Loading...
HomeMy WebLinkAbout20142965.tiff ARWP,INC. Previous CREDIT Balance: -6.30 PO BOX 247 WATER 387510-384230=3280 64.28 FT LUPTON,CO 80621 303.8574210 Please pay any past due balance Immediately. Billed: 05/17/14 Forwarding Service Requested 57.98 is due by 06/12/14 RODNEY DEFOE SR. After 06/12/14 pay 63.78 15814 GOOD AVE FT LUPTON CO 80621 1'Cu'6 Co ('a g Acct#DEF362 lU-1 -)1Q Last Pmt 4 SVC 041018/14605/3 001/141(30 days) RODNEY DEFOE SR. Billed: 05/17/14 After 06/12/14 pay 63.78 57.98 is due by 06/12/14 ARWP,INC. PO BOX 247 Acct#DEF362 FT LUPTON,CO 80621 15814 GOOD AVE WELD COUNTY HEALTH DEPARTMENT � oazy 1516 Hospital Road Permit No. Greeley, Colorado PH. 353-0540 Application for permit to install, construct, an Individual Sewage Disposal System. Owner g ' , ,' ;-/Jt /,; 4r ,,'/ n 1 t Address i:? ", //I A,1 ,71'! Phone ... . Directions to site: Hwy Rd. N mi, E mi, S mi, W mi / S8/y .-rood O[ - - - Legal Description: Ptn. Sec. -7 ,T N, R-7— W, Sub. 2w li ruLot Blk General Information J - De t. Use Onl • No. Bedrooms '2 No. Persons 2, 7:9 Pete rate (avg. of 3) j Th No. Baths - fJ Basement Plumbing A ).-1 Soil Type S R v Size of Lo[ lar/o1i H2O Table Depth' s FII 820 supply (If well give`�depth) 4*,DMcyjjcea r Lot Grade <-3 O 072 New Home Mobile Home X Modular Add'n Engineer Design Yes y No / Type of sewage disposal requested: If YES-reason: Septic tank A Privy_ Other Comments: This is to certify that the system is NOT within 400 ft. of a public sewer ‘'---- T Installation instructions: (Minimum Requirements) I Septic Tank /O Gals. Absorption Trenches -3 7r Sq. Ft. Other or Special Instructions Seepage Bed `f 9 r Sq. Ft. This system will be constructed and installed 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 construction has not been commenced. Date: , Owner:Y Applicant : The plans and specifications as shown are approved pending payment of permit fee. Date: `-j -77,__15---0 - Sanitarian: c: /it. The above system inspected and found to comply with plan and de cription. 1 Systems Contractor: Date: 4- 16 -k° Sanitarian: '714 j , Engineer Review: (Date) (Signature) Permit Fee: $ / C•-U Received by: '. ) _ _ Date: _L - 19-79-122 -4 y5- o ielk L o 9 �— s •' �� DEPARTMENT OF HEALTH :y ft i4 s • . r, / 1516 HOSPITAL ROAD -�: 1pg ,� GREELEY, COLORADO 80631 `\ ADMINISTRATION (303) 353-0586 'c C. ' . HEALTH PROTECTION (303) 353.0635 P . s - COMMUNITY HEALTH(303) 353-0639 . �I. a ?:3 '� '� =• • Certified #P 702 266 191 COLORADO November 