HomeMy WebLinkAbout20180300.tiffKelse Bruxvoort
From:
Sent:
To:
Cc:
Subject:
Attachments:
Chris Gathman <cgathrnan@weldgov.com>
Tuesday, September 26, 2017 4:30 PM
Kelsey Bruxvoort
Tim Naylor
FW: Hoff PUDK17-0001 - Water Supply Requirement - Water Letter is adequate
NWCWD Letter of Intent_o5. 5.17.pdf
I heard back from our County Attorney. We have a current water supply plan for North Weld County Water District. The
May 2017 letter from North Weld County Water District is satisfactory for submittal of the change of zone application.
Regards,
Chris Gathman
Planner III
Weld County Department of Planning Services
1555 N. 17th Avenue
tel 970-400-3537
fax: 970-400-4098
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: Kelsey Bruxvoort [mailto:Kbruxvoort.@agpros.com]
Sent: Friday, September 15, 2017 2:22 PM
To: Chris Gathman <cgathman@weldgov.com>
Cc: Tim Naylor <tnaylor@agpros.com>
Subject: Hoff PU D I7-0001- Water Supply Requirement
Chris, we have a commitment letter from NWCWD for the Hoff P U D I7-0001. Please have the county attorney's office
review for the purposes of submitting the PUD Change of Zone application.
Thank you,
Kelsey Bruxvoort
Land Planning Technician
AG P Rofessio n a Is
1
BOARD OF DIRECTORS
CHARLES ACHZIGER
GENE STILLE
GARY SIMPSON
M PSON
TODD BEAN
ROBERT ARNBRECHT
May 25, 2017
Joseph Hoff
34251 WCR 31
Greeley, CO 80531
AgPms, Tim Naylor
3€ 50 67th Ave.
Greeley, CO 80534
970-535-B318
NORTH WELD COUNTY WATER DISTRICT
32825 CR 39 • LUCERNE , CO 80646
RICK PICKARD, DISTRICT MANAGER
PhD. BOX 56 • BUS: (970) 356-3020 • FAX: (970) 395-0997
WWW, NWCW D.ORG • EMAIL: WATE REM NWCWD.ORG
This letter is in response to your inquiry regarding water service to the following described property,
Approx, 34153 WCR 31, Proposed Lot A and Approx. 34159 WCR 31, Proposed Lot B in a portion of the SE % of Section 9, T8N,
R66W of the 6th Prime Meridian,
(See attached North Weld County Water District sketch)
Parcel 080509400013
1. Water Service is presently being provided to the above -mentioned property through meter no.1896 located at 34251 WCR 31
also known as Proposed Lot C.
2, North Weld County Water District is able and intends to provide water service to the above -mentioned property, provided all
requirements of the District are satisfied. If contracts have not been completed with North Weld County Water District within one year from
the date of this letter, the District may refuse to supply water to the above -mentioned property. The District reserves this right to refuse
service, if raw water is unavailable, and /or pipeline or Filter Plant capacity is not capable to provide additional service. Before a water tap
may be purchased, the applicant must provide a copy of a Warranty Deed, a Physical Address, this letter, and grant a thirty (30) foot
wide easement adjacent to the Right -of -Way of Proposed Lots A and B.
3. As additional consideration for this Latter of Intent to provide service, Property Owner agrees to sign and execute any necessary
Easements and Rights -of -Way regarding specific locations, widths, size of pipeline(s) and descriptions for Water Lines as determined by the
District. This Agreement is conditional upon execution and recording of the Easement and Right -of -Way Agreement, and until such
Easement and Right -of -Way Agreement is finalized to the satisfaction of the District and recorded, District shall not be required to provide
any services of any type.
4. The District recommends that based on the number of family members and livestock along with other information provided in the
Water Tap Request Form, your irrigated landscaping square footage not exceed approx. 6,000 square feet. The
recommendation is based on the Full Standard Tap allocation and should be utilized to optimize delivery without surcharge. Additional
allocation should be purchased for landscaping areas larger than the recommended area.
