HomeMy WebLinkAbout20160013.tiffLEGACY FARM LLC
6427 CR 68 1/2
WINDSOR , CO 80550
12/19/2014 - 01/23/2015
Previous Balance
01/23/2015 Standard - Full Tap
Current Amount
Total Amount Due
PA 0
:115
3A 9.
Prey. Read Corr. Read Usage Unit Type Amount
0.00
37929 37940 11 kgal P 33.55
33.55
33.55
ECEUVE
FEBEB (3 2 2
District E -Newsletters enroll at www.nwcwd.org
110
55
Jan
Feb Mar
Apr May Jun Jul Aug
Sep
Oct
Nov Dec Jan
Water Class P (KGal)
70 % of 1.000 Acre Foot 228
Transferred Water 0
Allocation Adjustment 0
Less YTD Usage 11
Remaining Water Allocation 217
Plant Investment Class
70 % of 1.000 Acre Foot
Less YTD Usage
Remaining PI Allocation
228
11
217
NORTH WELD COUNTY WATER DISTRICT • P.O. BOX 56, 32825 CR 39, LUCERNE, CO 80646 • PH: 970-356-3020 • FAX: 970-395-0997 • E-MAIL: water@nwcwd.org
Board of Directors: Charles Achziger, Gene Stine, Robert Arnbrecht, Todd Bean, Gary Simpson Manager: Rick Pickard
BOARD OF DIRECTORS
CHARLES ACHZIGER
GENE STILLE
GARY SIMPSON
TODD BEAN
ROBERT ARNBRECHT
March 18, 2015
Legacy Farm, LLC
C/O Stan Everitt
3030 S. College Ave.
Fort Collins, CO 80525
970.222.4151
NORTH WELD COUNTY WATER DISTRICT
32825 CR 39 • LUCERNE , CO 80646
RICK PICKARD, DISTRICT MANAGER
P.O. BOX 56 • BUS: (970) 356-3020 • FAX: (970) 395-0997
This letter is In response to your inquiry regarding water service to the following described property:
Approx. 6301 WCR 68.5, Proposed Lot A in a portion of the S % of the NW1/4 of Section 18, T6N, R67W of the 6th Prime Meridian.
(See attached North Weld County Water District sketch)
Parcel 080718000060
1. Water Service is presently being provided to the above mentioned property through meter#786 located at 6427 WCR 68.5, also known
as Proposed Lot B.
2. North Weld County Water District is able and intends to provide water service to the above -mentioned property, provided all
requirements of the District are satisfied. If contracts have not been completed with North Weld County Water District within one year from
the date of this letter, the District may refuse to supply water to the above -mentioned property. The District reserves this right to refuse
service, in the event that raw water is unavailable, and /or pipeline or Filter Plant capacity is not capable to provide additional service.
Before a water tap may be purchased, the applicant must provide a copy of a Warranty Deed, a Physical Address, and this letter.
3. As additional consideration for this Letter of Intent to provide service, Property Owner agrees to sign and execute any necessary
Easements and Rights -of -Way regarding specific locations, widths, size of pipeline(s) and descriptions for Water Lines as determined
by the District. This Agreement is conditional upon execution and recording of the Easement and Right -of -Way Agreement, and until
such Easement and Right -of -Way Agreement is finalized to the satisfaction of the District and recorded, District shall not be required to
provide any services of any type.
4. The District recommends that based on the number of family members and livestock along with other information provided in the
Water Tap Request Form, your irrigated landscaping square footage not exceed approx. 6,000 square feet. The
recommendation is based on the Full Standard Tap allocation and should be utilized to optimize delivery without surcharge. Additional
allocation should be purchased for landscaping areas larger than the recommended area.
5. The District recommends that anticipated raw water be purchased through the District. The District guarantees treatment and delivery of
raw water purchased. All water that is delivered over the allocation (with surcharge) is subject to water availability. Water
purchased through the District shall be 70% delivery of an Acre -Foot of water, if the allotment for Colorado -Big Thompson (CBT) project
water, which is determined by the Northern Colorado Water Conservancy District, is 50% or greater. North Weld County Water District will
restrict the delivery as necessary when the CBT allotment is less than 50%. A portion of the Raw Water Fee is utilized by the District to
construct storage reservoirs.
