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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20151543.tiff
Directors: District Manager Bill Szmyd,President James C Hibbard Bob Acker 835 E Highway 56 Larry Brandt — Berthoud,CO 80513 Peter Bridgman Paul Bukowski P 970.532.2096 Kathy Gallivan-Grist Little Thompson Water District F970.532-3734 w Ed Martens ww.L IW Il.org April 9, 2015 Chris Friede 6943 WCR 56 Johnstown, CO Dear Chris: This letter is in response to your request for a commitment for water service for the proposed use by special review, located at 6946 WCR 56, Johnstown CO. The District provides water service within its service area as defined by the District. The provision of water service by extension of existing water lines of the District to the above property and the installation of taps for lots is done under the terms of the Rules and Regulations of the District established by the Board of the District from time to time. You may obtain a copy of the Rules and Regulations from the District. This letter outlines the provisions of the Rules and Regulations; however this letter does not change any provisions of the Rules and Regulations. The Board of the District may alter and amend the Rules and Regulations at any time, and the provisions of this letter are subject to alteration and amendment based on changes in the Rules and Regulations of the District. We currently serve the existing residence through tap # 447 and have a 6" diameter water line located along the lane off of WCR 56. We will continue to provide service to the above property and for the proposed use by special review subject to the rules and regulations of the District. YOU ARE HEREBY ADVISED THAT THE RULES, REGULATIONS AND TARIFFS OF THE DISTRICT ARE SUBJECT TO CHANGE WITHOUT NOTICE; AND THIS LETTER IS ISSUED WITH THE SPECIFIC LIMITATION THAT THE DISTRICT MAY CHANGE THE RULES, REGULATIONS AND TARIFFS APPLICABLE TO THE ABOVE PROPERTY AT ANY TIME WITHOUT NOTICE TO YOU OR ANY PERSON. If you have questions, please contact me. Regards, Michael T. Cook PE District Engineer Sewage disposal information to include: Include in application how sewage disposal will be accommodated. If a septic system is being used provide Septic permit number: SE-0800059. Septic is sized for 3 bedrooms. If number of people utilizing system exceeds design capacity an engineer review of the septic system is required or a new septic system can be installed. An engineered designed septic system is required for a commercial business. Additionally, the commercial system will need to be approved by the Board of Health. A Statement of Existing is required for unpermitted systems. If constructing a new septic put "proposed septic" in application. Septic Permits for the site may be obtained through the Weld County Property Information Portal or by contacting the Weld County Environmental Health Department. The following link contains information regarding septic systems and permitting requirements: http://www.co.weld.co.us/Departments/HealthEnvironment/EnvironmentalHealth/SepticSystems/index.h tml The Septic system will be resized and a new larger tank installed and any other requirements will be made so that it meets current code Weld County Environmental Health Services Department rstl 1555 N. 17th Avenue Greeley, ) 80631 Phone: ((970) 304-6415 Fax: (970) 304-6411 1 www.co.weld.co.us C. COLORADO Statement of Existing Septic Permit Application Number: SE-0800059 Status: Recorded App Type: Health\Residential\Statement of Existing\na Applied: 09/15/2008 Applicant Name: JOLENE RAE SCHWALM Is ue : 6943 CR 56 JOHNSTOWN, CO 80534 Owner Name: SCHWALM JOLENE R & Parcel#: 095718000038-R0250893 