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Home My WebLink About20080492.tiff • • • Left Hand Water District MEMORANDUM TO: Colorado Dog Academy Attn: Pat Andreason 12180 N. Sheridan Boulevard Broomfield, CO 80020 FROM: Kathryn A. Peterso DATE: August 29, 2007 RE: Tap Request #2397 Request Date: 8/21/07 For: one 5/8" commercial tap Engineering evaluation: A review of the above referenced tap request has shown that pressure and volume adequate for a 5/8" tap on the 10" main on the north side of Highway 52 . This is a preliminary commercial review addressing capacity at this time. A lete commercial review after zoning approval will require that the Applicant t all additional requirements of commercial tap request as outlined in supplemental commercial form, and pay all associated fees before final approval . Commercial backflow requirements will also have to be met. In order to increase capacity in the "Eastern Transmission Zone", the District undertook a major upgrade of transmission facilities. The cost of this improvement is repaid by means of a "line fee" with an interest component due from new taps served by the new facilities. A portion of the line fee and interest component is due to the District and a small portion is due to a developer who financed a portion of the improvements. Therefore, in addition to the tap fee, there is a line fee in the amount of $3,475. 00 per tap equivalent. If you are interested in purchasing a water tap and receiving a tap commitment, return this letter to us indicating the date on which you wish to have your tap request presented to the Board of the District for final approval. Board meetings are held the Thursday following the second Tuesday of each month. Your attendance is not required, however, this form must be received at our office by the Monday preceding Thursday' s Board meeting. Date you would like your request presented to the Board: 2008-0492 Your signature: We will notify you once your request for a tap commitment has been approved by the d and you will have 90 days to pay all components of the tap fee. You are u er no obligation to purchase a tap at this time and the above conditions to serve do not constitute a commitment on the part of the District to serve, until all conditions for service have been met. ., "' C l-02R)ru Hume ;o1 ,;o_,I?00 ,,, Fas 31`. ., ,i: ,��,,v lr: .c p... iopy of the current tap fee is enclosed for your information. Please note that ll se fees are subject to change at the discretion of the Board, without advance notice. The fee paid will then be the current tap fee at the time of payment. We will consider your request withdrawn, unless we hear from you within 60 days. Future requests for service may require a new application and/or fees. This review is based on current available capacity and does not represent an opinion on availability of capacity in the future, if the tap is not purchased within the time frame outlined in this letter. Installation: All commercial taps; -service-piping and hydrants are installed by the Applicant' s contractor and inspected by the