HomeMy WebLinkAbout20162103.tiffN0V 211969
ASSIGNMENT
30d7 IL. z -
FOR VALUE RECEIVED, I hereby sell, transfer and assign
to ANDREW HOP, JR. and MURIEL HOP, husband and wife,
water taps in the CENTRAL WELD COUNTY WATER DISTRICT, on my
described as follows:
Situate in Weld County, Colorado, to -wit:
The East half (E 1/2) of the Southwest quarter
(SW 1/4) and the North half (N 1/2) of the
Southeast quarter (SE 1/4) of Section Thirteen
(15), Township Five (5) North, Range Sixty-five
(65) West of the 6th P.M.
It is understood that these taps were purchased for the
above described lands and may not be transferred to other lands,
without express written consent, in addition to the below
consent, of the CENTRAL WELD COUNTY WATER DISTRICT. I further
authorize the Secretary of said District to do any and all things
necessary to effectuate this transfer on the books and records
of said District.
IN TESTIMONY WHEREOF I have set my signature this
day of , 1969.
CONSENT TO ASSIGN?' NT
I, Dale D. Olhausen , Manager of the CENTRAL WELD
COUNTY WATER DISTRICT, hereby consent to the above Assignment on
behalf of said District,
Manager
ACCEPTED:
buyer I
Weld County Environmental Health Services Department
1555 N. 17th Avenue
Greeley, CO 80631
Phone (970) 304-6415
Fax. (970) 304-6411
Web weldhealth.org
Septic Permit - Final
Application Number: SP -1400248
Owner Name: HOP ANDREW JAY
Site Address: 27295 CR 47.5
WELD. CO 80631
App Type: Health\Residential\New OWTS\Septic
BRENDA GREENHAGEN
AGPROFESSIONALS
3050 67TH AVE #200
GREELEY, CO 80634
Parcel #:
Legal Desc:
App Specific Info:
096113000076-M3385286
12412 IMPS ONLY MH PT E2SW4 13 5 65
•
Application Status:
Ready to Final
Applied Date:
09/04/2014
Issued Date:
09/09/2014
Finaled Date :
is/`i/ LF
Location Description
Repair Reason Type
Associated Building Permit
Associated Building Permit Number
Associated Disaster Permit
Waive Fees
Number of Persons
Number of Bedrooms
Public Water Supply
Public Water Supply Utility
Parcel Acres
MOBILE HOME
New
Yes
MFG 14-00070
No
No
3
2
Yes
CWCWD
73.46
Actual Installation:
Septic Tank: I i'• 1 -! gallons
Design Type -r
>
Absorption Trench sq ft
Absorption Bed sq
Chamber Model . .,4 ( k - ' ;.
Chambers
lei
NOTICE
The issuance of this permit does not imply compliance with other state. county. or local regulatory or building requirements, nor shall it act to certify that
the subject system will operate in compliance with applicable state. county and local regulations adopted persuant to Article 10, Title 25. CRS as
amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973
25-10-111 (2).
This permit is non -transferable and non-refundable The Weld County Department of Public Health and Environment reserves the right to impose
additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of
the completed s em by the Weld County Dgyauffiert ublic Health and Environment
x
Erfvironmental Health Specialist � Date
Report ID. EHS00033v006
Print Date Time. 10/1/2014 8:58:31AM
Page 1 of 2
NOV 2 11969
ad IT 2%()
ASSIGNMENT
4t— ,13>R) , /5
FOR VALUE RECEIVED, I hereby sell, transfer and assign
to ANDREW MOP, JR, and MURIEL MOP, husband and wife,
water taps in the CENTRAL WELD COUNTY WATER DISTRICT, on my
described as follows:
Situate in Weld County, Colorado, to -wit:
The East half (ii 1/2) of the Southwest quarter
(SW 1/4) and the North half (N 1/2) of the
Southeast quarter (SE 1/4) of Section Thirteen
(13), Township Five (S) North, Range Sixty-five
(65) West of the Gth P.M,
It is understood that these taps were purchased for the
above described lands and may not be transferred to other lands,
without express written consent, in addition to the below
consent, of the CENTRAL WELD COUNTY WATER DISTRICT. I further
authorize the Secretary of said District to do any and all things
necessary to effectuate this transfer on the books and records
of said District,
IN TESTIMONY WHEREOF I have set my signature this
day of 1969,
Cam•
/
Sherman R, N,itmore
CONSENT TO ASST CNIIENT
Dale D. Olhausen , Manager of the CENTRAL WELD
COUNTY WATER DISTRICT, hereby consent to the above Assignment on
behalf of said District,
i�,
Manager
ACCEPTED:
zuye
f
Scanning Cover Sheet
for
Septic Permits
Permit #
G19810079
Permit Type: Health / EHS History / EHS Conversion History
Situs Street Address
Situs City, State, Zip
27454 CR 47.5
Sec/Town/Range: 13 -05N -65W
Parcel # (12 digits)
Owner Full Name:
Owner Address:
Contact Name:
Contact Address:
096113400001-R4250606
A BAR A DAIRY
27454 WCR 47 1/2 •
KERSEY,CO 80644
Application Status: Finaled
Application Date: 03/11/1996
Owner Phone #: 303 3537112
Contact Phone#
Information above has been Verified in Accela by employee noted below
X
January 16, 2009
Processed by:
Date
Report ID: EHS00024v003 Page 1 of 1
Print Date -Time: 1/16/2009 1:43:42PM
- • , A,PPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM JNo. .
