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Home My WebLink About20122999.tiff WATER SUPPLY INFORMATION SUMMARY Section 30.28.133id1. C.R.S.requires that the animism submit to the County.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 2. LAND USE ACTION Co trt,m,e,•e;c / Wader Fns;/4 load kris ea on 3. NAME OF EXISTING PARCEL AS RECORDED O 0 3 3 - 3-c - 0- 00 - 00 7 SUBDIVISION FILING BLOCK LOT 4.TOTAL ACREAGE 5. NUMBER OF LOTS PROPOSED PLAT MAP ENCLOSED 0 YES 6. PARCEL HISTORY-Please attadn copies of deeds, plats or other evidence or documentation. A.Was parcel recorded with county prior to June 1. 1972? ❑ YES ❑ NO B. Has the parcel ever been pan of a division of land action since June 1, 1972? 0 YES I8j NO If yes, describe the previous action 7. LOCATION OF PARCEL-Include a map deludathrp the project area and tie to a section comer. S W 114 OF SC 114 SEC110N 3 3 TOWNSHIP /a ® N ❑ S RANGE .efl DE ® W PRINCIPAL MERIDIAN: ® 6TH 0 N.M. 0 UTE 0 COSTIUA 6. PLAT-Location of all wefts an property neat be plotted and permit umbers provided Surveyors plat ❑ Yes ❑ No If not, scaled hand drawn sketch ❑ Yes ❑ No 9. ESTIMATED WATER REQUIREMENTS-Bann per Dry a Aen Fat per Year 10. WATER SUPPLY SOURCE ❑ EXISTING 0 DEVELOPED ❑ NEW WELLS WELLS SPRING s HOUSEHOLD USE# of units GPO AF WELL PERMIT NUMBERS l o ur o� vviei saysae Alp 38 a met atm. a LOMB WaVM r lm®lCOMM a ILIUM rocSUS COMMERCIAL USE X of S.F. GPO AF a Omen a DUNA I o onmi IRRIGATION 0137 of aces GPO AF t _ STOCK WATERING S of head GPO AF 0 MUNICIPAL I 1wduk�a Sl t 0 ASSOCIATION WATER COURT DECREE CASE NO.'S OTHER C.Om nitre:ta.i - GPO AF 0 COMPANY ❑ DISTRICT TOTAL GPO AF NAME LETTER OF COMMITMENT FOR SERVICE 0 YES 0 NO 11. ENGINEER'S WATER SUPPLY REPORT 0 YES 0 NO IF YES, PLEASE FORWARD WITH THIS FORM.Orb maybe rued balms ran mew's courretdl 12.TYPE OF SEWAGE DISPOSAL SYSTEM ❑ SEPTIC TANKILEACH REID 0 CENTRAL SYSTEM . DISTRICT NAME ❑ LAGOON 0 VAULT•LOCATION SEWAGE HAULED TO O ENGINEERED SYSTEM ions a copy of wino*Naiad 0 OTHER J-5-Rev.76 COLORADO DIVISION OF WATER RESOURCES " z-6- ' 818 Centennial Bldg..,1313 Sherman St.,Denver,Colorado 80203 PERMIT APPLICATION FORM te rum Application must be complete where I ) A PERMIT TO USE GROUND WATER NAM =Out= applicable- Type or ( )A PERMIT TO CONSTRUCT A WELL 5112102 print in BLACK FOR: ( ) A PERMIT TO INSTALL A PUMP US INK.No overstrikes or ensures unless ( ) REPLACEMENT FOR NO. initialed. (X) OTHER CI1AMGE Use of /Jo /19636,—F WATER COURT CASE NO. /4 - 766`5-74 (1) APPLICANT-Imail�ing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME l 2 _t 7+/ `'-1.-2-'7"—, Receipt No. 14c5. 5 5 7, STREET�/ Basin Dist CITY - ✓� � �� CONDITIONS OF APPROVAL (s ) io) TELEPHONE NO. 70 g -- 2 4 7-- 3 3 c it This well shall be used in such a way as to cause no material injury to existing-water rights. The (2) LOCATION OF PROPOSED WELL issuance of the permit does not assurethe applicant that no injury will occur tb another vested water right or preclude another owner of a vested water county lid e ( right from seeking relief in a civil court action. Sc. ) B of the 5E- %,Section 3,3 1) APPROVED PURSUANT TO THE ATTACHED FINDINGS OF *i THE STATE ENGINEER DATED SEPTEMBER 20, 1983. Twp. /Z AL, Rng. (5-8 ML, 6 P.M. 2) APPROVED TO INCLUDE COMMERCIAL AND INDUSTRIAL 1N.