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DEPARTMENT OF HEALTH
1517- 16 AVENUE COURT
111 I LOAN APPROVAL C GREELEY, COLORADO 80631
ADMINISTRATION (303) 353.0586
O HEALTH PROTECTION (303) 353-0635
COMMUNITY HEALTH (303)353-0639
COLORADO
CLOSING DATE: 07/07/94 RI?QUEST NO: 122-94/2331
FAX FEE ($2.00) : N/A DATE RECEIVED: 06/29/94
NEW LOAN FEE $90.00: 06/29/94
TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage
disposal system for an existing dwelling:
SEND TO: REALTOR NO. : 772-2121
OWNER NO. : 833-2254 (H)
PICK-UP: Andy Pittman - Century 21 OWNER NO. : 672-3835 Carolyn(W)
FAX TO: FAX NO. :
INFORMATION: Address: 7257 Maple Street, Longmont, Colorado Age of Septic: 1970
Legal: PT: PT: SEC: 08 TWN: 02 N RNG: 67 W
Subdivision: Enchanted Hills LOT: 020 BLK: 000 FLG: 000
Property Owner: Underwood, Gil Original Owner: Fulton, Jack
Tank Pumped on: 06/28/94 By: Coffman Sanitation Licensed: Yes
PERMIT ON RECORD: Name: Fulton, Jack Permit No. : G-700484 S.O.E. : No
Bathrooms: 3 Bedrooms: 4 Total Acres: 5.0 Date of final Inspection: 09/09/70
Water Supply: Central Weld Well Permit No. : N/A
Tank Capacity: 1000 gallons Field Size: 975 square feet
INSPECTION FINDINGS: Date of Inspection: 07/06/94
Soil Conditions: Dry xxx Saturated Snow-covered
Residence: Occupied xxx Vacant
Sewage Disposal System: Satisfactory xxx Other
Bacteriological Water Test: Acceptable xxx Other
COMMENTS: None Applicable.
DATE: 07/07/94 SIGNATURE:
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 to
any lending agency making a loan on the above property in conne( tion with either its
examination of the property or in the report.
This inspection was conducted solely for the purpose of detecting health hazards
observable at the time of inspection, and does not constitute a warranty that the system
is without flaw or that it will continue to function in the future. Inspections requested
during periods of snow cover and high soil saturation may be of questionable -
potential buyers due to adverse conditions. Water sample reports r: FcHoon
bacteriological quality of the water supply at the time the sample ons
based on Statements of Existing (S.O.E. ) relies on information tie .
provides, under oath, indicating current status of the system ani r. -st
of his/her knowledge the system is not failing to function properly. - ___
2001-1665
PLEASE MAKE
CHECK CM CENTRAL WELD COUNTY WATER DISTRICT
PAYABLE TO" 2235 2nd Ave. Ph.352-1284
Greeley,Colorado 80631
WATER BILL
9.
33.00
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ADDRESSr;• y-
�EDDPEBB
WILLIAMSON, BRIAN E E KATHY L
7257 MAPLE STREET
t.ONGMONT, CO 90504-
EXHIBIT
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