HomeMy WebLinkAbout20193699.tiffPrevious CREDIT Balance: -67,64
ARWP, INC.
PO BOX 247
FT LUPTON, CO 80621
303-857-4210
PAY TOTAL AMOUNT BY 04/22/2019 TO AVOID
SHUTOFF ON 04/23/2019
DEB CARPENTER
15647 CAROLINE AVE
FT LUPTON CO 80621
DEB CARPENTER
Billed: 04/02/19
NO PMT DUE, BAL = -3.80
Acct# CAR622
15647 CAROLINE AVE
WATER Used 2837 63.84
Pres 183999
Billed: 04/02/19
NO PMT DUE, BAL = -3.80
Acct# CAR622
Last Pmt $100.00 02/26/19
SVC:03/04/19-03/31/19 (27 days)
ARWP, INC.
PO BOX 247
FT LUPTON, CO 80621
Scanning Cover Sheet
for
Septic Permits
Permit # G19890131 1
Permit Type: Health / ENS History/ENS Conversion History
Situs Street Address 15647 CAROLINE AV •
Situs City, State, Zip
Sec/Town/Range: 27 -02N -66W Application Status: Finaled
Application Date: 03/11/1996
Parcel # (12 digits) 130927114010-R0140689
Owner Full Name:
Owner Address:
Contact Name:
Contact Address:
JOHNSON THOMAS
15647 CAROLINE AVE
FORT LIJPTON,CO 80621
Owner Phone #: 303 8571757
Contact Phone#
Information above has been Verified in Accela by employee noted below
X November 06, 2008
Proces d by: Date
Report ID: EHS00024v003 Page 1 of 1
Print Date -Time: 11/6/2008 3:24:36PM
0S106P
7
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. (x....01:01::31
IAJE:l...T>' (:.`OI.JN`TY HEALTH DEPARTMENT
MI:::N1
ENVIRONMENTAL (ONMI..:N1'A1... HEALTH SERVICES
1516 HOSPITAL ROAD, (;fFvEE::I.,.E;:Y, CO 00631
353-0635 EXT h h.}2h. 5
NEW PERMIT
OWNER ,.JENN:I:N(:Y,S', ED ADDRESS 12502 N. i,S.r.. STREET PH (:Y03) 041-4800
PARKER 1":I'( CO 00134
ADDRESS OF PROPOSED SYSTEM 15647 CAROLINE
I' 1 ., L.. I I r'` l t.O N CO 00621
1...1:::(:YAl... DESCRIPTION :I:ON OF SITE: ;*I•::C. =..r TWI' 2 RNi:. 66
SUBDIVISION: ARISTOCRAT RAN(:'I•II:T1i:,S I...(:)1' 6 DI 111 1< 22 FILING ING 0
USE TYPE; RESIDENTIAL MOBILE HOME,:
SERVICES: PERSONS 4 BATHROOMS 1 00 I...(:)1" SIZE 1.00 ACRES
BEDROOMS 2 o;s'l::MI:::NT PLUMBING NO WATER SUPPLY r i:;:I:„'.r.
APPLICATION FEE $150.00
ICI":I;' 1) BY RECEPTIONIST AID
DATE:: 06/13/89
PERCOLATION RATE 5.0 MIN I'1:::f; :CN(rI'•1
SOIL TYPE SUITABLE PERCENT 1 NT GROUND SLOPE I::: % DIRECTION N
REQUIRES I_Ni:v:I:NI;::lT:F DESIGN NO
I'R(:)i`i Till:: APPLICATION INFORMATION SUPPLIED AND THE ON - SITE ,\U11.. PERCOLATION DATA
THE FOLLOWING OW:I:N(.r MINIMUM INSTALLATION SPECT
SEPTIC TANK 1000 00 GALLONS
SIGNED BY ED ,.11::: N N :I: j. (:Y ,S'
DATE 06/13/09
LIMITING ZONE t';) FEET
HS+::kl;,l:."l LUN 1l:;ENCH.,
ABSORPTION DI:1) 330
IN ADDITION, THIS PERMIT IS SUBJECT TO .r. I" I I..: FOLLOWING ADDITIONAL TERM { f) I~13.
