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Home My WebLink About20142544.tiff City of Greeley Statement of Account for Utility Service(s) • Otyf Director of Finance Gol .11 Colorado Box 1928 CO 80632-1928 THANK YOU FOR YOUR PROMPT PAYMENT. reeey Greeley, Account Number 062-769045-01 Service Location 228E 18TH ST QUESTIONS? CALL YESENIA 970-350-9720 NCTC LLC PO BOX 490 GREELEY CO 80634 Readings I Current Previous Usage Previous Charges 108.56 Meter ID I Date Reading I Date Reading (In Thousands) 96761632 04/01 2797 03/03 2788 9 IPayments 108.56- c :Bal Fwd 0.00 METER 0.00 OUTRESWT 100.64 STRMWTR 8.58 To pay online go to www.greeleygov.com To pay by phone call (970)350-9722 or(9701350-9723 For watering restrictions call (9701336-4134 or go to www.greeleygov.com Current Charges 109.22 *TOTAL BALANCE 109.22 BAL FWD DUE IMMEDIATELY • CURRENT CHARGES ARE DUE BY 04/21/14 Consumption History Usage lin thousand gallons) • 9 9 8 Last Last This Year Month Month DETACH AT PERFORATION AND RETURN BELOW PORTION WITH YOUR REMITTANCE Scanning Cover Sheet for • Septic, Permits Permit # G19840161 Permit Type: Health/EHS History/EHS Conversion History Situs Street Address 228 E 18TH ST Situs City, State, Zip Sec/Town/Range: 09-05N-65W Application Status: Finaled Application Date: 03/11/1996 Parcel # (12 digits) 096109300084-R8760100 Owner Full Name: FERGUSON & KIME Owner Address: 218 E. 18TH GREELEY,C0 80631 Owner Phone #: 303 3535876 Contact Name: Contact Address: Contact Phone# Information above has been Verified in Accela by employee noted below X January 05, 2009 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date-Time: 1/5/2009 8:54:34AM • APPLICATION FOR !NDIVIDUAL SEWAGE DISPOSAL SYSTEM NYr`' WELD COUNTY HEALTH DEPARTMENT '.- New • ENVIRONMENTAL HEALTH SERVICES Repair 7 C $'� 1516 Hospital Road, Greeley, CO 80631 L 353.0540 EXT. 270 f BP OWNER : ' tr 1 cn SO h' & �_t r!� e ADDRESS 17 1( F /9 I, $. A PHONE R: ADDRESS OF PROPOSED SYSTEM ,1/X E 4'7'1111 Cr e e/e t� LEGAL DESCRIPTION OF SITE: PT SW4 ≤W4 S 9 ,T .S , R / SUBDIVISION LOT -'• , BLOCK - , FILING '- USE TYPE: RESIDENTIAL \J,/=C INSTITUTION COMMERCIAL ' OTHER SERVICES: PERSONS BATHROOMS 2--- LOT SIZE //) A(/eec' • BEDROOMS 3 BASEMENT PLUMBING Yew WATER SUPPLY �, ;. xi ( (=-`10/4r•TYPE OF SEWAGE DISPOSAL REQUESTED: ` '' /o s=7. C, / / 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 of my knowl- 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.. _ Application fee �S -- Recd by /it 2' �&F f Date9"�/4 ' Owner/Agent Signature - Date FOR DEPT. PERCOLATION RATE 96, 1 Mb An— WATER TABLE DEPTH >.'.• • USE ONLY SOIL TYPE S.4ND L64 M PERCENT GROUND SLOPE a REQUIRES ENGINEER DESIGN ( ) YES(roj No * • • ♦ ♦ • • * * • 4 • .* * * • * * ♦ * * * ♦ * * * * ♦ * * * * * * * * * * * * * * * * * * * * * * * * * INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT From the application information supplied and the on-site soil percolation data, the following minimum installation specifi- cations are required: SEPTIC TANK GALLONS, ABSORPTION TRENCH SQ. FT. WOO or ABSORPTION BEDS SO. 