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HomeMy WebLinkAbout20202812.tiff ,,"*�--�,;li... NORTH WELD COUNTY WATER DISTRICT z` i '' P.O. BOX 56 . 32825 CR 39 ' �.=`!f' LUCERNE CO 80646 - PHONE:(970)3356-3020 • FAX:(97(3)395-0'997 • E-MAL-water2rrwcwd.cro ACCOUNT NuVBER NAME.AND SERVICE ADDRESS BILLING PERIOD JOHN MICHAEL & SHARON J. BAPTIST 299003 32388 CR 23 02126/2020-03l2µ12020 WINDSOR, CD 80550 7' • Water Class P (KGal ) 70 of 1 ,000 Acre Foot 228 I Transferred Water 0 Allocation Adjustment 0 Less YTD Usage 23 I I I Remaining Water Allocation 205 ! • • Plant Investment Class 70 % of 1 .040 Acre Foot 228 Less YTD Usage 23 • I Remaining PI Allocation 205 Mar Apr May Jun Jul .Aug Sep Oct Nov Dec Jan FebMar Prey. Read Curr. Read Usage Unit Amount Previous Balance 22.38 03/09/2020 Payment - -22.38 03/24/2020 Standard - Full 58 62 4 kgal 22.38 Current Amount 22.38 Total Amount Due 22.38 / ` ' �J /;ti H r-U TT '. NORTH WELD COUNTY WATER DISTRICT z-'-'•---7-- ;\. ( v': P.C. BOX 56 .` :' 32825 CR 39 .t `-___---1:.•„/ LUCERNE, CO 80646 \-----)-------yPHONE:(970)356-3020 • FAX:(970)39E-'0997 • E-MAIL:waceranvrcwd.crg ACCOUNT NUMBER NAME AND SERVICE ADDRESS ELLING PERIOD JOHN MICHAEL & SHARON J. BAPTIST 299003 32388 CR 23 ?0125/2019-11 /21 !2019 WINDSOR. CO 80550 7'I I Water Class P (KGal ) i 70 % of 1 .00E Acre Foot 228 Trancf rred Water O Allocation Adjustment 0 Less YTO Usage 3 Remaining Water Allocation 225 • • Plant Investment Class ! 70 a of 1 .000 Acre root 228 Less YTO Usage 3 I Remaining PI Allocation 225 Nov Dec Jan Feb h'iar Apr May Jun ju Aug Sep Oct Nov Prey. Read Curr. Read Usage Unit Amount Previous Balance 20.34 11 /14/2019 Payment - -20.34 11 /21 /2019 Standard - Full 39 42 3 kgal 20.34 Current Amount 20 34 Total Amount Due 20.34 - - ' Scanning Cover Sheet for Septic Permits Permit # G19919173 Permit Type: Health/ Residential /Statement of Existing Situs Street Address 32388 CR 23 Situs City, State, Zip • Sec/Town/Range: 23-06N-67W Application Status: Finaled Application Date: 03/11/1996 Parcel # (12 digits) 080723000051-R0898301 Owner Full Name: STUTZMAN TIMOTHY Owner Address: 1701 1ST AVE GREELEY,CO 80631 Owner Phone #: 303 3516171 • Contact Name: Contact Address: • • Contact Phone# • Information above has been Verified in Accela by employee noted below x - October- 13, 2008 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date -Time: 10/13/2008 11:09:39AM Scanning Cover Sheet for Septic Permits Permit # G19929192 Permit Type: Health / Residential/Statement of Existing Situs Street Address 32388 CR 23 Situs City, State, Zip _ SecrTown/Range: 23-06N-67W Application Status: Finaled Application Date: 03/11/1996 Parcel # (12 digits) 080723000051-R0898301 • Owner Full Name: STUTZMAN TIMOTHY & LANA Owner Address: 32383 WCR 23 WINDSOR,CO 80550 Owner Phone #: 303 6867078 Contact Name: Contact Address: Contact Phone# Information above has been Verified in Accela by employee noted below X S4October 09, 2008 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date -Time: 10/9/2008 10:12:41AM Scanning Cover Sheet for Septic Permits Permit # SE-0500075 Permit Type: Health /Residential/Statement of Existing Situs Street Address 32388 CR 23 Situs City, State, Zip Sec/Town/Range: 23-06N-67W Application Status: RECORDED Application Date: 09/01/2005 Parcel # (12 digits) 080723000051-R0898301 Owner Full Name: BAPTIST JOHN Owner Address: 32388 WCR 23 WINDSOR,CO 80550 Owner Phone #: 970-674-2952 Contact Name: RIGGS KEITH-ROTO ROOTER OF WELD COUNTY Contact Address: 637 N HWY 287 FORT COLLINS,CO,80524 Contact Phone# 970-304-1427 Information above has been Verified in Accela by employee noted below x May 01, 2008 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date -Time: 5/1/2008 8:03:14AM Scanning Cover Sheet • for Septic