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Home My WebLink About20123145.tiff DOCUMENTATION OF ADEQUATE WATER SUPPLY state of cotoraao water Resources- View Well Uetalls: Receipt U4b1G/b Page 1 of 1 Cobodo Ceprrtwetm wtwd ROM CU _^rr V . mloraeo46v I Canna Us talaa ria £)2 laton la.•1l ` I .vpi Uktikar Colorado's Well Permit Search Well Constructed �{„elpl last Refresh:10/11/201112:0027 AM Receipt: 0462276 Division: 1 Permit P: 161334-R Water District: 2 Well Name/d: County: WELD Designated Basin: Management District: Case Number: WDm: C-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown-Present SUTTDRALL NC 16634 t'/BA COUtMROAD 23 PIATTNeL4 CO 8065L- (-3 Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NW 32 3.0N 65.0W Stith 240 N 400 W Northing CUTS'y): 4448718.7 Basting(UTM:t): 525930.4 Location Accuracy: Spotted from section lines Physical Address Subdivision Name oty/State/np FIMg Block Lot Parcel ID: Acres In Traci: 319 [-] Permit Details Date Issued:06/23/2000 Date Expires:05/23/2001 Use(s): COMMERCIAL Aquifer, ¢FOX Ha is t Special tiro: CS): Area which may be litigated: Maximum annual volume of appropriation: Stable: Permit Requirements Totalizing Flow Meter Geophysical Log Abandonment Report No No No Doss Reference Permit Number Receipt Description Permit(s): 16133-F- 9067337 Comments: (-1 Construction/Usage Details Well Construction Data:10/05/2000 Pump Installation Date:10/14/2000 Weil Mugged: 1st Beneficial Use: Elevation Depth Perforated Casing(Top)Perforated Casing(Bottom)Static Water Level Pump Rate 460 320 460 180 20 Lk It Name Address Phone Number Driller 64 CLEMENT,GLENN A. 1960 20H AVENUE UE GRELEYY,CO 606345028 970-3533648 Pump es: DE4BNT,GLEN A. 196024114 AVEIS.E ante%CO 606343028 970-353-5648 fiatager (-1 Application/Permit History Deanship Change 01/10/2007 Statement elBenefdal Use Received 06/04/2001 Pump installation Report Received 11/06/2000 Pump Installed 10/W2000 Wel Cadtructlon Report Received 1W13/2000 Well Constructed 10/03/2000. Pe met t issued 06/23/2000 Application Received 06/21/2000 f-) Esaged Documents Doamnmtt Name Date Imaged Annotated Copyrleht m 2009 Cobra&Division of Water Resowees.Aft tights reserved. Horne I Contact US I If ern I Water tints I Cabadu.0av I ONR I privacy Potty I Trampare cp OMne Project(TOP) http://www.dwr.state.co.us/V/ellPermitSearchNiew.aspx?receipt=0462276 10/11/2011 • E RECEIVED Wright Water Engineers, Inc, 2490 we 26th Ave.,Suite 100A • www.wnghtwatercom Denver,Colorado 80211 January 5,2007 emar:w.veavvnghc J11 D 9 2007 (3031 480-1700 TEL 1303)480-1020 FM ATEmRE3p• URClO COLO.�Nign Via First Class Mail Ms, Brenda Hoisington Office of the State Engineer Division of Water Resources • 1313 Sherman Street Room 818 Denver,Colorado 80203 Re: Change In Ownership Forms Submittal Dear Brenda: Please find attached twelve (12) separate Change'In Ownership forms (GWS-11) for wells that are now under the ownership of Butterball, LLC. 'Wright Water Engineers, Inc. is assisting this entity with water resources issues related to the properties on which these wells are located. Please feel free to contact me should you have any questions about these forms. Very truly yours, WRIGHT WATER ENGINEERS,INC. By I4. e • Gary l. ' itt, G. Hydr•g=• o: s •rojectManager Attachments cc: Doug Pennock,Butterball,LLC Michael Browning,Porzak Browning&Bushong, LLP Z:Wroject Files106\061-I42\061-142.000\Engineering\Change in Ownership Farns\C10 Transmittal GD W 010507.doc GLENWCOD SPRINGS DURANGO (9701 945.7755 TEL (9701945-9210 FM (970)259-7411 TEL 19701 259-8758 FM • I I Form STATE,OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER ' OWS-I l 818 Centennial Bldg.,1313 Sherman St,Denver,CO 80203 RECEIVED phone—Info:(303)886-3587 Main:(303)866-3581 t. Fax:(303)866-3589 htip//www.water.state.cd.us CHANGE IN OWNERSHIP/ADDRESS JAN 0 9 2Cu1 CORRECTION OF THE WELL LOCATION elf at solMeCa Review iasirucdoas on the reverse side prior to completing the form. carp Name,address and phone of the person claimino ownership of the well: NAME(S):Butterball. LLC . Marling Address:16634 Weld County Road 33 City.St.Zip:Platteville. Colorado 80651 Phone (97O)785-2966 0 c/Co 2 J 7 G+ This form is fried by the named individuaVentity claiming that they are the owner of the well permitted as referenced above. This filing is made pursuant to C.R.S.37-90-143. WELL LOCATION: Well Permit Number.16133-FR Receipt Number.462276 County Weld Owner's Well Designation(optional)Everoreen. (Address) (City) (State) (Trp) NW 1/4 of the1J ALI 114,Sec.3t,Twp.2_®N.or❑S.,Range¢,5 ❑E.or®W.,6th P.M. Distance from Section Lines:Z40 Ft. From EI N,or❑S.,400 _FL From[j E.or®W.Line. Subdivision Name Lot ,Block_ ,Filing/Unit The above listed owners)say(s)that he,she(they)own the well described herein. The existing record Is being emended for the following reasons: .C Change In name of owner®Change in mailing address O Correction of location for exempt wells permitted prior to May 8,1972 and non-exempt wells permitted before May 17, 1965. ; Please see the'averse side for further information regarding correction of the well location. I(we)dalm and say that I(we)(are)the owner(s)of the well described above,know the contents of the statements made herein,and state that are true to my(ouil knowledge. i Signature then er Please print th Signers &Title `' Date �C14P�RY/jHMrIS2 /re�fRA7br#lr9+� 1 ZMAO It is the responsibility of the new owner of this well to complete and sign the form. Signatures of agents are accgptable if an original letter of agency signed by the owner Is attached to the farm!upon its receipt For Office Use Only ACCEPTED AS A CHANGE IN OWNERSHIP AND/OR MAILING ADDRESS.vi.g z . 4..?.. thzaz_ State Freer to I . : 0462276 F 16133-F_R t. _ STATE OF COLORADO OEFICE(DF itil 'ATEIENGINEER' • .. • • ' f'-' -' •• Dlvisipnl tWa ed,ltetources.•• RECEIVED ,. -Departmen •fibattfraI)Resources r :. . . „ 1313•Sherma4q cIRbom 818 May09,2001 ♦s�re.�.+. • • Denver,Cpl 3 JUG ® 2E3A9 . . • ' hOile:13031far6- S`.l'' FAX:(303)=866:3589 wAIErF•+e°uS Bill Owens 6117E Ov7fEA COLD. Governor ., hup//waterstate.caus/defauit.htm Greg E.Watcher Executive Director MIt Ed+ •tGH`TURKEY HATCHERY INC Hal D.Simpson,P.E. H State Engineer 186' 3iXWCRt33 • . PC,APIEV.IL'L'E CO . - ar.+ • RE*( I(Permit,Number 16133 F R —• ` •TlotidTiri the NW 1/4,of the NW 1/4,Section 32 Township 3 N,Range 65 W,S P.M NOTICE t`'•' '•[Ills pe itltotconstruct a well was issued on 6/23/2000. The expiration date of this permit is 6/23/2001. In r,�-, 'ord-er(o ifpermitto remain valid,one of the following actions must occur. If the well is not drilled and you R^ tills o the permit,'e request for an extension of the expiration date must be received prior to the .r• :00,1,o 1tati .•dpthe well Is drilled,the well owner must be sure that a Notice of Well Completion is received by :.-:. _;the1B:s *Voter Resources prior to the expiration date. As of this date,neither a request for extension nor 0., : 'the re. l 41ke of Well Completion form appear to been received by this office. �1 K.` iltal a s)approved under Section 37-90-137(4),Colorado Revised Statutes. The well must only be '• rco s p,jortto the expiration date of the permit The well owner must complete and submit a Notice of rr� -V1(el C .lion;Form No.GWS-18. The form must be received by the Division of Water Resources prior to . • F . the dats'of the permit. This form and an extension request form were Included with your original • packet: tor your Information,the well driller is required to submit a Well Construction and Test Report, Gws�3,�1.