HomeMy WebLinkAbout20170397.tiffBOARD OF DIRECTORS
CHARLES ACHZIGER
GENE STILLE
GARY SIMPSON
TODD BEAN
ROBERT ARNBRECHT
November 7, 2016
William N. & Rackel Ward
35640 WCR 43
Eaton, CO 80615
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
• EMAIL: A ';i=r
RE: Meter Number 182 002, Located at 35640 WCR 43, Eaton. Owner: Willian N. & Rackel Ward
To Whom It May Concern:
North Weld County Water District provides domestic water service to the property located at 35640 WCR 43, Eaton.
The current owners of the property are Willian N. & Rackel Ward, The current service provides a 3/4" meter with Water
Allocation and Plant investment Allocation of 1 which yields 228,000 gallons per year without surcharge rates.
Surcharge rates are detailed below. The District has reviewed the Owner's request for a dog boarding kennel with
capacity for up to 30 dogs and up to 3 part time employees and have no conflict with this request.
Water tap/service is placed on the physical property, defined by a legal description. In case of a Recorded
Exemption, the water tap shall only serve the parcel that the water tap is located on. Service shall NOT cross the legal
description of one parcel to serve the other parcel, unless an easement has been recorded for the water service and
has been approved by the District.
The District guarantees treatment and delivery of water purchased. All water that is delivered with surcharge
is subject to water availability. Water purchased through the District shall be 70% delivery of an Acre -Foot of water
(228,000 gallons), 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.
The Plant Investment Fee pays for the infrastructure required to deliver 1 AFU (228,000 gallons). If usage
exceeds the number of Plant investments that were purchased, an additional Plant investment Surcharge will be applied
to your account. Plant investments may be purchased to increase the amount of water to be delivered and avoid the
Plant Investment Surcharge. Refer to table below for current Plant Investment Surcharge schedule.
Water Surcharfe
Surcharge will be assessed when an account's year to date usage exceeds their annual allotment. Currently surcharge is
$2.00 per 1,000 gallons. This fee is to recover the District's cost to obtain additional water rights for delivery. All water
that is delivered with surcharge is subject to water availability.
Plant Investment Surcharge
When an account's year to date usage exceeds their Plant Investment Allotment (# of Equivalent Taps x 228,000
gallons), a surcharge will be assessed. The transfer of additional water will not remove this charge. Additional Plant
Investments must be purchased to increase the allotment and reduce the Plant Investment Surcharges,
0 to 456,000 gallons above the Plant Investment Allotment (228,000 gallons) $3.95 per 1,000 gallons
More than 456,000 gallons above the Plant Investment Allotment $1.95 per 1,000 gallons
Respectfully,
r
Leann Koons
Office Assistant
NORTH WELD COUNTY WATER DISTRICT
P.O. BOX 56
32825 CR 39
LUCERNE, CO 80646
PHONE: (970) 356-3020 • FAX: (970) 395-0997 • E-MAIL: water@nwcwd,org
Board of Directors: Charles Achziger, Gene Stille, Robert Arnbrecht, Todd Bean, Gary Simpson Manager: Rick Pickard
ACCOUNT NUMBER
NAME AND SERVICE ADDRESS
BILLING PERIOD
WILLIAM N. & RACKEL WARD
182002
35640 CR 43
06/21/2016-07/20/2016
EATON, CO 80615
8
Water Class P (KGal)
70 % of 1.000 Acre Foot 228
Transferred Water 0
Allocation Adjustment 0
Less YTD Usage 33
Remaining Water Allocation 195
Plant Investment Class
70 9 of 1.000 Acre Foot 228
Less YTD Usage 33
Remaining PI Allocation 195
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul
District E -Newsletters enroll at www.nwcwd.org
Prey. Read Curr. Read Usage Unit Amount
Previous Balance 18.30
07/12/2016 Payment - Unknown -19.30
07/20/2016 Standard - Full 170 174 4 kgal 18.30
07/12/2016 Convenience Fee - Credit Card Payment 1.00
Current Amount 19.30
Total Amount Due 18.30
DETACH HERE
NORTH WELD COUNTY WATER DISTRICT
P.O. BOX 56
LUCERNE, CO 80646
PHONE: (970) 356-3020 • FAX: (970) 395-0997 • E-MAIL: water@nwcwd.org
Any payment received after the 15th of
the month may not show on this billing.
