HomeMy WebLinkAbout20153039.tiff 001216-02 Meter Readings Readings Dates l U
Description Previous Present Usage Read Code Previous Current
1000 Gallons 684 688 4 Actual 1/20/2015 2/16/2015
Previous Balance $21.45
Payment Received ($21.45)
Water Minimum Charge $16.50
Water Usage Charge $3.30
CST Surcharge �4QE $0.00 MAR 0 2 Z015
Total Current Charges $19.80
Total Due $19.80
Please write account number on all payments and CUSTOMER
correspondence.Thank you. Kimzey Casing Service LLC
SERVICE ADDRESS
25974 County Rd 51
Water , ACCOUNT NUMBER BILLING:DATE21
Consumption 001216-02 02/28/15
18 .:'O:$
AMOUNTDUE DUE DATE
15 yy $19.80 03/10/15 12 9 40 ,IO: BILLING PERIOD
6 ?;>'r .:"A ciM `lid `."„ From01/31/15 to 02/28/15 = 28 Days
0 % CENTRAL WELD COUNTY WATER DISTRICT
A J J A SONDJF 2235 2nd Avenue :I
Greeley,CO 80631
970-352-1284
M
v•
•
Oil INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G--85046'1
•
WELD COUNTY HEALTH DEPARTMENT NEW PERMIT
ENVIRONMENTAL HEALTH SERVICES
1546 HOSPITAL. ROAD, GREELEY, CO 00631
353-0635 EXT.2225
:WNER KLEIN, RICHARD & SONJA ADDRESS 25187 WCR t54 1 /4 PH (:_+0;;) 000
GREELEY, CO 8O6 3t
iDDRESS OF PROPOSED SYSTEM 25974 WCR 51
GREELEY, CO 20631
.EGAL DESCRIPTION OF SITE : NW4 SEC 29 TWP 5 RNG 64
:i.1BD1-VISION: LOT 0 BLOCK 0 FILING 0
ISE TYPE : RESIDENTIAL
•ERVICES : PERSONS 4 BATHROOMS 2.00 LOT SIZE 2,00 ACRES
BEDROOMS 3 BASEMENT PLUMBING NiO WATER SUPPLY CWCWD
PPLICATION FEE $150L00
'.EC ' D BY RECEPTIONIST AID SIGNED BY GEORGE. E. BARBER
DATE 07/47/85 DATE 07/17/85
'.RCO!„AT.ION RATE 39.. 9 MIN PER INCH WATER TABLE DEPTH 66 FEET
OIL TYPE SUITABLE ABLE PERCENT GROUND SLOPE 2Z DIRECTION F
EQUIRES ENGINEER DESIGN NO
ROM THE APPLICATION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA
HE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED :
SEPTIC TANK 1000 GALLONS, ABSORPTION TRENCH 85'2 SQ. ET.
OR
ABSORPTION BED 1404 SQ, FT.
N ADDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS «;, A,D
1NDITION.S :
________-
HIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT
AY It[-_ REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH Er
.. � _ ' DEPARTMENT FOR REASONS ?:E='1'
L?RTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING
.1 ILURE TO MEET ANY TERM ORCONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL
PfiOVAL_. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE: ASSUMPTION BY THE
E.PARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
:::WAGE DISPOSAL SYSTEM.
VARGUL ICH, GEORGE 07/'29/85
ENVIRONMENTAL SPECIALIST DATE
.'IS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS
:'1 COMMENCED WITHIN ONE YEAR OF ITS .ISSUANCE, BEFORE ISSUING FINAL.. APPROVAL OF
;j,., PERMIT THE. WELD COUNTY HEALTH . DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADD]:...
ONAL. TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA-
:S. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF
THE COMr
!=.'T'ED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. /
'STEM INSTALLER - s
'STEM ENGINEEF' rAPPROVAL . 40./Arc-
'PE: OF SYSTEM INSTALLEDS.......__......_...._..
_._.._.........._.. E:.NVIRC JMC-N'fAL SPECIALIST
i ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE , COUNTY
• LOCAL. REGULATORY OR BUILDING REQUIREMENTS , NOR SHI:A...I_. IT ACT' TO I:I_:j T'IF"'( THAT
SUBJECT SYSTEM ',J.[L_L OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND
AL REGULATIONS ADOPTED I F Y IiAN I TO ARTICLE 10, TITLE '5, CRS i •r7., , AS AMENDED ,
-1`.F PT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN INSTALLED SYSTEM L_M FOR
UANP,L. OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-111 ( 2) ,
Hello