CONDITIONS: ... ..
rl•I:I:S PERMIT IS GRANTED TEMPORARILY T(:) 0I,..I._OW CONSTRUCTION TO COMMENCE. THIS PERMIT
MAY BE REVOKED OR SUSPENDED BY 1111:: 141:::I,..1) COUNTY HEALTH DEPARTMENT FOR REASONS SET
FORTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING
FAILURE '10 MEET ANY TERM OR CONDITION IMPOSED THEREON DUR:l:i'11? TEMPORARY Ok F'.I:NI'll...
APPROVAL. 1'01::: ISSUANCE OF 1'1..I:I:,S' PERMIT DOES NOT CONSTITUTE TI: i'I.irl::: ASSUMPTION BY '101:::
DEPARTMENT OR :I: i ,S EMPLOYEES . (:)I" LIABILITY T FOR THE FAILURE Ilk INADEQUACY OF THE
S'E;:WA(:YE;: DISPOSAL SYSTEM.
rvuJ.,
*Fyi,ve4� 'a•3 �q ��
f1L,.:I:C;I:E i' :I:N1:::)::s(:11...1) 06/15/09
I:::NV:1:RONMI:::NI'il... SPECIALIST DATE
rII:I:rS PERMIT :E4' NOT TRANSFERABLE I,SEF'i:::E iABI...I:: AND SHAI...L. BECOME,: VOID IF SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN ONE.: YEAR OF ITS ISSUANCE, UAiv(::I:;::. BEFORE I::: ISSUING FINAL Al I::'Ri:)VAI., OF
1105' PERMIT 1111: WELD COUNTY HEALTH DEPARTMENT RESERVES THE R:I:GH'T. TO IMPOSE ADDI-
TIONAL TERMS AND CONDITIONS REQUIRED I:RI.,:1) T(:) MEET I:ltiR REGULATIONS I:ON,S ON A CONTINUING BA-
SIS. l':I:NAL, PERMIT T APPROVAL TS CONTINGENT UPON THE l::I:NAI... :I:NS!'I:::c'r':I:ON 0E= TI••lE: COM-
PLETED SYSTEM I:::M BY 11"11:: W1:::1...T) COUNTY HEALTH DEPARTMENT.
SYSTEM INSTALLER
SYSTEM ENGINEER
TYPE (:11:' SYSTEM :I: N ' T'x71...1...l_:
FINAL INSPEC
:.....,,,,..�ryPI:'Ri:1G'A1.--EN1fa:R(:)NMI:::N.T•AL.....,.x1''I:::(:::f.rrlLIST
„ .,.,_ ...��.,,,.....
11"II::: ISSUANCE (:11FF' 1TIl:l:S PERMIT IDES N1:1"i' :I:MPI.,.Y COMPLIANCE WITH OTHER STATE, COUNTY
OR I.,.C)(::AlI.., REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT 1'0 CERTIFY THAT
THE SUBJECT SYSTEM W:i:I_.I-_ OPERATE IN COMPLIANCE I..: WITH APPLICABLE STATE, COUNTY AND
I..(:)CAI... lel:.:(:;L]i,_AT:I:C)NS ADOPTED l'El S'U0N'r' TO ARTICLE 10, T:I:'T'I.,.E: 25, CRS 197;3, AS AMENDED,
EXCEPT FOR THE PURPOSE OF I:::,51001_.:i:,Si•1IN(:, I-:I.NAI... APPROVAL 01' AN25-10-111
INSTALLED SYSTEM FOR
ISSUANCE OF A LOCAL OCCUPANCY F'I PERMIT PURSUANT TO CRS 1973 l:r5 1 0 1 1 1 (2) .
WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERV[C,ES
SITE EVALUATION Owner
ApplicationG No46j?4 /Site
Date 61/4 .27______ Sub
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Lot
-PERCOLATION TEST DATA: Start Time Ja; 30 ►4Vwr
Hole
No .
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Depth
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Kemal
%: pr)
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All measurements in .mm unless otherwise
* - Add Ii20
Environatental Health Specialist
P
indicated.
y d.�fT{.` ,rte �
Total lia.