Please note that all accounts are due by
the 15th of the month.
Return this stub with your payment
Thank you.
ACCOUNT NUMBER
SERVICE ADDRESS
AMOUNT DUE BY: 08/1 512 0 1 6
AMOUNT PAID
182002
35640 CR 43
EATON, CO 80615
$18.30
I IIulIuIIII !III IlI I II,I I„III.II !III I.IlulI I II 111II IIIIII IIIIIuI II
AUTO**SCH 5 -DIGIT 80632
WILLIAM N. & RACKEL WARD
35640 COUNTY ROAD 43
EATON CO 80615-9205
2>1455
II III.II'II'IIIIIIIIIIIIII.IIIIIII,I IIIIII.I.IIuIIIIIIIIII.JIIII
NORTH WELD COUNTY WATER DISTRICT
P.O. BOX 778
Gretna, NE 68028-0778
000182002000182002000001830
Architecture
Structural
Geotechnical
Job No. 155450
November 11, 2016
Bill Ward
35640 WCR 43
Eaton, CO 80615
Attn: Bill Ward
Re: OWTS Evaluation
35640 WCR 43
Weld County, Colorado
Dear Bill:
RMG
ROCKY MOUNTAIN GROUP
Materials Testing
Forensic
Civil/Planning
RMG — Rocky Mountain Group has completed the evaluation of the existing Onsite Wastewater
Treatment System (OWTS) for use with 3 part time employees.
The initial installed records from Weld County Department of Public Health and Environment
for G19790090 show the septic tank to be 1250 gallons and the absorption bed to be 1080 square
feet. A repair permit was obtained in 1995 under permit number G-950008 showing the 1250
gallon two compartment tank with an absorption bed containing 1272 square feet. See attached
reports.
RMG evaluated the house as a four bedroom house and included 3 day workers as full time
employees. The workers are proposed to be part time. The daily flow was determined to be 570
gallons per day using the current code. The on -site soil Long Term Absorption Rate (LTAR) of
0.80 was used for the sand consisting of a percolation rate of 6.1 minutes per inch as shown on
the Weld County records. This would require a septic tank with a 1250 gallon capacity and 855
square feet of rock and pipe absorption bed. See attached calculations.
Please note both the size of the septic tank and the absorption field are over sized for the
proposed use. Therefore, this system is capable of handling the proposed use.
Southern Office:
Colorado Springs, CO 80918
719.548.0600
Central Office:
Englewood, CO 80112
303,688.9475
Northern Office:
Evans, CO 80620
970.330.1071
www.rmeenelneers.com
Monument: 719.488.2145
Woodland Park: 719.687.6077
Erbil/Kurdistan Iraq: 0750 192 99 44
35640 WCR 43
Weld County, Colorado
I hope this provides the information you have requested. Should you have questions, please feel
free to contact our office.
Cordially,
Thomas M. Cope, P.E.
Sr. Geotechnical Engineer
I�Qi' Mountain Group
2
Job No. 155450
1601 37th ST. • EVANS, COLORADO 80620 • 970-330-1071 • FAX 970-330-1252
PROPOSED ESTIMATED CALCULATIONS
ON -SITE WASTEWATER TREATMENT SYSTEM DESIGN FLOW
35640 WCR 43
4 Bedroom house = 525 gpd
3 day workers = 3 x 15 = 45 gpd
Total
570 gpd
Table 30-6-1
Table 30-6-2
SEPTIC TANKS
48 hour detention = 1140 gallons
INSTALLED: 1250 Gallon Tank OK
ABSORPTION BED
Soil Treatment Area (STA) Required = Design Flow (gpd) Soil Type = 1
LTAR (gpd/sf) LTAR=0.8
Table 30-10-1
= 570
0.80
Required Area = 712.5 sq. ft.
Gravity - Bed x 1.2 Table 30-10-2
Adjusted Required Area Trench with Chambers
INSTALLED
= 855 sq. ft.
= 1272 sq. ft. OK
Scanning Cover Sheet
for
Septic Permits
Permit #
Permit Type:
G19790090.