5. The District recommends that anticipated raw water be purchased through the District. The District guarantees treatment and deliveryof
raw water purchased. All water that is delivered over the allocation (with surcharge) Is subject to water availability. Water
purchased through the District shall be 70% delivery of an Acre -Foot of water, if the allotment for Colorado -Big Thompson (CBT) project
water, which is determined by the Northern Colorado Water Conservancy District, is 50% or greater. North Weld County Water District will
restrict the delivery as necessary when the CBT allotment is less than 50%. A portion of the Raw Water Fee is utilized by the District to
construct storage reservoirs.
6. TaaOptions and Requirements
Raw Raw
Water
Raw Water
Storage Fee
Plant
Investment
Distance
Fee
Meter
Set
Fee
Water Allocation
(Annually)
Plant
Allocation
(Annually)
Investment
Full Standerd
Tap
100%
100%
100%
100%
100%
228,000 Gallons
228,000 Gallons
Lot
Size greater
than 0.33 Acres [14,500
sq
It)
75% Tap
75%
75%
75%
75% 1 100% l
1 1711000 Gallons 1
171,000
Gallons
RestrictionsLot sins greater
than 0.20
acres
(8,800
sq ft) but less than 0.33 Acres (14,500
sq
ft) OR
landowners with verifiable
irrigation
rights
or well permits for outside water use
50%
50%
50% 1
100% I
114}000 Gallons
114,000
Gallons
50% 1
50% Tap 1
Restrictions
Lot
size less
Droved
than .2 acres
CommerciOl
(8,800
Enterprise
sq it) OR with a Board Approved Irrigation System OR a Board
Conservation
Blue Tap
100%
100%
0
100%
I
228,000 Gallons*
0 Gallons
0
If Qualified, taps may be used
Conservation 0 Plant Investment)
*Gallons may vary depending
in combination
on _ u�,ali
in:
with
combination
Conservation Tap (i.e. 50% Water with a
Restrictions
A tap may
228,000 gallons
Surcharge
See Page
be allotted
will be
2 for
more than 1 unit of Water and/or Plant
= Annual Allocation. (i.e. Water Allocation
assessed when an account's year to date
Rates.
Investment. in this case the allotment is the class
5 x 228,000 =1,140,000 gallons Annual Allocation)
usage exceeds the Water and/or Plant Investment Allotment.
Y:\Legal Docunentit,Lotta of In cn 017' 2O1?-03.21).The Hoff, 34251 VCR. 3I\(2017-O5-25}Letter of Intent_ fof oc
1of2
BOARD OF DIRECTORS
CHARLES ACHZIGER
GENE STILLE
GARY SIIPSON
'TODD BEAN
ROBERT ARNBRECHT
NORTH WELD COUNTY WATER DISTRICT
32825 CR 39 • LUCERNE , CO 80646
RICK PICKARD, DISTRICT MANAGER
P.O. BOX 56 • BUS: (970) 356-3020 • FAX; (970) 395-0997
'WW.N CWD.ORG • EMAIL: WATER@N +'CWD,OR
May 25, 2017
The Tap Fees quoted below, shall be valid for ten (10) business days from the date the applicant receives this letter and the tap
fees must be paid within the ten (1 D) business days to receive the fees as quoted below. The Meter Set Fee as stated below Is
valid only for the location shown on the attached map,
After ten (10) business days, the costs will be subject to the then In effect rates (current cost) established by the District. The District is
not responsible for notifying individuals, banks, lenders, prospective buyers, real estate agents or anyone else, in any manner, of a change
of
TAP FEES
(Assumed for Full Standard Tap'
INSTALLATION COST
$25,000
(deter
Set Fee $ ,FioO
Raw Water for
**Effective
One Acre -Foot Unit (AFU)
07117/17: $26,000**
Storate Fee Portion of Raw Water Fee
$1,000
Line Extension Fee $12,000
Base Portion of Plant Investment
Fee
Line Extension
purchased
paid for separately
Fee must be
on either Proposed
prior to tap
paid
with the first tap
Lot A or B. May also be
purchases.