Average Rate 7
/
S�T�Z RAC
Block Filing
PLOT PLAN
0
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SOIL PROFILE •
A- 94 Ii ./1" s' ft
DEPARTMENT OF HEALTH
1517. 16 AVENUE COURT
GREELEY, COLORADO 80631
ADMINISTRATION (303) 353-0586
HEALTH PROTECTION (303) 353-0835
COMMUNITY HEALTH (3031 353-0639
September 14, 1992
Thomas Johnson
P.O. Box 421
Fort Lupton, Colorado 80621
Dear Mr. Johnson:
On September 11, 1992, an evaluation of the existing individual septic disposal
system at 15647 Caroline Avenue, Fort Lupton, Colorado; Section 27, Township 02
North, Range 66 West, was conducted by Stephen J. Wiatrowski.
The existing individual septic disposal system is of sufficient size and capacity
to adequately handle the proposed load. A. copy of the evaluation has been
forwarded to the Department of Planning Services• to release your building permit.
If we can be of any further assistance, please contact our office at 353-0635.
Sincerely,
Stephen J. Wiatrowski
Environmental Protection Specialist
SJWlcs-1898
Enclosure '(3)
r .
FE,E $
INDIVIDUAL SEWAGE DISPOSAL SYSTEM EVALUATION
,797 A 'flew,'
r
Date:Received 9- 2 -
f
OWNER:
Received by
/
rr� s -r i2
c2.
MAILING hRESS; ( O. r'� n ZiIJ. r ,( . ;, .,
SITE ADDRESS:
Z (n,,.n/'.7
-( r_ or „rr7,4•+
LEGAL DESCRIPTION: P1 P2 SEC ] TWP {) RNG (41,7
SUBDIVISION: /,-,' S7
WATER SUPPLY: XIr, c
USE TYPE: 6Z e S, LOT SIZE
,7.c�r.,• CURRENT FLOW
Persons a
Bedrooms .
Bathrooms J
Basement: Plumbing
Estimated GPD
Permit on Record: Name
ADDITIONS
3 •
LOT BLOCK 2 FILING
/. t7
PROPOSED TOTAL
a
� I �
{t'
No. - D,1
System Size; TANK Icy gal. FIELD 31S ' sq. ft. ABSORPTION BED . sq. ft.
Percolation Rate Minutes per inch
Engineer Design: Yes
Percent Ground Slope
a -
No A( Soil Type
Direction kJ
The septic system identified above •/ is, is not of sufficient size to
accommodate the proposed alteration(s) indicated below to the structure(s) served by
this system.
The existing septic system requires the following to accommodate the proposed
alterations to the structure(s) served:
9- rr-9a
19-4174-191 Date
Environmen ttl Protection Specialist
ORIGINAL -APPLICANT; CCIPY--IJE:.H:D WCHD-tHS mAY, 1' 'f
. Y?
INDIVIDUAL L SEWAGE- DISPOSAL SYSTEM PERMIT NO. G-890131
WELD COUNTY HEALTH DEPARTMENT NEW PERMIT
ENVIRONMENTAL HEALTH SERVICES
1516 HOSPITAL ROAD, GREEL..EY, CO 206i3i
:53•-0635 .EXT.2 25
OWNER J1ENNINGS, ED ADDRE:SS 1 502 N. 4ST, STREET PH (303) 841-4800
PARKER CO 00134
ADDRESS OF PROPOSED SYSTEM 16547 CAROLINE
FT. LUPTON CO 80621
LEGAL DESCRIPTION OF SITE: SEC 2.7 TWP 2 RNk 66
SUBDIVISION: ARISTOCRAT RANCHE'TTES LOT 6 BLOCK 22 FILING 0
USE 'T'YPE: RESIDENTIAL MOBILE HOME
SERVICES; PERSONS 4 BATHROOMS 1.00 LOT SIZE 1.00 ACRES
BEDROOMS 2 BASEMENT PLUMBING NO WATER SUPPLY ARIST
APPLICATION FEE $150.0x}
F F:E';' D BY RECEPTIONIST AID
DATE: 06/13/89
SIGNED BY ED JENN:I: NGS
DATE 06/13/89
F'F:;f::EFLAfTON RATE i.. MIN PER l INCH fl I LIMITING ZONE ?e, FEET
_ 1 ,�i +hI _b1EDES
.j r �€p)-�JEFxi;•I,�;i'ti7'' GROUND ELOPE DIRECTION
R€::.QI.I.I.ILEES ENGINEER Br:s.I.(;
FROM M THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOI:I-. PERCOLATION DATA
T'HE-'. FOLLOWING MINIMUM INSTALLATION E F'I:::Ci11=`ICAT'.IONS ARE REQUIRED:
SEPTIC TANK , .Do.Q GALLONS, ABSORPTION TRENCH ,0 Sly. FT
DR
ABSORPTION BED O, SQ.. 1-.•T..
