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Home My WebLink About20150986.tiff i r--- i. k1`a yi J. \:t� i `Oi VT E A COLOR ' ) .��C' � (F YAti DISPOSAL INC. `b' Invoice Date: 06/25/2014 p�', , o P.O.PO BOX 146 :1:‘:1„,,,v G EELEY. COLORADO 80632 Invoice Number: 9584763 (970) 353-4090 Account Number: 138319 www.NorthernColoradoDisposal.com Total to Pay: 24 .00 mytrashguys(raol.com Due Date: 07/15/2014 AMOUNT ENCLOSED 40 DAVID BILL GONZALEZ VISA �n1 DISCOVER TO 24146 WCR 59 KERSEY CO 80644 CHECK # SERVICE 24146 WCR 59 BILLING JUNE, 2014 LOCATION PERIOD KERSEY, CO f°-"TIti,nW gEia°livee,i2r. .°j r . • • '° " lelfl Wl 'AYMENT`KE`E cue o7T1141'_• '!I° ''„° • S!`°l1- - oft SERVICES PROVIDED: THANKS! Balance forwarded 0.00 RESIDENTIAL SERVICE (2 MONTHS) 18.00 POLYCART SERVICE 3.00 Fuel and Landfill Surcharge 3.00 • 06/25/2014, Svc Period = JUNE, 2014 24146 WCR 59 Last Payment, $48. 00, 06/16/2014 138319 Cl Page 1 of 1 This Invoice, $24.00 Total Amount Due 24.00 Current 30 Days 60 Days 90 Days Total 24 .00 0.00 0.00 0.00 24.00 WATER SUPPLY INFORMATION SUMMARY Section 30.28-133,Id), C.R.S. requires that the applicant submit to the County,'Adequate evidence that a water supply that is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED 6 O �7..— 6,704,5 , LL 2. LAND USE ACTION G,t,y ,.t.cK/l 3. NAME OF EXISTING PARCEL AS RECORDED Pi 5LA-i L( 3 G,- 5- cif (,el- y¢ (,U G,.o ._ .,.t tE --t l(Zl•2 t23 SUBDIVISION FILING BLOCK LOT 4. TOTAL ACREAGE 7,3 0 5. NUMBER OF LOTS PROPOSED I PLAT MAP ENCLOSED 046 6. PARCEL HISTORY - Please attach copies of deeds, plats or other evidence or documentation. A. Was parcel recorded with county prior to June 1, 1972? EYES 0 NO � B. Has the parcel ever been part of a division of land action since June 1, 1972? 0 YES 21"...N.17 If yes, describe the previous action 7. LOCATION OF PARCEL - Include a map dehniating the project area and tie to a section corner. 1/4 OF 1/4 SECTION -310 TOWNSHIP ONDS RANGE 6 O E O W PRINCIPAL MERIDIAN: 0 6TH 0 N.M. 0 UTE ❑ COSTILLA 8. PLAT - Location of all wells on property must be plotted and permit numbers provided. Surveyors plat 0 Yes ❑ No If not, scaled hand drawn sketch 21/Yes 0 No 9. ESTIMATED WATER REQUIREMENTS - Gallons per Day or Acn hat per Year 10. WATER SUPPLY SOURCE ❑ EXISTING O DEVELOPED ❑ NEW WELLS - WELLS SPRING PROPOSED AOtIEJ (CHECK Ole HOUSEHOLD USE # I of units GPD AF WELL PERMIT NUMBERS 0 MUM( 0 UPPEa ARAPAHOE ❑UPPER DAWSQI 0 LOWER AIUPAHOE O toga wwaoA 0 COMMERCIAL USE# of S.F. GPD AF a FOX MS MTh ❑DAKOTA ❑OTHER IRRIGATION# of acres GPO AF STOCK WATERING # of head GPD AF O MUNICIPAL ❑ ASSOCIATION WATER COURT DECREE CASE NO.'S OTHER - GPD AF ❑ OMPANY ISTRICT \ TOTAL SCO GPD AF NAME CewV..