HomeMy WebLinkAbout20141733.tiff Left Hand Water District
February 14, 2014
Raymond & Deborah Grant
3505 Longview Rd
Erie, CO 80516
Re: 3505 Longview Rd
TO WHOM IT MAY CONCERN:
The property at the above legal description is within the "Service Area" of Left
Hand Water District. If all conditions and requirements are met, water service
may be available to the above stated area in the future.
Sincerely,
027
Christopher P. Smith, P.E.
General Manager
Left Iland Water District
P.O. Box 210 ti Niwot, CO 80544-0210 Phone 303-530-4200 — Fax 303-530-5252 wwwiefthandwater.org
Scanning•Cover Sheet
for
. " Septic Permits
Permit # SP-0400235
Permit Type: Health/Residential/Repair
Situs Street Address 3505 LONGVIEW RD
Situs City, State, Zip
SeclTown/Range: 27-01N-68W Application Status: Fineled
Application Date: 07/02/2004
Parcel # (12 digits) 146727201002-R5815286
Owner Full Name: LOVI LESLIE &ALBERTO
Owner Address: 1201 WST THORNTON
DENVER,CO 80260
Owner Phone#: 303-650-4886
Contact Name: CRONEN PLUMBING & HEATING/CRONEN JOSEPH
Contact Address: 2291 S. KALAMATH
DENVER,CO,80223
Contact Phone# 303-877-7588
Information above has been Verified in Accela by employee noted below
X %Lkta trn et"-c May 08, 2008
Processed by: Date
Report ID: EHS00024v003 Page 1 of 1
Print Date-Time:5/8/2008 2:28:56PM
.i
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
' 1555 NORTH 17TH AVENUE
GREELEY, CO 80631
• PHONE(970) 304-6415 FAX(970) 304-6411 Finaled
Permit#: SP-0400235 Sec/Twn/Rng: 27 01 68 Status: ISSUED
Owner: LOW LESLIE & ALBERTO Applied: 07/02/2004
Applicant: CRONEN PLUMBING&HEATING/CRONEN JOSEPH Issued: 07/27/2004
Permit Type: RREP C=Commercial,R=Residential+NEW,REPair,VauLT Finaled: gieR0/O
Parcel#: 1467-27-2-01-002 I
Location: 3505 LONG VIEW RD,ERIE CO 80516
Legal Description: CHI-AS2rVLI CAROL HE IGHTS SUB%3505 LONG
VIEW RD% l.�*n i _ _ 4 � ��
Installer:
ilAg
Description: PRPOSED MODULAR HOME
Commercial: N Residential:Y Acres: 2.5
#of Persons: 4 Basement Plumbing: N
#of Bedrooms: 4 Bathrooms -Full: 2 3/4: 0 1/2: 0
Water Public: Y Water Source: LEFTHAND WATER DISTRICT
Water Private: N Cistern: N Well: N Well Permit#: N
Percolation Rate: 220 Limiting Zone: 0 ft 0 in Description: CLAY
% Ground Slope: 0 Dir: Soil Suitable: (Y/N) N
Engineer Design Required: (Y/N) Y In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1250 gallons Absorption Trench: 0 square feet
or Absorption Bed: 9000 square feet
Actual Installation "
• Septic Tank: Dg- \ gallons Absorption Trench: square feet
Absorption Bed: OEM17 square feet
Design Type: VW ytw1NGoimig
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).
Thls permit is non transferable and non refundable. 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 was
contingent upon the final inspection of the completed system by the eld County D nt of Public Health and Environment.
X )
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Environmental Health Specialist ate
Form:S FINAL
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2931 Nath IA3.MyIS 19375 Eamu Lim!bed 321 Wm Nmldle
0606 Rack CO 86104 • POD=1298 PORo.3816
Colorado Engineering P3 MommM,0080132 Wean'Pot,CO 10$66
(303)6869475 P696R (719)9862143 Ns (719)6176077
Fu (361)8142454 Fa: (719)1864895 Faz (719)6876151
6 aoohehakel Group, Inc SERVING EASTERN COLORADO SINCE 1995
L
AUGUST 12,2004
Jos NUMBER: 041-0273
PAUL R.BRYANT,P.E. WELD COUNTY DEPARTMENT OF HEALTH
ENVIRONMENTAL HEALTH SERVICES
1555 N. 1717i AvE.
GREELEY,COLORADO 80631
RE: SEPTIC SYSTEM,3505 LONGVIEW RD,WELD COUNTY.
