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Home My WebLink About20081286.tiff ti.-P? 1J/ Cool' 1[l.Y l 11 L'"1"1'`el JJLJ t-'"j. //yyr//,,vim • • Tap No. f�`"� 3 P! ,Q LITTLE THOMPSON WATER DISTRICT �9\ RQd Domestic: Water greement Thi Agreecmr,®nt�made/�ijis ��Q��,,,,///t�V day of �cr .20 83 by and between R.OL& OAII€q W 9 640 Land Owner. Hereinafter referred to as User, and LITTLE THOMPSON WATER DISTRICT, a statut ry ter district, herinaftcr referred to as the L&4 ct. is upon the foiltnving WILMS and conditions, for he property and /// � kLega Owner of Property: " edf YU�/7f// " Street Address of Property: ma J, id C'•W4 4.- go y`�' Town and Zip Code; r t�V`-� a/ LTWD Tap No: 013 Purpose of Domestic Water Service: i_ /& et Residential Single Family: Multifamily: mmercial; 'i (describe) 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',later for his property, NOW THEREFORE, the parties hereto agree to the following: 1, This agreement shall be the binding contract between the User and the District. 2. User hereby awes 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 dine by the Bond of Directors of the District, shall be due and payable regardless of water use. • s. Until paid,all secs,tolls,or charges shall constitute a perpetual lien on and against the property served,and any such lien may he foreclosed in the same manner as provided by the laws of the State of Colorado for the foreclosure of metchanic's lien, The District shall shut off or discontinue service for 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 previously 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 Userforfailute to deliver water because of war,riot, insurrection, breaks in the water system or Acts of God.The District shall endeavor to repair all breaks promptly on District lines. 6. User agrees to abide by stick other rules and regulations of the District regarding the use of water as may be established from time to time by the Board of Directors. ^ sA n 7. The user's name and billing address for all statements and notices is: IF•J-+t/'/'rD_ L4 �1 �0� 7388 • , 6O p :" m.„ . c0 7 -" Phone: 77o — '53r - (42- 4r IN WITNESS WHEREOF the parties have subscribed their names the day and year first above written. LITTLE J'�,P2 3,N WATER DISTRICT R{. '��LJr +�44�.4 — ignature of Land Owner) • LTWD Form 120 EXHIBIT (Rev. April, 1986) q l� 2008-1286 f .v. �... ..v.... +. ..+� L I WV --.‘ (___L- 1) I IYL VLI 03 1 � • • Tap No. �� \, LITTLE THOMPSON WATER DISTRICT /Domestic Water Agreement This Agreement made hiss�p��CI4 clay of Art ,20 0� by and between A'teaell" LJ14i Wtithed Land Owner. Hereinafter referred to as User,and LITTLE THOMPSON WATER DISP ICT. a statutory water district, herina her refer to as the Dit&J/i1. ' s upon the fnllnwinv, terms and conditions, ( the property a waterrtap s n below; OA) ^._al ner of Preepeny: ' „JI Strect Address of Property: r^ eciem. 30 Town and Zip Code: 0 CO fie —©/ LTWD Tap No:602 / • Purpose of Domestic Water Service: P4f ', Residential Single Family; Multi-family;C mercial;or t (describe) WHEREAS the District is the owner of facilities for the purpose of furnishing Domestic Water to teen within said District:and WHEREAS the user is desirous of obtaining domestic water for his property, NOW THEREFORE, the parties hereto agree to the followingt I. This agreement shall he the binding contract bctwom 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 wall start when the District installs the tap and water is available for delivery. A minimum payment, as prescribed from tim.^ to time by the Board of Directors of the District, shall be due and payable regardless of water use. • 9. Until paid,all rates,tolls,or charges shall constitute a perpetual lien on and against the property served,and any such lien may he foreclosed in the same manner as provided by the laws of the Stare of Colorado for the foreclosure of metchanic's lien. The District shall shut off or discontinue service for 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 previously 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 lass to User for failure to deli vet water because of war, riot, insurrection,breaks in the water system or Acts 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 use of water as may heestablished from time to time by the Board of Directors. /�///�n,t�,f ^' //�} -.lJ 7. The user's name and billing address for all statements and notices is: /keel, 4 t.Vte Nry Dye sis4. y 66 l v--,A, Leo so&-c/ Phone: ( o - .5-31-- 4/42,a4, IN WITNESS WHEREOF the parties have subscribed their names the day and year first above written. LITTLE THO .ONW R DISTRICT /// RV: d v�'�"�--r • ,(•ignature of Land Owner) LTWD Form 120 (Rev. April, 19S6) __ RILQUES 1� ( SE45-CONNECTION — Year 2004 ' tomes- # �® cAT.)7)crC:fs�.).... S(I7ai see Single Family Equivalents: J:___... ... Sewer lAne:AP: �'C- �- (To be detennirtrd by District) Following are the instructions and procedures for obtaining a enmmerhi al/industrial sewer tap from the St.Vrain Sanitation District atic • for making connections to the District's sewer lines. This informatiotj is effective as of January 1,2004 and is subject to change.The District reserves the right to monitor flows and re-evaluate the PIP(Plant Investment Fee)at the Districts discretion. We recommend that you contact the District office if you have any questions. Office: [303)776-9570 1. Sewer'Cap Application. This"Request for Sewer Connection"iS to be completed,signed and submitted to the District office together with the information requested nn the Request form and the appropriate fees. Checks for fees should be made payable to "St. Vrain Sanitation District". 2, :Rees. The schedule Of fees is sal forth below, All fees arc based tipon Single-Family Equivalents(SEE)as defined in the District's odes and v ,t reg;dati ens. /1, I 5 d,oJd Plant Investment Fee: o'L ' CC0.GJJ 5/3 O,°tie_ Inspection Fee: S 60 TOTAL TAP CONNECTION FEFJSFE: $L3O,OIG_19 •___applicable fee(check) (Add trurtplimblet Line Extension Pee, If Smith of Hwy 52($550 in 2000/07): O P. (SFEs) X $ 525 = $ Line Extension Fee(5550 in 2006/07): 0 (SFFs) X 5 525 - $ TOTAL TAP CONNECTION FEFJSFE: S /3`7,O6 C _applicable lee(check) 3. inspection of Connection. All connections from minkline to residence must be approved by the District's inspector. Inspections can be arranged by calling (303)682-4691. Call at least.48 hours in advance. 4. Service Charges and Billing. The District currently charges$22)()0/mondt per Single Family Equivalent(SIT). Statements will be sent to you quarterly al the address act forth on your approved Request liar Sewer Connection. SERVICE CHARGES WILL BEGIN ON DIE FIRST DAY OF TOE MONTH FOLLOWING TAP PURCHASE. Quanerly payments am due by the 30'a of April,July,October and canary,and shall be applied for service charges incurred(in arreard). Annual payment option is available only one time per year in February. Notify the Dist ict within seven(7)days of the transit,of ownership or change in the billing address. 5, Rules and Regulations. Connection and service am subject to thq Rules and Regulations of the St,Vrain Sanitation District as they may be amended from time to time. Copies are available upon request at the District office. TO: St.Vrain Sanitation District 11307 Business Park Circle,Longmont,CO 80504 Phone: 03(13)776-9570 FAX: (303)485-1968 • Vwe hereby apply for issuance of a Sewer Connection and herewith tender the sum of 8 /3 0 Urn O dollars to lay for the Plant Investment Pee and Inspection Fee, and Line Extension Reimbursement Lee(if applicable).for said Connection.Applicant grams Si.Vrain Sanitation District the right to gather water usage information, inelutng rectuds from the water purveyor for the propose of determining effluent now,IVwe acknowledge that die Connection if issued will be subject to all Rules and Regulations of St Thin sanitation District,and all County and Slate Health Dagannon rules tied regulations,and in particular,it is understood that the applicant at higher own expense must bring his/her service lines to the service lines of the District. )1 Company Name: Au to ra A...."9__etty. II Date: I)�f,4 n y Applicant Name( ease Print): �QA.. e, lAJi I3dn Legal Description: Signature: e, c- \A fl A V5.J '�1((1df / Senice Address: �7 c53d 1-Frsh u,a (0 IO Billing Address: So Yf7 e )a eve Ike 9_.Q 6#145-( y�r 'Telephone:( err ter)) ,C(o q- (n a 9(0 -LS AC ///') gTeelepphhhone,( ) Wastewater Questionnaire: " Received Waived ////,r/{'// Ji _ „ ,,2_,„„ APPROVED:�y., LN'/`�'}`'r1--- Number of Employees: / 2. Robert Fleck/Kins Castonguay Date The connection will not be made until after inspection of the service lines by the Inspector for the District. VWc hcmhy agree not to bacictll the service line until after said inspection,and further agree nut to make the connection to the District sews,-line except in ate presence of the inspector for the District. The service lines.taps,tapping saddle and connection have bvt impaled by the District and have heel)oopmva4 as satisfying an District requhrntents. APPROVED: District Inspector Date __District Copy _...._Applicant Copy inspector Cup). Revised: V07/)4 • 41 EXHIBIT Hello