HomeMy WebLinkAbout20182979.tiffDEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North 17th Avenue
Greeley, CO 80631
Web: www.weldheaith,orq
Health Administration Publ1C Health a Clinical Environmental Health Communication, Emergency Preparedness
Vital Retards Services Services Educations Planning a Response
Tele: 970 304 6410 Tele: 970 304 8420 Tele 970 304 6415 Tele. 970 304 6470 Tele: 970 304 6420
Fax 970304 6412 Far 970 304 6416 Fax: 970 304 6411 Fey 970 304 6452 Fax. 970 304 6469
Our vision: TogetherwiM the Communities we serve, we are worklrtg to make Weld County the hetyhlesr pace to nve, teem, work and
taiev.
COMMERCIAL ON -SITE WASTEWATER TREATMENT
SYSTEM (OWTS) INSTALLATION PERMIT (New or Repair)
Instructions and Application Form
THIS PACKET PROVIDES THE FORMS AND INFORMATION NEEDED TO APPLY FOR A PERMIT TO
INSTALL A NEW COMMERCIAL OWTS OR REPAIR (REPLACE OR UPGRADE) AN EXISTING
COMMERCIAL OWTS. Commercial OWTS Permit is required for business commercial, industrial,
institutional and multi -family dwellings. *REQUIRES ENGINEER DESIGN
NOTE: A Commercial Repair Permit covers replacement or upgrade of an existing soil treatment area (septic
field), and may include the septic tank, pump chamber or other components along with the soil treatment area.
If only the tank or pump chamber needs to be repaired, replaced or added to the system, see Vault Installation
Permit Application, If only a minor repair installation is required, such as sewer replacement or tank lid
replacement, see Minor Repair Permit Application.
ALL PERMIT APPLICATIONS MUST BE SIGNED BY THE OWNER OR AUTHORIZED AGENT. NO
PERMIT APPLICATIONS WILL BE ACCEPTED BY MAIL.
TO APPLY FOR YOUR COMMERCIAL OWTS PERMIT, THE FOLLOWING FORMS, FEES AND
INFORMATION MUST BE SUBMITTED:
0 1. COMPLETE THE ATTACHED FORMS:
a. COMMERCIAL OWTS PERMIT APPLICATION FORM: with appropriate fee of $950.00 for
Commercial OWTS Permit.
b. AUTHORIZATION FORM: completed if applicant is not the property owner.
c. DETAILED MAP and accurate directions to the property from the nearest highway.
® 2. PARCEL NUMBER: This can be obtained from the Assessor's Office at (970)353-3845 ext 3650, or
on the county website under property information. Link to property information:
It[tlr: lwww.�t u fm:ij)k./pr41pl'rlyirFR i'iiialiiin'
�!a
3. S:11JITATION INS l l<R T: lithe property is within the bc,uiidaries of a municipality or special district
tlu:' Ivovides puhi is tir4k 1 service, the Commercial OWTS Permit application must be accompanied by
a letter from the District stating they have no objection to the issuance of an OWTS permit for the
property. (Section 30-4-30.K)
rc)a 4. EXISTING SEPTIC PERMIT, if replacing or upgrading an existing Commercial OWTS, or change of
use from residential cc commercial. Existing septic permits are on record at the Division, or on the
County website under property information. Link to property information:
II lr�ti'tk'titi.co.v...Hd.co.us/inaps/propertyin ion/
0 5. SITE AND SOILS EVALUATION: Site and soils evaluations are required for new system installation
and existing soil treatment area replacement or upgrade. The evaluation is conducted to determine
suitability of the location to support an OWTS, and to provide the designer a sound basis to select the
most appropriate OWTS design for the location The site and soils evaluation must be performed by or
under the direct supervision of a professional engineer, professional geologist, or competent technician
or other similarly qualified professional approved by the Division (Certified Professional Soil
Scientist/Classifier). The soils evaluation must meet the current Weld County OWTS Regulations.
A minimum of 2 soil profile test pits, or a minimum of 3 percolation holes and 1 soil profile test pit or
1 soil profile boring are required in the area of the proposed soil treatment system. Soil profile
borings will not be allowed after July 1, 2016.
