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Home My WebLink About20162570.tiffNORTH WELD COUNTY WATER DISTRICT P.O. BOX 56 32825 CR 39 LUCERNE, CO 80646 PHONE: (970) 356-3020 • FAX: (970) 395-0997 • E-MAIL: water@nwcwd.org eoartl of Directors' Charles Achziqer, Gene Stifle, Robes Arnbrecht, Todd Bea Gary Simpson Manager: Rick Pickard ACCOUNT NUMBER NAME AND SERVICE ADDRESS BILLING PERIOD CLAY B. KELLER 1563001 42720 CR 13 03/25/2016-04/26/2016 FORT COLLINS, CO 80524 54 Water Class P (KGal) 70 % of 1.000 Acre Foot 228 Transferred Water 0 I Allocation Adjustment 0 Less YTD Usage 22 Remaining Water Allocation 200 Plant Investment Class 70 % of 1.000 Acre Foot 228 Less YTD Usage 22 Remaining PI Allocation 206 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr District E -Newsletters enroll at www.nwcwd.org Prey. Read Curr. Read Usage Unit Amount Previous Balance -143.35 04/26/2016 Standard - Full 1739 1743 4 kgal 18.30 Current Amount 18.30 Total Credit -125.05 DETACH HERE NORTH WELD COUNTY WATER DISTRICT P.O. BOX 56 LUCERNE. CO 80646 PHONE: (970) 356-3020 • FAX: (970) 395-0997 • E-MAIL: water@nwcwd.org Any payment received after the 15th of the month may not show on this billing. Please note that all accounts are due by the 15th of the month. Return this stub with your payment Thank you. ACCOUNT NUMBER SERVICE ADDRESS AMOUNT DUE BY'. 05/15/2016 AMOUNT PAIL) 1563001 42720 CR 13 FORT COLLINS, CO 80524 CREDIT IlllltJrllllllydll'jlllllllj11111111IlIlhI1lllllllllllllrlr911 AUTO"SCH 5 -DIGIT 80521 CLAY B. KELLER 42720 COUNTY ROAD 13 FORT COLLINS CO 80524-9103 2>811 Ills.n,Il'lIIIIIIIIIIIILIIIIIIIrlllllllrlrll'lllllllll..rlllll NORTH WELD COUNTY WATER DISTRICT P.O. BOX 778 Gretna. NE 68028-0778 001563001001563001000-12505 fetz Wilk COLORADO CLOSING DATE: H-015-'4 FAX F .001 MEW 420 OR R.EFIN CE SEPTIC LOAN EVALUATION SPECIALIST INSTRUCTIONS REQUEST NO.: 04 - DATE RECEIVED/SEC FEE $100.00/$120.00 42 . TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: Mail To?Orr E?,rra7e A-hr7 era z&.i4oin 2eul I - 'f .$`?,S 1 J- 1D$'- %-- vt Fax To Pick Up; C‘•-)reeIF4! cc 55063y Owner No.: (H) Owner No.: (W) Realtor No.:g70- 5-&-Oc1p5 Fax No.: INFORMATION? Addres rjrrz Legal: PT: PT: SEC: Al TWNs Subdivision: LOT: Property Owner:wtt){) 1(.5Qy), klrc.r Ipvul(ppriginal Tank Pumped on: n .,Cg.me Byc jp k K p)yy.�1 ✓ICS PERMIT ON RECORD: Name:ill ckr.:Y'Wn grit ? .Y\inlce Permit No.:[ -,I 7QrfsS.O.E. YeaVisb Bathrooms: .0.S Bedrooms: sl Total Acres: 274.,_ Date of Final Inspection: 5t1- j Water Supply_?sy} _{ Well Permit No.: Tank Capacity-: gallons Leachfield Size: Square Feet _ Age of Septic: "77 Des N RNG: (,'7 W ELK: FLG: Owner:(O.1tVOLSO f -r Licensed:Yee No INSPECTION FINDINGS: Dattof Inspection: „\x)r (0-,44-001 SOIL CONDITIONS: Dry Saturated Snow-covered RESIDENCE: Occupied Vacant 1` SEWAGE DISPOSAL SYSTEM: Satisfactory Other BACTERIOLOGICAL WATER TEST: Acceptable Other COMMENTS: DATE: 1 r e SIGNATURE: of :' "Vl`V' Environmental Health Specialist Neither the County of Weld, nor any of its agents or employees undertake or assume any liability to. the owner of the above property, to any purchaser of the above property or to any lending agency making a loan on the above property in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable at the time of inspection, and does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Water sample reports reflect the bacteriological quality of the water supply et the time the sample was taken. Evaluations based on Statements of Existing (S.o.E.) relies on information the property owner provides, under oath, indicating current status of the system and representing to the best of his/her knowledge the system is. not failing to function properly. Wilk COLORADO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17Th AVENUE GREELEY COLORADO 80631 WEBSITE: www.cv.we!d.co.us ADMINISTRATION (970) 300.6410 PUBLIC HEALTH EDUCATION & NURSING (970) 304-6420 FAX (970)304-6416 ENVIRONMENTAL HEALTH SERVICES (970) 3046415 FAX (970) 304.6411 SEPTIC LOAN APPROVAL CLOSING DATE: 11-05-04 FAX FEE: N/A NEW LOAN REQUEST NO.i 04-035 DATE RECEIVED: 10-12-04 FEE PAID: 10-12-04 TO WHOM IT MAY CONCERN: Review and inspection report regarding water and disposal system for an existing dwellings Mail To: Pax To: Pick Up: DON BRAZELTON/ERAZELTON REALTY 3835 WEST lox" ST STE 2008 GREELEY CO B0634 the sewage Owner No.: (U) Owner No.; (W) Realtor No.: 970-351-0405 Fax No.: INFORMATION: Address, 42720 NCR 13 Legal: PT, PTs Subdivision: LOT, Property Owner: WILKINSON, ERIC 6 JANICE Original Tank Pumped on, 03-19-04 By: D 6 K PUMPING SEC: 31 Age of Septic: 1977 TWN, 0E N PEG, 67 W _ SLR:_ FLO: Owners WILKINSON, ERIC 6 JANICE Licensed:Yes XX No PERMIT ON RECORD: Name: WILKINSON, ERIC 6 JANICE Permit No.:G-19770075 S.O.E.: NO Bathrooms: 2_5 Bedrooms: 4 Total Acres: 36 Date of Final Inspection: 03-17-77 Water Supply: NWCWD Well Permit No.: N/A Tank Capacity: 1250 gallons Leachfield Sias: 936 Square Fast INSPECTION FINDINGS: Date of SOIL CONDITIONS, Dry XX RESIDENCE: Occupied _ SEWAGE DISPOSAL SYSTEM: BACTERIOLOGICAL WATER TEST: DATE: 012-qfx' Inspection, 10-14-04 Saturated Snow-covered _ Vacant XX Satisfactory XX Other Acceptable XX Other SIGNATURE, nfIAAA Environmental Health Specialist Neither the County of weld, nor any of its agents or employees undertake or assume any liability to the owner of the above property, to any purchaser of the above property or to any lending agency making a loan on the above property in connection with either its examination of the property or in the report. This inspection wes conducted solely for the purpose of detecting health bastards observable at the time of inspection, and does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Water sample reports reflect the bacteriological quality of the water supply at the time the sample was taken. Evaluations based on statements of Existing (S.0.3.) relies on information the, property owner provides, under oath, indicating current status of the system and representing to the best of his/her knowledge the system is not failing to function properly. 1516 Il ';pilot Road Creek. Colorado PERMIT NO. 25 — Ph. 53-0540 -1770xic I+pplical /gTef rt'iI$ {rf.(lall, Construct, nn Individual Sewage Disposal System. Ov:per1`ite,s 6c 7 Va,'t.Lcz //1. Direction to site: Hwy- Rd Address s3 / a G /bitPhone%/ O6 7f L1 �. N r \i/ mi. Legal Description. Pine/,//,Sec T N, voir Subdiv Lot 01k I� General Information No, licrlroom':2 7 No Pr, cons No. yolk �/ licr emenr Plumbing Size of Lot 36 04,1_1.6 4 H..O supply (if well give deplhl Y) ._O_,Ler / New Home*/ Mobile I -know, 7 Modular_ Add'n Type of sewage disposal requester) Septic lank._ Pris Diller /hi', r S Ir' C','ri-I lit I the. `.I.heir'nl I'. r"li'I ri :,lh,lr .I(R ' r'i 'u blur,Scrucr?' Dept. Use Only I Pere. Role (Avg rr of 3) / 1/rr /Ovum Soil Type si d,, thy ILO Table Depth__ t Lot Grade. xi y t'''d'ro Requires Engineer Des go_Yes 2 Na If yes — reason Cammenis Inctollolion Instructions: Wini:nm Requirements 11 Septic Tank /ate Cools Ollrer Special Instructions Absorption Trenches 6 6 o Sq. Ft. or to O Seepage bed O Sq. Ft. This system will Ire constructed anti inclollet: in accordance witlr ilia above spccilicalians and regulations re - ;Milling individual sewage disposal syslcnrs in Weld County, Colorado (Iris. I,crrrrit Shall r•a l'iu• nl 'he 'ann' limn as the building permit or i( in, building peril is issued, the permit shall expire 12O doyen alter its isuonce, if eonsi rust ion has not beem n eonmenceI, Dole 3 /7 '27 Owller' Applicroinl The plops and specificoiions as shown are olrproved pending payment of permit fee. Dote: 4. IJ'• '7' f Sanitarian s d ,f (hr uho\e system inspected and Intuit( to comply with plan and do-srnpr ion Systems Connector -_� _«} (Ue:4'ae( Dole /o -,7A . '2/' Engineer Review: Permit Fee: $ SQ OC9 Received by; Sanitarian. •te-Ze Morel Dole: 15ipnolti ret /7 77 N fc(L k. crn2 4$"M- L.4.---_ 5 Lnwbl 45 -11Z - r' /dam r to `le tri sir r��44/�in can inin.r n,ru .7iet. li- a L ten. drive wig No�'. 1�4 ;L. so '��r -- 2 COMP $ earl' ti ✓ i�.5O a/ Za %n 42a) C u a J 404- z4O1-1 C) Hello