$7,500
_
Distance Portion of Plant
(12 miles)
Investment Fee
3 600
-
TOTAL Up -Front COSTS For STANDARD TAP See
Paragraph 6 for Options) PER TAP
$39,7'00.00 Full Standard
+ Line
Extension
Tap
I
$28.600,00
Fee
(per terms
Conservation
above)
Blue Tap
t
I
Price is valid for ten (10
business days
from receiving
this
letter.
Minimum Pressure
35 psi
Normal Pressure Range
50 psi to 80 psi
Maximum Pressure
140 051
After the water tap has been purchased (Raw Water AFU & Plant Investment Fee) the applicant has one year in which to have the meter
set. The District requires 45 days prior notice to setting a meter. If the meter has not been set within twelve months from the purchase date
and the applicant requests to relinquish the meter, the District shall refund the applicant 98% of the purchase price paid by applicant. If the
meter remains sunset for thirteen to eighteen months after the initial purchase date and the applicant requests to relinquish the meter, the
District shalt refund the applicant 90% of the purchase price paid by applicant. If the applicant does not choose to relinquish the meter
within one year of the applicant purchasing the meter and the meter remains unsetr the account will begin billing the minimum
monthly amount.
Use Rates and Fees
Charge
or Rate Per Month
Usage Amount
0 to 5.000 gallons
i$19.20
Minimum
$
.al)
Water Surcharge
Surcharge will be assessed when an account's year to date usage exceeds the annual water allotment. Currently the surcharge is
$2.00 per 1,000 gallons in addition to the standard monthly usage fee. This fee is to recover the District's cost to obtain additional
water rights for delivery.
Rate Differential Charge
** Effective November 1, 2015, the District will no longer accept water transfers.
Plant Investment Surcharge
Surcharge will be assessed when an account's year to date usage exceeds the Plant Investment Allotment. The transfer of additional
water will not remove this charge. Additional Plant Investment Units must be purchased to increase the allotment and reduce the Plant
Investment Surcharges. These rates are in addition to the standard monthly usage fee.
0 to 456,000 gallons above the Plant Investment Allotment $3.95 per 1,000 gallons
More than 455,000 gallons above the Plant Investment Allotment $1.95 per 1,000 gallons
Si nr ly.
A
Eric Larson, P.E.
North Weld County Water District
Y:\Lrep] Documents'\Letter of 1atcnt'2017201?-03i-21)Jae Hoff, 34251 WDR. 31t(2017-O5-25)t.Qtter of Intent Hoffdoc
2of2
N
5-
a
N
r
5TA 1+00
CONNECT TO EXISTINC
r` WATERLINE.. SEE DETAIL
BELOW.
30 FT VAX PESMNENT
EASEMENT DEDICATED TO
DISTRICT BY APPLI CANT
TELEPHONE ON THIS SIDE OF ROAD. NOT
FIELD LOCATED. ADJUST WATERLINE
ALIGNMENT AS NECESSARY.
STA 3+36
INSTALL 4"X45' BEND
W/ 10 FT OF MECH
RESTRAINT ON EACH SIDE
0111 L R'tic Y FiTIt$$ a. i AND REPLACE
AS SICTOSI RE'CONNIECT ThE EXISTING 2'
81.0WOCT
' \W w°-131\Casnpc:ny 'Shared roil+ \ ea 1 Doc curial A er 01 Intent\ 01Ain 171-0t-26)JQ• Hof 11. 342$1 %VCR 34$114 Drawing - HOIT. 54153 CR 51 .111
Scanning Cover Sheet
for
Septic Permits
Permit #
Permit Type:
Situs Street Address
Situs City, State, Zip
G19850189
Health / EHS History 1 EHS Conversion History
34251 CR 31
SeclTown/Range: 09i -06N -66'W
Parcel # (12 digits)
Owner Full Name:
Owner Address:
Contact Name:
Contact Address:
080509400013-R3575005
HOFF JOESEPH & ELAINE
15546 HWY 392
GREELEYY,CO 80631
Application Status: Finaled
Application Date: 03/11/1996
Owner Phone #: 303 3520871
Contact Phone#
Information above has been Verified in Acicela b ems to ee noted below
x
December 30, 2008
Processed by: Date
Report ID: EHS00Q24v003
Print Date -Time: 12/3012008 11:56:24AM
Page 1 of 1
r.