6. Tap
Raw
Water
Raw Water
Storage Fee
Plant
Investment
Distance
Fee
Meter
Set
Fee
Water Allocation
(Annually)
Plant Investment
Allocation
(Annually)
Full Standard
Tap
100%
100%
100%
100%
100%
228,000 Gallons
228,000 Gallons
Lot Size greater than 0.33 Acres( 14,500 sq ft)
75% Tap i 75%
75% j 75%
75%
100%
171,000 Gallons j 171,000 Gallons
Restrictions
Lot sizes greater than 0.20 acres (8,800 sq ft) but less than 0.33 Acres (14,500 sq ft) OR
landowners with verifiable irrigation rights or well permits for outside water use
50% Tap
50%
50% 50%
50%
100% J 114,000 Gallons
114,000 Gallons
Restrictions
Lot size less than .2 acres (8,800 sq ft) OR with a Board Approved Irrigation System OR a
Board Approved Commercial Enterprise
Conservation tion
Blue Tap
100%
100%
0 0
100%
228,000 Ga!Ions*
0 Ga!Ions
Restrictions
If Qualified, taps may be used in combination with Conservation Tap (i.e. 50% Water with a
Conservation 0 Plant Investment)
*Gallons may vary depending on qualifying combination
A tap may be allotted more than 1 unit of Water and/or Plant Investment. In this case the allotment is the class X
228,000 gallons = Annual Allocation. (i.e. Water Allocation 5 x 228,000 = 1,140,000 gallons Annual Allocation)
Surcharge will be assessed when an account's year to date usage exceeds the Water and/or Plant Investment Allotment.
See Page 2 for Rates.
Y VLegal Documents VLetter of IntentA20 15(2015-02-17)Legacy Farm. 6427 WCR 68.5\(2015-03-18)LegacyFarm Letter of Intent.doc
1 oft
BOARD OF DIRECTORS
CHARLES ACHZIGER
GENE STILLE
GARY SIMPSON
TODD BEAN
ROBERT ARNBRECHT
NORTH WELD COUNTY WATER DISTRICT
32825 CR 39 • LUCERNE , CO 80646
RICK PICKARD, DISTRICT MANAGER
PD. BOX 56 • BUS: (970) 356-3020 • FAX: (970) 395-0997
March 18, 2015
The Tap Fees quoted below, shall be valid for ten (10) business days from the date the applicant receives this letter and the tap
fees must be paid within the ten (10) business days to receive the fees as quoted below. The Meter Set Fee as stated below is
valid only for the location shown on the attached map.
After ten (10) business days, the costs will be subject to the then in effect rates (current cost) established by the District. The District is
not responsible for notifying individuals, banks, lenders, prospective buyers, real estate agents or anyone else, in any manner, of a change
of
TAP FEES (Assumed for Full Standard Tap)
INSTALLATION COST
Raw Water for One Acre -Foot Unit (AFU)
$20,000
Meter Set Fee $7,650
Storage Fee Portion of Raw Water Fee
$1,000
Base Portion of Plant Investment Fee 1
$7,500
Distance Portion of Plant Investment Fee
(7 miles)
$2 100
TOTAL Up -Front COSTS For STANDARD TAP (See
Paragraph 6 for Options) PER TAP
$38,250.00 Full Std Tap 1$28,650.00 Conservation Blue Tap
Price is valid for ten (10 business days from receiving this letter.
Minimum Pressure
35 psi
Normal Pressure Range
50 psi to 55 psi
Maximum Pressure
65 psi
After the water tap has been purchased (Raw Water AFU & Plant Investment Fee) the applicant has one year in which to have the me er
set. The District requires 45 days prior notice to setting a meter. If the meter has not been set within twelve months from the purchase date
and the applicant requests to relinquish the meter, the District shall refund the applicant 98% of the purchase price paid by applicant. If the
meter remains unset for thirteen to eighteen months after the initial purchase date and the applicant requests to relinquish the meter, the
District shall refund the applicant 90% of the purchase price paid by applicant. If the applicant does not choose to relinquish the meter
within one year of the applicant purchasing the meter and the meter remains unset, the account will begin billing the minimum
monthly amount.
Usage Rates and Fees
Usage Amount
Charge or Rate Per Month
0 to 6,000 gallons
$18.30 Minimum
6,000 gallons and up
$3.05 per 1,000 gallons (Kgal)
Water Surcharge
Surcharge will be assessed when an account's year to date usage exceeds the annual water allotment. Currently the surcharge is
$2.00 per 1,000 gallons in addition to the standard monthly usage fee. This fee is to recover the District's cost to obtain additional
water rights for delivery.