19, 1987 Mr. Rodney Defoe ' 15814 Good Avenue Ft. Lupton, CO 80621 Dear Mr. Defoe, Please be advised that the individual sewage disposal system identified below and inspected by Alice Rinebold, failed to pass a final inspection. System Owner: Rodney Defoe Application No: G-870053 Legal Description: Portion of the SWz of Section 26, Township 2, Range 66 Site Address: 15814 Good Avenue, Ft. Lupton, CO 80621 - Date of Final Inspection: November 19, 1987 The inspection of this system revealed the following deficiencies: The rocks are not spread evenly and level two inches above the pipes across' the- -entire '-absorption'--bed. - -. -- Please contact this office at 353-0635 to schedule another inspection after the above deficiencies have been corrected. Sincerely,6uWes Potter, Director Health Protection Services WP/taj • fl:I: F:.L.:c CrNT, COPY•-WCHD WCHD--r:I' S MAY• • HFI i 'Ie,I' INDIVIDUAL SEWAGE:: DISPOSAL SYSTEM PERMIT NO. G-6700!33 WELD COUNTY HF:AI...TH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 151 !, I-IOSPITAL. ROAD, il;REEi._F_':Y , co 80631 353-0635 EXT.2225 OWNER DEF OE, RODNE i' - ADDRESS 15014 GOOD AVENUE PH (303) 857-6308 FORT I._UP TNT CO 80621 ADDRESS OF PROPOSED SYSTEM 158-ii4 GOOD AVENUE FORT LUPTON CO 81' L..Ii:GAI... DESCRIPTION OF 'SITE : SW4 SEC. 26 I' Ni:. 66 SUBDIVISION : ARISTOCRAT(ILRA T RANCHETTES I_I:.i L_i i1K 62 I I I-.J r'', N USE TYPE : RESIDENTIAL HOME: SERVICES : PE11:SO-Li: 4 BATHROOMS 2 ,00 L_O.T. S-' BEDROOM , 4 :('A.::EME:Nl PLUMBING NO WATER SUPPLY ARISF F'I'I...:I:(:riT'I: :TN FEE S15O...00 . FIii:C 'D BY DORE1::N SCOTT SIGNED BY I I'DNEY DE.FOE::: DATE 03/23/87DATE 03/23/87 �p • PERCOLATION RATE / MIN PER INCH LIMITING ZONE-72.. FEET • SOIL. TYPE E 54,iJb La,4n,1 ' FXRCENT GROUND ELOPE l._ 1 / DIRECTION LCI IU('I C._. REQUIRES I. - EHi 1 NEEF: DE IGN _„N1] FROM THE APPLICATION I I'il':I.'iii INFORMATION IIJil SUPPLIED I I..TE:.D AND THE ON-SITE "•.Lill... PERCOLATION DATA THE FOLLOWING WING MINIMUM INSTALLATION A'1ION SPECIFICATIONS ION. ARE REQUIRED : . -SEPTIC TANK / (3 GALLONS, ABSORPTION TRENCH NCH 73a. sm. - FT. OR ABSORPTION BED /e6/0 .-SCi FT. IN - ADDITION , HITS PERMIT RMIT .1 _ :;UI3,-J I.IT Tll IH1. FOLLOWING ADDITIONAL TERMS AND' CONDITIONS : ...- ...___._.. ..._......... .... ...._ _.__. __..__._...... . _..._..