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Home My WebLink About20170233.tiffPermit # ISP-0100558 Pennit Type: Health I Commercial I Repair Share Street Address 1672 CR 11 Sites City, State, Zip J SecITowv1Range: 25 -01N -SSW Parcel* 112 I 'A6725000.455-R0,N4601 Owner Full Name: WRENTROW JAMES Owner Address: 1672 WCR 11 ERIE,CO 80518 Contact Name: WRENTROW JAMES Contact Address: 1672 WCIR 11 DENVER,CO,802 6 Application Status: Rioted Application Clete: 101912001 Owner Phone at 3032600374 Contact Phone$ 3032800374 lnformaticm above flay been Verified to ACCHIa by ernQid L__Ek noted bBiow May 28.2008 Pronessed by, ()ate Report ID: ER600024%0003 page 1 GUI Print Bata =There: 6/28/2008 8 45:3SAM WATER SUPPLY INFORMATION SUMMARY Section 3028-t33dd). C.R.S. requires that the appl'cicaat admit to the County:Adequate evidence that a water supply that is sufficient m terms of quanlity. quality and dependability will he nubble to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED 2. LAND USE ACTION 3. NAME OF EXISTING PARCEI. AS RECORDED 1 ________________ S. PARCEL HISTORY - Please attach copies of deeds. plats or other evidence or documentation. SUBDIVISION FILING 4. TOTAL ACREAGE BLOCK LOT 5. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED 0 YES A. Was parcel recordist with county prier to June 1, 1972? 0 YES 0 NO B. Has the parcel ever been part of a division of land action since Jame 1, 1972? If yes, describe the previous action ❑ YES ❑NO I 7. LOCATION OF PARCEL - Intdtrde a utap deFntiatktp Uta waled area and tilt lea sedan carom. 114 OF 1/4 SECTION TOWNSHIP d N © $ RANGE ❑ E 0 W PRINCIPAL MERIDIAN: 0 6TH 0 N.M. 0 UTE 0 COMILLA R. PLAT - Location of all wells on property must be plotted end permit narmbere provided. Surveyors plat 0 Yes 0 No If not scaled hand drawn sketch 0 Yes 0 No 9. ESTIMATED WATER REQUIREMENTS • Gallons per Day or Aare hat par Year 110. WATER SUPPLY SOURCE HOUSEHOLD USE p of units GPO AF COMMERCIAL USE # of S.F. BPD AF IRRIGATION rY of acres GPO AF STOCK WATERING # of head GPO _ AF OTHER TOTAL GPO AF GPO •____-- AF D lXISTRNG 0 DEVELOPED WELLS SPRING WELL PERMIT NUMBERS D MUNICIPAL O ASSOCIATION ❑ COMPANY o DISTRICT NAME LETTER OF COMMITMENT FOR SERVICE 0 YES 0 NO ❑ NEW WELLS - PROt'+r3Ee 0011536 • {aim tu] A AWOKE 0 weal aaerue>€ 0 tem DAWSON 0 LOMB ASANwE a NW OHM 01AnAMAE tax WS Q pees cum Q creel WATER COURT DECREE CASE NO.'S 11. ENGINEER'S WATER SUPPLY REPORT 0 YES 0 NO IF YES, PLEASE FORWARD WITH THIS FORM- Mil racy ea Mind itafara air trriAW sa�tatad3 12. TYPE OF SEWAGE DISPOSAL SYSTEM O SEPTIC TANK/LEACH FIELD O LAGOON Q CENTRAL SYSTEM • DISTRICT NAME 0 VAULT - LOCATION SEWAGE HAULED TO O ENGINEERED SYSTEM Wt.** copy at *renaming daft 0 OTHER Meter Readings Read Code Previous t001825-011 Present Usage 7/19/2016 Previous Actual 6/21/2016Description 47 446 493 555.0100 ti 000 (iallot�sl{$5500 l':►� !strut ttoc�'i+ �`[1 s Water Minimum Charge Water Usage Charge CBT Surcharge $16.50 $59.40 $0.00 auco1J:'t number on du payments and co iESpOnCie ce Ynu 1r ay pay 3' 14^rtiPhh et^.CW' Conn Water cisnsurr an - A Total Currentnst lt sl!lu : 575.90 575.90 t u TOT ER rete SERVICE aDDR�ss� 1672 t`ount% Rd 11 —� BILLING DATE nn V i DUE DATE 1 $75.90 [3ILUNG FER1{3D 16 to D7 1 6 Days F[om—� Cslti"i'1 W (',tTlt;1f. .\ F:I,f] { .'1 t}:1fll � tilRi{ 2iri1 c-nuc IrCCII'� L S11{55 Hello