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WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVII20NMENT <br />1555 NORTH 17TH AVENUE <br />GREELEY, COLORADO 80631 <br />PHONE (970) 304-6415 FAX (970) 304-641 l <br />Permit #: SP-0100168 Sec(I'wn/Etng: l6 02 68 <br />Owner: 1170BILE PREMIX CONCRETE INC <br />Applicant: JORDAN DAVID <br />Permit TypeC4R.NEW C=Commercial, R=Residential + NEW, REPair, VauLT <br />Parcel #~. 1313-16-0-00-006 <br />Location: 2002 CR 20 1/2 l6 02 68 <br />Legal Desc: 25163 W2SW4 16 2 68 & PT SE4 BEG ON S LN <br />1296'W OF SE COR SE <br />PERMIT <br />Applied: 04/l3/2001 <br />Expires: 04/08/2002 <br />Description: 2 MODULAR OFFICES <br />Commercial: Y' Residential:N Acres: 400 <br /># of Persons: 10 Basement Plumbing:.. N <br /># of Bedrooms: 0 Bathrooms - Full: 0 3/4: 1 1%2: 2 <br />Water Public: Y Water Source: LEFT HAND- <br />Water Private: N Cistern: N ~ Well: N Wel] Permit'Number: <br />Percolation Rate ll0.0 Limiting Zone ~ ftQ in Description ~po~r._~••lgi~.~ <br />% Ground Slope Direction ~ Soil Suitable (Y/N) <br />Engineer Design Required (Y/N) ~ In 100 Year Flood Plain (Y~~_ <br />From the application information supplied and the on-slle soil percolation data the following minimum installation specifications are required: <br />Chambers <br />Septic Tank~K t •gallons; Absorption Trench: squaze feet - <br />In <br />or <br />Absorption Beds 'square feet <br />this permit is subject to the following additiortal'terms and conditions: , <br />_ - - '_ t n t. I i <br />_~ <br />_ ~. ; <br />~t,_tc E,~a~ <br />N TICE <br />This permit is granted temporarily to allow construction to commence. This.pertnit maybe revoked or suspended by the Weld County . <br />Department of Public Health and~Environment for reasons se[ forth in'.the.Weld County Individual Sewage Disposal System Regulations <br />including failure to meet any lerrtt or condition imposed thereon during tcrirporary or fatal approval. The issuance ~of this permit does not <br />constitute assumption by the department or its omployees of liabilityfor tho.failure or inadequacy of the sewage disposal system. <br />This oermit is not Iransferable.,~Before issuing final approval of this permit the Weld County Depanment of Public Health and <br />Environment reserves the right to impose additional terms and conditions iequired to meet our regulations on a continuing basis. Final <br />permit approval is amtingent tipon the final inspection of the completed system by the Weld County Depanment of Public Health and <br />Environment. This emit ex it s one r ro he a lication da[ <br />. ... c .Y A~ I I l.f t~~~i <br />Fwm: S_PERMT <br />Environmental Health Specialist <br />Date <br />