$) (Em USES (SELL WATER TO. OIL WELL DRILLERS) FOR THE (3) WATER USE AND WELL DATA EXISTING WELL, PERMIT NO. 16636-F. 3) THIS APPROVAL IS FOR CHANGE OF USE ONLY WITHOTT Proposed maximum pumping rate(gpm) woc, INCREASING THE PUMPING RATE OR ANNUAL APPROPRIA— TION. THE PUMPING RATE AND ANNUAL APPROPRIATION Average annual amount of ground water 304?) _- ggom �S WELL UNDER BOTH mains COMBINED SHALL to be appropriated (acre-feet): NOT EXCEED 700 GPM AND 300 ACRE—FEET RESPEGi1Vt:LY Number of acres to be irrigated: 13 7 4) A TOTALIZING FLOW MKPEB MUST BE INSTALLED AND MAINTAINED ON THIS WELL. DIVERSION RECORDS SHALL Pmposed total depth (feet): Z4 0 BE COLLECTED BY THE WELL OWNER AND -SUBMITTED TO THE DIVISION OF WATER RESOURCES UPON REQUEST_ Aquifer wound water is to be obtained from: K 3RiALl_ 66ALLaL4 in 9)22.)84r �• , p --- F:, f .-_ rr-: Owner's well designation L4ae,4S G-IFJ/ 'lj I •, - - - i - p .- e --- - - GROUND WATER TO BE USED FOR: .� ( 1 HOUSEHOLD USE ONLY-no irrigation (0) � )u '' ( )DOMESTIC (1) . (K) INDUSTRIAL(5) - _ ( ) LIVESTOCK (2) (JC) IRRIGATION (6) _ (X) COMMERCIAL (4) ( I MUNICIPAL(8) ( 1 OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACKIN (11) n6p3O —F PERMIT NUMBER G V OJ (4) DRILLER DATE ISSUED SEP 22 1983- Name N A• — pm tS v�y Wit! EXPIRATION DATE SEP 2 21984 Street \I a_ Gty (ST TEEJJJ��lyyy(((��OINEER) (state) (Zip) idi �+ C� - BY !` _ t l+,y ,lea- 24� Telephone No. Lic.No. J / Cl 00 I.D. /- t'7 COUNTY (5)THE LOCATION OF THE PROPOSED WELL and the area on (q THE WELL MUST BE LOCATED BELOW,. which the water will be r®d mat he ndrmmd on the damns below. by ddarees Now soon h a User the CENTER SECTION (1 section.040 acres)for the well location. ,�e LSD khan' %N T'M sec line -I- — -I- --- -r- — + — -)-- -I- -- -f — -4 — -4-comas�'s I --k -11RLESAiB FEET—Io 1 Sib ft.in= Oa-, secUne. tat*twos*t +:• . + + . + + + + . t ' - • LOT—BLOCK FILING s I ( 4- — 4- — • NORM SECTION use — 4-.— i- SUBDIVISION ( I I . . I (1)TRACT ON WHICH WELL WILL BE LOCATED Owner. Mew_ -libuetts + n l — + — - -{- + t too.of acres 3Zt3 :. ' wai dabs / `` I . I I • I the catty well on this tract? -Ille 'ha a c) + t — + (8)PROPOSED PROGRAitp I 1 I .Plain cog :.-q_ we e .I- _ _ _ + + - . . . V -nu, ft.. -I- - +. L. sour„ I I . - — —l- _ _I_ fintofatad rasing: IIn.from n.to ft. -1- . 4- + + -i- y- -I- -I- - in.from ft.to ft. . I - I . I . I , I G9) FOR REPLACEMENT WELLSgivedistance end auction framed d well and Ors f«phtAng -- - -I- A- -I- .- + - +- - + ---+ - -it' it:. a' The scale of the diagram is 2 inches=1 hale• 'N . . Eachsmallsguarampreser1C40acres. - I KIF_R EQUIVALENTS TABLE Mended Figwed An aaoioot m.ato1 woof la,d,tfaordap . • 1 a.blafoot par aaaotd WM.....44sgpWwaps minute—bun,.