Loading...
HomeMy WebLinkAbout20110833.tiff �® CENTR,IL WELD COUNTY WATER DISTRICT -' _5 2nd Ave970- NTS'),Co DI 97(1 3i?-!?ga CENTRAL22 2n d A COUNTY WATER DISTRICT ;. Greeley.CO 3(1631 't ' o, Ji(L352.123t PREVIOUS PRESENT PREVIOUS P REVIOUS RESENT "m lIk j� i READING READING i P DA OUS PfiLuET • nREV1O •i ' t c ' 11/011 12/01 LATE I READING j PR£S£N7 16 0 178 ! READING 1Q/Q1 11/01 135 160 • clxa s 18 42. 90u c:Ir:>Rcr•. 0. 00 PAST,e� Usage Shown in Thousand Gallons 25 ACCOUNT Thousand NUMBER PLEASE PAY 51. 70 THIS AMOUNT. Usage Shown in TlwUS• 0 . 00 Jn�Gallons ACCOUNT NU�,�ER rP n SPAY 108731 42 . 90 108731 1i111,I1„,,ill„1,11,1„ 51 70 • CENT'RAI.WELD COUNTY WAITER DISTRICT :235 2nd Avenue,Grecicy,ellY CU R()G3[ 97(1-i5?•12N4 • ` PREVIOUS PRESENT ?RE�[GUS PRESENT , DATE E DATE READING READING 12/01 01/01 178 192 [�ti'f Irani 14 36 .30 0.00 PLEASE PAY Usage Shown in Thousand Gallons THIS ANIOL\T ACCOUNT NUMBER 36 . 30 108731 tlli}iiiiiiiiii!iil!!iliil • 2011-0833 • ../e -Th HIGH PLAINS ENGINEERING & DESIGN, LLC • 721 4th S I REET, SUITED, FORT LUPTON,CO 80621 • PHONE: (303)-857-9280 • FAX:(303)-857-9238 January 25, 2011 Rocky Plains, LLP Attn: Mr. Phil Haynes 4022 WCR 11 Dacono, CO 80514 RE: To certify an existing residential onsite wastewater system for the proposed residential and business use at 4022 WCR 11, Weld County, CO Job # 11-2288 EXISTING SEPTIC SYSTEM DESIGN DATA: The percolation rate for the site reported by Weld County Health Department Permit # G-880182 had an average percolation rate 45 minutes per inch (mpi). An 1875 square foot absorption bed was installed with a 1000 gallon • two compartment septic tank. PROPOSED USE FOR THE PROPERTY: The proposed use of the business facility will be for retail sale of Colorado raised bison, lamb, pork and chicken meat products. There is currently one part-time employee and one full-time employee who is also a resident in the home. There are currently two people living in the 3 bedroom home. CERTIFICATION OF AN EXISTING SEPTIC SYSTEM PER POLICY E OF THE WELD COUNTY, COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT: The existing septic tank will not be utilized for the business do to its location. A new 1000-gallon septic tank will be installed adjacent to the proposed restroom in the "store". I reviewed the information on file with the Weld County DPHE, permit # G- 880182. The "repair" system was installed in a satisfactory manner and • completed October 18, 1988 for 3 bedroom home. Please reference the attachments. 11-2288 Page 1 ABSORPTION AREA (A): • The percolation rate of 45.0 mpi and bed size of 1875 square feet (SF) have been reported by WCDPH. Using Table 30-2 results in 561 SF required per bedroom. Existing bed size = 1875 SF 561 SF x 3 bedrooms = 1683 SF 192 SF available for business use A = Q x 1.5 x 1.3 x VT 3.5 192 = Q x 1.5 x 1.3 x x/45 4 Q = 51 gallons per day (gpd) 3.5 2FTE@15gpd = 30gpd 2 PTE @l0gpd = 20gpd Total = 50 gpd The existing absorption bed is adequate for up to 2 full-time employees and 2 