Refer to the Site and Soils Evaluation Requirements per the Weld County OWTS Regulations
(Article V of Chapter 30 of the Weld County Code; Onsite Wastewater Treatment System
regulations).
® 6. ENGINEER DESIGN AND SITE PLAN: Commercial OWTS must be designed by a Registered
Professional Engineer. The design document, including a site plan, must be signed and stamped by a
Registered Professional Engineer, ONE original design must be submitted with the permit application.
The engineer design document must meet the minimum site plan and design requirements in the current
Weld County OWTS Regulations. Refer to the attached Site Plan and Design Document
requirements checklist per the Weld County OWTS Regulations.
SITE INSPECTION:
Prior to permit issuance, a site inspection will be performed by the Weld County Division of Environmental
Health Services. Please be sure the SITE is marked as indicated below. Failure to do so may result in a
significant delay in processing your application and a $75 re -inspection fee will be assessed. Dogs must be
confined for the county site inspection.
1. OWNER'S NAME AND ADDRESS OF THE SITE must be posted at the site, on a sign large enough to
be seen from the fronting road and in lettering legible to be easily read from the fronting road.
2. LOCATION OF THE SOILS EVALUATION must be staked or flagged, such that they can be easily
located under all conditions at the site (such as tall grass).
3. LOCATION OF THE PROPOSED AND EXISTING OWTS (if applicable) must be staked or flagged,
such that they can be easily located under all conditions at the site (such as tall grass).
4. LOCATION OF PROPOSED OR EXISTING DRINKING WATER SOURCE (well, water line, cistern)
must be staked or flagged such that they can be easily located under all conditions at the site (such as tall
grass).
PROCESSING TIME:
Allow approximately five (5) working days to process your application and issue the permit. Lack of
documents, required engineer changes, and other deficiencies may significantly increase processing time.
COMMERCIAL OWTS INSTALLATION INSPECTION REQUIREMENTS:
1. Inspection of Commercial OWTS installations by Weld County Division of Environmental Health
Services must be made prior to backfilling. When the installation of the OWTS has been completed,
the System Contractor or owner shall notify the Division, and a representative of the Division will
attempt to make a final inspection within three (3) business days.
2. Commercial OWTS must also be inspected by the design engineer prior to backfilling to verify that
the system was installed per the engineer's design specifications. A signed letter from the engineer
approving the installation must be submitted to the Division.
3. Verification of existing vault abandonment, if replacing an existing septic tank or pump tank as part
of an existing OWTS repair: Installers shall provide a pump receipt from a Weld County licensed
systems cleaner, and an inspection made by the Division or (photos if approved in advance by the
division) provided for verification of the vault abandonment.
4. As -Built Drawing Submittal: Installers shall provide a drawing to a standard engineering scale,
showing the Commercial OWTS as installed, including its location from known and locatable
points, sizes, manufacturers' names and models as available, and other information relative to
locating and maintaining the OWTS. A Weld County As -built Drawing template is attached with
this permit application packet.
