The URL can be used to link to this page

Browse Search

Home My WebLink About20171836.tiffACCOUNT NUMBER 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,org Board of Directors: Charles Achziger, Gene Stale, Robert Arnbrecht, Todd Bean, Gary Simpson Manager Rick Pickard 441003 NAME AND SERVICE ADDRESS JO TEMMER 631 0 STREET GREELEY, CO 80631 40 PULL INC PERIOD 11/20/2016-12/19/2016 Water Class P (KGal) 70 % of 1.000 Acre Foot 228 Transferred Water 0 Allocation Adjustment 0 Less YTD Usage 24 Remaining Water Allocation 204 Plant Investment Class 70 9 of 1.000 Acre Foot Less YTD Usage Remaining PI Allocation Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Effective 1/1/17: Monthly Rate Change 0-6 Kgal=$19.20; Over 6 Kgal $3.20/KgaI; Non -Potable $1.10/Kgal Previous Balance 12/19/2016 Standard - Full Current Amount Total Amount Due ACCOUNT NUMBER 441003 228 24 204 Prey. Read 1331 Curr. Read Usage Unit 1346 15 kgal Amount 27.45 45.75 45.75 73.20 DETACH FIBRE NORTH WELD COUNTY WATER DISTRICT P.O. BOX 56 LUCERNE, CO 80648 PHONE: (970) 356-3020 • FAX: (970) 395.0997 • E-MAIL: water@nwewd.org 631 0 STREET GREELEY, CO 80631 SERVICE ADDRESS 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: 01/15/2017 AMOUNT PAID l lllltllliul ill'lllll'll""llllllIIIIIIII"'ll'IIIII"'lllll' III AUTO'SCH 5 -DIGIT 80632 JO TEMMER 631 0 ST GREELEY CO 80631-9540 $73.20 IIII Lll.11.IIIIIIIIIIIIII, d illll,lllllll,I,ll.lilllllll.,.11nt 2 > 2265 NORTH WELD COUNTY WATER DISTRICT P.O. BOX 779 Gretna, NE 68028-0778 000441003000441003000007320 Rezone Request 621O Street, Greeley, Colorado 80631 Department of Planning Services 1555 North 17th Avenue, 2nd Floor Greeley, Colorado 80631 RE: Change of Zoning for the above referenced property To Whom It May Concern: On behalf of Jo and Neil Temmer attached please find the revised information requested following in relation to rezoning 621O Street, Greeley Colorado, 80631 from C-3 to Agriculture: • Certificate of Conveyances • Amended Drainage Narrative • Location of existing septic • ISDI Application • Cleaners Checklist for both septic and pump receipt — (Please note- the septic's for both structures have been in place for over 60 years. 631O St is a functioning septic. 621O St acts more as a holding tank and as evidenced by receipts is pumped regularly for maintenance. 621 O St septic tank is intact with no cracks.) • Meeting Minutes from Discussion held January 12. Thank you in advance for your consideration in this matter. If you have any questions, please do not hesitate to contact me. Jo Temrner 720.3S3-943 LEGAL DESCRIPTION Ks zqr o� w� J U. O� MU Ili - 4• tuR Lift kii..u1 � 4V O w3o • www u_z0 cielt tD cacco uto w oz Q3 LU O go 0 0 W 2 2 2 0 9 N ri Ei A k3 w w PROPERTY OWNER'S CERTIFICATE W �a k � 025 FEI EDI OEFFLER Q. e g s § I _ Ea 'EE4:.