Legal Desc: PT SE4 18-5-67 LOT B REC EXEMPT RE-1449(.62R2.27D) 6943 56 CR WELD 00000 Site Address: 6943 CR 56 WELD, CO 80537 • Additional Info: Work Description: HOUSE App Specific Info: • 1/2 Bathrooms 0 3/4 Bathrooms 0 Absorption Bed Size NONE Absorption Trench Size 69 ACRES Basement Plumbing No Full Bathrooms 1 Location Description HOUSE Number of Bedrooms 3 Number of Persons 1 Private Water Supply Public Water Supply Yes Septic Tank Size 500 Tank Material CONCRETE Year Installed 1960 NOTICE The property owner/agent has certified by Notary Seal that the above described septic system is in fact installed as described,and exits at this time on the parcel identified above by the parcel number and/or legal description,and further states that the system IS I IS NOT in good working order and to the best of his/her knowledge IS IIS NOT failing to function properly. The property Dealer/agent further understands that any falsification or misrepresentation may result in the revocation of any permit granted based upon this information hereby submitted and inlegal action for perjury as provided by law. The Statement of Existing Record relies on information the property owner or his/her representative provides,under oath,indicating current status of the system and representing to the best of his/her knowledge that the sytem IS f IS NOT failing to function properly.Issuance of the Statement of Existing Permit for any system does not constitute assumption that the site was evaluated or inspected during any phase of construction by this Department to meet regulations. X et./5 •o$ Envir nm ntal Health Specialist Date WELD COUNTY DEPARTMENT OF PUBLIC SOE# Q %O%35 ;✓ I tir,' HEALTH AND ENVIRONMENT ORG PERMIT# n V 1555 N.17r"AVENUE REPAIR # GREELEY, COLORADO 80631 LOAN# VilDe PHONE: (970) 304-6415 ISDS# FAX: (970)304-6411 COLORADO STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) PARCEL NO. 0951- /8 -O- 00-O27 PROPERTY OWNER.7V C#E Q. SCNn/.Zrm/ocu/E S &a) PHONE NO. (97O) 587-2.268 MAILING ADDRESS o9'`/'2 tnwao CO' EO 56 J WSmw.V Co 8os.3s/ City State Zip DESCRIPTION OF BUILDING(ex. house, mobile/modular home,shop, office) {/otiSE SITE/LOCATION ADDRESS 6ys'3 ` Jae C"O. R0, 56 S3NtiSrot t/ !'O BOSSV City State Zip LEGAL DESCRIPTION PT SF /q PT SECTION /8 TOWNSHIP _ RANGE (o SUBDIVISION - LOT BLOCK FILING CENCUS TRACT LOT SIZE/ACRES 697 acfecs COMMERCIAL YES/C.) RESIDENTIAL YE NO NUMBER OF PERSONS / BASEMENT PLUMBING YES 1O O BEDROOMS, 3 BATHROOMS- FULL / 3/4 1/2 O WATER SUPPLY-PUBLIC /NO NAME L.r1T7-S 71/aM,ola) LWJATE2 067/2/0-. PRIVATE YE WELL YES/0( CISTERN YES/0 WELL/CISTERN# SYSTEM SIZE: Septic tank material is constructed of CoA/CFETt and has 600 gallons wacky. FIELD: Trench r ACRES h square-tutor Bed 04 ' square feet YEAR INSTALLED II 60 You 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 d exists at this time on the parcel of ground identified by the abov= egal description and further states that the system is/s not in good working order and to the best of his/her knowled s not failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted in legal act f rju as provided by law. Cm//5V&S 'C 0644)x, DATE NEER _ Subscribed and sworn to before me this ilk` day of ° ern.te .. , 20 C, By 3u l l?trtP Ie c-tn Ll9fA l/L . Witness my/hand and official seal, y co mission expir O�f�r �( Z " - O9//s1? y0 DATE TAT STATEMENT OF EXISTING REVIEWED BY NVD4ONMENTAL HEALTH SPECIALIST yOUSE 5 31 Ft id "II4JK l SithosE Fr Tavr( '1 /*Pelf. 5°SLOPE — — • �i- V 4.