\N1..4 CoW LETTER OF COMMITMENT FOR SERVICE ❑ YES O NO 11. ENGINEER'S WATER SUPPLY REPORT ❑ YES /NO IF YES, PLEASE FORWARD WITH THIS FORM. lilt may be required before our review b comploledi 12. TYPE OF SEWAGE DISPOSAL SYSTEM ISjy4EPTIC TANKILEACH FIELD 0 CENTRAL SYSTEM - DISTRICT NAME ❑ LAGOON ❑ VAULT• LOCATION SEWAGE HAULED TO O ENGINEERED SYSTEM (Attach a copy of engineering via lgal O OTHER Previous Balance $23.10 Payment Received ($23.10) Water Minimum Charge $16.50 Water Usage Charge $1.65 CBT Surcharge $0.00 Total Current Charges $18.15 Total Due $18.15 Please update a current phone number for our records. CUSTOMER Payments can be made by mail or online at www.cwcwd.com. , Mariano Gonzales Please write account number on all payments and correspondence. Thank you. SERVICE ADDRESS 24146 County Rd 59 Water ACCOUNT NUMBER BILLING DATE Consumption 001297-01 09/01/14 7 6 AMOUNT DUE DUE DATE 5 III $18.15 09/10/14 3 BILLING PERIOD 1 From08/01/14 to 09/01/14 = 31 Days 0 ' CENTRAL WELD COUNTY WATER DISTRICT ASONDJFMAMJJ A 2235 2nd Avenue Greeley,CO 80631 970-352-1284 &- f FISP':I.i) ,P •. INDIVIDUAL SEWAGE DI:SPOSSAL. SYSTEM PERMIT NC: . 0-68909"5 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT EN'•J:[RONMENTAI... HEALTH SERVICES 15:1.7 16TH AVENUE COURT, GRCEELEY,. CO 80631. 353-0635 EXT.2225 OWNER HOOD„ FRONDA ADDRESS :38:15 WEST 7TH I 1.•1..1 (303) 35<2....'7331 GREELEY CO 80634 ADDRESS OF FI4A:'oslEo SYSTEM 24146 WC R' 59 Klii 'iSEEY CO 80614 I...lii:(GAl... T)i:: ;(:;it:I:F'T:C.c)l'i (:IF:' 3:I: i i:::: SW<:F SEC ;:i6 7WR i FtI'ICr) 64 SUBDIVISION:: LOT 0 BLOCK 0 FILING 0 USE TYPE:: RESIDENTIAL.I DE:NT':I:AL. (:1R(:, OW 11C'iF.l . Cii:::•J:tI...L..I:i:/I... EiSk:T4...' R' SERVICES:: PERSONS 2 BATHROOMS :L.00 LOT SIZE 7.30 ACRES BEDROOMS 2 BASEMENT F'l...ul'1[it:I:N(:) YES WATER SUPPLY CWCWD APPLICATION FE? E. $0.00 REC—D BY JUDY SC::i1l'I::X)T SIGNED Xi<Y ORVILLE HOFF DATE;: 09/07/88 DATE:: 09/07/85 PERCOLATION RATE :[C,•0 M:CN 1: 1:::1:;: :I:I'tC:I-I LIMITING' ZONE 0 FEET S(:1:1:1... T'YP'E.:: SUITABLE: PERCENT GROUND SL..ciii::' 0% DIRECTION REOU:1:RES ENGINEER DESIGN NO FROM (FII::: ,AiPP1...I:(::ATT:OH INFORMATION SUPPLIED AND THE ON-SITE SGi,1.l... F'E::Fzc:ri1...AI-[riPl DATA -'r1-Ii::: 'FCIL1...(JW:I:N(:i MINIMUM :l:ii :;TAI...LAvTION SPECIFICATIONS ARE:: REQUIRED:: SEPTIC "CANT<, 1000 GAL.1._OPIS, ABSORPTION T'FtIENC.::1-I :1.8'7 SO. FT.. C)Ft ABSORPTION BED .SO. FT. :iii ADDITION, THIS PERMIT :[3 SL.I[i4:cE:c;. 'r(:1 THE FOLLOWING ADDITIONAL. TERMS AND THIS PERMIT IS GRANTED TEMPORARILY it iAl .L(:1W CONSTRUCTION 'f(:1 COMMENCE. T1-1:1:S PERMIT MAY ):<Ei: REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SI::i FORTH IN THE: WELD COUNTY :I:iID:I:V:I:DUAI... SEWAGE.: D:1:SPOSAI... SYSTEM REGULATIONS IPIC1._L.JDIN FAILURE TO rir:Iii:i ANY Ti::F:I'I OR CONDITION IMPOSED "riIIERE:x:ON DURING TEMPORARY OR FINAL APPROVAL. 'rilE: ISSUANCE: O1-' THIS P'li::l'R:M:cl DOES NOT CONSTITUTE ASSUMPTION BY THE: DEPARTMENT i ll (31'': ITS EMPLOYEES (:II" LIABILITY FOR THE FAILURE OR :I:I AOI:::HUA(:;Y (:ii THE SSSEii:WJ(;c;i:: [):I:SiiI::c3IAd... SYSTEM. X STAFF 09/07/08 Iii:l.IV:1:Fi(:11*IPIE::NTAL.. SPECIALIST DAii:i: HIS PERMIT IS NOT TRANSFERABLE: AND SHAI._I... D[:COVIE VOID IF SYSTEM CC I'I TIRuc r10N HAS NOT COMMENCED WITHIN ONE: YEAR OF ITS :ISSUANCE.. BEFORE: ISSUING FINAL... APF'RO'VAL.. OF :THIS PERMIT THE:: WJI:i:1...T) (::c)t,liFrY FII:EAI...TI'T r)I:::P'ARTI`IIii'Ii RESERVES )F1i:i: RIGHT T(:1 :I:I•li::Ci'::slii: AX)Tia: - T.I.CPIAI... TERMS AND CONDITIONS REQUIRED 'lit NiiEET Cil.)E' FREi:G1.Jt."At"r:l:c)I'o3 (301 A CONTINUING BA— SIS. I':I:i'rAL.