% a i d 16 MY COMMISSION I- 4, 4"iF MMISSION CERTIFICATI GINA _ R 411E kghl 3m 0 CERTIFICATE OF APPROVAL BY THE E -s Q SURVEYOR'S CERTIFICATE_ BASIS OF BEARING PARCEL# WELD COUNTY DEPARTMENT OF PUBLIC SE # HEALTH AND ENVIRONMENT 1555 N. 17Th AVENUE GREELEY, COLORADO 80631 PHONE: (970) 304-6415 FAX: (970) 304-6411 REPAIR # LOAN # ISDS # STATEMENT OF EXISTING FOR SEPTIC SYSTEM THIS DOCUMENT IS NOT A SEPTIC PEJj1VjfT 0803-29-0-00-073 PROPERTY OWNER Sandra Loeffler MAILING ADDRESS 621 O Street, Greeley, Colorado 80631 PHONE NO. ( 72053-9453 City SITE/LOCATION ADDRESS 621 O Street, Greeley, Colorado 80631 LEGAL DESCRIPTION: SUBDIVISION LOT SIZE/ACRES 1.55 State Zip City State Zip PT E 1/2 of SECTION 29 TOWNSHIP 6 RANGE 65 West SW Qtr LOT BLOCK FILING COMMERCIAL YES 0 RESIDENTIAL d O DESCRIPTION i F BUILDING AND YEAR BUILT (ex. ousc, mobile/modular home, shop, office): House 1 (621 O Street) Built in 1904 House 2 (631 O Street) Built prior to 1888 NUMBER OF PERSONS 4 BATHROOMS FULL 1 Number of persons for 6 WATER SUPPLY: PUBLI PRIVA NUMBER OF BEDROOMS 6 3/4 1 1/2 621 0 Street, Greeley, Colorado 80631 et =2 with a full bath and 1 bedroom but is being used for office WAT RICT NAME North Weld County Water District WELCISTERN Permit# none- built prior to 1960 Circle which applies: TIER 1 TIER 2 TIER 3 SYSTEM SIZE AND CONSTRUCTION: SEPTIC TANK: Septic tank material is constructed of Concrete and has 500 gallons capacity. FIELD: Trench N/A square feet or Bed N/A square feet YEAR INSTALLED prior to 1960 Provide a drawing indicating dimensions and location of the existing septic system, including distances from property lines, easements, dwelling, other lot improvements, water line, water well, surface water features such as ponds, irrigation ditches, etc. The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel identified by the above legal description. I further understand that any falsification or misrepresentation may result in invalid results in determining compliance with current regulations based upon this information hereby submitted and in legal action for perjury as provided by law. 2-24-17 DATE OWNER Subscribed and swa n to before me this f day ofCCt. -, by Witness my ly .QL).�7 DAT s '-��:ti nd official seal. r My commission expires: 3 RLI 20, STATEMENT OF EXISTING ACCEPTED BY DATE OFFICE TECHNICIAN ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) EVALUATION APPLICATION ISDS NO: DATE RECVD: RECEIVED RY: FEE: PARCEL NO, (12 DIGIT NUMBER) LEGAL DESCRIPTION: SECTION TOWNSHIP RANGE _ ACRES _ SUBDIVISION LOT BLOCK FILING THIS INFORMATION CAN BE OBTAINED FROM THE WELD COUNTY WEBSITE: 11II-p://www.co.weRico.tJsirmipsipropertyinformathinf co.{:sfm:iIns/proper(yin(ornraUcnf SITE ADDRESS: \ Q ( (1 eLc_.,) 0.0 e003) SEPTIC PERMIT NO.: f [,'l\( ( t) I'I: 0 f q(p REASON FOR OWTS EVALUATION (recorded exemption, change of use, adding bedrooms): RECORDED EXEMPTION NO. (if applicable): PROPERTY I r MAILING ADDRESS: ,[' I O S I r 1, CITY A'' f f c f' STATE C.49 ZIP 3i �j HOME PHONE: (_ i 3 -�1k ) WORK PHONE (_ 1 FAX 61 :J4.; --- ,?-1(/-15 )(/-15 EMAIL ADDRESS; �O r T�_GViWIP r CJf� yi��.n,l (IF APPLICANT IS NOT THE OWNER, ATTACH OWNER AUTHORIZATION FORM) APPLICANT NAME: �f 4 � t.1f' f . f f i'. \ {_t l`t. 1) MAILING ADDRESS: CITY STATE ZIP _ HOME PHONE: () W( )ItK PHONE ( ) I -AX ( ) (.;MAIL ADDRESS,. OWNER: �ff 11 DESCRIPTION OF STRUCTURE ( (11KREN F l'SS (I lou. Modular, Shop): L4 s.