•; v./,•IpT}l OF P I_tLA (5 A/Of "PPL 1 CASLE AS IT /Z&%l/tt ill ,iaas . Slim'g§anitatlon Inc. P Box x3846$ ' • as.y,CO 84833 870)184951 303)W-1700 YIo tsitr ssLlkatIon.canf CQ WORK.ORDER (� Customer#3 a.0- O Work Order# 35 02 Bill To:- - Date Ordered: JUl>!l1� 1��/(n1 Ordered By: (Ai li'lf ti Terms: C O D ( rrmb r U)�(S3'l P O Number: - Phone Number. ((7t)) (Sri 1 Z( K Time In: Cam— Time Out f ^• Travel Time: Tank#I - I( Tank Address: C(p)11011r c ` cps, t"l, f t'l Welt It Route: 5'4, / h'1ti - thus( 2nif h h' lfiw4g4¢ Gallons: So° Disposal Site: rill-- Phone Number. ( )_ Lam_ Instructions: - Service(s) Ordered: Performed By.Amount _�/ [ Trap ///'''// (j / v [ ptic Tank J�c7`[t,! t� I l [1 Bean Vat \}L{�� j v [) Lift Sation [1 (1 • El(4 c oForce f f [)Senior Disct Total Due ( / '7 v G Job Description and Remarks: • • • Cash Checlif)- 5 C.C.# .. .. _ Ex Make Checks Payable to Slim's Sanitation, Inc. • 7, .� 1; //a /� 17CAi,/(.1, lilirr 5 re- Satisfied Completion of Job • Please Print Name Here All lobs done are COD...We are no longer accepting charge accountsll I Charges must be cleared through the office firstll I O DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N 17TH AVE • GREELEY, CO 80631 WEBSITE: www.co.weld.co.us IDADMINlSTRftTION (970) 304-6410 FAX(970) 304-6412 O PUBLIC HEALTH EDUCATION AND NURSING (970) 3046420 FAX(970) 304-6416 ENVIRONMENTAL HEALTH SERVICES (970) 304-6415 COLORADO FAX (970) 3046411 September 22,2008 • Jolene R. Schwalm and Diane S. Reid . 6943 County Road 56 Johnstown,Colorado 80534 • • RE: Jolene R. Schwalm and Diane S. Reid ISDS No.: 0800050 Permit No.: SE-0800059 On September 18,2008,an evaluation of the existing individual septic disposal system at: 6943 County Road 56,Johnstown, Colorado; Section 18,Township 05 North,Range 67 West, • was conducted by Stephen J. Wiatrowski, an Environmental Health Specialist of this department. This evaluation is based on a final treatment capacity for a 3 bedroom residence. The system is not constructed in accordance with current regulations,as the tank is undersized by 500 ' gallons. Because the system was installed prior to the adoption of statewide guidelines.by the Colorado Board of Health, the County considers this system to be"grandfathered"and will not require that the system'be brought into compliance with current regulations so long as the system functions in accordance with current Regulations. The Department recommends that the tank size be increased by 500 gallons. Please be advised that should you decide to repair your system a permit is required from this Department prior to any alterations to the system. Based on all available data the field is undersized by an estimated 61 percent.Because the system was installed prior to the adoption of statewide guidelines by the Colorado Board of Health,the County considers this system to be"grandfatbered"and will not require that the system be lirought into compliance with current regulations.The Department recommends that the absorption field be brought into compliance with current Regulations. Please be advised that should you decide to repair your system,a repair permit must be obtained and a site evaluation must be conducted prior to any alterations to the system. Be advised, neither the County of Weld nor any of its agents or employees undertake or assume any • ` liability to the owner of the above property, to any purchaser of the above property or to any lending agency making a loan on the above property or in the report. , RE: Jolene R. Schwalm and Diane S. Reid ISDS No.:0800050 September 22, 2008 Page 2 This inspection was conducted for the purpose of determining compliance with current regulations and for detecting health hazards observable at the time of inspection. This does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Evaluations based on Statements of Existing(S.O.E.)relies on information the property