COMMERCIAL ON -SITE WASTEWATER
TREATMENT SYSTEM (OWTS) INSTALLATION
PERMIT (New or Repair)
NEW OR REPAIR COMMERCIAL OWTS PERMIT FEE: $950.00
• All payments are due at the time of application submittal; by cash, check or credit card
• Incomplete applications will not be accepted (Site and soils evaluation, engineer design document, along with site plan
must be inrIIRIVCll
PARCEL NO.: 0961 1 20001 30
LEGAL DESCRIPTION: SECTION 12 TOWNSHIP 5N RANGE 65W ACRES 34.37
2ND AMENDLI) I LG(51L)ED
SUBDIVISION EXEMPTION NOQ9G1-1--0AfX11 F. -1U53 LOT B BLOCK FILING
INFORMATION CAN BE OBTAINED FROM THE ASSESSOR'S OFFICE AT (970) 353-3845 EXT 3650, OR ON THE
COUNTY WEBSITE UNDER PROPERTY INFORMATION. Link to property information:
htto://www.co.weld.co.us/inaps/propertvinformation/
(12 DIGIT NUMBER)
SITE ADDRESS NIA
DETAILED DIRECTIONS TO SITE (ATTACH MAP) APPROXIMATELY 1300 LF EAST OF WCR 581 WCR 49 OR
APPROXIMATELY 2800 LF WEST OF WCR 58 / WCR 49 5
PROPERTY OWNER: TRICYCLE LANE TEXAS LLC
MAILING ADDRESS: 301 CENTENNIAL DR
(ROB VANDERSCHAAF)
CITY MILLIKEN ST CO ZIP 80543
HOME PHONE: ( ) WORK PHONE ( 970) 587-6925 FAX (
EMAIL ADDRESS: rvan@bestwayconcrete.eom
APPLICANT NAME: SAM ELIASON FOR UNITED CIVIL DESIGN GROUP
MAILING ADDRESS 1501 ACADEMY CT STE 203 CITY FT COLLINS ST CO
HOME PHONE: ( )
WORK PHONE (970 ) 530-4044 FAX ( 1
EMAIL ADDRESS: sam.eliason@unitedcivil.com
PROPOSED USE (Refer to Table 30-6-2 of the Weld County OWTS Regulations for Average Wastewater Flow);
O MULTI-FAMILY/BOARDING HOMES/MOBILE HOME PARKS
TYPE OF USE (Ex. mobile home park, boarding home, triplex):
NUMBER OF PERSONS (i.e. boarding homes):
NUMBER OF BEDROOMS or SPACES (i.e. mobile home parks):
0 COMMERCIAL/INDUSTRIAL
TYPE OF USE (Ex, repair shop, office, dog kennel, restaurant): CONCRETE BATCH PLANT
NUMBER OF EMPLOYEES: 2
FLOOR DRAINS EXISTING OR PROPOSED; YES X NO
O RECREATIONAL/INSTITUTIONAL
TYPE OF USE (RV Park, day camp, church, school, public pool):
EPA CLASS V INJECTION WELL INVENTORY REQUEST FORM COMPLETED: YES NO x
WATER SOURCE:
® PUBLIC WATER SUPPLY (NAME OF SUPPLY) CENTRAL WELD COUNTY WATER DISTRICT
O INDIVIDUAL WELL (PERMIT #)
O CISTERN (PERMIT #)
ZIP
80524
Phone:
I, (We), _
DEPARTMENT OF PLANNING AND BUILDING
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONNMENT
1555 NORTH 17T" AVENUE
GREELEY, CO 80631
AUTHORIZATION FORM FOR BUILDING, PLANNING AND
HEALTH DEPARTMENT PERMITS AND SERVICES
give permission to 5hi`i i✓UAser(
(Owner — please print) (Applicant/Agent — please print)
to apply for any Planning, Building or Health Department permits or services on our behalf, for the property
located at (address or parcel number):
14- 64t61/ ZG0O I5d
Legal Description: A- PoATKvN dF 5c r/4 of Section t . , Township c N, Range GS W
AND hr^0 4f 70 f-Ctog ED
Subdivision Name: _ E ErAprr or( Mo o'161- t't• tl Lot 13 Block
/rrAAE - ta5-
Property Owners Information:
(972) 893-6071
E-mail , Clifford. hahne@burnco , com
Applicant/Agent Contact Information: Phone: `-7O" 11 E -Mail: e,I'-5 j r?iL.lr,rt✓eol (ff . (ems+
Email correspondence to be sent to: Owner Applicant/Agent K Both
Postal service correspondence to be sent to: (choose only one) Owner Applicant/Agent ?
Additional Info!_
Owner Signature
Owner Signature __ _ _
DateA /0 f -7
Date
PLEASE DRAW A DETAILED MAP TO YOUR PROPERTY with directions
from the nearest two coCiiv road:, If the property is in a security or gated area, please
indicate the code or other instructions for entry on the map.