Personnel from Colorado Engineering and Geotechnical Group, Inc. have inspected the
installation of the engineered septic system at the above address at several points during
the construction, as well as the finished product. It has been installed in accordance
with the engineered plans and specifications. This includes having the correct size
•$6aTe6m4c&ANNA= septic tank,the proper grade on all the pipes and the sections of the absorption field,the
,101;MOMcorrect depth,size and configuration of the absorption field, and the backfill around and
over the field. Topsoil and native grasses have not yet been established: this remains the
• Pommaamnom responsibility of the owner and/or builder. Erosion of the backfill may occur until a
•SOW DESIGN normal vegetative cover is established. At the time of the final inspection, backfill was
soft; settlement may occur over time. Corrective actions are the responsibility of the
•s11""00ALDUN owner/builder.
•Snnlc,DRALCODZP All CRle
This system is ready for final certification from the Weld County Health Department.
•RL♦IDmaL DmOR
•R68R DaTICn6,O Call me if you have questions.
•TRORR116RALCQIataiwnoI Sincerely
•testa Tf,moRT = QQ REGIS `• 1.
•6.ORAl.RoSO¢Vm 9 .
•
• DRADUC.Rrrofts 'a- 29932 -I' ''
unit s t /t•'{r',lOY,:� �
• DODaascovRTT Oi`, Si- eese•ee
• EL PASO COMM,
• INEMONTCOVIII RECEIVED
• Pa&COMM
pAl S 1 8 720084
•TTSflaconEyy R1R`,i9°rtAL REAM
SERVICES
• sowerCovwtt
•
ww7Rao(or6Aoenglneot, gioapcom
FOR OFFICE USE ONLY
. - ISDS APPLICATION FLOW SHEET
Owner. Permit et S P—0,40D-i.35 ,
• ` Location: 356.5 1....)--cow Legal Desttiiption;c7-4-6-,
Oat • By Comment
Parcel RuffinReceived •.
. .
Intamatlon Form Cam aete
AutalmtlanRamRaeelied '
Map DOWN Raalved - 11 r
. .
Flood Ptah'? Yalto IN .
Site Inspection Date 1}-01' c-4220 ..
Engineer Daiwa Yearn* 1
Oate Engineer Design Malys('
Curianer NoVVia 7 UMW _ _ .
On Stair Approval Sent 'RI "1 ME %IV-5 . •
Dab SWIAppeovs Redd
. . PeroDw6dered1nCompter t7.�p4 ms Oats of of S0H'Appeval 11x%9 • lr75 '
•
Eno Appeal Leper Sent 7,28 O( MS .
(Letter,Pir*SON Review)
Dab of Anal Inspecdcn • . 0 1 roe
Eno Final Inepecfon Leper Redd • - v
V riarionNeeded7Yukio
Sera VNince Staff Appwa . •
, . .Redd VidaliaSbRApprovel .
variance BON Amami • .
• vahanar BON Approval Sent . •
• (VSMn 8O4 Review) .
Addlgorwl Cacao=o= • " •
'M:eMROP6rAL HEALTH 5flv1c5 rnctin,Q+Pf -' -
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•
•
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, COLORADO 80631
PHONE(970)304-6415 FAX(970) 304-6411
Permit#: SP-0400235 Sec/Twn/Rng: 27 01 68 PERMIT
Owner: LOW LESLIE&ALBERTO Applied: 07/02/2004
Applicant: CRONEN PLUMBING&HEATING/CRONEN JOSEPH Expires: 07/02/2005
Permit Type: RREP 'C--donnnercial,R=Residential + NEW,REPair,VauLT
Parcel#: 1467-27-2-01-002
Location: 3505-LONG VIEW RD,ERIE CO 80516
Legal Desc: CH1-A S2 Ll CAROL HE IGHTS SUB %3505 LONG
VIEW RD%
Description: PRPOSED MODULAR HOME
Commercial: N Residential:Y Acres: 2.5
#of Persons: 4 Basement Plumbing: N
#of Bedrooms: 4 Bathrooms-Full: 2 3/4: 0 1/2: 0
Water Public: Y Water Source: LEFTHAND WATER DISTRICT
Water Private: N Cistern: N Well: N Well Permit Number: N
Percolation Rate d90 Limiting Zone O ft o in Description C.(..e.J
%Ground Slope — Direction -- Soil Suitable(Y/N) J1/41 /
Engineer Design Required(Y/N) In 100 Year Flood Plain(Y/N) sJ
From the application information supplied and the on-site soil percolation data the following minimum installation specifications are
required:
Chambers
Septic Tank ie25p gallons, Absorption Trench square feet
or
Absorption Bed 9 core square feet
In addition,this permit is subject to the following additional terms and conditions: ails—�a..scA
Acrn5� j T , frit.ts=trir �ysi6rJ. �u�.l rua�a�.►-ru - rr,iS A7PL..,s
NOTICE
This permit is granted temporarily to allow construction to commence. This permit may be 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 thereon 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. This permit ex ires one year from the application date.