Health / EHS History / EHS Conversion History
Situs Street Address 35640 CR 43
Situs City, State, Zip
Sec/Town/Range: 03 -06N -65W
Parcel # (12 digits)
080303200001-R1365802
Owner Full Name: • GILBAUGH IVAN
Owner Address: 1312 9TH. AVE
GREELEY,CO 80631
Contact Name:
Contact Address:
Application Status: Finaled
Application Date: 03/11/1996
' Owner Phone #: 303 3527037
Contact Phone#
Information above has been Verified in Accela by employee noted below
January 23, 2009
Processed by:
Date
Report ID: EHS00024v003 Page 1 of 1
Print Date -Time: 1/23/2009 2:42:46PM
L
of
•
WELD COUNTY HEALTH DEPARTMENT
1516 Hospital Road
Greeley, Colorado
PH. 353-O540
Permit N. 90-7g
Application for permit to install, construct,.an Individual Sewage Disposal
System.
Owner r(i'cl 1 t'71 /,hra O(iA Address/3/a -61Jde/C• y
Directions to site: Hwy -1 Rd. N mi, E mi, S ml,'W mi
3 ( AO ak f 3
Legal Description: Ptn. Neti,Vd Sec. ;9 ,T lrt N, R 1 W, Sub.
Lot Elk
[General Information
No. Bedrooms 4( No. Persons 6
No. Baths .'f2. Basement Plumbing A/o
Size of Lot r7- PTeS
H2O supply (If 'Well give depth) A/,still Weld
New Home Mobile Home Modular_ Add'n
Type of sewage disposal requested: � 1Y1 f/e ffif?
Septic tank/".' Privy Other `
De t. Use Oni
Perc rate (avg, of 3
Soil Type alik,
H2O Table Depth _jp"
Lot Grade .r.„307#
Engineer Design Yes . Na
If YES -reason:
Comments:
( \
This is to certify that the system is NOT within 400 ft. of a public seRaertr- ti•-.,,•
- installation instructions: Minimum Requirements) 1
Septic Tank 1256 Gals. Absorption Trenches War V Sq. Pt.
Other or
Special Instructions Seepage Bed % 0 6 0 Sq. Ft.
Syria**. ria**. 0%44 4 ' fad wf' ful441 I _.
This system will be constructed ind instal3_ed in accordance with the above specifications
and regulations regarding individual sewage disposal systems in Weld County, Colorado.
This permit shall expire at the same time as the building permit, or, if no building permit
is issued, the permit shall expire 120 days after its issuance._if constructi9n has not
been commenced. L1
r
Date:
{-
J
Applicant:
The plena and specifications as shown are approved pending payme em of it fee.
Date: 4- i
Sanitarian:i_
The above system inspe tad and found to comply with plan and d -s r pti.n�
Systems Contractor. Date: —'
Engineer Review:
(Date)
I't•rmtt Fee:
Received by.:'
J
Sanitarian:
(Signature)
r, r
Date: // ,•{,' , f , /r2'/ /
/
+ y y
1 U6
SEW 6E :tf !:.t:'t.=sir'1L., SYSTEM FERKI'i' Vi1 ^'a--Y.'300oB
WELD COUNTY HE rL.'1H DEPARTMENT
EN.:'xr-fOrNMENTY i_.. HEAT.:TH SERVICES
X. _, ,..,.,F :. #n•�J.r :ie:;'i'!•d �'-rvi=;�li-l�� �:�.�C?r.� "s!'il::i�'C_ .`Y�,, COt:.`i� .��}�'�'ti�353-0635 EXT=25
kEPAIR PERMI
L'WNER HOWL=,, r ANDA1.-#,-. R. 1DI REBs 640 WCR 43 PH 003) 4:'4—.2s t:()
,,ADDRES2 oF I'''F Or sED 4,wYSVEN 35640 NCR 43
.1,•F t3A TES( 1.1iF; 'i[::3N (.) SITEN • iti N tt SEC N TNF 6 Haar. 6
1 D V C' Yr LOT 0 RLor.K 0 FILING f. )
:�C�d.7xl.i r :1:,SIL.i:riti�
• i_ i-T6 - TYpF=u RESIDENTIAL HOUSE::
E R.BATHROOMS OT SIZE = 0 } r
Ehi',�IC.",r r` F''E SCJ1�a�r ! .�h`t�s. `� Y3C:FiI:
BEDROOMS 4 BASEMENT PLUMBING NO WATER SUF'RL.Y. Nwr;;Wn
Appi.-It`.(1" 100..' FEE $ 54C).O0
RE :';. BY CHPD YOUNG
DATE. 0:014/95
SIGNED). Irf E`INEHAWF
.r,-,
r: rV 01/11/95
F= EF coL! TIoN RATE ti .1 MIN PER INCH LIMITING ZONE B FEET
E-i
SOIL TYPE=: SUITABLE PERCENT GROUND SLOPE t:}% DIRECTION
N
'HEOC!IkES E.NIMNEEN D.€"';G1G I• NO IN 100 YEAR FLOOD F I.r N ZONE NO
THE . f - +'d I v "�� r';+.._'.f', J r•'rd JD THE ON —SITE ;-�C1i L I-' E,_I:,sr�l.li. ( I U tN
rr,�rryl ti r•,�: r��F:�1=�.1�,,,'�'r�:ic_r!'�.: _�r;!���,-,'c�
THE FOL_L_bWI'I f(�.F 7'{'_lr�!].MUM ..',NS I ( L.LAr T IOl.{ t F=•!<:CI;-:Et1A `• IONS ME RECAJI EDL.