owner provides, under oath, indicating current status of the system and representing to the best of his/her knowledge the system is not failing to function properly. If we can be of any further assistance,please contact our office at(970) 304-6415. Sincerely, Stephen J.Wiatrowski Environmental Health Specialist SJW/ms (71 Weld County Environmental Health Services Department 1555 N. 17th Avenue Greeley, CO1 8063 Phone: (( 3970) 304-6431 Fax: (970) 304-6411 Iwww.co.weld.co.us C. COLORADO ISDS Field Inspection Form Application Number: ISDS-0800050 Applied: 09/15/2008 App Type: Health'ResidentialllSDSlna Applicant Name: JOLENE RAE SCHWALM 6943 WCR 56 JOHNSTOWN, CO 80534 Owner Name: SCHWALM JOLENE R& Parcel#: 095718000037-R0250793 Legal Desc: PT SE4 18-5-67 LOT A REC EXEMPT RE-1449(.66R) 27071 15 CR WELD 000000000 Site Address: 6943 CR 58 WELD, CO 80537 Percolation Rate 4o Limiting Zone >8 ft —in Description — % Ground Slope — Direction Soil Suitable(Y/N) Engineering Design Required (Y/N) +S In 100 Year Flood Plain (Y/N) al The septic system identified above-$/ NO •f sufficient size to accomodate the proposed alteration(s) indicated below to the structure(s)served by this system. EMS ISDS Reseach: Absorption Bed Size NONE Absorption Trench Size 68 ACRES Engineering Design No Other Public Water Supply Utility Private Water Supply Private Water Supply Permit Reference Number Public Water Supply Yes Public Water Supply Utility Little Thompson Water Research Comments Septic Permit Recorded No Septic Permit Reference Number SE Septic Search Yes Septic Tank Size 500 Year Installed 1960 ENS ISDS Current Flow: Current Flow 1/2 Bathrooms 0 Current Flow 3/4 Bathrooms 0 Current Flow Basement Plumbing No Current Flow Comments HOUSE Current Flow Description HOUSE Current Flow Full Bathrooms 1 Current Flow Number of Bedrooms 3 Current Flow Number of Persons 1 ‘8*(tig Weld County Environmental Health Services Department 1555 N. 17th Avenue Greeley, CO 80631 Phone: (970) 304-6415 Fax: (970) 304-6411 ' www.co.weld.co.us ill C. COLORADO ISDS Field Inspection Form EHS ISDS Research Changes: Additions 1/2 Bathrooms 0 Additions 3/4 Bathrooms 0 Additions Basement Plumbing Yes Additions Description SUBDIVISION EXEMPTION Additions Full Bathrooms 0 Additions Number of Bedrooms 0 Additions Number of Persons 0 EHS ISDS Proposed Total: Addition Comments SUBDIVISION EXEMPTION Proposed Basement Plumbing Yes Proposed Total 1/2 Bathrooms 0 Proposed Total 3/4 Bathrooms 0 Proposed Total Full Bathrooms 1 1 -app C.,k Proposed Total Number of Bedrooms 3 Proposed Total Number of Persons 1 S-60. .t _ EHS Inspection Corrections: --rr�- 3 Approved Tr t Corrections Comment Field Area Undersized By Field Undersized By Increase Field Area To Tank Construction • Tank Undersized By • The existing septic system is REQUIRED/RECOMMENDED Iodate the proposed alterations to the structure(s) served. NOTICE This pemift is granted temporarily to allow construction to commence.This permit maybe revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in the Weld County Individual Sewage Disposal System Regulations including failure to meet any term or condition imposed theron during temporary or final approval.The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system.This permit is non-transferable and non-refundable.Before issuing final approval of this permit the Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis.Final permit approval is contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. Xe t.