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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20130034.tiff
Water and Sewer USR - Sandau & Bartels And A & W Water Service, Inc. CR-35 & CR-40 Gilcrest, CO 80624 Water Loading Dock A Porta-Pottie serviced by a local provider (tbd) is planned for the Site. No domestic water service is planned. A commercial water well will serve the Water Loading Dock. WATER SUPPLY INFORMATION SUMMARY Section 30.20.1334d), C.R.S. requires that the applicant submit to the Caunty,"Adequate evidence that a water supply that is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED itia 4,— /04///q //o C /4 Atik, bc-",W ''r/-X�/,—✓i C-"�h C ��/,J.eIie fi�{jO, /' 2. LAND USE ACTION ... ,.. ,ZEi ,%,'o-• ,S74.,,,..,/,7.-2/0„, ��,-,47" �c/a/GeP >e2\K.*<-/ 3. NAME OF EXISTING PARCEL AS RECORDED ,s A.' �y _ 2y T y� 4:5161.676-1/ j SUBDIVISION FILING BLOCK LOT t 4. TOTAL ACREAGE/S 2- /,-- 2, �S-*e'r ≤✓fq4✓, , 5. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED e r rc /a"'Ga/ YES 6. PARCEL HISTORY • Please attach copies of deeds, plats or other evidence or documentation. A. Was parcel recorded with county prior to June 1, 19727 gQ YES ❑ NO R. Has the parcel aver been part of a division of land actin since June 1, 1972? 0 YES,NO If yas, describe the previous action 7. LOCATION OF PARCEL • Include a map deliniating the proiect area and tie to a section corner. ._ 1( 114 OF 114 SECTION Z3— TOWNSHIP 7 WN O S RANGE 12 __❑ E ]KW PRINCIPAL MERIDIAN: (6TH 0 N.M. O UTE O COSTILIA 8. PLAT - Location of all wells on property must be plotted and permit numbers provided. Surveyors plat 0 Yes 0 No If not, scaled hand drawn sketch 0 Yes 0 No 9. ESTIMATED WATER REQUIREMENTS - Gallons par Day or Acre Feet par Year HOUSEHOLD USE k of units GPO AF 10. WATER SUPPLY SOURCE EXISTING 0 DEVELOPED WELLS SPRING WELL PERMIT NUMBERS gs• 2 Z _X 4 /� 0 NEW WELLS - FR0MM MUMS -Rinse Mid ❑ *time ❑ DMA rescreens 0 UM WSW Lam minim O Laws mem O Diluted FOX NU ❑ DEMI 0 Deirdre ❑ UmFA COMMERCIAL USE p of S.F. GPO AF IRRIGATION S of acres GPD AF WATER COURT DECREE CASE NO.'S O MUNICIPAL STOCK WATERING I of head GPO AF OTHER - GPO AF ❑ ASSOCIATION 0 COMPANY ❑ DISTRICT NAME TOTAL GPO AF LETTER OF COMMITMENT FOR SERVICE 0 YES ❑ NO 11. ENGINEER'S WATER SUPPLY REPORT 0 YES ❑ NO IF YES, PLEASE FORWARD WITH THIS FORM. This may be required before our miens w ndries.i 12. TYPE OF SEWAGE DISPOSAL SYSTEM ❑ SEPTIC TANK/LEACH FIELD ❑ LAGOON O ENGINEERED SYSTEM (Attach a copy 0 CENTRAL SYSTEM O VAULT • LOCATION of engineering Sian, O OTHER - DISTRICT NAME SEWAGE HAULED TO /� State of Colorado Water Resources - View Well Details: Receipt 0512748 Page 1 of 2 Colorado Department of Natural Resources Colorado gee I Contact Us )J�tai r)1u1:iIon �P 1 1r�1 a t fd '3 Colorado's Well Permit Search Well Constructs Receipt: 0512748 Division: 1 Permit #: 8522-R -R Water District 2 Well Name / 4: County: WELD Designated Basin: Management District: Case Number: W5531 W DID: 0205412 - BIERIG LAND WELL 1-8522 Help I Last Refresh: 6/18/2012 12:00:33 AM [-] Applicant/Owners History Date Range Unlmown - Present Applicant/Owner Name SANOAu BRUCE Address 22444 WCR 35 City/State/Zip AFAI I F, CO 50645- [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines SE SW 25 4.0N 66.0W Sixth 51L& 1390 W Northing (UM y): Location Accuracy: Physical Address City/State/Zip Parcel ID: 4458424.0 User supplied Easting (UTM x): 522968.9 Subdivision Name Filing Block Lot Acres in Tract: 150 [-] Permit Details Date Issued: 07/15/2003 Date Expires: 07/15/2005 