__ .......... THIS II .S PEJMLI IS GRANTED TEMPORARILY 'I T.:1 ALLOW 1,1 CONSTRUCTION TO C:CiiliMF. N CE.. I H.I .S PERMIT MAY' 8E REVOKED tilt SUSPENDED I :I`JDL:I} 1:'Y THE LIII i COUNTY HEALTH DEPARTMENT A,l' I11F:i'JT FOR REASONS `,1'""I' FORTH I.i'•i THE WEED II)'JilI ( INDIVIDUAL SIII1iII: DISPOSAL SYSTEM REGULATIONS INCLUDING FAILURE- TO MEET AN. TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL.. APPROVAL . 1111." J S' II,III;I::: OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION T':I.(JT`J BY THE DE AF TIIF':i.T OR ITS EMPLOYEES 111: LIABILITY FOR THE FAILURE OR INADEQUACY ITLI THE SEWAGE DISPOSAL. SYSTEM, . '. 'I:I?Of•!i'Ii.t, lill.. SPECIALIST }earl:.. III I SS . II 1'i•N i IS NO I I I i,NfSI I I i' l L_E. AND IPd I . BECOME: VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED I:_I) WITHIN ONE YEAR 'ii ITS ISSUANCE . BEFORE ISSUING FINAL.. APPROVAL OF THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT IiiENi RESERVES ERVCS THE RIGHT TO IMPOSE ADDI- TIONAL TERMS AND CONDITIONS REQUIRED D TO MEET OUR REGULATIONS I:ONS ON A CONTINUING 1IA-- EIS, FINAL l PERMIT I:I APPROVAL IC'It, i i IS CONTINGENT UPON III FI:T+Jr;,1... INSPECTION IC'N OF T111: C::'iii 11..1 TED SYSTEM BY THE WELD COUN'T'Y HEALTH DEF'ARTM1. Nr Cony . 3_ay_a7e, • rte. . FIST<5,k16i ' . INDIVIDUAL SEWAGE DISPOSAL , i '11.11 PERMIT"i NO, G-070053 0 WELD c:c:iI.JiNTi' HEALTH DEPARTMENT AJIi::W PERMIT ENVIRONMENTAL HEALTH ALTH SERVICES S 1 516 HOSPITAL ROAD, f:;RII:1iEi LY CO 81)63'1 . 353-0635 r .X... 42225 . - 'OWNER DEFOE , RODNEY ADDRESS 15814 GOOD AVENUE PH 103) 857-6308 FORT, I..UI.,,..i(aid • CCl 8062i ADDRESS OF PROPOSED SYS1Ltri5814 t. ('1) AVENUE . FORT I...LJPTC11N CO 80621 .I TE:: : SW-7 SEC. S +5 TI=.11 2 I'ti1I LEGALDESCRIPTION1:1 P' �.: 66 - SUL+D:I:VIS:ION : . ARi:,Sr (:i(:;RAl RAN(::Iii=:r 11:::;x' I...III ci BLOCK 62 FILING I:1\(.; 0 (.IS1:::. TYPE:: : RES:I:DIE:NT:I.r11... HONE SERVICES : PERSONS 4 BATHROOMS :2,t;,r3 LOT SIZE 1 . i) ) ACRES BEDROOMS .<'; BASEMENT PLUMBING NO L[;r:l-II_:I SL1P1'I. 1' AR:[,si' APPLICATION FEE $fI '53., F)i:) F,lii:(:: ' :D BY :(.i(:ifRG::EN S1'jI I - ' SIGNED. BY R(:?S)ivl:i:Y i.;l_F(:iI 3 :2 3. ;8._ . DATE Dark:: i,:>:.t.,, ,s , 03/23/87 PERCOLATION Itr'1T'IE: 1 '=i., :) MIN PER :I:I'i(::ii . I_.l:i•i:l.'(':I:i•!i; Z:t')Iil:i: Il FEET SOIL. TYPE SUITABLE E PERCENT GROUND SLOPE 'i r, DIRECTION EE(::TION . REQUIRES ENGINEER DESIGN NO FROM THE ii Al I I I AT TUN INFORMATION SUPPLIED AND THE 0M-SITE SOIL PERCOLATION DATA Nt MINIMUM :I:N; i cI. l n l' I.LJN 'Ii ' . I I r`I I I I'O , ARE REQUIRED : THE I' ITLL.C?LJI: N [ SEPTIC TANK 1250 1ALLOlS A11 UI,I' Ill'lil TRENCH a. 