�
Form:S_PERMITR Environmental Health Specialist Oate
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
155EEL Y 17TH 631
VE
GREELEY, CO 80631
• SieWEBSITE: www.co.weld.co.us
•
WI lie.
ADMINISTRATION (970)304-6410
FAX(970)304-6412
PUBLIC HEALTH EDUCATION AND NURSING (970)304-6420
FAX(970)304-6416
ENVIRONMENTAL HEALTH SERVICES (970)304-6415
COLORADO FAX(970)304-6411
July 27,2004
Leslie and Alberto Lovi
1201 West Thornton Parkway#57
Thornton, Colorado 80260
RE: Individual Sewage Disposal System Permit No.: SP-0400235
Location: 3505 Longview Road,Erie
Dear Mr. and Mrs.Lovi:
This is to inform you that your Engineer Designed Septic System has been reviewed by the Weld
County Board of Health and approved.
A copy of the Weld County Board of Health I.S.D.S.Review Fonn and your
I.S.D.S.Permit are enclosed. PLEASE NOTE THAT THE SYSTEM MUST BE
INSPECTED BY A REPRESENTATIVE OF THIS DEPARTMENT AND BY
THE DESIGNING ENGINEER,BEFORE THE SYSTEM CAN BE APPROVED
FOR OPERATION. THE ENGINEER MUST CERTIFY TO THIS
DEPARTMENT,IN WRITING, THAT THE SYSTEM HAS BEEN
INSTALLED ACCORDING TO HIS/HER SPECIFICATIONS.
Should you have any questions regarding your septic system,please contact this office at your
earliest convenience at(970)304-6415.
Sincerely,
%ASV/1dt
Pam Smith
Environmental Health Specialist
PS/ms
cc: Colorado Engineering & Geotechnical Group, Inc. Engineer Job No.: 041-0273
•
•
WELD COUNTY BOARD OF HEALTH
ENGINEER DESIGNED SYSTEM REVIEW
PROPERTY OWNER: Leslie and Alberto Lovi PERMIT NO.: SP-0400235 (RREP)
LEGAL DESCRIPTION: PT: SECTION: 27 TOWNSHIP: 1 RANGE: 68
SUBDIVISION: Carol Heights LOT: 1 BLOCK: FILING: '
SITE ADDRESS: 3505 Longview Road, Erie
FACILITY: Residential 4 Bedroom home ACRES: 2.5
PERC RATE: 220 SOIL: Unsuitable WATER SUPPLY: Left Hand
LIMITING ZONE: 0'0'clay
XXX ENGINEER DESIGN (3.5) EXPERIMENTAL DESIGN (3.14)
ENGINEER: Paul R. Bryant
ADDRESS:
ESTIMATED FLOW: G.P.D. 900
PRIMARY TREATMENT: Standard tank CAPACITY: 1250 gallons
DISPOSAL METHOD: Low pressure drip SIZE: 9000 square feet
REQUEST FOR VARIANCE:
STAFF COMMENTS:The system is adequately sized for the proposed load.
