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HomeMy WebLinkAbout20230124.tiffGC[ reeley r 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. Hello