A
N
SEE ATTACHED SEPTIC SYSTEM PERMIT MAP
• Label all roads
• Label subject property with address
• Indicate nearby landmarks, such as businesses, structures, natural features
CEN '�' RAL WELD CaUNTY WATER UISTRICT
JUIy i2, Zor �
United Civil Design Group LLC
c/o Tricycle Lane Texas LLC
1501 Academy Ct. Ste 2U3
Fort Cullins, CO 80524
RE: Can Sarve - Water Service Parce109b112000130
Dear Mr. Eliason,
This �etter is in response to a request far water service to serve the fa�lawing property described as follaws:
PT SE4 12-5-65 CORR LOT B 2N � AIUID REC EXEMPT RE-1053 ( . 63R}
Parcel #U9G1 1 2000 1 30
Water service can be made available to the above described property located at Caunty Road S$ between 47.5 &
49.5 with a new tap purchase provided ail requirements of Centraj Weld County Water District, Northern Colorado
Water Conservancy District and the U. S . Bureau of Reclamation are satisfied. Centra] Weld County Water
District will require that a Tap Agreemant be consummated prior ta the setting of a tap or this letter shall become
null and void unless e�nded in writing by the District. Subd�visions requiring 1p or mare taps will be required ta
purchase and transfer raw water prior to District appra�al. Please note that i� is vour responsi6ility to cor�tact
Northern Colarado Water Carrservancu District at &00-369- 7246 for uetifioni�tF confirmation into the Northern
Colorado Water Conservancv District Cerrtral Weld cannot issue a tap urrtil ull reouirements ure satisfred
Thrs rs in accorafarice wrth the Rules and Re�ulati�ons of Northern Colora�lo Water Conservariev Drstricx A
review of the District' s system in this water service area will need to be dane prior to water taps being soid. A
water tap iiastallation �s for a specific parcel of property and a customer will not be permitted ta extend a
service line from one parcel or property to another parcel to provide additianai water service.
Due to the rapid cost increase of raw water, existing tap fees may not apply for water service to this property. The
District will not natify, hy separate letter, any prospecti�e landowners or land purchasers of tap fee or line
extension cost increases. The cost of a tap fee and/or line extension will have to be paid in ad�ance to the District
by the prospective customer in accordance with District poltcy wit�in one {1 ) year from the date ofthis letter
It is your responsibility to confirm with your local Fire Pratectian Authority if fire flow water capacity is required
far your prflject.
Sincerely,
CENTRAL WELD COUNTY WATER DISTRICT
�
S#an Linker, trict Manager
5Llrg
2235 2°d Avenue • Crreeley, Colorada 80631 � Phone (970} 352- � 284 • Fax (970) 353-5865
Stan Linker, District Manager
From: Jon McElwain [mailto:jmcelwain@hall-irwin.com]
Sent: Wednesday, May 9, 2018 8:36 AM
To: Kim Ogle <kogle@weldgov.com>
Cc: mark.johnson@burnco.com
Subject: RE: utilities for Batch plant
Kim,
There will be a septic system on site. The "potable" water will be bottled water delivered to the
site. There will be no potable water in the taps/sinks/etc.. Water for the concrete will be from the
gravel pit. However, if there is water available in the street, we would like to pay for a water tap.
Thank you,
Jon McElwain
Project Manager I Hall -Irwin Corporation
301 Centennial Drive I Milliken, CO 80543
T 970,587 6940 I C. 970.397.7462
HALL IRWIN
coRtov+riow L
W
0
TIME: 2:06:46 PM
SEPTIC SYSTEM MAP.DWG
DRAWING NAME:
P:\U16012 - BESTWAY NISSENICADDICPWSR
LEGEND
TRAFFIC DIRECTION
ARROW
DRAINAGE ARROW
0 30' 60' 120'
SCALE: 1" = 60'
RETENTION
POND
NO BUILD/
STORAGE AREA
HALL-IRWIN
AGGREGATES INC
PARCEL: 096112300016
6' CHAINLINK GATE
BORYS, RICHARD M
PARCEL: 096112300014
EXISTING SHARED
ACCESS ROAD ON
ADJACENT PROPERTY
ACCESS IS APPROX. 1300'
EAST OF WCR 58 / WCR 49
AND APPROX. 2800' WEST
OF WCR 58 / CR 49.5
R=60' (TYP.)