Pr rt
HS.I 1@ I:
INDIVIDUAL SEWAGE DISPOSAL SYSTEM €°'ERMIT NO. G-850189
WELD COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SERVICES
1516r HOSPITAL ROAD, c; I E. I : L L,: Y , CO 80631
353-0635 EXT.2225
NEW PERMIT
OWNER I••TOFF, JOE EI:'H & ELAINE ADDRESS' 1554 HWY 392 ? PH (::Sc),3) 3}57•-'08'1
(:7REl„.LEY CO 80631
ADDRESS OF PROPOSED SYSTEM 34251 WCR 31
GREELEY CO 8063i
LEGAL DESCRIPTION OF .T.TE::.' ;,>'L:.4r EEC C- 9 TWF' 6. I"6.N(x 66
SUBDIVISION: LOT 0 BLOCK 0 FILING 0
USE TYPE: RESIDENTIAL
SERVICES: PERSONS 3 BATHROOMS 2.50 LOT SIZE ;:l.;:'r) ACRES
FsE!)Rt:at:1i ,S' 3 BASEMENT PLUMBING NO WATER SUF'F'I...Y NW(:;WC)
APPLICATION FEE $150,00
RI":(:;' 0 BY RECEPTIONIST A:I:I? SIGNED BY ELAINE D. I"IOI"I:'
DATE 08/08/8::> DATE E )8/00/85
�d 9 p�C7
PERCOLATION RATE 1-:'%:rr n M:l.i:l PER :I:iJC:I"1 WATER TABLE DEPTH #J FEET
SO f. L- TYPE I:: SUITABLE PERCENT I: EN I GROUND .5'I_OF'I.:. nil DIRECTION
REQUIRES ENGINEER DESIGN NO
FROM Till APPLICATION I...:I:(iA11:ON INFORMATION '( :I:ON SUPPLIED I.::a) AND THE ON —SITE SOIL PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE RI:LIIJIREI):
SEPTIC TANK, '1000 GALLONS, ABSORPTION TRENCH 549 SQ. FT.
.
OR
ABSORPTION BED .780 .S'(' ,. FT.
"44 ADDITION, THIS PERMIT 1: .S` SI.JBs...IECT T1) THE FOLLOWING A1)D:E:T-:I:ONAL.. TERMS AND
LUd):):I:T:I.UN.S :_............__.......__......_._...._.
THtE PERMIT :I:.S' GRANTED TEMPORARILY AR:iR...Y TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT
MAY :(2I..: REVOKED OR SUSPENDED BY THE WI:::I...0 COUNTY HEALTH DEPARTMENT FOR REASONS °i:Iisl5 SET
FORTH IN THE WELD COUNTY INDIVIDUAL SEWAGE I.:: DISI''CIS'AI... SYSTEM REGULATIONS INCLUDING
FAILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON T)URJ:NU TEMPORARY OR. FINAL
APPROVAL. THE ISSUANCE' OF THIS PERMIT DOES NOT t:sni'T.`';T:I:IU'I'I::: ASSUMPTION BY THEi)I:FAIS.'I.MI:N E' OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
sFLJA(vl D.I,5IO,`.tAI.., SYSTEM.
PAULSON, NARY
ENVIRONMENTAL SPECIALIST
08/16/85.
