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Home My WebLink About20092460.tiff (tict -63/4;403.\\ DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue • Greeley, CO 80631 WEBSITE: www.co.weld.co,us liD ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420 ei FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 COLORADO FAX: (970) 304-6411 WATER DEPARTMENT( � APPROVAL �1 Food Service Establishment Name: p)"ntisze,A nc -l-(•t1�ITl Cve tE))1.1 t� , _--_ Food Service Establishment Address: Uj c� ;, 1A—in 30 i City:Fri it Staten Zip Code:(4U3I(q Phone Number: (A ) 5-alp THIS SECTION FOR WATER DEPARTMENT USE ONLY What is the water source? (Please circle one) egulated Public Water Systempr Unregulated Water System REGULATED PUBLIC WATER: Community Water System t Date Connected to Source: 7//// _91e1 Name of Source: I ec--f f 1 I t Wafer 1Th Ek , Official's Signature: r:acvl g /�/�:/.Et�ll�w�J Date: � ei )- Title:0457-g/Ci 0/94 Phone Number: (22"i ,5-30 • ilacc) A /.L7 Non-Community Water System PWSID#: �(t) ..'/C 24/7/ PLEASE ATTACH APPROVAL LETTER FROM STATE AS SIGNED BY DISTRICT ENGINEER UNREGULATED WATER SYSTEM: Depth of Well What type of continuous treatment will be provided? How/where will quarterly bacteriological samples be submitted? Who will be testing chlorine residual and logging results when establishment is open? PLEASE ATTACH WRITTEN COMPLIANCE PLAN Weld County Health Dept. Water Program Manager Signature: Date: Title: Phone Number: ( ) Please Remit to: Weld County Department of Public Health&Environment Attn: Environmental Health Services • 1555 N. 17th Avenue Greeley,CO 80631 Phone(970)304-6415 Fax(970)304-6411 2009-2460 fir...;f211 2,A E� 6800 Nimhus Road. I oogmoni, CO 80503 Ramo O Box 210 NE vot`, CO80544-0210 Phouc: (303)530-4200 Fax: (303" 530-5252 to it aoxdwater(tdst.t n us • BILLING AUTU0R. Z4.TJO-i0/ Hoene: Mrmday Friday8:30 am 4:30 pin RENTAL SERVICE ADDRESS: _IA"?'724� tit., ' /7`. � // PROPERTY OWNER NAME % PROPERTY OWNER ADDRESS .351 U)C L,≥S TELEPHONE II DC 3-77 - S 2S -o. FAX #_ MANAGEMENT', AGENCY NAME L r(xL J ' 4_o r !-/ kL ----_ MANAGEMENT AGENCY ADDRESS U.S 2 c5r (Ate, 2,h Lona iY1oec CO 8050¢ CONTACT PERSON UPnie3 ."f'1derrSbr TELEPHONE // ,3Q3_ 776- S 2 EX 1 : FAX iE • This Billing Authorization does not waive any owner's responsibility for payment on their account and remain responsible even when tenant occupied. The District WILL NOT seek collection for final payment from any previous tenant. Water service is subject to shutoff after an account is 60 clays past clue per District Policy. No Reminder Notice will be mailed. A Shutoff Door hanger will he hung at the Service Address Only. The undersigned property owner authorizes Left Hand Water District: ✓ To release information regarding the owner's account to the above named agent and`to send all monthly statements for water service to the above service address when a tenant is not receiving the statement V To add a new tenant's name to the owner's account information ONLY when the previous tenant's account is "Paid in Full" / To send such tenant a monthly statement for water service to the above service address and to discuss the status of the account with the current tenant / To accept the tenant's disconnect date as the FINAL date that such tenant is responsible for water service at which time their name will be removed from the account. The final read and bill will be sent to both tenant and Owner/Management Agency within 48 hours of notice. Property Owner Si naturq (s) �- --- Date: Date: • COMPLETED BY LEFT HAND WATER ER DISTRICT PARCEL ID (t).5_jAi -ll----------- A/C!! / ---- - �( 7_�: St ) ---- -- --- NC BALANCE:----- ---.____ DATE PAID TENANT ADDED TOA/C BY IIIPWELD COIJN DEPARTMENT OF PUBLIC HEALIT AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 • PHONE (970) 304-6415 FAX(970) 30i-6411 Einaled Permit#: SP-0000030 Seci'Twn/Rng: 32 02 68 Status: ISSUED Owner: ANDERSON FARMS & CATTLE CO Applied: 01/17/2000 Applicant: COLO AG&RURAL EXPERIENCES LLC Issued: 03/28/2000 Permit Type: CNEW C=Commercial,R=Residential+NEW,REPair,VauLT Finaled: & ,a -,p Parcel #: 1313-32-0-00-031 Location: 6728 WCR 3 1/4 Legal Description: 25272 E2NW4/PT NEf/P T N2SE4 32 2 68 BEG N4 COR S In T'C Installer:_ Y � CI() " Description: CATERING FACILITY Commercial: Y Residential:N Acres: 210 #of Persons: 200 Basement Plumbing: N #of Bedrooms: 0 Bathrooms -Full: 0 3/4: 0 • 1/2: 2 Water Public: Y Water Source: LEFTHAND WATER Water Private: N Cistern: N Well: N Well Permit#: Percolation Rate: 