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Home My WebLink About20101256.tiff , WELD COUNTY.PARTMENT OF PUBLIC HEALTHAND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 1n&kpc Permit#: SP-9900524 Sec/Twn/Rng: 23 01 68 Status: QED Owner: MILLER JERRY DEAN & CORTNEY ILEA Applied: 10/11/1999 Applicant: MILLER JERRY Issued: 10/13/1999 Q Permit Type: RNEW C=Commercial,R=Residential+NEW,REPair,VauLT Finaled: / `V,R 9/1 ` 19 Parcel #: )0 I LI L0-1 2.3 000005— Location: 4343 WCR 6 ERIE 23-1-68 Legal Description: 24925-C E2W2SE4SW4 2 3 1 68 EXC UPRR RES (.25R1D) Installer: Description: HOUSE Commercial: Y Residential:N Acres: 10 # of Persons: 3 Basement Plumbing: Y # of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2: 1 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit #: Percolation Rate:9.7 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: 522 square feet or Absorption Bed: 711 square feet Actual Installation Septic Tank: gallons Absorption Trench: 2 z square feet Absorption Bed: square feet Design Type: ci./-1 . 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. Envirbnme 1 Health Specialist Date •orm:S_FINAL 2010-1256 Accela Automation: GetPerS 0 - 8150-S • Page 1 of 1 Mccc Fav4r,tw I Hole lf.;Arul ♦Neagh ,Veld County,Cok,rado �14}f '''''' (P ; User ID:MSWAIN A'1!,"f?`'1�gi.d '`.i iM ;wl,i:111 A4:(1.a i",i%.. IISmarWana9er1 Alvtt,cal:on Prolwrty i :pie ,o I:�ashie 'rt rkfio,r, ' Allachment9 inspection Reports Preference Prot2<;t Condit,oirJ Application•Summary Application Type: 11ea:10/Pity iiist.7ry/r11S Convers.Oe Mrloor(i NA Application: G19880014 paLsy2 Owner Name:r:RLLN ROBER. Owner Address: 1:4315(11 4.Milt.CO 50590 Address: .II43 CR 6.Val r; CO Application Comments: Comments Application Status: t4.aled Parcel No.: 146:23 File Date: 02;01/1968 Description of Work: DOME WIDE 114911.ER Application Spec Info.: Base Information Eng Design Req'd: ti FEE PAID: v Filing: 000 Final Dale: 02;1811988 Final Date Text: 0324 Installer: 0023 Issued Date: 07;0911888 Issued Text: 8303 Location: 4343 WCR 6 LRIE CO 00514 Lot Size: 10 Owner/Agent: ROMP ID.(.6(19N PERMIT FEE: 100 Derc Date: 07;0921985 Permit NO: 14 Sec/Twn/Rng1: 23 Sec/Twn/Rng2: 01 Sec/Twn/Rng3: 68 Signed Date: 02/01/1588 Signed Date Text: 0022 Status: A System Type: T Type: R Year: 78FB . Services/Installation C of Bedrooms: 3 •of Persons: Basement Plumbing: t1 Bathrooms: 2 Bed: 0 Bed Site SQFT: 1:64 Commercial: N Description: UOUOc_WIDE MAILER Ground Slope: I; institution: N Other: Ix Percolation Rate: 49.002 Residential: Y Soil Suitable(S/Ui: S Tank Capacity Gal: 1000 Trench: Y Trench Size SQFT: 900 Water Depth: 008 Water Supply: r'WELt. Application Spec Info,Table: Application Detail: Wail Contact Info: Licensed Professionals Info.: Job Value: 90.00 Total Fee Assessed: 00.00 Total Fee Invoiced: 30 00 Balance: A0.00 Workflow Status: Task Status Status Date Action By NA Condition Status: Condition Name Status Apply Date Severity Action By • . . . https://accela-web.co.weid.co.us/operations/permit/index.cfm7FUSEACTION=GetPerSet2... 12/1/2009 • DOCUMENT: STATEMENT OF EXISTING DISKETTE: HPS2B STATEMENT OF EXISTING SEPTIC SYSTEM (Fill out /Q�in ink) OWNER OF RECORD: /%120 Z. err /y ;(0. p7 /I/ etwv �� `-W' ' MAILING ADDRESS: V3 y) WC y( C PHONE: 6657_ Sg7� SITE ADDRESS: 4/27,7 14)62- #6- LEGAL DESCRIPTION: P14.4 I4); P2 CEJ SGT*ec ) 3 TWNSP n / RNG ! ( E Subdivision: � / Lot: Block: Filing: Bedrooms 2 Bathrooms 7 Water Supply A _0 -1^Lzil Use type /(7,Q,p . Lot Size p/ 0 Acres SYSTEM SIZE: Tank is constructed of—,c /Dc)o,0a-r' and has //do o gals capacity n--,' material ABSORPTION BED:° -' ,f' 4t9 Sq. Ft. Total Date System Installed //9-v-4--- • You are required to draw a diagram of the system on the reverse side of this form and indicate position, length, width, and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel of ground identified by the above description, and further states that the system is in good working order and to the best of his/her knowledge is not failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in legal action for prejury as provided by law. A /qy e° [ ate � Owner Subscribed anc sworn to before me this /5/ day of ireniegiy , 190 0 by /Kiel �. 