1:: EPTIC TAW' stir; 1250 G LL,.UNS AFssURPT'1. ON TRENCH 5B SO. f
s
f"l R
AB soHF T:r:r 1N ]Y :D 760 SO.• F „s .
' i i Rbz?r rr.oN, ,"!-HM PERMIT IS SUBJECT {.r,_f THE FOLLOWING NG ADDITIONAL TERMS AND
co!Nn.I1TIOW
THIS PERMIT. T $ '" a t 'l W CO IS. -'R 1 IoN! TO v" 4= `
'tii�l I GRANTED �CE='111='Clr;.{};.rl._y -{�' ALLOW. i�:.•>'s -il,C''T....]r : � i_;CJIYf'1 _I'6C{:TH:Is pERr`r::T
NAY SE a �rBY " WELD COUNTY s'r 'F`iL_Tk DEPARTMENT FOR REASONS SET
! ri1Y REVOKED cm SUSPENDED 'r: E THE
i nI:(-;"!„1 iii THE WELD "oc:11.1N y1' INDIVIDUAL. SEHA€ E D SPDE(a!-_ SYSTEM REGULATIONS INCLUDING
r iILuRE To i1EE1 ANY TERM OR CONDITION IMPOSED THEREON DURING 'r EMF'E`RARY OR F''INAL.
,'DEPARTMENT
E 'kiiV'lr,..� THf. ISSUANCE E OF ' HIS PERMIT DOES NOT- CONSTITUTE ASSUMPTION BY THE
DEI, A l rr fEN'r 1.`r a t ::s a APL ,� "S+ R S•' �.. ;f OF THE
�� �' ', 's ." �'"'°'-'_SJYEE::�� OP L_'fFs ?Ii_J:"1 s FOR THE FAILURE .1F�, .T#'+rf�13i_:i�i#_1�1(_';rsi�
SENA3!', DmpOSAL SY;_FTE!'4.
WIels1'! ];i; JCaJ:s!a 0i,;!3/95
{ Nv'wr o N ENTPL. sPECIALIT.J
..I.�,� Y IS NUT TRANSFERABLE A � ,y SHA I,;1EODM VEID Ir•' SYS'r Em :CJf�.!!::''_JL CT r° N HAS
-1.#.�s PERMIT ,� : �r�" AND �..,�... ...-.: f' . {_
NoT CCi1"IMENCE:D- NiI\I ONE: YEAR OF ITS IssLJANCE:. g:rE-,,ORE'. IN:ss".1'.€i>.rs t:Iis.it?i_. APPROVAL L:iF_
THIS P'ERI„1IT THE WELD COUNTY HEALTH IDr P•Ar-;•'•r•- EN_}.. RESERVES THE RIGHT To IMPOSE
, .. NDITI -, t , - MEET .., 1 t R :Bi • r.,t.1 S ON A �.r ,Yn
TERMS AND �.r.";-1;.,s s l[_t#'v;~e f�.�-r�:LAIY:;;t.I7 � (.�,>.. F�' �t:.s_.t i:..r-, J.t:�i�l�! r_a J CONTINUING � r',--•
•E FINAL. n .E�.WUT APPROVAL C CONTINGENT ,.,.� Ty..r� FI\ Y F':' "I t F t- _,.,r
;:�i.;'Y, ;�..,�10-til_. €-�.'._ ,I „� k , !. 1:.:i s..14 T,.� ,..Ir='f.sl}. THE lr.:_ FINAL I #F�.t.,. 1;1�rs-t cL;_s �$. Ai,... THE s,..s_.•.2_..
