HomeMy WebLinkAbout20193713.tiffWELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North 17th Avenue, Greeley, CO 80631 w', N-wryidt-icrJlth,org
Septic Permit - Final
Application Number:SP-1800125
Owner Name:VAUGHN CITO
Site Address; 5194 CR 50
JOHNSTOWN, CO 80534
App Type: Health\Residential\New OWTS\Septic
5194 CR 50
JOHNSTOWN, CO 80534
Parcel #: 106101200046-R3721405
Legal Desc: PT W2NW4 1-4-68 SUB EXEMPT SE -1024 (.37R)
Work Description: POLE BARN
EHS SEPTIC GENERAL:
Number of Persons 20
Parcel Acres 3.00
Public Water Supply Yes
Public Water Supply Utility Little Thompson Water
EHS SEPTIC ACTUAL (FINAL):
Septic Tank Size, gallons 1500
Absorption Bed, sqft 420
Chamber Model Quick4 Plus Standard
Number of Chambers Installed 35
Design Type Chambers -Bed
NOTICE
The Issuance of this permit does not imply compliance with other state, county, or local regulatory or building requirements. nor shall ii act to certify that the
subleal system will operate In compliance with applicable state, county and local regulations adapted persuanf to Article 10, Title 25, CRS es amended
except for the purpose of establishing final approval of installed system for issuance of a ideal occupancy permit persuant to 25.10-112(1)(1D), C.R.S.
ThEs pertnIt Is non -transferable and non-rofunrlablo. The Weld County Department of Public Health and Environment reserves the right to impose
addilional terms and conditions required to meat our regulations cm a continuing basis Final permit approval was contingent upon the final inspection of the
completed system by the Weld County Department of Public Health end Environment.
Jon Deak
Environmental Health Specialist
August 28, 2018
Date
Application Status:
Finaled
Applied Date:
04/17/2018
Issued Date:
04/20/2018
Finaled Date ;
08/28/2018
tmvreerscy PraDo edeo t
Public Health
Tap No. 8495
Customer No. 849501
LITTLE THOMPSON WATER DISTRICT
Domestic Water Agreement
This Agreement made this 11 day of October , 2018 by and between Vaughn Cito
Land Owner, hereinafter referred to as User, and Little Thompson Water District, a statutory water district, herein after referred
to as the District, is upon the following terms and conditions, for the property and water tap shown below:
Legal Owner of Property: Vaughn Cito
Street Address of Property: 5194 Weld County Rd 50
City, State and Zip: Loveland CO 80534
Purpose of Domestic Water Service: Residential
.WHEREAS the District is the owner of facilities for the purpose of furnishing domestic water to users within the District; and
"'WHEREAS the user is desirous of obtaining domestic water for his property,
NOW THEREFORE, the parties hereto agree to the following:
1. This agreement shall be the binding contract between the User and the District.
2. User hereby agrees to pay the District such sum as may be prescribed from time to time by the Board of Directors as the water
rate or charge for such water service. Payments shall start when the District installs the tap and water is available for delivery. A
minimum payment, as prescribed from time 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 lien. The District
shall shut off or discontinue service for account delinquencies or other violations of the District's Rules and Regulations.
4. No water service may be obtained except upon property included within the boundaries of the District. User agrees to include the
property served within the District, if this has not been previously accomplished. User 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 User PROVIDED, that the District shall not be liable for loss to User for failure to deliver water
because of war, riot, insurrection, breaks in the water system, maintenance to the water system, or Acts of God. The District shall
endeavor to repair all breaks promptly on District lines.
6. User agrees to be subject to and abide by such ether rules and regulations of the District regarding the use of water as may be
established from time to time by the Board of Directors.
7. User understands and agrees that the District's responsibility for maintenance and repair of the District's fines and equipment
extends only as far as the water meter, and that construction of the service line between the Districts meter
and the User's residence or facilities, and any maintenance or repairs required in connection with such service line, is the User's sole
responsibility.
8, The meter location will be readily accessible to the District at all times. It is the customer's responsibility to plan and maintain
landscaping so that trees 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 remove andlor trim all estrictions within a three foot
radius of the meter pit.
