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CENTRAL WELD COUNTY WATER DISTRICT
April 3, 2018
Mark Butler
Drexel, Barred I &Co{
710 11th Ave, Suite L-45
Greeley, CO 80631
RE: Additional Water Service
Dear Mr. Butler,
This letter is in response to a request for water service to serve the following property described as follows:
S2N2SW4SW4 28 5 64 AIWA LOT B RFC EXEMP #0963 -28 -3 -RE 83 - Parcel 096328000031
Water service is presently available to the above described property through tap number 1013 located on Weld
County Road 53 between CR 52 & 54. Additional water service can be made available to this property, provided
all requirements of Central Weld County Water District, Northern Colorado Water Conservancy District and the
Bureau are satisfied. Please note that it is your responsibility to contact Northern Colorado Water (_ tonservanc y..
District at 800-369-'240 0r petitioning confirmation into the Northern Colorado Water Conservancy
District. Central Weld cannot issue a tap until all t-ec,a it r tsant1 ' J ? . This is in accordance with the Rules
and Re ulations of orther-n Colorado Water Conservancy District. A water tap installation is for a specific
parcel of property and a customer will not be permitted to extend a service line from one parcel or property
to another parcel to provide additional water service. Commercial taps are required to comply with the
District Backflow Prevention Policy.
Central Weld County Water District requires that contracts be consummated within one (1) year from the date of
this letter or this letter shall become null and void unless extended in writing by the District. The District will not
notify, by separate letter, any prospective landowners of cost increases. 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.
It is your responsibility to confirm with your local Fire Protection Authority if fire flow water capacity is required
for your project.
If you have any questions regarding the above, please contact this office,
Sincerely,
CENTRAL WELD COUNTY WATER DISTRICT
dee
Stan Linker, District Manager
L r'n
2235 2nd Avenue • Greeley, Colorado 80631 • Phone (970) 352-1284 • Fax (970) 353-5865
Stan Linker, District Manager
Processed by:
Scanning Cover Sheet
for
Septic Permits
Permit #
Permit Type:
G19710677
Health / EMS History I EH5 Conversion History
Situs Street Address 25172 CR 53
Situs City, State, Zip
Sec!Town!Range: 28 -05N -64W Application Statue; Finalerl
Application Date: 03/11/1996
Parcel # (12 digits) 096328000031-84166288
Owner Full Name:
Owner Address:
Contact Name:
Contact Address:
SOLOMON BRUCE & BEVERLY
BOX 334
KERSEY,CO 80644
Owner Phone #: 303 3523649
Contact Phone*
Information above has been Verified in Accela employee noted below
April 27, 2009
Date
Report ID: EHS00024v043 Page 1 of 1
Print Date -Time: 4/27/2009 11:45:30AM
I1
HSP106F' INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
WELD COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SERVICES
1516 HOSPITAL ROAD, GREELEY, CO 80631
353-0635 EXT.2225
M3. G-710677
REPAIR PERMIT
OWNER SOLOMON, BRUCE & BEVERLY ADDRESS BOX 334 PH (30 3) 352-364
K ERSEY CO 00644
ADDRESS OF PROPOSED SYSTEM 25172 WCR 53
k{ERSEY CO 00644
LEGAL DESCRIPTION OF SITE: SW4 SEC .28 TWP 5 RNG 64
SUBDIVISION: RE -03 LOT 0 BLOCK 0 FILING 0
USE TYPE: RESIDENTIAL
SERVICES PERSONS 2 BATHROOMS 1.50 LOT SIZE 10.00 ACRES
BEDROOMS 3 BASEMENT PLUMBING NO WATER SUPPLY CWCWD
APPLICATION FEE $0.00
REC'D BY X STAFF
DATE 03/16/71
SIGNED BY DONNA M. REDDY
DATE 03/16/71
PERCOLATION RATE 0.0 MIN PER INCH LIMITING ZONE 0 FEET
SOIL TYPE SUITABLE PERCENT GROUND SLOPE 0! DIRECTION
REQUIRES ENGINEER DESIGN NO
FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED:
SEPTIC TANK 2300 GALLONS, ABSORPTION TRENCH SQ. PT.
OR
ABSORPTION BED 800 SQ. FT.
IN ADDITION€, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND
CONDITIONS
THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT
MAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET
FORTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING
FAILURE TO MEET ANY TERM OR CONDITION. IMPOSED THEREON DURING TEMPORARY OR FINAL
APPROVAL, THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE
DEPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY DE THE
SEWAGE DISPOSAL SYSTEM.
X STAFF
ENVIRONMENTAL SPECIALIST
0:23/1 6/71
DATE
THIS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF
THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI-
TIONAL TERMS AND CONDITIONS REQUIRED 10 MEET OUR REGULATIONS ON A CONTINUING BA-
SIS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM-
PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT.
SYSTEM INSTALLER UNKNOWN
SYSTEM ENGINEER
TYPE OF SYSTEM INSTALLED TANK
FINAL INSPECTION DATE 03116/71
APPROVAL X STAFF -
ENVIRONMENTAL SPECIALIST
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 1973, AS AMENDED,
EXCEPT FOR THE PURPOSE OF ESTABLISHING FINAL. APPROVAL OF AN INSTALLED SYS'T'EM FOR
ISSUANCE or A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-114 (2),
4
WELD COUNTY HEALTH DEPARTMENT .
15th Street and 17th Avelue
P. O. Box 1227
Greeley, Caleeada
Application or t Ina ail, Cvnst�rucl;, Alter or Repair Individual Sewage Diapoaal System.
cut=er or ponso�- i6- r r I`Addrresa i Phone
zez.4. .4057
No. r f
Address of Si
Mailing Address '
General Information M kie
I
1. Living Units
2. No. of Bedroom3
8. No. of Baths - -
4. Basement Drain -°"''{'1
5. Automatic Dishwasher
6, Garbage Disposal
7.
8.
9.
Automatic Laundry
Size of Lot /d`
Type of Soil
19. Percolation Teat
11. Water Supply .C. 144 -
12. Lot Grade -
13. Water Table Depth
14. Other
1. Liquid Capacity
2. Dimensions.
8. Material
4. Type Inlet
Type Outlet
Septic Tank
triA, ' # t Gallons
L D
Secoedary Treatment
Field Bed
I. No. of distribution lines
2. Trench: Width__ Length
8. Type Filler Material
4. Depth of Filler Material --
h. Gravel Size
6. Type Tile
7. Depth of Cover
8. Other
The Permit is to remain in full force and effect for six (6) months from date, until revoked for non-compliance.
This system will be constructed in accordance with the above specifications and regulations governing non -
municipal sewage disposal systems, in - accordance with Regulation No. I. of the Weld County Health De-
partment.
Date: _ Applicant:
The plane and epecificationa as shown are approved, pending payment of permit fee.
Sanitarian:
Date :
The above system inapeoteand fo . d . . s ' A, with the pia and description.
rlan
Installed by
PERMIT FEE _
Received by
Please use reverse side for PI Plan use separate parate sheet of paper.
Date / 7J
41
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