•'=Tlheyrare not the same farms. i•: Iif W.' lsingticonstructed,the well owner may request,in writing,a one year extension of the expiration date. et•-, (r - • "hhe ues$rntistibe received with a$60.00(sixty dollar)filing fee prior to the expiration date and must provide ' . •re. is Ta wetirhas not been constructed and approximately when it will be constructed. • SOS' e ellilsiconstructed,and within 30 days after water Is diverted for beneficial use,a Notice of ro. jjo(nmegce nerit)oVBerteffcial Use,Form No.GWS-19 Is to be submitted to the Division of Water Resources. _AL ffirwilliaotlbe•consfructed,and you do not wish to pursue construction of a well,please advise us In anrtitir • I •'.•erdthabwe may formally expire the permit without requiring additional notification from you. 7i•• d 4anyrquestions,or need additional forms,please contact the Mr.Richard Bell of this office at ,j.,.' -•cL�a '86,358L.Forms are available on our website referenced above. ., • 's/batjwsiuShour immediate attention. • . 4::••.: .' `• - •.. `• •- - -1 FORM NO. STATE OF COLORADO • For Office Use only 01'10 ' OFFICE OF THE STATE ENGINEER 03)826 818 Centennial Bldg.,1313 Sherman St.,Denver,Colorado 80203 (303)88836Bt FOR INSTRUCTIONS, SEE REVERSE SIDE RECEIVED • STATEMENT OF BENEFICIAL USE WELL PERMIT NUMBER IL, 133: .F-9. JUN 0 4 2009 • ' • 1. WELL OWNER • wAirwXE W�ole `` PTA Cob. A NAME@) 7-6 a G S Mailing Address 1 b o t+ w.GR. 33 City,St.Zip • Pt_A TTtSV I r.L J C CID • k . Q sq.Q.,2,<,, Phone(91-0) 4-65 bb • 2. WELL LOCATION; COUNTY Waal-j) OWNER'S WELL DESIGNATION EVel2G G•'N l4O .8 W C 2 P r� P -trL�u u_I= C 0 (Address) Ply) (State) p) �y Ri N W 114 Grew NE kit/1/4,Sec.SA. Twp. 3 N� ESN.or D S., Range b5 El E. Of Lrl-Wr/ b P•M. Distances from Section Lines %91i O Ft.from[ % or S. Line, 1 .00 FL from O E. or LEW. Line. 3. The well Is being used for the following purpose(s): A.14 i ERi!6- ToaweYS 4. Water from the well was first used beneficialy under this permit number,for the above described purposes on . /.Q—/5"-aO , (Do not report a date which Is before the Issued date of this permit) • 6. The pumping rate claimed Is I ♦4- gallons per minute. 6. The average annual amount of water diverted Is 54 acre feet. 7. The land area Irrigated (watered) by water from this well is: O 1=1 Acres or O Square feet, (Numbet) described as: (Legal Ueacdplton) • Of as Subdivision Lots) Block Filing/Unit 8. Well drilled by: cz 4 R vJ e Q d k .� m.p Lit. No: Pump installed by: ?44 R u) a ll * P ww Lic. No: 1 S-7 . 9. Meter Mfg. by 1 rr 'Allo.St ec HA &1 Serial No.: 2 4-q 7-5O, Date Installed: /O-/5-J`JJOQ I (we) have read the statements made herein,know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S.,the making of false statements herein constitutes perjury in the second degree and is punishable as a Class 1 misdemeanor.) 10. Name/Title {Please type or print) Ign re ate _ G . 4e e -/s—o/ FO 0 CE USE ONLY • Sja EngSer - By Date Court Case No. Div. Co. WD Basin MD Use ._ .__ Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES r 819 Centennial Bldg., 1313 Sherman St., Denver,Colorado 80203 (303)866-3581 857 a WELL PERMIT NUMBER G 133 - F - R APPLICANT DIV. 1 WD2 DES. BASIN MD • • APPROVED WELL LOCATION WELD COUNTY MILE HIGH TURKEY HATCHERY INC NW 1/4 NW 1/4 Section 32 16634 WCR 33 Township 3 N Range 65 W Sixth P.M. PLATTEVILLE, CO DISTANCES FROM SECTION LINES 240 Ft.from North Section Line (970)785-2966 400 Ft.from West Section Line PERMIT TO CONSTRUCT A WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS QF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief In a civil court action. 2) The construction of this wall shall be in compliance with the Water Well Construction Rules 2 OCR 402-2,unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors In accordance with Rule 18. 3) Approved pursuant to CRS 37.90.137(2)and CRS 37.90-137(5)for the replacement of an existing well,Permit No. 016133-F. The old well must be plugged and abandoned in accordance with Rule 15 of the Water Well Construction Rules. A Well Abandonment Report form must be submitted with In sixty(60)days after construction of the new well, affirming that the old well was plugged and abandoned. 4) Production Is limited to the Laramie-Fox Hills aquifer,which Is located 320 feet below land surface and extends to depth of 835 feet Plain casing must be Installed and grouted to prevent the withdrawal of ground water from other aquifers and the movement of ground water between aquifers. 5) The maximum pumping rate of this well shall not exceed 35 GPM. 6) The allowed average annual amount of ground water to be withdrawn Is 56 acre-feet. 7) The entire length of the hale shall be geophyslcatly logged as required by the Statewide Nontributary Ground Water Rules prior to installing casing. 8) The owner shall mark the well In a conspicuous place with well permit number(s),name of the aquifer,and court case number(s)as appropriate. The owner shall take necessary means and precautions to preserve these markings. g) A totalizing flow meter must be Installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner(recorded at least annually)and submitted to the Division Engineer upon request. 10) This well shall be constructed at least 600 feet from any existing well completed In the same aquifer that is not owned by the applicant. 11) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes,rules,and regulations. 12) This well shall bo constructed not more than 200 feet from the location specified on this permit. APPROVED r(Q ,� �arei . � -1 0 40,04, Slate Engineer •2 3 8Y d� 13 20131 Receipt No.0462276 DATE ISSUED sew EXPIRATION DATE ...S COLORADO DIVISION OF WATER RESOURCES tuPc`)r ..n DEPOTMENT OF NATURAL RESOURCES RFCEIVEO 1323 SHERMAN ST.,MIL 818,DENVER CO 80203 phone-info: (3O3) 866.3587 main: (303)866.3581 JUN 21.2000 GENERAL PURPOSE Water Well PoneltApplication (Reeve note:ether tomis are available for specific uses including-residential,Ilveatook,monitoringlobaerv.,gravel OlitiMintiratbn of old walls) Review instructions prior to completing form Must be completed in black ink or typed 1.APPLICANT INFORMATION B. USE OF WELL (please attach detailed description) Pam"sepS,nt O INDUSTRIAL O OTHER: /VIA.i (C- WO de./'k ., AIchcry Sec. tit COMMERCIAL / / O MUNICIPAL peEhp AEdr® .33 O IRRIGATION 1 (.43Y k-cr alp ❑ FEED LOT"number efheed: 7.WELL DATA Q an, are Sip Cede Mmtnun pinning we rV • Smug mound zie Inla�F, ;e.11e CO as gpm 4.4f dere-feet ' Taal death 'Agdln rdeohom number enmhde area*Odd (I S0 feet FoK ^iII6 470- 7 SS -am(4 8. LAND ON WHICH GROUND WATER WILL BE USED 2.TYPE OF APPLICATION (cheek applicable box(esl) A. LEGAL DESCRIPTION(may be provided as an aneehmu ith O Construct new well ❑Use existing well Wu., 'Iz 5ce. 32, Tarp 3a R y to 5.1-41 6w, *Replace existing well O Change or Increase Use D Change (source) Aquifer. O Reapplication spired Parma O Other: • (If mead for crap hrigatien.ensile sealed map that shows irrigated area.! 3-REFER TO (if applicable): B. 4 an* C. Owner �l Weer court ease• Perl/mit4 3 i 9 SOr7c. Os I l 413'3-F D. Un any other wells or water tights used on this land: Emergency Verbal • Monitoring bola ecknowiademem I .VE- MH- - Well name or• 9. PROPOSED WELL DRILLER(optional) Nan; them snow 4.LOCATION OF WELL IRS- R L✓t i l (>tn l epurn`a ' T57 . Count' uadedeuener 10.SIGNATURE of applicant(s)or authorized agent (Sc.wel (✓ > 4'✓t/. The making of false statements herein constitutes perjury Section YewmNp N or B Renfro E or P*tW Melia. in the second degree,which is punishable as a class I mis- -Ta 3 I3 CI ( 4 ❑ a. (.. rpm demeanor pursuant to C.R.S.24-4-104(13)(x). I have read Distance from section Ene, J�. 