STAFF RECOMMENDATION: Approval
ENVIRONMENTAL PROTECTION SPECIALIST: Steve Wiatrowski
REVIEWED BY BOARD: 7/27/04
B.O.H. DECISION: APPROVED: I DENIED: TABLED:
Chairman
Weld County Board of Health
07/12/2004 09:11 3039378374 CRONEN PAGE 02
JUC-12-2004 NON 09:56 AN ENVIRON HEALTH SERVICES 9703048411 P. 02
Jr 6
DEPARTMENT OP PUBUC HEALTH AND ENVIRONMENT
SNIHA
1568 N 17TH AVE
GREELEY,CO 80631
WEBBITE: www.co.weld.co.us
ADMINISTRATION(970)304-6410
FAX(970)304.6412
C PUBLIC 3044416
�RONMENTAL HEAL HEALTH EDUCATION TH SERVICES(970NURSING(970)3044420
FAX )304.8415
COLORADO FAX(970)3044411
•
STAFF APPROVAL OF ENGINLER.DESIGNED SYSTEM
Owner Name:J.eslie and AULov(
Location Address:3506 Longview Road,Erie
The engineer-designs Individual Sewage Disposal System proposed for the above property,
and designed by Paul R. Bryant is hereby approved subject to the following conditions:
Construct according
gglto the engineer design. All Weld County ISDS regulations apply.
I, e Sr#&,owner/applicant for I.S.D.S.Permit No.SP-0400235 under the
p sic of the Weld County Individual Sewage Disposal System Regulations,do hereby
u erstand and agree that after approval by the Director of Health Protection Services,I may
proceed with the construction of my engineer-designed sewage disposal system prior to
approval by the Weld County Board of Health,but that the Board of Health reserves tide tight
to disapprove any or all parts of the system design when it considers my application. I
understand and agree that I proceed at my own risk and that I may be required by the Bard to
remove any or all of the system installed odor to Board of Health consideration of my.
application.
efrzthicAsin
Envl'nnme to Specialist r/Applicant
Applicant
Date Date
WELU•COUNTY DEPARTMENT OF PUBLICHEALTH&ENVIRONMENT •
1-555 NORTH 17THAVENUE,GREELEY,CO 80631 PHONE:(970)304-6415 FAX: (970)304-6411
• WEBSITE: WWW.CO.WELD.CO.US
•
APPLICATION/RECEIPT
Initials: RM
Permit Number: SP-0400235 Receipt Number. HAP-04237
07-02-2004 Amount: $400.00 Payment Method: Check Notation: 8763
Owner Name: LOVI LESLIE &ALBERTO
Applicant Name: CRONEN PLUMBING&HEATING CRONEN JOSEPH
Parcel Number: 146727201002
Location: 3505 LONG VIEW RD,ERIE CO 80516
Account Code Description Amount
256041400-4221-4203 New Septic Permit $0.00
2560-41400-4221-4203 Repair Septic Permit $400.00
2560-41400-4221-4203 Vault Permit .$0.00
256041400-4221-4203 Variance Request $0.00
Description: PRPOSED MODULAR HOME
Commercial: (Y/N) N Residential: (Y/N) Y Acres: 2.5
Number of Persons: 4 Basement Plumbing: (Y/N) N
Number of Bedrooms: 4 Bathrooms: Full- 2 3/4: 0 1/2: 0
Water Public: (Y/N) Y Water Supply: LEFTHAND WATER DISTRICT
Water Private: (Y/N) N Cistern: (Y/N)N Well: (Y/N) N Well Permit Number: N
TERMS AND CONDITIONS
A permit fee,as set by separate ordinance of the Board of Weld County Commissioners,shall be required of applicants for new individual sewage
disposal systems(ISDS),payable at time of application.Permit fees are non-refundable;permit applications are norgransferablet If both a
building permit and an 1SDS are issued for the same property and construction is not commenced prior to the expiration date of the building permit,
the ISDS peril shall expire at the same time as the building permit. If an ISDS permit is issued for a property that does not require a building
permit,the 1SDS permit shall expire one year after its issuance if construction on the septic system has not commenced. Any change in plans or
specifications after the permit has been issued invalidates the permit unless approval is secured from the Health Officer or his/her designated agent.
Expired permits can be renewed by payment of the permit fee only if:
A.There has been no change in the plans and specifications of the proposed system as set out in the original application or such change is reviewed
and approved by a Division Representative.
B.The surrounding land,its use or zoning has not changed so-as-to cause the original application not to be acceptable under these regulations.