District Inspector. Your contact person for inspection is Todd Petry, Distribution Manager. Utility Installation Permit: Please strictly follow the guidelines on the back of the enclosed permit. The upper portion of the front of the permit should be completed by the Applicant and/or Applicant' s Contractor. Applicant' s Contractor should keep the permit on the project site for periodic review and approval by the District Inspector. Drawings: Drawings must be submitted for review and approval by the District Engineer prior to the start of construction, as detailed in item #1 of the permit guidelines. A copy of the District' s Standards and Specifications is enclosed for 'lir use in the design and construction of your potable water system. If a fire domestic tap has been approved, the District prefers one tap on the main, and a combined fire/domestic line into the building. • Left Hand Water District P.O. Box 210 r Niwot, CO 80544-0210, Phone 303-530-4200 ti Fax 303-530-5252 'v www.lefthandwater.dst.co.us • • LEFT HAND WATER DISTRICT TAP FEE RATE SCHEDULE EFFECTIVE SEPTEMBER 1, 2007 BASE AREA ZONE - CBT - ETZ W/ LINE FEE COMMERCIAL TAP SIZE 5/8" 3/4" 1" 1 1/2" 2" 3" ------ ____________________ - ---- -- ----- ---- - --_ ---_ 0 PLANT INVESTMENT FEE 6 11,490 19,150 38,300 61,280 122,560 WATER REQUIREMENT ***see note ti,14,V.:, 16,500 27,500 55,¢00 88,000 176,000 METER/PIT INSTALLATION a 1 £ 1 ' 245 290 475 620 1,960 INSPECTION FEE - BASE (Plus $.50/Linear Foot) t fife"� zom 0¢:` 300 300 300 300 300 TAP FEE $19,170 $28,535 $47,240 $94,075 $150,200 $300,820 ETZ LINE FEE $3,475 $5,213 $8,688 $17,375 $27,800 $55,600 ------ 7 - TOTAL TAP/LINE FEE $22,645 $33,748 $55,927 $111,450 $178,000 $356,420 WATER & TAP EQUIVALENT 1 1.5 2.5 5 8 16 • ***NOTE: REQUIREMENT FOR WATER RIGHTS ON COMMERCIAL ACCOUNTS ARE SUBJECT TO CHANGE BASED ON USAGE NEED ANALYSIS COLORADO DIVISION OF WATER R • Office Use Only J Form GWS-45!1 001 DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., RM 818,DENVER,Co 80203 phone—Info:(303)866.3587 main:(303)866.3581 L., cIt f r rt fax: 13031866-3589 http://www.water.state.co.us '^ VCU RECEIVED GENERAL PURPOSE JUN 14 20A2 t w er Well Permit Application AUG 0 6 2001 R ew Instructions on reverse side prior to completing form. l ^TER Prsa-gcEs The form must be completed In black Ink. b7ArG ENGINEER WATER RESOURCES 1. Applicant Information DSTATE ENGINEER 6. Use Of Well (check applicable boxes) tote. Name of applicant Attach a detailed description of uses applied for. Molly Ann Elliott ❑ Industrial Mailing address _..._.._. _.-. -'- - --- 1 Other tlescr'be;: 379 Hwy 52 ❑ Municipal Sanitation, proposed bathroom O City State :p code _ ._...