'G' . IT .. OP • I,�oo �, ,t l( ItPt l'' I It1r1 I+lit) 1 + t ? ,.I I . IN ADDITION , THIS PERMIT IS SUBJECT "U 1111 -In I..t.JW.l.rIt, r,mTvElo \iii [ ERNS rt AND CONDITIONS : __ -.... _._ THIS PERMIT IS C;RANIiE:i) TEMPORARILY TO ALLOW (:oi\,J .' II<Ill'I .ILI,i':! TO COMMENCE. THIS PERMIT MAY Iii: IlEVIJICIED OR SUSPENDED BY THE WIE:I...:D COUNTY HEALTH DEPARTMENT FOR REASONS .(l'E1' FORTH :I:N THE WELD COUNTY INDIVIDUAL SEWAGE ?) LSPOSAI.. .SYST Ei•i REGULATIONS INCLUDING FAILURE T(:1 MEET ANY TERM. OR icc:rND,:I: T':LCIN 'IMPOST.:?:) THEREON D(.Ilt:lN(:, TEMPORARY OR FINAL / APPROVAL , 1111' ISSUANCE (II' THIS PERMIT II'I :a'-,NOT cONSTITUTE ASSUMPTION BY THE DEPARTMENT t'Is HS EMPLOYEES OF LIABILITY i''r FOR! THE :FAILURE URIi:: OR INADEQUACY OF III EWr,G DISPOSAL Y ! rEN,, _ TC• bana 043187lily- Cc:irr PERK INS 03/23/87; eirm? iala3+g7 ENVIRONMENTAL IRONMENTAL. I L_C:I:AI JST DATE THIS S PERMIT IS NOT TRANSFERABLE I'I'II I r'uTtl. I:. 111 1'). :: IiAI I.. BECOME liiif VOID I ii, IF SYSTEM I (l(J'• IICUC; I :[(:lii Iii NOT COMMENCED WITHIN ONE YEAR (IF ITS ISSUANCE .,. BEFORE ISSUING FINAL APPROVAL RII' 111.. ill THIS PERMIT IIITHE WI::I.1' (:;f.?LINI 'r HEALTH DEPARTMENT TIIIiLN1 RESERVES IIII . RIGHT TO IMPOSE ADDI— TIONAL TERMS AND CONDITIONS' REQUIRED TO MEET. OUR REGULATIONS 1. (:ii'J ri CONTINUING BA— SIS , FINAL I"I:Ft'ri1:T APPROVAL :1:S' CONTINGENT UPON 1111:: FINAL INSPECTION OF ) 111::. COM— PLETED . SYSTEM BY THE WELD COUNTY I-IIE:AI... 'TTH DEPARTMENT, . SYSTEM INSTALLER ....3g2-.7:-....______ I INA1 LNSI I __:t �DE111 .4a1ZEC,_S'7 SYSTEM ENGINEER ................44....., _ . .........___ _ ,..-,..... .APPI:t0VAI A Trl1.:: OE .SYSl1. V [NSIAl,,.I ID i_F_j _ . i [RONM 'AUTAI SPECIALIST _'c'IIIi: :I:,S',SUJAidt;IE: III' 'T'II:I:S PI::Iti°i:[T :Di:1Ii::;' 1'!(11 :i I I._'i COMPLIANCE WITH OTHER ST'AT'li-, COUNTY III'•. LOCAL REGULATORY ATUI; OR BUILDING REQUIREMENTS , (I(.l[t SHAI...I_. :I:T ACT T(1 CERTIFY RTIFY THAT THE SUBJECT SYSTEM I5II:I:L..L., OPERATE :I:I`l I::(:Ii'1F'I...'J:rli'I(::IE: WITH APPLICABLE STATE , COUNTY AND LOCAL REGULATIONS ADOPTED II .I' IJrii'lI TO r1IIIiI., I 10. '11111:: ". II.:z;' i9 •3.. AS AMENDED, I:::X(;I:i:1'-(' FOR 'T'lii: PURPOSE OI- 1:'Sl'r'i:ii..:l: 'II:I:iV(::, I'' :IN111... AI''1''ItCI'VAL.. OF AN :I:i'J ;"T'AI...I_.Fi) SYSTEM I'(:IF: ISSUANCE OF ri LOCAL OCCUPANCY PERMIT PURSUANT;Ilri'iQI' TO CRS 1973 25- 10-111 (2 ) . ORIGINAL—APPLICANT . COPY'-"I;1C:1-I:D i\1C:l'I)) 11:11S MAY , 1 'r ?.4 ', N dye/ yp 99- ti 4 n /5 Q �p� a y�mv 2,, 7// "V . . . HSPiO%P APPLICATION FOR IiND:I:VIDUAL. SEWAGE: D]:.'POSAL. SYSTEM NO., -G--870053 WELD COUNTY HEALTH DEPARTMENT NEW .AE-'PL:I:CATIGN . ENVIRONMENTAL HEALTH s'Ej; /I:c:r:S . 