DATE
THIS PERMIT IS NOT T'Ii1iN`I°I:RPiBL..R `AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN ONE YEAR O1:' ITS ISSUANCE. DI:;:I::`(:JkL.. ISSUING N{: FINAL Nril._ APPROVAL O1`
THIS I'I;;RM:I.T. THE JI;:LI:) COUNTY IIIWA1_.TH I)I:::R::'ARTKIE:NT RESERVES THE RIGHT -II.) :I:NF'IJSE ADDI—
TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA—
SIS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE F:I:NAI.,. INSPECTION OF THE COM—
PLETED ETEI) .S'Y; .T.EN BY THE WE::i._I) COUNTY HEALTH DEPARTMENT,
STEINSTALLER i :I.N E_ I:NSF= :'T':I.ON , J DATE
‘r —SYSTEM ENGINEER AP1:.'ROVAL.
TYPE OF SYSTEM INSTALLED I...L.D C. S(I_CIAI...:T,ST
THE ISSUANCE OF THIS PERMIT DOTES N(:1T IMPLY COMPLIANCE WITH O'T'I':Iil:R° STATE, COUNTY
OR LOCAL REGULATORY OR BUILDING REQUIREMENTS, NTS, NOR SHALL TT ACT TO CERTIFY THAT
THE SUBJECT SYSTEM WII...I_ OPERATE IN COMPLIANCE -WITH APF1.,,J:CAB..,.. STATE, COUNTY AND
LOCAL REGULATIONS ADOPTED I'F k S.I,JAN'T' 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 .I'Li CRS 1973
'5-....1 ( --111 1 ( ) .
ORIGINAL —APPLICANT; ('w (. P Y --- I.'J (:; I -I L) W C I .I I:)-..- I;:I I ,S' NAY, 1984
1 L a
v O9.10-+'rer)—%I.:)
-
\(&) ;A- '* ch% 4-xn 34-e-ikervt>,_,
sc�
u
01:7-
n�6E: yN.I
.3 c., ., i t hi V5.'k"3 a., I•:..s V .... ... ... ... 9' .. [.: 5"5 ,_' 4h• .. .1 !;:` , i I... 5".: i ,. 1
EXT , 4.
f .., . ; �... Y... .r ... .. ; ,C ELAINE +t D C . J (...., {. l'346 V" 3 v a ...F
SEV10E. PU9NS LT S:
u, }t •'S.al. :ti 1. tl ..e V,Y
1` '1 E (F 1 PEW -
PH , 3I ) t 352—&-7'
FILNC
•P. 1 3.f•€ '•:'I' �1 .E N T�`.. .... ... i
{ MLrr . P... - �` o• tl ° r.r i.: , 3. 1 ., .. , . p Pu ! j .. O h5
FRO:X .• 1 r
a t T, a V I f v... •, 1 V ,.:: `. ,!. 1 -,� i P .. I . k ... r,- 4..-- . ......:.. � : : I �� ' THE f .,. r.. ... .. i.,. P' Y.� 1 ...: C._.. 1 ... F.. C
- ..'• V.. U Bs.1 P... :.s e T6 P Tiri... I 1,,, ',.. ,d .. - ... V ,s.. E�5rM1
-k-C3n .
THIE PERMIT
PY TRE gl': !... ,t 1 (-i DEPAThNT . .)R 1• , lie;r�aar :a :,_,
r
e �,
.. 1 • :' :: e '� k`.f 1 , .., i i' #.' .,. = r 'i l EFidAG D.a l S.` ,` i ` N €.. • i s , U `l e. INCLUDING
f I w ?... • ;'5 !.;. 1 1 Ems:.:. :: ``I ,. i t i '.. d'.: . . ._ ... .. .... .• a.r - PEON O 1.:;'+a .E• N' : t s. .:I.. [ j OR FINAL
SI
7 r. -': {.. 'i . . f. --:.r"`-.:. 4 , .[... , e....... -a
'n-- eUU"iryl. gip - / l '- 3S7 rkk r,
f.3 J3't i l.. -APPLICANT; COPY_•UJcIm
WCIIT1 •-•EHS MAY, i9B4
I-I:SI'1 i)F,P
-APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL PUSAI._ sYsri.:.i'M Qt G.•.•O50i {
WELD COUNTY HEALTH DEPARTMENT
ENVIFLONMENTAI_. HEALTH SERVICES
1516 HOSPITAL ROAD 'it) GREE:L_E:Y, CO B0631
353-0540 EXT. 270
OWNER HUFF, ,JOIE SEP H & ELAINE ADDRESS 15546 HWY 392
t:Yi I: i:.:I...E Y CO 00631.