90 6 l % the statements herein,know the contents thereof,and state 7( teal a.t/0 ft from I N D s 3F a teal Egg mil, that they are true to my latowledge. welloo.aamadaew.If diktat;from enamor stirs.,of eppfaable) ID9 Must be;kaki Neater. C . dam' 'V r .r....../ nne1irh� PCMACCtt elo oar npieo.1*m rrele only-Sturm;end dIee w n nom old e re w Ira'. Oprra+IM Hlit44q v- C-2.1-0U feet direction OPTIONAL INFORMATION 5.TRACT ON WHICH WELL WILL BE LOCATED usos map aunt 0WR map ma. Swint elm A. LEGAL DESCRIPTION(may be provided as an attachment): Office Uee Only AV? • DIV Invoice 6 462276 5/21/86 — 11:55:52 fii CO Cashier III 01 B. STATE PARCEL e AN ID#loatlim lk • WD e,soar to rat *oar Cheek Purchase— 45385 s )4 Sane as ( BA_ E. Will this be the only well on this tract? *YES" O NO Of other wells are on this tract,pea detailed Inst.) USE(S) MD Form OWS-45(12/95) . , Wttc-2b•12 - 4fl .. a' THIS FORM MUST IV r 111213 SUBMITTTHE EXPEI7A7 PRIOR OFD7NE`•_ �?-COLORADO DIVISION OF WATER RESOURCES 61°iG�J 'srT PERMIT. TYPE dR . -r 300 Columbine Bldg., 1845 $hermad'$t. ••• y 'r PRINT1fy B.ACt: INK. (� p ✓(/�� at 'STATEMENT MAILED - Denver, Colorado 811203 N Rt, 9j3 at ON REQUEST. -441444%Fq ,U STATEMENT OF BENEFICIAL USE OF GROUND WATER 6 471a rNF-pFs .vs FOR OFFICE USE ONLY 4y DIY. Cty. 6-2- AMENDMENT OF EXISTING RECORD c'8eZe9Z 2q't, PERMIT NUMBER -- STATE OF COLORADO SS. COUNTY OF Weld . LOCATION OF WELL • THE AFFIANT(S) Mile High Turkey Hatchery, Inc, Weld County whose mailing address is 711 Soetth Bowen, Longmont, Colo 80301 N. W, ai the N. W. /,section 32 • City Longmont, Colo -80501 Twp. 3 N. N ,nag. 65 W 6 P.M. (sTATe) (ZIP) IN OR SI IF. 9R WIC being duly sworn upon oath, deposes and says that he (they) is (arc) the owner(s) of the well described hereon; the well is — located as described above, at distances of 250 feet from the North section line and 400 feet from the INa.TH OR •OUTHI West section line; water from this well was first applied to a beneficial use for the purpose(s) described herein on the 15th (EAAT 011 *EST) day of March 19 72 ; the maximum sustained pumping rate of.the well is 3S gallons,per minute, the pumping Soo n+ a "441.V rate claimed hereby is 35 . gallons per minute; the total depth of the well is " feet; the average annual amount of water to be diverted is 56 acre-feet; far which claim is hereby made for domestic livestock and commercial purpose(s); the legal description of the land on which the water from this well is used is the West 1 of Section 32, township 3 North, Range 65 West of the 6th P.M. which totals 320 acres and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed In compliance with law; he (they) has (hove) read the statements made hereon knows the content thereof; and that the same are true of his (their) knowledge. y.. - • Suliscr bed.oed vim / n f T FOR OFFICE USE ONLY -.to:: mE,,an this, c cloy of jL/ er-4et: , 19/ Court Ca.. No. My-�omm is9}an ex�}r¢s: n./ •",... emu, l-,/; P`....., NaTA a wre Well u.. III ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: Diet. g"-- Basin Man, Drs. Prier. Me. Day Yr. • DATE STATE ENGINEER BY 4 • Well drilled by Holden & Holden Lie. No. l • + Pump Installed by Holden & Holden Lie. No. 1 Meter Serial No. O Flow Meter [l Electric Motor 0 Fuel Meter Owner of land on which HAI. Nighrke water Is being used Y HatOh@> yt Inc. THE LOCATION OF THE WELL MUST BE SHOWN AND THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW. This diagram represents nine(9) sections. Use the CENTER SQUARE (one section) to Indicate the location of the well, If possible. I I .. . .l h '. ....I + �. _ + • — r + _ + + .•.. _-.. . •_'YF'KK-_ ....yam—� •.- 4. ... r• .- . I II }1I I + l— + — + 1 — t NORTH SECTION LINE I I NORTH f + — rn + + - aww,, H J W rn I SOUTH SECI ION LIME T E SCALE OF THE DIAGRAM IS TWO INCHES E3UALS ONE-MIL E = . . — -I- — -F — -h —' + — ± — t`,:'" '- WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. I cubic foot per second(cfs) . . . 449 gallons par minute (gpm). 1 acre-foot . . . 43,560 cubic feet . . . 325,900 gallons. 1,000 gpm pumped continuously for one day produces 442 acre-feet. 100 gpm pumped continuously for ono year produces 160 acre-feet. 1 1' • 1 a LI/VR.1-26.72 _ ` f' r . COLORADO DIVISION OF WATER RESOURCES • THIS FORMMUST SE SUBMITTED 101 Columbine Bldg., 1845 Sherman St. S WITHIN 6 DAY§'OF COMPLETION'. Denver, Colorad0$Q283 as 'I F r� ;'�y ON THE WORKPRINT I SLeo ACK TYPEIN /vygtL OMPLETION AND PUM I�V� TALLATI NREPORT i �� INK. G�fylA(f!/ PERMIT NUMBER 016133-F e ..Ci. • ' if WELL OWNER Mile High Turkey Hatchery, Inc NW �y,of the NW ya of sec. 32 P" ADDRESS 711 S Rnwan t TLnngmont, Coln 80501 T, 3 N , R. 65' W i 6 P.M. DATE COMPLETED Feb.7, i 972 . , 19 72 HOLE DIAMETER WELL LOG 8 in. from 0 to 317 ft. - Water From To Type and Color of Material Loc. 5' In. from 317 to ft. In.from to ft. 0 18 clay 18 22 Sand CASING RECORD: Plain Casing 22 58 clay 58 59 sand stone Size 5 & kind steel from 0 to 117 ft. 59 70 shale 70 71+ coal Size 1+ & kind steel from 117 to 322 ft. 71+ 90 shale 90 107 coal Size & kind from to ft. 107 115 shale 115 117 rock Perforated Casing 117 131 sand 131 136 coal Size 4 & kind steel from 322 •to_385 _ft, 136 11+0 shale 140 11+5 Coal Size & kind from to ft. 145 151 /e60/shale 151 168 coal Size & kind from to ft. 168 173 shale 173 182 sand GROUTING RECORD 182 185 rock 185 190 sand Material Cement 190 21+5 shale 21+5 21+6 rock Intervals _ 25f14117 246 255 shale 255 276 dirty sand Placement Method Prassurp , 276 390 brown shale GRAVEL PACK: Size Interval TEST DATA Date Tested_ Weh 7 , 19 .22 • Static Water Level Prior to Test 19Q ft, ?':;• .acs.6 P ,�,�, = Type of Test Pump • RT 11 ed , .;,_ •: ` Length of Test 4 hours • :- Sustained Yield (Metered} • 1_1' GPM -TOTAL DEPTH Use additional pages necessary to complete log. Final Pumping Water Level 230 • r • w PUMP INSTALLATION REPORT v: y.•• .. r u•, fre t t .... Punip Make _-- . _._....... _ • 4�ti 3Tn??d r • Poviil'8d by• __ HP „ a ' A I ; • ..i i.., • ix Pump Serial No. _._ :* : . r {' J < WATER Motor Serial No. _.-.. �+ u W TABLE La Date Installed - s w—I IC M Pump Intake Depth __.... .—.. • .‘ —a _ W V. Remarks 1 '72 is :I . S � '-�. q �� is .• P WELL TEST DATA WITH PERMANENT PUMP F ;. .CI Date Tested re ZONE of I- a .. .": DEPRESSZCR• . Static Water Level Prior to Test_ M `a' { , �: .� 'Length of Test Hours "�• Sustained yield (Metered) GPM .• .:1 ' , Pumping Water Level . • . • Remarks — y: • . •. CONTRACTORS STATEMENT • The undersigned,being duly sworn upon oath,deposes and says that he is the contractor of the welt or • . pump installation described hereon; that he has read the statement made hereon; knows the content • thereof,and that thalami!is true J of his own knowledge./ / 7^-�'•,' ti • Signatu�c ��L,a !il �- ,�V>tsP. ..t LIcense S>i3r CL. • . County cA' &a _. .;, : .:. ` • State'of Colorado, Cou of �..... ; _ Subscribed and sworn to before me this Lg day of �%' !� , 19.z ' ..C `--- " • • ' ubn_ ireaFehr IL.ig73 , 117,9_ V' '~ j. • My Commission ex~p� e"C —.. '•� � ' • Notary Pubic A-+r�/•sit 4/14-4/4a \ FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides end slimed WHITE AND GREEN oopMs must he tiled with the State Engineer.PINK COPY is for the Owner and YELLOW COPY is fee the Driller. a - A • WIT.,5-.?1,, COLORADO DIVISION DF WATER RESOURCES °�d tl�tsly�o 101 Columbine Bldg.,1845 Sherman Street,Denver,Colorado 80203 ,mod,' ^s �.7`" TYPE OR 'RIN'T4IN BLACK INK. APPLICATION "OUST COMPLETED BEFORE ACCEPTANCE, "' F 1) J 4'- F ' `v�D U • APPLICATION FOR: GROUND WATER TO BE USED FOR: � 00. OR-9. on ruo Ki RESGl14( i°• X A PERMIT TO USE GROUND WATER X DOMESTIC (1) )( \\ ��1 K A PERMIT TO CONSTRUCT A WELL X LIVESTOCK (2) U1EAT ,�6) • REPLACEMENT FOR NO. MUNICIPAL (8) .IRRI )( A PERMIT TO INSTALL A PUMP • OTHER . OTHER APPLICANT TAC,00uui LOCATION I`rS� t,� � �G�i 7�uRK�Y A'rc�lc,�� 41 ELM Street Address 7// 5 , /8ol..06-A/ /Vim 4 of the NUi .µ of Section 3A City & State 2646/1.-yjA/r Op/d F(D5'D1 T. _,tf , R. ‘,5.