HomeMy WebLinkAbout20103014.tiff WATER SUPPLY INFORMATION SUMMARY
• Section 30.28-133,Id), 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 � X 7 S r 1 \ ^' uk 5 f ) C S 5- �0 r /GI. y r5 '
Air m Q 3 f rf�3 }I ri-I',A T r ,24 Co Nd 1 I'o 01 h f
2. LAND USE ACTION H ea -1-c 1` r 1 - 4 A. I r- dv .,(1 Ci I 1 Vl i 1\ Q
3. NAME OF EXISTING PARCEL AS RECORDED J
lee c EXChI p
SUBDIVISION FILING BLOCK LOT f� )-
()is? (.072)
4. TOTAL ACREAGE d- 7 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 June 1, 1972? 0 YES 0 NO
B. Has the parcel ever been part of a division of land action since June 1, 1972? 0 YES 0 NO
If yes, describe the previous action
7. LOCATION OF PARCEL - Include a map deliniating the project area and tie to a section comer.
OFa `1/4 1/4 SECTION i TOWNSHIP t/ ZN OS RANGE (D( ❑ E (% W
PRINCIPAL MERIDIAN: qi 6TH 0 h.M. 0 UTE 0 COSTILLA
•H. PLAT- Location of all wells on property must be plotted and permit numbers provided.
Surveyors plat ❑ Yes 0 No If not, scaled hand drawn sketch 0 Yes 0 No
9. ESTIMATED WATER REQUIREMENTS • Gallon per Day or Acre he per Year 10. WATER SUPPLY SOURCE
P /e 4 3 c 5 C c a Tack CC! 0 EXISTING 0 DEVEL0PEDO NEW WELL A-
N
t, N f 1 e rho 1141O n A/ ,O o c U Vlt PVI {-cT }I t'1 WELLS SPRING PROPOSED AOIKERS S(CHECK ONE!
HOUSEHOLD USE B df units GPO AF WELL PERMIT NUMBERS ❑ALLUVIAL o TAPPER ARAPAHOE
❑UPPER a 0 LOWER ARAPAHOE
COMMERCIAL USE A of S.F. GPD AF ^' '� OAmS 0 LOWER UMW 0 UMMI FOX ISLES
❑Oerfnl ❑DAKOTA
❑OTHER
IRRIGATION It of acres GPD AF
STOCK WATERING It of head GPO AF 0 MUNICIPAL
❑ ASSOCIATION WATER COURT DECREE CASE NO.'S
OTHER GPO AF 0 COMPANY
TOTAL GPO AF NAMESLiC#}Ic 7j1nni 's'tf
LETTER OF COMMITMENT Fffli
SERVICE 0 YES 0 NO
11. ENGINEER'S WATER SUPPLY REPORT ❑ YES g NO IF YES, PLEASE FORWARD WITH THIS FORM. (This mey be required before our reviews completed.)
12. TYPE OF SEWAGE DISPOSAL SYSTEM
$SEPTIC TANK/LEACH FIELD 0 CENTRAL SYSTEM - DISTRICT NAME
4. LAGOON 0 VAULT- LOCATION SEWAGE HAULED TO
0 ENGINEERED SYSTEM IAueeh a copy of engineering design) 0 OTHER 2010-3014
Little ThompsVater District •
FOR BILLING INFORMATION
835 E STATE HIGHWAY 56 CALL: (970)532-2096
BERTHOUD CO 80513-9237
• Account# Bill Date TOTAL DUE
479 04/20/10 $ 35.92
Type Due Date
CYCLE 2 05/15/10
Payid Bill No
KURT SCHWADER DBA 181
21990 Weld Cty Rd 46.
Johnstown CO 80534
AMOUNT PAID
DETACH AND RETURN STUB WITH REMITTANCE
KURT SCHWADER CYCLE 2 DBA 00479
Account# Service Address Billing Period Bill Date Due Date TOTAL DUE
479 21990 We 46 03121/10 to 04/20/10 04/20/2010 05/15/2010 E 35.92
Previous Current
Service Code&Description Date Reading Date Reading Mult Usage Year Ago Charge
LAST PAYMENT 03/26/10 33 .86
CU WATER-REGULAR "5/8 03/08 1178822 04/08 1183179 GALS 4357 12398 35. 92
Usage cost on 4357 x 0.002200 = 9.59
Base Fee: 26.33
•
CURRENT CHARGES 35.92
TOTAL AMOUNT DUE 35.92
Little Thompson Water District / 835 S State Highway 56, Berthoud, CO 80513-9237 (970)532-2096
NEW BILL FORMAT Includes graph of water usage. Useful information on back of bill. Company
uses environmentally friendly billing methods. Mark box on front if you change your address,
sign up for auto pay, and/or email billing.
•
Little Thompson Water District•
FOR BILLING INFORMATION
835 E STATE HIGHWAY 56 CALL: (970)532-2096
BERTHOUD Co 80513-9237
•
Account # Blli Date TOTAL DOE !.
