HomeMy WebLinkAbout20042263 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
PHONE (970) 304-6415 FAX (970) 304-6411
Finaled
Permit #: SP-0200356 Sec/Twn/Rng:06 04 64 Status: ISSUED
Owner: WILMOTH ROBERT E & THOMAS C Applied: 08/07/2002
Applicant: SCHADEGG PAUL Issued: 08/15/2002
Permit Type: RREP C=Commercial,R=Residential + NEW,REPair, VauLT `Finaled:n.n- O?
Parcel #: 1053-06-0-00-016 • �lt �`'/�tl lJ
Location: 23959 CR 51 06-04-64
Legal Description: 8831 NE4 6 4 64 EXC OG&M (4R) %23959 WCR
51% tbInstaller:
Description: HOUSE
Commercial: N Residential:Y Acres: 160
# of Persons: 2 Basement Plumbing: N
# of Bedrooms: 2 Bathrooms - Full: 1 3/4: 0 1/2: 0
Water Public: Y Water Source: NWCWD
Water Private: N Cistern: N Well: N Well Permit #:
colation Rate: 25 Limiting Zone: 8 ft 0 in Description:
% Ground Slope: 0 Dir: 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: 450 square feet
or Absorption Bed: 0 square feet
Actual Installation /
Septic Tank: /MO gallons Absorption Trench: LSO square feet 15
Absorption Bed: square feet
Design Type:
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 establishing 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.o Public Health d vironment.
E ironmental ealth Specialist Date
Form: S_FINAL
2004-2263 /
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' WELD COUNTY HEALTH DEPARTMENT
1516 Hospital Road Permit No. m
Greeley, Colorado
PH. 353-0540
Application for permit to install, construct, an Individual Sewage Disposal System.
Phone t I t 1, 51,1 r c
J1 '- ` +u a �` 'i Address�Owner /, ? :.'S re? t i Ar'"'. ��S.9-S7y 7
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Directions to site: Hwy Rd. N mi, E mi, S mi, W_mi
ia959 WC.t 51
Legal Description: Ptn. ,s ec. (.o ,T 4 N, R 7 W, ,Sub Lot 131k
General Information J De t. Use Onl
No. Bedrooms g No. Persons ' Perc rate (avg. of 3) /�i9 74 •
No. Baths / Basement Plumbing 4,7 t Soil Type KJr
Size of Lot 1120 fable Depth-- >g-
H20 supply (If well give depth) CIpil"";f)1 Lot Grade ! z--
New Home Mobile Home Modular Add'n Engineer Design Yes X No
Type of sewage disposal er quested: If, YES-reason:
Septic tankk Privy Other Comments:
This is to certify that the system is NOT within 400 ft. of a public sewer.
I Installation instructions: (Miniaum Requirements)
1 ,/ mss C/)
Septic Tank f Gals. Absorption Trenches ` 29v Sq. Ftr
Other or
Special Instructions Seepage led 32e) Sq. Ft.
This system will be constructed and installed in actor-dance with the above specifications
and regulations regarding individual sewage disposal systems in Weld County, Colorado.
This permit shall expire at the same time as the building permit, or, if no building permit
is issued, the permit shall expire 120 days after its issuance if construction has not
been commenced.
Applicant:
The plans and specifications as shown are approved pending paymen of permit fee.
Date: k91.1
Sanitarian: -"Cifae'02edrireilie
The above system inspected and found to comply with plan and scription.
Systems Contractor: -Sat-
Sanitarian:
Date: Aeshr f7
Sanitarian:
Engineer Review:
(Date) (Signature)
Permit Fee; $
Received by: Date: rrf- - ; f'
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CENTRAL WELD COUNTY WATER DISTRICT
April 5, 2004
Fred J. & Carol S. Ley
23959 Weld Co. Rd. 59
Kersey, CO 80644
RE: Water Service
Dear Mr. & Mrs. Ley:
This letter is in response to a request for water service to serve the following property described as
follows:
Lot A of Recorded Exemption No. 1053-6-1 RE-3317 according to the plat recorded
September 23, 2002 as Reception No. 2989647, being a portion of the NE 'A of Section 6,
Township 4 North, Range 64 West of the 7i' P.M., Weld County, Colorado.
Water service can be made available to the above described property, provided all requirements of
Central Weld County Water District, Northern Colorado Water Conservancy District and the U. S.
Bureau of Reclamation are satisfied. This property has been petitioned into Northern Colorado
Water Conservancy District. Two separate dwelling units will be served off of one, 5/8"water tap.
New service will have to meet the criteria stated in the Water Shortage Contingency Plan adopted
by the Board on June 20, 2002. Due to the rapid cost increase of raw water, existing tap fees may
not apply for water service to this property. The District will not notify, by separate letter, any
prospective landowners or land purchasers of tap fee or line extension cost increases. The cost of a
tap fee and/or line extension will have to be paid in advance to the District by the prospective
customer in accordance with District policy.