-co) , 4 P.M. IN ADDITION TO THE ABOVE, THE WELL 4tIST BE Telephone No. 776-- 70 Jb LOCATED WITH REFERENCE TO GOVERNMENT SURVEY NAME OF AQUIFr.�R GROUND WATER IS TO BE OBTAINED CORNERS, MONUMENTS OR SECTION LINES BY DISTANCE AND BEARING (DOMESTIC WELLS MAY BE LOCATED BY. . FROM: #4 A RIM FIB S,cg LOT, BLOCK, & SUBDIVISIOIL) PROPOSED TOTAL DEPTH OF WELL 4,Lpn Ft. a7,511 ft. from J(np 7-/ section line (North or South) F,S`TIMA2hD MAXIMUM PUMPING RATE 5' GPM 660 ft. from WE-S7— section line (East or West) AVERAGE ANNUAL AMOUNT OF GROUND PLATER TO BE LOT BLOCK FILING # • .APPROPRIATED 6, Acre-feet' SUBDIVISION 'ANTICIPATED GROUT PROGRAM • • Ground Water Basin 'Material (?ff-,4ENT Water Mgmnt. Dist, IntE'rvals �/ G a,*T/30tI Anticipated drilling date rep, Ac-- 19 7.)„, ' Placement Method pp p5 s 4ip,S Owner of land on which well is located: PR6POM CASING: A i l,C /I ir.W m gq lerr ti gf IC, P/ain A--- in. from n ft. to don ft. Other water rights on this land Drove 2/ in. from Ana ft. to _R1 p ft. Perf. /7/ in. from q an ft. to ft©o fb. in, from ft. to _ ft. Akeiltee( a'42 Driller /7d4,VE'Av4- lln4De/9 .No. _(—__ sign e of Appl Address HubgoA/, Colo . Rev., 44a IF WILL IS USED FOR IRRIGATION, BACK SIDE OF THIS APPLICATION MUST BE COMPLETED. (..\--3-I 'U 07 FOR OFFICE USE ONLY CONDITIONS OF APPROVAL APPLICATION APPROVED; VALID FOB ONE (1) YEAR l.)rT.FCTRIC LOG OPEN ROLE PRIM TO INSTALLATION OA'FTER DATE ISSUED UNLESS EXTENDED FOR GOOD CASING AND A COPY OF THAT LOG SUBMITTED TO THE CAUSE SHOWN TO THE ISSUING AGENCY. DIV.' OF WATER RESOURCES. 2.)INSTALL TOTALIZING n q FLOW ME'T'ER ON TAE WELL. 3,)MAINTAIN AND SUBMIT PERMIT N0. 016133- F TO THE DIV. OF WATER RESOURCES THE RECORDS OF ANNUAL EXTRACTION OF GROUND WATER,/"y v DATE ISSUED APR 7 1972 • STAT EG NEER BY THE LOCATION OF THE PROPOSED WELL MUST BE SHOWN AND THE AREA TO $E• , s i . IRRIGATED MOIST.BE SHADED OR CROSS-HATCHED ON THE DIAGRAM.BELOW _ . Thie 'diagram represents nine (9) sections. Uae the CENTER SQUARE ' • „ (one section) to indicate the location of the well, if possible. . r4 1 Mlle P , 1 1 I I . - + — + •- + — + + — -I- - • I F ' . I I I I _. . . • -F • - + + - + - + - + - NORTH SECTION LINE . 4 I I I ., c re IN + — + - N a I I G • I I _d . + + -P + — + - r- J • � [ F I SOTJTH SECTION LINE. F I �, • - + — + — + — + — + — + - . . y •., .. . . F I I I . I I . . t + - --+ + — + — + — + - • , . • I_. . . I .1 1. - • I N THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS DNE-MILE . Owner of Number of acres irrigated land to be irrigated . Legal description of .- . ' irrigated land - ... . - WATER EQFJXVALRZWS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) .;. . 149 gallons per minute 1 acre-foot .... 1+3,560 cubic feet .... 3253900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. As 4 • s. StiPPIalFliTAL IIOTORMTION FOR WELL PFRICT (To be attached to application for well permit) . Applicant: /V1 t 1,& Iul rrE T,21fE y 7-e va y xn'c. C. W. No. . 19107 Address: AEI E• r.)rDc.<) s4 lary(;M4Nr cc, well location: Mw 4i ?U LU LL, Sec. _3 T. 3A/ , R. 65 to LAND ON WHICH WATER IS TO BE USED: : 11 • Owner: MILE I iau A'/ e ro %( l747Cl5,2�/ JTNC , Legal. Description: lU y Set 1 ` k 6s- Used on Other water rights: Used for; (Location) 'N C)u • WELTZ USLA FOR DODf)a2TIC AND/OR MUNICIPAL PURPOSES: Water supplied to: Anticipated Consumptive use (acre-feet/year); Number of taps / Dom,/Mwat. O2 Number of people (p Irr, Approx. no. of acres to Coml. be irrigated ,0odie Other WELLS USED FOR COMMERCIAL OR INDUSTRIAL PtTRPQSES: Anticipated consumptive use: • acre-feet/year. Detailed description of use of water: trrg F._ li•-•0 tA5,Fl re) , P zr,ey i- /nit s To&H C. ozvs.u 'ip nnil/, ,4/so c0 se..„ coohimG- POLP � hky /suiLt,tis Signature of applicant: V ,t47 e ?4 —e • 4 p s ' '7„ aMOI c.l gm- this • Governor Mato Yaglassr ( e. DIVISION OF WATER RESOURCES Department of Natural Resources 300 Columbine Building 1845 Sherman Street Denver, Colorado 80203 June 4. 1973 Mile High Turkey Hatchery. Inc. 711 South Boren Longmont, Colorado 80601 Dear Sirs: Section 148-18-36. Colorado Revised Statutes. 1963, as amended, states that any permit to construct a well shall expire one year after the, issuance thereof. -unless the applicant to whom such permit was issued-. shall furnish to the State Engineer, prior to such expiration, evidence . ' that the water from such well has teen put to beneficial use. Your permit Mo. 16133-F has an expiration date of April 7. 1973 and to date our office has received only the driller's infornation log. Enclosed please find the Statement of Beneficial Use of Ground Mater forn INJ-25-72. and instructions for completion. Recently. this office initiated the use of new well completion forms, both for the well driller and for the well owner, to comply with recant changes in the state statutes in this regard. As a result of this change in procedure. you were probably never given a copy of the enclosed form to complete. • • Please fill out this fore in its entirety and return it to this office within 30 days if the water has been put to use. If we do not receive the Statement of Beneficial Use within 30 days from the date of this notice. we will cancel your permit pursuant to Section 148-18-36. Thereafter. your permit for this well will be of no force or effect. end you will be ordered under the authority vested in the State Engineer by Secl tionl 14B-t 10-9 properlyS. 1996633, as this d,of to cease the use of this If there are any extenuating circumstances, or if you have a valid explanation for not complying with the Statute on this natter, please contact us. • Vary truly yours. Harlan W. Erker Supervising Engineer . Ground Water Section IWEriks • Enclosure ' ; COLORADO DIVISION OF WATER RESOURCES HELD INSPECTION REPORT Division 1 District 2 DATE OF INSPECTION 6/22/00 PURPOSE OF INSPECTION:LATE REG, 0 REPLACEMENT IA OTHER: Zernergency recfrill APPLICANT: •Mile High Turkey Hatchery PERSON CONTACTED: Doug Pennock ADDRESS: 16634 WCR 36 WATER COMMISSIONER: ROBERT STAHL, Platteville, Co 80651 PHONE# 1303) 857-0742 PHONE: 970 785-2966 EXISTING WELL LOCATION; NW 1/4, NW 1/4, SECTION 32 TOWNSHIP N RANGE 65W SIXTH P.M. DST, 260' FROM N SEC. LINE, 400' FROM W SEC. LINE; COUNTY- Weld IF REPLACEMENT, GIVE DISTANCE AND DIRECTION TO NEW WELL SITE- 10'north TYPE OF WELL: drilled OTHER WELLS ON THIS PARCEL? no HOW MANY? _ PERMIT#, CASE#, USE? EST. DATE WELL CONTARTED: ?DATE OF FIRST USE:? EST. PUMPING RATE:3 GPM TOTAL#OF ACRES IN THIS TRACT/PARCEL: 319 ACRES ADDRESS OF PROPERTY IF DIFFERENT THAN ABOVE: 19028 WCR 28 SUBDIVISION OR OTHER PARCEL INFO:n/a ACRES IRRIGATED (non-exempt/crop irr.) n/a NAME OF AUG PLAN: 1a_ USE OF WELL: ® household use in 1 single family dwelling(s) ® watering of poultry and/or domestic animals ❑ watering of livestock on a farm or ranch-how many head? ❑ feed lot-how many head? ® historic lawn and garden irrigation acres or 6000 sq, ft, ®fire protection ❑ commercial ® other(see comments) WERE THE USES CLAIMED ABOVE INITIATED PRIOR TO MAY 8, 1972? 7 SIGNED:'G'C DATE; 6/22/00 COMMENTS; for turkey farm, see permits 16133-F • RECEIVED ewe., (Rev.August+998) JUN 21.2000 STATE OF COLORADO OFFICE OF THE STATE ENGINEER •STAtt NONEEA DIVISION OF WATER RESOURCES NONTRIBUTARY GROUND WATER LANDOWNERSHIP STATEMENT I (We) M+ )Tr MTh fwr k t d rr 1/c .ch cr./ XfC. /Dirt. moot- • (Name) claim and say that I (we) am (are) the owner(s) of the following described property consisting of 31q acres in the County of li. c1 d , State of Colorado: (INSERT PROPERTY LEGAL DESCRIPTION) West OF -7t-Da /ASV /4. I Sec D. it.no 2"i Rny wesl- Ls, a•I- 41/4. L 1:;•-pM • • and,that the ground water sought to be withdrawn from the aquifer underlying the above-described land has not been conveyed or reserved to • • another, nor has consent been given to its withdrawal by another. Further, I (we) claim and say that I (we) have read the statements made herein; know the contents hereof; and that the same are true to my (our) own knowledge. clalp. (_. .'