HomeMy WebLinkAbout20222634.tiffNORTH WELD COUNTY WATER DISTRICT
P.O. BOX 56
32825 CR 39
LUCERNE, CO 80646
PHONE, (970) 356-3020 • FAX: (970) 395-0997 • E-MAIL: water@nwcwd.org
ACCOUNT NUMBER
NAME AND SERVICE ADDRESS
BILLING PERIOD
ADAM'S APPLE, INC.
3959001
42135 CR 43
02/18/2022-03/18/2022
AULT, CO 80610
103
Water Class P (KGal)
70 9b of 2.000 Acre Feet 456
Transferred Water 0
Allocation Adjustment 0
Less YTD Usage 35
Remaining Water Allocation 421
Plant Investment Class
70 % of 2.000 Acre Feet 456
Less YTD Usage 35
Remaining PT Allocation 421
Mar Apr May
Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Prey. Read Curr. Read Usage Unit Amount
Previous Balance 59.82
02/18/2022 Payment - Check -34.92
03/18/2022 Standard - Full 3048 3049 1 kgal 24.90
Current Amount 24.90
Total Amount Due 49.80
DETACH HERE
NORTH WELD COUNTY WATER DISTRICT
P.O. BOX 56
LUCERNE, CO 80646
PHONE: (970) 356-3020 • FAX: (970) 395-0997 • E-MAIL: water@nwrwd.org
Any payment received after the 15th of
the month may not show on this billing.
Please note that all accounts are due by
the 15th of the month.
Return this stub with your payment
Thank you.
ACCOUNT NUMBER
SERVICE ADDRESS
AMOUNT DUE BY:04/1512022 411 512 0 22
AMOUNT PAID
3959001
42135 CR 43
AULT, CO 80610
$49.80
***"****AUTO**SCH 5 -DIGIT 80610
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ADAM'S APPLE, INC.
MICHAEL D. BIWER
PO BOX 1551
AULT CO 80610-1551
11 > 2665
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NORTH WELD COUNTY WATER DISTRICT
P.O. BOX 778
Gretna, NE 68028-0778
003959001003959001000004980
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North 17th Avenue, Greeley. CO 80631 wvw_weldheaith.org
Application Number:
Owner Name:
Site Address:
App Type:
Parcel Number:
Legal Desc:
Work Description:
EHS SEPTIC GENERAL
Septic Permit - Final
SP -1200151
ROSENBERG WALT
42135 CR 43
,CO
Health\Com mercial\N ew\Septic
JOHN HARTLEY
HARTLEY HOMES LLC
8291 MORNING STAR
WINDSOR, CO 80550
055133400010-64721207
PT SE4 33 8 65 LOT C REC EXEMPT RE -4559
POLE BARN
1/2 Bathrooms
Application Date
Basement Plumbing
Location Description
Number of Bedrooms
Number of Persons
Parcel Acres
Public Water Supply
Public Water Supply Utility
Septic Permit Expiration Date
Waive Fees
EHS SEPTIC ACTUAL (FINAL)
Septic Tank Size, gallons
Absorption Bed, soft
Chamber Model
Design Type
Lift Station
1
07/10/2012
No
42135 CR43
0
2
15.16
Yes
NWCWD
07/10/2013
No
1000
360
Infiltrator Quick4
Gravelless Absorption
No
Application Status:
Finaled
Applied Date:
7/10/2012
Issued Date:
7/11/2012
Finaled Date:
3/16/2022
NOTICE
This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Department of Public
Health and Environment for reasons set forth in the Weld County Individual Sewage Disposal System Regulations including failure to meet any term or
condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees
of liability for the failrue or inadequacy of the sewage disposal system. This permit is non -transferable and non-refundable. Before issuing final approval of
this permit the Weld County Department of Public Health and Evnironment reserves the right to impose additional terms and conditions required to meet our
regulations on a continuing basis. Final permit approval is contingent upon the final inspection of the completed system by the Weld County Department of
Public Health and Environment.
Lauren Light March 16, 2022
Environmental Health Specialist Date
Health Administration
Vital Records
Fa::
Fax:
Public Health &
Ciinical Services
"Fee: 37? -'_7:44 =42:
Fax: i7:-.2-!."4- ..1
Environmental Health
Services
Fax. E.7:' -'2:4-t4'7
Communication,
Education & planning
Fax '_24-r4`:.
Emergency Preparedness
& Response
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Public Health
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