j
SHARED ACCESS DRIVEWAY
AT WELD COUNTY ROAD 58
EXISTING
FENCE
PROPERTY
LINE
CULVERT
PROPOSED
DRAINAGE
CULVERT
PROPOSED
i` DRAINAGE
CULVERT
STEWART, JESSE B
PAGE, DIANE M
23736 WCR 58
PARCEL: 096113000081
ti
STOCKPILE AREA
PROPERTY LINE
EXISTING
FENCE
PROPOSED ON -SITE
WASTEWATER TREATMENT
SYSTEM (OWTS)
219'
EMPLOYEE PARKING
6' CHAINLINK FENCE ON PROPERTY LINE
GRAVEL DRIVEWAY
DOUBLE CATTLE GUARD
6' CHAINLINK GATE
CONCRETE OR ASPHALT
DRIVEWAY ENTRANCE
FOR 100'
4'x8' MONUMENT SIGN
STOCKPILE
6' CHAINLINK FENCE ON
FUTURE R.O.W LINE
- 30' EXISTING R.O.W
BROWN, MARY E
BROWN, RICHARD C
23752 WCR 58
PARCEL: 096113000082
PROPOSED
DRAINAGE
CULVERT
500'
TRICYCLE LANE TEXAS LLC
PARCEL: 096112000130
_ 10' RESERVED FOR FUTURE
COUNTY ROAD R.O.W
SILBERMAN, PAUL
23852 WCR 58
PARCEL: 096113000009
EXISTING
DIRT DRIVE
VISITOR PARKING
(2 STALLS, 1 ADA
STALL)
FEMA 100 -YEAR FLOODPLAIN
PANEL 1561E
JANUARY 20, 2016
PROPOSED DRAINAGE SWALE
FENCED OIL/GAS WELL
EXISTING
DRAINAGE
SWALE
STOCKPILE AREA
PROPERTY LINE
6' CHAINLINK FENCE ON PROPERTY LINE
6' CHAINLINK GATE
JOHNSON, HOWARD W
23952 WCR 58
PARCEL: 096113000044
FOSTER, DONN L
HARDY, MARY LEE
23989 WCR 58
PARCEL: 096112000129
ALLEN, TREVOR EDWARD
LESHER, BRANDY L
23962 WCR 58
PARCEL: 096113000043
ROSENQUIST, STEVE L
23982 WCR 58
PARCEL: 096113000041
LOCATED IN THE SE1/4 SECTION 12,
T6N, R65W OF THE 6TH P.M.,
COUNTY OF WELD,
STATE OF COLORADO
SEC. 2
T5N
R65W
SEC. 1
T5N
R65W
SEC. 6
T5N
R64W
SEC. 11
T5N
R65W
SEC. 7
T5N
R64W
O
SEC. 12
T5N
R65W
-ti-
SOU-o.k �R
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c
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54!
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'' '® WCR 58
SITE
®
SEC. 14
T5N
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��(
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ao
SEC. 18
T5N
R64W
SEC.
T5N
R65W
1 '
R ®®
VICINITY MAP
SCALE: 1"= 2000'
LEGEND
1® SOIL TYPE: ALTVAN LOAM, 0 TO 1% SLOPES 54 SOIL TYPE: PAOLI LOAM, 0 TO 1% SLOPES
O SOIL TYPE: AQUOLLS 8 AQUENTS,
GRAVELLY SUBSTRATUM
® SOIL TYPE: ASCALON LOAM, 0 TO 1% SLOPES
10 SOIL TYPE: BANKARD SANDY LOAM,
® 0 TO 1% SLOPES, FREQUENTLY FLOODED
SOIL TYPE: USTIC TORRIORTHENTS,
68 MODERATELY STEEP
® LOCATION OF RESIDENCE
UNITED CIVIL
Design Group
Civil Engineering &
Consulting
1501 Academy Ct.
Ste. 203
Fort Collins, CO 80524
(970) 530-4044
www.unitedcivil.com
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BESTWAY CONCRETE BATCH PLANT
SHEET NUMBER
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DATE SUBMITTED:
HALL-IRWIN CORPORATION
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VERTICAL: N/A
HORIZONTAL: 60'
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JOB NUMBER
U16012
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