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Home My WebLink About20032430.tiff 03/17;0S 2S,4Sam P. 002 LITTLE THOMPSON WATER DISTRICT WATER TAP APPLICATION TO: Board of Directors,Little Thompson Water District Application is hereby made for domestic water service to the following described property Legal Owner of Property: / ,e, t e t,�.�ner Street Address of Property: a 8b 0)9 eM 0 Rd /t7 Town and Zip Code: f('./f( vcO.r" to BO J Subdivision:C f{(]l' ka .60 Lot No: 810915 o: Section: ownship: North, Range: West of the 6th P.M. County: (,SK"/i Applicant understands that if this application is not accepted by the District,or in the event the applicant decides to withdraw this application for water service prior to installation,the tap fee will be refunded to applicant,with the exception of any actual expenses which may be incurred by the District in processing this application. Meter Size Tap Fee 5/8" 3/4" 1.5" 2'' I 4QO Notes: Tap sizes larger than 2"will be charged a fee as set by the Board of Directors. TAP FEE 18 4i' o IMPACT FEE SPRINKLER TAP FEE Applicant understands that property must be included in the District boundaries for service and agrees to furnish a complete written legal description of the property served prior to tap installation,if so requested. If application for service is accepted,applicant understands that the water service is subject to the rules and regulations of the District,as currently established,or as may be modified in the future by the Board of Directors. A copy of the rules and regulations for the District is available for the applicant,if desired. Applicant certifies that final lot grade will be established prior to installation. The District will not be liable for the expense of a meter relocation if required after installation due to a change in lot grade. (Signature of Legal Owners) (Si hvep proxnt) 14,5 . to eta St. cstr et Addre FOR DISTRICT OFFICE USE ONLY Tap Number: Area: Tap Fee Rec'd: (Sdephone Number) Land Included in District: District hereby ap ovtiedgcs recei t of Meter Ronk: S_( D Map Number: Node Number: Dare Tap Installed: f5/o� Job Order#: — District Representative Date 2003-2430 es• 03/17!03 12i13pm P. 001 T- ,"1 Tap No. '�-G'it'' LITTLE THOMPSON WATER DISTRICT Domestic Water Agreement This Agreement made this ` day of_ "--eta j i't-F - ,20� by and between Land Owner, Hereinafter referred to as User, and LITTLE THOMPSON WATER DISTRICT, a statutory water district, herinafter referred to as the District, is upon the following terms and conditions I r the property and water tap shown below: Legal Owner of Property: r ''Cy �.`. 3` te tt/r , r Xe,2 Street Address of Property: O t!a r' i et s � t -'�( ? Vl ;j / I I fu r.. . Town and Zip Code: _ 1,301/1.1I rt r ! ti) LTWD Tap No Il�≥') V / i /lam r L1ti.V Purpose of Domestic Water Service: Residential Single Family; Multi-family; Commercial; or Other (deserter-' WHEREAS the District is the owner of facilities for the purpose of furnishing Domestic Water to users within said District and WHEREAS the user is desirous of obtaining domestic water for his property, NOW THEREFORE, the parties hereto agree to the following: 1. This agreement shall he the binding contract between the User and the District. 2. User hereby agrees to pay to the District such sum as may be prescribed from time to time by the Board of Directors as the water rate or charge for such water service. Payments shall start when the District installs the tap and water is available for delivery. A minimum payment, as prescribed from time to time by the Board of Directors of the District, shall be due and payable regardless of water use. 3. Until paid,ell rates,tolls.or charges shall(On nitute a petpet;tal lien on and against the properly served,and any such hen may be foreclosed in the same manner as provided by the laws of the State of Colorado for the foreclosure of merchanic's lien. The District shall shut off or discontinue service lot account delinquencies or other violations of the District's Rules and Regulations. 4. No water service may be obtained except upon property included within the boundaries of the District. User agrees to include the property served within the District,if this has not been presiou sly accomplished. User further agrees that he will not permit other persons to use water furnished to him under this agreement. 