- _.. Irrigation EY1ea _Colo • t305�16 combined/exempt Telephone a - --�- .. ❑Commercial ( 303 i 826-9080 828-9059 7. Well Data (proposed) 2. Type Of Application (check applicable boxes) Maaer...m pumping rare '— —TAnnual amount to be withdrawn ❑ Construct new well Ease existirg well --- --- ..._._9PT acre-feet ❑Replace existing well rota!aepfn -- O Change or increase use o Change source (aquifer) O Reappl,cat:nn (expired feet permit) I:3 Other: 8. Land On Which Ground Water Will Be Used A. Legal Description inlay be provided as an attachment) 3. Refer To (if applicable) Well permit I I Water Court tote a _ 47505 Designated Basin Determination a - HWedl name or X ----"--'-- I 4- Location Of Proposed Well County - --_ ._ (If used for crop :rrigatien, attach a scaled Map that shows Irrigated area.) Weill S/] cv/(tr B. aAres I C. Owner ilamtnr,_ ),a Section Townsh.p N Cr S Range E or W p 2 pa)Mendren D. List any other wells or ware,rights used on this lard: v-diarnnr® ❑ 66 ❑(� ! 6th pm Dis�well from section lines laectlon lines are t keg ' 'Yp Y n'II —---Dropeny lineal r�, O Ft.from❑ .'d ti S 2200 Ft.from❑ E 23j W -For replacement wells cnl 9. Proposed Well Driller License #(optional): e antl direction from old l _-- -""- [p new well nee: 10. Signature Of ApplicantisL_Or Authorized Agent -- --- direction _.__... The making of false statements herein constitutes perjury in the second Well lacadon address iii _..__... - ...._—_-_ app)caDlel degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S. 24-4.104 113)ial. I have read the statements herein, know the Gpdonal: GPS well location informatron in UTM format contents thereof and state that the are true to my knowledge, Required settings for GPS units are as follows:_ _ r Sign here IAlust be origins/signature) Fermat must be UTM --�- Date Zone must ao13 ! . lt .7.1' -o l Units must be Meters Northing on ,name 6 rt Datum must be NAD2J(CONU51 I Mni r ��Na 0 Ys I fasting Unit sycG__ (,I�h� must be set to true north —_ Were points ma ts averaged?DYES ❑ No Use Only _-1 SGS mac name -_-"`—'-- poll map nrill. Surface eley 5. Parcel On Which Well Will Be Located A. Legal Description Inver beprov.ded as an attachment, i Receipt area only 4 Li Li4L m i-itad Invoice 4 480344 (D frost\ 19 70) U . ; Cashier -- 8:35:27 a4 n8A d2i 68 ID: 84 -{fs{ ��`� lt, Check Purchase- 43869 B trot acres in parcel _—_$+"- jvli _--__- ---_._____.___ —_ s.-, .,..a ./ C. Owner WR Imo._ j G,14.A iioWY ANN f11-1 Wa D. WI?, the only well o` parcel? l� YES ISNO Iii no-!at other.Neff —1 CWCB E. State Peres,IOW foptio__ TDPO MYIAR Se5 —^—___-- DI'J WD 61 9r MD FORM NO. STATE OF COLORADO OwS•1t OFFICE OF THE STATE ENGINEER Fo°Use only 11/92 818 Centennial Bldg, 1313 Sherman St,Denver. Colorado 80203 (303) 8863581 PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE - •CHANGE IN (YvV'!FRSHIP / ADDRESS WELL PERMIT, LIVESTOCK TANK OR EROSION CONTROL DAM 1. NEW OWNER � NAME(S) e„c 0.��CVO\\4`e.S„.CS,, 71\o,,,,t sw\tCGS6 h 'Mailing Address 3LI;- NoeThS.f.yfR5 CLR._.. ............. ... City, St. zip tn1 e•taSOR ) -C(7. Phone (91O ) ....(o$4-'/fs._ 2. THIS CHANGE IS FOR ONE OF THE FOLLOWING: E WELL PERMIT NUMBER L\,SOS ❑ LIVESTOCK WATER TANK NUMBER ❑ EROSION CONTROL DAM NUMBER 3. WELL LOCATION: COUNTY._.. Q,\C\ OWNER'S WELL DESIGNATION 3-1 C \.:\...: \\ \\ S2 R \ \ t._,.. Co � 0S1c, (Address) .. (City) (State) MP) C J C.. 1/4 of the c J\ 1/4, Sec. \ Twp. _ _ 4N. or❑S., Range lq _ ❑E. or 0 W, ,g-\ P.M. Pt Distances from Section Lin s _ , Ft. from❑N. «Y-Y S. Line, ZZ©6 Ft. from C E. Of W. Line. ��,ubdivision. _,-._ j,C Lot _._., Block Filing (Unit) _ .. . .... LIVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY ....... .... 