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Home My WebLink About20222902.tifff Scanning Cover Sheet for Septic Permits Permit # Permit Type: Situs Street Address Situs City, State, Zip SP -9900380 Health / Residential / New 17901 CR 38 Sec/Town/Range: 36-04-66 Application Status: Finaled Application Date: 08/06/1999 Parcel # (12 digits) Owner Full Name: Owner Address: Contact Name: Contact Address: 105736000010-R4476186 SLAVIN KEVIN & SHERRY 860 W 132ND AVENUE #242 DENVER,CO 80234 SLAVIN KEVIN & SHERRY 850 W 132ND AVENUE #242 DENVER,CO,80234 Owner Phone #: (303)255-3614 Contact Phone# (303)255-3614 Information above has been Verified in Accela by employee noted below x June 13, 2008 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date -Time: 6/13/2008 8:16:23AM S80'07'5§"W 1334.49' 43.102 Ac. Grass 42,117 Ac. Net `u7 _ 397.47' d - O a z 00 Ni N. N E 1/2 SE 1/4 SECTION 36 T.4N., R.66W. PARCEL # 105736000015 17901 WCR #38 PLATTEVILLE, CO 81.34 Acres Gross 470.08' n N 6.3520 Acres 18.178 Ac. Gross 17.512 Ac. Net 300 0 300 SCALE 1 "=300' SCALE= 1" = 300' DATE= 07-05-2021 DRAWN MJD I CHECKED= MJD 420.08' EXISTING MODULAR 7.4103 HOME nj �nJ4 0 (0 470.08' N. tV It) 6.352 Ac. Gross 5.944 Ac. Net rn X42.2 - 60'- N87'48'20"E 1342.89' WELD COUNTY ROAD #38 420.08' 6.353 Ac. Gross 5.643 Ac. net 440.54' m N (D CO ti N 00 [t r ›- F - :NZ Q � 0 WO 0 J W EXHIBIT MAP FOR PROPOSED RURAL LAND DIVISION OF PROPERTY LOCATED IN THE E.1/2 OF THE SE 1/4 OF SECTION 36, T.4N., R.66W. WELD COUNTY, COLORADO aka; 17901 WCR 38 PLATTEVILLE, COLORADO DEDECKER LAND SURVEYING 43'1 FAWN CRAII. LL VELAND, COLORADO 8053:% L (97(1)217,2331 1 1970) 663-2013 PROJECT Na 2021-436 GRAVING Na REVISION NO. #2 SHEET 1 OF 1 Form No. GWS-25' APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 13t3 Sherman St., Denver, Colorado 80203 (303) 866-3581 KEVIN S SLAVIN 860 W 132ND AVE #242 WESTMINSTER CO 80234- (303)255-3614 PERMIT TO CONSTRUCT A WELL. LIC WELL PERMIT NUMBER 217001 DIV. I CNTY. 62 WD 2 DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION WELD COUNTY SE 1/4 SE 1/4 Section 36 Twp 4 N RANGE 66 W 6th P.M. DISTANCES FROM SECTION LINES 200 Ft. from South Section Line 200 Ft. from East Section Line CONDTfIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the applicant that no Injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 40 acres described as the SE1/4 of the SE1/4 Section 36, Township 4 North, Range 66 West, Sixth Principal Meridian. 4) The use of ground water from this well is limited to ordinary household purposes inside not more than three single family dwellings, fire protection, the watering of poultry, domestic animals, and livestock on farms and ranches, and the irrigation of not over one acre of home gardens and lawns. 5) Production from this well is restricted to the Laramie Fox -Hills aquifer which corresponds to the interval between 190 feet and 470 feet below ground surface. Plain casing shall be installed and grouted to prevent production from other zones. 6) The maximum pumping rate shall not exceed 15 GPM. 7) The return flow from the use of the well must be through an individual waste water disposal system of the non -evaporative type where the water is returned to the same stream system in which the well is located. 8) This well shall be constructed not more than 200 feet from the location specified on this permit. Note: To insure a maximum productive life of this well, perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above, Note: The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years upon which the amount of water in the aquifer is allocated, due to anticipated water level declines. IA APPROVED RAN RA Maio eivineer Receipt No. 0443539 DATE ISSUED APR 16 1999 EXPIRATION DATE APR 16 2001 rfaild NO. °2 Q7� STATE OF COLORADO OFFICE OF THE STATE ENGINEER , 1-AllCentennial Shermang.. 1313 Sherman St. Denver, Colorado 00203 _f' '--7, (303) 866-3561 For Moe Use only p RECEIVED g SEP 1999 WA TER HE,,,, CE$ a w 26 PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE- 1. APPUCATION FOR WELL LOCATION AMENDMENT WELL PERMIT NUMBER 621 _ 00 1 2. WELL OWNER t/% �t1 `irO i 6,3o< K) NAMES).11g.}.......,......�rrr� Mailing Address ....1.1.9. 4' nn City. St Zip........Y.Ilrh. .L)... Q..).......C_O,.•....... Phone ( 303 ) a ` .. .`.. .i(1.II........................ 3. ACTUAL WELL. LOCATION: COUNTY . L D..-. OWNER'S WELL DESIGNATtON..................................................... . Pk lie LIi. ................. .. . 5 f.. (C► (State)() ) Twp. 4...... ts . Range r -ge 1N , ......... P.M. (North or South) (East or West) Section Line. ,... (4 .-... Ft from Section Une, (East or west) Lot Block Filing (Unit) l..'7Q.O.I.......(,d • C . R • 3V (Address at wall loumon) 5E114 or the ...5.E . 114, Sec, ..3..�D.•. Distances from Section Lines c) 00 Ft from 3 (North or South) Subdivision 4. The location of the existing well needs to be amended for the following reason(s): (Attach appropriate documentation as necessary) 0--(2-9— CiCtraLeek-Q • L,,V ... .. - 5. 1 (we), the above listed owner(s) own the well described herein. I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.RS., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.' Name\Tdle (Please type or print) _ 5WEkk 2• SLAV r1:2412 Signature . Zajor.L., Date g FOR OFFI USE ONLY APPROVED FOR ACORRECTION OF LOCATION PURSUANT To POLICY MEMORANDUM 93.1 DATED JULY 7, 06 . j State Engineer Court Case No, Div. Co. ............. WI].........-..... 1993 Cil (0 1 I Basin MD .--'--..._._.. ADM NO. WELL CONSTRUCTION AND TEST REPORT icim. 1 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 1'313 Sherman at.. Rm 818. Denver. CO 80W3 For aloe Use only REC.'S t /EV N0V 18'9 1. WELL PERMIT NUMBER 217001 2. OWNER NAME(S) Kevin S . Slavin MaiTrng Address f79 0 1- WCR #38 City. St Zip Platteville, CO 80651 Phone ( ) 3 „,%r1n n_1.q� WELL LOCATION AS DRILLED: SE 1/4 SE 1/4, Sec. 36 Twp. 4 N [ � g W , DISTANCES FROM SEC. LINES: 200 ft. from South Sec. line. and 650 ft. from East Sec. line. OR (norm or sown) tees or swag' SUBDIVISION: LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: 4. GROUND SURFACE ELEVATION It DRILLING METHOD Std Rotary DATE COMPLETED p- - a a . TOTAL DEPTH 3 7.8 ft. DEPTH COMPLETED ft. a. GEOLOGIC LOG: Depth Description of Malarial (Type. Size, Color, Water Location) 6. HOLE D1AM. (in.) From (ft) To (ft) 11" 0 20" 8 20 378 0-2 topsoil 7. PLAIN CASING OD (in) Kind Wall Size From(ft) To(ft) 6.5 steel .250 1"above 2' 2-45 Brown Sandy Clay _ 45-46 Small gravel 4.5 pvc .250 5 135 46 -115 Dark Carbonations shale 4.5 pvc .250 155 215 w/coal strecks 4.5 pvc .250 215 378 115-14n C rA y c t i rk .y %bake PERF. CASING: Screen Slot Size: .02 4.5 pvc .250 135 155 14n-165 light gray c'n dy sha1c. 4.5 pvc .250 215 378 165,255 ?ray sandy sha1e 8� FILTER PACK: Material Gravel 9. PACKER PLACEMENT: Type 7 CC -2c8 very 1y -s rel 1 1 mps tone 25R--115 Gray Shale Size .125 Interval 120-378 Depth 335-350 tough light- gray sandstone 10. GROUTING RECORD: Material Amount Density cement 28cuft 6gal Interval Placement 0-120 pumped 350-378 tough shale REMARKS: berttonite t1. DISINFECTION: Type H.T.H. Amt. Used 6 ozs 12. WELL TEST DATA: U Check box if Test Data is submitted on Form No. GWS 99 Supplemental Well Test, TESTING METHOD Static Level 90 ft. DaiteRme measured 10-18-99 , Production Rate 10 gpm. Pumping level 120 ft DatefTime measured , Test length (hrs.) 2 Remarks 13. