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DOCUMENT SHOWING EVIDENCE OF
ADEQUATE SEWAGE DISPOSAL
ATTN: PAM SMITH
EXISTING PROPERTY SEWAGE SYSTEM DESCRIPTION:
Septic Tank
■ Engineered September 1993 with Permit # 108-93-900
■ Engineered Drawings and Documentation available for
review upon request from current Owner of property
■ Bed is 24 ' x 56'
■ Tank is 1250 gallons
r
2004-3332
07/30/2004 FRI 14:26 FAX ^ Z 001,002
FROM : DUNCAN/BIBLE BAPTIST ci-uoi FAX h0. :303 442 5971 Sul. 1 26fd4 B9:2141 P1 AP Left Hand Water District r
MEMORANDUM fl}(
TO: SLble Baptist Church
P.O. Box 11078 ,
Boulder, Co 80301
FROM: Kathryn A. Peterson.
DATE: July 1, 2004
RE: Tap Request #2270 Request Date: 6/25/04 For: one commercial tap
Engineering evaluation:
A review of the above referenced tap request has shown that the pressure and
volume is adequate for tap on 12" main in County Line Road.
In order to increase capacity 4n the "Eastern Transmission Zone", the District
undertook a major upgrade of transmission facilities. The cost of this
improvement is repaid by means of a "line fee" with an interest component due from
new taps served by the new facilities. A portion of the line fee and interest
component is due to the District and a small portion is due to a developer who
financed a portion of the improvements. Therefore, in addition to the tap fee,
there is a line fee in the amount of $2,500. 90 per tap equivalent, plus interest.
Attached is the schedule of payments due on a monthly basis.
If you are interested in purchasing a water tap and receiving a tap commitment,
return this letter to us indicating the date on which you wish to have your tap
request presented to the Board of the District for final approval . Board meetings
are held the Thursday following the second Tuesday of each month. Your attentance
is not required, however, ' this form must be received at our office by the Monday
preceding Thursday' s Board meeting. Date you would like your request presented
: :±::
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We will notify you once your request for a tap commitment has been approved by the
Board and you will have 90 days to pay all components of the tap fee. You are
under no obligation to purchase a tap at this time and the above conditions to
serve do not constitute a commitment on the part of the District to serve, until
all conditions for service have been met.
A copy of the current tap fee is enclosed for your information. Please note that
these fees are subject to change at the discretion of the Board, without advance
notice. The fee paid will then be the current tap fee at the time of payment ,
Left hand Watcr District
P.O. Box 210 i N1wot CO 50544-0210..Phone 303-530-4200 a.Fax 303-530-5252..www.lefthandwasetdstoz).us
07/30'2004 FRI 14:26 FAX 2002: 002
'"e will consider your request withdrawn, unless we hear from you within 60 days.
-uture requests for service may require a new application and/or fees.
This review is based on current available capacity and does not represent an
opinion on availability of capacity in the future, if the tap is not purchased
within the time frame outlined in this letter,
Installation: All commercial taps, service piping and hydrants are installed by
the Applicant' s contractor and inspected by the District Inspector. Your contact
person for inspection is Todd Petry, Distribution-Manager.
Utility Installation Permit: Please strictly follow the guidelines on the back of
the enclosed permit. The upper portion of the front of the permit should be
completed by the Applicant and/or Applicant' s Contractor. Applicant' s Contractor
should keep the permit on the project site for periodic review and approval by the
District Inspector.
Drawings: Drawings must be submitted for review and approval by the District
Engineer prior to the start of construction, as detailed in item #1 of the permit
guidelines. A copy of the District' s Standards and Specifications is enclosed for
your use in the design and construction of your potable water system. If a fire
and domestic tap has been approved, the District prefers one tap on the main, and
a combined fire/domestic line into the building.
Left Hand Water District
P.O. Box 210'v Niwot. CO 80544.0210 ti Phone 303-530-4200 ti fax 303.530-5252 www.lefthandwater.dst.co.us
06/14/2004 MON 13:44 FAX 001/002
LEFT HAND WATER DISTRICT
TAP REQUEST
3014
APPLICANT CHECKLIST Og3S
347 DS
Dear Applicant:
Prior to sending in your tap request,please review the following materials list. We will require
these prior to reviewing your request.
?X A copy of the warranty deed and/or legal description of the property in question. A plat
can usually be substituted for the legal description.
cc M< i( Levi ,
XA. copy of a recent tax bill or title report indicating that the property in question is located
wit�iin the Northern Colorado Water Conservancy District and the Left Hand Water
• District. t. .e IA feet S.I res C
XA check in the amount of S (Please refer to your instructions.) The fee is
$50.00 for 1-2 tap equivalents and$25.00 per tap up to 50 taps. 50 taps or more is
$1,250.00.
Commercial/Industrial Supplemental Information Form(commercial taps only)
Please be aware that we cannot review your request until all items are received. Additionally.
your signature is required on the front paee of the tap request. Thank You.
LEFT HAND WATER DISTRICT
P.O. BOX 210
NWOT, 80
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