479 05/20/10 $ 37.03
Type Due Date
CYCLE 2 06/15/10
Payid Bill ND
KURT SCHWADER DBA 180
21990 Weld Cty Rd 46.
Johnstown CO 80534
AMOUNT PAID
DETACH AND RETURN STUB WITH REMITTANCE
KURT SCHWADER CYCLE 2 DBA 00479
.. .............................................
Account d• Service Address Billing Ferias# Bill Date Due Date - TOTAL DU€
479 2199O We 46 04/21/10 to 05/20/10 O5/2O/2O1O O6/15/2O1O $ 37.03
Previous Current.
Service Cede et Description Pete Reading Date Reading Mutt Usage Year Ago Ctierge
LAST PAYMENT 04/26/10 35.92
CU WATER-REGULAR "5/8 04/08 1183179 05/06 1188041 GALS 4862 9020 37.03
Usage cost on 4862 x 0.002200 = 10.70
Base Fee: 26.33
•
CURRENT CHARGES 37.03
TOTAL AMOUNT DUE 37.03
Little Thompson Water District / 835 B State Highway 56, Berthoud, CO 80513-9237 (970)532-2096
NEW BILL FORMAT Includes graph of water usage. Useful information on back of bill.
Company uses environmentally friendly billing methods. Mark box on front if you
change your address, sign up for auto pay, and/or email billing.
•
• • r
Tap No. 17
LITTLE THOMPSON WATER DISTRICT
• Domestic Water Agreement a/� �'
This Agreement made this day of (7G1/ , 19 h±.by and between
Tlit^± (5wO('2
JQ ,'' UJ Land Owner, Hereinafter referred to as User, and
LITTLE THOMPSON WATER DISTRICT, a statutory water district, herinafter referred to as the District, is upon the
following terms and conditions, for the property and water tap shown below:
Legal Owner of Property: Xii/.— NSC/ 1 / /,,
Street Address of Propert : •� t v �� &"._ red 4(O
Town and Zip Code: /n�nn� /)V,�nt� LTWD Tap No: 477.
!
Purpose of Domestic Water Service: e e t,•.I y tX
Residential Single Family; Multi-family; Commercial; or Other (des be)
WHEREAS the District is the owner of facilities for the purpose of furnishing Domestic Water to users within said District:and
WHEREAS the user is desirous of obtaining domestic water for his property,
NOW THEREFORE, the parties hereto agree to the following:
I. This agreement shall be the binding contract between the User and the District.
2. User hereby agrees to pay to the District such sum as may be prescribed from time to time by the Board of Directors as the
water rate or charge for such water service. Payments shall start when the District installs the tap and water is available for
delivery. A minimum payment, as prescribed from time to time by the Board of Directors of the District, shall be due and
payable regardless of water use.
• 3. Until paid,all rates,tolls,or charges shall constitute a perpetual lien on and against the property served,and any such lien
may be foreclosed in the same manner as provided by the laws of the State of Colorado for the foreclosure of merchanic's lien.
The District shall shut off or discontinue service for account delinquencies or other violations of the District's Rules and
Regulations.
4. No water service may be obtained except upon property included within the boundaries of the District. User agrees to
include the property served within the District,if this has not been previously accomplished.User further agrees that he will
not permit other persons to use water furnished to him under this agreement.
5. District agrees to furnish water to User PROVIDED,that the District shall not be liable for loss to User for failure to deliver
water because of war, riot, insurrection, breaks in the water system or Acts of God.The District shall endeavor to repair all
breaks promptly on District lines.
6. User agrees to abide by such other rules and regulations of the District regarding the use of water as may be established from
time to time by the Board of Directors. b
7. The user's name and billing address for all statements and notices is: ci L .()coder
X90 C irk
Yatio,d, Co aiS?)-7
/n
Phone: `r'&'(_91669
IN WITNESS WHEREOF the parties have subscribed their names the day and year first� above written.
LITTLE THOOPSON WATER DISTRICT \I gX' ) r
• BY: /&‘-d ThCJ )(r,`M /�,(
'V-_(Si`gnature of Land Owner)
\Apb LTWD Form 120
(Rev. April, 1986)
i -LE _ - i .,_H_TH :DEPT 1::.-;70::;-_764,-_ -,;:,
�7�= r-'-' , _y. ,
ENVt�MENTAL PROYECTION SERVIl:t50 •.art, rcrcivti i tr 3£ ' •l
1517 16-TH AVENUE COURT REPAIR#_ ��.
GREELEY,COLORADO 80631 LOAN#
,�,.. ...,,,, PHONE: (970) 353-0635 ISDS # .2-t-e?,7 9.Y- O2
tc
• FAX: (970) 356-9466
STATEMENT OF EXISTING FOR SEPTIC SYSTEM
(PLEASE FILL OUT IN )311,A_ .K IN Z O YLY)
PROPERTY OWNER-
»a•,‘o P. Lam¢ PHONE NO. (lib 1 532--331'
•
I BED-t. h [� rdo s t� _
v'IAII LNG ADDRESS no% _ N. C.ov►..3.r-, Z04,43 19 State Zip
DESCRIPTION OF BUILDING (ex, house, mobile/modular home,shop, office) Ko'se.
