HomeMy WebLinkAbout20140735.tiff BOARD OF DIRECTORS Cc 1..1� NORTH WELD COUNTY WATER DISTRICT
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CHARLES ACHZIGER 32825 CR39 • LUCERNE,CO 80646
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GENE STILLE r 1 DON POSSELT,DISTRICT MANAGER
GARY SIMPSON (` �� /
TODD BEAN \(1,/ P.O.BOX 56 • BUS:970-356-3020 • FAX:970-395-0997
N.
ROBERT ARNBRECHT � /
,--
--- www.nwcwd.org • e-mail:water@nwcwd.org
WATER TAP REQUEST FORM
Effective 06/01/2007 Commitment Letter Fee: $10.00 per equivalent tap for all lots which an"intent to
provide service"is denoted in a Commitment Letter. For such Commitment Letter,the District shall
reserve capacity for the applied water service in the delivery system for a period of one year.AND
Review Fee: $40.00 per lot, up to a maximum of$800.00
PHYSICAL ADDRESS HE KNOWN).-R CJ iY" j
- �� _ 4\ - /
APPROXIMATE DISTANCE FROM NEAREST INTERSECTION-PLEASE INCLUDE COUNTY
ROAD NUMBERS /
�l/' j'✓ \ //�' i i':r /\ L /, / ,: ///V?,� 7 /',t''
WHAT 1S YOUR INTENT FOR THE REQUEST?
Recorded Exemption Application? Vacant Land Without a Tap?
Subdivision or PUD? Do you need Fire Flows? What are they?
RECORDED EXEMPTION NUMBER:
PARCEL NUMBER: U / -4�%ti) v 1:7?
X WELD COUNTY http://propertyinfo.co.weld.co.us/
LARIMER COUNTY http://mapsl.larimer.org/apps/lcparlocator/?theme=maps/TaxParcel
SECTION 16 HALF & QUARTER SECTION Li r',441/
TOWNSHIP - A/u �' 7' RANGE j;/' ///�S
PRINTED NAME OF PERSON REQUESTING TAP -- If Agent, Note Client Name & Agent Name
Separately
ti L . f---7:1;;;74/ 922—/.3
SIGNATURE DATE
27o -35f—9/0�
PHONE NUMBER
PLEASE INCLUDE A SKETCH OF THE AREA AND ANY PROPOSED SEPARATION
OF THE PARCEL IN QUESTION.
How would you like the Commitment Letter returned to you?
MAIL IN PERSON FAX: ?/r0-33?- 13ea E-MAIL: 5rc vv kS(2 'isletcCoin
WATER CONSUMPTION SURVEY
To aid in the determination of water consumption for the water service you requested, it is of considerable
importance to know as much as possible about how the water will be consumed. Please answer all questions as
accurately as possible. If you have questions please call (970) 356-3020.
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Customer Name:SL L_/f&/ "!'".CZ" Agent's Name: in"'ti
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Current Mailing Address. /':" i� `21/,y ,i/zc' AL7AgentAddress: _ 2;`7 y �/�d Y `1%-
rf 4-1-L-1/2f y co,
Day Time Phone Number j/7Q '-�_3y -9./0(5- Agent Phone: .a i; ' '
Customer E-Mail:✓T ! A `i (t) cu.., L ,C Al Agent E-Mail: f) i/',Z t' . ✓ /1):7,4,' Ccj/77
Which best describes your needs:
Residential Only
Industrial / Commercial
Usage Hours / ? /"✓ ti/7 / �/�' !' `, fr
Number of Employees ,`5-__
Livestock Operation
Number of Members in the Family:
How do you plan on irrigating your lawn?