- IP'I:::RI'i:I:T" APPROVAL. IS CONTINGENT LJF'ON THE : :IINAI... INSPECTION OF .....11:: COM— PLETED S:I''rc;'i'l::M BY THE WELD COUNTY HEALTH DEPARTMENT. SYSTEM INSTALLER UNKNOWN FINAL. INSPECTION DATE:: 09/0'7/8[T SYSTEM ENGINEER Ad°'F'I:tOVAI,.. )( STAFF TYPE OF SYSTEM INSTALLED TANK Ehi'VII:totIP1EN'I'TAl... SPECIALIST 11"11::: ISsutel.CE:: (31'' THIS PERMIT DOES 'IC)I IMPLY COMPLIANCE W:I: i'II OTHER Si'AIF,, COUNTY 01:2 L-OCAI... REGULATORY OF: BUILDING P:Iii:OI.1:I:F:1i::1`IE:olrs., rloFt SSHAI._I... IT ACT TO CERTIFY THAT THE SUBJECT S'YSS'I'Iii:l9 W:I:I...I.." OPERATE IN COMPLIANCE WITH APP'I...I:CA131...E ST'ATI:E, COUNTY AND I._O(:JAI.., fi OTI..11._ATION£3 ADOPTED I) P IEiT:':i)L.IANT TO ARTICLE :I.O„ TITLE i:'.'i„ CRS 1.97:3. AS AMENDED, .. SYSTEM EXCEPT FOR THE PURPOSE OE ESTABLISHING F":I:F•IA�L.. APPROVAL OF AN INSTALLED ,.a(._ (1.:.11 FOR ISSUANCE OF A I...00Al... OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-111 (2) . OR:l:(3:I:PIAI......nJ::l::'L..:ICANT COPY-WORD WCHD EI-IS MAY„ 1984 . �, q p __ COUNTY a.ALMIelaT CT.I E:ftICV �� SOBS �( 1 O !S thy'I$ON!¢7 .s7 . PKufl'LTION SaysaS LOAN 1 55LJ- -a- 1317 16C es to Court ISDS 1 Greeley, Colorado 90631 r.� *MIR 1 (303)333-063.3Weld``^"'�y ST'aT'"*=*TT OF ffiSTYG FOR SE'°.TIC SYStT. (FLZASZ FILL OCT at MAC: MR ONLY) I OWNER OF RE=ED:: Vininci0 gay P30NE: � j - 7 ) wSr "1G ADn83S: '7i4 3 re 4- e1 q rnU . h3V 7-City I state zip srr= ADDRESS: rot)lLlI IJ 59 KnrSe� Co ?nb �// City state Zip LEGAL DE5Ciarl. ON: PT: '/,) PT:_ SECTION: 3 (o TOWN5EL°:S RANGE: /91 Su3DIVIZION: NO. LOT: BLOCK: FILMIC: MOSER OF PEOP*t2: - BEDROOMS: (2 BATSlOOMS: r WATn u) C IA)1) CEESIDe zL)/ CC"_.FriCIAL BAs rr PI.MBENG: Y N LOT S12Z: 7,2p acres 5Y5Tli 51=: Tank is coastncted of I ONAP.t/J and has /OD( gallons capacity (material) /9lv� .D: Bed or Trench 1 R 7 square feet. DAZr a:>>.� LVS;ar rT: Yan are required to draw a diagram of the system on the revere side of this farm in black ink only and indicate location, lo'ogth. width. and distance frost the dwelling. The undersigned property owner hereby cer-.dies that the above described septic system is in fact its tailed, as described, and exists at this time on the parcel of ground ideates`?ed by the above legal description and further states that the system is is good eerie; order and to the best of his/her !mwledge is not failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any petd%t ;r.anted based up= this information hereby submitted and in legal action for perjury at'.prctdM by law.• Dart} Owner Subscribed'ind'''aioora to before ate this / ' day of 7207/44-7-7/-2/11- , 1992. by :7 77, r? ,-r of C, // ap-o/ Witness my head and officals seal.:-" • dr/2r asion erpias: /i19 9 /Pa Darr A � Yo tic STTUTZ:f..ENT OF Ea5TL7G REVIEWED BY: EavirrcameataL Protection Specialist • • �^ Gov'' pee • ,l ecca 1'„eel/ c .. 010 • • • o • • • • • :=i.;i 7�• + . : %rat" .. .C= '•c fC$3..' - v c'.:..:`.: r n r .