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Home My WebLink About20070884.tiff 09/18/2004 11:41 �,,, NO.357 PO4 BOARD OF DIRECTORS NORTH lipizlic, NORTH WELD COUNTY WATER DISTRICT G di 2— RECDGARY SIMPSON WELD P.O. BOX 58 FEB0 ROBERT ARNBRECHT countryy O 2604 ,Jc1HN JOHNSON wATea 33247 HIGHWAY 85 v2 LROHZIOER DISTRICT LUCERNE,COLORADO 80646 .PH PRI PRIOR MANAGER DON POSSELT PHONE(970)36ti-9020 - PAX(970)9B5-DB97 • E-MAIL:weter®mvewd.org rACCOUNT NUMBER SERVICE ADDRESS AMOUNT CUE SY:0311&2004 AMOUNT PAID 1507000 34860 WCR 53 e$ ag EATON, CO 80615 i aa.5D Direct ct Billing&Customer Service inquires to UTf1 970-356-3020 PANENERGY FIELD SERVICES, INC tis. ( 1324 N. 7TH AVENUE / Penalty is applied iFpayment is not received for 45 days. GREELEY, CO 80634 Return this stub with your payment Thank you. DETACH HERE ACCOUNT NUMBER NAME ANO SERVICE AOORESS BILLING PERIOD PANENERGY FIELD SERVICES, INC 1507000 34860 WCR 53 12/17/2003 - 01/19/2004 EATON, CO 50615 Prev.Reed Cu4T.Read Usage Link Amount 414106UNT ACCOUNT _ RER TVPf RC TO 21.00 Previous Balance C j��"�� -icGal 22.50 - 01/19/2004 Standard Tap �"' s '2 iiOc s!' •14910003.: 'b.i�TT Prnn,EBra vE'DOitt4 Current Amount - ._.,. 22.50 K , u - r• r • /Yia Total Amount Due 33.50 11 I, Ti `4 - -..LIS 1.- Goes . - tEtl4B P DATE 6 y' Meter Access:Properly owners are responsible for maintaining safe and unobstructed meter access. Only Utilities employees may work on meters. 10 - l 70% of 1.000 Acre Foot 228,096 Rental Water 0 Transferred Water 0 Allocation Adjustment 0 S Lees YTD Usage 0 Remaining Allocation 228,096 ^ I rep Mw Afr May Jun Jul Au0 Sop O1 Nov 0% Jm NORTH WELD COUNTY WATER DISTRICT - P.O.BOX SS.33247 HIGHWAY BS.WCERNE.CO 5004E - PH;970-S59-2020 • FAA;e70-305-0997 • e4.4.8.1t 2007-0884 09/182004 11:41 N0.357 D05 BOARD OF DIRECTORS NORTH NORTH WELD COUNTY WATER DISTRICT 60 2. GARY SIMPSON WELD P.O. BOX 66 ROBERT ARNBRBCHT COUNTY HN JOHNSON WATER 33247 HIGHWAY 85 ARLES ACHZIGER LUCERNE,COLORADO 80646 .PH PRIOR DISTRICT MANAGER 0ON POSSECT PHONE(970)358-3020 • FAX(970)3960997 • E-MAIL:water@r%WOmiorq ACCOUNT NUMBER SERVICE ADDRESS AMOUNT Due BY: 07nOOp04 AMOUNT PAID 1507000 34060 WCR 53 $ 21.00 EATON, CO 80615 Direct Billing&Customer Service inquires to 970-356-3020 PANENERGY FIELD SERVICES, INC (� c� �j(�f� 1324 N. 7TH AVENUE RECD JAN 0 2 2004 Penalty is appliedifpayment is not received for 45 days. GREELEY, CO 80634 Return this stub with your payment Thank you. DETACH HERE ACCOUNT NUMBER NAME AND SERVICE ADDRESS BILLING PERIOD PANENERGY FIELD SERVICES, INC 1507000 34860 WCR 53 11/17/2003 - 12/17/2003 EATON, CO 80615 Prev.Read Curr.Rand Usage Unit Amount Previous Balance 21.00 '#..1-'12/11/2 003 Payment - 21.00 12/17/2003 Standard Tap 109 109 0 kcal 21.00 Current Arno. 21-00 AMOUNT� ACCOUNT RESOURCE RC 21.00 Total Amou �-1 -od 0501000 !