HomeMy WebLinkAbout20172940Maverick Disposal LLC
PO Box 343
Pierce, CO 80650-
(970) 590-5539
B Kim Heiberg
IL TO 32300 CR 55
L
Gill CO 80624
PLEASE RETURN TOP PORTION WITH REMITTANCE
PAGE: 1
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INVOICE
INVOICE NO.
INVOICE DATE:
ACCOUNT NO.
START DATE:
32300 WCR 55
Gill
132687
04/01/17
QFR000180
04/01/08
AMOUNT OF L
REMITTANCE
I
ORDER NO.
DATE
04/01/17
DUE DATE
06/30/17
TERMS:
Net 30 days
DATE OF TRANSACTION
QUAN
SERVICE NUMBER
DESCRIPTION OF SERVICES
UNIT
PRICE
TAX
TOTAL
1.00 04/01/17 031217O38 2nd Qtr - Every Other Week Service
CCX - CC Auth
CCX - CC Auth
153.00
PLEASE PAY
THIS AMOUNT
0.00
153.00
-51.00
-51.00
51.00
CUSTOMER COPY
4
Permit #
Permit Type:
Scanning Cover Sheet
for
Septic Permits
fSP-9600520
Health / Residential / New
Situs Street Address 27455 CR 66
Situs City, State, Zip
Sec/Town/Range: 22 -06N -64W Application Status: Finaled
Application Date: 09/261/996
Parcel # (12 digits) 080122300003-R4187006
Owner Full Name: LYON EDYTHE A &
Owner Address: 27455 WELD CO RD 66
GILL,CO 80624
Contact Name:
Contact Address:
Owner Phone #:
LYON EDYTHE A & HAITHCOAT VICKI
27455 WCR 66
GILL,CO,80624
Contact Phone# (970)395-0713
Information above has been Verified in Accela by employee noted below
x L.
Processed by: 11
February 2D, 2009
Date
Report ID: EHS00024v003 Page 1 of 1
Print Date -Time_ 2/20/2009 9:47:18AM
WELD COUNTY HEALTH DEPARTMENT
1517 16TH AVENUE COURT, GREELEY, CO 80631
(970)353-0635 EXT,2225 FAX (970)356-4966
Permit #
: SP -9600520 Sec/Two/Rng: 22 06 64
Permit Type: RNEW C -commercial, R -residential + Ngw,
Parcel No: 0801 22 000068
RBPair, VauLT
Location: 27455 WCR 66 GILL COLORADO
Legal Desc: 9687-K PT W2SW4 22 6 64 BEG N89D19'E
APPLICANT
OWNER
SEPT-INSTL
Status: APPLIED
Applied: 09/26/1996
Issued:
Finaled:
1112.75'
LYON EDYTHE A & HAITHCOAT VICKI Phone: (970)395-0713
27455 WCR 66, GILL COLORADO 80624
LYON EDYTHE A &
HAITHCOAT VICKI LYNN, 27455 WELD CO RD 66, GILL CO 80624
OWENS SANITATION & BACKHOE Phone: (970) 834-2181
45345 WCR 41, PIERCE CO 80650
Description: MOBILE HOME
Commercial (Y/N) : N
Number of Persons:
Number of Bedrooms:
Water Public (Y/N): Y
Water Private (Y/N):
Water Permit No:
Percolation Rate: 14.8
% Ground Slope: Dir:
Engineer Design Req'd (Y/N): N
Minimum Installation
Septic Tank:' 1000 gal
Actual Installation
Septic Tank:
/Uuz) gal
Residential (Y/N): Y
3 Basement Plumbing (Y/N): N
3 Bathrooms-> Full: 2
Acres: 42.00
3/4: 1/2:
Utility Name: NORTH WELD
Cistern (Y/N) : Well (Y/N) :
Limiting Zone: 700 ft 06 in
Soil Suitable (Y/N): Y
In 100 Yr Flood Plain (Y/N);
Absorption Trench:
Absorption Bed:
Absorption Trench:
Absorption Bed:
Desc:
groundwater
627 sq. ft.
846 sq. ft.
67S sq. ft.
sq. ft.
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 per9uant to Article 10, Title 25, CRS as amended, except for the purpose of eetebliehing final approval of installed
system for issuance of a local occupancy permit perauant to CRS 1973 25-10-113 (2).
This permit is not transferable, The weld County Health Department 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 Health Department.
sue'
X
En
! f
1r: mental Specia `-t Date
a
NORTH WELD COUNTY WATER DISTRICT
P.O. BOX 56
. ' 32825 CR 39
LUCERNE, CO 80646
PHONE: (970) 356-3020 • FAX: (970) 395-0997 - E-MAIL: water@nwcwd.ory
Hoard of Directors: Charles Achziger, Gene SGlle, Robed Arnbrechl Todd Haan, Gary S;mPAen Manager Rick Pickard
ACCOUNT NUMEER NAME AND SERVICE ADDRESS BILLING PERIOD
L
2559002
LESTER & KIMBERLY HELBURG
323O0 HWY 37
GILL, CO 80624
161 I
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr
Previous Balance
04120/2017 Standard - Full
Current Amount
Total Amount Due
Prey. Read
1528
DETACH HERE
D3/23/2017-04120/2017
Water Class
70 96 of 1,000 Acre Foot
Transferred Water
Allocation Adjustment
Less YTD Usage
Remaining Water Allocation
Plant Investment Class
70 96 of 1.000 Acre Foot
Less YTD Usage
Remaining PI Allocation
P (KGa1)
228
0
0
42
188
228
42
186
Curr. Read Usage Unit Amount
39.95
1532 4 kgal 19.20
19.20
59,15
`,'r,` PO RTOX a D COUNTY WATER DISTRICT
LUCERNE, CO 80646
PHONE: (970) 356-3020 • FAX: (970) 395-0997 E-MAIL: water@nwcwd.org
ACCOUNT NUMBER
SERVICE ADDRESS
2559002 32300 HWY 37
GILL, CO 80624
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AUTO'e5-DIGIT 80624 1 ? 2939
LESTER & KIMBERLY HELBURG
32300 COUNTY ROAD 55
GILL CO 80624-9508
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: 05!15i2017 7AMOUNT PAID
$59.15
1i111ri1'1I'I11i1IIuI1I11I-it!1111'I11I11I,lr11r1I11111i1r'Jilii
NORTH WELD COUNTY WATER DISTRICT
P.O. BOX 778
Gretna, NE 68028-0778
002559002002559002000005915
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