North Weld County Water District
Pump Water From Irrigation Ditch
Pump Water From Well
' Other(Specify) V '4 V
Number of Livestock to be fed:
Cattle :.J Hogs
Horses Chickens
Sheep , i Other
Dairy
What is the present source of water for your livestock? V- _
Would you anticipate using the proposed water tap for watering livestock?Yes No .\
If you are unable to complete the above,please complete one or more of the below:
Please base your design for our tap on a maximum usage of:
Gallons per minute
Gallons per day
Gallons per month
C /j
Applicant's Signature Date
WELD COUNTY DE}SaTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREBLEY, CO 80631
PHONE(970)304-6415 FAX(970)304-6411
Pt�»t# SP-0500412 Finale('
Owner. FISHER RICK&TAMMI ��w 16-06-65 Status: APPLIED
Applicant ItIthtt RICK •
Issued:Applied: I i/15/2005
Permit Type: clew c-ca..macial,R destist+ a la-,161-o5
Permit
Parcel#: 0803-16-4-00-002 tom•RFPac vbrLT Finale(' �a-iQ-O5
Location: 20749 HWY 392
Legal Descriptiow
VnfM Iut'+ )ccavoii-tlo., %nc
Description: 100 X 60 STEEL STRUCTURE SHOP
Commercial: Y Residential:N Acres: 70
#of Persons: 4 Basement Plumbing: N
#of Bedrooms: 0 Bathrooms-Full: 0 3/4: 1 1/2: 0
Water Public: Y Water Source: NWCWD
Water Private: N diatom: N Welk N Well Permit#:
Percolation Rate-- 87 limiting Zone: Oft 0 in Description:CLAY
%Ground Slope: 0 Dir: Soil Suitable: (Y/N) N
Engineer Design Required: (Y/N) In 100 Year Flood Plain: (Y/N)
Minimum lastalladou Clambers*
Septic Tank: 1000 gallons Absorption Trench: 0 square feet
or Absorption Bed: 183 square feet
Actual Installation
Septic Tank i oc gallons Absorption Trench: square feet
Absorption Bed: I&l- square feet
Design Type: C-,.A. Chamber Model "Sr-
___ NOTICE
The issuance of this erit does not imply compliance with other state,county or local regulatory or building requirements,nor shall it
act to certify that the abject system will operate in compliance with applicable slate,county and local regulations adoptol pant to
Article 10,The 25,CRS as amended,except for the propose of establishing final approval of installed system for issuance of a local •
occupancy pas*pennant to as 1973 25-10.111(2).
•
nthnifismunourgrahkatimaxthadat The Weld County Department ofpab1IC Health and Eavavameatreserves the
right to impose additional tans and conditions retp led to meet our regulations on a continuing basis. Final paam@ approval was
contingent upon the final inspection of the completed system by the Weld Corky Department ofpublie Heat and Environment
• x — (mP•F?O5
Health Specialist Date
Pow s tnrur.
BOARD OF DIRECTORS �•.-•-----------
/ H '.. NORTH WELD COON rY WATER DISTRICT
CHARLES ACHZIGER (Z° ( Sy*
�\ 32625 CR 39 • LUCERNE.CO 60646
GENE STILLS \) DON POSSELT DISTRICT MANAGER
GARY SIMPSON
\
TODD BEAN `•v � P.O.BOX 56 • BUS:970-356-3020 • FAX:970-395-0997
r
14-,-H-F6‘)
ROBERT ARNBRECHT x•xw.awc>.d org • a-mail:waferbd0wcwd.mg
December 6,2013
Rodney&Karen Steely Paul Brewer,Agent
207591-Iwy 392 303.564.8412
Greeley,CO 80631
This letter is in response to your inquiry regarding water service to the following described properly,
20749 Hvry 392,Lot B RE-3779 in a portion of the S%of Section 16,T6N,R65W of the 6d/Prime Meridian.
(See attached North Weld County Water District sketch)
Parcel 080316400002
1. WaterSeeries-is presently being Wov de94e-theabove menpened-propery-awough-meter#
2. North Weld County Water District is able and intends to provide water service to the above-mentioned property, provided all
requirements of the District are satisfied. If contracts have not been completed with North Weld County Water Dist ctwithin one year from
the date of this letter,the District may refuse to supply water to the above-mentioned property. The District reserves this right to refuse
service,in the event that raw water is unavailable,and/or pipeline or Filter Plant capacity is not capable to provide additional service.