- < o-c`. .iL < 1 ..I ii.I � !.i FI L_ I it 1'1,7: Il;'n E' I I.1' I !.. L„_i - _ - � 'I J. I 1'`.1 i 1 , l _ •'::i WELD COUNTY ,I,::,it I, iii NI:.I''c11 "!1-..N i:i_ih.,ToTT IiiENVI.RONHENTAL HEALTH :'I_I'_: . ..1:' ...:.: i516 HOSPITAL ROAD , GREELEY . CO 0067,1 . .11.1.1:.. ADDRESS ";i 8', OCR ` ; _ .. .... .. _r1' CO 20644 -;AI 1,1 T. 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'.. ^. l ', I,_I.li, I gg Woes" STATEMENT OF EXISTING SEPTIC SYSTEM OWNER OF RECORD: 0rv,\\2 'ca- MAILING ADDRESS: 4\ 3( l.nDC-P— Sal I \.eysec (Ic 3060- PHONE: 35)— 13b 1 'Silt a 4 146 we e_ Sef e ' LEGAL DESCRIPTION: PT SWt} Sec 3b T oS R 64 Subdivision Lot Blk Filing Bedrooms ) Bathrooms I Water Supply C.WGW 0 Use type Lot Size I. 3 Acres SYSTEM SIZE: Tank is constructed of aoytcre4-e and has_ I) (10 0 gals capacity (material) 4�e�ctn ABSORPTION BED: 1%1 S Sq. Ft. Total Date System Installed 114,4 ___ You are required to draw a diagram of the system on the reverse side of this form and indicate position, 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 further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in legal action for perjury as provided by law. 44tDate Subscribed and sworn to before me this 2ad day of , ga: by ay/it it if — Witness my hand and official seal. My commissi n expires Clime2 9/ 9-2-gs Vale Date Notary Public • h 10 V'' f `fD Cam. Up 1e '� f ' \Y4c ‘, 440, _ "ilk.I. . .44 To Planning Department _ Dare Septe r 1988 COLORADO From Health Protection Services `(/J ___ ___ _ Subject. I.S.D.S. : HOFF, ORVILLE OWNER: HOFF, ORVILLE ADDRESS: 24146 WCR 59, KERSEY, CO 80644 (MAILING: 24186 WCR 59, KERSEY, CO 80644) LEGAL DESCRIPTION: SW4, SECTION: 36 TOWNSHIP: 05 RANGE: 64 The septic system identified above xx is, is not of sufficient size to accomodate the proposed alteration(s indicated below to the structure(s) served by this system. CURRENT FLOW: ADDITIONS: PROPOSED TOTAL: Persons 2 0 2 , Bedrooms 1 0 1 Bathrooms 1 0 1 Est. GPD Permit on Record: NAME HOFF, ORVILLE NO. G-889095 System Size: TANK 1,000 gal. FIELD 187 sq. ft. xx However, we cannot certify that the system will function as intended in the future. If loading changes or malfunctions occur to the system, we require that our office be notified so that a review of the system's adequacy be made. ;.The existing septic system requires the following to accomodate the proposed alterations to the structure(s) served: 11 DEPARTMENT OF HEALTH ft to daval � 1516 HOSPITAL ROAD GREELEY, COLORADO 80631 ■ ADMINISTRATION (303) 353-0566 HEALTH PROTECTION(303) 353-0635 - D - ----- ---- -- - -COMMUNITY-HEALTH-(303)-353-0639 - COLORADO September 7, 1988 Orville Hoff 24146 WCR 59 Kersey, Colorado 80644 Dear Mr.