HomeMy WebLinkAbout20010341.tiff Water and Sewer Department
City of 1100 10th Street, 3`d Floor • Greeley, CO 80631 • (970) 350-9812
Greeley
September 11, 2000
Ms. Elenor Speaker
3240 47th Avenue
Greeley, CO 80634
Re: Special Use Review Process - 3240 47th Avenue, Greeley, Colorado
Dear Ms. Speaker:
The City of Greeley provides water service to 3240 47th Avenue, located in Weld County.
Service is evidenced by Account No. 033-730704-01.
Please note that City ordinances and policies regarding water and/or sewer services are revised
periodically. Any future requests for water and/or sewer service to this property will be
contingent upon City requirements in effect at that time. If you should have any questions or
concerns, please call me at 970-350-9810.
Sincerely,
Doris Biehl
Water and Sewer Permit Technician
2001-0341
EXHter
SERVING OUR COMMUNITY • ITS A TRADIEION
7depromise to preserve andinproue/Fie wally of life for>reeley/Aron yh 1i2nely, cour/eons and cos/effective service.
Sep-11-00 15:34 ' ay = irin 303 '78 1164 P. 01
P.01
WELD COUNTY DEPARTMENT OF PUBLIC SE a OCCL Re
HEALTH AND ENVIRONMEN" ORO PERMIT*
an 1555 N.171"AVENUE REPAIR S
GREELEY,COLORADO !06°1 LOAN* !Y -01X
PHONE: (870)3040415 ISOS a
O FAX: (970)3044411
STATEMENT OF EXISTING FOR SEPTIC SYSTEM
(PLEASE FILL OUT IN ;BLACX INK ONLY)
I
FARCE ' of_c?23oao0o(
PROP OWNER a(•• f frier 94et _ PHONE NO. (97e2 )13 9- irSC9
MAMSN ADDRESS S 2 Ye Sr7 """t!- G rcn.y c o 106, T Y
City State Zip
DESCRI ON OF BUILDING(ex. house,mobile/modular home,shop,office) Ks n-e
SITElL ATION ADDRESS -.75-1,. ides 'I0 ae
City State Zip
LEGAL ESCRIPTION PT FT SECTION_ TOWNSHIP,.- RANGE 6�
SUB VISION LOT - BLOCK__ FILING
CENCU TRACT LOT SIZE/ACRES 2 //
CO RCLU. -YES/( ( RESIDENTIAL la/a
NU11t7E OF tERSONS� rev
PLUMBING YES/
BEDRO MS BATHROOMS FULL.-_ 314 1/2 (
WATE SUPPLY PUBLIC It/NO UTILITY NAME 4' ')— v' G/ceises,
PRIMA YES i NO CISTERN YES/NO WELL ;/NO WELL PERMIT#
[a^C✓el and has '000 gallons capacity.
3YST�SIZE: Septic tank material is costttrueted of _,�,� g ry-
FIELD: Trench of xe wA Ann feet or Bed tfi/Kroo►n .square feet YEAR INSTALLED v..eat 644,
Yea are equired to draw a diagram of the system on the reverie side of this form ig black Ink oily and indicate
ioende length,width,and distance from the dwelling.
The unit nlgned property owner hereby certifies that the slum:described septic system is in fact installed,as
desalt, and exists at this time on the parcel of ground identified by the above legal d lion and further sates
that the ystenslSls no f In good working order and to the bat of his/her knowledge wiling to inaction
P
I fu aaderstead that nay falsification or misrapreseaatioo may result in revocation of any permit granted based
gent information hereby submitted and le legal action for perjury as provided by law.
(5-177, —a V V —
DATE OWNER ": /
bybseaYfed and swof4 c0 befo this day of ., G
st
Witness1m ,bud and official seal. My commbsioa expires:
7/ 4/
- 0 It _
DATE
NO Y PUBLIC
sm. ENT OF EXISTING REVIEWED BY ilyhi ¶Wki c -
ENVIRONMENTAL HEALTH SPECIALIST
P\ y SEPTIC LOAM APPROVAL
CLOSING DATE: 03/24/2000 RZOOZST DATE RECEIVED: 03/23/2000
COLORADO NEM LOAN !n $90.00: 43/23/2004
TO WHOM IT NAY CONCERN: Review and inspection report regarding water and the sewage
disposal system for an existing dwelling:
OWNER NO.: 970-395-1837
PICK UP: Cliff Noreen OWNER NO.: .7 - 7890 yy
INFORMATION: Address; 3240 47" Avenue. greeter Age of Septic: Unknown
PT:_ SEC: 23 TWN:_ S N RNO: 86 N
Legal: P
' Subdivision; LOT: BLK:�
Property Owner: loran. Cliff Original Owner: Unknown
Tank Pumped on: 4/22D944 my= p anitation Service_ Liceneed:_Ips
PERMIT ON RECORD: Maw: Cliff Morgan Permit No.: SE-0000028 S.O.E.t Y$
Bathrooms: 1. 1 Si nedroamst.J_ Total Agree:1.11 Date of Final Inspection: Vnka
Water Supply: rite Of Oreslev well Permit NO.:
Tank Capacity: 1000 gallons rleld Size: 2105 Square feet
INSPECTION FINDINGS; Date of Inspection: 03/24/2000
Soil Conditions: Dry$_ Saturated_ Snow-covered
Residedne: Occupied. Vacant_
Sewage Disposal System: Satisfactory_ Other
Bacteriological Neter Test: Acceptable X1( Other
COIERNTS.
DATE: .J-024-cp SIGNATURE:
Environmental Prot ion 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 connection 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 value to
potential buyers due to adverse conditions. Mater sample reports reflect the
bacteriological quality of the water supply et the time the sample was taken. Evaluations
based on Statements of Existing (d.o.E.) relies on information the property owner
provides, under oath, indicating current status of the system and representing to the beet
of his/her knowledge the system is not failing to function properly.
linANMARK BANK rtOERAL
SAVINGS SANK
"THE BEST IN SIC LENDING"
1400.813-1569
16. M061
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