NOTICE
The completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County
Department of Public Health and Environment(WCDPHE).The issuance of the permit is subject to such terms and conditions as deemed necessary
to insure compliance with rules and regulations adopted under article 10 title 25,CRS as amended.The applicant certifies that the proposed system
will not be located within 400 feet of a community sewage system The undersigned certifies that all statements made,information and reports
submitted herewith are,or will be,represented to be true and correct to the best of his/her knowledge and are designed to be relied on by the
WCDPHE for evaluation for purposes of issuing the permit applied for herein.Applicant further understands that falsification or misrepresentation
may result in the denial of the application or revocation of any permit granted,and in legal action of perjury as provided by law.
x ,Q ' ?—oa—ray —
ner/A plicant Date
Form:RT_HAPP
�� SEPTIC INFORMATION FORM
h1PTo obtain an I.S.D.S. permit, one must file an "Application for Individual
I Sewage Disposal System" at the Weld County Environmental Protection
j Services office,and pay the application fee. A"repair"fee shall be charged for
• " "' ' '' the expansion, replacement, or repair of an existing system. The following
information must be provided on the septic information form:
PARCEL NO.: I 4 le72'72o1002_ �THIS CAN BE OBTAINED FROM THE
ASSESSOR'S OFFICE AT(9708
""-C3StkIS l
PROPERTY OWNER V2 0l W r I� 'M�c! n
MAILING ADDRESS Ku9 y #S7 CITY Th or✓�4nr) ST Cb ZIP gb24O
HOME PHONE P7 65D-L/Q$io WORK PHONES?2%^033$FAX(� �'455-98
APPLICANT NAME (Ii .watt '/99%� % .2-111C
MIIG ADDRESS 41/.1S %D1+tl�.f S�CITY ben µee -ST Od ZIP }/g." -
PHONE (3&f Q 722-75te- WORK`PHONE t AEI 937-£C36.9�FAX
�(3 t.�?^9 d7 ?37 y
LEGAL DESCRIPTION PTS�PT_SEC ai TWN y�"IRNG 0 K"AVC S 35
SUBDIVISION Carol 14 e i q Li 4-S LOTT,/ BLOCK FILING
DESCRIPTION OF BUILDING(ex: House it We Rome)Modular,Shop,Office)
SITEILOCATION ADDRESS 35,5 L DV1g V; e u.) Rd ,Ere Co 8099,
DIRECTIONS TO SITE y_2 5 sou+G, esA, Z3z toes+ +T Hwy 7 50 4411
tb -$2 U..er54- -al Coro I Rodbl sot sk 4-o -torn/lay Qot ¢Rb+(/54- /�
vt
o l 1 � �y car ;Q _ 4'br‘v"- 4.1 Al
NEW PERMIT REPAIR PERMIT VAULT PERMIT
IF OBTAINING A REPAIR PERMIT,PLEASE LIST PREVIOUS OWNERS OF THIS PROPERTY
`eder`a/ Hoyt Loam /Mor/yhy-Corp
FLOOD PLAIN YES IS CENSUS TRACT
RESIDENTIAL E /NO COMMERCIAL YES!NO
NUMBER OF PERSONS 14.5 BASEMENT PLUMBING YES!
NUMBER OF BEDROOMS 9 BATHROOMS: FULL 2- 314 C) 1/2 Ca
WATER SUPPLY: PUBLIC S!NO NAME 4-Alandwafer
YES CISTERN YES! WELL YES! 0 WELL PERM
1 tO.A
•
AUTHORIZATION FORM
RE: ?SEPTIC PERMIT APPLICATION 0 LS.D.S.EVALUATION
O SALE OF PROPERTY ❑ WATER SAMPLE
20-e—I & i i� tepresentA/ &fop 41 .PS A co ZEN for the property located at
3505 LonjviPI<l Act/ Er:Q1CO10516
LEGAL DESCRIPTION: SEC TWN RNG
SUBDIVISION NAME: ( I rrn I H t k+S LOT I BLK
I can be contacted at the following phone ifs: Home 3o 3-q7D ` 0 g 33
Work 30 3 ^ 9 3 7' g 340
othereate3o 3 -fi'7 7" 7S f l
Fax#
The property owner can be contacted at the following phone tits
Home 363-Co50- y 88(v
Work ?o3-,..-ZSto-0338
Other
���® /� Fax# 303- (96°-L/8a/0 [/
OWNER'S SIGNATUREti%4 e/ 4 9l 7 DATE 12-,30-01
-5-
i�'f 4}3"sTin; F
•
•
142E,jemii.4
y � SUBMITTED FOR:
x . ,
� ALBERTO AND LESLIE LOW
d$ 3505 LONGVIEW ROAD
WELD COUNTY, COLORADO
4
1 :
lj
r u t
PERCOLATION TEST RESULTS
AP1UL 21,2004
PROJECT#041-0273
• SUBMITTED BY:
E``Pp0 REGiS`4,
pQ`a..........
ses lea T qtr
:V e°na P B9ya° t,I• c
2993 -
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,1i,,pc��oos•
••
•
PAUL IL BRYANT,P.E.
