permit Fee: $ Received by: Sanitarian: with plan'and description. S:air'itarian: fl'L �� Date: (Signature) 19-79-122 -EXST. GROUND SLOPE @ 1.4% TO NORTHWEST F-1.0'(riax) COVER FT _ 34,0 L OIL WELL SITE, Mj N I 10' SEPARATION F ❑M ABSDRBTI❑N $ED 1094.3' ryI I 1 8.01 NEW 600 sq. ft. ABSORPTION BE DISTRIBUTION BOX NEW 4' PVC LINE 7/1"lAt De‘.%yam I 449.4' 71.\\ --100 L.F. OF 4' PVC PIPE SLOPED @ 1.47. \-DISTRIBUTION BOX ABSORPTION BED PROF ILF N.T,S, -NEW DIVERTER BOX -METAL SHED METAL BARN L I I I --EXST. LINE TO SEPTIC TANK W.C.R. #18 EXST. 1000 GAL. SEPTIC TANK EXST. LINE TO SEPTIC TANK EXST, 180 sq. ft. ABSORPTION BED 420.4'- 1247.2' SITE PLAN NEW DIVERTER BOX NMI I==OM MAY 11 1!! WELD CO. HEALTH DEPT. CXST. 1000 GAL. SEPTIC TANK EXST. PVC PIPE PERCOLATION RATE: Average Rate from 1981 — 7 min/in (provided by owner) COMPUTATIONS: This site has an existing leech field that has failed and is to be bypassed. The existing septic tank is to remain. This system is to be used for liquid effluent from kennels only. USE ONE ABSORPTION BED — 15' x 38' = 57O sq. ft. EXISTING SEPTIC TANK CAPACITY = 1OOO Gallons NOTE: All Construction to conform with Weld County Health Department Regulations. CERTIFICATION: I hereby certify that the absorption bed design shown hereon was prepared by me and under j supervision ands accurate to the best of my knowledge and belief. Eric L. Krch, PE No, 28583 (For and on behalf of Acklam & Associates, Inc.) 1 , 0' (rnax) LAYER OF STRAW .... tpO REG/6I I I r ,. y •� • ' 28583 • LAYER OF 1.5' Dial ROCK NATIVE BACKFILL OR BUILDING PAPER /-4' PERFORATED PVC PIPE 4 I / 1, a • 4 . • . 1.0' 3.0' 6.0' ABS,R l .0' 18.0' 3,0' TION BED ETAIL NITISI ABSORPTION SYSTEM DESIGN FOR SHAWN C0UGHLIN SE 1/4, SEC. 21, T.2N., R.66W. ACKLAM ASSOCIATES, INC. P.O. Box 795 — 1OO1 East Bridge Street Brighton, Colorado 8O6O1 3O3-659-8546 DESIGN: ELK DETAIL: CHECK: CEA PROD. NO. 4221 BOOK: PAGE: SCALE: 1" = 5O' FILE NO. 21 -2N6 —_LL DATE: APRIL 19, 1994 L XST, GROUND SLOPE @ 1.4% TO NORTHWEST ri.. 0' (max) COVER n _ 34-,0' X15, 0' 100 L.F. OF 4' PVC PIPE SLOPED @ 1,4`/. NEW DIVERTER BOX XST, 1000 GAL. SEPTIC TANK DISTRIBUTION BOX ABSORPTION BED PROFILE N.T.S. 0' 30 L 1094.3' T"A" OIL WELL SITE, MIN. 10' SEPARATION FR©M� ABS❑RBTI❑N BED EW DIVERTER BOX \ / METAL SHED 1 ,-METAL BARN i „17 \ 0 r7V 1 140' -1 NEW 600 sq. ft. ABSORPTION BE ISO L70 - wwww • • • . • MEN=. DISTRIBUTION BOX NEW 4' PVC LINE W.C.R. #18 XST. LINE TO SEPTIC TANK EXST. 1000 GAL. SEPTIC TANK XST, LINE TO SEPTIC TANK EXST. 180 sq. ft. ABSORPTION BED 449.4' 420.4' 1247.2' SITE PLAN EXST, PVC PIPE PERCOLATION RATE: Average Rate from 1981 — 7 min/in (provided by owner) COMPUTATIONS: This site has an existing leech field that has failed and is to be bypassed. The existing septic tank is to remain. This system is to be used for liquid effluent from kennels only. USE ONE ABSORPTION BED — 15' x 38' = 570 sq. ft. EXISTING SEPTIC TANK CAPACITY = 1000 Gallons NOTE: All Construction to conform with Weld Cbunty Health Department Regulations. CERTIFICATION: I hereby certify that the absorption bed design. shown hereon was prepared by me and under m pervi on and . Accurate to the lest of my knowledge and belief. n�"c L. rch, PE No. 285 (For and on behalf of Acklam & Associates, Inc.) •0 • 28583 ' 1�P NA1 ovock •• e4 ,• 1, 5 f • / *0 r + LAYER OF 1.5' Dia. ROCK NATIVE BACKFILL LAYER OF STRAW OR BUILDING PAPER r--4' PERFORATED PVC PIPE 1.0'(rnax) 4 0. 