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 ol•this Permit does not constitute assumption by the Department or its employees of liability for the failure or inadequacy of the sewage disposal system. Enyiro'rimental 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 basis. Final Permit approval is contingent upon the final in- spection of the completed system by the Weld CountyHoalth Department. • SYSTEM CONTRACTOR FINAL INSP0 Q �� SYSTEM ENGINEER APPROVAL `n�( Environmental Spec alist at The issuance of this Permit does not imply compliance with other slate, 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 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 permit pursuant to CRS 1973 25-10-111 (2). . Original-Applicant; Copy-WCHD WCHD—EHS February, 1981 • /;' '/ — JS� r r. • aaS 3 aa-k iheka ,,r SHED 26{ &ti� �ao^n SLa3 ty4 Copuen- 140(P i I 4.\ tR 3� Ct WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICE; - SITE EVALUATION Owner 4ME- dsfe l)4pU Application No . {a'?t4 Site a.lyj kQJNfl_ 54- PT S T R / Date "l I1 U- \ S_ub Lot Block Filing •PERCOLATION TEST DATA : Start Time rt30 . 7V4C2SV.,)Q CIPl A") 1L t Hole Hole H2O IS 15 IS 1 " min_ ' No . Depth Remain 50 i inch inch inch m n • min • min . min . m .in m n . min . min . min . v Sup SI& cos sit szl Vie.- . 2 30 5n, s48 saq 537 wb /5 5 m CzA 530 530 5 do cle _- 3 5-7i y46 5(13 : -L/C- g4� 27.2 . 27 C). 42- f1 13 is 14 — �� o .side o 5 Szc a c 503 23 ZcsA t 4 Z7; 7- 4'', f? 15 GS 14 I 'iB 58° 5-76 6?3 560 S7`1 s 31 a 630 boo 54tf 5q3 548 2_I . Z 51 to IS zo 18 . ay\ ua4 4q3 489 . 4:';I. t440 6 16 4 5,3 b5- X45 5-bb .5137-� 34,6 2,4-1 I' 6 I L ' I I Cp �/ �' \ �~ ok ))LS.9,� .iY I.c 6r3 ' Siai Sag* .°�/" �„ � ., 1� �� Average Rate ZS- Environmental Health Specialist , • • PLOT PLAN - SOIL PROFILE ‘( 4 - Depth Description ( inches �,, — Q— -i -i W.,i l—i6U50. c 22 S ze- -,fi%6 55.44° o - . 06 b - 0 i ---- Z _ , O 1 s ' • 'li'-7; 3C> - r al • ?Acmes--' '2APi . iI aa8E. � 8+AsttiG • IT . . r ..\J„, -_ ,r . Fame _ _� . . . .. _ 57_ . ill._ .7) .C:. ) \_ II -- _ . .. . . . . . '._ (1/4.t .11....34.ii,"Di . .. _ . __ _ . . _. _ . ... . ii ' iii8 w�' Pili Qb-H. 1'4 —co •_T1S .,a6.t.„ _ -2- _ . cam'- -= . 1 Gee e� ® I . . :05.. r i 1At,cot Teri a( taf,fi Ix 6 - . . _ 660L . 1le) f UAL.. CY'lb- 7 154. . cJ - I No .�_Cn!to�-(W p'�erz. ..17.40.� - O S.22v e et • .it i;II v 1b\b vat, 5 . ".. Ma . pcx-N: ..: . i;, �, — Teem e( foa () i. . . G gUws oN4C-R- i e-gt C 4-rioo.i lime . • .._ _. • s, UkhkepreuerQ.. __+A4L- I l �i�. '- PeIC tiCD.t. .... . . i - - -- v'4D(2-0_ KEN 3 ‘. _ 1.- .7.'v _ r O -sue: ¢'_ . 7k II . • rs ‘--***** DEPARTMENT OF HEALTH PHONE(303)353-0540 1516 HOSPITAL ROAD GREELEY,COLORADO 80631 WI I C. Se temb 18 1 COLORADO Date. p er , 984 Certified (I: P 497 721 583 Installer: Allen Wa1so License No. : 10 Address: 2438 51st Avenue Greeley, CO 80631 Dear System Installer: Please be advised that the individual sewage disposal system identified below failed to pass a final inspection. System Owner: Ferguson & Kime Application No. : 161-84 Legal Description: PT SW1 SW'x S 9 T 5 R 65 Site Address: 218 E. 18th Street Greeley, CO 80631 Date of Final Inspection: 9-13-84 The inspection of this system revealed the following deficiencies: - No permit, Section 3.3 - Trench below 3 feet, Section 5.5 - Unacceptable Tank, Section 5. 1 Please contact this office to schedule another inspection after the above deficiencies have been corrected. Sincerely, Environmental Hea th Specialist cc: System Owner file Hello