1/4, Sec. Twp._........... ❑N. or❑S., Range............... ❑E, or❑W. ................ P.M. 5. The above listed owner(s) say(s) that he (they) own the structure described herein. e exi - ng record is being amended for the following reason(s): Change In name of owner. ❑ Change in mailing address. 6. I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24.4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] Name/Title (Please type or print) Signature RCFEri Rvrev Ar4Destidanl oC� s _7(2a. li law.d-- Date BC. D Lar\L K r�re ad/caulk) —% FOR OFFICE USE ONL •State Engineer By Date Court Case No. Div. Co. WD Basin MD Use OCT-16-2007 TUE 02: 14 PM WENVIRONMENTAL HEALTH FAX NO. 97104.64.11 ji. P. 01/04 • • i••ISp' io6P INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO, r:; @•i 5 • WE:L.I) COUNTY HEALTH Di-F'1f:'i"t?!-;NT REPAIR PERMIT ENVIRONMENTAL TA!_ HEALTH 51ERVi Ci 1516 HOSPITAL ROAD . iiREli:;LEY , CC: H i,F, , I 35 3-0635 ExT,. f2 25 OWNER MCMYNN , BARBARA ADDRESS 3'7'9 HWY !2 PH (303) O2O-46 ERIE ADDRESS ri: PROPOSED .. ; . .. ... .7 • CO f�D... I r'F2CJf CT,iEi) SYSTEM ,5'r5' r•lidl` .'">:� , ERIE CO OOTS1F, LEGAL. DESCRIPTION' OF SITE: ,S'W4 SEC 3i TWP 2 RNG 6?.• 'TYPE : F ISIDE:'NT:CAL CHILDREN ' S HOME 4i SERVICES : PERSONS 10 BATHROOMS 3,00 LOT SIZE 14.00 ACRES BEDROOMS 5 BASEMENT PLUMBING NO WATER SUPPLY NWCWD APPLICATION FEE $1100.00 1'<LI:C: ' 0 BY RECEPTIONIST' AID SIGNED BY BARBARA A, MCMYNN DATE 02/04780 DATE 00/04/O PERCOLATION RATE 15.0 M:i:la PER INCH :, ZONE SOIL ,.,. LIMITING:I:�i'.T,i u £:3 F�Ica�"'i'TYPE SUITABLE PERCENT GROUND 'i..(II:'I'= ?7;; REQUIRES Ii::NGINf ENGINEER DESIGN YI;:S :DIRECTION C; i'Tf,id FROM 7H E APPLICATION ION INFORMATION SUPPLIED AND T111c. ON- 'ITF_ SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SP'E'CIFiCATIONS ARE: REQUIRED ; SEPTIC TANK '� 3'• i:!•.ci.:. GALLONS , ABSORPTION TRENCH ,SQ:. FT. OR ADSORPTION BED 1 :a.t(a Si:'_ ...ADDITION . THIS PERMIT I; SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND _ NDITIOr'! rHiz PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE, THIS PERMIT AY 1I( REVOKED OR SUSPENDED BY THE WI:::L..I) COUNTY HEALTH H DEPARTMENT I I'fa!@ REASONS SET :TORT IN THE. WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING' '''F:,!:L_UII" TO MEET ANY TERM OR CONDITION IMPOSED THEREON 'DURING TEMPORARY OR I'".I:i'NAL... :IPPRUV'rl... : III ISSUANCE OF THIS PERMIT RMIT DOE:: NOT CONSTITUTE ASSUMPTION BY T'Ei:i: 31i::1''ARi'i71:'NT OR T-IE EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF ;"I•li::. ;E:WrAi:;E DISF'i1SAl... SYSTEM, SCOTT PERKINS 00/23/16 !-:NV:IFiCJNriI^:'iN1'A!., SPECIALIST DAlE. fi-!]:; PERMIT :1:5 NOT TRANSFERABLE: AND SHALL BECOME VOID . IF SYSTEM CON TRUCT:LC)N HAS 4OT COMMENCED WITHIN ONE Yiii,R OF 1 , ISSUANCE. BEFORE ISSUING FINAL.. r-ii:'PROVA1_. ii, i•HIS' PERMIT "i'N! 'J!