5. District agrees to furnish water to User PROVIDED,that the District shall not be liable for loss to User for fai;art to delive: water because of war, riot, insurrection, breaks in the water system or Arts of God.The District shall endeavor to repair all breaks promptly on District lines. 6. User agrees to abide by such other rules and regulations of the District regarding the used water as may be established from time to time by the Board of Directors. 7. The user's name and billing address for all statements and notices is: .t) icscv kn -a e?--r, --t E"•( Phone: f fr -3' / f le' I' IN WITNESS WHEREOF the parties have subscribed their names the day and year first above written. LITTLE THOMPSON YLCMPSONTWATER DISTRICT BY:/---Ta L'/ di . .' '4;1: t , (Signature of Land Owner) •� LTN'D Form 120 (Rev.April, 1986) 03/1"Th3 12 1Op P. 002 POUDRE VALLEY RURAL ELECTRIC ASSOCIATION, INC. RIGHT-OF-WAY EASEMENT KNOW ALL MEN BY THESE PRESENTS, ;hat k:X`1\l.K‘- t.c.\\ \•-. , G,y., (Print full name(s) (s ngle,joint, partnership, corporaton, incorporated ass'n)] is (are) the owner(s) of record and for a good and valuable consideration, the receipt of which is hereby acknowledged, do(es) hereby grant unto PoLdre Valley Rural Electric Association, Inc , (Association) a Colorado Corporation, whose post office address is For.Collins, Colorado, and to its successors and assigns, a perpetual right-of-way easement upon these particularly described lands of the undersigned: A UTILITY EASEMENT 20 FEET WIDE, 10 FEET EACH SIDE OF POWER LINE CENTER AND APPURTENANCES AS CONSTRUCTED ON WORK ORDER# 34841 RECEPTION NO. :1 X"Vi-‘..0 -LEASE DETACH. •N• -ETORN,a'• •-EI)1SFJREPRaPir° C'EL11TT• Ar. RACC•UNT Poudee\ ' POUDRE VALLEY RURAL ELECTRIC ASSN. INC. Your Touchsrnne Energy Partin Ilg(I* Valley A 7649 REA PARKWAY P.O. BOX 272550 FORT'COLLINS, CO.80527-2550 LOCAL TELEPHONE(970)228.1234 ALL OTHER 1.800-432-1012 C9eile tieolititlid' A):440 DA5V.'" DUE DATE 'wj+'rMt'if rn1T't,P' OY:110T": 1;, 411tI ; Bs 7 07`87 t ft� i 4111' 3/14/03 ERA ,w )/off/a'3 s r Ar ... •gr3,Ek1 r, r t• ra as r '"r 'P'6AEORCI ' v,. ':? %.T 1' t s far aee, i,t YT�..eFT•'r'_'*""r' Y t + qa >Y r�ra , far F]�IdfMl„ o�A Y1Ufi1�•';".�'•It1 3� A`rt��N�,r ^SpfitnYJl6i�r' i :�,1E�D}NCS ,�: .., 4'U�." �_� dr.., JSt,..:..: r; rc �ar:,T" ,._1 .:o .. 033006 1/28 2/26 33908 34484 1 576 .00 • III sEa� auaFEys .:; ,;r rn�seal " . trvl7Nf .,,. .., CURRENT BILL 45 .42 MARCELLE GEUDNER WELD CO RD 17 WINDSOR CO 80550 PREVIOUS BALANCE 66.97 _ PAYMENTS 66 .97CR g(-k I /Energy Camp, 7/20-25, Steamboat. High '^school juniors needed for week of fun activites . Free to PVREA consumers. I j Rides to and from camp provided. See I www.pvrea.com for details. 45.42 "-AN FED NET ANTOUNT 0UE etS PECYC'-ED PAPER CU RENT BIl,L15 •UEASSH•WNA:•VE:ANY UNP'AI• ••EVI•US :ALANCE I$PAST❑UE,Su:.IECTT• C• -IFI•NS •r ANVP•EVI•USN•TIcE SS: COIJU YOF, AFFeyrr',17-1 1 03!1'3 12, 13pm Y. 1004 POUDRE VALLEY RURAL ELECTRIC ASSOCIATION, INC, RIGHT-OF-WAY EASEMENT KNOW ALL MEN BY THESE PRESENTS, tnat (X )` N\t V_`C-\\ `-_ , t L t\ ti t i _. [Print full name(s) (single,joint partnership, corporaton, incorporated assn)] is (are) the owner(s) of record and for a good and valuable consideration, the receipt of which is hereby , acknowledged, do(es)hereby grant unto Poudre Valley Rural Electric Association, Inc., (Association) a Colorace Corporation, whose post office address is Fort Collins, Colorado, and to its successors and assigns, a perpetual right-of-way easement upon these particularly described lands of the undersigned: A UTILITY EASEMENT 20 FEET WIDE. 10 FEET EACH SIDE OF POWER LINE CENTER AND APPURTENANCES A ic` CONSTRUCTED ON WORK ORDER# 34841 RECEPTION NO. : �X/ rfl a. -.