HomeMy WebLinkAbout20171325.tiff'WELD COUNTY DEPARTMENT OF PUBLIC HEALTH MC) ENVIRONMENT
• 1555 NORTH 17TH AVENUE
GREELEY, CO 80631 Firratel
PHONE (970) 304-64 15 FAX (97{?) 304-6411
Permit #: SP4200034 eci wn/ ng:3 05 67
Owner: GREAT HOUSE SHAWN & STACEY
Applicant: GREATHOUSE SHAWN
Permit Type: CNEWCommercial, R c identlal + NEW, REPair, VauLT
Parcel #: 0957-32-0-00-027
Location: 24047 CR 15 32 05 67
Legal Description:
Installer:
Status: ISSUED
Applied: 01/28/2002
Issued: 02/26/2002
Foaled: 3/0 /0b
Description: OFFICE/SHOP
Commercial: Y
# of Persons:
# of Bedrooms:
Residential: N
8 Basement Plumbing: N
0 Bathroom - Full: 0 3/4: 1 1/: 0
Water Public:
Water Private: N
Water Source: LITTLE THOMPSON
Cistern: N Well: N - Well Permit :
Acres: 46
Percolation Rate: 71.5 Limiting Zone: 0 ft 0 in Description: ription: CLAY
Ground Slope: 5 DIr* N Soil Suitable:(17/N) N
Engineer Design Required: (YIN) Y In 100 Year Flood Plain: (Y/W) N
Minimum Installation
Septic Tank: 1000 0 gallons Absorption Trench: 0 square feet
nr Absorption Bed: 1125 square feet
Actual Installation
Septic Tank: Cro gallons Absorption Trench: square feet
Absorption Bed: r o square feet
Chambers
NOTICE
The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor
shalt it act to certify that the subject system will operate in compliance with applicable state, county and local regulations adopted
peersuant to Ankle 10+ Title 25. CRS as amended, except for the purpose of establishing final approval of installed system for
issuance of a local occupancy permit rsuanr to CRS 1973 25-10-111 (2),
This hermit Is n9n transferable and non" `_ undablc The Weld County Deparnent of Public Health and Environment reserves
the right to impose additional terms and conditions required ired to meet muP regulations on a continuing basis. Final pier it approval
inspection of Public Health and
was contingent upon the final of the completed system by the Weld County Department
Environment.
•
Form: S AL
y tat Health Specialist Date
Little Thompson Water District
835 E Highway 56, Berthoud, CO 80513
(970) 532-2096 www.ltwd.org
Office Hours: M -F 7am - 5pm
Customer Name: STACEY CREATH U E
Bill Print Date: 11/30/16
ACCOUNT NUMBER
607401
SERVICE ADDRESS
24047 C 15.5
DUE DATE
12/25/16
AMOUNT DUE
59.67
INSTRUCTIONS FOR ONLINE ACCOUNT ACCESS AND PAYMENT OPTIONS ARE ON THE BACK
OF THE BILL
Current
Head Date Reading
10/20 100 973 11/21
Water Usage Billing Detail
Usage Calculation:
Level 1: +6000 @ ,00224 a $13.44
Level 2: 5892 @ .00281 $1937
Usage Calculation Total: $32.81
as
71
53
35
17
0
101 5865
THOUSAND GALLONS USED
Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov
Days
32
Current Period
Usage
12892
DESCRIPTION
Same Period
Year Ago
6552
AMOUNT
Balazite Forward
Payment - Thank you! 11/20/16
Adjustments
Water Base
Water Usage
Total Current Charges
Message: Happy Holidays from the Board of Directors and Staff of Link Thompson Water District
We are always here to help, if you have any questions or concerns contact our office 970-532-2096.
PLEASE DETACH AND RETURN BOTTOM POIRTION WITH YOUR PAYMENT
Little Thompson Water District
835 E Highway 563 Berthoud, CO 80513
210 1 AV 0.373 4-1
Imploppinupopfloondqopippluo
STACEY CREA7HOUSE
24155 COUNTY ROAD 15 1/2
JOHNSTOWN, CO 805349556
138.87
138.87
too
26.86
32.81
59.67
59.67
PAY THIS AMOUNT
Please write your account number In the memo line of your check
Service Address
Account Number
607401
24047 WC 15.5
Due Date
12/25/16
Amount Due
59.67
Amount Paid
00060740 170000059675
REMIT TO:
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LITTLE THOMPSON WATER DISTRICT
835 E. STATE HWY 56
BERTHOU D, CO 80513-9237
Di Change of address?
LT -1007-8
Phone:
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