HomeMy WebLinkAbout20230849.tiff11/5/22, 10:29 AM Weld County E -Permit Online Portal
Record SP -2200323:
Residential Repair Septic
Record Info
9_it, ••• t='I
18519 CR 5
WELD CO
Payments Custom Component
',Wore Details
O Application Information
EHS APPLICATION DOCUMENTS
Site Address: 18519 County Road 5, Berthoud, CO 80513
I am applying: On behalf of the Owner
Authorization Form Yes
if Applicant is not
property Owner :
Authorization Form Clarke Stoesz
Signed By:
Date Authorization 10/21/2022
Form Signed:
Directions on how No
to reach property:
Percolation Holes Yes
Flagged:
EHS SEPTIC GENERAL
Describe the
location of your
project with the
major cross roads:
Describe the Expansion of existing septic (installed 2018) to now acoommodate 2 travel trailers for use as Air BNB
project:
Number of persons 4
using system:
Number of 2
Bedrooms:
3/4 Bathrooms: 2
Public Water Yes
Supply:
Public Water Supply Little Thompson Water
Utility:
Parcel Acres: 3.89
Reason for Repair: Repair for Upgrade
failure, relocation,
expansion :
Application Date: 11/04/2022
Hwy 56 East of Berthoud, right on Cty Rd 5 go aprox 2.3 miles and property is on the west side of County Rd 5
EHS SEPTIC SIZING CALCULATIONS
Bedrooms: 0
Percolation Rate: 0
Maximum Daily 0
https://accela-aca.co.weld.co.us/citizenaccess/Default.aspx 2/3
11/5/22, 10:29 AM
FIoW:
Septic Tank Size: 0
UniqueSepticTankSizdl
AUTHORIZED SIGNATORY
Authorized Josh Jones / Jones Excavating & Plumbing
Signatory Hereunto
Duly Authorized:
III Parcel Information
Weld County E -Permit Online Portal
https://accela-aca,co.weld.co.us/citizenaccess/Default.aspx 3/3
11/5/22, 10:25 AM AOL Mail
Fwd: Application Submitted - SP -2200323
To: you Details v
Hi Clarke,
I apologize for getting to this a little late, I was on vacation. Your Septic Permit application was submitted today. The Permit Application # is SP -2200323
Jesse would also like to know if there is a specific time you want to be scheduled? Thank you Clarke.
Tammi S
Office Admin
Jones Excavating & Plumbing LTD.
P.O. Box F
619 N 4th St.
Berthoud, CO 80513
970-532-2620
jonesexgeo@gmail.com
www.jonesexcavatingplumbing.com
Forwarded message -----
From: noreplyeco.weld.co.us <noreplvic}co.vie!c.:,c•.us>
Date: Fri, Nov 4, 2022 at 2:12 PM
Subject: Application Submitted - SP -2200323
To: <jonesexgeop„gEr.ai[.cc 7>
Dear Josh Jones,
Your Residential Repair Septic Application (SP -2200323) has been submitted successfully.
ilk Reply <4 Reply All At Forward
https://mail.aol.co mail-std/en-us/DisplayMessage?ws_popup=true&ws_suite=true
1/1
LITTLE THOMPSON WATER DISTRICT
Residential Domestic Water Agreement
Tap No. 370
Customer No. 370.01
Tap Type 5/8" Standard
This Agreement made this 13 day of July )_022 by and between Clarke E Stoesz & Kristine K Stoesz
Land Owner, hereinafter referred to as Customer, and Little Thompson Water District, a statutory water district, herein after
referred 10 as the District, is upon the following lel ills and conditions, for thin properly and water tap shown below.
Legal Owner of Property: Clarke E Stoesz & Kristine K Stoesz
Street Address of Propel ty: 18519 County Rd 5
City, State and Zip: Berg loud CO
Allowable Annual Usage: 228,000 Gallonsequivalellt to 0 T acte-feet
80513
WHEREAS the District is the owner of facilities for the purpose of furnishing domestic water to customers within the District'
WHEREAS the Customer is desirous of obtaining domestic water for the Property as more particularly provided for herein.
