HomeMy WebLinkAbout20013087 LEFT HAND WATER DISTRICT
May 31, 2001
Rhonda Webber
2700 WCR 10
Erie, CO 80516
Re: 2700 WCR 10
80 20 14
TO WHOM IT MAY CONCERN:
The property located at the above address or legal
description is within the "SERVICE AREA" of Left Hand
Water District . The tap fee for the above named property
has been paid. This entitles one living unit to receive
water service at this location, however, our policies do
not require an additional tap for a barn.
If you have further questions regarding this matter, you
may contact me at the District office .
Sincerely,
42,(;-fri—__ C. _. --_______
Kathryn A. Peterson
General Manager
EXHIBIT
/ 9
2001-3087
P.O. Box 210 •Niwot CO. 80544•(303) 530-4200 • Fax (303)530-5252
WELD COUNTY DEPARTMEN JF PUBLIC HEALTH &ENVIRONN._ I'
1555 NORTH 17TH AVENUE, GREELEY, CO 80631 PHONE: (970) 304-6415 FAX: (970) 304-6411
APPLICATION/RECEIPT
Initials: SKE
Permit Number: SP-0100294 Receipt Number: HAP-01293
06-13-2001 Amount: $315.00 Payment Method: Check Notation: 9007
Owner Name: ABFALTER RHONDA & CHUCK
Applicant Name: ABFALTER RHONDA& CHUCK
Parcel Number: 1467-16-0-01-035
Site Address:
Location: RD 10 16 01 68
Total Fees: $315.00 Total All Payments: 315.00
This Payment: $315.00 Balance: $0.00
Account Code Description Amount
256041400-4221-400 New Septic Permit $315.00
256041400-4221-400 Repair Septic Permit $0.00
256041400-4221-400 Vault Permit $0.00
256041400-4730-400 Potable Water $0.00
Description: STABLE/INDOOR ARENA
Commercial: (Y/N) N Residential: (Y/N) Y Acres: 5
Number of Persons: 0 Basement Plumbing: (Y/N) N
Number of Bedrooms: 0 Bathrooms: Full - 0 3/4: 2 1/2: 0
Water Public: (Y/N) Y Water Source: LEFT HAND
Water Private: (Y/N) N Cistern: (Y/N)N Well: (Y/N) N Well Permit Number.
NOTICE
Applicant acknowledges receipt of the individual sewage disposal system guide and that 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 to be made and furnished by the applicant or by the Weld County Department of Public Health and Environment for
purposes of the evaluation of the application;and 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 theat the
proposed system will not be located within 400 feet of a community sewage system. The undersigned hereby certifies that all statements
made,information and reports submitted herewith and required to be submitted by the applicant are,or will be,represented to be true and
correct to the best of my knowledge and belief,and are designed to be relied on by the Weld County Department of Public Health and
Enviro nt in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or
tation may result in the denial of the application or revocation of any permit granted based upon said applicaion and in legal
action o 'ury asp id e b+law. This application expires one year from the signature date,
er/Applicant ate
Form:RT_HAPP
EXHIBIT
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