6reen Witness my hand and official seal. My comma sion expires Jvn e z� /rn O /my // /MY ate Notary Public 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 -4 31+3 C R 6 Pr(We r1j Too Oct. LANG U 7GSE ACTION V c'- 0 0 t /4 3. NAME OF EXISTING PARCEL AS RECORDED 4343 U_Ajd lCiU.44.3. 6 CJ[,-e �0 &O I• SUBDIVISION FILING BLOCK U-44.3. 21 LOT 4. TOTAL ACREAGE I 0 5. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED 0 YES 6. PARCEL HISTORY- Please attach copies of deeds, plats or other evidence or documentation. A. Was parcel recorded with county prior to Juno 1, 1972? ®'PES 0 NO B. Has the parcel ever been part of a division of land action since June 1, 1972? 0 YES ark If yes, describe the previous action 7. LOCATION OF PARCEL - Include a map deliniaterq the project area and tie to a section comer. C• 1/4 OF 310 1/4 SECTION la_TOWNSHIP 1 ❑ N ❑ S RANGE CJ0 OEOW PRINCIPAL MERIDIAN: L'BTH 0 N.M. 0 UTE 0 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 Feet per Year 10. WATER SUPPLY SOURCE 0 EXISTING 0 DEVELOPED riltA5cra f'e"FA PA" WELLS SPRING 0 NEW WELLS - PROPOSED AOHFFAB•IC X ONO HOUSEHOLD USE # of units jCPbQ GPO AF WELL PERMIT NUMBERS 0 MINIM 0 UPPER ARAPAHOE ANotOc i 0 X , n'10-,X 0 UPPER oAesvr ❑WNER ARAPAHOE COMMERCIAL USE # of S.F. °—Bt) GPO AF 0 LOWER DOWERDAasaN 0 w AMPwA FOX mus 0 OTHER IRRIGATION# of acres GPO AF STOCK WATERING A' 440 Ifriad GPO AF MUNICIPAL 0 ASSOCIATION WATER COURT DECREE CASE NO.'S OTHER - GPO AF 0 COMPANY egad d STji G TOTAL GPD AF NAME vela IJ LETTER OF COMMITMENT FOR SERVICE EVES 0 NO 11. ENGINEER'S WATER SUPPLY REPORT 0 YES &lib IF YES, PLEASE FORWARD WITH THIS FORM. (The may be required before our review's completed.) 12. TYPE OF SEWAGE DISPOSAL SYSTEM SEPTIC TANKILEACH FIELD 0 CENTRAL SYSTEM • DISTRICT NAME fiLAGOON 0 VAULT - LOCATION SEWAGE HAULED TO ❑ ENGINEERED SYSTEM (Attach a copy or engineering design) 0 OTHER PIJ''i/P i/ ' /F?! ^! :45 PM Weld County Water FAX Wr 0 ?53 5355 P 001/001 • • Revised 4/30/96 ACTIVE TAPS • TAP FEE AGREEMENT THIS AGREEMENT,made and entered into this J., 2A day of AO,(U -7 .20 O , by and between the CENTRAL WELD COUNTY WATER DISTRICT,hereinafter called the District,and Trov D.&Judy K.Hefner hereinafter called Customer, WITNESSETH: WHEREAS, District has been organized as a legal body and is known as the Central Weld County Water District,and WHEREAS,Customers are taxpaying electors within said District,or desiring to join said District,or and, WHEREAS, Customers are desirous of acquiring one water tap of 5/8 inches in diameter from the said District, NOW, THEREFORE, in consideration of the premises and the terms of this agreement, it is mutually agreed as follows: 1. Customer agrees to pay the tap fee of$ 17,500.00 Seventeen Thousand.five hundred&no/100 Dollars. 2. The description of the premises for which this tap is being purchased is as follows: The E'h of the W/:of the SE'/of the SW/of Section 23,Township 1 North,Range 68 West of the 6t°P.M.,County of Weld,State of Colorado • 3. This agreement,when approved by the Board of Directors,shall become a legal and binding contract upon all parties hereto. 