1 1.0' 3.0' A S 18.0' 3.0' RPTI❑N BED DETAIL N.T.S. r 1 1 1994 ABSORPTION SYSTEM DESIGN FOR SHAWN COUGHLIN SE 1/4, SEC. 21, T.2N., R.66W. REVISIONS 5/9/94 CNTY. COMMENTS ACKLAM ASSOCIATES, INC. P.Q. Box 795 — 1OO1 East Bridge Street Brighton, Colorado 8O6O1 3O3-659-8546 DESIGN: ELK DETAIL: CHECK: CEA PROJ. NO. 4221 BOOK: PAGE: DATE: APRIL 19. 1994 ORIGINAL PERMIT APPLICANT(S) LAURA NADOS APPROVED WELL LOCATION Water Division: 1 lAiatr District: Designated Basin: WA Management District: WA County: WELD Parcel Name: 13O9-21-04 RECX18-014{) Lot: B Block: Filir : Physical Address: 14753 COUNTY ROAD 18 FORT LUPTON, CO 80621 SE 1/4 SE 1/4 Section 21 Township 2.0 N Rnr tje 66.0 W Sixth P.M_ UTM COORDINATES (Meters Zone: 13 NAD83) Easting: 518981.9 Northing: 4440791A PERMIT TO USE AN EXISTING WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CO NDITiO NS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2 The construction of this well shall be in compliance with the Water Well Construction Rules 2 C.C.R. 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water 'Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)Kb.(I), for the change of use of an existing well constructed under permit no. 86280, and policy of the State Engineer under the following conditions, for a 23 acre parcel known as Lot B, Recorded Exemption No, REC 16-0140, Weld County. 4) The issuance of this permit hereby cancels permit no. 86280. 5) The use of ground water from this well is limited to ordinary household purposes inside not more than two (2) single family dwellings, the watering of domestic animals, and the irrigation of not more than one (1) acre of home gardens and lawns. 6 Production from this well is restricted to the Laramie -Fox Hills aquifer. 7) The pumping rate of this well shall not exceed 15 GPM. 8) The annual withdrawal of ground water from this well shall not exceed 3,0 acre-feet, 9) The return flow from the use of this well must be through an individual waste water disposal system of the type so that not less than 2% of the total amount of water withdrawn is returned to the same stream system in which the well is located. 10) This well shall be located not more than 2.00 feet from the location specified on this permit. MOTE: The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years upon which the amount of water in the aquifer is allocated, due to anticipated water level declines. •� r • Issued By .Al LIS THYME Date Issued; 4/11/2019 Expiration Date; IV A Printed 04-11.2019 For questions about this permit call 303.$6#x.3561 or go www_water.state_co.LIS Pale 1 of 1 Maxwell Nader From: Lauren Light Sent: Wednesday, June 05, 2019 10:48 AM To: Maxwell Nader Subject: RE: DWR Well Permit 312976- has been issued (USR19-0018) This is great. I will say that coa has been satisfied at the bcc hearing. can you attach the well permit to accela? Thanks Lauren Light, M.B.S. Program Manager/Environmental Planner, Environmental Health Services Weld County Department of Public Health & Environment 1555 N. 17th Ave. Greeley, CO 80631 Ilight@weldgov.com 970-400-2211 (office) 4;k~ 7 s 551 Li iir r�F QT 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. From: Maxwell Nader Sent: Wednesday, June 05, 2019 8:23 AM To: Lauren Light <Ilight@weldgov.com> Subject: FW: DWR Well Permit 312976- has been issued (USR19-0018) Lauren, See the forwarded email from Diana Granados. Apparently well permit # 86280 has been re -permitted for the correct use! Let me know your thoughts. Best, Maxwell Nader Planner 1555 N 17th Ave Greeley, CO 80631 mnader@weldgov.com Phone: (970)-400-3527 Fax: (970)-304-6498 1 2. Type Of Application (check applicable boxes) ❑ Construct new well ❑ Replace existing well ❑ Ilse existing well Change or increase use 3. Refer To (if applicable) Well permit # ❑ Change source (aquifer) ❑ Reapplication (expired permit) ❑ Rooftop precip. collection ❑ Other. COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., Ste 821, DENVER, CO 80203 Main: (303) 866-3581 dwrpermitsonlineastate.co.us RESIDENTIAL Note: Also use this form to apply for livestock watering Water Well Permit Application Review form Instructions prior to completing form. Hand completed forms must be completed In black or blue ink or typed. 1. Applicant Information Name(s) Ltct CUca�notdoD l address 4I �t5 Ca 1 • lA idS,te zip coda p4r cr ��JJJ CO $ c SI-TA epze (visa soda) Office Use Only Form GWS-44 (7/2012) 6. Use Of Well (check applicable boxes) See instructions to determine use(s) for which you may qualify ❑ A. Ordinary household use in one single-family dwelling �� (no outside use) �' B. Ordinary household use in 1 to 3 single-family dwellings: `` Number �of dwellings: �A] e-mail C]Yrrome garden/lawn irrigation, not to exceed one acre: `3 A al.« area irrigated ( o(O iV sq. it. 13 acre O Domestic animal watering — (non-commercial) O C. Livestock watering (on farm/ranch/range/pasture) 7. Well Data (proposed) Maaimum pumping rate _ 1S Total depth u '1).% Designs r,t,r • n De -natfcn # Water Court C830 Well name or 4. Location Of Proposed Well (Important) See Instructions County 1/4 of the S E 114 Township N o s Range E or W Principal Meridian O']( *Fr E Pr- isiti-1 Di a of well from section I nee (section lines are � not property lines) 3OO Ft. from i N "a For replacement wets only — distance and direction from old well lo ew well feet Direction Well iocatien address (Include City, State, Zp) 0d( beet address Is same as in Item 1. Ft. from [WOW W Optional: GPS well location information in UTM format. GPS unit settings are as follows Format must be UTM r Zone 12 ctrl Zone 13 Units must be Meters Datum must be NADS3 Unit must be set to true north Was GPS unit checked for above? O YES Easting: Northing• Remember to set Datum to NAD83 8. Water Supplier Is this parcel within boundaries of a water service area If yes, provide name of supplier. FCC Kt 11 9. Type Of Sewage System gpm feet Annual amount to be withdrawn 1 C Aquifer ' ixcimie 41'1%6 acre-feet El NO 4rseptic tank / absorption leach field ❑ Central system: District name: ❑ Vault: Location sewage to be hauled to: ❑ Other (explain) 10. Proposed Well Driller License #(optional): 11. Sign or Enter Name of Applicant(s) or Authorized Agent The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S. 24-4-104 (13)(a). I have read the statements herein, know the contents thereof and state that they are true to my knowledge. Sign or enters) of person(s) submitting application /.