1516 HOSPITAL D, c;REE:L.IEY, CO 80631- - _35_:. .. OWNER DEFOE, RODNEY ADDRESS 1 :S814 GOOD AVENUE - PH. (303X 8576302 ' • FORT I...L.1F'T'(:li'•1 CO 80621 . ADDRESS OF PROPOSED SYSTEM 15814 GOOD AVENUE • FORT L..Ui TON ' CO 80621 ' LEGA71... DESCRIPTION OFF SITE :' SW`d SEC 26 TWP 2 RNG 66 SUBDIVISION : ARISTOCRAT RArlC:HE:TTES LOT ' 6 BLOCK r.',:S' FILING 0 USE TYPE : RI:::.S':[DF::rll':I:AI_. . HOME . SERVICES : PERSONS' 4 BATHROOMS ;_'. ,O0:i) I...Di SIZE • 1 ,00 A1:71':I:::..i' BEDROOMS OHS 4 BASEMENT PLUMBING NO WATER SUPPLY AIt:I:,s'r . APPLICANT ACKNOWLEDGES THAT THE COMPLETENESS OF THIS APPLICATION IS CONN:O:I:T:Ef:3NAl... UPON FURTHER MANDATORY AND ADDITIONAL TESTS AND REPORTS AS MAY BE HEC;L.i l l Iii' 'E::Y THE WELD COUNTY HEALTH DEPARTMENT JI TO IIIBE i1111)1l AND FURNISHED- BY' THE APPLICANT OR BY THE:' WELD COUNTY HEALTH DEPARTMENT FOR PURPOSES OF THE: EW,lLArTON OF THE APPLICATION , AND THII . ISSUANCE OF Ill PERMIT IS SUBJECT TO SUCH TI.:I:HS AuND CONDITIONS AS DEEMED NECESSARY 78 INSURE COMPLIANCE W.I. II"I RULES AND REGULATIONS ADOPTED UNDER ARTICLE 10, TITLE 25 , CRS 1973 , AS AM'E:iNDE:D , THE APPLICANT CERTIFIES THAT THE PROPOSED SYSTEM. W:I:I...I.,. NOT BE LOCATED WITHIN 400 IIii:Ii::I OF A (::1:Iiii"illi•l:I:'rY SEWAGE SYSTEM. THIii: UNDERSIGNED i'•iI 1) HEREBY CERTIFIES I:I:::S THAT AI...I... STATEMENTS MADE, INFORMATION AND REPORTS SUBMITTED HEREWITH II,.1:LT-RI AND REQUIRED I.I;I Ii TO BE SUBMITTED 1'Y THE HL APPLICANT ARE, OR WILL BE, REPRESENTED TO BE:: l'RL.IE AND CORRECT TO THE BUST OF MY KNOWLEDGE AND PEL.:I:EF', AND ' ARE ' DESIGNED r0 fisG: RIE:L..:I:f:::I) ON BY' THE: WELD COUNTY HEALTH DEPARTMENT IN EVALUATING 3111.: SAME FOR PURPOSES OF ISSUING (III::: PERMIT I APPLIED I'tll'+. I"Ii RIi;:]:N, I • I"Lii ilI.EI L.lNDER STAND THAT ANY FALSIFICATION I:(:;ATION OR MISREPRESENTATION IATION MAY RESULT 1 IN Till DENIAL IllOF 11IIi: APPLICATION OR REVOCATION OF ANY PERMIT GRANTED BASED UPON SAID APPLICATION AND • I:r1 I._Ii::i:;Al_. ACTION FOR PERJURY AS PROVIDED BY LAW, APPLICATION FEE . $150 .00°,(7 .(?O Dll1 Y 1,1 REC ' D BY DOREEN SCOTTDATE ' t), :';:'.sir3 r 111,:IiNI::.It;"It.E:.i•MAr1HIRE DATE . • • ORIGINAL--FA'=I'L i,i:AN'r; C(:fFY•--WI:::HD W(::I-1D-IEEIS MAY, 1984 Hello