HomeMy WebLinkAbout20102151.tiff MAY-06-2010 THU 12:34 PM W C ENVIRONMENTAL HEALTH FAX NO. 970 304 6411w P. 01 _ _
-.- vELD COUNTY IARTMENT PUBLIC HEALTH AIDENVIRONMENT
1555 NOR7TH AVENUE
GREELEY, CO 80631
PHONE (970)304-6415 FAX(970) 304-6411
•Permit#: SP-0500147 Sec/1 wn/Rn ; 09-03-66Emaled
Owner: COMPTON RUSSELL &PATRICIA g Status: ISSUED
Applicant: COALSON 7ULIANA Applied: 05/02/2005
Issued: OS/ 5/2OS
Permit Type: RNEW C Finaled:
Parcel#: 1211-09-0-00-018 1-7/61510,-
Location: 14494 WCR 36
Legal Description:
Installer: ('[XI,L,)pt,1 Eke -
Description: MODULAR ON CRAWLSPACE
Commercial: N Residential:Y Acres: 5
#of Persons: 2 Basement Plumbing: N
#of Bedrooms: 3 Bathrooms -Full: 2 3/4: 0 1/2: 0 •
Water Public: Y Water Source: CWCWD
Water Private: N Cistern: N Well: N Well Permit#:
Percolation Rate: 55 Limiting Zone: 7 ft 0 in Description: GROUNDWATER
%Ground Slope: 0 Dir: • Soil Suitable: (Y/N) Y
Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
•inimum Installation
Chambers*
Septic Tank: 1000 gallons Absorption Trench: 999 square feet
or Absorption Bed: 1305 square feet
Actual Installation
Septic Tank: \Y _gallons Absorption Trench: c square feet 33
Absorption Bed: L square feet
U
Design Type: Chamber Model l 1-444;tl 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,Tide 25,CRS as amended,except for the purpose of establishing final approval of installed system for issuance of a local
occupancy y permit persuant to CRS 1973 25.10.111 (2).
This permit ist non transferable and non refundable. 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 Id Cot4DePt neat of Public Health and Env yronrne rt.
J� (
Environmental Health Specialist Date
Form:SPINAL
• •
2010-2151
MAY-06-2010 THU 12:34 PM W C ENVIRONMENTAL HEALTH FAX NO. 970 304 6411 P. 02
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MAY-06-2010 THU 12:34 PM W C ENVIRONMENTAL HEALTH FAX N0. 970 304 6411 P. 03•111.--r,tgTMENT OF PUBLIC HEALTIIIID ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
PHONE (970) 304-6415 FAX (970) 304-6411
4. Permit#: SP-0500275 Fine led
T Owner: COMPTON RUSS Sec/Twn/Rng: 09-03-66 Status: ISSUED
1 Applicant: COALSON JULIANA Applied: 07/26/2005
Permit Type: RVLT c °,,.M,e1at It=Residential+AEµ REparr,VauLT Issued: 07/28/2005
{ Parcel #: 1211-09-0-00-018 Finaled: g- y-
Location: HWY 85 TO CR 36 E TO JOB 14494 CR.36
Legal Description:
Installer:
cki
Description: SHOP •
Commercial: N
Residential:Y Acres: 5
#of Persons: 2 Basement Plumbing: N
#of Bedrooms: 3 Bathrooms -Full: 2 3/4: 0 1/2: 0
Water Public: Y Water Source: CWCWD
Water Private: N Cistern: N Well: N Well Permit#:
Percolation Rate: 0 Limiting Zone: 0 ft 0 in Description:
% Ground Slope: 0 Dir: Soil Suitable: (Y/N)
Engineer Design Required: (Y/N) In 100 Year Flood Plain; (Y/N)
•Minimum Installation
Septic Tank: 1000 gallons Ab Chambers*
sorption Trench: 0 square feet
or Absorption Bed: 0 square feet --Actual Installation_
Septic Tank: 1p gallons ~ --
Absorption Trench: , —
Absorption Bed: —` —square feet
square feet
'
Design Type: Chamber Model ~~�
NOTICE
The issuance of this
permit does not imply compliance with other state,county or local regulatory
act to certify that the subject system will operate in compliance with applicable state,county or building o adopts Article 10,Title 25,CRS as and local re requirements,nor shall it
amended,except for the purpose of establish' regulations adopted o f a local to
occupancy permit pennant to CRS 1973 25-10-111 (2). final approval of installed system for issuance of a
This permit is rmen transferable and non r g undah a The Weld County Department of Public Health and Env ir
right to impose additional terms and conditions required to meet our regulations on a continuing orappro reserves l wsthe •
contingent upon the final inspection of the completed system by the Weld Coun De n°umrhs basis. Final pe
rmit rmit approval was
' lab and Environment.