--- �yy� r -Z/— a- (Signature) (Date) • (Signature) (Date) INSTRUCTIONS: Please type or print neatly In black Ink. This form may be reproduced by photocopy or word processing means. See additional instructions on back. -•--� 1313 SHERMAN ST RM 818 DENVER CO 80203 (303)868-3581 • • • d • LANDOWNERSHIP STATEMENT INSTRUCTIONS The landownership statement must be submitted with the well permit application or application for determination of water right in all cases where the applicant believes or claims that water to be withdrawn is nontributary ground water or any ground water from the Dawson, Denver, Arapahoe or Laraime-Fox Hills aquifers. The statement must be signed by the landowner(s). The legal description and the number of acres of overlying land must be Indicated. In areas of the state that are not surveyed,the State Engineer will accept an alternate description of the location of the overlying land sufficient to identify and locate the land. For legal descriptions of irregularly shaped parcels(where the boundaries do not follow or parallel section lines) or where there are exclusions of land within the total parcel, the appfoant must submit a ' map having a scale of 1:24,000 or larger(e.g., 1:10,000) which accurately depicts the overlying land. • If the legal description Is too lengthy for the space provided on the statement, please indicate "See•attached legal description"in the space provided on the statement and attach the complete legal description. The legal descriptions and maps provided must be complete and legible. • • • The aquifer from which ground water is to be withdrawn must be indicated on the space provided. Where applications for more than one aquifer are submitted at one time,the applicant shall provide a separate statement for each aquifer. Production from a well is limited to one aquifer only. form No. GWS-43 RFCE(VEIO e Rev. 9/98 OFFICE OF THE STATE ENGINEER JUN 21.2000 818 Centennial Bldg. 1313 Sherman St., Denver, Colorado 80203 e}1:cwe (303) 886-3581 NONTRIBUTARY LANDOWNERSHIP OR CONSENT VERIFICATION OF NOTICE 1 (We) Mt!c. )1;yh Iu r`c/ d.I4e .40,29,1720g / bCoe, (Name of Well Permit App can{) claim and say that I (we) have given notice pursuant to CRS 37-90-137(4)(b.5) of the application for a well permit by registered or certified mail, return receipt requested, no less than ten days prior to making of the application for the permit, to every record owner of the overlying land and to every person who has a lien or mortgage upon, or a deed of trust to, the overlying land recorded In the county in which the overlying land Is located. The names of the persons given notice are listed below: /14. • Further, I (we) claim and say that I (we) have read the statements made herein; know the contents hereof;and that the same ere true to my(our) own knowledge. CD,,7 n.- r ~Z/—vc,.. ignature) (Date) (Signature) (Date) INSTRUCTIONS PLEASE TYPE OR PRINT NEATLY IN BLACK INK. THIS FORM MAY HE REPRODUCED BY PHOTOCOPY OR WORD PROCESSING MEANS. SEE ADDITIONAL INSTRUCTIONS ON BACK. 9/26/96 s ,� INSTRUCTIONS NONTRIBUTARY LANDOWNERSHIP OR CONSENT VERIFICATION OF NOTICE • This form must be provided by the applicant seeking a well permit In all cases (except exempt wells) where the applicant believes or claims that water to be withdrawn is nontributary ground water or any ground water from the Dawson, Denver, Arapahoe or Laramie-Fox Hills aquifers. Except that it is not required when the right to such ground water has been determined by a valid decree or is being claimed by a municipal water supplier pursuant to C.R.S. 37-90137(8). The record owner, or persons holding a lien or mortgage upon, or deed of trust to the overlying land must be notified by registered or certified mall, return receipt requested, no less than ten days prior to making the application for a well permit. The applicant is to list the persons who have been thus notified as required. This statement must be signed by the well permit applicant. For the purposes of satisfying the provisions of CRS 37-90-137(4)(b.5)(I), a 'person" means any individual, partnership, association, or corporation authorized to do business in the State of Colorado, or any political subdivision or public agency thereof, or any agency of the United States. Form No. OFFICE OF THE STATE ENGINEER GWS.25 COLORADO DIVISION OF WATER RESOURCES • r 818 Centennial Bldg., 1313 Sherman 8t.,Denver,Colorado 80203 (303)888-3681 ` 857 WELL PERMIT NUMBER 6133 . F . fk APPLICANT DIV. 1 WD 2 DES.BASIN MD APPROVED WELL LOCATION WELD COUNTY MILE HIGH TURKEY HATCHERY INC NW 114 NW 114 Section 32 16634 WCR 33 Township 3 N Range 65 W Sixth P.M. PLATTEVILLE, CO QISTANCES FROM SECTION LINES 240 Ft.from North Section Line (970)785-2968 400 Ft.from West Section Line PERMIT TO CONSTRUCT A WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONp 9FJtPPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant that no Injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief In a civil court action. 2) The construction of this well shall be In compliance with the Water Well Construction Rules 2 CCR 402-2,unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors In accordance with Rule 18. 3) Approved pursuant to CRS 37-90-137(2)and CRS 37.90.137(6)for the replacement of an existing well,Permit No. 016133-F. The old we must be plugged and abandoned in accordance with Rule 15 of the Water Well Construction Rules. A Well Abandonment Report form must be submitted within sixty(60)days after construction of the new wall, affirming that the old well was plugged end abandoned. 4) Production Is limited to the Laramle-Fox Hills aquifer,which Is located 320 feet below land surface and extends to depth of 635 feet. Plain casing must be Installed and grouted to preventihe withdrawal of ground water from other aquifers and the movement of ground water between aquifers. 5) The maximum pumping rate of this well shall not exceed 35 GPM. 6) The allowed average annual amount of ground water to be withdrawn is 56 acre-feet. 7) The entire length of the hole shall be geophysically logged as required by the Statewide Nontributary Ground Water Rules prior to installing casing. 8) The owner shall mark the well in a conspicuous place with well permit number(s),name of the aquifer,end court case number(s)as appropriate. The owner shall take necessary means and precautions to preserve these markings. 9) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the wall owner(recorded at least annually)and submitted to the Division Engineer upon request. 10) This well shall be constructed at least 600 feet from any existing well completed In the same aquifer that is not owned by the applicant. 11) This well is subject to administration by the Division Engineer in accordance with applicable decrees,statutes,rules, and regulations. 12) This well shall be constructed not more than 200 feet from the location specified on this permiL r APPROVED ,�„� + )<BM �1��T dli 3 2081 State Engineer .a 9 ' BY receipt N_o.04G1276 45 DATE ISSUED s^� � EXPIRATION DATE -.m LOCATION: NW1/4 OF NW1/4 OF SEC. 32 , T.3N. , R. 65W. (240 NSL, 400 WSL) Ground ,Elevation: 4905 Number of Acres: 319 ELEVATION DEPTH TO ANNUAL NET APPROP STATUS AQUIFER SOT. TOP SAND BOT. TOP A-F UPPER DAWSON ---- ---- ---- ---- ---- ---- --- LOWER DAWSON ---- ---- -- -- ---- ---- --- DENVER ---- ---- ---- ---- ---- ---- --- UPPER ARAPAHOE ---- ---- ---- ---- ---- ---- --- LOWER ARAPAHOE ---- ---- ---- ---- ---- ---- --- LARAMIE-FOX HILLS 4270 4588 169 . 4 635 317 81. 