HomeMy WebLinkAbout20230124.tiffGC[
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City of Greeley
Director of Finance
P.O. Box 1928
Greeley, CO 80632-1928
Account Number 062-800941-01
Service 2120 CHERRY AVE
Location
Meter ID
10059098 03/01 1024 02/01 1022
5
4.
3
2
Date Curr Read Date Prey Read
(Usage in thousand gallons)
Used
Statement of Account for Utility Service(s)
THANK YOU FOR YOUR PROMPT PAYMENT.
Inte 411
Usage
2
Payments
Bal Fwd
RESIDENTIAL WATER
D J F M
RESIDENTIAL WATER
Residential Water
Base Charge
Used Rate Amount
2 11.620 $23.24
$17.36
$28.98-
$0.00
$40.60
CURRENT CHARGES
$40.60
[TOTAL DUE ON 03/21/22 $40.60
Scanning Cover Sheet
for
Septic Permits
Permit #
Permit Type:
G19760269
Health / EHS History / EHS Conversion History
Situs Street Address 2120 CHERRY AV
Situs City, State, Zip
Sec/Town/Range: 15 -05N -65W
Parcel # (12 digits) 096115200015-R3391086
Owner Full Name:
Owner Address:
Contact Name:
Contact Address:
MIYOSHI CHARLES
2120 CHERRY AVE.
GREELEY,CO 80631
Application Status: Finaled
Application Date: 03/11/1996
Owner Phone #: 303 3525619
Contact Phone#
Information above has been Verified in Accela by employee noted below
X
February 10, 2009
Processed by: Date
Report ID: EHS00024v003 Page 1 of 1
Print Date -Time: 2/10/2009 2:51:10PM
p.
rk
WELD COUNTY HEALTH DEPARTMENT
1516 Hospital Road
Greeley, Colorado
Ph. 353-0540
lou.a)Lecl
PERMIT NO. .2C? 9
Application for permit to Install, Construct, an Individual Sewage Disposal System.
Owner (_.A,( .Ai L i YL {.,Vo /_/LL- Address _e),/,96,) 0/ i ( J I.(xehone 26 .) - 3, P=1
Direction. to site: Hwy Rd. N mi., E. mi., S_mi., mi.
r/1 CI r) ( t)( � � r; '
4 .311
Legal Description: Ptn Nw4ec. 15, T N, R AtiSubdiv. Lot Blk
General Information
No. Bedrooms J No. Persons
No. Baths / Basement Plumbing
Size of Lot 3.5 t, .c') -6Z
rI, /
H2O supply (if well give depth) ;t{J.-�{./_ (t f
New Home Mobile Home Modular Add'n
Type of sewage ,disposol requested:
Septic tank Privy Other
Trts cer't.I'E Ic:s -Ihct-1 �I.%e 54t;ry �/�j
l`> NOT (.U, -kin. 4O0' of i�ubl.c SC'u r ' 'L�/ /,�.Ji
Septic Tank
Other
/000
Dept. Use Only
Perc. Rate (Avg. of 3) / 17/0 /rx2.11, .
Soil Type Sa louac
H2O Table Depth > e/
Lot Grade 4 30 7o
Requires Engineer Design Yes_K_No
If yes — reason
I�Amrnents:
Installation Instructions: (Minimum Requirements)
Gals.
Special Instructions
Absorption Trenches Y %.� Sq. Ft.
or
Seepage bed t ys Sq. Ft.
.This system will be constructed and installed in accordance with the above specifications and regulations re-
garding individual sewage disposal systems 'in 'Weld County, Colorado
This permit. shall expire at the same time as the building'permit, or, if no building permit is issued, the permit
shall expire 120 days after its issuance, if construction has not been commenced. '
Date: (-fSL.f12 �� , , /�%1 /a/ Owner: ��'` ���� 2!"`i el5
Applicant:
The plans and specifications as shown are approved pending payment of permit fee.
Date: /D//yr__76
Sanitarian ,Zl"ct 70:
The above system inspected and found to comply with plan and description.
Contractor: ��' APL `• -t -
l/
Systems
Engineer. Review:
'r Permit Fee: $/
-�
Received by: •'1„1f .i :rf_.('
Date•
Sanitarian:
(Dote) (Signature)
Date: „Ali! 7 �` n
/9 7�
WUDe
COLORADO
•
LOAN APPROVAL.