4. Customer further agrees to execute any and all easements needed by District at no expense to District, across Customer's property for the purpose of installing the District's service line and meter pit constructed by District. District shall be responsible for restoring surface area back to reasonable condition at District cost. 5. It is further mutually agreed that this agreement shall extend to and be binding upon the heirs, executors,administrators and assigns of the parties hereto. 6. Customer further agrees to the following special provisions: Capital Improvement Fee—$4,000.00 Installation Fee-$6,950.00 7. Customer further agrees to abide by the rates established and the rules and regulations of the District. IN WITNESS WHEREOF,the parties hereto have hereunto and hereunder set their signatures the day and year first hereinabove written. CUSTOMER SIGNATURE CENT LD COUNT WA T ISTRICT (Property Owner) \ �1 \ BY Troy D. er _ v • ( �y-,'�'y'',`,` ATTES ��J� Iu He�u �4�1/ •ENTRAL WELD COUNTY WATER DISTRI• 2235 2"d Avenue Greeley,CO 80631 970-352-1284 1111 METER WATER RATES AND SERVICE CHARGES Effective July 9,2007 WATER QUANTITY MINIMUM CHARGE CHARGE "Windy Gallons *Annual Gap Beebe Cost Monthly Available Allotment Water Draw Per Meter Minimum For Min. (Metered Monthly Monthly Number of 1,000 Size Charge Charge Gallons) Surcharge Surcharge Gallons Gallons 5/8" $ 16.50 2,000 300,000 $ 2.10 $5.00 0-2,000 $16.50 3/4" 37.95 15,000 750,000 5.25 $5.00 2,(1 0-20,000 1.65 1" 87.50 60,000 1,500,000 10.50 20,001-50,000 1.10 1'/" 203.70 200,000 3,250,000 22.75 50,001-250,000 .83 2" 344.20 400,000 6,000,000 42.00 Over 250,000 .66 3" 674.20 900,000 12,000,000 84.00 4" 1,070.20 1,500,000 20,000,000 140.00 6" 2,139.73 3,120,000 28,000,000 OTES: I. Meter Reading and Customer Service: Meters are read and billed on a monthly basis. Customer must pay for all water registered by the meter,regardless of how the water has been used. Customer is responsible for the water system on customer side of the meter. The District assumes no responsibility for failures from high pressure,freezing,etc. / . 2. Multiple Dwelling Units and/or Business Units: Where one meter serves more than one dwelling and/or business unit, '-•-� / the following shall apply: A monthly surcharge of$3.50 for each dwelling and/or business unit for two or more units shall be > paid to the District in addition to the regular rate schedule in effect for the master meter. For motels,a SI.75 surcharge per dwelling unit shaclapply....9ker_se.ryices,,such as laundry,etc.shall be considered as one or mere equivalent dwelling unit for ��-_ basis of surcharge: 3.' C.B.T. Raw Water Surcharge: For C.B.T.Water,a surcharge of$.18 per 1,000 gallons shall be paid for all water used • over the annual allotment for the applicable water year(November I°to October 31"). 4.as Windy Gay Raw Water Surcharge: In addition to the monthly surcharge shown for Winds Cap wab:r,a surcharge in the amount of 50%of the lowest base rate per 1,000 gallons shall be paid for all water used over the annual allotment for the applicable water year(November I"to October 31"). 5. Pumping Surcharge: A 10%surcharge may be added to monthly water service charges where water is pumped for delivery. 7-7.7. ('taT!:AI,\\ELI)COUNTY WATER DISTRICT 222235 2m..\vcnur.Cirecle .CO 51)63I '70-;52-I'5-1 7n,. C© C:gr.F.3 Chen C.".!'.Bt: • ViS r:.,.*_'5"..^, 1=L"r t:'D PREVIOUS 1':ESE:qr,- I �-_ ice' - ?o s ❑ �-- DATE ;tT-.7. I ...._.:-,:,! ! • -'.:�l;a., 130160 09/01 rUT I-i_-- 69 94 HEFNER, TROY D. & JUDY K. **** Dwellin Unit n. 7. 00• )370 COUNTY ROAD 16 1/2 LONGMONT, CO 80504 Pay or_line a WWW.CWCWD. COM 25 51. 70 0 . 00 1 Rave Shown in Tlwu':aal(;allnu, PLEASE PM. ACCOUNT NUMBER THIS AMOUNT 130160 58 . 70 Hello