part-time employees. Please note that if any of the employees reside in • the home, that volume should not be included in the business septage. PROPOSED SEPTIC TANK: A new 1000-gallon capacity septic tank, with two (2) compartments or units in series will be installed to serve the business septic requirements. This size tank will accept a maximum loading of 533 gpd. The absorption bed is the limiting factor of this system. NOTES: 1. Provide a minimum of five (5) feet between the distribution box and the septic tank or any building. 2. Provide a minimum of five (5) feet of solid pipe between the distribution box and the laterals. • 11-2288 Page 2 Installer to provide schedule 80 pipe when trenching below road or • driveway. The absorption "bed" area shall be isolated from all vehicular travel, parking, grazing and storage areas. All construction is to be in accordance with Weld County Colorado Department of Public Health and Environment's Individual Sewage Disposal System Regulations. Certification: I hereby certify that the existing septic system at this site with the addition of the new septic tank is adequate for the proposed average daily loading of a 3 bedroom residence with up to 50 gpd from the business. g.%s......SCH4 :t 'A: 33448 Todd M. Schroeder, PE ,3:548 " w Attachments: G-880182 documents, site map III 11-2288 Page 3 JAN-04-2011 TUE 09:41 AM W C ENVIRONMENTAL HEALTH FAX NO. 970 304 6411 P. 02 H: )6l. I:NI):Ivll)uAl': SI WAGE .r,I`+I'i]nI SYSTEM PERMIT Nn :' G..fl1182 WELD COUNTY„ MEALY " TLl A1IMEu4T REPAIR PF.EERM.IT . E VI•Rul E:NTAL HEALTH SERVICES 1516 HOSPITAL ROAD , C;RFL-_LEY'r CO G0.63i EX-1.2225 OWNER WINS.LOW , ) ADDRESS 4022 WLR 11 'PH (303) I334-23E i l_Li, ERIE CO S0516 ADDRESS OF PROPOSED..SYSTEM 4022 WCF; 1 i ERIE . CO t3U : . LEGAL ,.IXECRIP T ION CIF SITE: L::C + w . '1'WF.. 1 RNC fN . SUBDIVISION.: :. LOT. 0.. BLOCK 0 FILING 0 USE TYPE : RESIDENTIAL SERVICES :rICE ',• a t SIZE .'37 ACRES ' . .. :.LLT':<FS : I''ErtSONS , 2 BATHROOMS 'LOT .. 1:"_L. BEDROOMS. 3 BASEMENT PLUMBING YES WATER SUPPLY CWC':WI) ' • • APPLICATION FEE, $1.00A.0 OE) . REC' D. .BY WES .POTTER ' SIGNED BY GLEN WINSL.OW • . DATE 08/30/80 . . . . ' , DATE 08/30/D8 PERCOLATION RATE 45.:0 .MIN L''ER INCH' 'LIMITING ZONE C3 FEET. SOIL TYPE. SUITABLE • PERCENT .GROUND :SLOPE SLOPE i 'i, DIRECTION TION NNE REWIRES ENGINEER DESIGN Na F'kOM THE APPLICATION.I.ON. INFORMA'i TOrI , SUPPLIED' AND THE ON—SITE SOIL. PERCOLATION DATA ' THE FOLLOWING MINIMUM . INSTALLATION. SPECIFICATIONS ARE ..I;E:G?UIRED : • SEPTIC .TANK .1000 GALLONS . ABS't7UPTIOi•I TRENCH 924 SO, F ... OOR • - AI+SCJRPTI.ilid BED i i59 SG. 1=T .IN ADDITION . THIS PERMIT IS. SLmJ.ECT TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS; __ _ ___..._,. ...__.. .__.._,_._.m__..._...,..— THIS PERMIT IS GRANTED^'^TEMPORARII_Y TO ALLOW CONSTRUCTION TO COMMENCE, THIS PERMIT MAYBE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET FORTH IN THE WELD'.. COUNTY INDIVIDUAL SEWAGE' DISPOSAL. SYSTEM REGULATIONS INCLUDING FAILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMF'OI ARY OR FINAL APPROVAL , THE. ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE: ASSUMPTION BY THE DEPARTMENT ' OR OR ITS EMPLOYEES OF LIABILITY FOR. THE FFAXLtJRE OR INADEQUACY OF' THE SEWAGE DISPOSAL SYSTEM.. SCOTT .1 F_RI{INS 09/22/08 - ENVIRONMENTAL SPECIALIST DATE: THIS PERilIT. :ES .NOT `T;RilNSI'.rRA'?LF-' AND- SHALL 'C•+ECOMFUDE 7:."a1I SYSTEM F'' O1itf L.) RUCTIoNAPPVAI HA'S NOT 'COMMENCED WITHIN. LINE.-?EAR OF .17's ..T. SUANCE. -BEFORE' THIS' .PE:RMT.T' THE WELD COUNTSCHEAL:TH .DEP'ARTMENT RESERVES THE. RIGHT TO IMPOSE ADDI- TIONAL TERMS AND CONDITIONS .REQUIRED TO MEET OUR REGULATIONS 'ON „a CONTINUING BA-. SIS, FINAL PERMIT APPROVAL :I ', CDNT.T•'NGENT" UF'ON THE FINAL INSPECTION .OF THE CC1M • I:LETEI) SYSTEM BY, THE, WEL••I) CO.LJNT'Y HEALTH DEPARTMENT , WW1-7- ....._.__:_. ..,:FINAL i'1 • . . SL_ :I:N M:—..... I) ' ! '., � S`/STF::ai, INSTALLER 2�jJi�-.,.:,.__..... . // � ..._........_._._._..-,.. _..._ SYSTEM ENGINEER ....,.,.•..._._..APPROVAd_ tawb! ... .�'k�=�;:15141:_...;�..�_,._. -, , . il� •Hf:•h)..i'AL SPECIALIST T'YK'E OF' ' SYSTrZ INvTA .I I) . ...:..:.' " TO # Demo 41-ic_ r - : p . JP,rig-v- Y ,. , a.,... WITH y 0 CSUANcE ol- IN S PERMIT DOES' NOT IMPLY COMPLIANCE WI H EITHER STATE, COUNTY OLOCAL. REGULATORY OR' 'BUILDING REQUIREMENTS . NOR SHALL IT ACT TO CERTIFY THAT THE SUBJECT SYSTEM_ WILL . OF'ERATF IN, COMPLIANCE WITH APPLICABLE STATE , COUNTY AND LOCAL REGULATIONS ADOPTED. PURSUANT TO ARTICLE 50 , TITLE 25 . CRS 1 ^73 . AS AMENDEI EYCr.F'T' F'.OR THE: PURPOSE OF ESTABLISHING FINAL_ AEI'-'ROVAI^ OF AN INSTALLED SYSTEM FOE ISSUANCE of A LOCAL OCCUPANCY PERMIT PURSUANT TO ORS ' 973 25- 10-', 11 (2) . lel r.+tio'_.I_i•l:' -v,AY . 4 `iR4'' P.01 JUL-26-1994 13:09 w, , / �,W gays. rVa. , . wn..w ROM To , i ,'a Y S co. DEPARTMENT OF HEALTH Pion FSXPhon* 1577•16 AVENUE COURT Fax* _ iuR GREELEY,COLORADO 60631 inniCPPROVAL ADMINISTRATION(303)353-0586 HEALTH PROTECTION(303)353.0635 COMMUNITY HEALTH(303)353.0639 COLORADO p OR�.DO CLOSING DATE: Unknown REQUEST NO: 133-9412523 FAX FEE ($2.00): N/A DATE RECEIVED: 07/21/94 REFINANCE FEE $90.00:s/21.19i_L_____ TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: REALTOR NO.: SEND TO: Phil Ha es OWNER NO.:__91:2221______(0) 4022 WCR it O NO.: 741-3330 (W) Erie, Colorado 80516 FAX NO.: 741-3385 FAX TO Phil Ha es Age of Septic: 1988 INFORMATION: Address: 4022 WCR 11 Erie Colorado X16 O1 N RN G: t_ i WW PT: SW4 SEC: 12 Legal: PT: S2 LOT: 000 BLK: 000 FLG: 000 Subdivision: NlA Original inal Owner: Winslow, Glen Property Owner: Haynes, Phil g Licensed Yes Tank pumped on: 0812 By: AC Sewer Service PERMIT ON RECORD: Name: Winslow, Glen • Permit No. : G-880182 S.O.E. : No Bathrooms: 1.5 Bedrooms: 2 Total Acres: 35.0 Date of Final Inspection: 10/18188 water Supply: Central Weld Well Permit No.: N1k gallons Field Size: 1875 square feet Tank Capacity: 1000 g INSPECTION FINDINGS: Date of Inspection: 07-22-94 . . Snow-covered Soli Conditions: Dry x:or Saturated Vacant eaenD Occupied Satisfactory xxx Other Sewage Disposal c System: Other Bacteriological Water Test: Acceptable x: c_� I COMMENTS: None Applicable. 