Before a water tap may be purchased,the applicant must provide a copy of a Warranty Deed,a Physical Address,and this letter.
3. As additional consideration for this Letter of Intent to provide service,Property Owner agrees to sign and execute any necessary
Easements and Rights-of-Way regarding specific locations,widths,sae of pipeline(s)and descriptions for Water Lines as determined
by the District. This Agieenre_d is conditional upon execution and recording of the Easement and Right-of-Way Agreement,and until
such Easernert and Right-of-Way Agreement is 6naiized to the satisfaction of the Distitct and recorded,District shalt not be required to
provide any services of any type.
4.The District recommends that based on the number of family members and livestock along with other information provided in the
Water Tap Request Form,your irrigated landscaping square footage not exceed approx.6,000 square feet. The
recommendation is based on the Full Standard Tap allocation and should be utilized to oplimbre delivery without surcharge. Additional
allocation should be purchased for landscaping areas larger than the recommended area.
5. The District recommends that anticipated raw water be purchased through the District The District guarantees heatientand delivery of
raw water purchased. All water that is delivered over the allocation(with surcharge)is subject to water availability. Water
purchased through the District shall be 70%delivery of an Acre-Foot of water,if the allotment for Colorado-Big Thompson(CBT)project
water,which is determined by the Northern Colorado Water Conservancy District,is 50%orgreater.North Weld County Water Districtwill
restrict the delivery as necessary vdhen the CBT allotment is less than 50%. A portion of the Raw Water Fee is utilized by the District to
construct storage reservoirs.
6. Tap'bons and Requirements
Raw Raw Water Plant Distance Meter Water Allocation Plant Investment
Water Storage Fee Investment Fee Set (Annually) Allocation
Fee _ (Annually)
Full Standar"L 100% 100% 100% 100% 100% l 228,000 Gallons 228,000 Gallons
Tao
Lot Size greater than 0.33 Acres(14,500 sq ft) _
75%Tap -I 75% 75% 1 75% L 75% 1100%-l._ 1171,000 Gallons I 171,000 Gallons
Restrictions Lot sus greater than 0.20 acres(8,800 sq ft)but less than 0.33 Acres(14.500 sq ft)OR
landowners with verifiable irrigation rights or wellyermits for outside water use _
50%Tap f 50% 50% I. 50% I 50% 1100% I I 114,000 Gallons 1 114,000 Gallons
Lot size less than.2 acres(8,800 sq ft)OR with a Board Approved Irrigation System OR a
Restrictions
Board Approved Commercial Enterprise _ _ _ _
Conservation �..
100% 100% 0 I.- 0 100% -1 228,080 Gatond 0 Gallons
Blue Tap
If Qualified,taps may be used in combination with Conservation Tap(i.e.50%Water with a
Reebit-Irons Conservation 0 Plant Investment)
'Gallons may vary depending on qualifying combination
A tap may be allotted more than 1 unit of Water and/or Plant Investment In this case the allotment is the dass X
228,000 gallons=Annual Allocation.(i.e.Water Allocation 5 x 228,000=1,140,000 gallons Annual Allocation)
Surcharge will be assessed when an accounts year to date usage exceeds the Water and/or Plant Investment Allotment
,.See Page 2 for Rates.
Y6606 Dncumentc'eacr of Intent A20130(2013-126)5(eeIy Property,20759 SH 392'(2013-I2-06)lnla ofIntentdoc
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BOARD OF DIRECTORS EC(H ;j NORTH WELD COUNTY WATER DISTRICT
CHARLES ACI-VIGER 2/ / \ �O\ 32825 CR 39 • LUCERNE.CO 80646
GENE STILLE II \1 }I DON POSSELT.DISTRICT MANAGER
TODD BIMPSON '�<..
