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Home My WebLink About20122920.tiff City of Greeley Statement of Account for Utility Service(s) Oftvof Director of Finance ey p O. Box 1928 ( THANK YOU FOR YOUR PROMPT PAYMENT. Greeley Greeley, CO 80632-1928 Great.From the Grmmd Up. C C CI Account Number 032-759511-01 - Service Location 1420 2ND ST QUESTIONS? CALL JOY 970-350-9260 COLORADO STATE HIGHWAY ACCOUNTS PAYABLE/ATTN BUS OFFI 1420 2ND ST GREELEY CO 80631 Readings Current Previous Usage previous Charges 281.60 Meter ID Date Reading j Date Reading I ;In Thousands) 08166025 03/12 ' 4509 02/10 4495 14 Payments 281.60 - Bal Fed 0.00 METER 0.00 COMWATER 60.12 SWRCOM2 53.66 STRMWTR 161.24 To pay online go to www.greeleygov.com To pay by phone call (970)350-9722 or (9701350-9723 For watering restrictions call (970)336-4134 or go to www.greeleygov.com Current Charges / 275.02 Consumption History usage (In thousand gallons) TOTAL BALANCE 275.02 DAL FWD DUE IMMEDIATELY 24 CURRENT CHARGES ARE DUE BY 04/01/12 F-- le 14 I ! I I —. Last Last This feat Month Month DETACH AT PERFORATION AND RETURN BELOW PORTION WITH YOUR REMITTANCE Please Return with Payment ,L1 , O� City of Greeley Statement of Account for Utility Service(s) Account Number 032-759511-01 Service Location 1420 2ND ST COLORADO STATE HIGHWAY ACCOUNTS PAYABLE/ATTN BUS OFFI AMOUNT PAID 1420 2ND ST GREELEY CO 80631 TOTAL BALANCE 275.02 19032-759511010000275025 ) - . . . • ;.T ?-ISF �;C)6r' INDIVIDUAL SEWAGE DISPOSAL. SYSTEM PERMIT NIII. G-290051 WIELD COUNTY HEALTH DEPARTMENT:NT NEW PERMIT ENVIRONMENTAL HEALTH('I-I SERVICES 1.5.17 16TH AVENUE COURT, GREELEY, CO 3063'1 353•--0635 EX-,-I .22.25 OWNER COLORADO DEPT OF HIGHWAYS ADDRESS P.O. BOX 350 PH (303) 353-1 232 C./. 6 .6 GREI::.LE•Y Co BB063I ADDRESS OF PROPOSED SYSTEM 2350B -WE-n4-4-7:4:3 . GREELE.Y CO 30635 LEGAL DESCRIPTION OF SITE: . • S2 SEC I TWF' ' 5 RN(:: 65 . SUBDIVISION : LOT 0 BLOCK 0 FILING 0 USE TYPE : SERVICES : PE=RSONS 30 BATHROOMS 5.00 LOT SIZE 44.00 ACRES BEDROOMS 0 BASEMENT PLUMBING YES WATER SUPPLY NWCWD APPLICATION FEE $150 .00 • PEC 'D BY RECEPTIONIST Al!) - SIGNED BY ROSE M. MC DONALD DATE 03/23/B9 i:)ATE 03/23/3? • PERCOLATION RATE 5 (x . 0 MIN PER INCH LIMITING ZONE B -FEET SOIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION REQUIRES ENGINEER DESIGN YES FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON—SITE SOIL PERCOLATION ON DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE:. REQUIRED : SEPTIC TANK • 1000 GAL!_.ONS', ATsSL?!z}::'T]:Oi! TRENCH Stir. FT. • OR - . ABSORPTION ZED •i064- EQ.. FT. • IN ADDITION, THIS PERMIT .IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS : - ._.__._. ............_._.._......................_._.........._._......_.._.._....._....._,..._........_._.._....._.__.... • THIS PERMIT IS GRANTED TEMP=ORARILY' TO ALLOW CONSTRUCTION TO COMMENCE::. THIS PERMIT MAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET FORTH IN THE WEI...D 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 T OR ITS EMPLOYEES OF LIABILITY FOR THE. FAILURE OR INADEQUACY OF THE SEWACYE DISPOSAL.. SYSTEM. ALICE RINEBOLD ii /29/O9 . ENVIRONMENTAL SPECIALIST DATE E '''-iIS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED WITHIN ONE YEAR OF :ITS ISSUANCE::. BEFORE ISSUING FINAL APPROVAL OF THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE .RI GHT TO IMPOSE ADDI— TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA— SYS. FINAL It:RMI AlI OVAL.. IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM— PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT , • SYSTEM INSTAI._I_.EF: UNKNOWN FINAL