3/a 5-1
LEGAL DESCRIPTION OF SJ:TI" SE4 SEC,
S'UPDiv:LS'ION:
USE TYPE: RESIDENTIAL.
I...
SERVICES: PERSONS ;:3 BATHROOMS 2. 50 LOT SIZE ,',;'.'0 ACRES
BEDROOMS 3. BASEMENT PLUMBING NO WATER SUPPLY NWCAD
ADDRESS OF PROPOSED SYSTEM
NEW PERMIT
PH (303) 352-067'
00000
9 T WP 6 RNG 66
LOT 0 BLOCK 0 FILING 0
APPLICANT' ACKNOWI_.€:::Df:YI:::,' THAT THE COMPLETENESS OF THIS APPLICATION IS CONDITIONAL
s1...
UE-`r,JN FURTHER MANDATORY AND ADDITIONAL TESTS T; AND REPORTS I AN MAY TAI:: REQUIRED FAY THE'
WELD COUNTY HEALTH DEPARTMENT T TO DE MADE AND FURNISHED i-II D BY THE APPLICANT N'T OR DY '1'F -IL:
WELD COUNTY T 'g HEALTH DEPARTMENT FOR PURPOSES ImS OF THE EVALUATION Or THE Al T•'I.M:I'C;AT:I:C N
AND THE ISSUANCE F . -fI..IJr PERMIT T" IS . fJlJEC:T10 SUCH TERMS AND CONDITIONS As DEEMED
NECESSARY TO 1:NSfJRE. COMPLIANCE I4:F.-ThI.RI 1...E7 AND REGULATIONS IONS ADOPTED Ul.1I;G::F ARTICLE
i0, TITLE 25, CRS 1973, AS AMENDED THE APPLICANT CERTIFIES THAT THE IL PROPOSED
SYSTEM WILL NOT :CrI'•". 1 OCA ED WITHIN 400 FEET OF A COMMUNITY SEWAGE WAG1 SYSTEM, "f'I..II
UN:OER;S.I.GNED HEREBY CERTIFIES THAT AL_I._ STATEMENTS MADE, `..I.Nf"ULmATION AND REPORTS
SUBMITTED ED} HEREWITH AND REQUIRED TO BE SUBMITTED DY THE APPLICANT ARE, OR WILL... BE,
REPRESENTED S NTF::D TO E TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AHD I;i1F:I.riiR:F, AND
ARE DESIGNED TO BE RELIED ON BY THE WELD COUNTY HEALTH DEPARTMENT IN EVALUATING
THE ,SAME FOR PURPOSES OF ISSUING THE PERMIT I APPLIED FOR HEREIN, I FURTHER UNDER—
STAND THAT ANY FALSIFICATION OR MISREPRESENTATION MAY RE UL..T IN THE DENIAL_ OF THE
APPLICATION OR REVOCATION OF ANY PERMIT IT GRANTED BASED UPON RAID APPLICATION AND
IN LEGAL ACTION FOR PERJURY RJUJRY AS PROVIDED BY LAW.
