HomeMy WebLinkAbout20191919ACCOUNT NUMBER
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O¢' NORTH WELD COUNTY WATER DISTRICT
O) P.O. BOX 56
)
32825 CR 39
LUCERNE, CO 80646
PHONE (970) 356-3020 FAX: (970) 395-0997 • E-MAIL: water@nwcwd.org
Board of Directors: Charles Achziger, Gene Stifle, Robert Arnbrecht. Todd Bean, Gary Simpson Manager: Rick Pickard
NAME AND SERVICE ADDRESS
BILLING PERIOD
4174000
CLIFF E. SIMPSON
43588- CR 45
AULT, CO 80610
12/20/2016-01/24/2017
10
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un Jul Aug Sep Oct Nov Dec Jan
Water Class
70 96 of 1.000 Acre Foot
Transferred Water
Allocation Adjustment
Less YTD Usage
Remaining Water Allocation
Plant Investment Class
70 a of 1.000 Acre Foot
Less YTD Usage
Remaining PI Allocation
P :KGal)
228
0
0
15
213
Effective 1/1/17: Monthly Rate Change 0-6 Kgal=$19.20; Over 6 Kgal $3.20/Kgal; Non -Potable $1.10/Kgal
228
15
213
Previous Balance
01/13/2017 Payment -
01/24/2017 Standard - Full
Current Amount
Total Amount Due
Prey. Read
26
Curr. Read Usage Unit
36
10 kgal
Amount
18.30
-18.30
32.00
32.00
32.00
Your account is scheduled for direct payment. Please do not send payment.
DETACH HERE
1 Z \ d' NORTH WELD COUNTY WATER DISTRICT
�
( ) P.O. BOX 56
LUCERNE, CO 80646
. / PHONE: (970) 356-3020 • FAX: (970) 395-0997 • E-MAIL: water@nwcwd,org
ACCOUNT NUMBER
4174000
43588- CR 45
AULT, CO 80610
SERVICE ADDRESS
i
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.
AMOUNT DUE BY: 02/15/2017
AMOUNT PAID
$32.00
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AUTO**5CH 5 -DIGIT 80610
CLIFF E. SIMPSON
PO BOX 211
AULT CO 80610-0211
2 > 1266
004174000004174000000003200
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
www.weldheaith.org
Public Health
Health Administration Public Health & Clinical Environmental Health Communication, Emergency Preparedness
Vital Records Services Services Education & Planning & Response
Tele. 970.304.6410 Tele: 97O 304.6420 Tele, 970.304.641 `- Tele: 970.304.6470 Teie, 970.304.6420
Fax 970.304 6412 Fax 970.304.9416 Fax 970.3O4.d411 Fax. 970.304.6452 Fax. 970.3046459
Our clown. Together with the communities we serve, we are working to make Weld County the healthiest place to live, learnwork and play.
Septic Permit - Final
Application Number:SP-1400153
Owner Name:SIMPSON CLIFF
Site Address: 43646 CR 45
WELD, CO 80610
App Type: Health \Residential\ew\Septic
JUSTIN KENDALL
KENDALL CONSTRUCTION CO
PO BOX 1207
ESTES, CO 80517
Parcel #: 055126000013-R8050699
Legal Desc: S2NW4 26-8-65 (.91 R2D)
Work Description: NEW HOUSE
EHS SEPTIC GENERAL:
1/2 Bathrooms 3
3/4 Bathrooms 3
Application Date 05/29/2014
Associated Disaster Permit No
Basement Plumbing Yes
Full Bathrooms 2
Location Description 43646 CR 45
Number of Bedrooms 4
Number of Persons 4
Parcel Acres 80
Public Water Supply Yes
Public Water Supply Utility NWCWD
Repair Reason Type New
Septic Permit Expiration Date 05/29/2015
Waive Fees No
ENS SEPTIC ACTUAL (FINAL):
Septic Tank Size, gallons 1500
Absorption Trench, sgft 1409
Chamber Model Infiltrator Quick4
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 25-10-112(1)(b), C.R.S.
This permit is non -transferable and non-refundable. 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.
Fina led
Application Status:
Finaled
Applied Date:
05/29/2014
Issued Date:
10/18/2016
Finaled Date :
11/18/2016
Nicholas Trautner November 18, 2016
Environmental Health Specialist Date
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