TODD BEAN � P.O.BOX 56 BUS:970-356-3020 • FAX:970-395-0997
Iran[w t�
ROBERT ARNBRECHT \. _— www.nwavd.org • e-mail:water@nwcroclong
December 6,2013
The Tap Fees quoted below,shall be valid torten(10)business days from the date the applicant receives this letter and the tap
fees must be paid within the ten(10)business days to receive the fees as quoted below. The Meter Set Fee as stated below is
valid only for the location shown on the attached map.
After ten(10)business days,the costs will be subject to the then in effect rates(6urrent cost)established by the District The District is
not responsible for notifying individuals,banks,lenders,prospective buyers,real estate agents or anyone else,in any manner,of a change
of rates and or fees. -
TAP FEES(Assumed for Full Standard Tap) - j INSTALLATION COST
Raw Water for One Mae-Foot Unit(AFU) $12,000 1-Inch Meter Set Fee $2,200
"Effective 12(27/13.Rate who be$16,000"_
Storage Fee Portion of Raw Water Fee $1,000 The current Water Allocation is 0.5 and the current
Base Portion of Plant Investment Fee $7,500 Plant Investment Allocation is 1. The Plant Investment
Distance Portion of Plant Investment Fee $5,7D0 Allocation must be increased to 2 unit to qualify for a
(19 miles) 1-inch meter. _-
$15,400.00 Plant Investment Allocation Upgrade Only
TOTAL Up-Front COSTS For UPGRADE $21,900.00 0.5 Water Allocation and 1 Plant Investment Allocation
528,400.00 1 Water Allocation and 1 Plant Investment Allocation
Price is valid for ten(it business days from receiving this letter.
_ Minimum Pressure 35 psi_..
Nonrhal Pressure Range — - - — 50 psi 63 60psi -- - -
Maximum Pressure - I 65 psi
After the water tap has been purchased(Raw WaterAFU&Plant Investment Fee)the applicant has one year in which b have the meter
set The District requires 45 days prior notice to setting a meter. If the meter has not been set within twelve monthsirom the purchase date
and the appliicant requests to relinquish the meter,the District shall refund the applicant 98%of the purchase price paid byapplicant If the
meter remains unset for thirteen to eighteen months alter the initial purchase date and the applicant requests to relinquish the meter,the
Disbict shall refund the applicant 90%of the purchase price paid by applicant If the applicant does not choose to relinquish the meter
within one year of the applicant purchasing the meter and the meter remains unset the account will begin billing the minimum
monthly amount
Usage Rates and_Fees_
_ Usage Amount Charge or Rate Per Month
0 to 6.000 gallons $18.30 Minimum
6.000 gallons and up _- j $3.05per 1,000 gallons(Kgal) _I
Water Surcharge
Surcharge will be assessed when an accounts year to date usage exceeds the annual water allotment Currently the surcharge is
$1.50 per 1,000 gallons in addition to the standard monthly usage fee. This fee is to recover the District's cost to obtain additional
water rights for delivery. "Effective November 1,2014,water surcharge rate will be$2.00 per thousand gallons.
Rate Differential Charge
North Weld County Water District's customers have the option of transferring Colorado Big Thompson(CBI)Project Water that they
own or control to the District,on an annual basis. This water is utilized to increase the amount of raw water allocated to a tap. The
District will treat and deliver this water without water surcharge. A Rate Differential charge of$26.00 per acre-foot will be assessed on
all of these transfers. "Effective November 1,2015,the District will no longer accept water transfers.
Plant Investment Surcharge
Surcharge will be assessed when an accounts year to date usage exceeds the Plant lave:Annit Albhnent The transfer of additional
water win not remove this charge. Additional Plant Investment Units must be purchased to increase the allotment and reduce the Plant
Investment Surcharges.These rates are in addition to the standard monthly usage fee-
TI b 456,000 gallons above the Plant Investment Allotment 53.95 per 1,000 gallons �77
More than 456,000gallons above the Plant Investment Allotment $1.95 per 1,000 gallons _ _7
Sincerely, /
Eric A Larson,P.E.
North Weld County Water District
Yalagal Docamentslatter oflvtenlh20 13x(2013-126)Steely Propmty,20759 SR 392`42013-I2-06Satcr of Inlevt.doc
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