( ) c_)\ -Ni IM13i=R OFPI-Rica-KS 4 NUMBER OF BEDROOMS BA'E'EIIUX)MS: IIII.L I '/ I ''A PUBLIC WATER SUPPLY PRIVATE WATER SUPPLY WATER DISTRICT NAME f_I'sl_ /C 1S I'iiRN CCU z) BASEMENT PLUMBING YES kJoi i-�c iL)L- PERMIT # .06)1f[/ pP(oc,LQ (c La CC PROPOSED CHANGES (1louse, INaIlull� till 3` 1L J \ O . Q&) NUMBER OF PERSONS _ NUMBER OF BEDROOMS O BASEMENT PLUMBING Y BATHROOMS: FULL —L—_5% PROPOSED TOTAL (House, Modular, Shop): NUMBER OF PERSONS BATHROOMS: FULL NUMBER OF BEDROOMS 3�4 'A I HEREBY CERTIFY THE AIR SIGNATURE OF APPLICANT BASEMENT PLUMBING YES / NO L: INE;()E&MA'E'ION IS CORRECT AND ACCURATE TO THE BEST OF MY KNOWLEDGE: JIATE - 3S-LW NEITHER THE C'OIJN"I - (SI WELD NOl ANY OF ITS AGENTS OR EMPLOYEES UNDERTAKE OR ASSUME ANY LIABILITY TO THE OWNER OF THE ABOVE NRf]P _ TO ANY P ;ICI IASER OF THE ABOVE PROPERTY OR TO ANY LENDING AGENCY MAKING A LOAN ON THE ABOVE PROPERTY OR IN 'HIE ATP Olt DEPARTMENT OF PLANNING AND BUILDING DEPARTMENT OF PUBLIC HEALTH AND ENVIRONNMENT 1555 NORTH 17Th AVENUE GREELEY, CO 80631 AUTHORIZATION FORM FOR BUILDING, PLANNING AND HEALTH DEPARTMENT PERMITS AND SERVICES 1, (We) ,,1•Ca. L 0 (Owner — please print) give permission to 9 Q I (Applicant/Agent — please print) to apply for any Planning, Building or Health Department permits or services on our behalf, for the property located at: 04- 1 i Legal Description 50 Oil-- of Section 2-9 , Township N, Range (4:76 - Subdivision Name: Lot Block Property Owners Information: Phone: �(p --q` ` E-mail:~ 1 1 ' J ell AppiicantiAgent Contact Information: Phone: — E -Mail: —RDo ,V1r km --e r k.C I I Email correspondence to be sent to: Owner Applicant/Agent Both Postal service correspondence to be sent to: (choose only one) Owner Applicant/Agent Additional Info: Owner Signature: So-�. L 1.` — L, Date: Owner Signature. Date: 9. Access to clean -out lids within 8 inches of grade? Inlet: Yes No_r[ Outlet: Yes %C No fel( LVkiitcti county Ib)OVIitt. COL{}Fi1kE3t? SyStreSall�....r. •..� ��r„i�.•.� .� I�� . I� �� Company Name: . SLIMS SANITATIQN Customer Name: Q yr i er Phone number: 970-284-6951 Address of Pumping: / 5.7L,, ed 6l/� Pumping Date: a{ c),e f ( F) 1. Tank Size: 5 0 Gallons Pumped: 5' O 2, Lift Station: Yes No 'P If yes, functioning: Yes No Pump Alarm: Yes No ,c If yes, functioning: Yes No 3. Excessive water running back into tank from field? Yes No 7 If yes, estimate in gallons: 4. Liquid level in tank over inlet line? Yes No 5. Tank Construction (check one) Concrete IC Metal Brick Plastic or Fiberglass Cesspool or Seepage Pit Other 6. Tank Construction Observed: One Compartment ' Two Compartment 7, Inlet/outlet tees and/or baffles in good condition? Yes C No 8. Filter on outlet cleaned and inspected (i i'applicable)? Yes /l <7‘;47 needS rrcPr 10.20 ml. plastic replaced and sealed over tank lid (flood.plain only)? Yes Al ifro 11. Tank structurally sound and water tight? Yes '?e No 12. Access lids structurally sound and water tight? Yes No K - I3. Obvious cracks/leaks observed? Yes No >" If yes, explain area: 4' cral7 FieJJ$' di 1 S {,• c