Bill to if different from above:
Name
Street Address
[City, State, Zip
STATE OF COLORADO
)ss.
COUNTY OF L .c,c•:o1 ec
Acknowledged, subscribed and sworn to before me. by: 4 Vaughn Cito
_
this f I day of U C___ _ , 20
\ ---.----'---
ANGELA O 0IElcttos;l=
IIIDTA:tY PURLIC
STATE OF COLORADO
NOTAFN ID 201U4UU7da3
MY COMMISSION EXPIRES MARCH 16, 2022
Phone E-mail
M1At, rnmmiccinn avnirae• I%,. /
I/ fin 7/ 0/Jik-.,
Tap No. 8495
LITTLE THOMPSON WATER DISTRICT
Water Tap Application
TO: Board of Directors, Little Thompson Water District
Application is hereby made for domestic water service to the following described property:
Legal Owner of Property: Vaughn Cito
Street Address of Property: 5194 Weld County Rd 50
City, State and Zip: Loveland CO 80534
Subdivision: Lot No: Block No:
Section: 1 Township: 4N Range:
County: Weld Parcel: 106101200046
68W
Applicant understands that if this application is not accepted by the District, or in the event the applicant decides to
withdraw this application for water service prior to installation, the tap fee will be refunded to applicant, with the
exception of any actual expenses which may be incurred by the District in processing this application.
Meter Size
Tap Fee
Water
Urban 5/8"
$29,250
Standard 5/8"
$0
Applicant Understands that property must be included in the District boundaries for service and agrees to furnish a
complete written legal description of the property served prior to tap installation if so requested.
It application for service is accepted, applicant understands that the water service is subject to the rules and
regulations of the District, as currently established, or as may be modified in the future by the Board of Directors. A
copy of the rules and regulations for the District is available for the applicant if requested.
Applicant certifies that final lot grade will be established prior to installation. The District will not be liable
for the expense of a meter relocation if required after installation due to a change in lot grade.
Di trict hereby acknowledges receip1'of:
JJf{l/
igatu
e of District Representative
Date Signed
$;6'I•,,
ature of Applicant
C U C`r~} C
Ue1-Cito,
c.�� q
Directors:
Bill Szinyd, President
Steve Brandenburg
Larry Brandt
Paul Bukewaki
Kathy Gallivan-Crist
Ed Martens
Emily McMeutrey
Little Thompson Water District
October 10, 2018
District Manager:
Michael T. Cook
835E Highway 56
Berthoud, CO 80513
P: 970-532-2096
F: 97D-5323734
g��nv.LEVl .erg
Mr. Von Cito
5194 Weld County Road 50
Loveland, CO 80534
Dear Mr. Cito:
This letter is in response to your request for confirmation that the tap you purchased (Tap Number
8495) will be able to serve the restrooms in the barn based on the water service commitment for one
5/8 -inch urban residential tap for your property located at 5194 Weld County Road 5, Loveland, CO,
or more generally described as follows:
PORTION OF NW %a of SEC. 1, T4N, R68W — WELD COUNTY, CO
Parcel 106101200046
The District provides water service within its service area as defined by the District. The provision of
water service by extension of existing water lines of the District to the above property and the
installation of taps for lots is done under the terms of the Rules and Regulations of the District
established by the Board of the District from time to time. You may obtain a copy of the Rules and
Regulations from the District. The Board of the District may alter and amend the Rules and Regulations
at any time, and the provisions of service are subject to alteration and amendment based on changes in
the Rules and Regulations of the District.
We currently own and operate an 8 -inch waterline that lies along Weld County Road 50 adjacent to the
referenced parcel. We will provide service to the above property for the requested additional one 5/8 -
inch urban residential tap, subject to the Rules and Regulations of the District. Tap installation is
anticipated to be completed in the week of November 12, 2018. Service to this tap will include service
to the proposed restrooms in the barn that are to be used for special events. The tap holder has also
been notified that the tap will be limited to an annual usage of 114,000 gallons at which point a
surcharge will be implemented. The current surcharge for usage over the 114,000 gallons is $8 per
thousand gallons.
If you have questions, please contact me.
Regards,
/,
Amber kauffman, PE
District Engineer
Hello