06 NT note: E indicates location is at aquifer boundary and values may be more approximate. COLORADO DIVISION OF WATER RESOURCES fver9re-n DEPORTMENT OF NATURAL RESOURCES RFCEIVED 1,413 SBERMAN ST.,RP/1.818,DENVER CO 80203 phone-Info: (303) 866-3587 main: (303)866-3581 JUN 21.2000 GENERAL PURPOSE Water Well PeitriALARRlication Meese nate:other farm's are available for specific uses Including-residential,livestock,monitodng/observ.,gravel;M, n of old wetlsl Review InstructionsQrior to completing form Must ha completed in ack Ink or typed 1.APPLICANT INFORMATION 6. USE OF WELL (please attach detal/ed description) _ Name alopeliv tt O INDUSTRIAL O OTHER: /14 i ice lei 0 dearkc-s. Aidtr.. _oc• pc co RCI L AL Mako Pride= -3 El IRRIGATION • 1 Ct4n t„-tr" aS ❑ FEEDLOT--number el head: 7 7. WELL DATA ,�(J ow Stab Zip Code Malmo pimples roe VI' Annual amount +�JS 2.5. gpm ma cc> eore.reet In)r *e .1/4 [e) 'Tsui death "Agile• Tdeottatte ember fneluda.n.ceded i/SO foot Al it al it 5 PtO- US -aq e 4 8. LAND ON WHICH GROUND WATER WILL BE USED Z TYPE OF APPLICATION (ched(applicable boxles)) A. LEGAL DESCRIPTION(may be provided as an attachment(: ❑ Construct new well CI Use existing well ^'le' Vz se. 32, Td.p 3.✓ Rnq, (05.l,.- 6w, $.Replace existing well O Change or Increase Use . U Change (source) Aquifer' O Reapplication(expired Pamela ❑Other: • 111 used for emp ingation.attach'sealed map that ehawe Irrigated areal 3.REFER TO (if applicable): B. if cease C. Owner Water court ease• r<i�3 i C 3 I1 £4n-e AS I pwmA 1 ) J '^F D. 1Lt any other wells or water dpats used an this land: Emergency Verbal I Merdmring bale eaknowkdamamt -VE- MH- - . Well name or t 9, PROPOSED WELL DRILLER(optional) Nate Vain NOW 4.LOCATION OF WELL R 51- R C4/61/ 0/4.. lump ip ' gS7 • County Gu■rtulquarter Ctiel 10.SIGNATURE of applicant(s) or authorized agent tit I ! IV i✓ ye 4'+v% The making of false statements herein constitutes perjury Sendai Tome. N or 8 Range Ear IN Pdrallial Madden in the second degree, which is punishable as a class 1 mis- 3a 3 MO `3 n Et, y yM demeanor pursuant to C.R.S.24-4-104(13)(a). I have read Distance Id (roan section Ease 9 0 a CV( '`� the statements herein,know the contents thereof,and state 7` foci aq o ft from MIN CI tar " n testa Ei3) that they are taus to my Iowwledge. Well Imam eek.er.7r dlw.t fawn apeaornt ddee of avekiebl.) pp M.at ha nine✓igMee iir �a-.y �.++�I run ars4 f cNnoci< DU It npaoar atwit.ersy-detente end attmostenn era vie n en wed. 4poppeurat 1774,n44.Ar CO-7.l-DV feet direction OPTIONAL INFORMATION 5.TRACT ON WHICH WELL WILL BE LOCATED wee cup rums OWR man a Wotan dor. A. LEGAL DESCRIPTION(may be provided as en attachment): Ofnoe Use Only rYti ' DIV Invoice tl 462276 6/21/88 — 11:55:52 Af CO - Cashier lin 81 B. STATE PARCEL --- i 68.88 ID#toptlaedlk Check Purchase— 85385 WD C.3 314 1 D. ow,nrSAi•3 e- " 1 . . • BA— E. W4)this he the only trell on this tract? DYES ❑ NO (it ether wells are on this Mot,eee detailed lost.) USE(S1 MD . Form GWS-45(12/73) . V y ,, w+t-2h.ra Ll i THIS FORM MUST Df x.01112134. THESUBMITTED E TEIDA7tOA OFOTHE' �'J COLORADO DIVISION OF WATER RESOURCES �A ' , 'SrT PERMIT. TYPE R . `7 3GD Columbine Bldg., 1845 5hermcnSt. I. " .. 'P J �' PRINT 1N DSACK INK. �/ tl �/•N/ Zit, 'STATEMENT MAILED • Denver, Colorado R02D3 913 Z.3 G0 s R4y,�4,,. o ON REQUEST, .,. r14. R %VS,- ,y STATEMENT OF BENEFICIAL USE OF GROUND WATER `vg, C(A N, eCe A;; FOR OFFICE USE ONLY AMENDMENT OF EXISTING RECORD E'en 3Z52pzCV Dir. aty. (o._ ..._ PERMIT NUMBER STATE OF COLORADO •COUNTY OF . woad 55.? LOCATION OF WELL THE AFFIANT(S) Mile High Turkey Hatchery, Inc. Weld county whose mailing address k 711 Sordth Bonn, Longmont, Colo 80501 N. W. Vi of Hie N. W. IA,zenith, 32 • City Longnotat, Cole 480501 TwP 3 N. N , Rng, 65 • W 6 P.M. (r I r]TAro P) IN OR SI IC OR Vt) being duly sworn upon oath, deposes and says that he (they) is (are) the owner(s) of the well described hereon; the well is — located as described above, at distances of 250 feet from the North section line and 400 feet from the (NORTH OR aourH) West section line; water from this well was first applied to a beneficial use for the purpose(s) described herein on the 15th (EAR}on wear) day of March , 19 12 ; the maximum sustained pumping rate of.ihe well is 35 gallon�,per minute, the pumping 30 a rate claimed hereby is 35 gallons per minute; the total depth of the well is "ble feet; the average annual amount of water to be diverted is 56 acre-feet; far which claim is hereby made for domestic livestock and commercial purpose(s); the legal description of the land on which the water from this well is used is the West 1 of Section 32, township 3 North, Range 65 West of the 6th P.M. which totals 320 acres and which is Illustrated on the mop on the reverse side of this form; that this well was completed In compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (hove) read the statements mode hereon,knows the content thereof; and that the same ore true of his (their) knowledge. sap _- ' Suliserfh`ed.ond skoc, T7 FOR OFFICE USE ONLY —to;befoje,pte�on this day of .e. , 19/ • - .,, — Court Case No. My Comml9aio(1 e'xf)1Tg5: n.1 .:. . •../f..:/"0,, II',/t,, 1/42"t jt... Sec. IA, VI. 4:, --......- • HOTA PVeua Well U,. /J ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: Dist. 9aain Mon, Dig. • Prior. Mo._ Day_Yr.• •DATE STATE ENGINEER By a w h 4 • Well drilled by Ho1dsu & Holden Lic. No. 1 • Pump Installed by Holden & Holden • Lic. No. 1 .4. Meter Serial No. O Flow Meter ❑ Electric Meter O Fuel Meter Owner of land on which M le High Turkey is being used y mat:awry* Inc. THE LOCATION OF THE WELL MUST BE SHOWN AND THE AREA ON WHICH THE WATER IS USED MUST BE SHADED OR CROSSHATCHED OH THE DIAGRAM BELOW. This diagram represents nine(9) sections. Use the CENTER SQUARE (one section) to indicate the locatlen of the well, if possible. 1 I I .. • . I II I I — 1 + + + ^- I NORTH SECTION LIME f NORTH •• f �y ; . �... : .71 2-4 c I I . :. -" + w d • SOUTH SECl ION LIME I I I I • I 'I 'I t THE SCALE OF THE DIAGRAM IS TWO INCHES E3UALS ONE-MIL E cf. 't t . — -f• — -(- — — + — — " ' ,'~11 M i l e--h- EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 vale foot per second(efs) . . .449 gallons per minute (gpm). 1 aae•foof . . .43,560 cubic feet. . . 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. — 4. wRasao- r • Wt r • COLORADO DIVISION OF WATER RESOURCES VI 4:4 THIS FORM MUST-13E SUBMITTED 101 Columbine Bldg., 1845 Sherman St. _'. WITHIN fit DAY^S'OF cometeTION'‘ Denver,Colon ?j)D3 / ' 'I e• CVy ;\y OF THE WORK DESCRIBED HERE- ..�p �.i yy✓ L(�, �� ON,TYPE OR PRINT IN BLACK L OMPLETION AND PUMr REPORT �:+ At INK. PERMIT NUMBER 0161' 3-F WELL OWNER Mile High Turkey Hatchery, Inc NW '4 of the NW 14 of Sec. 32 it ADDRESS 711 5 . Bowen, Tnnpgrnont, Colo 80501 T. 3 N , R. 65 W 6 P.M. DATE COMPLETED Poll.7 1977 , 1972 HOLE DIAMETER WELL LOG 8 in. from 0 to 317 ft. _ Water From To Type and Color of Material Loc. 5 In.from 317 to ft in,from._....—to ft. . 0 18 clay 18 22 Sand CASING RECORD: Plain Casing 22 58 clay 58 59 sand stone Size 5 & kind steel from 0 to 317 ft. 59 70 shale 70 74 coal Size___4_____.& kind steel from 317 to 322 ft 74 90 shale 90 107 coal Size & kind from to - ft. 107 115 shale • 115 117 rock Perforated Casing 117' 131 sand 131 136 coal Size ll. & kind steel from 322 •to_185 _ft, 136 14+5 shale 140 145 coal Size & kind from to ft. 145 151 /6 W/shale 151 168 coal Size Si kind from to ft. 168 173 shale 173 182 sand GROUTING RECORD 182 185 rock 185 1 0 sand Material Cement 190 245 shale 21+5 21+6 rock Intervals 250/317.. 