Rate Differential Charge
North Weld County Water District's customers have the option of transferring Colorado Big Thompson (CBT) Project Water that they
own or control to the District, on an annual basis. This water is utilized to increase the amount of raw water allocated to a tap. The
District will treat and deliver this water without water surcharge. A Rate Differential charge of $29.00 per acre-foot will be assessed on
all of these transfers. ** Effective November 1, 2015, the District will no longer accept water transfers.
Plant Investment Surcharge
Surcharge will be assessed when an account's year to date usage exceeds the Plant Investment Allotment. The transfer of additional
water will not remove this charge. Additional Plant Investment Units must be purchased to increase the allotment and reduce the Plant
Investment Surcharges. These rates are in addition to the standard monthly usage fee.
0 to 456,000 gallons above the Plant Investment Allotment $3.95 per 1,000 gallons
More than 456,000 gallons above the Plant Investment Allotment $1.95 per 1,000 gallons
Sincerely,
Eric Larson, P.E.
North Weld County Water District
Y:ALeeal DocumentsVLetter of Intent \2015\(2015-02-17)r.eacy Farm, 6427 WCR 68.5\(2015-03-I 8)LegacyFarm Letter of Intent.doe
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17 March 2015
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,e3eyfN 90
NORTH WELD COUNTY WATER DISTRICT
TAP REQUEST -LEGACY FARMS, 6301 CR 68.5
Form
No.
GWS-II
11/2011
COLORADO DIVISION OF WATER RESOURCES
DEPARTMENT OF NATURAL RESOURCES
1313 Sherman St., Ste 821, Denver, CO 80203
Main: (303) 866-3581 Fax: (303) 866-2223 dwrpermitsonline(a�state.co.us
CHANGE IN OWNER NAME/ADDRESS
CORRECTION OF THE WELL LOCATION
Review instructions on the reverse side prior to completing the form.
Name, address and phone of person claiming ownership of the well permit:
Name(s): Legacy Farm, LLC
Mailing Address: 3030 S. College Avenue, Suite 200
City, St. Zip: Fort Collins, CO 80525
Phone (970) 226-1500 Email Address: Stane@everittcompanies.com
This form is filed by the named individual/entity claiming that tt)ey are the owner of the well permit
pursuant to C.R.S. 37-90-143. /
/
For Office Use Only
RECEIVED
DEC 162014
WATER RESOURCES
STATE ENGINEER
COLO
as referenced below. This filing is made
WELL LOCATION: Well Permit Number: 150 1 7 / 10 I 7r Receipt No.: ,2/togoC Case Number: W-4540
County Weld - ` Well Name or # (optional) Well #1-15061
(Address)
1/4 of the NW 1/4, Sec. 18 , Twp. 6
Distance from Section Lines: 1650
(City ) (State) (Zip)
lX N. or r S., Range 67 0 E. orEj W., 6th
P.M.
Ft. From Ix N. or E s., 805 Ft. From O E. or Qx W. Line.
OR: GPS well location information in UTM format. You must check GPS unit for required settings as follows:
Format must be UTM, I- zone 12 or E zone 13 ; Units must be meters; Datum must be NAD83; Unit must be set to true north.
Easting Northing
Subdivision Name Lot , Block , Filing/Unit
The above listed owner(s) say(s) that he, she (they) own the well permit described herein. The existing record is being amended for the
following reasons:
MI Change in name of owner ❑ Change in mailing address ❑ Correction of location for exempt wells permitted prior to May 8, 1972 and
non-exempt wells permitted before May 17, 1965.
Please see the reverse side for further information regarding correction of the well location.
i (we) claim and say that I (we) (am) (are) the owner(s) of the well permit described above, know the contents of the statements made herein,
and state that they are true to my (our) knowledge.
Sign or enter the name(s) of the new owner(s) If signing print name & title Date (mm/dd/yyyy)
Legacy Farm, LLC, by Stanley K. Everitt, Manager ! /O/a0/4
It is the responsibility of the new owner of this well permit to complete and/or sign this form. If an agent is signing or entering information
please see instructions.
Please send confirmation of acceptance of change in owner name/address via: [j Email address listed above I] US Mail
..40://1
State Engineer
By
ri-r1-�{
ACCEPTEDASH CHANGE
RV aATU ADDRESS.
O 1gRSZ;7T`
Date
Form
No.