WELD COUNTY HEALTH DEPARTMENT 0 .I ` n 'New
TotENVIRONMENTAL HEALTH SERVICES ({
1618 Hospital Road, Greeley, CO 80831 Repair _
PAT 42 / ',wy.,.' BP
j� 353-0640 EXT. 270
OWNER t' i"-?-1. _'IA -4 ' j !'n (!'.ADDRESS C 7 r/rV /...4/ r ze r/7 i : .-.
PHONE
ADDRESS OF PROPOSED SYSTEM
LEGAL DESCRIPTION OF SITE: PT '-5 ( ✓y1 S I. T .5 R /C.C.
SUBDIVISION LOT ,.BLOCK , FILING
USE TYPE: RESIDENTIAL INSTITUTION
COMMERCIAL OTHER fro ,r V
SERVICES: . PERSONS BATHROOMS /1,749
LOT SIZE 9 19 .+leo.s
BEDROOMS BASEMENT PLUMBING WATER SUPPLY / /- !, %
TYPE OF SEWAGE DISPOSAL REQUESTED: Dior /! 4 .'q' dal
Applicant acknowledges that the completeness of this application is conditional upon further mandatory and additional tests
and reports as may be required by the Weld County Health Department to be made and furnished by the applicant or by the
Weld County Health Department for purposes of the evaluation of the application; and the Issuance of the permit is subject
to such terms and conditions as deemed necessary to Insure compliance with rules and regulations adopted under Article 10,
Title 25, CRS 1973, as amended. The applicant certifies that the proposed system will not be located within 400 feet of a com-
munity sewage system. The undersigned hereby certifies that all statements made, information and reports submitted here•
with and required to be submitted by the applicant are, or will be, represented to be true and correct to the best -or my knovil-
edge and belief, and are designed to be relied on by the Weld County Health Department In evaluating the same for purposes
of Issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result In the denial
of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law.
v
Application fee �`-� • �� �O/
----Reed by (#.• '/A ,6 ‘')/h1:7-6:0 Date g -Ic / OwnerlAgent'Slgnature Date
• • • • • • • • • • • • • • a
FOR DEPT. PERCOLATION RATE 7S!t ,/� -i WATER TABLE DEPTH >&F?'
USE ONLY SOIL TYPE a - PERCENT GROUND SLOPE ievir.1 '
REQUIRES ENGINEER DESIGN ( ) YES (.1 No
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
From the application information supplied and the on -site soil percolation data, the following m um installation specifi-
cations are required:
SEPTIC TANK /Gee GALLONS, ABSORPTION TRENCH 145- . SQ. FT.
or
ABSORPTION BED l 9.O SQ. FT.
In addition, this Permit is subject to the following additional terms and conditions:
This Permit is granted temporarily to allow construction to commence. This Permit may be 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 imposed thereon during temporary or final approval. The Issuance of this Permit does not
constitute assumption by the Department or Its employees of liability for he failure or Indequa;j of sire sewage disposal system.
7/6/4/
Environmental Specialist Date
This Permit is not, transferrable and shall become void if system construction has not commenced within one year of its issuance:
Before Issuing final approval of this Permit the Weld County Health Department reserves the right to Impose additional terms
and conditions required to meet our regulations on a continuing baels. Final Permit approval Is contingent upon the final in-
spection of the completed system by the Weld County Health Department.
SYSTEM CONTRACTOR _ FINAL INSPECTION n/v
SYSTEM ENGINEER APPROVAL X// ` Bari €O ,,,,,
E ronmental Specialist Date
The Issuance of this Permit does not Imply compliance with other state, county, or local regulatory or building requirements,
nor shall It act to certify that the subject systemwill operate In compliance with applicable state, county and local regulations
adopted pursuant to Article 10, Title 25, CRS 1973, as amended, except for the purposes of establishing final approval of an
installed system for Issuance of a local occupancy permitpursuant to CRS 1973 25.10.111 (2).
l
Origlnal•Applicant; Copy-WCHD
1
�J
WCHD-EHS February, 1981
/‘10 jai
16 �',
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