HomeMy WebLinkAbout20091642.tiff • •
�►- f Director
in Statement of Account for
� Director of Finance
P.O. Box 1928 Municipal Service(s)
City of Greeley. CO 80632-1928
Greeley
THIS BILL SHOWS A PREVIOUS AMOUNT DUE .
Account Number 043-774375-01 PLEASE REMIT AT EARLIEST CONVENIENCE .
IF PYMT HAS BEEN MADE, THANK YOU .
WOODS, JAY A & SHERRIE L
PO BOX 337544
GREELEY CO 80633
DUE BY 09/02/07 91 . 59
Senice 2500 F ST
Location
Readings Current Previous Usage Previous Charges 55 . 58
Meter ID Date Reading Date Reading (In Thousands)
89784311A 08/13 2 07/18 0 2 Bal Fwd 55 . 58
89784311 07/18 346 07/16 346 0 METER 0 . 00
OUTRESWT 17 . 31
STRMWTR 18 . 70
•
ruK WAILKANIb KtJIKILI1VPtb rLt4ot LHLL Lurrent Lharges 36 .01
CONSERVATION HOTLINE 336-4134
CREDIT CARD PYMTS CALL 350-9722/350-9723 DUE BY 09/02/07 91 . 59
QUESTIONS? CALL ANNE 970-350-9729
DETACH AT HER=ORAIION AND RETURN BELOW PORTION WITH YOUR REMITTANCE
EXHIBIT
• `7
2009-1642
+► _ �, City of Greeley Statement of Account for
Director of Finance
P.O. Box 1928 Municipal Service(s)
• City of Greeley,CO 80632-1928
Greeley
THANK YOU FOR YOUR PROMPT PAYMENT .
Account Number 043-774375-01
WOODS, JAY A & SHERRIE L
PO BOX 337544
GREELEY CO 80633
DUE BY 08/31 /05 37 . 66
Service 2500 F ST
Location
S*i.F�s�. fl ..�♦��/ .y�.."1t.. m9(omP'^ 3 F1'W� 9µ,J, �! IM1i'!Y'N ..w �y37'₹ rt'i"1[, h
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J lit' as tr1 `L.,.lr�rDntrrS� s r ADS 4a Er`l rod vt xN ..
89784311 08/1 27 07/1 , 26 : Payments 44 . 72-
Bal Fwd 0 . 00
METER 0 . 00
OUTRESWT 20 . 58
STRMWTR 17 . 08
+Ge tyCharges
VISIT WWW . GREELEYGOV. COM/DROUGHT
n'.3`7
CREDIT CARD PYMTS CALL 350-9722/350-9723 DUE BY 08/31 /05 37 . 66 )
QUESTIONS? CALL VIRGINIA 970-350-9720 C/Ji
DETACH AT PERFORATION AND RETURN BELOW PORTION WITH YOUR REMITTANCE
•
• •
• Well Permit Information
We have a well on the property. The Permit is number 34280. There has been an
application sent in for a name change as it is still under the former owners name.
•
•
Weld Cty Environmental Health Services Dep•ent
1555 N. 17th Avenue
Greeley, CO 80631
Phone: (970) 304-6415
• Fax: (970) 304-6411
www.co.weld,co.us
Septic Permit Application
Application Number: SE-0701060
App Type: Health\Residential\Statement of Existing\na
Applicant Name: JAY A WOODS
2040 FAIRWAY LANE
GREELEY, CO 80634
Owner Name: WOODS JAY A &
Parcel #: 080536400069
Legal Desc:
Site Address: 2500 W F ST
WELD, CO 80631
App Specific Info:
1/2 Bathrooms 0
3/4 Bathrooms 0
Basement Plumbing Yes
Full Bathrooms 1
L tion Description 2500 WEST F STREET, GREELEY
r of Bedrooms ber 2
Nu of Persons 1
Private Water Supply
Public Water Supply Yes
Public Water Supply Utility Greeley
TERMS AND CONDITIONS
A permit fee,as set by separate ordiance of the Board of Weld County Commissioners,shall be required of applicants for new individual sewage
disposal systems(ISDS),payable at time of application.Permit fees are non-refundable; permit applications are non-transferable.If both a
building permit and an ISDS are issued for the same property and construction is not commenced prior to the expiration date of the building permit,the
ISDS permit shall expire at the same time as the building permit. If an ISDS permit is issued for a properly that does not require a building permit.the
ISDS permit shall expire one year after its issuance if construction on the septic system has not commenced.Any change in plans or specifications
after the permit has been issued invalidates the permit unless approval is secured from the Health Officer or his/her designated agent. Expired permits
can be renewed by payment of the permit fee only if:
A.There has been no change in the plans and specifications of the proposed system as set out in the original application or such change is
reviewed and approved by a Division Representative.
B.The surrounding land, its use or zoning has not changed so-as-to cause the original application not to be acceptable under these regulations.
NOTICE
The completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County
Department of Public Health and Environment(WCDPHE).The issuance of the permit is subject to such terms and conditions as deemed necessary to
insure compliance with rules and regulations adopted under article 10 title 25,CRS as amended.The applicant certfies that the proposed system will
not be located within 400 feet of a community sewage system.The undersigned certifies that all statements made,information and reports submitted
herewith are,or will be, represented to be true and correct to the best of his/her knowledge and are designed to be relied on by the WCDPHE for
evaluation for purposes of issuing the permit applied for herein.Applicant further understands that falsification or misrepresentation may result in the
denial of the application or revo�ca n of any permit granted,and in legal action or perjury'j as provided by law.
n Applicant Date
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