Central Weld County Water District requires that contracts be consummated within one (1) year
from the date of this letter or this letter shall become null and void unless extended in writing by the
District. Please contact the Central Weld office for further information regarding water service.
Sincerely,
CENTRAL WELD COUNTY WATER DISTRICT
/Ajar
W. Zad eneral Manager
JWZ/rg
2235 2nd Avenue • Greeley,Colorado 80631 • Phone(970)352-1284 • Fax(970)353-5865
John W.Zadel,General Manager
G co 1 M. l 0 � /
_ WATER TAP ASSIGNMENT
FOR VALUE RECEIVED,I/we hereby Cc,A sell,transfer and assigtunn tap(s) in the CENT WELD
COUN
TY WATER S.DISTRIn my/our property described as follows situate in Weld County,
to wit:
Lot A of Recorded Exemption No. 1053-6-1 RE-3317 according to the plat
recorded September 23, 2002 as Reception No. 2989647, being a portion of the
NE1/4 of Section 6, Township 4 North, Range 64 West of the 6th P.M. , Weld
County, Colorado.
IT IS UNDERSTOOD that these taps were purchased for the above described land and may not
be transferred to other land, without express, written consent, in addition to the below consent,
of the CENTRAL WELD COUNTY WATER DISTRICT. l/we further authorize the secretary
of said District to do any and all things necessary to effectuate this transfer on. the books and
records of said district, l/we hereby state that all water rates and charges and other monies owed
to the district have been paid and if not, shall be held out at the closing of the sale of my/our
premises.
IN TES MONY WHEREOF,l/we have set my/our signature this day of
**SELLER:
**SELLER:
I/WE FURTHER AGREE to pay any and all charges hereinafter levied by said District for said
Taps and to abide by all regulations adopted by said District.
ACCEPTED:
b n /fig
**BUYER
**BUYER
CONSENT TO ASSINGMENT
I, John W. Zadel, General Manager of CENTRAL WELD COUNTY WATER DISTRICT,
Hereby consent to the above assignment on behalf of said district.
By
Date:
** TO PERSON EXECUTING THIS ASSIGNMENT-NAMES AFTHEU AILURAPO APPEAR
ON TITLE MUST BE TYPED AT THE APPROPRIATE SPACES,
DO
SO WILL NEGATE THIS TRANSFER.TWO ORIGINAL TAP ASSIGNMENTS MUST
BE COMPLATED AND SENT TO CENTRAL WELD COUNTY WATER DISTRICT
FOR DISTRICT CONSENT.
i
u e + ? : °j 7.
REC'a NOV 2 3 2002
WATER TAP ASSIGNMENT
FOR VALUE RFACEIVED, I/we hereby sell,transfer and assign to -PICA A t_ l t
n e p 1 S.(�V I water tap(s) in the CENTRAL LD
COUNTY WATER DISTRICT,on my/our property described as follows situate in Weld County,
to wit:
Lot A of Recorded Exemption No. 1053-6-1 RE-3317 according to the plat
recorded September 23, 2002 as Reception No. 2989647, being a portion of the
NE1/4 of Section 6, Township 4 North, Range 64 West of the 6th P.M. , Weld
County, Colorado.
IT IS UNDERSTOOD that these taps were purchased for the above described land and may not
be transferred to other land, without express, written consent, in addition to the below consent,
of the CENTRAL WELD COUNTY WATER DISTRICT. l/we further authorize the secretary
of said District to do any and all things necessary to effectuate this transfer on the books and
records of said district,I/we hereby state that all water rates and charges and other monies owed
to the district have been paid and if not, shall be held out at the closing of the sale of my/our
premises.
IN TESTIMONY WHEREOF,� Uwe have set my/our signature this day of
1 \CA Ven , [_d_d)7.I•
**SELLER:
I/WE FURTHER AGREE to pay any and all charges hereinafter levied by said District for said
Taps and to abide by all regulations adopted by said District.
ACCEPTED:
**BUYER
**BUYER
CONSENT TO ASSINGMENT
I, John W. Zadel, General Manager of CENTRAL WELD COUNTY WATER DISTRICT,
Hereby consent to the above assignment on behalf of said district.
Byf�./ am!f
Date: /00)
** TO PERSON EXECUTING THIS ASSIGNMENT-NAMES AS THEY APPEAR
ON TITLE MUST BE TYPED AT THE APPROPRIATE SPACES, FAILURE TO DO
SO WILL NEGATE THIS TRANSFER.TWO ORIGINAL TAP ASSIGNMENTS MUST
BE COMPLATED AND SENT TO CENTRAL WELD COUNTY WATER DISTRICT
FOR DISTRICT CONSENT.
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