GWS-11
11/2011
COLORADO DIVISION OF WATER RESOURCES
DEPARTMENT OF NATURAL RESOURCES
1313 Sherman St., Ste 821, Denver, CO 80203
Main: (303) 866-3581 Fax: (303) 866-2223 dwrpermitsonlinea(state.co.us
CHANGE IN OWNER NAME/ADDRESS
CORRECTION OF THE WELL LOCATION
Review instructions on the reverse side prior to completing the form.
Name. address and phone of person claiming ownership of the well permit:
Name(s): Legacy Farm, LLC
Mailing Address: 3030 S. College Avenue, Suite 200
City, St. Zip: Fort Collins, CO 80525
Phone (970) 226-1500 Email Address: Stane@everittcompanies.com
This form is filed by the named individual/entity claiming that they are the owner of the well permit as referenced below. This filing is made
pursuant to C.R.S. 37-90-143.
REePi tte °nly
DEC 162014
WATER RESOURCES
STATE ENGINEER
COLO
WELL LOCATION. Well Permit Number: 15159-f [ %" E' Z Receipt No.: Case Number: W-4540
County Weld Well Name or # (optional) Well #2-15159
(Address)
(City ) (State) (Zip)
SE 1/4 of the NW 1/4, Sec. 13 , Twp. 6 Ix N. or r S., Range 67 ❑ E. or E>1 W., 6th
P.M.
Distance from Section Lines: 1338
Ft. From 1X N. or r S., 2525 Ft. From ❑ E. or Ej W. Line.
OR: GPS well location information in UTM format. You must check GPS unit for required settings as follows:
Format must be UTM, f- zone 12 or
l: zone 13 ; Units must be meters; Datum must be NAD83; Unit must be set to true north.
Easting Northing
Subdivision Name Lot , Block , Filing/Unit
The above listed owner(s) say(s) that he, she (they) own the well permit described herein. The existing record is being amended for the
following reasons:
pi Change in name of owner ❑ Change in mailing address ❑ Correction of location for exempt wells permitted prior to May 8, 1972 and
non-exempt wells permitted before May 17, 1965.
Please see the reverse side for further information regarding correction of the well location.
I (we) claim and say tnat I (we) (am) (are) the owner(s) of the well permit described above, know the contents of the statements made herein,
and state that they are true to my (our) knowledge.
Sign or enter the name(s) of the new owner(s)
Legacy Farm, LLC, by Stanley K. Everitt, Manager
If signing print name & title
Date (mm/dd/yyyy)
1 /io/aoi4
It is the responsibility of the new owner of this well permit to complete and/or sign this form. If an agent is signing or entering information
please see instructions.
Please send confirmation of acceptance of change in owner name/address via: n Email address listed above n US Mail
State Engineer
- CC:EPTED AS A CHANGE RV OWNSISH T
"1D MA.TUNG ADDRESS.
6;2-
By . / Date
Form
No.
GWS-11
11/2011
COLORADO DIVISION OF WATER RESOURCES
DEPARTMENT OF NATURAL RESOURCES
1313 Sherman St., Ste 821, Denver, CO 80203
Main: (303) 866-3581 Fax: (303) 866-2223 dwroermitsonlineCa�state.co.us
CHANGE IN OWNER NAME/ADDRESS
CORRECTION OF THE WELL LOCATION
Review instructions on the reverse side prior to completing the form.
Name, address and phone of person claiming ownership of the well permit:
Name(s): Legacy Farm, LLC
Mailing Address: 3030 S. College Avenue, Suite 200
City, St. Zip: Fort Collins, CO 80525
Phone (970) 226-1500 Email Address: Stane@everittcompanies.com
This form is filed by the named individual/entity claiming that they are the owner of the well permit as referenced below. This fling is made
pursuant to C.R.S. 37-90-143.
RECWfi t,Only
DEC 16 2014
WATER RESOURCES
STATE ENGINEER
COLO
WELL LOCATION: Well Permit Number: 18214 -F -R Receipt No.: '3 Case Number: W-4540
County Weld Well Name or # (optional) Well #3
(Address) (City )
(State) (Zip)
SE 1/4 of the NW 1/4, Sec. 13 , Twp. 6 l N. or r S., Range 67 D E. or0 W., 6th P.m
Distance from Section Lines: 2300 Ft. From ix N. or n S., 2400 Ft. From ❑ E. or W. Line.