CLOSING DATE: 03/14/96
FAX FEE ($2.00): N/A
NEW LOAN
`---c6.0D_(_o�
DEPARTMENT OF HEALTH
1517 16 AVENUE COURT
GREELEY, COLORADO 80631
ADMINISTRATION (970) 353-0586
HEALTH PROTECTION (970) 353-0635
COMMUNITY HEALTH (970) 353-0639
FAX (970) 356-4966
REQUEST NO: 031-96/0247
DATE RECEIVED: 03/06/96
FEE $90.00: 03/06/96
TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage
disposal system for an existing dwelling:
SEND TO: Pro Realty Jim Ferguson
3545 Nest 12th Street Stuite 101
Greeley, Colorado 80631
REALTOR NO.: 353-1117
OWNER NO.: (303) 425-7318(H)
OWNER NO.: (W)
INFORMATION: Address: 2120 Cherry Avenue. Greeley. Colorado Age of Septic: 1976
Legal: PT: PT: SEC: 15 TWN: 05 N RNG: 65 W
Subdivision: N/A LOT: BLK: FLG:
Property Owner: Miyashi Trust Original Owner: Miyashi, Charles
Tank Pumped on: 03/05/96 By: Slim's Sanitation ' Licensed: es
PERMIT ON RECORD: Name: Miyashi, Charles Permit No.:G-760269 S.O.E.: No
Bathrooms: 1 Bedrooms: 4 Total Acres: 5 Date of Final Inspection:11/05/76
Water Supply: Greeley Well Permit No.: N/A
Tank Capacity: 1000 gallons Field Size: 891 Square feet
INSPECTION FINDINGS: Date of Inspection: 03/07/96
Soil Conditions:- Dry xxx Saturated Snow-covered
Residence: Occupied xxx Vacant
Sewage Disposal System: Satisfactory xxx Other
Bacteriological Water Test: Acceptable xxx Other
COMMENTS: None Applicable.
DATE: 03/08/96 SIGNATURE:
Environmental Protection Specialist
Neither the County of Weld, nor any of its agents or employees undertake or assume any
liability to the owner of the above property, to any purchaser of the above property or to
any lending agency making a loan on the above property in connection with either its
examination of the property or in the report. .
This inspection was conducted solely for the purpose of detecting health hazards
observable at the time of inspection, and does not constitute a warranty that the system
is without flaw or that it will continue to function in the future. Inspections requested
during periods of snow cover and high soil saturation may be of questionable value to
potential buyers due to adverse conditions. Water sample reports reflect the
bacteriological quality of the water supply at the time the sample was. taken. Evaluations
based on Statements of Existing (S.O.E.) relies on information the property owner
provides, under oath, indicating current status of the system and representing to the best
of his/her knowledge the system is not failing to function properly.
Residence:. Occupied _
Sewage Disposal System: Satisfactory
Bacteriological Water Test: Acceptable
•
c -I 1 R
LOAN APPROVAL
Weld County Health Department
NEED:
TO WHOM IT MAY CONCERN:
disposal system for an existing dwelling:
SEND TO: Pro
Q//ki �NCYC f (m) �S�/� Cr)
PICK-UP:
FAR TO:
SPECIALIST INSTRUCTIONS: (1) 4j ( p0_ LL, ar, i/j cu
,23o r- ri rt v
d! (Jo QUao,c-
CLOSING DATE: 3- //'17/4- 6 REQUEST NO: 3/41 y2
FAX •I PICK-UP DATE RECEIVED: —9e;
FAX FEE .00): RECEIVED BY: 0
NE OAN RE -FINANCE FEE /$. 0� / $105.00: 7j -in -y6
Review and inspection report regarding water and the sewage
REALTOR NO .: -,5.5,--/// 7
OWNER N00:65 -25-22517'(H) -
OWNER NO.: (W)
FAX NO.:
INFORMATION: Address:
Legal: PT:
::2/:2Q C./ y(L 1:0(_g__,
:0(_Greel,e.)c Age of Septic: 7(c
PT: USEC: ).S TWN: Q`5 N RNG: 6s W
Subdivision LOT: BLK: . FLG:
Property Owner: flf u '/ i ru5'L Original owneer:(7,Inf (p,c ash
Tank Pumped on: 315-94/., By: (�/(I%h, c ,q001.-,)/,',\_____ Liicensed:CD N
PERMIT ON RECORD: Name: ih I .t 0 If 0/K.82-<1 Permit No .:76626 7 S .0.E.: Y N
Bathrooms: Bedrooms:,L,/J Total Acreage: s Date of Final Inspection:
Water Supply: Greg/� J% Well Permit No.:
Tank Capacity:I(r% llons Field Size:
square feet
INSPECTION FINDINGS:
Date of Inspection: 3-- 9. -
Soil Conditions ;Dry, „ Saturated
Vacant
COMMENTS:
Other
Other
DATE: $1114(0
SIGNATURE:
Environmental Protection Specialist
Neither the County of Weld, nor any of its agents or employees undertake or assume any
liability to the owner of the above property, to any purchaser of the above property or to
any lending agency making a loan on the above property in connection with either its
examination of the property or in the report.