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 24.4104 (13)(e) C.RS., the making of false statements herein constitutes perjury in the second degree and is punishable ae a class 1 misdemeanor.] CONTRACTOR Lesh Drilling Inc. Phone (970) 834-2868 Lic. N0, 21-B, Mailing Address P . O. Sox .5b Ault , -Incb061 0 61 0 - U 0 51 Narne/Title (Please type or print) Ed Lesh, Jr Pres. Sign --- Date . 0 FORM NO. GWS.S2 10194 ./ PUMP INSTALLATION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 1. WELL PONT NUMBER 217001 2. OWNER NAME(S) Kevin 1 S. Slavin Mailing Address City, St. Zip Phone ( ) Platteville, CO 80651 For Office Use only �p�clt/1=r NOV 16 -1999 STATE �cbER a WELL LOCATION AS DRILLED: SE 1/4 SE 1/4, Sec. 36 Twp. 4 N , Range 66 W DISTANCES FROM SEC. LINES: 2Q0 ft. from isol44 othown) Sec. line. and 650 ft. from Eastd Sec. line, SUBDIVISION: LOT BLOCK FIUNG(UNIT) STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA: Type Pump Manufacturer _ Design GPM 7 Pump Intake Depth Submersible Goulds - _Installation Completed 11-8-99 Pump Model No. 7GS 07 41 2 at RPM 3450 , HP 7 5 , Volts 210 , Full Load Amps 135 Feet, Drop/Column Pipe Size 1 sch Inches, Kind 80 pvc w/brass &12-3 neowire ADDITIONAL INFORMATION FOR PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: ❑ Electric ❑ Engine ❑ Other Design Head feet, Number of Stages , Shaft size inches. 5. OTHER EQUIPMENT: --�1 Airline Installed ElYes O No, Orifice Depth ft. . Monitor Tube Installed Elr� Yes t.l No, Depth ft. Flow Meter Mfg. nose Meter Serial No. Meter Readout ❑ Gallons, ❑ Thousand Gallons, ❑ Acre feet, ❑ Beginning Reading 6. TEST DATA: ❑ Check box if Test data is submitted on Supplemental Form. Date Total Well Depth 378 Time Static Level 90 Rate (GPM) 10 Date Measured 11-8-99 Pumping Lvl. 120' 7. DISINFECTION: Type H.T.H. Amt. Used 6ozs 8. Water Quality analysis available. ❑ Yes Q No 9. Remarks 10. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the secorx degree and is punishable as a class 1 misdemeanor.] CONTRACTOR Lesh Drilling, Inc. Phone ( 970) 834-2868 Lic. No. 21-b MaiingAddress P.O. Box 56_, Ault. CO 806107_0.0.5-6 Name/Title (Please type or print) Edwin D. Lesh, Jr President: Date y COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., RM. 818, DENVER CO 80203 phone - info: 1303) 866-3587 main: (3O31 866-3581 REC..ER/Et; MAR 3 1 7999 ;Vac)F i RESIDENTIAL *{Hots: You may also use this farm to earth/ tor livutook rnrtatfnlpl Water Well PerrriltrfApplication Review instructions prior to completing form Must be completed in black ink or typed 1. APPLICANT INFORMATION Nemo of applicant Mc. 4 Me 4& )u S. ((t4sllM. Mehra Memos. j51n U), 139n1 hoe— 1,21-1,2. City Rate Zip cede tAlrs-kyu'rks4y7-. C Sag.3tf Tee:phone fkenber !Include wee tide) 3o3 —a55 -3't 2. TYPE OF APPLICATION (check applicable box(es)) Construct new well O Replace existing well ❑ Change (source) aquifer ❑ Other: 6. USE OF WELL (check appropriate entry or entries) Sea instructions to determine ues(s) for which you may qualify — ❑ A. Ordinary household use in one single-family dwelling L outslae use) B. Ordinary household use in 1 to 3 single-family dwellings: Number of dwellings: 3 O Home garden/lawn irrigation, not to exceed I acre: area irrigated i ❑ sq. ft. lel acre I Domestic animal watering — {non-commerciaij C. Livestock watering (on farm/renoh/range/pasiure) O Use existing well ❑ Change / Increase Use ❑ Reapplication). .d pound) 7. WELL DATA Meimee pu ple:a ear 15 9Prn Annul =went to be withdeown 3 acre-feet 3. REFER TO (if applicable): Water court case # PJ'� Pemie f Verbet t -VE- Monitoring hole acknowledgment ! MH- Welt name or i ottc 4. LOCATION OF WELL Tem. depth feet smart C.arro�.it- I -ti 115 8. TYPE OF RESIDENTIAL SEWAGE SYSTEM "(Septic tank / absorption leach field O Central system District name: O Vault Location sewage to be hauled to: O Other (attach copy of engineering design) 9. PROPOSED WELL DRILLER (optional) rf.,te Less 1.ai..;r5,c. 10. SIGNATURE of applicant(s) or authorized agent County W Section 3c, Qua terfquerter 35 - Diener SE_ % Principal M«idiwn TownshipN or S l 1 o ❑ Distance of well from section Ones Ramie E or W Co`-, arm ft from O N ¢tS OC) ft. from yif E 17 W Wen leashen addn.e, If dffwse from operant addles cif wmllc.bNa X1}4 For eeprranrnt walla only - de tame and direction from ail well to new well feet direction License number z The making of false statements herein constitutes perjury in the second degree, which is punishable as a dass 1 mis- demeanor pursuant to C.R.S. 24-4-104(13)(a). I have reed the statements herein, know the contents thereof and state that they are true to my knowledge. Meat be wSpbor eieneture 5. TRACT ON WHICH WELL WILL BE LOCATED A. You must creek one of the following - see instructions O Subdivision: Name Lot no. Block no. Filing/Unit O County exemption (attach copy of county approval & survey) Name/no. Tract no. ❑ Mining claim (attach copy of deed or survey) Namelno. Other (sttech legal description to cognation) 5E 1/4 of SE. /4 3 b loin 1/4O e. STATE PARCEL ID# (optional: .l. 74Ce t. SI °I;i3 /19 Tale 014) _OPTIONAL INFORMATION VINO map name I Own map no. • Z3— G Surfer* slaw. 1 856 C. S astre la tract D. Are you the owner of this property? S 0 NO (it no - see detailed inst.) E. Wit this be the only well on this tract? plYES O NO (if other wells are on this tract - see detailed Inst.) Office Use Only Aw cwr$ �)eT ny1*8 z CHECKS X443539 033199 DIY OF RATER RESCIEcCES [cif `i7 b DIV I 6 CO mi.IQ BA USE MD Form GWS-44 (11/95) EXEMPT WELL DATA SHEET - DENVER BASIN, COLORAD APPLICANT: SLAVIN RECEIPT NO. 443539 LOCATION: SE1/4 OF SE1/4 OF SEC. 36, T.4N., R.66W. (200 SSL, 200 ESL) PROPOSED AQUIFER: LARAMIE-FOX HILLS SURFACE ELEVATION: 4890 NUMBER OF ACRES IN TRACT: 40 IS PROPERTY WITHIN SERVICE BOUNDARIES OF MUNICIPALITY S.B.5 CONSENT MAPS? N IF SUBDIVISION IS UNDER