HomeMy WebLinkAbout20153860.tiff Account Number
000510-02 Meter Readings Readings Dates
Description Previous Present Usage Read Code Previous • Current
1000 Gallons 127 133 6 Actual 5/15/2015 6/18/2015
Previous Balance $19.35
Payment Received ($20.00)
Water Minimum Charge $16.50
Water Usage Charge $6.60
CBT Surcharge $0.00
Total Current Charges $23.10
Total Due $22.45
In observance of the Independence Day holiday, our office will CUSTOMER
be closed on July 3rd & reopen on Monday, July 6th. Have a
safe holiday! Troy Bonnell
Please write account number on all payments and
correspondence. SERVICE ADDRESS
You may also pay at www.cwcwd.com -our website is 26712 County Rd 45
Water ACCOUNT NUMBER BILLING DATE
consumption
6 000510-02 06/30/15
5
AMOUNT DUE DUE DATE
.1
3 $22.45 07/10/15
2
BILLING PERIOD
0 From05/31/15 to 06/30/15 = 30Days
ONDJF MAMJ
CENTRAL WELD COUNTY WATER DISTRICT
2235 2nd Avenue
Greeley,CO 80631
970-352-1284
f
ZN,iROi ,y DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
Public Health
Web: weldhealth.org
Health Public Health & Environmental Communication, Emergency
Administration Clinical Health Education & Preparedness
Vital Records Services Services Planning & Response
Tele: 970.304.6410 Tele: 970.304.6420 Tele: 970.304.6415 Tele: 970.304.6470 Tele: 970.304.6420
Fax: 970.304.6412 Fax: 970.304.6416 Fax: 970.304,6411 Fax: 970.304.6452 Fax: 970.304.6459
Our vision: Together with the communities we serve, we are working to make Weld County the
healthiest place to live, learn, work and play.
July 02, 2015
Owner: BONNELL TROY M
26712 COUNTY ROAD 45
GREELEY, CO 80631
Application Number: ISDS-1500009
Septic Permit Reference Number:SE-1500011
Inspection of final treatment capacity subject to: 3 Bedrooms
Site Location:
Site Address: 26712 CR 45
Parcel Number: 096123000012-R3917586
Section/Township/Range: 23-05N-65W
Legal Description: 12825A PT W2NW4NW4 23 5 65 BEG S0D29W 624.44' FROM NW COR NW4
S89D34'E 651.30' S0D23'W 668.28' N89D34'W 247.92' S42D16'W 606.78' N0D29'E
1120.17' TO BEG (1/2R1/2D)
On July 1, 2015, an evaluation of the existing individual sewage disposal system was conducted by Katie Sall, an
Environmental Specialist of Weld County Environmental Services at the referenced property.
The existing individual sewage disposal system is of unknown size and capacity to adequately handle the existing load. No
visible signs of failure were observed during this inspection. A system cleaner checklist dated May 5, 2014 was reviewed. A
1000 gallon one-compartment tank in good condition was reported.
Be advised, 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 or in the report.
This inspection was conducted for the purpose of determining compliance with current regulations and for detecting
health hazards observable at the time of inspection. This does not constitute a warranty that the system is without flaw o
that it will continue to function in the future. Inspections requested during the periods of snow cover and high soil
saturation may be of questionable value to potential buyers due to adverse conditions. Evaluations based on
Statement(s) of Existing (S.O.E.) rely 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.
If we can be of any further assistance, please contact our office at (970) 304-6415.
Sincerely,
Katie Sall
Environmental Health Specialist
Print Date Time: 7/2/2015 9:39:12AM ISDS Approved Letter EHS047 Page 1 of 2
•
Slim's Sanitation
PO Box 997
Johnstown CO 80534
970-284-6951
Email: slimssanitation@yahoo.com
WORK ORDER /
Bill to: Date Ordered: S al) /4/
9Ahr'C W , Lfei- Ordered By:
Z (r: r /Z L,c.r C ;t' 'I 7 PO Number:
Phone Number: (*'%' J <K- S-5-27R"
)
Tank Address:
Route:
Gallons:
Disposal Site: '7 K)
Instructions/Remarks:
Services Ordered: Performed By-Amount '
[ J Grease Trap
eptic Tank ' (L7 C CS
[ J Bean Vat
[ J Lift Station
[ ) Animal Waste
1
; Bioforce
Senior Disct /5 (1O
Total Due:$ Llig,QIJ
l
Cash [ ] Check H # //SSCC [ ]
Make Checks Payable to Slim's Sanitation, Inc.
� r�i't,..C' lli,�c, r<,, � �l1rre( �U'J�Lirg
Signature - Satisfied Completion of Job Print Name
All jobs done are COD We are no longer accepting charge accounts!!!
Charges must be cleared through the office first!!
? lII' ; , ,bi- III CoulaitY Beet' a Dept, _dp
!Wc Systelrli �1�L�airli lr J C heel IlTwt o f�System�/ /L. i
Company Name: SLIM'S/�� SANITATI0N, INC. phone number: 970-284-6951
Customer Name: (✓fi p r F L '1) 4 L T E h
Address of Pumping. 2 C, ?/ 2- G(JC /C c/5 v r EE Lc/
Pumping Date: 5�S 20/47
I . Tank Size: /G-O 0' Gallons Pumped: /000
2. Lift Station: Yes No fyes, functioning: Yes_ No
3. Excessive water running back into tank from field? Yes No
If yes. estimate in gallons:
4. Liquid level in tank over inlet line? Yes _ Na
5. Tank Construction (check one)
Concrete Metal Brick _ Plastic or Fiberglass
Cesspool or Seepage Pit Other
6. -tank Construction Observed:
One Compartment , `Iwo Compartment
7. Inlet outlet tees and/or baffles in good condition? Yes x No //
8. Filter on outlet cleaned and inspected (if applicable)? Yes_ No _A0i7
9. Access to clean-out lids within 8 inches of grade?
Inlet: Yes > No Outlet: YesXNo
ID. 20 ml. plastic replaced and sealed over tank lid (flood plain only)? Yes_ No A1/9-
I I . Tank/lid structurally sound and water tight? Yes io
12. Obvious cracks/leaks observed? Yes No.--Y-
If yes, explain area:
13. Other conditions noted which may affect proper functioning of system?
14. Reason for Service:
Maintenance Real Estate Sale j`; !'.mergency/Backup Other
15. Notes:
Hello