HomeMy WebLinkAbout20003134.tiff WELD COUNTY Dr r'ARTivIENT OF PUBLIC HEALTH ttiNID ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, COLORADO 80631
PHONE (970) 304-6415 FAX (970) 304-6411
Permit #: SP-0000299 Sec/Twn/Rng: 14-5-65 PERMIT
Owner: REAM JANEY Applied: 05/09/2000
Applicant: JENSEN QUALITY CUSTOM HOMES INC. Expires: 05/04/2001
Permit Type: RNEW C=Commercial, R=Residential + NEW. REPair, VauLT
Parcel #: 0961-14-0-00-069
Location: COLO. HWY 34 AND RD 47 14-5-65
Legal Desc:
Description: HOUSE
Commercial: N Residential:Y Acres: 110
# of Persons: 2 Basement Plumbing: N EX '
# of Bedrooms: 3 Bathrooms - Full: 1 3/4: 3 1/2: 0
1
Water Public: Y Water Source: CENTRAL WELD
Water Private: N Cistern: N Well: N Well Permit Number: N/A
Percolation Rate .F '3 Limiting Zone ?i3 ft --- in Description
% Ground Slope — Direction --- Soil Suitable (Y/N) y
Engineer Design Required (Y/N) ►J In 100 Year Flood Plain (YIN) Imo(
From the application information supplied and the on-site soil percolation data the following minimum installation specifications are
required:
Chambers
Septic Tank (uw gallons, Absorption Trench ,-/3 5 square feet
or
Absorption Bed -c., square feet 19
In addition, this permit is subject to the following additional terms and conditions:
( .=1,--14',--,/X-1 t -fLt=f�/Ak�LL is 1_ i cf1.C►
�—P.,..S 'j=tr*-1 ��X► J , C-'�rk�ti f�c L l v C=Z—)L—/ +.k7 `_.Sr7S ►�i Uc./a,
NOTICE
This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld
County Department of Public Health and Environment for reasons set forth in the Weld County Individual Sewage Disposal System
Regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of
this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage
disposal system.
This permit is not transferable. Before issuing final approval of this permit 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 continuging basis.
Final permit approval is contingent upon the final inspection of the completed system by the Weld County Department of Public
Health and Environment. This permit expires one year from the application date.
//- ,
2000-3134
Revised 4/30/96
ACTIVE TAPS
TAP FEE AGREEMENT
THIS AGREEMENT,made and entered into this oil day ofatf.h , 2066 ,
by and between the CENTRAL WELD COUNTY WATER DISTRICT,hereinafter called the District, and
Janet L. Ream and hereinafter called Customer, WITNESSETH:
WHEREAS, District has been organized as a legal body and is known as the Central Weld County
Water District,and
WHEREAS,Customers are taxpaying electors within said District, or desiring to join said District,or
and,
WHEREAS,Customers are desirous of acquiring one water tap of 5/8 inches in diameter
from the said District,
NOW, THEREFORE, in consideration of the premises and the teens of this agreement, it is mutually
agreed as follows:
1. Customer agrees to pay the tap fee of$ 11,600.00
Eleven Thousand Six Hundred and No/100 Dollars.
2. The description of the premises for which this tap is being purchased is as follows:
Lot B Amended Recorded Exemption No. 0961-14-4-AMRE346, recorded March 16, 2000 as
Reception No. 2755951, being a part of SE ` t Section 14, Township 5 North, Range 65 West of the 6th
P.M.,Weld County, Colorado.
3. This agreement, when approved by the Board of Directors, shall become a legal and binding
contract upon all parties hereto.
4. Customer further agrees to execute any and all easements needed by District at no expense to
District, across Customer's property for the installation of the meter pit and appurtenances constructed by
District. District shall be responsible for restoring surface area back to reasonable condition at District cost.
5. Customer further agrees to execute any and all easements needed by District at no expense to
District,across Customer's for the purpose of installing the District's service line and meter pit constructed
by District. District shall be responsible for restoring surface area back to reasonable condition at District
cost.
6. Customer further agrees to the following special provisions:
Additional Item No. 1 --Directional Bore Additional $2,800.00
7. Customer further agrees to abide by the rates established and the rules and regulations of the
District.
IN WITNESS WHEREOF, the parties hereto have hereunto and hereunder set their signatures the day
and year first hereinabove written.
CUSTOMER SIGNATURE CENTRAL WELD COUNTY WATER DISTRICT
(Property Owner) ,---c.s.zeief.");_t e)
191€4"e
.05,27
J L.Ream 1-4117
ATTEST w' 62,e1
Hello