HomeMy WebLinkAboutFile Documents.401 Castle Creek Rd.0018-2024-BCOM (3) • ASPEN WATER DEPARTMENT
427 RIO GRANDE PL
ASPEN,CO 81611
Utility Connection Insubstantial Review Permit(UCP)Number:C-24-240
Building Permit Number,if applicable: 0018.2024.BCOM
New ECU total: 36.81
UTILITY CONNECTION PERMIT AND WATER SERVICE AGREEMENT(form 20170617)
THIS PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUE IF UTILITY CONNECTION HAS NOT BEEN MADE.
PROJECT OR BUILDING UCP PERMIT ISSUANCE DATE TAP DATE
401 Castle Creek Rd(AVH/CT 11/06/2024 N/A
Renovation)
OWNER OF SUBJECT PROPERTY MAILING ADDRESS
("Property Owner") 181 W MEADOW DR#400
ASPEN•VALLEY HOSPITAL DISTRICT ASPEN,CO 81611
PROPERTY ADDRESS LOT BLOCK SUBDIVISION •
401 CASTLE CREEK RD N/A N/A ASPEN VALLEY HOSPITAL
ASPEN,CO 81611 SUB
ACCOUNT NUMBER PARCEL ID NUMBER #OF METERS SERVICE AREA
. 05-13008200-00 273512307801 1 5
Subject property located in City Boundaries?YES Irrigated Area Sq Ft: N/A New Tap?NO
Class of Service: Commercial Size of fire line tap: 4" Abandon Existing Tap?NO
Size of domestic line: 2" Abandon Existing Well?N/A
COMPUTATION OF CHARGE Detail Total —
UTILITY INVESTMENT CHARGE Cost per ECU in service area 5(2024)$20,528 x 0 ECU's= $0.00
PAYMENT IN LIEU OF WATER RIGHTS PER ECU N/A
WELL DEVELOPMENT CHARGES PER ECU N/A
PREVIOUS UTILITY INVESTMENT CHARGES PAID N/A
PREVIOUS UTILITY INVESTMENT CHARGES PAID N/A _
PREVIOUS UTILITY INVESTMENT CHARGES PAID N/A
Total connection charge due: $0.00
UTILITY CONNECTION PERMIT MUST BE SIGNED/PAID WITHA SEPARATE CHECK IN THE AMOUNT INDICATED;ADDITIONAL
PAYMENTS WILL BE DUE AND OVERPAYMENTS WILL BE REFUNDED FOLLOWING FINAL INSPECTION.
This final utility connection permit reflects no final tap fees due and requires only an owners notarized signature.Please review the attached and separate
final count sheet and reach out with any questions.Thank you.
No more than 1 service line(s)is(are)allowed under this Permit.Each must be controlled separately as its own curb valve.Application must be
made to the Water Department for additional service lines.
Water Rights Conveyed to the City: )$ _ 6/2024
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ignature of Owner of 5"ubject Property / Date Ci Aspe Date
ANDREA SHAFFRAN
Subscribed and sworn to before me this (D day of Noo.,20/.5 by b5 uo. Pau\ Ui)co o %ncr) Notary Public
State of Colorado
t 1 Notary ID#20214045353
A,/.A !�„tom My commission expires: 1 11
)1 M,r Commission Expires 11-17-2025
Notary Public II
ADDITIONAL TERMS AND CONDITIONS ARE IN THE ATTACHMENT TO THIS UTILITY CONNECTION AGREEMENT. THIS UTILITY CONNECTION
AGREEMENT HAS IMPORTANT LEGAL CONSEQUENCES AND PROPERTY OWNER IS ADVISED TO CONSULT LEGAL COUNSEL BEFORE SIGNING.