•
„di
W° 1 Health Specialist
Date
Form:S_FINAL
•
MAY-06-2010 THU 12:34 PM W C ENVIRONMENTAL HEALTH FAX NO, 970 304 6411• _ P. 04
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MAY/04/2010/TUE 09:39 AM Weld County Water FAX No, 970 353 5855 F, UUI/UU1
• •
• REC'0 APR 2 0 2005
Tap•#/cMg
• WATERTA.P ASSIGNMENT
f
FOR VALUE,RECEIVED,Ihve hereby sell,transfer and assign to y c� $di Compton d- Pair
(p to o n.. one water tap in the CENTRAL WELD COUNTY wAta.DISTRICT,on my/our •
propertyklescribed as follows situate in Weld County,Colorado,to wit Led A e f r co t ed
exemitocOn / . /a./1 o9 ice .90021 as paH/ e3' /Y/vl Sec9�
T�ik', R6G k/ , Coaaty of Meld, W it fl _J
c2
IT IS UNDERSTOOD that these taps were purchased for the above described land and may not be transferred to other
land,without express,written consent in addition to the below consent,of the CENTRAL WELD COUNTY WATER
DISTRICT. I/we further authorize the Secretary" of said District to do any and all things necessary to effectuate this
transfer on the books and records of said District. //we hereby state that all water rates and charges and other monies
owed to the District have been paid and if not,shall be held out at the closing of the sale of my/our premises.
IN TESTIMONY WHEREOF,IAve have set my/our signature this /4 it 4 day of
/1/9 Pi/ 20 ec .
771 8 •
••SELLER: T. Backstr •
•
• .a.SFLLER: Anne E. Backstrom
. I/WE FURTHER AGREE to pay any and all charges hereinafter levied by said District for said taps and to abide by all
regulations adopted by said District.
ACCEPTED: n/CZocanis
•Russell Compton
�•
• •*BUYER: ~
• Patricia Compton
CONSENT TO ASSIGNMENT
I, John W.Zadel, General Manager of the CENTRAL WELD COUNTY WA thk DISTRICT, Hereby consent to
the above assignment on behalf of said District.
BY:' . v /
DATE; St/,�f/9
es TO PERSON FYPCUTING THIS ASSIGNMENT-NAMES AS THEY APPEAR ON TITLE MUST BE TYPED
AT THE APPROPRIATE SPACES,FAILURE TO DO SO WILT NEGATE THIS TRANSFER. TWO ORIGINAL
TAP ASSIGNMENTS MUST BE COMPLETED AND SENT TO CENTRAL WELD COUNTY WATER DISTRICT •
FOR DISTRICT CONSENT.
C® CENTRAL WELDA COUNTYGreele RATERCO80631 DISTRICT
"35 2nd venue. y.
9]0.35?-1284
PRESORTED
eI` ill FIRST CLASS MAIL
• rAfe! All ch$tges are due by the 10th us POSTAGE PAID
PREVIOUS PRESENT PREVIOUS PRESENT GREE Y,CO
DATE DATE READING READING Permit No.74
04/01 05/01 119280
COMPTON, RUSSELL & PATRICIA
14494 COUNTY ROAD 36
PLATTEVILLE, CO 80651
GALLONS WAT ER CHARGIi, I PAST DUE
11 31 . 35 0 . 00
Usage Shown in Thousand Gallons PLEASE PAY
ACCOUNT NUMBER THIS AMOUNT
119280 31 . 35
IIn 1111111)IIInIIIIIII III,.i IllIlnjil illf IlI it lnllft
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