AUGMENTATION PLAN, CASE NO. IS IF SUBDIVISION WAS RECOMMENDED FOR APPROVAL BY THE WATER MANAGEMENT BRANCH, INFORMATION ON SUBDIVISION OR TRACT OF LAND/SPECIAL RESTRICTIONS: AQUIFER ELEVATION DEPTH TO ANNUAL NET APPROP STAT ROT. TOP SAND BOT. TOP A -F UPPER DAWSON LOWER DAWSON DENVER UPPER ARAPAHOE ---' LOWER ARAPAHOE ---- --_- *LARAMIE-FOX HILLS 4419 4701 174 471 189 10.380 NNT note: E indicates location is at aquifer boundary and values may be m * indicates the proposed aquifer. All values are interpolated from the S.B.5 data base assembled in Nove PETITION FOR INCLUSION STATE OF COLORADO )ss COUNTY OF WELD CENTRAL WELD COUNTY WATER DISTRICT TO: THE BOARD OF DIRECTORS OF THE CENTRAL WELD COUNTY WATER DISTRICT Irwe, being all of the owners of the below described real property, which property is capable of being served with the facilities of the aforesaid District hereby petition the Board of Directors of said Central Weld County Water District to include the below described real property within the boundaries of said District. Assent to the inclusion of such property is hereby given by the below signers, which signers constitute all of the fee owners of said below described property. LEGAL DESCRIPTION: E2SE4 36-4-66 Parcel # 105736000015 Dated this " day of April 2022. Authorized signer: CMII Homes Inc STATE OF COLORADO )ss COUNTY OF WELD The foregoing Petition was acknowledged before me this day of t 20� by Witness my hand and official seal, My commission expires: Notary Public DELIA CORRAL NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20194024595 MY COMMISSION EXPIRES JUNE 28, 20231 CUSTOMER/OWNER NAME: CMH Homes Inc WATER MAIN EXTENSION CONTRACT THIS AGREEMENT, made and entered into this Y day of #firs 1 , 20, by and between the CENTRAL WELD COUNTY WATER DISTRICT, hereinafter called the DISTRICT, and CMH Homes Inc , hereinafter called OWNER, WITNESS ETU: A. DISTRICT has been organized as a special district under the laws of the State of Colorado and is known as the Central Weld County Water District, and B. OWNER is either a taxpaying elector within said DISTRICT, or has petitioned to join said DISTRICT, and C. OWNER owns the following described real property within the service area of the DISTRICT: (Said property is hereinafter referred to as the Subject Property.) The East half of the Southeast quarter of Section 36, Township 4 North, Range 66 West of the 6th P.M., County of Weld, State of Colorado D. DISTRICT water facilities are not presently located to adequately service the Subject Property, and E. OWNER desires to have the DISTRICT construct water mains to service the Subject Property, and F. DISTRICT desires to construct said water mains on the teens and conditions hereinafter set forth in accordance with its policies, rules and regulations as now adopted or as may hereinafter be adopted or amended by the District, and G. OWNER is requesting water service by separate tap fcc agreements and will acquire 3 water tap(s) with meter size of 5/8" inches and 1 Quarter water tap with a meter size of 5'S' from the DISTRICT. and H. DISTRICT reserves the right and has the authority to consider each extension contract individually, and administer as determined appropriate based on varying conditions. NOW, THEREFORE, in consideration of the premises and the terms of this Agreement, it is mutually agreed as follows: 1. Prior to any expenditure or construction by DISTRICT, OWNER shall pay, in advance, the amount of 51,200.0() based on the estimated costs for all material, labor, installation, fees and other costs directly applicable to extension and meter set(s), less any credits allowed by DISTRICT. After completion of all construction and acceptance by the DISTRICT, a final adjustment of costs will be made, if necessary. In the event that it is determined that the deposit is insufficient to cover the estimated costs of construction, the OWNER shall pay to the DISTRICT, on demand, additional advances towards the cost of construction. If construction is performed by OWNER, DISTRICT must approve such construction by OWNER or OWNER's contractor by a written agreement providing for the temis of such installation, including the requirements that the materials used shall meet all standard of the DISTRICT and that provides for inspection by the DISTRICT of the construction of such. water mains. OWNER shall provide the DISTRICT with an accurate copy of the final plat of the property to be served by the DISTRICT. If the plat must be approved by the County Commissioners, then a recorded copy of the plat with the Clerk and Recorder of the Colorado County in which the development is situated must be provided to the DISTRICT. Water Main Extension Contract 2. If the installation is constructed by the OWNER, or the OWNER's contractor. the OWNER shall transfer all right, title and interest in and to the facilities installed as well as all easements and appurtenances and other necessary property rights to the DISTRICT by good and sufficient assignment or bill of sale or general warranty deed. Such transfer shall be made free and clear of all liens and encumbrances, and the OWNER shall furnish sufficient evidence of title or a "Form 100" title policy if required by the DISTRICT. The OWNER shall furnish mechanic's lien releases or a good and sufficient performance and payment bond pursuant to the Colorado Mechanic's Lien Law in order to insure that all construction costs have been paid in full. All labor and materials shall be warranted for defects of any kind by OWNER and OWNER's contractor for one year from the date of acceptance of such facilities by the written acceptance of such facilities. The DISTRICT, upon receipt of the documents of transfer and evidence of title, shall consider whether to accept or reject the installation. If OWNER has complied with this Agreement and all other conditions precedent to the acceptance of the facilities, the DISTRICT shall approve and accept the transfer and shall thereafter assume ownership, operation and maintenance of the lines. In no event shall the DISTRICT assume ownership, operation or maintenance of any installation on the service side of the metering installation for the property. 