•a8 on tal Health Specialist Date i - • • . WELD COUNTY DEPARTMENT OF PUBLIC SOE# if(re ' (I/� HEALTH AND ENVIRONMENT ORG PERMIT# / M�/ 1555 N. 17m AVENUE REPAIR # GREELEY,COLORADO 80631 LOAN# viik PHONE: (970) 3044415 ISDS# FAX: (970)30 304-6411 COLORADO STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) PARCEL NO. O957- /8 - O - LOO- O37 PROPERTY OWNER3 "' R- SCAN/44-in/O/A4- S £E'A0 PHONE NO. (970) S5'1-2-2-E8 MAILING ADDRESS 69"'/3 WELD CO, 'ea 54 ;fott 7EI A/ Co 8053`1 City State Zip DESCRIPTION OF BUILDING(ex. house, mobile/modular home,shop,office) 8005E SITE/LOCATION ADDRESS 6ss'3 \A/EL-0 rv. 21J. 54 _TcNt($TClidAi ('0 sc!53Y City State Zip LEGAL DESCRIPTION PTSE /`/ PT SECTION /6 TOWNSHIP S RANGE �^ 17- SUBDIVISION LOT BLOCK FILING CENCUS TRACT LOT SIZE/ACRES E.:6I gclti COMMERCIAL YES/4vv/ RESIDENTIAL t;Ej)/NO NUMBER OF PERSONS / BASEMENT PLUMBING YES Ka-0 BEDROOMS,3 BATHROOMS- FULL / 3/4 0 - 1/2 (..1' WATER SUPPLY-PUBLIC /NO NAME LIT(-S- 7N`MVSOAJ L 44TE/( D672/G PRIVATE YES WELL YES/e, CISTERN YES//NJ WELL/CISTERN# SYSTEM SIZE: Septic tank material is constructed of CoA/C'PETE and has 50 0 gallons capacity. FIELD: Trench I AC&FS Navy-feet or Bed 11(v1 (2 square feet' YEAR INSTALLED /9&O You 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 lad exists at this time on the parcel of ground identified by the ahoy egal description and further states that the system is/1s not in good working order and to the best of his/her knowled is s not failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted in legal actin f rjury as provided by law. C'//O O€2 7c .: J C ke, 14-G,v DATE 9 NER Subscribed and sworn to before me this I y,' day of ' .Y+'\btI , 20 oq, By c Q k P YAP 2a12-{��a12- IA Ll5e..LI/l,N. Witness my hand and official seal. ,NycoliAmission expir Oq'-I L/- 201 Z_ DATE NOTARY PU STATEMENT OF EXISTING REVIEWED BY v `�I •I S•O$ ENVIRONMENTAL HEALTH SPECIALIST F ti. HoOSE 1 i . . ` s 3icr. 1id { -94.K O • A1 DOSE 31 Fr raw( ---'---------. — — Mb/. 5`5LoPE ' I\ . , . v \ , .. . . • • , I ! .,-, c.`.' } , \ . WP..:: u1 1P7.N of F'ELP5' / or APPL l CARLE s. raft Weld County Environmental Health Services Department 1555 N. 17th Avenue Greeley, CO 80631 Phone: (970) 304-6415 5 Fax: (970)304-6411 "Nip C. COLORADO RECEIPT September 15, 2008 Application Number: ISDS-0800050 App Type: HealthlResidentialllSDSlna Owner Name: SCHWALM JOLENE R & 6943 COUNTY RD 56 JOHNSTOWN, CO 80534 Site Address: 6943 CR 56 WELD, CO 80537 Rcpt# Pmt Type Pmt Method Ref# Pmt Date Amount Cashier Comments EHS-0800409 Paid Check 951 09/15/2008 $ 150.00 SGARCIA Total Payments: $ 150.00 ISDS NO: ©W00093 DATE RECEIVED: RECEIVED BY: FEE: 1:7)r.2 INDIVIDUAL SEWAGE DISPOSAL SYSTEM EVALUATION SITE ADDRESS OR LOCATION: 694/3 WELD cc) E 6 ,70HU, beike, co 5L) PARCEL NO: O957-'/b - 0 - 00 - 035 THIS CAN BE OBTAINED FROM THE ASSESOR'S OFFICE AT (970)353-3845 EXT 3650 OWNER: �TOCEQ.Q, SeWr.JAti1 /P/ASE 5. ,QE/O PHONE: -/�"7O -58C-2265 MAILING ADDRESS: (69e/3 Wei-4 eo 2D. 56 jaiwgzueA0 Qd 80535/ CITY STATE ZIP APPLICANT NAME: fa2ENE R. 3*43AL.'i APPLICANT ADDRESS: y (IF DIFFERENT FROM OWNER)CITY STATE ZIP PHONE(47UI 3�G'7-226€ ALT #: FAX: LEGAL DESCRIPTION: PT:SC 5 PT: fit SEC: /8 TWN: 3 N RNG: 6'7 w SUBDIVISION: LOT: BLK: FLG: WATER SOURCE: L/JT.IE to OPSa') tc247E,P D5TR/0-7 ACRES: 68 ± aeitgo ORIGINAL OWNER OF SEPTIC SYSTEM: CAL-1/MU J 5e4lwAd-el ! PERMIT NO: SOE: YES /NO DESCRIPTION OF STRUCTURE CURRENT FLOW: ADDITIONS: PROPOSED TOTAL: DESCRIPTION: 1 IIJUL-CI �/� Il/ISIOr @ n.,140 �V PERSONS: 7I ` V I. BEDROOMS: J C� BATHROOMS: 3 BASEMENT PLUMBING: M N ) NEITHER THE COUNTY OF WELD NOR ANY OF ITS AGENTS OR EMPLOYEES UNDERTAKE OR ASSUME ANY LIABILITY TO THE OWNER OF THE ABOVE PROPERTY, TO ANY PURCHASER OF THE ABOVE PROPERTY OR TO ANY LENDING AGENCY MAKING A LOAN ON THE ABOVE PROPERTY OR IN THE REPORT.
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