NON/ THEREFORE, the parties hereto agree to the following:
I This agreement shall be the binding contract between the Customer and the District
2 Customer hereby agrees to pay the District such sum as may he prescribed from lime to time by the Board of Directors as the water rate or
charge far such water service and to abide by the Rados and Regulations as now established or as may hereafter be established by the District
Payment[: shall start when the District installs the lap and water is available for delivery. A minimum payment, as prescribed from lime 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 mechanic's lienpursuant to C-R.S §32-1-1 001 (1)
(j), The District shall shut off or discontinue service for account delinquencies or other violations of the District's Rules and Regulations
4. No waler service may be obtained except upon property included within the boundaries of the District Customer agrees to include the
property served within the District_ if this hes not been previously accomplished. Customer 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 Customer PROVIDED, that the District shall not be liable for loss to Customer for failure to deliver water
because of war, riot, insurrecfton, breaks in the water system, maintenance to the water system, or Acts of God The District shall endeavor to
repair all breaks promptly on Olslact lines.
6. Customer hereby acknowledges and agrees that no other person or entity shall be permitted to use water provided by the District through
the tag established under this Agreement except for the parties constituting the Customer and their successors in interest to the Property and
their respective lessees, licenses and permlttee,
7, Customer understands and agrees that the District's responsibility for maintenance and repair of the District's lines and equipment extends
only as fares the water meter, Customer further understands and agrees that construction of the service line between the District's meter and
the Customer's residence or facilities, and any maintenance or repairs required in connection with such service line, is the Customer's sole
responsibility.
S The meter location wilt be readily accessible to the District at all limes. I1 is the Customer's responsib€lily to plan and maintain landscaping
so that ideas or shrubs will not interfere with either maintenance or meter reading of the individual meter. In the event the Customer falls to
keep the meter accessible, the District has the right to enter upon land of the Customer in order to Install, operate, locate, and maintain the
District's facilities and remove and/or trim ail restrictions within a three foot rodfus of the meter pit and above the service line for which the
District has maintenance responsibilities.
Bill to if different from above:
Clarke E Stoesz & Kristine K Stoesz
Name
18519 County Rd 5
Shut
Berthoud, CO 80513
Cie,
Zip
S FATE OF COLORADO
)ss.
COUNTY OF r._ a t e ,,rra . _.
ACknawfedged, subscribed end sworn to before me by.
this�e- day of
My Commission expires:
SEAL
HOLLY 9
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 19984019W
Commission
Land l7 n r' Ignatgre(s):
ll,Clads E Stoesz
Krlst ne K Stoesz
970-290-6587
Phone / E-mail
Clarke E Stoesz & Kristine K Stoesz
Notary Public
U ►+.A
Little Thompson Water
District
835 E State Highway 56
Berthoud, CO 80513
Little Thompson Water District
(970) 532-2096
info@dtwd org
Office hours are Monday - Friday 7:00am -
5:00pm
Home x
I2cr�nL'V�• /lcc:'J in
If you haven't signed up for the Eye on Water app yet, the heat of summer is a great time. Track your usage and get automatic alerts about leaks by signing
up at www.eyeonwater.com.
Billing Address
STOESZ, CLARKE E
18519 COUNTY RD 5
BERTHOUD, CO 80513-8008
Service Address Account Information
18519 WC 5
BERTHOUD CO 80513
PREY READ PREY PRESENT TOTAL
DESCRIPTION DATE READ DATE METER READING READING USAGE
WU
06/16/2022 07/13/2022 121094006 468820 484808 15989
Previous Payment Date
\revious Payment Amount
Water Usage
Select Meter: v
121094006
90000
60000
50000
40000
30000
20000
10000
,O\ 2p \
07/01/2022
$154.01
Account Number
Billing Period End
Account Type
Due Date
Select Billing Period
Total Charges
Water Base
Water Usage
Statement Charges
370.01
07/20/2022
Utility
08/15/2022
7/20/2022
$30.32
$49.80
$80.12
Amount Due $80.12
The information displayed here is provided by Little Thompson Water District. If there is a discrepancy, please contact Little Thompson Water District.
Please note that this bill is only displaying payments made on or after 07/20/2022. Payments made directly to Little Thompson Water may or may not be
displayed here.
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