COLORADO ENGINEERING
& GEOTECHNICAL GROUP, INC.
f" ' 2931 NORTH U.S.HIGHWAY 85.
a CASTLE Rocg, COLORADO 80109
303-688-9475
•
?9-'Sfrt• 1• - - -- - - - - - - -
- #041-0273
PERCOLATION TEST RESULTS
' On April 9,2004,percolation tests were conducted on the site known as
3505 Longview Road,Weld County,Colorado.
The percolation tests were performed in accordance with County Regulations
which pertain to individual sewage disposal systems.
The percolation rates of these tests are reported in minutes of time per inch of water drop.
The field percolation rate is the average of all the test holes observed in the proposed
leaching area.
SOIL PROFILE HOLE...10 feet deep
0-3' Sandy clay
3-5' Clay
5-10' Claystone
TEST HOLE#1 =36 inches deep TEST HOLE#4=48 inches deep
Percolation Rate=480 minutes per inch Percolation Rate=240 minutes per inch
TEST HOLE#2=36 inches deep TEST HOLE#5=48.inches deep
Percolation Rate=80 minutes per inch Percolation Rate=120 minutes per inch
TEST HOLE#3=36 inches deep TEST HOLE#6=48 inches deep
Percolation Rate=240 minutes per inch Percolation Rate=160 minutes per inch
FIELD PERCOLATION RATE= 220 minutes per inch
The minimum effective liquid septic,tank capacity based upon the number of bedrooms
is as follows:
2 or less bedrooms 750 gallons
3 bedrooms 1,000 gallons
4 bedrooms 1,250 gallons
Each additional bedroom Add 250 gallons
Assuming that the residence will contain a garbage grinder and an automatic clothes
washing machine,the mlminum acceptable size for the leach field should be
1068 square feet per bedroom. .
A soil sample was taken from the soil profile hole at a depth of four feet and consisted of •
12.5%moisture,0%gravel,7%sand,and 93%minus 200 material.
ilk
+P-6
P-2
PROFILE
4-1 .
.
. . . . .
I I
GARAGE
I 4TH-I *TH-2
I
I
I
I I
r
CONCRETE SLAB
WATER METER,: '
I' LONGVIEW ROAD ‘
I FROM TO O18TAMC0 BEARING -�i,
I WATE1 REM 111-1 BB' Haw
r.4S,
nt-1 1H-245' SBOE II
771-1 PROFRE 5B' mem
PROFILE P-1 25 537E
- I PROFILE P-2 ®®
0 6 +0 +e 20 PROFlFE P-5 30' e4E
ORAPNIC$ IN PROFILE 0 32401
PROFILE P-5 15' Se7W
SCALE +-.20' PROVE P-B 30' 1143W 1
`SITE PLAN =,-dtmi--
--
Jr CASTLE ROCK OFFICE
2931N. HWY 85
OWNER/-BUILDER: Alberto 8 Leslie-Levi JOB #: 044-0273
neering - CASTLE ROCK,-CO 80109 I
08 ADDRESS: 3505 Lon: Lew Rd. Weld Conn h„1��a Gfl'UIIP III( (303) 688-9475
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m m ti a'- n Wm 3 14 •F $ 8 o xtmS�li. • $ (Iii'
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DEPARTMENT OF PUBUC HEALTH AND ENVIRONMENT
1555 N 17TH AVE
GREELEY,CO 80631
WEBSITE: www.co.weld.co.us
ADMINISTRATION (970)3044410
lige • FAX 304-6412
PUBLIC HEALTH EDUCATION AND NURSING(970)304-6420
COLORADO ENVIRONMENTAL HEALTH SERVICES(970)304-6415
FAX(970)304-6411
March 26,2004
Alberto and Leslie Levi
1201 West Thornton Parkway#57
Thornton,Colorado 80260
RE:Alberto and Leslie Lovi ISDS No.:04035
Permit No.:SE-0400041
Dear Mr.and Ms.Levi:
On March 25,2004 an evaluation of the existing individual septic disposal system at:
3505 Longview Road,Erie;.
Section27,Township 1 North,Range 68 West, •
was conducted by Pain Smith,an Environmental Specialist of this department.