OR: GPS well location information in UTM format. You must check GPS unit for required settings as follows:
Format must be UTM, IT zone 12 or IT zone 13 ; Units must be meters; Datum must be NAD83; Unit must be set to true north.
Easting Northing
Subdivision Name Lot , Block , Filing/Unit
The above listed owner(s) say(s) that he, she (they) own the well permit described herein. The existing record is being amended for the
following reasons:
IN Change in name of owner ❑ Change in mailing address O Correction of location for exempt wells permitted prior to May 8. 1972 and
non-exempt wells permitted before May 17, 1965.
Please see the reverse side for further information regarding correction of the well location.
I (we) claim and say that I (we) (am) (are) the owner(s) of the well permit described above, know the contents of the statements made herein,
and state that they are true to my (our) knowledge.
Sign or enter the name(s) of the new owner(s)
Legacy Farm, LLC, by Stanley K. Everitt, Manager
If signing print name & title
Date (mm/dd/yyyy)
It is the responsibility of the new owner of this well permit to complete and/or sign this form. If an agent is signing or entering information
please see instructions.
Please send confirmation of acceptance of change in owner name/address via: Email address listed above n US Mail
7"),Ite,./
ACCEPTED AS A CHANGE IN OW ERSHI
^`n'r1R M.AQING ADDRESS.
State Engineer By
Date
L�-(=IC7rri
i
STATEMENT OF EXISTING SEPTIC SYSTEM
(PLEASE FILL OUT IN INK)
OWNER OF RECORD:
MAILING ADDRESS:
SITE ADDRESS:
F2!7 S, L2 S
6427 wei2 (d8'%2
Phone:
SD5-
48x7
City
w4dc0,
State
Zip
ea
LEGAL DESCRIPTION: PT Si_ PT
SUBDIVISION
NUMBER OF PEOPLE:
City
State
Section is' Township
2
RESIDENTIAL OR COMMERCIAL:
Bedrooms:
2
LOT BLOCK
Zip
Range 6
FILING
Bathrooms: __i Water Supply .N U.iC-W -b
Lot Size: 5-5 Acres
SYSTEM SIZE: Tank is Constructed of
(material)
cVee
and has IOC C gals capacity
FIELD: or Trench 2 l D sq. ft. Date System Installed: )9 74 7
You are required to draw a diagram of the system on the reverse side of this
form and indicate position, length, width, and distance from the dwelling.
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 of ground identified by the above legal description and further states
that the system is in good working order and to the best of his/her knowledge is not
failing to function properly.
I further understand that any falsification or misrepresentation may result in
revocation of any permit granted based upon this information hereby submitted
and in legal action for perjury as provided by law.
Subscribed
by
Date
/Z,,;efV
Owner
and sworn to before me this l.S day of , 19 S O
Witness niy'.hand and official seal. My commission expires
// -/S - Y�
Date /J Notary Public
G 889 oao
STATEMENT OF EXISTING SEPTIC SYSTEM
(PLEASE FILL OUT IN INK)
OWNER OF RECORD: 5hI.,\S , Kt tl Phone: aO 6-488
MAILING ADDRESS: Ta %1 S CRIB s 7o,r4 (1 \trrS Co ToS'aS
City State Zip
SITE ADDRESS: ((4a-1 Wcs. (o$ 1'a L )inclsor. •Co $osS0
City State Zip
MAt\e. 4rc n -
LEGAL DESCRIPTION: PT S ,Q PT Section t8 Township 0(p Range 47
SUBDIVISION LOT BLOCK FILING
.NUMBER OF PEOPLE - 1
Bedrooms: a Bathrooms: 1 Water Supply N W Cw4J
RESIDENTIAL OR COMMERCIAL: es1dent:al
Lot Size: 55 Acres
SYSTEM SIZE: Tank is Constructed of Po1e P and has !NO gals capacity
(marial,ik1
FIELD: .:B or Trench f.O sq. ft. Date System Installed: ( <i_r
You are required todraw a diagram of the system on the reverse side of this
form and indicate position, length, width,' and distance from the dwelling.
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 of ground identified by the above legal description and further states
that the system is , in good working order and to the best of his/her knowledge is not
failing to function properly.
I further understand that any falsification or misrepresentation may result in
revocation of any permit granted based upon this information hereby submitted
and in legal action for perjury as provided by law.
Date
/ vv
Subscribed and sworn to before me this / 5 day o£ , 19 2E -
by �.�.P.
Witness may; .hand and official seal. My commission expires a —,R,770
//-i5' Y6
Date
Notary Public
1••Irr I....L L t t1`< 1 Ir 1.J r" 1 ..-tAJ l.r t -.r �•
I'�`.
r
I.A1V-_trl, MRI. ' -{ y'c 4
HSF'i {)5P
INDIVIDUAL SEWAGE:: DISPOSAL.. SYSTEM PERMIT NO, G-880199
WELD COUNTY HEAL'T'H DEPARTMENT
ENVIRONMEI-irAL. HEALTH SERVICES
1516 HOSPITAL PIT AL.. ROAD. GR.EELEY . CO 80631
353--0635 I: g i .2.225
NEW PERMIT
OWNER SHUTTS. T'S . BILL ADDRESS 8217 SOUTH COUNTY RD 5 PH (."303 ) 226-4987
FORT COLLINS CO 00000
ADDRESS OF.PROPOSED P'RC•)i= OSED SYSTEM 6427 WCR 68-1/2
WINDSOR CO 20550
LEGAL DESCRIPTION! OF SITE: NW4 SEC I8 T W"r' ,:r RiiG 67
SUBDIVISION: LOT 0 BLOCK 0 FILING 0
USE TYPE: RESIDENTIAL MOBILE HOME
SERVICES: PERSONS 3 BATHROOMS 1.00 LOT SIZE 52.00 ACRES
BEDROOMS 2 BASEMENT PLUMBING NO WATER SUPPLY NIAICWD
APPLICATION FEE $150.00
PEC' D BY COFFEY . DIANNE:
DATE 09/28/88
SIGNED BY GERHART I:BRUNNEl
DATE 09/28/68
PERCOLATION RATE 5.3 MIN PER INCH LIMITING ZONE 8 FEET
SOIL TYPE SUITABLE PERCENT GROUND ELOPE :ii DIRECTION
REQUIRES ENGINEER DESIGN NC)
FROM THIS: APPLICATION INFORMATION SUPPLIED ANI) THE ON -SITE SOIL PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED:
SEPTIC TANK 1000 GALLONS. ... ABSORPTION TRENCH 250 SQ. FT.
OR
_ ABSORPTION BET} 330 58- FT.
IN ADDITION.THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL. TERMS AND
CONDITIONS:
THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUC'T'ION TO COMMENCE. THIS PERMIT
MAY -BL: 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 N IMPOSED THEREON DURING TEMPORARY OR FINAL
APPROVAL. THE ISSUANCE OF THIS PERMIT DOES NUT CONSTITUTE t:' ' `. T'] .T. .i"r_. ASSUMPTION :L i:lN BY THE
DEPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
SEWAGE DISPOSAL SYSTEM.
'tL A -O Babb; e. 10 -ac
co rvNp to- 88 'fie
ALICE RINEBOLD 09/29/88
ENVIRONMENTAL SPECIALIST DATE
TH]:S PERMIT IS NOT TRANSFERABLE AND SHALT... BECOME VOID IF SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN O14I_ YE:Af. 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 TO MEET OUR REGULATIONS ON A CONTINUING BA—
SIS. F=:I:NAl_. PERMIT APPROVAL_ IS CONTINGENT UPON THE: FINAL INSPECTION OF THE COM—
PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT.
SYSTEM :I:NETAL.I...EI 1.V.1bWILE. 4Co�._..._ r ....D°71 : r. ON ;ATE j ._ .
Sr'' ; L:M ENGINEER _..._..._APP'RO"1VF?1_.
TYPE OF SYSTEM I.!'?S'Ts=1L.i._E:47 .....__._.. ENVIRONMENTAL SPECIALIST
THE ISSUANCE OF TI"ll- PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE::. COUNTY
01- LOCAL REGULATORY DR BUILDING REQUIREMENTS, O S j 1 [ NOR SHALL ]:T' ACT T'1" CERTIFY THAT
THE SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE Ti'1TA. COUNTY AND
i._(:1►Crll... REGULATIONS ADOPTED F'ERSU1=N I TO ARTICLE 10. TITLE 25, CRS 1973. AS AMENDED,
EXCEPT FOR THE PURPOSE OF ESTABLISHING FINAL. APPROVAL O A INSTALLED ,c,'"
1= i'�, .... 'TF�iI._I_F::A) SYSTEM T'EM FOR
ISSUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS r ::J 25 -10 —iii (2),
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