'A ilikii:4 :1-- ----s-------- . SIGNATURE: ny� DATE: 07126194 Environmental Protection Specialist 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 t any lending agency making a loan on the above property in connection with either its examination of the property or in the report. inspection was conducted solely for the purpose of detecting health hazards v • observable bsery able at the time of inspection, and does not constitute a warranty that the system soil saturation may be of questionable value to is without flaw or that it will continue to function in the future. Inspections request: during lrbuy snow cover and hongh s was tkthe Eyaluatirn potential t buyersgic due to of the eater supply ate the timelthee�ampl reflect w the bacteriological quality o xf water supply based � Statements of Existing (S.O.E.) relies as information the propertyly provides, underloath, tindicatn is notcurrent tastatus toff the etsysteroa d presenting to the be ,JAN-04_2011 TUE 09:41 AN W C ENVIRONMENTAL HEALTH FAX NO. 970 304 6411 P. 03 • GSSOISa • r f, er o. . Iu5r ;otoVP • t :N > ' .. "--i• • a.ti L; KS.l� :,. mil. ( . :;.,, v ;;,; .L prix,' 'i.<.1}}� yL} `:. � 6a a r .s.\'Y� is'Sz • 4L • ;. i:' ^ .▪ i.<,.:: {t;.Y', l(t `CI ,04 >d<. �P t _ .,,: 3,, ( )E> :�::.▪:' <.:S3M;.i>�� Y ..'9P. • rAii •>,','+.' :)`;wN .4�.aS4+' a.2•` r. ; ``f�:w s£ak, rF;c`c....'i„6 ;.n" i. (( ''4 f*` ;�,yPe ` �;r.\^F,�:4 r"J, :.{' ' :.':'Y ,< `'`j'4:`P �`+i�>�r;•.11,�jv,:'k4>{:t,• .Yt,,n' ,tr ;</;;�.1u�..5;Qr.a.i ::i'lA :<i2^ r>,;:f,5^: 'E .;:;>'r,. �x 4".v",<,,a , sS.%<. .xnitY; $ �A,\V {.' SxY;`zr°e;' p./'≥ :.�.e J+;f:11. °>;' :::V:A.. '>>•j3: ,P� ',:.i:.4<`ti ij\.i I r '�ed L P'",.,./. j.: .i' 5);1 y:4•?.%:.t.>if. . ,�:,p�'G.a:>>tC i?f:el:;..:'^x<!: a ni�,p'Q,'{i, x.41 •sEY.Gi%�y'"/,!Y'£. .tc..y'. :4r,:,. ,, .' :`a�F ,.x$43;':'Y .�.:.:A :\�>cy :.:^,, \+ m�Ex£`F' ^;g tT.3;i: .;�iAis.L.: \! •.c.\<, zu (° 3,>p�si::v£": . d�t;'', £ai"::,.. . 49kC r.h.". i 9:::.&: " . ,' . D•t•;:,l,5 6i:'a;:.E,$ J\�: .J. 7 r„".,k47: ,.A.,;4< .:iK'$ ?,. ` < �:ct :':K$i 5`i r';;:�'2r �<&BGa::... • .. i.:Yf,';$: >•%...as4,t is' ix> •;ar:iy • , ;S5i .. .: �47':-22f;• q:^'¢ 3 .. 4%\`: '.Y+"cr;>YTr:.,'Ed�::;'3ar.!:' .'Y pkltii) ,.A,Sd ' 4 • .0 • O::iiif;>a>,K�,: ....55N:i5.55i'<r'f:L. >,4 .,ta' `bi^ ,a 4C 'n .. ' OP:2xP.f<l.��l 5 .;x<.v':£5(F. :.yw r '. ,`a S :,:>. v� �+1w; 1';`„^: i.r,:>;S;'.v;„ ''Y,•22'�,'`a;<1,'sIi'.s >� >K3 • "ii " X r>r'^'' r`fy<a. a:/.,.ng`4n:':...x:' µ ...Y4' < i �,:R:g.": ?S3`:`.', :`'`; i ':> ?'";y'ivX::r.>t..<i "'•.� < ,< \S i�i�i� >'43 , i '' . .tov,.>>; ;..,C"c:C\>.q ,�,v32't;ti %'..'.>7'1^:. .' ''?'N'�'j'aP ?ti' "t✓' P'a:VVA: ,0:V:'.i'ri:�`.,") :;�;"''4.` its'.'`: •L ..:',X, ` ?s G�; ;ih)a.>'�.�r,`,>�i«v`y'it.�'s� '�'SG€:&',4 . . _� �+ t�A ::.<.<• cA''.:,,;E�:('F f`s:<,;:¢'iv`:::x g`iwLY ,L, .xt"^ • :p...� ,' .<ak>::4F:: Z: i.;"-tta<K'i<i,;.`:;r3.{six >; ;:.% ;:,; ..