� _ If signing • rint name and lilt Date (mmfddlyyyy) CO/ r9 0/X/ 5. Parcel On Which Well Will Be Located (You must attach a current deed for the subject parcel) A. You must check and complete one of the following: ❑ Subdivision: Name Lot Block Filing/Unit ❑ County exemption (attach copy of county approval & survey) Name)# Lot # ❑ Parcel less than 35 acres, not in a subdivision attach a deed with metes & bounds description recorded prior to June 1, 1972, and current deed ❑ Mining claim (attach copy of deed or survey) Name/#: ❑ Square 40 acre parcel as described in Item 4 ❑ Parcel of 35 or more acres (attach metes & bounds description or survey) ❑ Other. (attach metes & bounds description or survey) B. # of acres in parcel C. you the owner of this parcel? Ana ❑ NO Office Use Only USGS map name D. Will this be the only well on this parcel? MYEsin NO (if no — Hat other wells) E. State Parcel MO (optional): YSTal-03 0 O. DWR map no. Surface elev. A0UAMAP WE WR CWCB T0Po MYLAR 5B5 Receipt area only DIV WD BA MD THIS FORM MUST BE SUBMITTED WITHtN'60 DAYS OF COMPLETION OF THE WORK DESCRIBED HERE- ON. TYPE OR PRINT IN BLACK INK. COLORADO DIVISION OF WATER RE -OURCES 1313 Sherman Street - Room 818 Denver, Colorado 80203 WELL COMPLETION AND PUMP INSTALLATION REPORT PERMIT NUMBER 0C)4 .2 8O WELL OWNER T M M D TOS 33 .So T J IfA T`/ dd (4, R r ADDRES DATE COMPLETED A w 6r /0 WELL LOG From To Type and Color of Material T. .S E % of the S' R. RECEIVED AUG 29'78 WATER RESOURCES STATE EtiGI %. of SecC0Llb _ fG W. m 19 lig HOLE DIAMETER in. from _ Q to g ybft. in. from to ft. Water Loc. /j 7h/ 9.� /o$ iy.P /79. .aoa _D 6-0 60 ->71 3 5..� 36,E 3gG -y1 1) hub y3 / Sv y 5 74/ /D i9 by 7./ 1, .4,7 /yg /79 pd4e2J 2.iee 7/ 92 yY 3'cs 41J 6 1/3/ ,ra,S y 6 . iy Use a 7 O, Sd11_ cr1/ ,9 L.4- 4 -/- L' P o k .S' - .L f"' 9I Pa c N s lY A 4-E SH41— V r=?ack -L4 s o,F P4 -a I, d-sr/4«— c5' 4 b -s;i44-4- -) o ,s4 .L.4ljrkSgig' 00A yS,H4Le S.�A-Po‹,k Qo A {4 04 LE sy4-LE- .S'r4 ,-.4y .5-j L E- SA' A, E at es s'› 'a Ca 4 L~ .7 A/J j s°W A- 4 ,4- ?VA - TOTAL DEPTH b 7' dditional pages necessary to complete log. in. from _ to ft. DRILLING METHOD PI) BAs- R r CASING RECORD: Plain Casing Size & kindS7 ' P.M. from to ft. Size & kind from Size & kind from to to ft. ft. 0PZ/K /daze ,FiQo Perforated Casing M '5'7Fxr7 , 490 % Size & kind from to ft. Size & kind _ from to ft. Size & kind from to ft. GROUTING RECORD Material # e 4-7/1't C,V'r Gl a rv-7- 1 / t d vL S To 0-7 9 r r intervals T IflorM7'° A 4b Maxis1Mcr V 4.4RcA-A r Placement Method Div' '6 Lc T 57,04 U F U.¢C1 Ater GRAVEL PACK: Size Interval TEST DATA Date Tested e 't 6 Static Water Level Prior to Test Type of Test Pump Length of Test , lg 7S - X73 ft. ��' X434 Sustained Yield (Metered) Ala d 1.c -1 br Final Pumping Water Level �f PUMP INSTALLATION REPORT Pump Make 6. -__/)).4 - Type 6 1 Powered by. .L [? 7J? I e CtNt RATo.p Pump Serial No. _ f U .-F Motor Serial No. Date Installea i4 U - 19 7 Pump intake Depth I P r Remarks WELL TEST DATA WITH PERMANENT PUMP Date Tested A- G. 2 — J r' 71 Static Water Level Prior to Test .2 Ty Fr Length of Test / Hours Sustained yield (Metered)auy� ,L(rJ'A.tGPM Pumping Water Level Da r Remarks CONE Of DEPRESSION CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made Hereon; knows the content thereof, and that the same is true of his own knowledge. Signature License No. u"`4.3 State of Colorado, County of Weld SS Subscribed and sworn to before me this 28thday of August, , 19 . My Commission expires: February 17, , 19 29- . Notary Public US)f-tt-1-2 SC FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer. PINK COPY is for the Owner and YELLOW COPY is for the Driller. /t. iC WRJ-5-75 COLORADO DIVISION OF WATER RESOURCES r• Application.' must be complete where applicable. Type or print in BLACK INK. No overstrikes or erasures unless initialed. 