This evaluation is based on a final treatment capacity fora 4 bedroom residence.There is not enough
information to determine whether the septic disposal systemic of sufficient size and capacity to
adequately handle the proposed load.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.
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 Pviaring(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,
cbms\wilt
Pant Smith
Environmental Health Specialist -
•• L.
WELD COUNTY DEPARTMENT OF PUBLIC SOEI }y�
_ HEALTH AND ENVIRONMENT ORO PERMIT Y" /
414" 1558 N. 1y^'AVENUE-
. REPAIRS
REPAIRS
OREELEY, COLORADO 10831 LOAN S '
PHONE: (970)304-0410 ISDS• fXjt5
1 - - _ _ FAX: (0101304-4t1 . .
STATEMENT OF EXISTING FOR SEPTIC SYSTEM
•
l
- • I
' a a:' ' IP • (PLEASE FILL OUT IN BLACK INK ONLY)
•
• PARCEL NO. ivy aLoJO0a, / / •
PROPERTY OWNER AI r- JD-di Rs/1 P Li)vi.
PRONE NO, 1 1 (9 56 -7 O�•�(o i
MAILING ADDRESS 1 zo 1 IP :11,1-01-v 1 f n ✓1 kUi y 57 -777.b/./H-no .,CO ?Dar)
-•/ City . -• . State St / Zip
DESCRIPTION OF BUILDING(ex. house,mobile/modular home,shop,office) M4rl U•�4?Clurm'4Db4LQ
SITE/LOCATION ADDRESS 35051-001 V/ Q(,J Rd T/`I•e 3(°D Q,b5/ :
• 1 - City • State ZI
LEGAL DESCRIPTIIO PT JJSI 1�D. PT SECTION ii TOWNSHIP RANGE��
•1 ; SUBDIVISION LytVT i -k'L5 q 144-.S - LOT__4__ BL_ BLOCK .FILING
CENCUS TRACT ' LOT SIZE/ACRES
COMMERCIAL:tap S/c� RESIDENTIAL YE. • s
NUMBER OF P SONS / BASEMENT PLU :ING YES
BEDROOMS BATHROOMS-FUL 3/4 a! U2 O
*.:n�WATERSUPPL -PUBLIC et co NAME �Qy1/� I �!
• • c : I , \.P• ,•.,�•:.'-.s•• WELL YF�S ) CISTERN h s WELL/CISTERNS
•
i p
. SYSTEM SIZE: Septk as material is constructed of fblMPete and has 1250 • gafions capacky.
".'•j FIELD: Trerchtlllknb&fl square feet or Bed square feet__ YEAR INSTALLEDZ&'QSt4 nal 1h1)
( Jo
g�Il: n54pFc t-54 nw1.•I15yrsc5t+
Yon are required to draw;a diagram of the system on the reverse side of this form In black ink only and indicate
4'\'`tt� loaidos.;length,width,sad distance from the dwelling.
'•' V ` a, ...•
• Theeiundersigned property owner hereby certifies that the above described septic system's in fact initialled, as
described,said exists at this time on the parcel of ground;Mortified by the above legal description and farther states
that the systen>giagtIn good working order and to the best of his/her knowledge kJ ii-telling to function properly.
I Rlrtbep understand that say falsification or misnpreseatatloa may result in revocation of any permit granted based
'�k�33 .upon this Information hereby submitted and in legal action for perjury as provided by law.
• T
.3-2z � b.4/,:: 6..dGa.e 1,-16? -) .
! ' DATE•.r ,-•; • i NER
Ssbserlb tad sw ra/toJletore e t day of /'flZ4'TJfrL , 2 ,
44<.i :gy120;04q: .;C '(mil A t-I
Wes ub' a d o elan seal J o ••1 giplr
( l 'T( tJ 7 y -.
• ` IDATE'.•':;, 1p . . •„ - .
f= crt-legftiC -
STATEMENT OF EXISTING REVIEWED BY
IniN Ra `if,: ENVIRONMENTAL HEALTH SPECIALIST
•
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