60 Limiting Zone: 3 ft 0 in Description GROUNDWATER • % Ground Slope: 0 Dir: Soil Suitable: (Y/N) N Engineer Design Required: (Y/N) Y In 100 Year Flood Plain: (Y/N) N Minimum Installation Chambers Septic Tank: 3000 gallons Absorption Trench: 0 square feet or Absorption Bed: 2970 square feet Actual Installation ' Th Septic Tank: •- gallons Absorption Trench: square feet Absorption Bed: `txC) square feet Design Type: IVAt.ht,Q,k-4k NOTICFF The issuance of this permit does not imply compliance with other state,county or local regulatory or building requirements,nor shall ii 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 Date • Form:S_FlNAL sis 2008-03-19 16:13 » 9706138775 P 2/2 • 3UC N UP. INC 14198 WCR 7 MEAD,CO 80542 I Stamp_ k »crux, O ear.ads. erg S N u P 1 ac. be,ava.af3,.ws;n4... `Aw c`, F,.% t%'& th..ri1‘ od 0may. 'ro ea {,_' V'4 V,,w" V GJU�7 ryt�"�^ �M1Y 5.21:4 Fae aJ�' vw.a. a Adiaaa,, 4 7 a g QR3%..� T Punt 300.5 ,3Tey w.gyl V k►p& nsadit co a 'T1,, T P opt,• �""^`"r� I,n£n F� F-4/mime sem in2ts 40-441/41...6 F a I wall Alan Pat. D 7- ,c) • • Page 1 2006-03.12 13:00 • 117iiited,. SITE SERVICES PORTABLE RESTROOMS,SINKS.RESTROOM TRAILERS and MORE www.unitedsiteservices.com August 9,2007 Anderson Farms Fall Farm Events 6728 Weld County Rd 3 'A Erie,CO 80516 303-828-5210 303-506-8257 Cell Dear Brenda Anderson, Thank you for your call and for the opportunity to provide you with more Portable Restroom Services for your upcoming Events on your farm at 6728 Weld C R 3 'V,,Erie,CO on September 21 through October 31 of 2007. By choosing United Site Services,you can be assured that you are receiving the highest quality units in the portable testroom industry. United Site Services is the leading portable sanitation provider in the nation,while also accommodating some of the most demanding events to service. We have a more extensive product selection of restroont trailers,deluxe portable restrooms and ADA portable toilets than any other supplier in the country. • Delivery is set for 9/21/07 and the pickup will be on 11/1/07. Pricing for you is as follows: 14—Deluxe Restrooms $1120.00(NO each.) 2—Tao-Starion Sinks $140.00 (370 each.) Special Event Service,7am—8am (9/28/07) $344.00 (Service fees) Special Event Service,7am—8am(10/1/07) $344.00 (Seivzee fees) Special Event Service,lam—Sant (10/5/07) $344.00(Sernice fees) Special Event Service,7am—Sam (10/8/07) $344.00(Semite fees) Special Event Service,7am—8am (10/12/07) $344.00 (Ven'i.e ers.) Special Event Service,7am—8am (10/13/07) $344.00 (Service fees.) Special Event Service,7am—8am (10/14/07) $344.00 (Service fees) Special Event Service,7am—8am (10/15/07) $344.00 (Service fees.) Special Event Service,7am—8am (10/19/07) $344.00 (Service fees) Special Event Service,7am—8am (10/20/07) $.344.00 (Service fees.) Special Event Service,7am—8am (10/21/07) $344.00 (Service fees) Special Event Service,7am—8am (10/22/07) $344.00 (Senate fees.) Special Event Service,7am—8am (10/26/07) 5.344.00 (Service fees) Special Event Service,7am—8am (10/29/07) $344.00 (Venice feec) Total this year is $6076.00 "thank you yen,much for your continued business Brenda! © Sincerely, • Brett Angell, Inside.ales&Special Events, 303-917-3994 of1 United Site Services— P.O. Box 219 —Commerce City, CO 80037 Phone: (303) 985-0164—Toll Free: (888) 232-0001 — Fax: (303) 985-1428 nNTERPRISES, • 7241 East County Line Rd. Longmont, CO 80501 (303)772.4577 Metro 442.6829 Fax(303)442 5706 Proposal Submitted to: Brenda Proposal No.: AF001 Anderson Farms August 28, 2007 6728 WCR 3 1/4 Eric,CO Wrli to be Performed: Phone: 303-833-3544 Town of Firestone FAX: 303-833-3565 7500 WCR 20 30 YARD ROLL-OFF SERVICES McDonald Farms Enterprises. Inc. will he providing trash roll-off services for Anderson' Farms during the months of September and October. Delivery Charge: $35.00 per box Dump Charge: $240.00 per dump (5 ton weight limit) $20.25 per ton over 5 tons • With payments to be made as follows: DUE UPON RECEIPT Any alteration or deviation from above specifications involving extrs costs,will become an extra charge. Respect ully submitted by MCDONALD EAEMS EN RPRISES I21C. Per MARK E. MCDONALD/General Manager Note-This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE or PROPOSAL The above prices,specifications mid conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified Payment wall be made to Manned above. Signature t \ ti.t V A l �•1 Y Date I Signature \ -+;�1 L � .. -1, ecotrtwr rni nPaftn awn RI IRRfI mown STATES 2007-08-2C9 15:40 3034425706 Page 1 Hello