HomeMy WebLinkAbout20050233.tiff October 8, 2004
Mountain View Water User's Association
PO Box 485
Brighton, CO 80233
303-637-0335
A.J. and Diane Goddard own one membership (water tap) with Mountain
View Water User's Association at their residence located at 8495 WCR 2,
Brighton, Colorado.
This membership allows for one domestic tap including a line to their machine
shop.
Cl9hn Howard
resident
Mountain View Water User's Assoc.
2005-0233
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EXCELSIOR INC.Box 5663.wnunG*ow.i%]6011
I, AQ£!-c- 4, i J4 � , Secretary-Treasurer of Mountain View
Water Users Association,Adams County,a Colorado corporation,do hereby certify
that the attached and foregoing membership certificate is a true copy of the
membership certificates issued by Mountain View Water Users Association.
Adams County, to the members thereof.
DATED this c, oiDD/
(SEAL)
hdy,_ec: d WeeJCRI�
SECRETARY-TREASURER
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For Value Received, "m'11
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hereby sell, assign and transfer unto O-mom
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the membership represented by the within Certificate, and do hereby irrevocably constitute L70 H
and appoint ;, 2%
^• zmmjm
to transfer the said membership on the books of the within named Corporation with full "»^8
o'>'
power of substitution in the premises. .2a;�
Dated 19 �„>in
In presence of Tzp,
A<z;
mazy
SEP-21-2004 TUE 09:25 Ali SOUTHWEST WELD PLANNING FAX NO. "-`0 652 4211 P. 01
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AN) ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
PHONE(970) 3046415 FAX(970)304-6411
Permit#: SP-9900509 Sec/Twn/Rng: Status: FINALED
Owner: GODDARD ANTHONY&DIANE Applied: 10/01/1999
Applicant: GODDARD ANTHONY&DIANE Issued: 10/18/1999
Permit Type: RNEW C=Commercial,R—Residential+NEW,REPair,VaitL.T Finaled: 04/27/2000
Parcel#: 1469-33-0-00-021
L cation: 8495 WCR 2
Legal Description:
Installer:
Description: HOUSE
Commercial: N Residential:Y Acres; 80
#of Persons: 2 Basement Plumbing: N
#of Bedrooms: 1 Bathrooms-Full: 0 3/4: 1 1/2: 0
Water Public: Y Water Source: MT VIEW WATER USERS
Water Private: Cistern: Well: Well Permit#:
Percolation Rate: 17 Limiting Zone: 8 ft 0 in Description:
Ground Slope: 1 Dir: N Soil Suitable: (Y/N) Y
Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1000 gallons Absorption Trench: 0 square feet
or Absorption Bed: , 690 square feet
Actual Installation
Septic Tank: 1250 gallons Absorption Trench: 0 square feet
Absorption Bed: 780 square feet
Design Type: AB
NOTICE
The issuance of 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 10,Title 25,CRS as amended,except for the purpose of catahliching final approval of installed system for issuance of a local
occupancy permit persuant to CRS 1973 25-10-111 (2).
This permit is not transferable. The Weld County Department of Public Health and Environment reserves the right to impose
additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the
final inspection of the completed system by the Weld County Department of Public Health and Environment.
x
Environmental Health Specialist Date
Form)S_PLAN
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