\ �'1 County WELD , Rook X , Page X ,Section 8 , Township 5 N, Range 67 W. for the purposes of constructing, reconstructing, inspecting, upgrading, increasing voltage or line capacity, operating, repairing, maintaining, and extending from time to time an overhead and/or undergroune electric lee or system including, but not limited to, poles, towers, fixtures, conductors, guy wires, cables, conduits. vaults, transformers. pads, and enclosures, on, over or under the above-described lands, And for the purposes of cutting, mowing, trimming, or controlling by chemical means, from time to time trees, bushes and shrubbery located with n 1C feet of the centerline of said line or system and to cut down al! dead, weak, leaning or dangerous trees or limbs in or adjacent to the right-of way as may, in the opinion of the Association. otherwise endanger the lines or other facilities of the Association. The undersigned agrees to keep the area within 1$ feet of the centerline of said underground or overhead electric line or system clear of buildings, structures, piles of earth, rubbish, debris or other setstar•ces or materials and to permit or otherwise agree to the easement end joint use occupancy of other lines or systems: And grants the Association he right of access for ingress and egress over the lands above-described end the right to use the roads or trails, whether public, private or dedicated , to install, maintain and use gates and fences presently installed ores may be installed from time to time: And further agrees that ail facilities !retailed by or for the Association snail remain the property of the Association, removable at the option of the Association. And shall not grant any other easement right-of-way, permit or license upon, under or over said property without the written consent of the Association. The failure to enforce al' or any portion of this Easement by the Association shall not be deemed acquiescence or waiver by the Association of any of its hereby expressed rights. The undersigned warrants that (s)he is (they are) the owner(s) in fee of the above described lands and wi;i defend the title thereto against all claims, and that said lands are free and clear of encumbrances and liens of whatsoever character except the following: 1V ie t.4.. MORTGAGE COMPANY NAME: X \'n, r, ' S IC") IN WITNESS WHEREOF the undersigned has set his hand and seal this \ day offti,* ni v r e •�.`% CO (Owner) �'- .��ea r N ::.'L ;Th (Owner) L X (Owner) _____,.____ STATE OF COLORADO ) ss: C7l1NTYOF ,1:ocFeY-scYl 1 - __ - - - .. /01 ©^era' 3 09,49em P. O©9 CONTRACT FOR ELECTRIC SERVICE The undersigned(hereinafter called the"Applicant")hereby applies for electric service from Poudre Valley Rural Electric Association.Inc. (hereinafter celled the"Association")upon the following terms and conditions: 1. GENERAL a. The Applicant will,when electric energy becomes available,purchase from too Association all electric energy used on the premises described below and will say for at Ina applicable rates and terms in accordance with the'Schedule o' Rates for Electric:ty and Rules ana Regulations' (hereinafter called Pte"Rules and Regulations")as may from lima to time he filed with the Ratak':Ut,bties:Commission of the State of Colorado by Poudre Valet/ Rural Electric Association, Th s contract shall continue In force for a minimum cumber of years as specified In saragraph 4 nJ below rrnm the data service is made available hereunder and said contract shall be automatically renewed or a yearly basis until cancelled by al least flirty (30) days written notice given by either party to the other,at the addresses specified herein. b. The minimum monthly or annual charge for electric service,regardless of the kiiewelt hours consumed,shall be the higher of the following charges: 1) The minimum specified in the applicable rale schedule or 2) One and one half percent(1 1i2"'+j of the Assoc ation's investment per month or eighteen percent;18%)of the Association's investment annually, based upon the antral necessary,insi of constructioe and Installing the One extension and facilities necessary to supply the service. or 3) The transformer charge specified in tite applicable rate schedule. c. No agent or representative of the Association has the power to amend,modify, alter or waive any of the provisions of the term of ihia euntrac'_ Any promises,agreements,or representations made by any agent or representative of the Association not herein set forth anti be void and of no effect. d. Acceptance of this contract by the Association shalt constitute a binding agreement between the Applicant and tee Aceociaticn. The contract will not alter the terms of any other contract between the Applicant and the Association. 