,. T HE COUNTY L,+ E.. -,'
�,,1 Y p SYSTEM r::: SY 7 WELD •._T�._r_JP#•i i' :�^:6 i._.!.• :)�!-��4F� s I it -;ti': .
SYSTEM EF:NC:3'FAir;'_ 5' fKF.;:;,,UDyA'_.
�' ' E OF SYSTEM INSTALLED E:NVIF`: NMIENTAL c F'EE:E•€..IE T
THE ]:SE3MA:rte: CF ITEM rERNIT DOES tiC-.T. I,Yc COMPLIANCE wi"r'H 0 HE'=; STATq, COUNTY
OR ,__r:1CYAI_ REGULATORY 0tH 'SL IL...OING !: E'.-r:'a:sE:::r lt' N' ;:i,, NOR s' - ALL X' A:_.. 77J N,R7IrY rt.ttj
. a_ - . r..,..,. Cj WILL . i J.L I U "�Y C r E E—
TE i t, i••'\i AND
:.�ltl��s,.ls':i_.1�• {:i��_. r r:.."i G.a_..x._ #_)F''�::�i�� .E. �_: ;..r:1���s� �...If t11�',;!_:: ,d .. s•*r". .._:#:a_.r-�Lil_..., _. rl s r•.« ,..:JL:r�c r . sh.:..`
{ .( -1, - :.} F 'B`1- N -T APr.C _ w -+ _'r.'I-.._.I�' ..:}L� .,.i. .�._ .F.'. �.Y f,•rrry' .7I....,
i._r i('�:.- 1-�#_. �lis'L..r--'- I-,�_ 14,"._ f..�}�.3 rr._ •r,. Jx� . _ .-s Y.41..L-. .- s
ENE ,T r07.: THE r2lJ'ri:'-"".'a : ; :+ 1- 'I (C F1!-.IE-:'i: \ f u jr' _ Al' ,,....I J.! f._I.;..
IS,••`f I ENEE OF -,CA O 'C tst ,.„ PER
,,.r ,r-! t -.-� ,yr.• r', ,M
�ns_,C••..0 r- t-- L.'t_. L ,_(' � 1••. fir,. / rf.:�;fv1.:.. 'l_1r, ..,.,,,. 1 ., ,.. ..... ,._ ..,.._ ..,
�I: '.•r t,1 X? _ ..} "•I, /a,.,{'r': fJtr�ti'• 61_ .v
ff
o
d Lottl
,
Zit Yq3 B4O1 Iz7i 1
S .I.t O. SYSTEM
a }{_ :r NO .,C l5O'.1OE}
INDIVIDUAL �il_::�ri=i�I::= DISPOSAL 3s?�!._ ;7YLa �#�hs F ..:F'�:I'�la.]'" . If,. �'
OWNER Ht".)1 l :•9 1:tif• NkDAL_L_, R.
WELD OOLINTHEALTH DEPARTMENT
ENVIRONMENTAL HEAL] H SERVICES
1717 !.6TH AVENUE COUR , L7REE-L..EY CO 130631
1
. 5ter--i 6^"5 ExT.2225
,.. .25
R''T&E'AIl'i: F'E•- FCI II -1.
ADDRESS ..::640 WOR 4: PH (03) 454-2960
60
EATON CO S0615
ADDRESS S OF PROPOSED SYSTEM 35640 w. R 43
EATON CO BC061
Lac IL .ipg::RIPT' TON OF SITE.: NW4• SEC 'r T WP 6 I=CI\IO 65
r: IJi«'�I?]`VI JrE=:N^ LOT 0 EL O 1< 0 FILING 0
1_ISF: TYPE . RESIDENTIAL HOUSE
S IS 6 BATHROOMS 12:5 LOT SIZE O0 ACRES
SrFlV1:1=:L=;�� PERSONS '•:
BEDROOMS fry, BASEMENT PLUMBING NO WATER SUPPLY NWCWD
c 'F• LI ATToJ'd'•. FF F $240,00
Fl ₹ p, BY C;F4Ab YOUNG
DATE 01,111/ 95
SIGNED BY B1JCK<: RINE_E••IAR"1
DATE 01/11/(<<Ti .
a_
PE CJIL rIC3N FATE'.:. Lai/IL MIN PER INCH LIMITING ZONE ).10_, FEET
tOI:L TYPE czi,ajtGcw Ask_ ' PERCENT GROUND SLOPE Atii... DIRECTION __ ,
V;E()L.IRE' 3 ENLIlwai'.:ICFR 1.71..SION IN 100 YEAR FLOOD PLAIN ZONE ..4_....