`s`x;<' xFX:: w!, ^n:e^`�i:;≥""�'";: �:c'LT"<��3Yf;�y C.i ) L4b`: .•.` ....� i:`::' �� � � A ' ��`�L,''k"�T.,;':�`+ i:��£/::�;'��rt:��:�:C>'S,� ..;Y�A?>s.w`GY,':4>�:.:5's^v;`:�:��„x,:g Ei • : �,),x>`. \�,���; < TG. <�"... <^>' 2. YY:nL:s' F£`K:' :3•'?`n.E2 \ , ':<,r..',`yv'<5 r`y` C \ n r v>a'y5) ?a;E�s�y { ii ".�IA3fS? .T !'3:.£'4��<;i:;'.::�i. ''S<F'�.L,.:';.. •` �x,i;�'\ ,S..� `-0%• ."'", £4:«, etri; .>>�,�,:))i`i <r:'Css.9N-:SF, tAi.;;.:.4s .<e <ts. ', \.I.\;'• . ,, ^6, ��• 4 F.:E: 4�'5':` c:r;> ,,3i�.f�'{:,',�TV�fi,) . ,•4.�' � •�. " '...:."s.'.M - •n' :`�,<";4*:.ci'<x:° '•4!`< .\- �", r3.fi;+.¢"., „;...i.'r ? `mow • ....4, aP 4 h.' ;5ffi lV:,;Y. im,RM >,$ <.: ?:,2: - '''-'2:‘::. iihket v;�"k<`;>�,,"5.1 ''::1t'3 ;. „'!EX , �<' at ^ \y 3 <<f' ate : .;<,;.'•utiosamesc: 000 •a •r; ,4 tom, < in ' t " • ,��.,, rWaTIPW, :" i,`.S"' ,ii.2 !q, rlti£ ',�{:!d,;,' ..�n..t to 5::iy l�lh;y.. 4i'! v :::4'1g'.;. .e>i$4 .6' " ' .,:Kv\g z' _"xy�i.wv'.s., ,a: N. • /Hi : iSr .h LL.c.{�,L"y4.- vF Y.. ' y • :X;.≥Yt.?i;E:y„`>:,t:'a£. 2„'ai i€t{ ;F>¢'i:E' 'tot •:.&'....”%•.- !:S.M!>;i£i:i?≥`':;.k.'Y(.45.,'U.a SLUE .� ,. :::. •• : < ate?: : „,ty,,, '. .. .�"; .,%`y,?.<.fyr5 ,:ix5«P3i.r<: Ei'. .hx `.,a� .r. 3\' t.i.'{� '.a\.'.`.C:y,t"F<�.Y" f �� v, .r:.;3.Y , '::f:'' s"'i::;ii�•��t.+,. ., aC• `.. ..'.:,... f rill ; fi� .< .�� R`.t» a„•(!?2.,: i kuai:£:r, :,t'\vTi' ">i�;�`,,) „), `>.;a'.:%ts : ja 'i.• 4x . ':.:."4"., '3>. ,tz'"cS�'2 : ,g:6 FT, . p <;..' �,,t., a. `',.„: „.,hk` '. ,:•.y'.' . tC T'3 : fr'. .i..eir.fly S NAl ft.w.Y'i{St»a•'44,..,,t " �J )f>N,.a. sii i>,`i.)s<\`• ::;.1 .ty N:y/,�t.c?..1* ::"..:'k:, .}::::44,a:. ..... / `�f1 \A do :..EyF+!:.;i.i.:.'.i5>.:.:'L:i /+;5'>i<f;Vii'.:.,< ':E;:; :" .>'K::<r:;;X:..Qs.>K:. . .: 'y: . >E.+::'W:,. „".?.",:r4 ;f£;>i:::.;>:.'+ w'6';�.;'2.;::; ,:;:«:fin,,.r . <(QJ!f Ab0::4i`[r<..:..<::� P, T.:i'iii:.:. dH> '.":<^:a:<:;nC a£;%y£,q.` ,'C,'" • ,x: 3;.'�2i;$,f$: r;T.:Y;' iN!1 ".7^'i�::iu:,t......i',`'i/X>J'-ict:rg: '`fi'�S o e: ¢ �9 ..f": •43::40:!:;t0.-.340.6:4...„...„.......,.0 . . • rage i ui v Customer: PHIL HAYNES ® INVOICE Account Number: 010-0428735-2514-3 WASTE MANAGEMENT Invoice Date: 01/01/2011 WASTE MANAGEMENT OF DENVER Invoice Number: 9574504-2514-6 2 EST UNION AVE Due Date: Due Upon Receipt E WOOD,CO 80110 WM ezPay Account ID: 00000-97540-44005 (303)797-1600 Current Invoice Amount Total Amount Due (303)794-2403 FAX L _ _46.20 _ 46.20 ,-: . ] Account Summary, .1 -Please pay total amount due.Thank you for your Description Amount business. Previous Balance 45.94 Total Credits and Adjustments 0.00 Total Payments Received 45.94- Total Current Charges 46.20 Total Amount Due 46.20 Total Amount Past Due _ __ __ __ 0.00 Service Periott: 1211110-121$1(10 . . . Description Amount Commercial 46.20 Total Current Charges 46.20 If full payment of the invoiced amount is not received within 30 days of the invoice date, you will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly charge of$3.00, or such lesser late fee allowed under applicable law, regulation or contract. For each returned check, a fee will be assessed on your next billing equal to the maximum amount permitted by applicable state law. Want to pay this bill on-line?Go to www.wm.com to learn more about WMezPay and make a convenient,secure payment. Current Due . . Over 30 . .Over 69. Over 90 T Over 120 Total Dye . 