2. RESPONSIBILITY a. The Aop'.Icent will sign a separate Application for Service on the form provided and will comply with the Rules and Regulations of the Association. b. Failure on the part of Me Applicant to accept service from the Asaociolion or to comply with the Rules and Regutetens o' the Association, or to perform under the terms and conditions of this contract,shall not relieve the Applicant from making all the payments and performing all the conditions set forth in this contract.In the avant the applicant becomes delinquent in any payments,the applicant will totted all construction deposits theretofore made. and the ASsoclaticn shall have the option, to declare all of the remainder of the payments due under this contract immediately doe and payable.The Association,at its option,may remove at or part of the unused realties. c. The Association nay record this instrument it the off Ce o'the County Clark and f'ecorder in the County in which the real estate is situated. d. This agreement spat!be binding upon the successors,legs'representatives,heirs,devisees,and assigns of tho rospoctive parties hereto. a. The Association shall use reasonable diligence 10 provide the App:'icanl with a constant and aninternipted supp y of electric power and energy;but if such supply shall tail or be interrupted or become defective through arts of God, or tie public enemy, cr by accident, ;irkes, labor troubles, or by notion of element,or Ihatality to secure rights-ot-way,rd other permits needed.or any other Car:se beyond reeapnab:e control of the ASsocletton,the Association shall not be liable therefor. 3. RIGHTS-OF-WAY R. The Applicant hereby grants and convoys unto the Association the right. privilege and easement to construct, operate and maintain the facilities together with right or ingress and egress, Including the Incladatten of Association owned locks and/or lock hoses, etc., as may be necessary to extend.,nalnta.n and operate this service, b. The Applicant hereby gives to the Association without cost or expense,the further right and privilege to cut and trim any trees or shrubbery near said overhead lines supplying the Applicant,so that adequate and proper service may be extended hereunder. c. The Applicant further agroos to assist in attaining needed rights-of-way that may be required to provide service hereunder. d. The applicant acknowledges that helene has been instructee to disclose locations o'uncerground obstructions. The Applicant agrees to indemnify the Acsnninnnn against loss nr damage in underground property n'the Applicant r,r In underground property of others on the Applicant's property. The Association wil use reasonable carp in locating and digging hulas or trenches "or poles, anchors or underground service but will cot be responsible for damage to sewers, water I:nes or other underground facilities it the exact location or such underground prcperty can not he determined before construction begins. 4. CONTRACT PROVISIONS a. Service will no rendered at the Assnraarinn's Standard voltage. The Asscriatinn s molar shall constitute.the(slim of delivery In the Applicant and the Applicant will own and maintain all poles,wires,equipment and other facilities beyond lire point el delivery. b. Servce to be furnished under this agreement is to be delivered at a mutually agreed point on the Applicants premises desc•bed below: Legal Description: Located in Quarter of Section ,Township „_.?__ N Range _*=_W, of 6th P M. in the County of WCLf' further described aS - SERVICE ADDRESS(X ' BUILDING PERMIT N0.:X c, This contract shall continue in force for a min mum of u years from the date service is made available. d. Type of Service: Permanent 'sk yp ( ) I. 1 Indeterminate ( ) Temporary Describe: 120/240 'font a1`+{j i:.ird?' a,.=r••�!,.\; ` Single Phase Three Phase Maximum KVA Horsepower R C ) 9 ( ) an) Overhead ( ) Underground a. Applicable Pate Schedule ..R I. The Association hereby acknowledges receipt ul the following consideration paid by the Applicant in accordance with the applicable Rules and Regulations: Ledger Acct.No. $_ Refundaole 'f I Yes ( 1 No 2'at,Ti <^,rt 1f r{, Ledger Acct.No.$ • " ` Refundaole r I Yes VI No Ledger Acct.No $ Refundable f I Yes ( ) No Conditions: TIto er p!,fc.tt 11 ‘4.'M Ti'.'t ' °r'. .'• tttr f,3 1 '!'i.l qt. 1 tt5 r '.,, [ fl.;r. -,'fpIC i^2 -tc,ifli 4 A tar l.y: �"ct ",l r 'n . t von � , t . .t rasp the Gdzdt.e \.� .",�° ./1Srt) t^f'sv 'NM ,t.f st t. • X Social Security Nmnberr i u ._:.) .. t..,, !.." f 'r7:'- • .. $taT:•' C`tkrC) APPLICANTIS_L • X 3eta(s) Owner (P:) Yes ) No SIGNATUREu.� _X' X Til e(s)Phonic Number Number 303 179 7314ADDRESS 7434 rt,, .t'✓ l', Hello