HomeMy WebLinkAbout20183512.tiff aW4
CENTRAL WELD COUNTY WATER DISTRICT
!7,20.17
Carohn:13ustsllos
7156 Maple Street
Loop-Joni CO fiO50a
!$I:; Adtlitice Sertikc-Water Seri/ice Parcel 131 103303004
Dear Mrs.IiustiIh
This Ictcr is in response to a toy=for water sericc to save the 1411os-rag property drsc ibed as follows_
EH-28 L2t3 ENCHANTED HILLS farce!;i51:P83O3OO
Water se vice is presently mailable to the above&scribed patty through tap number 5$9 licc;sted in Enchanted
Hills. 4d;:iticv I water .crvice ern be mock available to till.: property with a new tap-perrchase_ provided all
.requ;temente a Central Weld Co.ray Water Distract Northern Colorado Watct Conservancy,Distt t and the±
Burma.; are seltsfr_ if additional .~ester strvicc i3 nark+9. I'l. s melee A r it L_J-gter� fr.zcsfr�lerw rip.Adiraet
, oryhrrn(%oradij_Wyfrr_Cru:xrru nr--!NNiriet 8tlfJ•30R-'1rrG1ar r rrrirrnirr2 crar'rr3?rarfort OUP rfr NoTheVrr
?blrrrrxtr} lF'uizr Cij: sitryti Ch.•PI'S?i3-rT C.:pat&meld cartrtur r srr d rgr trujt n1!re.gUitements are sae ssntd iris
ix tr Lti4 :rc>r2r r v t_Mr 1 ik c7.tT4 R th tNt$.+?j140 ik-i ;C;n({:f4 io.crCr. 4 itiy??l ispk? A water tap
inatsllution is for a aperifre pwred of property and In no rate will a customer he permlaed to'extend a
arrrirrr lint from one parcel or pralrerry to another parcel to provide additional water service. The District
is aware that a garage will be constructed on the property.
Central Vicki Count} Winer District requires that contracts 1is cvrsuirai algid c+ithitt:tree (1)year frquo the ibte of
this?eztcr+xr this(dare slit;Il become null r.d +•itid u:Li i.einouled in tiaritirt .6y the District_`€he District will not
n,lifti•, by separate letter, r,} prospective Iar4owmers flf'rost increases,The Diaries has the right to review the
anrruai al1otrne and compare it so actual usage to determine if athlitiontrl raw wtiter will be purchased and
tr.,rttfcrr.'.:to Ilk 1x'.tnci Is}Tap
!t s your respnrsit,iltry to confirm tiv;tlx your lcxa;t Dire Protection Aiiienority it fire row capricity-ic rryuire.i
tie yorrprr; w..
;fyau have any qt tivns :hr pkise[olza t thi office_
Sin.crclr,
CENTRAL WELD COUNTY WATER DISTRICT
Stan i.irtler,f :strict Sly t�:tr
Si,rg
2235 2'4 Avenu:•€irre'.cx•, S(61 •Perri(970)352-1284•Fax(9 O)3 -SS6S
Stan Linker, District Mc ttai yr
• J
Scanning Cover Sheet
for
Septic Permits
Permit # G19700501
Permit Type: Health/EHS History/EHS Conversion History
Situs Street Address 7156 MAPLE ST
Situs City, State, Zip
Sec/Town/Range: 08-02N-67W Application Status: F/naled
Application Date: 03/11/1996
Parcel # (12 digits) 131108303004-R5379286
Owner Full Name: KEN B HOMES INC
Owner Address: P.O. BOX 837
LONGMONT,CO 80501
Owner Phone #: 303 7767041
Contact Name:
Contact Address:
Contact Phone#
Information above has.been Verified in Accela by employee noted below
X May 07, 2009
Processed by: Date
Report ID: EHS00024v003 Page 1 of 1
Print Date-Time: 5/7/2009 1:52:19PM
WELD COUNTY HEALTH DEPARTMENT
15th Street and 17th Avenue
P. O. Box 1227 CRo1 O O /
Greeley, Colorado •
Application for Permit to Install, Construct, Alter or Repair Individual Sewage Disposal System.