INSPECTION DATE 03/01 /90 SYSTEM ENGINEER EDWARD FORD APPROVAI_. LYNN RO(BIO TYPE: OF SYSTEM INSTALLED TANK ENVIRONMENTAL SPECIALIST THE ISSUANCE 11= 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 40; TITLE 25, CRS 1973, AS AMENDED, EXCEPT FOR THE PURPOSE OF ESTABLISHING FINAL.. APPROVAL OF AN INSTALLED SYSTEM FOR ISSUANCE OF A LOCAL OCCUPANCY PERM:[T PURSUANT .T.0 CR5 4973 25-10-411 (2) . • '2R I.GINAL-7.0_ I f.3ANT;_'_ •=+!r:IiDE-------------------- ---------- ---1, 6-H-i—EH-S—ititAY---1— ;.4— -------- i HSP1 ry 1=' • INT.):I:V:[DUAL.. SEWAGE DISPOSAL... SYSTEM PERMIT NO. G-890051 • WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1516 HOSPITAL ROAD, GREELEY, CO 8063f ' • 353-0635 1=.X1...222.5 OWNER COLORADO STATE HIGHWAY ADDRESS P.O. I:n:jx aso PH (;3()'3) 353•-•123 ' GREELEY ' CO 30631 ADDRESS OF PROPOSED SYSTEM 23508 HWY 263 GREELEY CO 80631 ' LEGAL. DESCRIPTION OE SITE : 52 SEC 1 TUP 5 RNc. 65 SUBDIVISION : LOT .0 BLOCK 0 FILING 6 USE TYPE: SERVICES : .PERSONS 3i). Uri1T-I••II;;L1 Oi'1S 5,00 LOT SIZE 14.00 ACRES BEDROOMS 0 BASEMENT PLUMBING YES WATER SUPPLY NWCWD APPLICATION FEE $,150..00 • REC ' D BY RECEPTIONIST AID SIGNED BY ROSE M. MCDONAI_.D DATE 03/23/89 DATE: 03/23/09 PERCOLATION RATE 48.0 MIN PER :CNCI-E LIMITING ZONE 2 FEET SOIL... ;TYPE SIJ:I:TAI:+E._F: PERCENT i'1 (:.RO(.1NI) SLOPE (,/ DIRECTION REQUIRES ENGINEER DESIGN YES . FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON•-•SITE_ SOIL. PERCOLATION DATA THE FOLLOWING MINIMUM :i:NSTAI..LA••r:CON. SPECIFICATIONS ARE REQUIRED : SEPTIC 3:C TANK 1000 GALLONS , . ABSORPTION TRENCH SQ:. FT. OR ' ADSORPTION BED 1064 SQ. FT. :I:N ADDITION, THIS PERMIT IS SUBJECT TO THE:: FOLLOWING ADDITIONAL "TERMS AND CONDITIONS : _.._.....---•--.......___._. THIS PERMIT IS GRANTED' TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT MAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT . FOR REASONS SET FORTH IN THE WELD COUNTY :I:ND:I:V:I:DUAI... SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING - FAILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL APPROVAL.. TI-fE: ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE DEPARTMENT OR ITS EMPLOYEES UF LIABILITY FOR THE -FAILURE AILURE OR INADEQUACY. OF THE SEWAGE DISPOSAL SYSTEM. . T - ►7c.* 4 •3-6--9a O3 ALICE RINEBOLD D 11 /29/89 C. ,,,,p . ► . " • ENVIRONMENTAL SPECIALIST DATE THIS PERMIT IS NOT TRANSFERABLE. AND SHAL.1... BECOME VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE, BEFORE ISSUING FINAL APPROVAL OF THIS P'ERnIf THE WELD COUNTY HEAL...•T-I-I DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI- TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA- SIS. FINAL_ PERMIT AlPROVAL. IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM- PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. • SYSTEM INSTALLER FINAL pl.s6frio . DATI'Z 3 ) . . , SYSTEM ENGINEER ___ . . APPROVAL-. : TYPE OF SYSTEM INSTALLED ... ENVIRONMENT11L. SPECIALIST THE :ISSUANCE OF TI-IIS PERMIT DOEE NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY OR LOCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL.. IT ACT TC) CERTIFY THAT THE SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPL..ICA1tl_.I' STATE, COUNTY AND LOCAL_. REGULATIONS ADOPTED PERSUANT TO ARTICLE 10, TITLE:: 25, CRS 1973, AS AMENDED, EXCEPT FOR THE: PURPOSE OF ESTABLISHING FINAL_- APPROVAL OF AN INSTALLED SYSTEM FOR ISSUANCE OF A LOCAL.. OCCUPANCY PERMIT PURSUANT TO .CRS 1 973 25-10-iii (2) . • • r-,r.Ti-T,.IAI A1.91"',1 •I',-'A31T i,i•1i-,\, lli•\11:\ . ..... k • • • • • • — -- — -->QT-- -- — c w devicitc PrA. I 0 �rS G tfl . V a Z_04)it'l Ae? /79 Hello