HomeMy WebLinkAbout20062857.tiff Rug 14 03 02: 18p LefsHandWaterlistrict 3035105252 p. 1
LEFT HAND WATER DISTRICT mAT August 14, 2003
Suzanne Jansen
2719 WCR 20 1/2
Re: 90 10 8
TO WHOM IT MAY CONCERN:
The property located at the above address or legal description is within the
"SERVICE AREA" of Left Hand Water District. The tap fee for the above
named property has been paid. This entitles one living unit to receive
water service at this location.
If you have further questions regarding this matter, you may contact me at
the District office.
Sincerely,
Cterzy �
Kathryn A. Peterson
General Manager
P.O. Box 210 •Niwot CO. 80544•(303) 530-4200 • Fax (303) 530-5252
2006-2857
SEP-09-2003 TUE 02:53 PM F,dVIECN HEALTH SERVICES 9703046411 P. 02
Kit-(1(, ‘D
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 N 17TH AVE
GREELEY, CO 80631
WEBSITE: www.co.weld.co.us
O ADMINISTRATION (970) 304-6410
FAX (970) 304-6412
• PUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420
COLORADO FAX (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES (970) 304.-6415
FAX (970) 304-6411
August 27, 2003
Lafarge West, Inc.
1400 West 64th Avenue
Denver, Colorado 80221
RE: Lafarge West, Inc. ISDS No.: 03087
Permit No.: SE-0300082
On August 26, 2003 an evaluation of the existing individual septic disposal system at:
2719 County Road 20 %, Longmont;
Section 16, Township 2 North, Range 68 West,
was conducted by Pam Smith, an Environmental Specialist of this department.
This evaluation is based on a final treatment capacity for a 3 bedroom residence. No
information was provided regarding the septic system. Without information the Department is
unable to determine whether the system is adequately sized.
Be advised, neither the County of Weld nor any of its agents or employees undertake or assume
any liability to the owner of the above property, to any purchaser of the above property or to
any lending agency making a loan on the above property or in the report.
This inspection was conducted for the purpose of determining compliance with current
regulations and for detecting health hazards observable at the time of inspection. This does not
constitute a warranty that the system is without flaw or that it will continue to function in the
future. Inspections requested during periods of snow cover and high soil saturation may be of
questionable value to potential buyers due to adverse conditions. Evaluations based on
Statements of Existing(S.O.E.) relies on information the property owner provides, under oath,
indicating current status of the system and representing to the best of his/her knowledge the
system is not failing to function properly.
If we can be of any further assistance, please contact our office at (970) 304-6415.
Sincerely.
Pam Smith
Environmental Health Specialist
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 NORTH 17TH AVENUE, GREELEY, CO 80631
PHONE: (970) 304-6415 FAX: (970) 304-6411
WEBSITE: WWW.CO.WELD.CO.US
ISDS APPLICATION / RECEIPT
Copy Reprinted on 08-19-2003 at 12:43:55
08-19-2003 Payment Method: Check Notation: 2104 Initials: MS
ISDS EVALUATION NO:ISDS-03087 Receipt Number: ISDS-0184
Lafarge West, Inc.
Location: 2719 CR 20 1/2 LONGMONT
Account Code Description Amount
2560-41400-4410-4203 ISDS Evaluation $100.00
Description of Building:
Current Flow Additions Proposed Total
Desc HOUSE NONE HOUSE
Persons 3 0 3
Bedrooms 3 0 3
Bathrooms 2 0 2
Br'Plumb N N
Water Source: LEFT HAN
NOTICE
The undersigned hereby certifies that all statements made,information and reports submitted herewith and required to be submitted by the applicant
are,or will be,represented to be true and correct to the best of my knowledge and belief,and are designed to be relied on by the Weld County
Department of Public Health and Environment in evaluating the same for purposes of septic systems compliance. I further understand that any
falsification or misrepresentation may result in the denial or revocation of any evaluation granted based upon said evaluation and in legal action of
perjury as provided by law.
X gilq /o3
wp nt Date
Form: is
WELD COUNTY DE .dRTMENT OF PUBLIC HEALTH & _NVIRONMENT
1555 NORTH 17TH AVENUE, GREELEY, CO 80631
PHONE (970) 304-6410 FAX (970) 304-6411
STATEMENT OF EXISTING RECEIPT
Copy Reprinted on 08-19-2003 at 12:44:31
Receipt Number: HES-03078 Amount: $10.00 Date: 08-19-2003
Payment Method: Check Notation: 2104 Initials: MS
Owner Name: LAFARGE WEST INC
Applicant Name: LAND MANAGER FOR LAFARGE-JANZEN SUZANNE
Permit Number: SE-0300082
Parcel Number: 131316000010
Site Address: 25153 PT SW4NE4 16 2 68 & PT SE4NE4 BEG
AT CEN OF SEC THENCE
Location: 2719 WCR 20.5 WEL
•
Total Fees: $10.00 Total All Payments: 10.00
This Payment: $10.00 Balance: $0.00
Account Code Description Amount
256041400-4221-400 Statement of Existing $10.00
RT_H EST
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