3. OWNER shall commence payment of established rates of DISTRICT, including hut not limited to minimum fees, on the date of installation of a tap and water is available for use at the tap. 4. OWNER shall transfer to DISTRICT 0 Colorado Big Thompson (CBT) units administered by the Northern Colorado Water Conservancy District (Northern) and/or OWNER shall transfer to DISTRICT 0 Windy Gap Project (Windy Gap) units administered by the Northern Municipal Subdistrict. The transfer of CBT Windy Gap units from OWNER to DISTRICT is subject to approval by Northern and all costs associated with the CBTAVindy Gap transfer shall be paid by OWNER. All CBT and Windy Gap units transferred to DISTRICT shall be owned by DISTRICT and DISTRICT shall have all rights to such units as provided in Northern's rules, regulations, policies and other terms or documents regarding CBT and Windy Gap units. No taps will be served by DISTRICT until all of the terms and conditions of this Agreement have been fulfilled by OWNER, including, but not limited to, the transfer of the above -described CBT and/or Windy Gap units. The taps may not be used on any property other than the Subject Property without the express prior written consent of DISTRICT. 5. Some developments may qualify for cash -in -lieu of dedicating water rights as determined by the DISTRICT in the DISTRICT's sole and absolute discretion. Cash -in -lieu rates will be determined by the DISTRICT in the DISTRICT's sole and absolute discretion and such cash -in -lieu rates are subject to change at any time by the DISTRICT. If OWNER is eligible and if OWNER desires to pay cash -in -lieu of dedicating water rights. OWNER may contact the DISTRICT for more information and to determine specific additional requirements to be attached hereto and incorporated herein by reference. 6. OWNER hereby grants to the District the right to enter upon the land of the OWNER and on the property as herein described to construct, operate and maintain the facilities herein described, together with the full right of ingress and egress, and to cut and trim trees and shrubbery to the extent necessary. OWNER agrees to execute any and all easements needed by .DISTRICT at no expense to DISTRICT, across OWNER'S property for the purpose of installing any pipelines or other facilities constructed by DISTRICT. DISTRICT shall be responsible for restoring surface area back to reasonable condition. at DISTRICT cost- Failure to provide easements required by the DISTRICT Page 2of4 Water Main Extension Contract will cause this Agreement to become null and void and of not further force and effect, and the OWNER shall forfeit all money or rights theretofore transferred to the DISTRICT. 7. OWNER agrees to abide by rates established and the rules and regulations of the DISTRICT collectively now in effect or at the rates and under the terms and conditions as may hereafter be adopted by the DISTRICT and upon the rules and regulations as now established or as may hereafter be established by the DISTRICT. OWNER agrees that no other person or entity shall be permitted to use water provided by the taps herein described. DISTRICT shall not be liable for any injury or damage for failure to deliver water for any reason including, but not limited to, war, riot, insurrection, pandemic, act of God, or breaks or failure of the water system. 8. OWNER understands and agrees that all amounts due under the terms of this Agreement, as well as all fees, rates, tolls, penalties, or charges for services, programs, or facilities furnished by the DISTRICT constitute a perpetual lien on the Subject Property herein described, and that 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 liens. §32-1-1001(1)(j). hi the event OWNER fails to abide by any of the terms or conditions of this Agreement, OWNER agrees to pay all costs and expenses incurred by the DISTRICT as a result of the breach including direct and consequential damages, loss of revenue, attorneys fees, court costs, expert witness fees and other expenses. 9 In the event that OWNER fails to pay for all costs and expenses for the water mains, meters and related facilities as provided in this Agreement or if OWNER fails to transfer all CBTlWindy Gap units to DISTRICT as also provided herein on or before 2 years from the date of this Agreement, then this Agreement shall become null and void. In such event, DISTRICT may set off against the deposit herein provided for the amount of its expense and return the balance of such deposit, if any, to OWNER. OWNER shall forthwith pay all expense incurred by DISTRICT in excess of such deposit. 10. The parties hereto agree that this Agreement shall be treated as personal property and not real property. This Agreement shall be governed by and construed in accordance with the laws of the State of Colorado. 11. This Agreement constitutes the entire agreement between the parties with respect to the extension of the water mains herein described, and supersedes all prior an-angements or understandings with respect thereto. 12. This Agreement may only be modified, in writing, by the Board of Directors of the DISTRICT. 13. This Agreement shall be binding upon, and shall inure to the benefit of, the parties hereto, and their successors, heirs, personal representatives and assigns. Except as provided herein, the OWNER may not assign all or any part of an interest in this Agreement to any person or entity. IN WITNESS WHEREOF, the parties have hereunto and hereunder set their signatures the day and year first hereinabove written. OWNERS SIGNATURE CENTRAL WELD COUNTY WATER DISTRICT Page 3 of 4 Water Main Extension Contract (Property Owner) Aut}i `tie tSigner: CMH Homes Inc BY: ATTEST: Pay.e 4 of 4 CUSTOMER/OWNER NAME: CMH Homes Inc WATER MAIN EXTENSION CONTRACT THIS AGREEMENT, made and entered into this day of -, 20 :, by and between the CENTRAL WELD COUNTY WATER DISTRICT, hereinafter called the DISTRICT, and _ CMH Homes Inc , hereinafter called OWNER, WITNESSETH: A. DISTRICT has been organized as a special district under the laws of the State of Colorado and is known as the Central Weld County Water District, and B. OWNER is either a taxpaying elector within said DISTRICT, or has petitioned to join said DISTRICT, and C. OWNER owns the following described real property within the service area of the DISTRICT: (Said property is hereinafter referred to as the Subject Property.) The East half of the Southeast quarter of Section 36, Township 4 North, Range 66 West of the 6' P.M., County of Weld, State of Colorado D. DISTRICT water facilities are not presently located to adequately service the Subject Property, and E. OWNER desires to have the DISTRICT construct water mains to service the Subject Property, and F. DISTRICT desires to construct said water mains on the terms and conditions hereinafter set forth in accordance with its policies, rules and regulations as now adopted or as may hereinafter be adopted or amended by the District, and G. OWNER is requesting water service by separate tap fee agreements and will acquire 3 water