HomeMy WebLinkAbout20230740.tiffWELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North 17th Avenue, Greeley, CO 80631 wrww.weldhealth.org
Septic Permit - Final
Application Nurnber:SP-1700352
Owner Name:SANDBERG GEORGE L IRREVOCABLE TRUST
Site Address: 17215 CR 46
LASALLE, CO 80845
App Type: HealthlCommerciallNew OWTS\Septic
JIM CLARK
CLARK ENTERPRISES COST CO
80 FACTORY ROAD
EATON, CO 80615
Parcel #: 105712300009-R8948334
Legal Desc: PT SW4 12-4-66 LOT A REC EXEMPT RECX17-0013
Work Description: OFFICE/ WAREHOUSE
EHS SEPTIC GENERAL:
Associated Disaster Permit No
Number of Persons 1
Parcel Acres 6.90
Public Water Supply Yes
Public Water Supply Utility CWCWID
EHS SEPTIC ACTUAL (FINAL):
Septic Tank Size, gallons 750
Absorption Trench, sqft 84
Chamber Model Quick4 Plus Standard
Number of Chambers installed 7
Design Type Chambers -Trench
NOTICE
The issuance of thispermit 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 operateIn cornprtartOewithppplicablestater, county and local regulations adopted persuant to Article ID, Title 25, CRS as amended,
except for the purpose` of establishingapproval of Instelled-system for Issuance of a local occupancy permit petulant to 25-10-112(9)(b).
This permit is nomliansfeEtkblikanst nonareflmdabig The Weld County Department of Public Health and Environment -reserves the right to impose
additional.terms anti tcrediifons required to -meet our, regulations on a continuing basis. Final pemlit:approval was.contingent upon the final inspection of the
completed system by the Weld County Department of Public Health and Environment
Application Status:
Finaled
Applied Date:
10/18/2017
Issued Date:
1 D123/2017
Finaled Date :
01/11/2018
Alex Clemrnents January 11, 2018
Environmental Health Specialist Date
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Tel?: 971-X.1-6416 r_ie:976\.71 ,44Z
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fele: 471-304-6415 Tee: 970-304-6470
Fax 970-2044411 Fox 47c -30i-6452
Ernalgenay Prepapirchema
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Tula: 97G304-600
Fax: 970-304-6452
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Account Number Description
003229-01 1000 Gallons
Meter Readings
Previous Present
134 135
Usage
1
Read Code
Actual
Read Dates
Previous Present
10/21/2021 11/18/2021
Previous Balance
Payment — Check
Water Minimum Charge
Water Usage Charge
CBT Surcharge
$22.23
—$22.23
$19.27
$0.00
$0.00
Total Current Charges $19.27
Total Amount Due $19.27
Please write Account Number on all check payments and on all
correspondence. Please use the Bill ID to set up Auto Pay. Auto Pay is
deducted the 15th of each month. You may pay your bill & setup
AutoPay at www.cwcwd.com
Water
JASON
NDJFMAMJ
EBill Bill ID 0432 00007327
Customer
Sandberg Irrevocable Trust
Service Address
17215 County Rd 46
Billing Date
11/22/2021
Due Date
12/15/2021
Account Number
003229-01
Amount Due
$19.27
Annual Allocation
YTD Usage
**Surcharges apply if Allocation is exceeded**
300
45
Central Weld County Water District
2235 2nd Avenue
Greeley, CO 80631
970-352-1284
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