Use(s): IRRIGATION AqulferALL UNNAMED AQUIFERS Special Use: (s): Area which may be irrigated: 150 ACRES Maximum annual volume Ceappraprisgon: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference _permit Number Receipt Description Permit(s): 8522-R 9059987 Comments: [-] Construction/Usage Details Well Construction Date: 08/11/2004 Well Plugged: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 60 20 60 22 418 Pump Installation Date: 08/06/2004 1st Beneficial Use: Driller Pump Installer Lic # Name Address 992 DYKE, CHARLES D. 137 W HOAG AVENUE VUMA, CO 00759-1439 1389 LOVELL, JR., JOHN 30341 US HIGHWAY 34 #2 WRAY, CO 80758 Phone Number 970-848-2143 970-332-4192 [-] Application/Permit History Pump Installation Report Received Well Construction Report Received Well Constructed Pump Installed Permit Issued Application Received 12/02/2004 08/24/2004 08/11/2004 08/06/2004 07/15/2003 07/14/2003 Fri Imaged Documents Document Name Date Imaged Annotated 03/27/2008 No 11/30/2007 No 11/30/2007 Yes 11/30/2007 No 11/30/2007 No III!:,•_ 11/30/2007 No http://www.dwr.stag.co.]zs/WellPermitSearch/View.aspx?receipt=0512748 6/18/2012 State of Colorado Water Resources - View Well Details: Receipt 0512748 Page 2 of 2 11/29/2007 No 11/29/2007 No 11/29/2007 No 11/28/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home Contact Us I Help I Water links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www,dwr.state.co.us/WellPermitSearch/View.aspx?receipt=0512748 6/18/2012 (5) THE LOCATION OF THE PROPOSED WELL and the area on which the water will be used must be indicated on the diagram below. Use the CENTER SECTION (1 section, 640 apes) for the well location. +--}----+-+-+-+- --f- + + + -F Ii-- 1 MILE, flee FEET T + 4 - NORTH SECTION LINE 1 l i i I I Ja) 1 1 CTION LINE 4 -I- + w 0 y z r Z -+ + + --- -a-- - The wale of the diagram is 2 Inches = 1 mile Each small square represents 4Q acres. (6) THE WELL MUST BE LOCATED BELOWt. by distances from section lines. 50 ft. from SRt tth sec. titIE ,north or soeth) 1390 ft from West past or west) LOT BLOCK FILING # , r see. line SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner: Bierig Land Co. No. of acres 160 , Will this be =the -only wellvn this tract? -Yea. except for. .- otnantir+ to _ (6) PROPOSED CASING PROGRAM Plain Casing 24 in from 0 ft. to 20 ft in from ft to It Perforated casing 24 in. from 20 ft t0 60 infrom ft, to ft. ft. WATER EQUIVALENTS TABLE IRounded Figural An acre-foot covers 1 acre of lend 1 foot deep 1 cubic foot per second lcfsl . 449 gallons per minute Igpml A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,550 cubic fest ... 325,960 gallons. 1,000 ppm pumped continuously' for one day produces 4.42 acre-feet, (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging it: 10' East Old well to be plugged according to regulations. (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): Bierig Land Co. No of acres' 1S0 Legal description: SW 1/4 Sec. 25, T4N, R66W, 6th P.M. (11) QETAILED DESCRIPTION•DI-thcm - Tr r �:—Hottseti�T(j 'use and-doanestic wells must indicate type of disposal system to be used. Irrigation of farm crops. (12) OTHER WATER RIGHTS used on this land, including wells. Type or right 4 shares Platte Valley Irrigation Used for (purpose) Irrigation Description of land on which used cw ljs Rai 25, R66W (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION ET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDG SIGNATURE FA LICANTIS) Use additional sheets of paper if more space is required.
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