tap(s) with meter size of 5/8" inches and 1 Quarter water tap with a meter size of 5/8" from the DISTRICT, and H. DISTRICT reserves the right and has the authority to consider each extension contract individually, and administer as determined appropriate based on varying conditions. NOW, THEREFORE, in consideration of the premises and the terms of this Agreement, it is mutually agreed as follows: 1. Prior to any expenditure or construction by DISTRICT, OWNER shall pay, in advance, the amount of 51.200.00 based on the estimated costs for all material, labor, installation, fees and other costs directly applicable to extension and meter set(s), less any credits allowed by DISTRICT. After completion of all construction and acceptance by the DISTRICT, a final adjustment of costs will be made, if necessary. In the event that it is determined that the deposit is insufficient to cover the estimated costs of construction, the OWNER shall pay to the DISTRICT, on demand, additional advances towards the cost of construction. If construction is performed by OWNER, DISTRICT must approve such construction by OWNER or OWNER's contractor by a written agreement providing for the terms of such installation, including the requirements that the materials used shall meet all standard of the DISTRICT and that provides for inspection by the DISTRICT of the construction of such water mains. OWNER shall provide the DISTRICT with an accurate copy of the final plat of the property to be served by the DISTRICT. If the plat must be approved by the County Commissioners, then a recorded copy of the plat with the Clerk and Recorder of the Colorado County in which the development is situated must be provided to the DISTRICT. Water Main Extension Contract 2. If the installation is constructed by the OWNER, or the OWNER's contractor, the OWNER shall transfer all right, title and interest in and to the facilities installed as well as all easements and appurtenances and other necessary property rights to the DISTRICT by good and sufficient assignment or bill of sale or general warranty deed. Such transfer shall be made free and clear of all liens and encumbrances, and the OWNER shall furnish sufficient evidence of title or a "Form 100" title policy if required by the DISTRICT. The OWNER shall furnish mechanic's lien releases or a good and sufficient performance and payment bond pursuant to the Colorado Mechanic's Lien Law in order to insure that all construction costs have been paid in full. All labor and materials shall be warranted for defects of any kind by OWNER and OWNER' s contractor for one year from the date of acceptance of such facilities by the written acceptance of such facilities. The DISTRICT, upon receipt of the documents of transfer and evidence of title, shall consider whether to accept or reject the installation. If OWNER has complied with this Agreement and all other conditions precedent to the acceptance of the facilities, the DISTRICT shall approve and accept the transfer and shall thereafter assume ownership, operation and maintenance of the lines. In no event shall the DISTRICT assume ownership, operation or maintenance of any installation on the service side of the metering installation for the property. 3. OWNER shall commence payment of established rates of DISTRICT, including but not limited to minimum fees, on the date of installation of a tap and water is available for use at the tap. 4. OWNER shall transfer to DISTRICT _0_ Colorado Big Thompson (CBT) units administered by the Northern Colorado Water Conservancy District (Northern) and/or OWNER shall transfer to DISTRICT _0 Windy Gap Project (Windy Gap) units administered by the Northern Municipal Subdistrict. The transfer of CBT/Windy Gap units from OWNER to DISTRICT is subject to approval by Northern and all costs associated with the CBT/Windy Gap transfer shall be paid by OWNER. All CBT and Windy Gap units transferred to DISTRICT shall be owned by DISTRICT and DISTRICT shall have all rights to such units as provided in Northern's rules, regulations, policies and other terms or documents regarding CBT and Windy Gap units. No taps will be served by DISTRICT until all of the terms and conditions of this Agreement have been fulfilled by OWNER, including, but not limited to, the transfer of the above -described CBT and/or Windy Gap units. The taps may not be used on any property other than the Subject Property without the express prior written consent of DISTRICT. 5. Some developments may qualify for cash -in -lieu of dedicating water rights as determined by the DISTRICT in the DISTRICT's sole and absolute discretion. Cash -in -lieu rates will be determined by the DISTRICT in the DISTRICT's sole and absolute discretion and such cash -in -lieu rates are subject to change at any time by the DISTRICT. If OWNER is eligible and if OWNER desires to pay cash -in -lieu of dedicating water rights. OWNER may contact the DISTRICT for more information and to determine specific additional requirements to be attached hereto and incorporated herein by reference. 6. OWNER hereby grants to the District the right to enter upon the land of the OWNER and on the property as herein described to construct, operate and maintain the facilities herein described, together with the full right of ingress and egress, and to cut and trim trees and shrubbery to the extent necessary. OWNER agrees to execute any and all easements needed by DISTRICT at no expense to DISTRICT, across OWNER'S property for the purpose of installing any pipelines or other facilities constructed by DISTRICT. DISTRICT shall be responsible for restoring surface area back to reasonable condition at DISTRICT cost. Failure to provide easements required by the DISTRICT Page 2 of 4 Water Main Extension Contract will cause this Agreement to become null and void and of not further force and effect, and the OWNER shall forfeit all money or rights theretofore transferred to the DISTRICT. 7. OWNER agrees to abide by rates established and the rules and regulations of the DISTRICT collectively now in effect or at the rates and under the terms and conditions as may hereafter be adopted by the DISTRICT and upon the rules and regulations as now established or as may hereafter be established by the DISTRICT. OWNER agrees that no other person or entity shall be permitted to use water provided by the taps herein described. DISTRICT shall not be liable for any injury or damage for failure to deliver water for any reason including, but not limited to, war, riot, insurrection, pandemic, act of God, or breaks or failure of the water system. 