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Home My WebLink About20161967.tiff000541-03 Description 1000 Gallons Meter Readings Previous Present Usage 211 212 1 Read Code Actual Readings Dates Previous Current 7/21/2015 8/19/2015 Water Minimum Charge Water Usage Charge CBT Surcharge $16.50 $0.00 $0.00 Previous Balance $0.00 Payment Received $0.00 Total Current Charges Total Due In observance of Labor Day, our office will be closed on Monday, September 7th, 2015. Please write account number on all payments and correspondence. You may also pay at www.cwcwd.com - our website is functional again. Water 0 Consumption A CUSTOMER $16.50 $16.50 Terry & Roberta Vider SERVICE ADDRESS 20504 County Rd 54 ACCOUNT NUMBER 000541-03 AMOUNT DUE $16.50 BILLING DATE 08/31/15 DUE DATE 09/10/15 tFrom 07/31/15 to 08/31/15 = 31 Days CENTRAL WELD COUNTY WATER DISTRICT 2235 2nd Avenue Greeley, CO 80631 970-352-1284 BILLING PERIOD DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 www.weldhealth.org norm pdminletradon Vital Records Tale: 970.304.6410 Fax 970.304.6412 Public Health & Clinical Services Tele: 970.304.6420 Fax: 970.304.6418 Environmental Health Services Tele: 970.304.6415 Fax 970.304.6411 Communication, Education & Planning Tele: 970.304.6470 Fax: 970.304.6452 PablbcPe&th r ., V a Emergency Preparedness & Response Tele: 970.304.6420 Fax 970.304.6459 Owvision: Togetherwnh the communities ee sane, we are worlona to make Weld County the healthiest place la live, tram, work and pay. Septic Permit Application Application Number: SP -1500201 App Type: HealthResidentianNew OWTS\Septic STEVE DICKINSON 2D ENTERPRISES PO BOX 504 FT LUPTON, CO 80621 Owner Name: Parcel #: Legal Desc: Work Description: Site Address: App Specific Info: VIDER TERRY K & ROBERTA 096128000032-R3928686 12854 W2NE4 28 5 65 EXC UND INT OG&M HOUSE 20504 CR 54 GREELEY, CO 80644 Location Description Number of Bedrooms Parcel Acres Public Water Supply Public Water Supply Utility 20504 CR 54 GREELEY CO 2 10 Yes CWCWD TERMS AND CONDITIONS A permit fee, as set by separate ordinance of the Board of Weld County Commissioners, shall be required of applicants for ansite wastewater treatment systems, payable attime of application. Permit fees are non-refundable; permit applications are nonLansferable. If both a building permitand an OW S are issued for if same property and conaWetion is not commenced prior to the expiration date of the budding permit, the OWES permit shall expire at the same time as the building permit If an OWrS permit is issued for a property that does not require a building permit, the OWrS permit shall expire one year after its issuance if construction on the septic system has not commenced. Any change in plans or specifcalons alter the permit has been issued invalidates the permit unless approval is secured from the Health Officer ar hisher designated agent Expired permits can be renewed by payment of the permit fee only if: A There has been no change in the plans and specifications of the proposed system as set out in the original application or such change Is reviewed and approved by a Division Representative. B. The surrounding land, its use or zoning has not changed so -as -to cause the original application not to be acceptable under these regulations, NOTICE The completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Department of Public Health and Environment (VVCDPHE). The issuance of the permit a subject to such terms and conditions as deemed necessary to insure compliance with rules end regulations adopted under article 10 title 25, CRS as amended. Tire applicant ceriftes that the proposed system will not be located within 400 feet of a communitt sewage system. The undersigned certifies that all statements made, information and reports submitted herewith are, or will be, represented to be true end correct to the best of his/her knowledge and are designed to be relied on by the WCDPHE for evaluation for purposes of issuing the permit applied for herein. Applicant further understands that falsification or misrepresentation may result in the denial of the application or revocation of any permit granted, and in legal action or perjury as provided by law, X Owner/Applidan I Date Print Date Time: 6/22/2015 3:26:03PM Septic Permit Application El -1800056 Page 1 of 1 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 www.weldhealth.org Health Administration Vital Records Tele: 970 3046410 Fax: 9703046412 Public Health & Clinical Services Tele: 970 3048420 Far 970 304.6416 Environmental Health Services icki 9703046415 tar 970 304 8411 Communication, Education & Planning Tele: 970 304 6470 Fax: 970304 6452 PubHcHealth . Emergency Preparedness & Response Tale: 970 304 6420 Fax 970 304 6459 Our Mien: Together with the Communities we serve, we aro woMlrg to make Weld County the healthiest place to live, learn, work and pay Application Number: Owner Name: Site Address: App Type: Parcel Number: Legal Desc: Work Description: EHS SEPTIC GENERAL: Septic Permit New SP -1500201 VIDER TERRY K & ROBERTA 20504 CR 54 GREELEY, CO 80644 Health\ResidentiallNew OWTS\Septic STEVE DICKINSON 2D ENTERPRISES PO BOX 504 FT LUPTON, CO 80821 096128000032-R3928686 12854 W2NE4 28 5 65 EXC UND INT OG&M HOUSE - Application Status: Final Pending Applied Date: 06/22/2015 Intake Person: SCERRILLO Permit Expiration Date: Associated Disaster Permit Location Description Number of Bedrooms Parcel Acres Public Water Supply Public Water Supply Utility Waive Fees No 20504 CR 54 GREELEY CO 2 10 Yes CWCWD No Septic Permit With Eng Design EH: Print Date - Time 6/30/2015 8:51:06AM Page 1'. of 2 June 22, 2015 Application Number: App Type: Owner Name: Site Address: Weld County Environmental Health Services Department 1555 N. 17th Avenue Greeley, CO 50631 Phone: (970) 304-6415 Fax: (970) 304-6411 RECEIPT SP -1500201 Health\Residential\New O WTS\Septic VIDER TERRY K & ROBERTA 4689 S BLUE SPRUCE RD EVERGREEN, CO 80439 20504 CR 54 GREELEY, CO 80644 Rcpt # Pmt Type EHS-1500281 Paid Total Payments: Pmt Method Ref # Pmt Date amount Check 2062 06/22/2015 $750.00 $750.00 Cashier SCERRILLO Comments Health Receipt EHS054 Print Date Time: 6/22/2015 3:26:21 PM Page 1 of 1 Hello