FROM THE APPOCATION INFORMATION SUPPLIED ANL THE ON -SITE SOIL. PERCOLATION ION DATA
f!'IL FVL.L.OWTNc rammLIh1 INST'AL...L_.AT"TLN b'J 1IF=:ECATIONS ARE REnums,llr,
S'_F"TID TANK .i2Sc E 1..LONSt ABSORPTION TRENCH 5:940 _ SO. FT„
ABSORPTION BED 7j.FxO_ :On FT.
DI. ADDITION, THIS
,PERMIT
.,, .. ? )131.:T2_ :.� r_ , TO -_. � r-I�t_ f FOLLOWING_44[. C �`� ADDITIONAL.
E. -TERMS AND
THIS F'ER . {.. is GRANTED r TED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE.. THIS PERMIT
� E...� r _,.. ,1 I.C . ,.... ,.sf�rlFwF s ..,.�.,
MAY EE REVOKED OR SUSPENDED s'' • i-11=_ WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET
FORTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPO='sAL.. SYSTEM REGULATIONS INCLUDING
FAA:LI E TO MEET ANY TERM OR CONDITION :1-IPOSED THEREON DURING TEMPORARY OR FINAL
APPROVAL..-. THE ISSUANCE OF THIS F'aRMI.T DOES NOT CONSTITUTE ASSUMPTION BY THE
O ITS EMPLOYEES -.S ;,_-�- {B IT 1'F T FAILURE O .. D ..1' J Y I
DEPARTMENT . F4 .L . s E- �'�F':...i._ ' �; E:: � ,_.lr- �.,. _.. � FOR H. . I••; 11f9� L:.. -t' I••iL S i�!� THE
SEIJF)C E !=a'f{'Y{'f:Y{,1{.. stir`STF_4'i
lo' 4ti E t ., :E •i:INr• ,- NTAL SPECIALIST DATE:
r
THIS PERMIT IS NOT' TRANSFERABLE AND SHA1. L. BECOME vOID IF SYSTEM CONSTRUM ION HAS
NoT COMMENCED WITHIN ONE YEAR OF 'ITS ISSOANCT,:. BEFORE ISSUING FINAL APPROVAL OF
THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI-
TIONAL TERMS AND CONDITIONS REOUIRED T3 MEET OM REGULATIONS ON A CONYINOING BA-
SIS. FINAL PERmIT APPROVAL. I.':, CONTINGENT UPON THE FINAL. INSPECTION OF THE COM-
PLETED SYSTEM DV THE WELD CCUNT'v HEALTH DEPARTMENT.
""'#R:E3II\IAL_--((::r c. :r'" ...,.. ';'.. rroJCL_') 'v'>C...`..'-- i;H ...IL.j'..,'. i.771w.'•,
Tll"' ''.,..',...,, 1( b FOR I :. I I.. LJc•• S.. SEWAGE DISPOSAL YS T iEM NO. G -950005
WELD COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL. HEALTH SEFNICES
1517 Igrid AVENUE COUF0- GRE:EEL_'<:Y, CO 506631
:r :-• •- -r•:
..tip,_ ..�-�{�:a._ I:}�-1'n..-.�.�.