8. OWNER understands and agrees that all amounts due under the terms of this Agreement, as well as all fees, rates, tolls, penalties, or charges for services, programs, or facilities furnished by the DISTRICT constitute a perpetual lien on the Subject Property herein described, and that 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 liens. §32-1-1001(1)(j). In the event OWNER fails to abide by any of the terms or conditions of this Agreement, OWNER agrees to pay all costs and expenses incurred by the DISTRICT as a result of the breach including direct and consequential damages, loss of revenue, attorneys fees, court costs, expert witness fees and other expenses. 9. In the event that OWNER fails to pay for all costs and expenses for the water mains, meters and related facilities as provided in this Agreement or if OWNER fails to transfer all CBT/Windy Gap units to DISTRICT as also provided herein on or before 2 years from the date of this Agreement, then this Agreement shall become null and void. In such event, DISTRICT may set off against the deposit herein provided for the amount of its expense and return the balance of such deposit, if any, to OWNER. OWNER shall forthwith pay all expense incurred by DISTRICT in excess of such deposit. 10. The parties hereto agree that this Agreement shall be treated as personal property and not real property. This Agreement shall be governed by and construed in accordance with the laws of the State of Colorado. 11. This Agreement constitutes the entire agreement between the parties with respect to the extension of the water mains herein described, and supersedes all prior arrangements or understandings with respect thereto. 12. This Agreement may only be modified, in writing, by the Board of Directors of the DISTRICT. 13. This Agreement shall be binding upon, and shall inure to the benefit of, the parties hereto, and their successors, heirs, personal representatives and assigns. Except as provided herein, the OWNER may not assign all or any part of an interest in this Agreement to any person or entity. IN WITNESS WHEREOF, the parties have hereunto and hereunder set their signatures the day and year first hereinabove written. OWNERS SIGNATURE CENTRAL WELD COUNTY WATER DISTRICT Page 3 of 4 Water Main Extension Contract (Property Owner) 1 Autho gner: CMH Homes Inc _ ATTEST: ATTEST: Page 4 of 4 Q-7„4 illy CWCWD TAP FEE AGREEMENT Tap ft THIS AGREEMENT, made and entered into this day of April , 70"'" , by and between the (ANTRAL WELD COUNTY WATER DISTRICT, hereinafter called the District, and owner, as listed on Deed, hereinafter called Customer, Owner Name: CMH Homes Inc Owner Name: WITNESSETH: WHEREAS, District has been organized as a legal body and is known as the Central Welrl County Water District, and VsHF.RF.AS, Customers are taxpaying electors within said District, or desiring to join said District, and, WHEREAS, Customers are desirous of acquiring ore water tap of Ouarter 5/8 inches in diameter from the said District. NOW, THEREFORE, in consideration of the premises and the terns of this agreement, it is mutually agreed as follows: EFTS: 1. Customer agrees to pay the tap fee of S 27,250-40 Twenty Seven Thousand Two Hundred Fitly & NN100 Dollars. 2. LF.GA 1. DESCRIPTION: The description of the premises for which this tap is being purchased is as follows: A. proposed 17.512 acre lot RLDK21-0004, a portion of parcel 105736000015 in E2SE4 36-4-66 This agreement, when approved by the Board of Directors, shall become a legal and binding contract upon all parties hereto, 4. Customer further agrees to execute any and all easements needed by District at no expense to District. across Customer's property for the purpose of Installing the Districts service line and meter pit constructed by District. District shall be responsible for restoring surface area hack to reasonable condition at District cost. S. ft is further mutually agreed that this aerecinent shall extend to and be binding upon the heirs, executors, administrators and assigns of the parties hereto. Said Tap cannot be sold separately from the property listed in the Legal Description. SPECIAL PROVISIONS: G. Customer further agrees to the fitliowine special provisions: vista main csiension contract 7. Customer further agrees to abide by the rates established and the rules and regulations of the District as all not' adopted or as may be further adopted or amended by the District from time to time, WATER USE: >. Customers are not permitted to resell Water received from the District- A Crater tap installation is for a specific parcel of property and in no case will a customer he permitted to extend a service line from one parcel or property to another parcel to pros ide additional water service. Customers may he permitted to provide water service to a second and additional residence on the saint; parcel of property from one water tap with Board approval. One tsatcn- tap may sake a second or additional residence providing that there is only- one owner involved and one specific parcel of property. A monthly surcharge for each dwelling andor business unit shall he paid in addition to the regular rate schedule. Winer service, which ink oh, es tort or more residences on the same water tap generally means that both pressures and flows are inadequate during the periods of peak usage. The District's responsibility ends at the customer's side of the meter yoke in the meter pit and poor pressures or flows attributed to the second residences arc the responsibility: of the customer. Once a customer's water service has been designated as hang an additional residence involved and a dwelling andror business unit charge has been assessed to the account; the dwelling andror business unit charge will remain on the account indefinitely, regardless of whether the additional residences are occupied or not. No refunds for dwelling and/or business unit charges will be granted. In the event that the additional residence has been renies-cd fi'otn the property, or the water service line has been permanently disconnected to time additional residence, the customer may request that the dwelling and/'or business unit charge be retook ed from their account. This request must he in writing, stating the circumstances involved, and will be addressed by the Board at the nest regularly scheduled meeting. The customer still then be advised of the Board's decision in xrting. In thm ct-eat that the patch of property ins-Ohing additional resielences is sold, so that the "one otsrter - one property" rule is vielated, a second water tap vs ill have to he purchased to serve the additional residence. ALLO"DMFN I: to. (ustoineragrees to pay