300 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203 PERMIT APPLICATION FORM (X) A PERMIT TO USE GROUND WATER ( "I) A PERMIT TO CONSTRUCT A WELL FOR: ('`) A PERMIT TO INSTALL A PUMP U✓ ( ) REPLACEMENT FOR NO. ( ) OTHER WATER COURT CASE NO. RECEIVED AUG16'76 WATER RESOURCES STATE ENGINEER COLO. 5'031 2 3/41 (1) APPLICANT - mailing address NAME L1M /A4 0 t'F5 STREET 43,3 Jo vfti ,.41146N do 0-1- CITY D. vA i,' Co W 6 to.)/9` TELEPHONE NO. (State) (Zip) 93V156"/ (2) LOCATION OF PROPOSED WELL County Twp. .Z X14 4 '/4 of the -s P %, Section PI f Rng. is ft w P.M. IN.SI (E,W) (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) /5 Average annual amount of ground water to be appropriated (acre-feet): _ Number of acres to be irrigated: Proposed total depth (feet) : I Aquifer ground water is to be obtained from: 7.0A iLL Owner's well designation GROUND WATER TO BE USED FOR: ) HOUSEHOLD USE ONLY - 4) DOMESTIC (1) yy LIVESTOCK (2) ) COMMERCIAL (4) no irrigation (0) ( ) INDUSTRIAL (5) ( ) IRRIGATION (6) ( ) MUNICIPAL (8) OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Name Street ?an # kir! b Q od 3/ city 71 Iv o o Al d o l 0 (State) (Zip) G,&o v.5' a •>., A L;4/ y 90&X Telephone No 8S7- ` 6 +/ Lic. No. So 3 FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Se3d sso 4450 Receipt No. '730 17_ / eci, Basin Dist. CONDITIONS OF APPROVAL This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. etface down to a miniand Proper sealed mum depth IR appropriation of t butary prevent the ��O�t ��ar APPLICATION APPROVED 86 80 PERMIT NUMBER SEP ISSUED 16 1916 EXPI RAT ATE SEP 16 ziEporzr(STATE E -- (5) THE LOCATION (QF THE PROPOSED WELL and the area ofr% which the water M'iR' be used must be indicated on the diagram below. Use the CENTER SECTION (1 section, 640 acres) for the well location. + - -+ - + - - 1 4t ------- 1 MILE, 5280 FEET------}i f -}- �- . - +- + + d - I I + - - __ NORTH SECTION LINE__ + f +-NORTH+ I I i 4 I I I w. m � n I y m I O h + — -- y O +- m H SECTION LINE 4- � The scale of the diagram is 2 inches = 1 mile. Each small square represents 40 acres. 4- + (6) THE WELL MUST BE LOCATED BELOW, " by distances from section lines. 30 0 ft, from „To OM sec. line (north or south) /c.)0 0 ft. from (east or west) LOT BLOCK FILING * sec. line SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner: No. of acres . Will this be the only well on this tract? )/ S (8) PROPOSED CASING PROGRAM Plain Casing in. from 0 ft. to SSo ft. in. from ft. to ft. Perforated C.)/O.64/ J7 O he in. ft. to ft. in. from ft. to ft. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second Icfs) ... 449 gallons per minute lgpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons, 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): t.! /M Ain 7ke S Legal description: / y'.) ) cw i (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be u ed. iANi ,� /��.cA G 4cI No. of acres: FID (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose) Description of land on which used 4011,4- (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE io THE BEST OF KNOWLEDGE. OF APPL CANT(S) Use additional sheets of paper if more space is required. Hello