OWNER HOWE, RAN!Dr LI_,. 'r .. ADDRESS 35640 WCR 43 x:'H (30:3 F3: ll..LL,s5,c}43
EATON CO 90eLd5
ADDRESS DRESS OF PROPOSED SYSTEM 35640 WJC:`R 43
EATON CO 80615
LEGAL rye='cif: RIr ..l:n1 i OF Sal'..1..D4 NW4 SEC , r ,
... ,._A '� �, I~.� .. �1 iJt5�' 6 RNG 65
SU DI',1,"s :E'ON: LOT 0 BLOCK 0 FILMS 0
USE TYPE! RE S:l:DENS'1 I! 1... HOUSE
E3E::RV=Ss PERSONS 6 BATHROOMS 2,50 LOT SIZE "f,D FiCFsE$
BEDROOMS 4• BASEMENT PL._uMBlI1(} NO WATER SUPPLY NWCWD
APPLICAf~1"! A N4OWLEDBE=S THAT THE COMPLETENESS OF THIS APPLICATION IS CONDITIONAL
UPON F'Ul=J-i'I-iEl . M NDATURY AND AD DI .ICi1JN_ 'TESTS AND REPORTS AS MAY BE REQUIRED BY 1H[
WELD. COUNTY HEALTH DEPARTMENT TO BE MADE AND F-URNIT :SFW D BY THE APPLICANT. -t:II• BY THE
WELD COUNTY HEALTH DEPARTMENT FOR PURPOSES OF 'THL. EVALUATION OF THE APPL_]:cATI(:JN
AND THE :Cls*;i ANC;i _ OF THE PEW' I T IS 8L.JBti3EOT TO SUCH TERNS AND CONDITIONS AS DEEMED.
NECESSARY TO INSURE COMPLIANCE WITH RULES AND REGULATIONS ADOPTED UNDER - RJ1C.L.E
TITLE 25, CRr. 1/97:, AS AMENDED, THE APPLICAN1:' CERTIFIES THAT THE PROPOSED
SYSTEM WILL. NOT BE LDCATED WITHIN =!•J0 FI::E1 OF A COMMUNITY SEWAGE SYSTErt THE
UNDERSIGNED HE :RL. EA' CERTIFIES THAT ALL STATEMENTS MADE INFORMATION AND -REPORTS '
SUBMITTED HERE W ; H AND REQUIRED . s o BE SUBMITTED BY THE: APPLICANT AF Ey OR WILL BE,
F EPRE SE:1'd"I L_ L} TO ;E_:: '11-3E AND CORRECT TO THE T'il'_;-t'T' OFe. NY h'h(iiJ1.EHEE AND E!E:t.:i•.=:'.",,r AND
ARE DEF3iLu Jt-:D To 142 HI:LI.ED ON BY THE WELD COUNTY HEALTH DT:PAFCiiA t=I IN E Vf1t_IJA'I i,Jc
THE 18AMC ITUR PURPOSES OF' ISSUING THE PETIT APPLIED FOR HERE_ I.N. I O JRTHE:'F UNDER—
STAND TF-IAT ANY FALSIFICATION ICA'T'ION OR MISRzEI REI8EN?AI1ON MAY RESULT IN THE DENIAL OF THE
APPLICATION OR REVOCATION Dr ANY PEMIT i.t r Cis:: Alk TED BASED U,C7ON 8A1D AF" PLIC{•'iTION AND
IN LEGAL ACTION FOR PE RJURy AS PROVIDED BY LAW.
1 AF'PL.,:i.C r ION FEE ;24 „0C;
HAD DATE i::(0../1,U95
../1, ..'�,UDATE
'II�t<.7 O.11l'.IE /AGi NT SIE:R.k101L __..,..__.......
VELD CIUNTY HEALTH DEPARTMENT ENVIRONMENTAL PROTECTION SERVICES
SITE EVALUATION OWNER: K).4...1-DpfuL
APPLICATION NO.: G, S'S x 8 SITE: _35(vc(D u'7 .,ra. PT fdLOYu S 3 --- Tom_ R (r�S
DATE: I - i:�j-45 SUBDIVISION: �+ I LT BLK_ FLG ep-
PERCOLATION TEST DATA: Start Time; 3soc
Hole
No.
Hole
Depth
H2o
-
min.
min.
'sue
min.
min.
-min,
min,
min.
It3
Nits
4fha
Mrxa
C
r~_.3 1-a
a 3t no
2
r
” s
-
,
}5
-3H 5
5 sc.
So
(15
$,
a •
A
5,{p
3
0e�
30
04
kSr
�14�c�
[�Z+T7
t.pao
3�-a
-110
Ind
R
zi 6[ -:
111211110Pill
ME
5
IIIIIII
3
4S
Lto
�MI
�
tioQS
fit' » piii
NNE
FIN
All measurements in .mm unless otherwise indicated.
* - Add H2O
Environmental Specialist.
PLOT PLAN
a
min.
min.
min.
THEE
tam, cif
Total
Average Rate
SOIL PROFILE
Lrk+b {LT1Cow
Hello