- !tardily al Swill etdmapptodtslely l eapfootofwarr ptr . . -I.wettest...WOa awls tan...3t►?0Yl eon - 1.080 4001 Donned caatitanly form day Podmate i 02 aaeimt. -110) LAND ON WHICH GROUND WATER WILL RE USED: OwneW: ORA;sL L. /ARMS No.of aaet 3Z'J. - -- - Lteeral o>iotl: Fri Sj '331 r I'2 M , e n. la (11) QETA(L of the use Dauer 1 tae domesi�evatsrma type of • system�tieused/ - . -n. tvt E u.attte/ . '-::!-A'�ndr Lf° seil plbiLc k . 1* ,.ter_ 1. F�f Luau NA .Ri ille. 6 (12)OTHER WATER RIGHTS idea on this land, usually edit Give Registration Water Court Case Numbers. Type or right Used for(purpose) • O®eriplimn of lad on wb4Jr used ' ;r ::: . " . (13)THE APPLICANTS) STATE(S) THAT THE INFORMATION SET FORTH HEREON 1S - TRUE TO THE BEST! / OF HISKNOWLE GE. MONA `- OF APnIC4NTW . Life additional sheets of paper if more space is required. . wnJ-e-n • COLORADO DIVISION OF WATER RESOURCtS - 10.1 Columbine Bldg.,1845 Sherman St,Denver,Colorado 80203 2-Fi if an PERMIT APPLICATION FORM z`1- 72 • Application must . be complete where ( )A PERMIT TO USE GROUND WATER applicable.Type or ($J A PERMIT TO CONSTRUCT A WELL print in BLACK FOR: ()OA PERMIT TO INSTALL A PUMP INK.No overstrikes or erasures unless ( )REPLACEMENT FOR NO. initialed. ( 'OTHER (1)APPLICANT-mailing address FOR OFFICE USE.ONLY: DO NOT WRITE IN THIS COLUMN NAME / L/ IVO/-f�3' Receipt No. / STREET �J Dist.Basin GTY //f� v o; )tY (state) g 'nrz CONDITIONS OF APPROVAL TELEPHONE NO. 4 9 - 22.a 7 This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION OF PROPOSED WELL - issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water County d!/e/d right from seeking relief in a civil court action. c>4" 'k of the 5 %,Section 3 3 Twp. I.Z k,Rng. Clic W P.M. (3) WATER USE AND WELL DATA • 93 ' Prot td maximum pumping:rate(gpm) 16 Average annual amount of ground water s. to be appropriated (acre-feet): Number of aces to be irrigated: /6 0 Proposed total depth (feet$•- `2.CO Aquifer ound water is to - btained from: rk/e y.0 /%//t2 Owner's well designation GROUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY-no irrigation(0) ( ) DOMESTIC(1) (- ) INDUSTRIAL (5) ( ) LIVESTOCK (2) on IRRIGATION (6) ( )COMMERCIAL (4) ( ) MUNICIPAL (8) 1 !OTHER (9) APPLICATION APPROVED PERMIT NUMBER NOVm 016636 -f (4) DRILLER 9 DATE ISSUED N 2 0 1772 Name �l21d West /ter/- en 3en,/0 PJrrcXPI RATI0N DATE NOV 20 1973 • street Bo-t 3 E'F City • (STATE E INEE 9 (State) (Zip) Telephone No Liic_NEL 41.�r �3�- /1 BY t n _ rnl INTY Colorado Division of Water Resources Re Permit number 26838 F In regards to the above permit of our commercial,industrial,and irrigation use of our well in Weld County,SW 1/4 of the SE1/4, section 33,twp. 12 N,Range 58 W,6 p.m.. The well is in the name of O &M Harms LLC. The pumping rate shall not exceed 700 GPM and the ground water shall be appropriated not to exceed 300 feet. A meter is on the well for the irrigation and another is on the well for the industrial and commercial side. Both are in good working order and will be kept that way. Permanent records are being recorded for each meter. Hello