APPLICATION FE E: $150.00
F1:C " o DY RECEPTIONIST T ONIST Al))
DATE x78/08/25
ELAINE I n• IHI O F F
(>I3/0CS/E5
OWNER/AGENT .:I:Cgoi1. i F:: DATE
.6,we e I W ...- I U 4+0'5.. 1 l d,r - P.•. I k .S J •J "F I T t 0 4 P
� Y
HSPI 06P
INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT. NO. G-050189
WELD COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SERVICES
1516. HOSPITAL, ROAD, GREEl...I: Y, GO 80631
3
353-0540 °*:.)4l) EXT. 270
NELl PERMIT
OWNER HC:TFF, ,.JoEo S'EPF-1 & ELAINE ADDRESS 15546 H JY 392 1'1"1 (303) 352-0071
GRE1::::f-.1: Y CO 0063i
ADDRESS OF PROPOSED SYSTEM 34251 4C R 31
GREEI_E.Y CO 0063
LEGAL DESCRIPTION OF SITE: SEA, SEC, 9 !'WP 6 b UG 67
SUBDIVISION: ' LOT 0 BLOCK 0 FILING 0
USE C : TYPE: RESIDENTIAL
SERVICES: F'I::R; sON.S 3 BATHROOMS :'.,50 I...UI SIZE 3.20 ACRES
BEDROOMS 3 BASEMENT PLUMBING NO WATER SUPPLY NLJCLJ1)
APPLICATION FEE $150.00
RED' T) BY RECEPTIONIST A:[1)
DATE 08/08/B5
SIGNED BY ELAINE D. FlOFF
DATE 08/C)8/85
i- E1= CGI-.ATION RATE 1. M:I:N F`I:;:R INCH WATER :TABLE DEPTH *.. .,.. FEET
SOIL TYRE Selpov PERCENT GROUND SLOPE / DIRECTION
REQUIRES ENGINEER ER DESIGN 1'3Q.
FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL. PERCOLATION :CiJ :DATA
THE FOLLOWING MINIMUM 1:i'11` 1f' l...i.,.wz'TJ:Ui+ SPECIFICATIONS ARE REQUIRED:
SEPTIC TANK i'i1< GALLONS', ABSORPTION FP''rTONi TRENCH EQ.,- F,.1.
OR
ABS'C:lRF'T:I:O 1 BED $. .'Sc . FT.
.
IN ADDITION, THIS PERMIT I.' SUBJECT TO THE FOLLOWING ADDITIONAL TERMS Ai`Ji`',
C O N DD.I. I I O N =:7 ... Art...,...1_ -thetzt. R. E.:ir-
THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT
MAY BE REVOKED OR SUSPENDED BY THE WELL COUNTY HEALTH DEPARTMENT i!;.T%i:.:TI.I' FOR REASONS SET
FORTH IN THE WELD COUNTY'INDIVIDUAL L:IV]:T)UAI. SEWAGE CSI GE DISPOSAL SYSTEM REGULATIONS INCLUDING
FAILURE'TO .'i1:.:1=T ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY i-UI ARY OR FINAL
APPROVAL, '1'HI, ISSUANCE OF THIS PERMIT i)UE S NOT CONSTITUTE ASSUMPTION BY 1'1--0-
DEPARTMENT OR ITS EMPLOYEES OE LIABILITY FOR THE FA:[L.uNF: OR INADEQUACY OF THE
SEWAGE D.E.SPOS°AL. SYSTEM.
C / 9--i - • +"\• Ems .- �: 44,4
L:.NV.I.FE.Era,{EF.N1i I... SPECIALIST iDAcTI.
i - .rr1
THIS PERMIT IS NOT TRANSFERABLE AND SHA1..1.,. BECOME Ohi '/01:D :IF SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN ONI- YEAR OF ITS ISSUANCE. BEFORE. J;S'SIu:3:NI..I°J:NAI... APPROVAL OF
THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT '1`MENT RESERVES THE RIGHT TO IMPOSE AD;D:[-
1-IONAI.. TERMS AND C:0N.1)J:T';I:II S• REQUIRED TO MEET OUR F"I•.::1..I.Ji...A'T'0:1:1 ,S ON,A CONTINUING BA-
SIS- FINAL FERMI: APPROVAL 'AI... 1:S CONTINGENT UPON
�.. E ,-�-1� w THE FLL:I:NAI_. INSPECTION OF THE COM-
PLETED SYSTEM .Y .T'F• E: WELD COUNTY HEALTH DEPARTMENT
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* - add R2O
Environmental Health Specialist
indicated.
focal
11,11
Average Rate
\a,
PLOT PLAN
(-53 its
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Depth
inches
SOIL PROFILE
Description
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