any and all charges hcreinofcr let ied Its said District for said taps and to abide by all regulations adapted by said District. The District has the right to rev rat the annual allotment and compare it arc+actual usage to detennine ifadditional raw water will be purchased and transferred to the District'bs Customer. METER ACCESS: I 1 _ The District policy stales that the muter locations shall he readily accessible to the District at ad times from landscaping and'or fencing. etc. It is the customers responsibility to plan and maintain landscaping so that rocks. trees and shrubs will not interfere with either the maintenance or meter reading for the individual meter. In the event the customer fails to keep the meter accessible, the District has the right to remote and, or trim all restrictions within a five () foot radius of the meter ltit. INDIVIDUAL IVATER TAPS The purpose of this section is to establish the policies and procedures governing time issuance and installation of individual water taps. INSTALLATION AND LOCATION OF WATER METERS. The customer's right to receive water service is specifically ly tied to the land and that right to service does remain with the property. The customer has the option; upon hoard approval, to terminate this right to service, in which case the District will remove the water meter: however, no refunds will be made to the customer. If in fact the meter is removed, a water tap will need to he purchased using the Current tap fee schedule in effect and service can be reestablished to the property - The Board of Directors have the authority to execute the Tap Fee Agreement form on behalf of the District, The Manager will present all Tap Fee Agreements to the Board for approval at the next regular scheduled meeting and the minutes of the meeting will reflect the action of the Board on the Agreements. It is the District's policy that all individual water services he within the boundaries ofthe District and this is to be accomplished within 120 days from the date water service has commenced. Accordingly, a customer must, as a part of the application process, agree to include the property to be served within the District. This property inclusion is necessary so that the Weld County Assessor's office will place the property on the tax rolls of the District and the property ownerts) may vote in District elections. The specific requirements and procedures for property inclusions arc contained in Section 10 (Property Inclusions and Exclusions) to these Regulations. In the event the property to be served is already within the District, then the property inclusion process is unnecessary. The District may refuse to serve a customer for any of the following reasons: The District, utilizing the customer's tap fee, will he responsible for all costs of the water ureter installation, subject to the restrictions contained within these regulations. The costs of installation are meant to include the tapping of the District's main line, a road crossing if necessary, the water line from the main line to the meter pit and the cost of all material and labor involved in the installation of the meter pit. The meter pit will be located approximately live (5) feet inside the customer's property line whenever practical In the event the costs of the water meter installation exceed the specified installation charges for that size of meter, the District may require the customer to pay the additional installation charges. The Customer understands and agrees that the District's responsibility for mainten:nice and repair ot'the District's tines and equipment extends only as tar as the water meter, and that construction of the service line between the District's meter and the Customer s toe lilies, tend any maintenance or repairs required in connection with such scrsicc line. is the Customer a sole responsibility at Customer .s sole cost and expense The customer is responsible for the following costs associated with the installation of new water meter: The schedule for the installation will he determined by the District. Although reasonable of fors will be made by the District to comply with individual customer requests, the District will not be bound by these requests. The installation of water meters will only he accomplished by District personnel, of those specific agents designated by the District to install water meters. Individual customers .will not be permitted to install any water meters. A water meter will only be installed on property owned by the customer or within an easement provided to the District by the property owner. RELOCATION OF WATER METERS. REQUIREMENTS AND RESTRICTIONS ON WATER SERVICE. The following general requirements and restrictions apply to all water service provided by the District: Continuity of Service, The District will use reasonable care and diligence to provide constant and uninterrupted supply of -water for customers. The District will not be responsible if the supply of water shall fail, be interrupted or become affected through an act of God, the public enemy, by accident, strikes, labor troubles, or any cause beyond the reasonable control of the District. Interruptions of Service. Interruptions of water service will occur periodically for normal maintenance and for reasons beyond the control of the District The District will make every effort to minimize the inconvenience to the customers; however, an advance notification of a service interruption will not he made to individual customers- Exception to this procedure will be handled by the District on a case -by -case basis. Customers having a valid requirement for advance notification nn service interruptions should make these requirements known to the District in writing. The District will not reimburse customers for any damages incurred as a result of a service interruption. The Customer understands and agrees that all amounts due under the terms of this Agreement, as well as all fees, rates, tolls, penalties, or charges for services, programs, or facilities furnished by the District constitute a perpetual hen nn the property served. and that 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 hen, C.R.S 432- I -1001( 1)(j). In the event Customer fails to abide by any of the terms or conditions of this Agreement, Customer agrees to pay all costs and expenses incurred by the District as a result of the breach including direct and consequential damages, loss of revenue, attorney fees, court costs, expert witness fees and other expenses. 