- Hoff On September 7, 1988 an evaluation of the existing individual septic disposal system at 24146 WCR 59 in Kersey, Colorado, SW4, SEC 36, TNW 05, RNG 64, was - conducted by Lynn Robbio, Environmental Health Specialist of this office. The existing individual septic disposal system is of sufficient size and capacity to adequately handle the proposed load. A copy of the evaluation has been forwarded to the- Department -of Planning Services to release your building permit. If we can be of any further assistance, please notify this office. Sinceerely, nn COAA '' IS Wes Potter, Director Health Protection Services r j.. , / 6 4svit\, a....._ _ DEPARTMENT OF HEALTH 1517• 16 AVENUE COURT "lige GREELEY,COLORADO 80631 ADMINISTRATION (303) 353.0586 HEALTH PROTECTION (303) 353-0635 COMMUNITY HEALTH (303)353.0639 LOAN APPROVAL COLORADO REQUEST NO. : 384-92/2431 DATE RECEIVED: 11/19/92 DATE FORWARDED: 11/30/92 FEE PAID: $ 80.00 DATE: 11/19/92 TO WHOM IT NAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: SEND TO: RONDA HOOD PHONE NO.: 352-7331 3815 WEST 7TH STREET, GREELEY, CO 80634 ALTERNATE: INFORMATION: Address:24146 WELD COUNTY ROAD 59, KERSEY, CO 80644 Age of Septic: 1964 Legal: PT SW4 , PT Section 36 , Township 05 North, Range 64 West Subdivision N/A Lot 000 , Block 000 , Filing 000 Property Owner: HOOD, RONDA Original Owner: HOFF. ORVILLE Tank Pumped on: 11/16/92 By: OWENS SANITATION DEPARTMENTAL RECORD SEARCH: Permit No. : G-889095 Name: HOFF, ORVILLE Bathrooms: 2 Bedrooms: 2 Total Acreage: 1.2 Tank Capacity: 1000 gallons Field Size: 187 square feet Water Supply: CENTRAL WELD Date of Final Inspection: N/A INSPECTION COMMENTS: Date of Inspection: 11/30/92 Soil Conditions: Dry Saturated Snow-covered XXX Residence: Occupied XXX Vacant FINDINGS: Sewage Disposal System: Satisfactory XXX Other Bacteriological Water Test: Acceptable XXX Other ,_ COMMENTS: THE SYSTEM IS 36 PERCENT UNDERSIZED ACCORDING TO CURRENT REGULATIONS FOR A TWO (2) BEDROOM HOME. '�11��11 \/ DATE: 11/30/92 SIGNATURE: 7.1/ /1 ✓ v"a Environmental Protection Specialist 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 in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable at the time of inspection, and does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspection requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Water sample reports reflect the bacteriological quality of the water supply at the time the sample was taken. SP S INSTRUCTIONS: NEED: 1. 2 CLOSING DATE 3 (MAIi�OR PICK-UP 'NEW LOAN OR RE-FINANCE LOAN APPROVAL Request No: Date Received: i ; I -, i Date Forwarded: ' Fee Paid: 8Q, CI-) Date: • •TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: SEND TO: I\C.`7rt`; t4 57)r1' PHONE /j 3 .d J ', t INFORMATION: Address �1-,' I '7 it) w C fZ j , t\r ( j Cva (O ;ell t_, cl Legal: PT :;J.tj , PT , Sec , , T__75 , R LI' W, Age of-House Aq Subdivision , Lot , Blk , Filing Property Owner ;a:^ nr'D . i< cry-.(S1 . Original Owner ' I, 14 , (" a .1.. ! Tank Pumped on H I I Ic, '3... By / 1t ,.D ,� )fl - t + a t,,. DEPARTMENTAL RECORD SEARCH: Permit # e 909 Name '- L-e-CI y Vl \ r Bathrooms r�2 Bedrooms u i'Total Acreage '=:1 Tank Capacity ,,,on galls. Field Size (V sq. ft. Water Supply C ; , - . Date of Final Inspection ' INSPECTION CCII4ENTS: Date of Inspection 1)14q-2- Soil Conditions: Dry Saturated Snow—covered If Residence: Occupied ' Vacant FINDINGS: Sewage Disposal System: Satisfactory Other Bacteriological Water Test: Acceptable K Other CCIrENTS:1k SLAWI 3( Z. (UWlCr i(� ticn G�(•{.II�U I y0 Carr, rl'[rtr.