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001702-02 Meter Readings Readings Dates
Description Previous Present Usage Read Code Previous Current
1000 Gallons 1790 1801 11 Actual 3/19/2015 4/21/2015
Previous Balance ($41.80)
Payment Received $0.00
Water Minimum Charge $ 16.50
Water Usage Charge $ 14.85
CBT Surcharge $0.00
Total Current Charges $31.35
CREDIT BALANCE - DO NOT PAY ($10.45)
Please write account number on all payments and CUSTOMER
correspondence.
You may also pay at www.cwcwd.com - our website is Osvaldo Frias
functional again.
SERVICE ADDRESS
16571 County Rd 42 ,
Water ACCOUNT NUMBER BILLING DATE
Consumption
14 001702-02 04/30/15
AMOUNT DUE DUE DATE •
10 tX.?2'..: -,,>:. ,:, r rgr ($ 10.45) 05/10/15
, BILLING PERIOD
' : % : :>::::~�:'' :: :%r%�` %! f`<' ' From to 04/30/15 = 30
2 •�. . . ;- - - - - - . .. - �- -, . . � f, Days
. • CENTRAL WELD COUNTY WATER DISTRICT
0 N D J F M A 2235 2nd Avenue
Greeley, CO 80631
970-352-1284
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001702-02 Meter Readings Readings Dates
Description Previous Present Usage Read Code Previous Current
1000 Gallons 1773 1781 8 Actual 1/22/2015 2/16/2015
Previous Balance ($46.25)
Payment Received ($50.00)
Water Minimum Charge $16.50
Water Usage Charge $9.90 i
CBT Surcharge $0.00
Total Current Charges $26.40
CREDIT BALANCE - DO NOT PAY ($69.85)
Please write account number on all payments and v "
CUSTOMER
correspondence. Thank you.
Osvaldo Frias
SERVICE ADDRESS
16571 County Rd 42
Water ACCOUNT NUMBER BILLING DATE
Consumption
001702-02 02/28/15
12 'af�
- ... �•- .-,t AMOUNT DUE DUE DATE
10 A� O....r1 e.ttt o,....�8 AM "c'"" '' I " "' ($69.85) 03/10/15
Kees�'''t'+�•'t� •a.��.�.•, it•i i•+t'•'�•.t p!•�2 i•i iat•� �•O .❖ .•
6 .....1 ti . ..� sus. �uu.�.tu u
O'i Ot•••,•Oi'• .tPOOi�i it • ,X5 •• •• ;• • Oi'.
4 ..ttt. 4 •, „t,. IM MO o'y,�"`• � rr.a*. t. BILLING PERIOD
i�•••..ut,•���..'1 4�1��..�. �.t�i�u�.'�.�� aF.,•it.❖i�I�1 a,Iv.�t�•�1 �2 .. .. :,'it c '•,• °- E-is:•••• `1grtattiM Rawl' s
From01/31/15 to 02/28/15 = 28 Da
0 ss-.-tt, t rc i :�� .:.: :• 1 $88 . . :>=.1 -. � y
1 �• • � • � �`1 � CENTRAL WELD COUNTY WATER DISTRICT
0 N ' D J F 2235 2nd Avenue
Greeley, CO 80631
970-352-1284
•
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
PHONE (970) 304-6415 FAX (970) 304 .6411
Permit #: SP-9900273 Sec/Twn/Rng: 23-04-66 Status: ISSUED
Owner: LOUIS RAY LLC (RICHARD SMOLIK) Applied:
Applicant: LOUIS RAY LLC (RICHARD SM0LIK sud 06/07/1999
14
Permit Type: RNEW Commercial, R--Residential + NEW, ) Finale 0712 4/1999
REPair, VauLT Finaled:
Parcel #: ??
Location: 16571 WCR 42 LASALLE
Legal Description:
Installer: f% e4 L frca -t a , Ct_t rn c Lila
j
Description: HOUSE
Commercial: N Residential:Y Acres: 2.6
# of Persons: 4 Basement Plumbing: Y
# of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2: 0
Water Public: Y Water Source: CENTRAL WELD
Water Private: Cistern: Well: Well Permit #:
Percolation Rate: 55 Limiting Zone: 8 ft 0 in Description
% Ground Slope: 0 Dir: Soil Suitable: (Y/N) Y
Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1000 gallons Absorption Trench: 1050 square feet
or Absorption Bed: 1380 square feet
Actual Installation
Septic Tank: \ "-' gallons Absorption Trench: square feet
Absorption Bed: ( c 0 square feet ITIL1
Design Type: (' ,Caq..k,k_-h,c ,L.Q
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 not transferable. 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 system by the Weld County Depart ent of Public Health and Environment.
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(4)6(tH)
Environmental Health Specialist Date
Form: S__FINAL
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