246 255 shale 255 276 dirty sand Placement Method EraaGttra 276 300 brown shale GRAVEL PACK: Size Interval TEST DATA : -- Date Tested Web 7 , 192 y .... .. • �' ''r- I �' ': Static Water Level Prior to Test 19b ft. ,;--42" _ Type of Test Pump Tin i1er r, -y�' ` Length of Test • 4 hnurR Sustained Yield (Metered) 14 fPM TOTAL DEPTH Use additional pages necessary to complete log, Final Pumping Water Level 230 f K PUMP INSTALLATION REPORT A:.ti if• t ' s' r ; :e.. ?r x s C4 r ? - • Ib Pump Make ' .. _.— Povl*red by __— HP . . : . . • . • • ' • - .ta Pump Serial No. __. - ; - t a WATER Motor Serial No. __._ W TABLE Date Installed _ - - ~ aaf Pump Intake Depth __--.,.' — N Remarks .._.. -- - - - - - �+ - - • 1 ..+ 4. '5 . d + I :i t. NS ir .i. • ' • ♦% I II •< 1 WELL TEST DATA WITH PERMANENT PUMP C 3 - , - • a O Date Tested __-_- m , - CANE .4P•. L. '`.` DEPRESSION- , Static Water Level, prior to Test.. .. o` `� �a . . 'Length of Test Hours Sustained yield(Metered) GPM Pumping Water Level —_ j' • . • Remarks —. ('•'. .•. • :Y .. CONTRACTORS STATEMENT - The undersigned, being duly sworn upon oath,deposes and says that he is the contractor of the well or • pump installation described hereon; that he has read the statement made hereon; knows the content • • thereof,and that the'same is true of his own knowledge. ,• ;`._ " •. Signatu pleis - ® Al 1-24-- m"""'r ,Lice.@ ii-----•Z_�```. . •. . y l� C�.[c� -: v `:w ,•: - State of CclQredo, Count of j "f r.• S5 - : •' Subsci•iDed and sworn to before me this L day of (941 i , 79 9 . ;:c; ` -`1.: . ' • j/ . • misgbng=Pirofel:r •Lxa12ZE , 19_ MY Commission exp J'~ w � • - - Notary Public e'xt- / /�/ rFORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN conies most ha flied with the State Engineer.PINK COPY Is for the Owner and YELLOW COPY Is for the Driller. -177' COLORADO DIVISION OF WATER RESOURCES °�'& '"4, 91 20 wR,J�5� ,h �co 101 Columbine Bldg.,1045 Shaman Street,Denver,Colorado 80203 �k �� c� TYPE OR ifRIN2 IN BLACK INK. APPLICATION MUST F>M COMPLETED BEFORE ACCEPTANCE. .i F,SAD` r,: APPLICATION FOR: GROUND WATER TO BE USED FOR: \`ui PZfF•RSSG.,1-0, o'/ y A PERMIT TO USE GROUND WATER X DOMESTIC (1) x '�a A PUTT TO CONSTRUCT A WELL X LIVESTOCK (2) 2U$ ) REPLACEMENT' FOR NO. MUNICIPAL (8) . .S.RR - d'(6) X A PERMIT TO INSTALL.A PUMP OTHER • OTHER ,II WELL LOCATION APPLICANT MIL E i} la 1 CAKE? AT-click/ -Pit.COUNTY ' (.ci Ir2.,,b. . • Street Address 7/I 3 i /BOW CA' !t((m ,-. of the Al (Ai 'u of Section 2,. City & State /L N&m wT 00 id 810561 T. , R. 6St ___ b P.M. IT IN AD ION TO THE ABOVE, WE dU} ST BE Telephone No. 776 70 Jb ' LOCATE WITH REFERENCE TO GOVERNEVT SURVEY NAME OD AQUIFER GROUND WATER IS TO BE OBTAINED CORNERS, MONUMENTS OR SECTION LINES BY DISTANCE 1 AND BEARING (DONTSTIC WELLS MAY BE LOCATED BY. A FROM: ' A RIM ,cR_ Sa/J.D ck LOT, BLOCK, & SUBDIVISION.) • PROPOSED TOTAL DEPTH OP WELL 44pr) Ft, .44—n ft. from ,Yn,ty-711 section line (North or South) ESTIMAITI) MAXIINM PUMPING RATE .3 .5" GPM _ 4/0O ft. from tt G,S 7--- Section line (East or West) AVERAGE AN1'TUAL AMOUNT OF GROUND WATER TO BE LOT BLOCK FILING .APPROPRIATED ,..5-6, Acre-feet SUBDIVISION 'ANTICIPATED GROUT PROGRAM ' Ground Water Basin 'Material Ore-A--16-47- . Water Mg.ant. Dist. Inte'r'vals .5/ 0 aA ACr Anticipated drilling date Fe c-1-s— 19 '7. • Placement Method Reams S ORS Owner of land on which well is located: 'I PROPOSED CASING: rtt t k /t r.11 773 R_K$j /L.4,?YilY e-iq IC, • Plain ,h in. from rj ft. to So ft. Other water rights on this land }.(r>4/e- ____4_ in. from an L ft. to .31_Oft. Peri'. in. from q an ft. to ft/vs) ft, in. from ft. to ft. el OY: . Driller NO l.2 4- /n4 Den/ /.No. EJ' dr 4c, 62Sg e of Appl e ,, Address _flu n80d, Co1/'1 . Sni 44a. • IF WELL IS USED FOR IRRIGATION, SACK SIDE OF THIS APPLICATION MUST BE COMPLETED.4,A,3-1 9 ( 0 7 FOR OFFICE USE ONLY CONDITIONS OF APPROVAL APPLICATION APPROVED; VALID FOR ONE (1) YEAR 1.)FT,FCTRIC LOG OPEN HOLE PRIOR TO INSTALLATION 0-AFTER DATE ISSUED UNLESS EXTENDED FOR GOOD CASING AND A COPY OF THAT LOG SUBMITTED TO THE CAUSE SHOWN TO TEE ISSUING AGENCY. DIV,' OF WATER RESOURCES. 2.)INSTALL TOTALIZING n FLOW METER ON TEE WELL. 3,)MAINTAIN AND SUMMIT PERMIT NO. 016133- F TO TEE DIV. OF WALIA RESOURCES THE REC S OF AIYi7UAL EXTRACTION OF GROUND WATER DATE ISSUED APR 7 1972 NT' PERMIT CANCELLED SEE#54325-F f • TAT G 'ER ADS 4-3-01 BY • THE LOCATION OF THE PROPOSED WELL MUST BE SHOWN AND THE AREA TO ilE . '• ' ' IRRIGATED MUST.DE SHADED OR CROSS-HATCHED ON THE DIAGRAM.BELOW ‘• f • . , . . This.diagram represents nine (9) sections. Use the CENTER SQUARE ' ” (one section) to indicate the location of the well., if possible. 1+--1 MiI¢ s ' ' 1 , I 7 • - + — + — + — + —. + — -I, - . • I I • • f I ► I _. • r _ ' + . — + •T + — + -- + — + - . • NORTH SECTION LINE . I I L . I I ' . -o .N + N • z z I I s' 7 d I I to Ei - i f F I SOUTH 9ECTQON L�NE' I I �� "" r. • - + — t — + — + — + — + - • ; r •.. . . 1 - I I I I I . . 1 _.. . . • + — + .— + — + — + — + - . I . I .j I I r. THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS ONE-MILE . Owner of Number of acres irrigated land to be irrigated Legal description of .. . irrigated land -. . ... • . • WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (c£s) .:.. 449 gallons per minute 1 acre-foot .... 43,560 cubic feet .... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. • a • r SUPPLFMmTAL INFORMATION FOR WELT, WRICT (To be attached to application for well permit) • Applicant: M : L& J]trfF %o,eKEv 4Tc/'e/ay -Lri)7C. a. it Pro. . 19 /07 Address: :Ill S . t,'Gr nt-,)-E4l /OM6JML AJrJ CO, Well location: mu, 4, ykll1_) ti, Sec, .32 , T. 34/ , R, /a$Lo LAND ON WHICH WATER IS`,TO BE USE:, • corer: M 7o64`( fb.7Zu//,e / Legal. Description: lv /3 EC r E. 6s Used on Other water rights: Used for: (Location) Y,. (m) r • WALLS USED FOR DOMESTIC AND/OR MUNICIPAL PURPOSES: Water supplied to: Anticipated Consumptive use (acre-feet/year): Nunher of taps / Dom./IL:eat% C. Number of people (p Irr, • Approx, no, of acres to Coml, S�jG be irrigated ,(.)olge Other • WELLS USED YOU CODMICItCIAL OR INDUSThThYJ PURPOSES: Anticipated consumptive uSe: acre-feet/year. Detailed description of use of water: X,grvg. 'Tv /-tSE1 F=in POuIT',ey sraeA Casio iv‘ ATQ4'. 4/So Co R.. -- CooI, ;NG- Pou4 i-ky (g u, L. 4)i4/66 • freed --� Signature of applicant: ✓f/ t,/ 1.4..,, as f y a al A.•LOVE G 7, miss ' Devon • 8tah Yneta.er • • DIVISION OF WATER RESOURCES Department of Natural Resources 300 Columbine Building 1845 Sherman Street Denver, Colorado 80203 June 4. 1973 1411e High Turkey Hatchery. Int. 711 South Bowen Longmont, Colorado 64501 Dear Sirs: Section 148-18-36, Colorado Revised Statutes. 1963, as amended. states that any permit to construct a well shall expire one year after the._. issuance thereof. unless the applicant to whop such permit was issued-- shall furnish to the State Engineer, prior to such expiration, evidence • • that the water from Such well has been put to beneficial use. Your permit No. 16133-F has an expiration date of April 7, 1973 and to date our office has received only the driller's information log. Enclosed please find the Statement of Beneficial Use of Ground Water form IRJ-25-72, and instructions for completion. Recently, this office initiated the use of new well completion forms. both for the well driller and for the well owner. to comply with recent changes in the state statutes in this regard. As a result of this change in procedure. you were probably never given a copy of the enclosed form to complete. Please fill out this form in its entirety and return it to this office within 30 days if the water has bean put to use. if we do not receive the Statement i Us* t from the date of this notice. we will cancel your permit pursuant to Section 148-18-36. Thereafter, your permit for this well will be of no force or effect, • • end you will be ordered under the authority vested in the State Engineer bbytlet on 148-1 p9oCR5. 