�(1tar, 601 Q2ilyart y1,L. ham.. � DATE: IIIDjJItta SIGNATURE: P \ Environmental Health Specialist 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 in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable at the time of inspection, and does not constitute a warranty that the system is without flaw or that It will continue to function in the future. Inspection requested during periods of snow cover and high soil saturation may be of questionable va!ue to potential buyers due to adverse conditions. Water sample reports reflect the bacteriological quality of the water supply at the time the sample was taken. 0WENS.SANITATION INVOICE NO: 3 1 3 G 45345 NI/CR 41 PIERCE, CO 80650 TEL. 834-2181 DATE: 4/7 / G -• / Z &O, ,'6)6//z/ GALLONS DESCRIPTION PRICE :;I 1 /0 0 O Sy c- / 70, 00 • h iJ /10 li s 7S/ �00 • _ / TOTAL • So- 782/ '1- SPECIALIST INSTRUCTIONS: - I LOAN APPROVAL , Weld County Health Department n NEED: CLOSING DATE: REQUEST NO: 9 4/D FAX MAIL CPICK-U) DATE RECEIVED: (-I - 1 - L/4 3'� FAX FEE ($2.00): RECEI_VED BY: 1; NEW LOAN E-FINANC� FEE $90.00_ :-$105.00: t-I ? c/(k TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the. sewage disposal system for an existing dwelling: ° SEND TO: REALTOR NO. : OWNER NO.: ;3 C: -9,�t/0, (H) PICK-UP: p,-{'e -kor,.ep OWNER NO.: .-F,()- '/L () (W) FAX TO: � COAX NO. : INFORMATION: Addr ss: 2/Iry////�y I A )c p, 59. Kerse/ KJ Age of Septic: Legal: PT: 5(1.) PT: SEC: ,:;3(.0 TWN: (p5j N RNG: (pY' W Subdivision /V//4 LOT: BILK: b FLG:C) Property Owner: A4' i4,, !J c 'Ci.N.) Original owner: / TX)d , G{n✓VIGN._ Tank Pumped on: -C//(y/2 By: (Eft { n lY) .tea,.,i G bcYI Licensed: N PERMIT ON RECORD: Name:- Q , Ronda_ Permit No. :(l-8Bq&-(5 S.O.E. . Y N Bathrooms: I Bedrooms: ,2 Total Acreage: Date of Final Inspection: Water Supply: (1,en4r[a.UL(IPIdIA(o4eF- Well Permit No. : Tank Capacity: I000 gallons Field Size: I6-1 square feet INSPECTION FINDINGS: Date of Inspection: 'l/l/f96 Soil Conditions: Dry k Saturated Snow-covered . Residence:... Occu Occupied 'p fr..: Vacant Sewage Disposal System: Satisfactory OIL Other Bacteriological Water Test: Acceptable 0( Other COMMENTS: DATE: rh e \ �li �//Z/RG SIGNATURE: A� e Env'. onmental Protection Specialist 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 in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable at the time of inspection, and 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. Water sample reports reflect the \bacteriological quality of the water supply at the time the sample was taken. Evaluations based on Statements of Existing (S.O.E.) relies on information the property owner Il / 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. a- ea9pGs • r nEmoRDum wilge To Planning_ Department _ __ Date Septe r 1988 COLORADO From Health Protection Services //// f'— . . ._._ Subject: I.S.D.S. : HOFF, ORVILLE OWNER: HOFF, ORVILLE ADDRESS: 24146 WCR 59, KERSEY, CO 80644 (MAILING: 24186 WCR 59, KERSEY, CO 80644) LEGAL DESCRIPTION: SW4, SECTION: 36 TOWNSHIP: 05 RANGE: 64 The septic system identified above xx. is, is not of sufficient size to accomodate the proposed alteration(?)