_I._I, COUNTY HEALTH DEPARTMENT RESERVES till: RIGHT TO IMPOSE 1 .1 -TONAL TERMS' AND CONDITIONS REQUIRED TO MEET OUR RI:':(.01..A:T'1:C1N�, ON A CONTINUINGU!._ BA '1:S, FINAL i:'ERMXT APPROVAL .. . H N' Is CONTINGENT lJP'Cih! THE FINAL INSPECTION i:11"" THE (::viii,.. 'i...1:TI:::D S'Y.S'TEN OY THE WELD COUNTY HEALTH DEPARTMENT, '"STEH INSTALLER i"1:iNAi... INSEEt:. r:i:UN DATE: r,ti 89, . y " 2d.NR.4l as .... ._... OF SYSTEM INSTALLED _.- ENVIRONMENTAL. SPECIALIST 'TT ISSUANCE OE THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH H OTHER STATE , COUNTY 'k !...i T(+r,' REGULATORY I OR BUILDING REQUIREMENTS . NC! 1 Y nE ,l C r SYSTEM 11.M WILL OPERATE RAill_ IN COMPLIANCE SHALL 1 ACT TO CERTIFY IF r THAT ! REGULATIONS f I I TI WITH I'1 ARM._ [CABLE I 7111 COUNTY 'iDE ADOPTED IEr+SIJANI r(, ARTICLE , �� , TITLE + , . C! > I973 n .. AMENDED . ! I.:I I NOR THE PURPOSE i OF ESTABLISHING FINALAPPROVAL OVA! OF AN INSTALLED , Y I M i•O.;:1:; .UANCI.. LI! A L.:JCAr... OCCUPANCY'f 1.,. PERMIT 1 PURSUANT TO 'CRS 1973 X5-10-111 (:: ) .. 0CT-16-2007 TUE 02: 15 PM *ENVIR0NMENTAL HEALTH FAX NO. 976104 6411 P. 02/04 • • i - 0 14 2;5, 0 a door' 6 -7 • KEWzek gall 507 • - 0CT-16-2007 TUE 02:15 PM WENVIR0NMENTAL HEALTH FAX NO. 97.4 6411 ' 03/04 WELD COUNTY HEALTH DEPARTMENT ? 1555 17th Ave. f�74V/t2 • Greeley, Colorado N��' ✓ Application for Permit to Install, Construct, Alter or Repair Individual Sewage Disposal System. Owne�rtor Sponsor Address c `r- �Iy` Phone Address of Site 3."y Slit.. ✓ 7` 2/O r 7r� Mailing Address s 7 - 2 r'— P ��+� .L AtItG // General Information Septic Tank 1. Living Units / 1. Liquid Capacity / 9-0 Gallons 2. No. of Bedrooms `� 2. Dimensions 1. D 3. No. of Baths '�• J.-4-13. Material 1�9.r�c.s�✓T• ` 4. Basement Drain - "'-4' 4. Type Inlet • 5. Automatic Dishwasher A Type Outlet 6. ..Garbage Disposal 7. Automatic Laundry t-.1.----'" Secondary Treatments 8. Size of Lot / -r-c-++..-- ~ 9. Type of Soil O F:. Field v Bed 10. Percolation Test / '" 1 II7-u--- r a•_2_P ----9 _ 1. No.of distributi fines 11. Water Supply 41/.. 12. Lot Grade 2. Trench: Width Len t P. 13. Water Table Depth 3. Type Filler Material 14. Other 4. Depth of Filler Mate 5. Gravel Size r 6. Type Tile 7. Depth of Cover i L A M v. • . • 8. Other The Permit is to remain in full force and effect for six (6) months from date, until revoked for non-compliance. This system will be constructed in accordance with the above specifications and regulations governing non- municipal sewage disposal systems, in accordance with Regulation No. 1 of the Weld County Health De- partment. cm Date: `1 / 9 ! 1 A hc, ( , 0 , n Kli //A..C e —•�. The plans and specifications as shown are approved, pending payment oaff/permit fee. / Sanitariab• /\.LyA /! / 7777,12(/ - Date: The above systen-i1nspecteed�an found to comply with the plan and description. , Installed by ( ) / , 1 ' , � /""7 671 /7 7,` Sanitarian: r /nA)J_./.4O PERMIT FEE $ ! ic Received by i - �> Date ( A.,-.L.„ 3 /9 7/ • Please use reverse side for Plot Plan or use separate sheet of paper. OCT-16-2007 TUE 02: 15 PM R•ENVIRONMENTAL HEALTH FAX NO. 97404 6411 P. 04/04 • /Jo e_-11 140441ffi 71? • S. Hello