��4* • G012 DATE KEYED PROJECT PROCESS VTDOR# OPERATE I GROUP 11 VOUCHER ADDRESS LOCATION , 7- I1 Aa • fC ' CATEGORY DESCRIPTION Zis APPROVED BY DATE flS' Charles Bates Water rate increases effective January 2004;$2.25/Kgal-$22.50 Mininum 1C 70% of 1.000 Acre Foot 228,096 Rental Water 0 Tranoterred Water 0 Allocation Adjustment 0 5 Leos YTD ?saga 0 Remaining Allocation 226,096 Jan Feb Mar Apr May Jun Jul Aug Sep Dot Neu Dac NORTH WELD COUNTY WATER DISTRICT • P.O.BOX 55,33247 rUCHwAY as.LUCERNE,co eoeem • I`M 970458-3020 - PAX:970-19541Ba7 •EMAIL wa1 mwrae 9 09/182004 11:41 NO.357 DOG NEEPTNS PORTiON FORYOW REtCADS NORM BEE REVEREE Simi FOR 7 �i Si'NOI RF$TQ IMPORTANT INFORMATION PRESORTED-FIRST CLASS MAIL U.S POSTAGE PAID _ I I DCNVCR COLORADO I �` p�F(Y'[eflURTH �('�CD r I „ PERM IT N02514. ' rI.y9 h'4d{ 1277 FACTORY DRIVE /•+n �� FT LUPTON+ CO 80621 "LW,/ tr:IA gl'.;t,i'u ,'" SOS-659-7406 ADDRE 0 � Yi TEPMSSS NET SERVICE DAYSEQUESTLD 2(1 � • a�I'ATERfi,NF is .: ILMNd1iSR. ..'.'.AFJmKNfIYINo PF4YeR4�FMNa e5ZVtl. ' .r` u b prY. Tu SERVE 12/31 1296600 36469 WCR `1'.3 a YOUE4M OU LITY BATE TCKOW ICE owarn BALANCE PURWARD 5643 ' ' ,.4.!:",,0,0 'i 1231 PAYMENT b2 J 1202 0642556 1 ARTESIAN 5 GA I ,1 1222064256'- '2' ARTESIAN 5 Ci • III 1Z4 1296600 12/31 42.29 DEPOSIT kill°" 600 DUKE ENERGY FIELD SERVIC 123182 EgtJIPMENT RENT I` 171 1324 N 7TH AVE TAX 1I 54 GREELEY, CO 60631 M 111 �4j 1 RETURr:TRIS PORTION IN ITH YOUR PAYr 7 ENT Mans 0.00 1 wRva' 0.00 I or.. 0.00 1 44.29 out 42.29 I i s� KEEP TM PORtiON FOR YOUR RECORDS NOTICE EN REVERSE&DEfilp- 1 Y FT1 SEND FN JIPoSSTtt IMPORTANT INFORMATION JI PRESORTCO.FIRST CLASS MAIL .•c U.S.POSTAGE PAID ,,/�,� ■'�9€ 0RTH chtipsoiT ACC() s PER NO :oRAdu.TO 1277 FACTORY DRIVE ] 7 a"`1- FT LUPTON' Cu 8062 ' , 303-669-7406 / G',T G '� ' 'ilk e+ I A ADDRESS SERVICE REQUESTED F �l %� - AB :r—A a n , TERMS:NET 10 DAYS I , . 0 /31 1296600 Jc "a��'� X(G i O" ny^,I N u wvaca A4 N ' <r -1y_•,. �J.E N • . l;.n r• 5h 021 ppgypy� �FoFIY i �a+: .y107t$4265 I ' PO$ITTEsA?'!WV5 • f� ""is . ,r i+ • FIELD SERVIC 01Z76 a 4266 pith"l�"� ARTESIAN '6 G-i` '1440 1:324 N 7TH AVE 013122 ' '1%XPM .NT RENT ,, 1716 GREELEY, CO 80661 TA,X " I,.I� . 108 �,i•. . RETURNTHIS PORTION PJITHYOUA PAYMENT 4rva' --Coo pot: 0.00 MaNa; 0.00 min 18.7e. ' 18.76 09/18/2004 11:41 NO.357 P03 i E PrTta p APp1ACATION FOP INDIVIDUAL SEWAGE DISPOSAL SYSTEM N .o .- eN w WELD COUNTY HEALTH DEPARTMENT � �c/ ENVIRONMENTAL HEALTH SERVICES a Repair 1510 Hospital Road,Greeley, CO 00531 , , 9P / y 53.0540 E1(T 270 , pHONc IWNE � -L12" !( Cc.I 7 ADDR'ESS ° v' i J e. tooRESS OF PROPOSED SYSTEM T ,EGAL DESCRIPTION OF SITE:P1-4.-i__ ,__ -'.c S_ -' 7 ' FILING LOT BLOCK SUBDIVISION INSTITUTION JSE TYPE: RESIDENTIA " c' ,. •fs.7. C. OTHER.--. COMMERCIA �', LOT SIZ • SERVICES: PERSONS___ -- BATHROOMS • BASEMENT PLUMBING �_ WATER S11P.PLY� BEDROOMS__-- - - , r, .t L ."i TYPE OF SEWAGE DISPOSAL REQUESTED: ished by the applicant or by the Applicant acknowledges that the completeness at this pllcatlon la conditional upon further mandatory and additional testa anWeld County as may D required tbythe Weld of the evalth uattiion of the application;and thement to be made and rIssuan a of the permit is subject to u County Health nditirns as for purposes to TI lesuch terms and conditions as he applicant nt fl certifies that the proposed sed system will not bd e located