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 Di' SUSPENDED BY THE WELD COUNTY IIE:AI...TH I)EF•'AFTriLNT FOR REASONS SET
FORTH i l•l IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING
FAILURE 1"k:! MEET ANY 'T'I::l.'i OR CONDITION IMPOSED THEREON DURING; TEMPORARY OR FINAL
APPROVAL, THE ISSUANCE 1ff "I'l..E:l'{, PERMIT DOES NUT CONSTITUTE ASSUMPTION BY THE
DEPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE DR INADEQUACY OF THE
SEWAGE A5I:;.l-'0NAL SYSTEM.
rLia -
ENVIRONMENTAL SPECIALIST DATE
THIS PERMIT T IS NOT TRANSFERABLE AND SHAI...L BECOME VOID .IF SYSTEM CONSTRUCTION HAS
NUT COMMENCED IOTil;l:N ONE YEAR OF :I: T } ISSUANCE, BEFORE ISSUING FINAL APPROVAL UI
THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI-
TIONAL
yyTERMS I'�MS` AND CONDITIONSLj �REQUIRED r_)J TO MEET
(y OUR REGULATIONS O1N Ar �} CC:IONTINUING �A
.STS .. F.I.NAL r:ERMI.I AI�`1 �IZ.OVAE._ .I.S' CONTI.NGYI�.NT UPON THE FINAL INSPECTION OF THE COM-
PLETED SYSTEM M BY THE WELD COUNTY HEALTH DEPARTMENT,
4-,1. ar ra e\
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l
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f wa�rk�"'r"C+�UcN.-'n 1GJ9^9"°"`r�,Y"`'ylr•l'h:'ti�..ev-ti�v fi u: rid ��k, �,t •x+rf.�r•s� rte, +,,�.,��..,�� '�'ur«3'r'.`,��i W.�3tiss 'ti�.:..-w Z� 'r.:
� _ ••`: � � � �? 7' by . i--,�.} � �,rl•c.: �••� � .'a''
E.
LOAN APPROVAL
Weld County Health Department
NEED:
CLOSING DATE:
MAIL
FAX FEE ($2.00):
NEW LOAN
SPEC AL T INSTRUCTION :
d 19. VaC
REQUEST NO: 1.2 : 4
DATE RECEIVED: s
RECEIVED BY:
<11E-190.....020$105.00:
TO WHOM Ii' MAY CONCERN: Review and inspection report regarding water and the sewage
dis osal system for an existing dwelling:
REALTOR NO.: 'J 4-- (do 57
OWNER NO.: T5 ^ (459-- (H)
PICK-UP: OWNER t - - (W)
FAX TO: ._ f •. I. ` +` NO. -P-Oda
INFORMATION: Address: (5 6,4 - (',4AE,Qi.r G tlitit , ...4+ . Li, ,- =p c.:
Legal: PT: PT: SEC: ...2q- TWNc „g\ N RNG:_ e.p(e_W
Subdivision ;-,1-/c, yA- /7 ,,A -s „ ? LOT: to BLK: FLG:
Property Owner: ��,,�a,,, Original Owner:
Tank Pumped on:
Licensed:
PERMIT ON RECORD: Name: q / Permit No.:649flp / 8.0.E.: Y N
Bathrooms: ' Bedrooms: 3 Total Acreage: / Date of; Final Inspection: 4_
Water Supply; A-iQ 15T Well Permit No.:
Tank Capacity:AV-0 gallons Field Size:...?/ square feet ,4
INSPECTION FINDINGS: Date of Inspection: /ic 6//4 f
Soil Conditions: Dry Saturated Snow-covered
Residence: Occupied ek, Vacant
Sewage Disposal System: Satisfactory k Other
Bacteriological Water Test: Acceptible X Other
COMMENTS:
DATE: T/' 6,A'/ SIGNATURE:
Environmental Protection.Speciati-st
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 in connection with either its
examination of the property or in the report.
This inspection was conducted solely for the purpose of detecting health hazards
observable at the time of inspection, and 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. Water sample reports reflect the
bacteriological quality of the water supply at the time the sample was taken. 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.
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