—indicated below to the structure(s) served - by this system. CURRENT FLOW: ADDITIONS: PROPOSED TOTAL: Persons 2 0 2 Bedrooms 1 0 1 . - Bathrooms 1 0 1 Est. GPD Permit on Record: NAME HOFF, ORVILLE NO. G-889095 System Size: TANK 1,000 -gal . FIELD J.87 sq. ft. xx However, we cannot certify that the system will function as intended in the future. If loading changes or malfunctions occur to the system, we require that our office be notified so that a review of the system's adequacy be made. .The existing septic system requires the following to accomodate the proposed alterations to the structure(s) served: 1 INDIVIDUAL SEWAGE DISPOSAL SYSTEM EVALUATION 419 Date Received 8-_3 / Received by /$ Evaluation Date 7 — 7- b Dore by I.LithiRDI)A1 C7 Schiele! TreS7 OWNER: µoC OtOL\1f. /464 MAILING ADDRESS: a4 12(0 LA)e-R_s Key-gel/ 8C444 PHONE: a�4-69s3 LEGAL DESCRIPTION: P1 •S(A)6,.. P2 Sec 36 TWP 6S RNG �¢ woRlC Subdivision: Lot Block Filing WATER SUPPLY: Cw Cod' 0 Use Type: fLe-SIdQ,nAlal Lot Size 1, 3 ) lgCre The septic system identified above X is, is not of sufficient size to accommodate the proposed alteration(s) indicated below to the structure(s) served by this system. CURRENT FLOW: ADDITIONS PROPOSED TOTAL Persons a p 07 Bedrooms p l Bathrooms J 1) ! Basement Plumbing Est. GPD NonIC ©N FILE Permit on Record: NAME 140Fr l ORVILLE NO. RR q095- System Size: TANK/,cOD gal. FIELD/I7 sq.ft. ABSORPTION BED sq.ft. Percolation Rate /Q. 0 MIN. PER INCH Engineer Design: Yes No X Soil Type 5i44 a.U{2, Percent Ground Slope Direction The existing septic system requires the following to accommodate the proposed alterations to the structure(s) served: ADDITIONAL COMMENTS ANDDIAGRAMS v J _6(ifiip *e q-8-88 e_ • DEPARTMENT OF HEALTH / -' 1516 HOSPITAL ROAD GREELEY, COLORADO 80631 ADMINISTRATION(303) 353-0586 HEALTH PROTECTION (303) 353-0635 - - - ----- • --- • -COMMUNI.1 Y-HEAL-TH-(303)-353-0639- l.r. , • COLORADO • September 7, 1988 Orville Hoff 24146 WCR 59 Kersey, Colorado 80644 Dear Mr. Hoff : On September 7, 1988 an evaluation of the existing individual septic disposal system at 24146 WCR 59 in Kersey, Colorado, SW4, SEC 36, TNW 05, RNG 64, was conducted by Lynn Robbio, Environmental Health Specialist of this office. The existing individual septic disposal system is of sufficient size and capacity to adequately handle the proposed load. A copy of the evaluation has been forwarded to the Department of Planning Services to release your building permit. If we can be of any further assistance, please notify this office. Sincerely,rely, 1n _ f Y6` , Wes Potter, Director Health Protection Services ()Nailed 9-a8-88 • U • DEPARTMENT OF HEALTH •fr ` r s �Ij ‘4r1516 HOSPITAL ROAD • ]� GREELEY, COLORADO 80631 ADMINISTRATION (303) 353-0586 HEALTH PROTECTION (303) 353-0635 COMMUNITY HEALTH (303)353-0639 LOAN APPROVAL • Request No: 135-88 COLORADO Date Received: 9-22-88 Date Forwarded: 9-28-88 Fee Paid: $50.00 Date: 