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I)l-lcriplion I'1'Cv lolls Present t(sage Read Code Previous Current
HI' r) 1 ,..I'Iidi, .1006 )UII) 2 Actual 3/20/2015 4/21/2015
PITS ions Balance $16.50
Pa)mcnt Received ($16.50)
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Total Current Charges $16.50
"Total 1)ue $16.50
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WELD COUNTY HEALTH DEPARTMENT
1517 16TH AVENUE COURT, GREELEY, CO 80631
(970) 353-0635 EXT 2225 FAX (970) 356-4966
Finaled
Permit # : SP-9900142 Sec/Twn/Rng: 33 04 66 Status: 16S ED—
Permit Type : KNEW c=commercial, R=residential . NEW, REPair, VauLT
Applied: 03/25/1999
Parcel No : 1057 33 100050 Issued: 03/29/1999
Finaled: 3. 3 . /9 99
Location: 14946 WCR 40 GILCREST CO 33-4-66
Legal Desc : N2NE4 33 4 66 (2 . 73R) SECT, TWN, RNG:33-04-66 PARCE
APPLICANT COUNTY JOEL & JOANNIE Phone : (970) 353-1268
193 45TH AVENUE, GREELEY CO 80631
OWNER COUNTY JOEL & JOANNIE Phone : (970) 737-2494
193 45TH AVENUE, GREELEY CO 80634
SEPT-ENGR HORIZON CONSTRUCTIONS Phone: (970) 330-3778
3310 STATE STREET, EVANS CO 80620
Description: HOUSE
Commercial (Y/N) : N Residential (Y/N) : Y Acres : 3 . 50
Number of Persons : 6 Basement Plumbing (Y/N) : Y
Number of Bedrooms : 5 Bathrooms-> Full : 3 3/4 : 1/2 :
Water Public (Y/N) : Y - Utility Name : CENTRAL WELD
Water Private (Y/N) : Cistern (Y/N) : Well (Y/N) :
Water Permit No :
Percolation Rate: 10 . 7 Limiting Zone : >08 ft 00 in Desc :
. % Ground Slope: Dir: Soil Suitable (Y/N) : Y
Engineer Design Req'd (Y/N) : N In 100 Yr Flood Plain (Y/N) : N
Minimum Installation
Septic Tank : 1500 gal Absorption Trench: 870 sq. ft .
Absorption Bed: 1185 sq. ft .
Actual Installation
Septic Tank : ‘t,5:5O gal Absorption Trench —^'Ia sq. ft .
Absorption Bed: I4 sq. ft .
Design Type : ��otwe7)
➢W Yl NOTICE
The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor
shall it act to certify that the subject system will operate in compliance with applicable state, county and local regulations
adopted persuant to Article 10, Title 25, CRS as amended, except for the purpose of establishing final approval of installed
system for issuance of a local occupancy permit persuant to CRS 1973 25-10-111 (2).
This permit is not transferable. The Weld County Health Department reserves the right to impose additional terms and conditions
required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the
completed system by the Weld County Health Department.
X611\ -SEV\Kjk 40*-ri
Environmental Specialist
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