1903, 9 3, as atmended, to cease the use of this If there are any extenuating Circumstances, or if you have a valid explanation for not complying with the Statute on this matter. please • contact us. • Very truly.yours. • Harlan W. Erker Supervising Engineer . Ground Water Section IS!:lks Enclosure COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT Division 1 District 2 DATE OF INSPECTION 6/22_100 PURPOSE OF INSPECTION:LATE REG. REPLACEMENT El OTHER: 1emergency redrill APPLICANT: •Mile High Turkey Hatchery PERSON CONTACTED: Doug Pennock ADDRESS: 16634 WCR 36 WATER COMMISSIONER; IROBERT STAHL Platteville. Co 80651 PHONE# (303) 857-0742 PHONE; 970 785-2966 EXISTING WELL LOCATION: NW 1/4, NW 1/4, SECTION 32 TOWNSHIP 3N RANGE 65W, SIXTH P.M. DIST 250' FROM N SEC- LINE 400' FROM yy SEC. LINE; COUNTY- Weld IF REPLACEMENT, GIVE DISTANCE AND DIRECTION TO NEW WELL SITE- 10'north TYPE OF WELL: drilled OTHER WELLS ON THIS PARCEL? no HOW MANY? PERMIT#, CASE#, USE? EST. DATE WELL CONSTRTED: 2 DATE OF FIRST USE: ? EST. PUMPING RATE:35 GPM TOTAL #OF ACRES IN THIS TRACT/PARCEL: .1119 ACRES ADDRESS OF PROPERTY IF DIFFERENT THAN ABOVE: 19028 WCR 28 SUBDIVISION OR OTHER PARCEL INFO:a ACRES IRRIGATED (non-exempt/crop irr.) n/a NAME OF AUG PLAN; nW USE OF WELL: ® household use in 1 single family dwelling(s) ® watering of poultry and/or domestic animals ❑ watering of livestock on a farm or ranch-how many head? ❑ feed lot-how many head? El historic lawn and garden irrigation acres or 5000 sq. ft. ®fire protection ❑commercial ® other(see comments) WERE THE USES CLAIMED ABOVE INITIATED PRIOR TO MAY 8, 1972? 7 SIGNED: DATE; 6/22/00 COMMENTS; for turkey farm, see permits 16133-F . DECEIVED • ows•1 (Ray.August 199% JUN 21 200O STATE OF COLORADO OFFICE OF THE STATE ENGINEER •BTA to-iNoNEER CaL DIVISION OF WATER RESOURCES NONTRISUTARY GROUND WATER LANDOWNERSHIP STATEMENT I (We) Mi )e- MTh key k chcrr Inc. /O/2/ Met,1. Foa✓J /(Name) claim and say that I (we) am (are) the owner(s) of the following described property consisting of ZI a acres In the County of &rec.1 d , State of Colorado: (INSERT PROPERTY LEGAL DESCRIPTION) WeSF qR L L-oo !A. Sec 3a, T wp 3.01 Rnq wesf L51 0t +4t L ilt-pn • and, that the ground water sought to be withdrawn from the aquifer underlying the above-described land has not been conveyed or reserved to • another, nor has consent been given to Its withdrawal by another. Further, I (we) claim and say that I (we) have read the statements made herein; know the contents hereof; and that the same are true to my (our) own knowledge. r -2/- av (Signs re) (Date) (Signature) (Date) INSTRUCTIONS: Please type or print neatly In black Ink. This form may be reproduced by photocopy or , word processing means. See additional instructions on back. -- 1313 SHERMAN S7 RM 818 DENVER CO 80203 (303)866-3581 • • i • J..ANDQWNERSHIP STATEMENT INSTRUCTIONS The landownership statement must be submitted with the well permit application or application for determination of water right In all cases where the applicant believes or claims that water to be withdrawn Is nontrlbutary ground water or any ground water from the Dawson, Denver, Arapahoe or Laraime-Fox Hills aquifers. The statement must be signed by the landowner(s). The legal description and the number of acres of overlying land must be indicated, In areas of the state that are not surveyed,the State Engineer will accept an alternate description • of the location of the overlying land sufficient to identify and locate the land. For legal descriptions of irregularly shaped parcels(where the boundaries do not follow or parallel section lines) or where there are exclusions of land within the total parcel, the applicant must submit a map having a scale of 1:24,000 or larger(e.g., 1:10,000) which accurately depicts the overlying land. • If the legal description Is too lengthy far the space provided on the statement, please indicate"See attached legal description"in the space provided on the statement and attach the complete legal description. The legal descriptions and maps provided must be complete and legible. • • • The aquifer from which ground water is to be withdrawn must be indicated on the space provided. Where applications for more than one aquifer are submitted at one time,the applicant shall provide a separate statement for each aquifer. Production from a well is limited to one aquifer only. • • form No. GWS-43 RECEIVED Rev. 9198 OFFICE OF THE STATE ENGINEER JUN 21.2QQQ 818 Centennial Bldg. 1313 Sherman St.,Denver, Colorado 80203 Veit }tr , F (303) 866-3581 NONTRIBUTARY LANDOWNERSHIP OR CONSENT VERIFICATION OF NOTICE I (We) Alc! . it y / I'key dal412e A Inc. (90 Mood Foe/ S \) / (Name of Vasil Permit App cant) claim and say that I (we) have given notice pursuant to CRS 37-90-137(4)(b.5) of the application for a well permit by registered or certified mail, return receipt requested, no less than ten days prior to making of the application for the permit, to every record owner of the overlying land and to every person who has a lien or mortgage upon, or a deed of trust to, the overlying land recorded in the county in which the overlying land is located. The names of the persons given notice are listed below: it'D. • Further. I (we) claim and say that I (we) have read the statements made herein; know the contents hereof; and that the same are true to my(cur) own knowledge. 4 -2/-U, ,Signature) (Date) (Signature) (Date) INSTRUCTIONS PLEASE TYPE OR PRINT NEATLY IN BLACK INK. THIS FORM MAY BE REPRODUCED BY PHOTOCOPY OR WORD PROCESSING MEANS. SEE ADDITIONAL INSTRUCTIONS ON BACK. 8/26/98 INSTRUCTIONS • • II. • NONTRIBUTARY LANDOWNERSHIP OR CONSENT VERIFICATION OF NOTICE • This form must be provided by the applicant seeking a well permit in all cases (except exempt wells) where the applicant believes or claims that water to be withdrawn is nontributary ground water or any ground water from the Dawson, Denver, Arapahoe or Laramle-Fox Hills aquifers. Except that it €s not required when the right to such ground water has been determined by a valid decree or is being claimed by a municipal water supplier pursuant to C.R.S. 37-80-137(8). The record owner, or persona holding a lien or mortgage upon, or deed of trust to the overlying lend must be notified by registered or certified mall, return receipt requested, no loss than ten days prior to making the application for a well permit. The applicant is to list the persons who have been thus notified as required. This statement must be signed by the well permit applicant. For the purposes of satisfying the provisions of CRS 37-90-137(4)(b.5)(Iq, a 'person" means any individual, partnership, association, or corporation authorized to do business in the State of Colorado, or any political subdivision or public agency thereof,or any agency of the United States. LOCATION: NW1/4 OF NW1/4 OF SEC. 32, T.3N. , R.65W. (240 NSL, 400 WSL) around ,Elevation; 4905 Number of Acres: 319 t ELEVATION DEPTH TO ANNUAL NET APPROP STATUS AQUIFER HOT. TOP SAND BOT. TOP A-F UPPER DAWSON --- - ---- ---- ---- ---- LOWER DAWSON ---- ---- ---- ---- ---- DENVER ---- ---- ---- ---- ---- ---- --- UPPER ARAPAHOE ---- ---- ---- ---- ---- ---- LOWER ARAPAHOE ---- ---- ---- ---- ---- ---- LARAMIE-FOX HILLS 4270 4588 169.4 635 317 81 .06 NT note: E indicates location is at aquifer boundary and values may be more approximate. • Taro ta- / . PUMP INSTALLATION AND TEST REPORT For Office Use only 1( , STATE OF COLORADO, OFFICE OF THE STATE ENGINEER REC 1Vf i) 19Va 7e 1. WELL.PERMTrNUMBER I b t 53 - F --R 6 2444 NOV4 . OWNER NAME(S M I LI`•11 C� 111�KP`/ 1ATG .Y ID t4 ER C_ Meng Address h WC_ S Wsamt ., 5 • Chy:8f.Z� LAtt E I ea.n Phone(q '(4 '7•f35-61°.1Q h • s. wVLL-LOCATION AS DRILLED', N 1/1J 1/4 N ,J 1/4,Sac. %,D. