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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 2of2 \\193168.10.]\company sacred folders \legal documents \letter of intent \2015\(2015-02-1J)legocy farm, 6427 war 60.5 \ site drawing - legacy bans, 6301 cr 68.5.4* 17 March 2015 H ,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), Hello