46.20 0.00 0.00 0.00 _ 0.00 46.20 0 • Pager of o W Customer: PHIL 7 -2514- INVOICE Account Number: NES 010-04281101/2010 ® 3 Invoice Date: WASTE MANAGEMENT Invoice Number: 9389015-2514-8 WASTE 2400 W ST UNION AVEOF DENVER Due Date: Due Upon Receipt ENGLEWOOD,WEST UNION 80110 0WM ezPay Account ID: 00000-97540-44005 CO Current Invoice Amount Total Amount Due (303)797-1600 (303)794-2403 FAX j- 45.74 L 45.74 _ Account Summary I Please pay total amount due.Thank you for your Amount business. Description 45.11 Previous Balance 5.11 Total Credits and Adjustments 40.0000 74 Total Payments Received 45.11 Total Current Charges Total Amount Due 45.74 Total Amount Past Due 0.00 Service.Perlod: 10l1N0-10!31!10 - Amount Description 45.74 Commercial Total Current Charges 4524 If full payment of the invoiced amount is not received within 30 days of the invoice date, you will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly charge of$3.00, or such lesser late fee allowed under applicable law, regulation or contract. For each returned check, a fee will be assessed on your next billing equal to the maximum amount permitted by applicable state law. Want to pay this bill on-line?Go to www.wm.com to learn more about WMezPay and make a convenient,secure • payment. Over 90 T Over 120 Total Due Over 30 Over 60- � _ } I-- 45.74 � . Current Due 45.74 0.00 0.00 0.00 0 - Page 1 3 Customer: PHIL HAYNES W - 0 INVOICE Account Number: 010-0428735-2514-3 WASTE MANAGEMENT Invoice Date: 12/01/2010 Invoice Number: 9481479-2514-3 WASTE MANAGEMENT OF DENVER Due U on Receipt WEST UNION AVE Due Date: P P LEWOOD,CO 80110 WM ezPay Account ID: 00000-97540-44005 (303)797-1600 Current Invoice Amount Total Amount Due (303)794-2403 FAX 45.94 45.94 l Account Summary i Please pay total amount due.Thank you for your Description Amount business. Previous Balance 45.74 Total Credits and Adjustments 0.00 Total Payments Received 45.74- Total Current Charges 45.94 Total Amount Due 45.94 Total Amount Past Due 0.00 Service Period: 11/1110-11/30/10 1 Description Amount Commercial 45.94 Total Current Charges 45.94 If full payment of the invoiced amount is not received within 30 days of the invoice date, you will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly charge of$3.00,or such lesser late fee allowed under applicable law, regulation or contract. For each returned check, a fee will be assessed on your next billing equal to the maximum amount permitted by applicable state law. • Want to pay this bill on-line?Go to www.wm.com to learn more about WMezPay and make a convenient,secure payment. — -- ------ fCurrent Due -- Over 30 Over 60 Over 90 Over 120 Total Due _ 45.94 I 0.00 0 00 0 00 0.00 45.94 • Hello