This inspection was conducted solely for the purpose of detecting health hazards
observable at the time of inspection, and does not constitute a warranty that the system
is without flaw or that it will continue to function in the future. Inspections requested
during periods of snow cover and high soil saturation may be of questionable value to
potential buyers due to adverse conditions. Water sample reports reflect the
bacteriological quality of the water supply at the time the sample was taken. Evaluations
based on Statements of Existing (S.O.E.) relies on information the property owner.
provides, under oath, indicating current status of the system and representing to the best
of his/her knowledge the system is not failing to function properly.
Scanning Cover Sheet
for
Septic Permits
Permit #
G19800170
Permit Type: Health / EHS History / EHS Conversion History
Situs Street Address
Situs City, State, Zip
2120 CHERRY AV
Sec/Town/Range: 15 -05N -65W
Parcel # (12 digits) 096115200015-M0006491
Owner Full Name: MIYOSHI HAMEKO
Owner Address: 2120 CHERRY AVE.
GREELEY,CO 80631
Contact Name:
Contact Address:
Application Status: Finaled
Application Date: 03/11/1996
Owner Phone #: 303 3525619
Contact Phone#
Information above has been Verified in Accela by employee noted below
X
Processed by:
January 20, 2009
Date
Report ID: EHS00024v003 Page 1 of 1
Print Date -Time: 1/20/2009 8:47:04AM
WELD COUNTY HEALTH DEPARTMENT
1516 Hospital Road
,Greeley, Colorado
PH. 353-054,0
SO D
Permit No. / • �- 1
Application for perm -install_, construct,•an Individual Sewage Disposal System.
Owner 1 iQ rn .ko Di ( y S k t Address ( �\--) h"-5 4-1 4`5'a; • Phone _
Directions to site: Rd. N mi, E mi, S mi, W mi
Legal Description: Ptn.(r(W]jN U Sec. (5- ,T _S N, R(,S W, Sub. ,•.1rk Lot Blk _
v\ t•-•
No. Bedrooms _
No. Baths
Size of Lot
H2O supply (If well give depth) Lii<156„._(„:41
3. — ('.41
New Home Mobile Home ✓ Modular Add'n _
Type of sewage disposal requested:
Septic tank '/ Privy Ofher
General Information -
No. Persons
4 ,a- 2w,,4?-
Basement Plumbing.
crcr S
rDept. Use Only 1
Perc rate (avg. of 3) 67./4,44
Soil Type spy
H2O Table Depth _
Lot Grade
Engineer Design Yes No
If YES -reason:
Comments:
This is to certify that the system is NOT within 400 ft. of a public sewer
Installation instructions: (Minimum Requirements)
Septic Tank 767) Gals. Absorption Trenches _
Other or
Special Instructions Seepage Bed _
f_ElG /41erv-' •E4,E 5���cf1 .» 76Af�GrJ Di2�
This system will be constructed and installed in -.-accordance with the above specifications
and regulations regarding individual sewage disposal systems in Weld County, Colorado..
This permit shall expire at the same time as the building permit, or, if no building permit
is issued, the permit shall expire 120 days after its issuance if construction has not
been commenced.
Date: / --- Rd
Owner:
Sq. Ft.
Sq. Ft.
Applicant : •� r"
The plans and specifications as shown are approved pending payment of permit fee.
Date:
The above system inspected and found to
Systems Contractor:
Engineer,Review:
Permit Fee: $
(Date)
•
comply with plan and gettion.
iblet
Sanitarian:.
Date:
Sanitarian`, 6;2(it•-•-Z4/17t/krvi
Received by:
Date:
(Signature)
r': cam: ' � •
19-79-122
•J 1T'
•
36
0
1
COLORADO
From
Planning Department
Date
Environmental Protection Services
Subject. I . S . D . S .: MIYOSHI, HAMAKO
January -23, 1991
OWNER: MIYOSHI, HAMAKO
MAILING ADDRESS:
SITE ADDRESS:
2120 Cherry Avenue
2102 Cherry Avenue
Greeley
City
Greeley
City
Phone: 352-5619
CO . 80631
State Zip
CO 80631
State Zip
LEGAL DESCRIPTION: PT NW4 PT NW4 SEC 15 TWN 05 RNG 65
SUBDIVISION: _
LOT
BLK FLG _
The septic system identified above XXX is, is not of sufficient size to
accomodate the proposed alteration(s) indicated bedow to the structure(s) served by
this system.
CURRENT FLOW:
TAKEOFF HOUSE & GREENHOUSE
Persons • 4
Bedrooms 0
Bathrooms 1
ADDITIONS:
-2
PROPOSED TOTAL:.
MOVE MOBILE HOME.ON
ON
2
2 - 2
1
Permit on Record: NAME MIYOSHI, HAMAKO
2
NO. G-800170
Recommend avoiding any machinery traffic over absorption bed.
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