HomeMy WebLinkAbout20071997.tiff Mar 2G 07 02: 33p Central Weld 9703535065 p. 1
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WATER TAP ASSIGNMENT
FOR VALUE RECEIVED, l/we hereby sell, transfer and assign.to BRENT A. ItAUGEN
AND KRISTY A. ERDNAN , ONE water tap(s) in the
CENTRAL WELD COUNTY WATER DISTRICT, on my/our property described as follows
situate in Weld County, Colorado, to wit:
LOT 29,
CASA CRANDE ESTATES NIKSI ADDITION,
wE'.D COUNTY, COLORADO.
IT IS UNDERSTOOD that these taps were purchased for the above described land and may not
be transferred to other land, without express, written consent, in addition to the below consent,
of the CENTRAL WELD C:OUN"!'Y WATER DISTRICT. I/we further authorize the Secretary
of said District to do any and all things necessary to effectuate this transfer on the books and
records of said District. Ilwe hereby state that al water rates and charges and other monies
owed to the District have been paid and if not, shall be held out at the closing of the sale of
my/our premises.
IN TESTIMONY WHEREOF, Ilwe have set my/our signature this 7 T day of
JULY 19 93 .
7
* e.LLER: PETER A.
.** SELLER:
I/WE FURTHER AGREE to pay any and all charges hereinafter levied by said District for said
taps and to abide by all regulations adopted by said District.
ACCEPTED:
I(,e-70
** BUYER: BRENY A. HAUGEN
** BUYER: .RISTY A. ET+tDMAN
CONSENT TO ASSIGNMENT
I, John W. Zadel, General Manager of the CENTRAL WELD COUNTY WATER
DISTRICT, Hereby consent to the above assignment on behalf of said District.
DATE: d4 75
** TO PERSON EXECUTING THIS ASSIGNMENT - NAMES AS THEY APPEAR ON
TTTT r. MT NT P.P.TYPP.17 AT THE APPROPRIATE SPACES. FAILURE TO L 2007-1997
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
PHONE (970) 304-6415 FAX(970) 304-6411
Permit#: SP-0300164 Sec/Twn/Rng: 17 02 67 Status: FINALED
Owner: HAUGEN BRENT A. Applied: 05/06/2003
Applicant: HAUGEN BRENT A. Issued: 05/12/2003
Permit Type: RNEW C=Commercial,R=Residential+NEW,REPair,VauLT Finaled: 12/03/2003
Parcel #: 1311-17-0-05-036
Location: 9725 DEL CAMINO LN HWY 66 S ON CR 19 W O
Legal Description: 1CA-29 L29 CASAGRAND E ESTATES 1ST ADDN %
9725 DEL CAMINO LN%
Installer:
Description: SHOP/STORAGE
Commercial: N Residential:Y Acres: 9.48
# of Persons: 1 Basement Plumbing: N
# of Bedrooms: 0 Bathrooms -Full: 0 3/4: 1 1/2: 0
Water Public: Y Water Source: CENTRAL WELD WATER •
Water Private: N Cistern: N Well: N Well Permit#:
arcolation Rate: 41.7 Limiting Zone: 8 ft 0 in Description:
% Ground Slope: 0 Dir: Soil Suitable: (Y/N) Y
Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1000 gallons Absorption Trench: 293 square feet
or Absorption Bed: 377 square feet
Actual Installation
Septic Tank: 1000 gallons Absorption Trench: 312 square feet
Absorption Bed: 0 square feet
Design Type: GA
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 fmal 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.
r. x
Environmental Health Specialist Date
Form:SPUN
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