Own r or Sponsor AdAress Phone
�t�, tA z. -.7.71L.1.4,4- 7j 6.- 74 s'./
Address of Sit e a . c t 2.2 -6,5z 6
Mailing Address _ �
General Information Septic Tank
1. Living Units 1. Liquid Capacity Gallons
2. No. of Bedrooms 2. Dimensions .9�0 _L D
3. No. of Baths .. . _ / • 3. Material
4. Basement Drain , '' I 4. Type Inl
5. Automatic Dishwasher Type Out e
rLi
6. Garbage Disposal
7. Automatic Laundry Seca pry Tr tmeat
S. Size of Lot 410
Cf
9. Type of Soil Field &19 Bed
10. Percolation Test 1. No.of distribution lines
11. Water Supply Q
2. Trench: Widt Len: •
12. Lot Grade t
13. Water Table Depth 3. Type Filler Material ,
14. Other 4. Depth of Fille Npter al,�'
5. Gravel Size a 1.-
6. Type Tile
7. Depth of Coyer /mil`
8. Other
The Permit is to remain in full force and effect for six (6) months from date,until revoked for non-compliance.
This system will be constructed in accordance with the above specifications and regulations governing non-
municipal sewage disposal systems, in accordance with Regulation No. 1 of the Weld County Health De-
partment.
Date: Applicant:_jr1-/-44-
r 6644' A•6/1-01•1/""
The p and sp zificatians as shown are approved, pending payment of permit e.
Sanitarian:
.Date: -
The above system inspected and found to comply with a plan and description.
Installed by544--
Sanitarian: Date:
r
•
PERMIT FEE ;
Received by f' ` ..c. *' — Date l-3/ - 7 d
Please use reverse side for Plot Plan or u separate sheet of paper.
h�
.'r
L• COUNTY' 50E 0 T i
WI= DEPARTMENT ��1
ENVIRo3o0~:IrrAL PROTECTION SERVICES i' LOA
1517 16th Avenue Court i
--
Otwelei, Colorado B0631 REPAIR s
(303)333-0633 Wald CoR lyHeahh Department PF]?QT
STATEMENT OF EXISTING FOR SEPTIC SYSTEM kf{c
(PLEASE FILL OUT IN BLACK INK ONLY)
OWNER OF RECORD: ._106_'p b 2, Za KRA, PHONE:, (30s) ID a-2o+37
•
MAILING ADDRESS: 71 F4 AI40'4t 3—eIr -City a a.rav
City State Zip
SITEADDREsS: if b6 ek'4 Sr�tr T LPN pir.lt eo foS�+r
Eit7 State Zip
LEGAL DESCRIPTION: PT: :,14 PT: SECTION.:. $ TOWNSHIP:,_ RANGE: b T
SUBDIVISION: Ear iw riati II. c LOT:_B'- BLOCK; 5w/y FILING:
WIDER OF PEOPLE: 2 BATHROOM'!:: I LOT SIZE;$30y[ h.lO BEDROOMS: 3 -
SIA IIAL or COMMERCIAL BASEMENT PLUMBING: Yes WATER SUPPLY:AVIZatitfur
SYSTEM SIZE: Tank is constructed of abI !. c and has Joey gallons capacity
(material)
FIELD: Bed ROC) sq. ft. or Trench _ sq. ft. DATE SYSTFI'h INSTALLED: (fly
Toe are required to draw a diagram of the system on the reverse side of this form in
black ink only and indicate location. length, width, and distance from the dwelling.
The undersigned property owner hereby certifies that the above described septic system
is In fact Installed, as described, and exists at this time on the parcel of ground
identified by, the above legal description and further states that the system is in good
working order and to the best of his/her knowledge is not failing to function properly.
I finer understand that any falsification or misrepresentation may result in revocation
of Illy permit granted based upon this information hereby submitted and in legal action
for perjury as provided by law.
/ 9.-i .( ..�n_.�i i]I �_
Date / l Owner
Subscribed and sworn to before me this P` day of A/o J - , 199 •
by
Witness my hand and official seal. !y remission expires: q - 1,7 - q5.-
/1-
Date Notary Public - •
STATEMENT OF EXISTING REVIEWED BY: - -
EnvironmentaI Protection Specialist
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L•.s4. iii 41,4
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• BLACK In ONLY I
Jf i MEMORAnDUM
PrEo !
1
Wine To Dale Y
COLORADO Planning December 2, 1994
From Pam Smith, Environmental Specialist
Su6Jeci: Joseph Baker Medical Hardship Zoning Permit
The Baker's currently have a septic system permitted under.permit #G700501. The
system is sized for 3 bedrooms and will be adequate for the additional bedroom
that has been added in the garage for the hardship situation. I am' aware that
the garage/home is and will be considered the permanent dwelling for this
situation and that the garage/home will be remodeled once the medical hardship
is no longer needed. As long as the remodeled home does not exceed 3 bedrooms,
the septic system will be adequate for the home.
Please feel free to call me at 353-0635 if you have any questions.
Hello