211`tb y C- Lilo ____L --
S .'LUC,�T�C3N ADDRESS "7" -
• I City State Zip
'4
LEGAL DESCR[PTLO' PT PT 11.173. SECTIOri I`l TOWNSHIP 4 - RANGE Ise
SUBDIVISION__, — - LOT - _ BLOCK - FILU G
CE ICUS TRACT - LOT SIZE/ACRESI CO*
COMMERCIAL 'ES i ti RESIDENTIAL S/ N
NUMBER OF PERSONS 2- BASEMENT PLU:, BING YES
BEDROONIS 3 _ BATHROOMS FULL_
WATER SUPPLY 3/4 - 112
PUBLIC , WI/NO UTILITY NAN _ LArrl:E. T1.{orAP4ois w�T� 01`. " to
•PRIVATE
Y ,S CISTERNS ZES WELL YE- O WELL PERMIT# -
SYSTEM SIZE; Septic tank material is constructed of Gtr
c2. and hasA?PtoX. ► oo . gallons capacity.
FIELD: Trench vfatco"..3 square feet or Bed vn,cNo square feet YEAR INSTALLED un,cu'w►.)
You are required to draw a diagr
am of the system on the revers side of this form jblaek ink orih' and indicate
location:.length,width,and distance from the dwelling.
The undersigned property owner hereby certifies that the aboveidescribed
septic
system
description is in fact installed,
Lion and a stag
as
ed
described,and exists at this time on the parcel of ground idea by abovelegal tai fin to function
that the system %is not in good working order and to the best o his/her knowledge i(i,`so g
properly. !
I further understand that any falsification or uiisrepresentationfmac result in revocation of any permit granted b:
upon this information hereby submitted and in al actin for rl ry as provided by law.
Z"i3-10
_ Off,` R I
DATE
day of I T—UlorIAti'ey
Subscribed and sworn to before me this ,R.-4.\-. (/
LO bTA • 2
d official seal. My commission expires: 9;1 ;
Aek •
i.'ItII:s3 my bane' and - 6, 4, 0 :p I
1 •DATE NOTAR - LIC OF CO'
.;1-_,5.51-1N1 N-1 OF EXISTING REVIEWED BY
ENvIR1NMEN'TAL PROTECTION SPECIALIST
I
Tr,TC, G rw7,
•
9 .
Pan u-es
EDGE OF I
b¢.tvE
® ,,II
LC TIFESLfl E POLE 11.0
r --/-'4EPTIL TANK lily
flvv4E I RPM WAATE Mile- SIZE! 5'F 6'
,µ; , - - - - -
R uE TZEE
a
LGt-o-nwsLIME Po LE
I�
LITTL 'HOMPSON WATEItISTRICT
Directors:
Alex Sauer,President
Jim Cooper Jim Hibbard,District Manager
• Kathy Gallivan-Crist August 11, 2010 835 E.Highway 56
Paul Bukowski Berthoud,CO 80513
Richard Macomber P 970.532.2096
Gary Olson F 970.532-3734
www.LTWD.org
Becki M. Schwader
Air Masters
940W. 7th st.
Loveland, CO 80537
Dear Becki:
This letter is in response to your request for a water service commitment for the proposed Special
Review, to allow a nonresidential use, in the location described as follows:
NW 1/4, SEC. 14, T4N, R68W -- WELD COUNTY, CO@21990 WCR 46, Johnstown, CO 80534
The District provides water service within its service area as defined by the District. The
provision of water service by extension of existing water lines of the District to the above property and
the installation of taps for lots is done under the terms of the Rules and Regulations of the District
established by the Board of the District from time to time. You may obtain a copy of the Rules and
Regulations from the District. This letter outlines the provisions of the Rules and Regulations, however
this letter does not change any provisions of the Rules and Regulations. The Board of the District may
alter and amend the Rules and Regulations at any time, and the provisions of this letter are subject to
• alteration and amendment based on changes in the Rules and Regulations of the District.
We currently have a 4" diameter water line located along WCR 46 and we can commit to provide
service to the above property, subject to the limitations in this letter, for one standard 5/8" X 3/4" water
tap per lot; and the following additional limitations on the provision of water service are:
1. All improvements to District facilities required to provide service will be the financial
responsibility of the developer in accordance with the District Rules and Regulations. All
improvements must conform to District Specifications.
2. You will be required to provide and install backflow prevention equipment appropriate
for your non residential use and provide annual test results to the District.
3. The design, installation and total cost of the project will be the responsibility of the
developer.
YOU ARE HEREBY ADVISED THAT THE RULES, REGULATIONS AND TARIFFS
OF THE DISTRICT ARE SUBJECT TO CHANGE WITHOUT NOTICE; AND THIS LETTER
IS ISSUED WITH THE SPECIFIC LIMITATION THAT THE DISTRICT MAY CHANGE THE
RULES, REGULATIONS AND TARIFFS APPLICABLE TO THE ABOVE PROPERTY AT
ANY TIME WITHOUT NOTICE TO YOU OR ANY PERSON.
If you have questions, please contact me.
Regards,
• Michael T., (6.k"p.E.
District Engineer
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