Permits Permit # SP-0500303 Permit Type: Health/ Residential/ Repair Situs Street Address 32388 CR 23 Situs City, State, Zip Sec/Town/Range: 23-06N-67W Application Status: Fineled Application Date: 09/01/2005 Parcel # (12 digits) 080723000051-R0898301 Owner Full Name: BAPTIST JOHN Owner Address: 32388 WCR 23 WINDS0R,CO 80550 Owner Phone #: 970-674-2952 Contact Name: RIGGS KEITH-ROTO ROOTER OF WELD COUNTY Contact Address: 637 N HWY 287 FORT C0LLINS,CO3 80524 Contact Phone# 970-304-1427 Information above has been Verified in Accela by employee noted below x May 01, 2008 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date-Time: 5/1/2008 8:01:01AM • :v L _ _ '1 (.2.-ore _ a. ._ ...... i._ .._..___. ..9NEDDEE OF PHUPDXEnM 27 ,, ... fUZVii;':€ : : hLIAli :.., ,::. , 00 I• _ OP .. -:a :..k-r , -.. -I. -_=.1. ,. ., i .-. L .. - ---... L : F -_.. .... -.......'.t.. .... .. ..:. _ :'[ .. :: .I: :... EN1TI.' E:—ED E... MLT U EULATi0N - 0 A 1 E 11 iLDINI.. T 'i I ., i,.E ILL 1 r t_ - .. ,--{ z — ... L_ \ TATC , ..r FBI N,1 —' L C • t ..,. q.' _ ''\. 411,R, i E. .i# s mic i 1 _ .:., k ,_� __ -�,,.-,iV7 `.;iyni �2, -�_ vEEE im.,_ COLORADO December '_2, 1991 Tim Sta zma: 2,2! 2 vela County Rcaa 4 Windsor, Colorado 8 ear u_ 5.:i tzman .,.. October 12, 1937., an evalua:wL,_ . f __.e exlscl _n.._ -_uu s'i5re.:: a: 32282 'Nt i_a _..,:,i: -- R=at h i ra - 2 25N, Range _err, was _oc4...cza - ,..cbcswn - ... - of _ -�✓:' card_ �`Q�_� �_Cri Sr.ecwa_1s _ of this .,_lice, ..aced on the : for7`ati.,_. _ovi-:a._ to t.._5 offlee a S_azc.mant of �xisoinE and ail c^.g ^,c_E_ _ .y e ' r ' _ _ - zed, the eYi_:ung _ndi .dua. 5e3_-- iisv::a.a_ __ ste:T. is 0. _.,uifI,._e.._ size and ca"'aCi to adequately handle the v_o.bosed _:_d. __ is the. race enda„__c of this .,i. _s_.,.. that :c_e _e::...__=eld not 7.c ..__:en av-- - cc"pactaci; o A cop-: of -, _.SIF]� r.- e.cr. ' '' -- _ to - _ to release 7.sur t'::ilh-. =,.._4. if we can be of ?-1- _u_t_n� nrr= 71esssoffice - C_nta'?'e_ - _.-,-?- '/- JF/- Linda ...._ nspr, En ::=menu?_ Protection aciaList U Ics-.3, 1 As,05- cliq.;- 9 / STATEMENT . ST M T 'v. .,FISTING SEPTIC SYST�'4• 4 Add lam! ! ( / PLEASE FILL GUT IN INK. ) ��'`— ( ` t E R C 3R C R D __ �' i• .----Lt n / / }� 6 11 /2 ,/,y 1 �yILING Ai I'c ESS: 6 / � "4-73--(c ,- L.�I pa Late Zip Si'7.y Az)DREss: 3Z YEZ -- W' C K 2 ' � �l State Zip -_SAL - T - 'W-NS IP• a A RANGE: SUBDIVISION: . LOT: BLOCK: TILING: ..\ 11 \I 0 IA/ i / NUMBER Cr PEOPLE: 3EDRCC'".S U BATHROOMS : \ WATER SUPPLY: t__ A. Vi.. , r RESIDENTIAL OR CCnERCIAL: LOT SIZE: r/ 1 acres f !i SYSTEM SIZE : Tank is constr-noted of cci"- --4- •r and has ) ? ct2, gallons capacity ' ~ater' FIELD:: Bed or Trench (y sc..-LE.-.'re feet. DATE SYSTEM INSTALLED: -,3/2'.-0 )/.., You are required to draw a diagram of the =_yste.m, on the reverse side of this form and indicate position, length,lenzth, width, and distance from the d.wel.inz. The undersigned property owner hereby _,.. __ at the above describe; septic system is in fact installed, as described, and exists at this time on the parcel of ground identified by the above Legal desc- - .._.,., and further states that the system is in good. working order and to the best of _ `he- :u-tc _edge is tot failing to °`.z tion properly. I further understand that a--y_ lay -at'c.,-: c- ._i.,-1 .-,oresentation may result in revocation of any permit granted based upon this information hereby submitted and in legal action for perjury as provided by Law. /'y /„E. p- rf"11 i I / - s- -.7( 4 / `�F 1 INSubscribed and swarm to before me this day of �� r^, , 1991, I wit ass.,sn, hand and official seal. My cormissicn expires: i,---,r, ,,i'c'e-,, .(:k -t !1 — —• -Date' - cta�,�Fubtic STAT ENT UR EXISTING REVIEWEDBY: 7,₹l./4 (l' "-- - - �_,--- anfetal Protection Specialist Hello