HomeMy WebLinkAbout20183703.tiff WATER TAP ASSIGNMENT Tap#_541
FOR VALUE RECEIVED,I/we hereby sell,transfer arid assign to RUSSELL BAKER AND GEORGIA GILMORE
,one 5/8" water tap with a 300,000 annual water allotment in the CENTRAL WELD
COUNTY WATER DISTRICT,on my/our property described as follows situate in Weld County,Colorado,to wit:
(LEGAL DESCRIPTION FROM DEED)
PT NE4 28-5-65 LOT A REC EXEMPT RECXI 5-0028
PARCEL NO. 0961281000W
IT IS UNDERSTOOD that these taps were purchased for the above described land and may not be transferred to other land,
without express,written consent, in addition to the below consent,of the CENTRAL WELD COUNTY WATER DISTRICT.
I/we Rather authorize the Secretary of said District to do any and all things necessary to effectuate this transfer on the books and
records of said District. I/we hereby state that all water rates and charges and other monies owed to the District have been paid
and if not,shall be held out at the closing of the sale of my/our premises.
IN,J TIMONY WHEREOF,I/we have set my/our signature this /.-9 day of
,20" .
SEI,J-ER: TERRY K. VIDEK\
**SEI ERTA W. VI DER
I/WE FURTHER AGREE to pay any and all charges hereinafter levied by said District for said taps and to abide by all
regulations adopted by said District. The District has the right to review the annual allotment and compare it to actual usage to
determine if additional raw water will be purchased and transferred to the District by Tap Holder.
ACCE TED: 7
**BUYER: RUSSELL BAKER
r' C L
**B YER: , R(IA -,I1_MORE
A water tap installation is for a specific parcel of property and in no case will a customer be permitted to
extend a service line from one parcel or property to another parcel to provide additional water service. A
separate tap will need to be purchased.
CONSENT TO ASSIGNMENT
I, Stan Linker,District Manager of the CENTRAL WELD COUNTY WATER DISTRICT,hereby consent to the above
assignment on behalf of said District.
}
f
BY: _
tan Li er,District Manager
DATE: Y, ,
PETITION FOR INCLUSION
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT fi�tt__
1555 N 17th Avenue
Greeley. CO 80631
- www weldhealth org
Public Health
n eadh Admm,sirabon Public Health&Clinical Environmental Health Communication, Emergency Preparedness
;,cal Recard5 Services Services Education&Planning &Resprinse
-
Septic Permit - Final
Application Number:SP-150O201
Owner Name:VIDER TERRY K & ROBERTA
Site Address: 20504 CR 54 -
GREELEY CO 30644
App Type: Health\ResidentiahW W ew OTS\Septic Application Status:
STEVE DICKINSON Finaled
2D ENTERPRtSES Applied Date:
06/22/2015
PO BOX 504 issued Date:
FT LUPTON CO 80621 06/30/2015
Parcel 4: 096128000032-R3928686 Finaled Date
Legal Desc: 12854 W2NE4 28 5 65 EXC UND INT OG&M 08/14/2015
Work Description: HOUSE
EHS SEPTIC GENERAL
Associated Disaster Permit No
Location Description 20504 CR 54
GREELEY CO
Number of Bedrooms 2
Parcel Acres 10
Public Water Supply Yes
Pubitc Water Supply Utility CWCWD
Waive Fees No
EHS SEPTIC ACTUAL (FINAL)
Septic Tank Size gallons 1250
Absorption Trench soft 375
Chamber Model Quick4 Standard or High Capacity
Number of Chambers Installed 33
Design Type Sand Filter
Comments
Received engineer approval letter
NOTICE
The Isauance ;f this pem,a lees not.cooly compliance with other slate 'bunty or local regulatory or ourldrng requirements.nor shall,1 act to certify trot the
subject system will operate.n compliance wah aophceble state county and local regulations adopted persuant to arliCle 10 Title 25 CRS as amended.
except far the purpose of estaoilshing final approval of metalled system for issuance at a local occupancy permit persuant to 25-10-t 121 t}tb;.C
This permit is non-transferable and non-refundable The'IJeld County Deoartmerl of Path:,Health and Environment reserves the right to impose
aoditlonai terms and conditions required to meet our regulations on a continuing basis r:,nal permit acprovai was Contingent upon the final inspection of the
;_ir Dle'ed system,by'?"E. .JP.!C .1uont f''eoan;me^t'5f?uh'i=Heal:h arc r^.Ytrpr neni
James Talournis August 14 2015
Environmental Health Specialist Date
Print Date Time 5/17/2015 7 53 48AM Seotic Permit- Final EHS033 Page 1 of 1
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