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Meter Readings Read Dates
Account Number Description Previous Present Usage Read Code Previous Present
001764-01 1000 Gallons 52 124 72 Actual 07/23/2019 08/19/2019
Previous Balance $256.01
Payment—Check —$256.01
Water Minimum Charge $16.50
Water Usage Charge $80.96
CBI Surcharge $216.00
Total Current Charges $313.46
Total Amount Due $313.46
Please write account number on all payments and correspondence. Customer
You may pay your bill at www.cwcwd.com
Gerald E&Jacqueline Monroe
Service Address
25525 County Rd 48
Water
Billing Date I Account Number
8 4 08/23/2019 001764-01
/43/ I Due Date Amount Due I
3 1 ? 09/15/2019 $313.46
f3` Allocation 41
Annual YTD Usage
300 558
Central Weld County Water District
_IF-` • 2235 2nd Avenue
ASONDJ FMAMJ J A Greeley, CO 80631
970-352-1284
WELD COUNTY BOARD OF HEALTH
ENGINEER DESIGNED SYSTEM REVIEW
PROPERTY OWNER: Monroe €rt.d+ PERMIT NO.: SP-0100450 (Chew)
LEGAL DESCRIPTION: PT: SECTION: 5 TOWNSH1P:4 RANGE: 64
SUBDIVISION: LOT: BLOCK: FILING:
SITE ADDRESS: 25525 WCR 46, Kersey
FACILITY: Residential 4 Bedroom home, office for 5 people, outside toilet for seasonal workers
•
t p c c s n, o a he me
PERC RATE: 27 SOIL: Unsuitable WATER SUPPLY: CWCWD
LIMITING ZONE:4', bedrock
)CXX ENGINEER DESIGN (3.5) EXPERIMENTAL DESIGN (3.14)
ENGINEER:Terracon (Ty Alexander)
ADDRESS:
ESTIMATED FLOW: G.P.D. 1350
PRIMARY TREATMENT: Standard tank CAPACITY: 1750 gallons
DISPOSAL METHOD:Absorption bed SIZE:2746 square feet
REQUEST FOR VARIANCE:
STAFF COMMENTS: The system is adequately sized for the proposed load.The engineer
has sized the system with 2 extra bedrooms in order to account for
the office and seasonal employees. The bedrock layer will be
excavated and crushed in order to provide 4'of suitable soil beneath
the field. A 10 PVC liner will be used around the perimeter of the
field.
STAFF RECOMMENDATION: Approval
ENVIRONMENTAL PROTECTION SPECIALIST: Deborah Blandin
REVIEWED BY BOARD: 8/28/01
B.O.H. DECISION: PRO DENIED: TABLED:
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WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
PHONE (970) 304-6415 FAX (970) 304-6411
Permit #: SP-0100450 Sec/Twn/Rng:05 04 64 Status: ISSUED
Owner: MONROE GERALD E JR & JACQUELINE R Applied: 08/20/2001
Applicant: MONROE JACQUELINE R Issued: 08/29/2001
Permit Type: CNEW C=Commercial, R=Residential + NEW, REPair, VauLT Finaled:
Parcel #: 1053-05-0-00-026
Location: 25525 CR 48 05 04 64
Legal Description: 8827 PT W2SE4 5 4 64 BEG SE COR SEC S87D
56'W 1326.08' N0D29'
Installer: U3 (n
Description: MODULAR/OFFICE/OUT HOUSE
Commercial: Y Residential:N Acres: 5
# of Persons: 4 Basement Plumbing: N
# of Bedrooms: 4 Bathrooms - Full: 3 3/4: 0 1/2: 0
Water Public: Y Water Source: CWCWD
Water Private: N Cistern: N Well: N Well Permit#:
Percolation Rate: 27 Limiting Zone: 4 ft 0 in Description: BEDROCK
% Ground Slope: 2 Dir: NW Soil Suitable: (Y/N) N
Engineer Design Required: (YIN) N In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1750 gallons Absorption Trench: 0 square feet
or Absorption Bed: 2746 square feet
Actual Installation
Septic Tank: gallons Absorption Trench: square feet
Absorption Bed: ...:`' }f square feet
Design Type: r ,A
NOTICE
The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor
shall it act to certify that the subject system will operate in compliance with applicable state, county and local regulations adopted
persuant to Article 10, Title 25, CRS as amended, except for the purpose of establishing final approval of installed system for
issuance of a local occupancy permit persuant to CRS 1973 25-10-111 (2).
This permit is not transferable. The Weld County Department of Public Health and Environment reserves the right to impose
additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon
the final inspection of the completed system by the Weld County Department of Public Health and Environment.
•
EEr it ntal Health Specialist Date
Form:S_FINAL
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