9-26-88 TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: SEND TO: principal Financial Group ATTN: Kathy PHONE 11 352-1143 P.O. Box 5007, Greeley, Colorado 80631 INFORMATION: Address 24L46 WCR 59, Kersey, Colorado 80644 Legal: PT SW4 , PT , Sec 36 , T 05 . R 64W, Age of House 1964 Subdivision -. Lot , Blk , Filing Property Owner Hoff, Orville Original Owner Tank Pumped on 9-26-88 By Coffman Sanitation Service DEPARTMENTAL RECORD SEARCH: Permit 0 G-889095 Name Hoff, Orville Bathrooms 01 Bedrooms 01 Total Acreage 7.3 Tank Capacity gals. Field Size sq. ft. Water Supply CWCWD Date of Final Inspection INSPECTION COMMENTS: Date of Inspection 9-27-88 Soil Conditions: Dry x Saturated Snow-covered_ Residence: Occupied x Vacant FINDINGS: Sewage Disposal System: Satisfactory x Other Bacteriological Water Test: Acceptable x Other COMMENTS: DATE: L/J Q44_ 9-28�8 SIGNATURE: Environmental Health Specialist 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 in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable at the time of inspection,- and does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspection requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Water sample reports reflectthe bacteriological quality of the water supply at the time the sample was taken. o ,,,:i.- 4 Sfa010 k _g-7 `SPECIALIST'S INSTRUCTIONS: NEED: 1 . --1% CLOSING DATE z. �G 3 (J (MA170R PICK—UP NEW LOAN OR RE—FINANCE LOAN APPROVAL Request No: ) 3C-21 Date Received: `'1-o d. Date Forwarded--T—p_$- se Fee Paid: ,SS0.00 Date: Li-crib TO WHOM IT MAY CONCERN: Review and inspection - . 4) report regarding water and the sewage disposal s stem for an existing dwelling: < P4 Pr 4) pa-I n��y SEND TO: Pyw 3IL cc v -o.,.cLd _ roil koia.AA. PHONE a e2-I14-3 Y.O. SO0 ' /, _t1Mao^^D., X063/ v _ INFORMATION: Address e94 1 `� 4) W CR 59 , Kerseq CO 80644 ..,-Legal: PT5tp&. , PT , Sec 1(n . TU5 , R (if4F W, Age-of House 19 (a4 Subdivision , Lot , Blk , Filing Property Owner_ HOF1- . ORVILLE Original Owner Tank Pumped on q-a6-,H By (2.011Pmge DEPARTMENTAL RECORD SEARCH: Permit #C788g095Name 1-OF , ORVILLE. Bathrooms I Bedrooms / Total Acreage 'I-6 . Tank Capacity gels. Field Size sq. ft. Water Supply__ C w GW/J _ Date of Final Inspection INSPECTION CC1NENTS: Date of inspection ?/',.._:)7//s3 Soil Conditions: Dry Saturated Snow—covered Residence: Occupied ./( -- Vacant FINDINGS: Sewage Disposal System: Satisfactory Other Bacteriological Water Test: Acceptable�l Other T! � rA 'O402 eft )00,-)71tiV / CCl^ JO:ENTS: I O(nl�KY s �/ i4 66U/�nLQLJ ?Q , . DATE: 967/ R V1_ sIGNATURE: X y„9 y/ n ironmental Health Specialist Neither the County of Ueld 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 in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable at the time of inspection, and does not constitute a warranty that the system is without flaw or that ft will continue to function in the future. Inspection requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Plater sample reports reflect the bacteriological quality of the water supply at the tine the sample was taken. Hello