'the District shall shut off or discontinue service for account delinquencies or other violations of the District's rules and regulations as now adopted or as may be further adopted or amended by the District from time to time. Colorado Big Thompson and Windy Gap Project Water. All of the water rights owned and used by this District in its day to day operations are Colorado Big Thompson Project Water and Windy Gap Project Water. This water is controlled and administered by the Northern Colorado Water Conservancy District. The Northern Colorado Water Conservancy District encompasses 1.5 million acres of land, including all of the area currently served by Central Weld County Water District. 'the NCWCD requires that all CBT water be utilized within the boundaries of NCWCD and in the event that a District tap is to be located outside of the boundaries of the NCWCD, Windy Gap water rights would have to he utilized. I . The illegal connection or alteration will he corrected as soon as possible by the District. 3. The customers water service trill he terminated as soon as possible. 3. 'the customer will be billed a fee for illegal use of water, as well as, for the costs associated with making the necessary repairs. The fce for the illegal use of water is determined by Board. The restoration of the customer's water service will be considered by the Board at the next regular scheduled meeting. providing [hat all fees and charges have been paid in lull by the customer involved, Pumping Surcharge. 'I he majority of the District's distribution system operates by gravity. however a portion of the system does require a pump station to adequately maintain main line water pressure. Pump stations are costly to operate and maintain. The expenses associated with these stations ore more appropriately home by the customers receiving the service. rather than being considered as a District wide expense. Accordingly, customers being served directly by a pump station will pay a pumping surcharge, which will be a percentage of their normal water bill, (May not he applicable to parcel) Cross Connections. A cross connection is defined as any alteration or connection to the District's distribution system which could permit the flow orbackilow of non -District water into the distribution system. The most common example involves lawn sprinkling systems, where lawn water with fertilizer could be drawn hack into the District's main lines if the main line pressure were to drop dramatically- Customer agrees to provide hackflow protection on their side of the meter irony backllow hazards are present on their property. Any damage resulting fmin a cross connection and the costs associated with the repairs will he borne by the customer involved. Water Delivery Pressures and Standards. The Colorado Department of Health requires that domestic water he delivered at a pressure of 20 pounds per square inch { PS Eland new services below that figure will not he installed. The District's standard for water pressure at the meter pit is 45 PSI. Individual services for customers may drop below this standard during summertime peak usage periods; however, it is the goal of the District to maintain the 45 PSI pressure for all customers on a year around basis, Pressure Settin_s on Regulators. All water taps installed by the Distnet have a pressure regulator which is pre-set at 45 PSI. Customers arc not permitted to adjust the regulator or accomplish any modifications within the meter pit. A customer experiencing high or low pressure should contact the District office so that District personnel can correct the situation. ,hnr,(d pratec't rorr-solffrwtr high pressure hr ur.rutlli;r n 'r' mmlurar iirsirfr= vow- borne. Financial Adjustments to Water Bills. The District will not stake any financial adjustments to a customer's bill because of high usage due to a water leak on the customer's service line or within the residenee business. As an exception to this policy, if special circumstances prevail and the customer feels that an adjustment is warranted, then the special circumstances should be documented in writing and the matter wilt be considered by the Board of directors at the next regular scheduled meeting. Water service which involves two or more residences on the same water tap generally means that both pressures and flows arc inadequate during the periods of peak usage. The District's responsibility ends at the customer's side of the meter yoke in the meter pit and poor pressures or flows attributed to the second residences are the responsibility of the customer. Once a customer's water service has been designated as having an additional residence involved and a dwelling unit charge has been assessed to the account, the dwelling unit charge will remain on the account indefinitely, regardless of whether the additional residences are occupied or not. Jo the event that the additional residence has been removed from the property, or the water service line has been permanently disconnected to the additional residence, the customer may request that the dwelling unit charge be removed fium their account. This request must be in writing, stating the circumstances involved, and will he addressed by the Board at the next regular scheduled meeting. The customer will then be advised of the Board's decision in writing. In the event that the parcel of property involving additional residences is sold, so that the "one owner - one property" mis is violated, a second water tap will have to be purchased to serve the additional residence and parcel. C.B.T. RAW WATER SURCHARGE. A surcharge is assessed to accounts that exceed the annual allotment of water established for the applicable sire meter during the water year, which is from November 1st to October 31st. The surcharge is as established by the Board WINDY GAP WATER SURCHARGE:, In addition to the monthly surcharge shown for Windy Gap water, a surcharge is assessed for all water used over the annual allotment for the applicable sire meter during the water year, which is from November 1st to October 31st. The surcharge is as established by the Board. (May not he applicable to parcel) ANNEXATION: This Agreement shall not he construed to waive any of the privileges or immunities the District or its officers, employees, successors and assigns are lawfully entitled to present pursuant to law, including but not limited to the Colorado Governmental Immunity Act, §24-10-101 et seq., as amended, and any other privilege or immunity of the District. IN WITNESS WI IEt(EOl. the parties hereto have hereunto and hereunder set their signatures the clay and rear first hereinubone vaiuen_ CUSTOMER SIGNATURE(S) CEN'T'RAL WELD COL:NTY WATER DISTRICT BY: Authorized Siiner: CMH Homes Inc ATTEST: Hello