wulations Ithl 400 pted feet oer f a 1 com- munity 2ty3,sewage The emended. ersie aPP or will be,represented to be true and correct to the best of my munity sewage system.The undersigned hereby twinkle that all statements made, Information and reports submitted here- with and required d beare submitted byto the on nt are, knowl- edge and War,and are designed to be reliedrby the Weld County Health or Department misrepresentationn evaluating the esull in denial e for purposes of issuing the permit applied for herein.I further understand that any falsification on and Inlegeactionfor pequryresul In the permitgranted based upon said application I I at the application or revocation of any ; ;f . Application fee ----- Date a. owner{Agent}$Ignature dtI ' , Date_s _ kip Y SlaNfiirat i'.: 1n4 1.;“G • ^ • k • • • k w. • k • • • w Y • • • • M t • • k •r!. w 1 w • Y • • Y ♦ • t t • • • w ; •- •'k k • w i P �� 1 rp Milli •__�WATER TABLE DEPTH-r_ FOR DEPT. PERCOLATION RAT PERCENT GROUND SLOP :_:4_2-_ SOILTYP s ere c15 t '!!!! T ,O . .. r, , , REQUIRES ENGINEER DESIGN tt elESysl No i c r M • w U ,r . r w w r w • • • k • k k •• k • k • •M • k • k • s' • • • • k * k w w • • • • w k • w • INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT From the application Information supplied and the on-sits soli percolation data,the following minimum installation specifi- cationsai are required: Q. FT. u SEPTIC TANKQALL0NS,ABSORPTION TRENCH orfJr{��Jt l'I ABSORPTION BED--------• SQ.FT. /` ' to addition,this Permit Is sublect to the following additional terms and conditions: the Weld Disposal SystemRegulations,suspender! nder! the Weld This Permit is granted temporarily o show In the el commence.In This Permit a DbT e IasUeRee f t t does not Counding ty Health atr Department for reasons set forth thereon ton Mein County ratllviduel al Seppro al. T 01 tnc sowags PerMIdisposaloestnot - consd toit meet to b t e Depart Imposed emplyesrtofplab111porary tor cr u 1 p�syst conatltute assumption by the Department or Its employees Q>t Data V Environme Specialist • CC- Lt-F"P-,P - of its Issuance. impose additionalterms aa. This Permit is not transferable and shell become void it nty Healconth has not commenced within one n the o alter Before issuing final approval of this Permit the Weld County Health Department reserves the right to and condltlons required to meet our regulations on a continuing baste. Final Permit approval Is contingent ups in- spection of the completed system by the Weld County Health Department. SYSTEM CONTRACTOR •Mr FINAL INSPECTION ��GZ/,�1 APPROVAL t Date SYSTEM ENGINEER y � 4 Envi nmental Spa //�� [(^^��iycounty and localu regulations me The Issuance of this Pehniidoe��t imply compliance with other state,county or loca�repulatory or building requirements, tan nor shall It act to certify that the subject system will operate In compliance with applicable state, adopted.pursuant to Article 10,Title 25, CRS 1973, as amended,ex o GRB t t for the upurposes po ei11 f2establishing final app installed evetem for Issuance of a local occupancy p WCHD--EHS February, 1981 Hello