HomeMy WebLinkAbout20142628.tiff H P� f06P INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G-860188
WELD COUNTY HEALTH DEPARTMENT NEW PERMIT
ENVIRONMENTAL HEALTH SERVICES
1516 HOSPITAL ROAD, GREELEY, CO 80631
353-0635 EXT.2225
WNER HANKINS,`"HARLAN P. ADDRESS 27001 WCR 17 PH (303) 587-2264
JOHNSTOWN CO 80534
DDRESS OF PROPOSED SYSTEM 26997 WCR 17
JOHNSTOWN 80534
EGAL DESCRIPTION OF SITE: SEC 20 TWP 5• RNG 67
UBDIVISION : LOT 0 BLOCK 0 FILING 0
SE TYPE: RESIDENTIAL HOME a.00
ERVICES: PERSONS 5 BATHROOMS LOT SIZE 10.00 ACRES
BEDROOMS 3 BASEMENT PLUMBING NO WATER SUPPLY LTHMP
PPLICATION FEE $150.00
EC'D BY RANGEL, MARY SIGNED BY HARLAN P. HANKINS
DATE 07/21 /86 DATE 07/21/86
ERCOLATION RATE 10.2 MIN PER INCH LIMITING ZONE 8 FEET
OIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION
EQUIRES ENGINEER' DESIGN NO -
ROM THE APPLICATION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA
HE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: ,�y 1
SEPTIC TANK 1000 GALLONS, ABSORPTION TRENCH 522 SQ. FT. �5/ 19)114(,(d1
OR I
ABSORPTION IBED 711 SQ. FT.
N ADDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND
ONDITIONS:
HIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT
AY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET
ORTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING
AILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL
PPROVAL. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE
EPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
EWAGE DISPOSAL SYSTEM.
r .... Me??-8b POTTER, WES 08/01/86
"� ENVIRONMENTAL SPECIALIST DATE
j' C •
HIS PERMIT IS NOT T SFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS
OT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF
HIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI-
IONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA-
IS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM-
�ETED SYSTEM BY THE `WELD COUNTY HEALTH DEPARTMENT. /
YSTEM INSTALLER �/a-•+� FINAL INSPECTION DA E !/144.4_
YSTEM ENGINEER APPROVAL 201N_u__.- 777
YPE OF SYSTEM INSTALLED ENVIRONMENTAL SPECIALIST
HE ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY
R LOCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT
HE SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND
DCAL REGULATIONS-ADOPTED PERSUANT TO ARTICLE 10, TITLE 25, CRS 1973, AS AMENDED,
XCEPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN INSTALLED SYSTEM FOR
SSUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-ii1 (2) .
RIGINAL-APPLICANT; COPY-WCHD WCHD-EHS MAY, 1984
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26997 WC 17
Little Thompson Water District
835E Highway 56, Berthoud, CO 80513 i k
'
(970) 532-2096 www.liwd.org 456.01 Office Hours:M-F 7am-5pm 06/25/14 ; 159.90
Please Note: Your account number has changed.
INSTRUCTIONS FOR ONLINE ACCOUNT.ACCESS AND m`A. IEENI T OPTIONS AfE ON THE BACK et- f HE Ti
104/23 942866 105/27 989746 34 I - 46880 I 23888
_' Water Usage Billing Detail -
Usage Calculation: Balance Forward 156.52
Level 1: 6000 @.00224= 13.44 Payment - Thank you! 05/13/14 156.52
Level 2: 24OOO @ .OO281 =67.44 Adjustments .00
Level 3: 1688O @ .OO3O9= 52.16
• Water Base 26.86
Usage Calculation Total: 133.04 Water Usage 133.04
THOUSAND GALLONS USED
46
37
IIIIIIIIIIIII
0
May Jun Jul Aug Sep Oct Noy Dec Jai Feb Mar Apr.May Total Current Charges 159.90
Message:
9 The District's 2013 Water Quality Report can be obtained at:
http://Itwd.org/waterqualityreport2O13.pdf A paper copy is available upon request.
159.90
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT
Please write your account number in the memo line of your check
I 26997 WC 17
Little Thompson Water District le'e:�' d t 1�•e ey C �, L1 �Idy 11 U,ei c*Oj� ��r ` it?l a 1}_:
835 E Highway 56, Berthoud, CO 80513 I 456.01 106/25/14 I 159.90
00004560120000159905
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HARLAN P.HANKINS LITTLE THOMPSON WATER DISTRICT
26997 COUNTY ROAD 17 835 E.STATEC
OH 56
JOHNSTOWN,CO 80534-9608 BERTHOUD,C 8O513-9237
U Change of address? Include current phone number,please indicate changes
LT-1007-5
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