HomeMy WebLinkAbout20192399.tiffApplication Number:
Owner Name:
Site Address:
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1575 North 17th Avcnuc . Greeley, CO 80631 wwvti/.vrclrJhu€alth.orc
Septic Permit New
SP -1800116
MEADOWRIDGE HOLDINGS LLC
4424 CR 43
HUDSON, CO 80642
App Type: HealthACommercial\New OWTS1Septic
23670 CR 22
HUDSON, CO 80642
Parcel Number: 147310000015-R0116192
Legal Desc: PT SW4 10-1-65 LOT B REC EXEMPT RE -1345 (.6R)
Work Description: OFFICE
EHS SEPTIC GENERAL:
Application Status:
Final Pending
Applied Date:
04/09/2018
Intake Person:
IVAZQUEZ
Permit Expiration Date:
Number of Persons
Parcel Acres
Private Water Supply
Private Water Supply Permit Reference
Public Water Supply
6
38.00
We l l
81474-F
No
IfeelPh Adminrstra+ion Pubk Health &
YIlal fteca,^th C nrcol Services
Envvanrrrenial Health
Serwses
Cammvnicot on.
tducafian E Planning
f reerger cy Preparodna 4
t Response
Page 1 of 3
Public Health
EMS PERC TEST (SITE) :
% Ground Slope
Engineer Design Required
Engineer Job Number
In 100 Year Flood Plain
Limiting Zone Feet
Limiting Zone Qualifier
Long Term Acceptance Rate
Profile Pits
Slope Direction
Soil Description
Soil Type
Soil Type Suitable
Treatment Level
1
Yes
17-1335
No
8
Greater Than
0.2
2
Southwest
Silty Clay
4
Yes
Level 1
SEPTIC SIZING INFORMATION:
From the application information supplied and the on -site soil percolation data the following minimum installation
specifications are required according to the Engineer's evaluation:
Engineer's Specified Installation Recommendations:
Absorption Bed
Engineer Septic System Design Type Specified
Septic Tank Size
960
Rock and Pipe -Bed
1000
CONDITIONS:
Description: New OWTS
Comment: Onsite wastewater treatment system must be 10 feet from property line. Install the soil
treatment area within 50 feet of the soils test location. Septic tank must be at least 50 feet
from any well. Soil treatment area must be at least 100 feet from any well. Construct onsite
wastewater treatment system according to Engineer design. Sewer line to septic tank must
have at least 1/8inch/ft. fall. Effluent line from septic tank to distribution box must have at
least 1/flinch/ft. fall. install inspection ports at the ends of each trench or bed. An engineer
approval letter approving system as installed per engineer design is required. Engineer
designed OWTS must be inspected by the design Engineer prior to backfilling. All Weld
County regulations are applicable.
INSPECTION RESULT:
Description: Site
Comment:
Health ,6dm,nisirarion Public Health S.
Vital Retards
Ctir1 cal Service:
Envaonneentol Health
Services
Status: Approved to Issue
CarnrnunicatiOn Emergency Preparedness
Education E Planning Response
Page 2 of 3
Publi I th
NOTICE
This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Department of
Public Health and Environment for reasons set forth in the Weld County Onsite Wastewater Treatment 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 non -transferable and
non-refundable. Before issuing final approval of this permit the Weld County Department of Public Health and Environment reserves the right to
impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upon the final
inspection of the completed system by the Weld County Department of Public Health and Environment
Alex Clemments April 13, 2018
Environmental Health Specialist Date
Page 3 of 3
Heaps k,dministration Public Health 8
Vila' Rece4ds Cori eaI Services
Environmental Hcafrh
Serwces
Comrnunacation rmorsency Praporecine:s
education a Panning a Response
Public Health
ONR
CO
COLORADO
Division of Water Resources
1)cpar mere or Natural Resources
WELL PERMIT NUMBER 81474-F
RECEIPT NUMBER 3683053
ORIGINAL PERMIT APPLICANT(SI
MEADOW RIDGE HOLDINGS, LLC
PERMIT TO CONSTRUCT A NEW WELL
APPROVED WELL LOCATION
Water Division: 1 Water District: 2
Designated Basin: N/A
Management District: N/A
County: WELD
Parcel Name: 1473-10-3-RE1345
Lot: B Block: Filing:
Physical Address: N/A
NW 1/4 SW 1/4 Section 10 Township 1.0 N Range 65.0 W Sixth P.M.
UTM COORDINATES (Meters. Zone;13, NAD831
Easting: 529281.0 Northing: 4434931.0
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS 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 shalt be in compliance with the Water Well Construction Rules 2 CCR 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 37.90-137(4) and the findings of the State Engineer dated November 1, 2017.
4) The use of ground water from this well is limited to industrial use.
5) The pumping rate of this welt shall not exceed 25 GPM.
6) The average annual amount of ground water to be appropriated shall not exceed 8 acre-feet.
7) Production is limited to the Laramie -Fox Hills aquifer which is located approximately 710 feet below land surface and extends
to a depth of approximately 1005 feet. Plain casing must be installed and grouted to prevent the withdrawal of ground water
from other aquifers and the movement of ground water between aquifers. (NOTE: if coals and/or carbonaceous shales are
encountered in the borehole, plain casing and grout should be installed through these intervals to exclude poor quality water
from entering the well.)
8) The entire length of the hole shall be geophysically logged as required by Rule 9 of the Statewide Nontributary Ground Water
Rules prior to installing casing.
9) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number
(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings.
10) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all
diversions must be maintained by the welt owner (recorded at least annually) and submitted to the Division Engineer upon
request.
11) This well shall be constructed at least 600 feet from any existing well, completed in the same aquifer, that is not owned by the
applicant.
12) This well shall be constructed not more than 200 feet from the location specified on this permit.
13) Pursuant to CRS 37.90.137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn
annually shall be consumed and the well owner shalt demonstrate to the reasonable satisfaction of the State Engineer that no
more than 98% of the water withdrawn will be consumed.
14) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and
regulations.
Printed 11-01.2017 For questions about this permit call 303.866.3581 or go to www.water.state.co.us
Page 1 of 2
rWELL PERMIT NUMBER 81474-F
RECEIPT NUMBER 3683053
15) pursuant to Construction Rule 6.2.2.1 (2 CCR 402-2), licensed or private drillers and pump installers must provide advanced
notification (at least 24 hours) to the State Engineer prior to each of the following for this welt: well construction, the initial
installation of the pump, and installation of a cistern connected to the water well supply system. Information regarding the
notification process and a link to the electronic notification form can be found on the following webpage:
http: / /water.state.co.uslgroundwater160E/Pagesi VariancesWaivers.aspx
NOTE: 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.
NOTE: To ensure a maximum productive life of this well, perforated casing should be set through the entire producing interval
of the approved zone or aquifer indicated above.
NOTE: This permit will expire on the expiration date unless the well is constructed and a pump is installed by that date. A Well
Construction and Yield Estimate Report (GWS•31) and Pump Installation and Production Equipment Test Report (GWS-32) must
be submitted to the Division of Water Resources to verify the well has been constructed and the pump has been installed. A
one-time extension of the expiration date may be available. Contact the DWR for additional information or refer to the
extension request form (GWS-64) available at: http://www.water.state.co.us
NOTE: Permit no. 79017-F previously issued for this well (not constructed) was expired by the order of the State Engineer.
cidaltazet63
Issued By IOANA COMANICIU
Date Issued: 11/1/2017
Expiration Date: 11/1/2018
Printed 11-01-2017
For questions about this permit call 303.866.3581 or go to www.water.state-to-us Page 2 of 2
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