r? j C vie c; lyel,, c fe / 5-"V< eeiS& ateff�►d, 14. Other c editions noted which may affect proper functioning of system? r 7 I� V 15. Reason for Service: Maintenance Real Estate Sale Emergency/Backup Other y' 2 .r.; field ' t iDrit oowR �� .,. ysko itil Ckr Chrectefigt, Company Name: _SLIM'S SANITATION Customer Name: Phone number: 970-2846951 Address of Pumping: Z./ 0 S f CI - & Pumping Date: 2— 2 -/ I. Tank Size: 3 O Gallons Pumped: 2. Lift Station: Yes No yes, functioning: Yes No Pump Alarm: Yes No If yes, functioning: Yes No 3. Excessive water running back into tank from field? Yes No If yes, estimate in gallons: 4. Liquid level in tank over inlet line? Yes No 5. Tank Construction (check one) Concrete Metal Brick Plastic or Fiberglass Cesspool or'Seepage Pit Other 6. Tank Construction Observed: One Compartment )(Two Compartment 7. Inlet/outlet tees and/or baffles in good condition? Yes No 8. Filter on outlet cleaned and inspected (if applicable)? Yes No 9. Access to clean -out lids within 8 inches of grade'} Inlet; Yes No Outlet: Yes No 10.20 ml. plastic replaced and sealed over tank lid (flood.plain only)? Yes N 11. Tank structurally sound and water tight? Yes No 12. Access lids structurally sound and water tight? YesXNo _ 13. Obvious cracks/leaks observed? Yes If yes, explain area: No� 4-///9v 14. Other conditions noted which may affect proper functioning of system? PN 13U ELF 7 I'5 CiEAhi� 15. Reason for Service: Maintenance Real Estate Sale Emergency/Backup Other 2 Feb 271703:33p S & B Porta Bowl Restroom Slrrn's Sanitation PO Box 997 Johnstown CO 80534 970-284-5951 Email: stimssanitation@yahoo.com WORK ORDER 970-461-7895 p,3 RECEIVED FEB 2 7 2017 ,) Bill to: Date Ordered: 12-5-16 JO TEMMER _ Ordered By: 621 O STREET PO Number: GREELEY Phone Number: j ) Tank Address: 631 0 STREET GREELEY CO I nstructions/Remarks: Route: 52 Gallons: 1000 Disposal Site: Services Ordered: [ ] Grease Trap [X] Septic Tank [ ] Bean Vat [] Lift Station [ } Animal Waste [ } Lift Station [] [] [ ] Bioforce 1, ) Senior Disct Total Due: Performed By Amount Cash [ ] Check [] PAID CC Make Checks Payable to Slim's Sanitation, inc. Signature - Satisfied Completion of Job Print Name A11 jobs done are COD We are no longer accepting charge accounts!!! Charges must be cfea, d through the office first?? Feb 2717 03:33p S & B Porta Bowl Restroom 970-461-7895 p.2 Slim's Sanitation PO Box 997 Johnstown CO 80534 970-284-6951 Email: slimssanitation@yahoo.com WORK ORDER Bill to: Date Ordered: 1-4-17 JO TEMMER Ordered By: 621 O STREET PO Number. GREELEY Phone Number: ( ) Tank Address: 621 O STREET GREELEY CO Instructions/Remarks: Route: 52 Gallons: Disposal Site: 500 Services Ordered: [ ] Grease Trap [XI Septic Tank [ ] Bean Vat j ] Lift Station j ] Animal Waste I ] Lift Station ] [] I ] Bioforce [ ] Senior Disct Total Due: Performed By Amount Cash [] Check j ] PAID CC Make Checks Payable to Slim's Sanitation, Inc. Signature - Satisfied Completion of Job Print Name All jobs done are COD We are no longer accepting charge accounts!!? Charges must be cleared through the office frstll Hello