HomeMy WebLinkAbout20093415.tiff ARWP, INC. Previous Balance: 0.00
PO BOX 247 WATER 56930-52910=4020 58.02
FT LUPTON, CO 80621
303-857-4210
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Billed: 07/17/09
58.02 is due by 08/10/09
TERESA RAMIREZ After 08/10/09 pay 63.82
PO BOX 92
FT LUPTON CO 80621
Acct# RAM634
Last Pmt$130.93 on 06/29/09
SVC:05/29/09-07/01/09(33 days)
TERESA RAMIREZ
Billed: 07/17/09 After 08/10/09 pay 63.82
58.02 is due by 08/10/09
ARWP,INC.
PO BOX 247
Acct# RAM634 FT LUPTON,CO 80621
15643 HIGGINS AVE
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2009-3415
ARWP, INC.
6/29/2009
Consumption Analysis Report
For All Customers
F• Account#RAM364 to RAM364
From 1/1/2009 to 6/17/2009
Code Range Count Used Average Charges
1
WATER WATER: 0 to 100000000 1 28,580.00 28,580.00 $358.71
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WATER SUPPLY INFORMATION SUMMARY
Section 30-28-133,(d), C.R.S. requires that the applicant submit to the County,'Adequate evidence that a water supply that
• is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water.
1. NAME OF DEVELOPMENT AS PROPOSED
2. LAND USE ACTION
3. NAME OF EXISTING PARCEL AS RECORDED
SUBDIVISION FILING BLOCK '3 T LOT Q
4. TOTAL ACREAGE 5. NUMBER OF LOTS PROPOSED PLAT/MAP ENCLOSED 0 YES
8. PARCEL HISTORY- Please attach copies of deeds, plats or other evidence or documentation.
A. Was parcel recorded with county prior to June 1, 1972? 0 YES 0 NO
B. Has the parcel ever been part of a division of land action since June 1, 1972? 0 YES 0 NO
If yes, describe the previous action
7. LOCATION OF PARCEL - Include a map deliniating the project area and tie to a section comer.
1/4 OF 1/4 SECTION Q1 TOWNSHIP 'a. ❑ N ❑ S RANGE 4i.# ❑ E ❑ W
PRINCIPAL MERIDIAN: 0 6TH 0 N.M. 0 UTE ❑ COSTILLA
•8. PLAT- Location of all wells on property must be plotted and permit numbers provided.
Surveyors plat 0 Yes 0 No If not, scaled hand drawn sketch 0 Yes 0 No
9. ESTIMATED WATER REQUIREMENTS - Gallons per Day or Acre Fat per Year 10. WATER SUPPLY SOURCE
0 EXISTING 0 DEVELOPED ❑ NEW WELLS -
WELLS SPRING PROPOSED MOWERS.(CHECK can
HOUSEHOLD USE # of units GPO AF WELL PERMIT NUMBERS 0 AMMER UPPER ARAPAHOE
❑UPPER DAMN ❑EOWFA ARAPAHOE
COMMERCIAL USE # of S.F. GPO AF o to gam C LARAMIE FOX HILLS
O
o Oran
IRRIGATION # of acres GPO AF
STOCK WATERING # of head GPO AF 0MUNICIPAL
.ASSOCIATION WATER COURT DECREE CASE NO.'S
OTHER - GPO AF 0 COMPANY
0 DISTRICTLoe ovt.c
TOTAL GPO AF NAME HIC
LETTER OF COMMITMENT FOR
SERVICE 0 YES 0 NO
11. ENGINEER'S WATER SUPPLY REPORT 0 YES 0 NO IF YES, PLEASE FORWARD WITH THIS FORM. (This mey he required before our review is completed.)
12. TYPE OF SEWAGE DISPOSAL SYSTEM
It SEPTIC TANK/LEACH FIELD 0 CENTRAL SYSTEM - DISTRICT NAME
itLAGOON 0 VAULT • LOCATION SEWAGE HAULED TO
0 ENGINEERED SYSTEM (Attach e copy of engineering design) 0 OTHER
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
• PHONE (970) 304-6415 FAX (970) 304-6411
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Permit#: SP-9900606 Sec/Twn/Rng: 27-02-66 Status:
Owner: RAMIRIEZ TERRESA Applied: 12/01/1999
Applicant: KELLY RICHARD Issued: 12/20/1999
Permit Type: RNEW C=Commercial,R=Residential+NEW,REPair, VauLT Finaled: 3-7_ 2_0Db
Parcel #: 1309-27-4-03-004
Location: 15643 HIGGINS AVE ARIST II 27-2-66 LOT
Legal Description:
Installer: ()LI `''-
Description: HOUSE(PR-9930368)
Commercial: N Residential:Y Acres: 1
# of Persons: 3 Basement Plumbing: N
# of Bedrooms: 4 Bathrooms - Full: 2 3/4: 0 1/2: 0
Water Public: Y Water Source: ARISTOCRAT
Water Private: Cistern: Well: Well Permit #:
Percolation Rate:7.5 Limiting Zone: 8 ft 0 in Description
litGround Slope: 1 Dir: S Soil Suitable: (Y/N) Y
ngineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1250 gallons Absorption Trench: 1000 square feet
or Absorption Bed: 1300 square feet
Actual Installation
Septic Tank: 1LC° gallons Absorption Trench: /O92- square feet ?S
Absorption Bed: square feet
Design Type: -4 r Ifea7— rt,1c2-
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 of Public Health and Environment.
Environmental Health Specialist Da e
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CUSTOMER'S ORDER NO. PHONE DATE
NAME
ADDRESS
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SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE.RET'D. PAID OUT
CITY. DESCRIPTION PRICE AMOUNT
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TAX
RECEIVED BY TOTAL ? - } �
All claims and returned goods Thank You!
MUST be accompanied by this bill.
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PRODUCT 2531
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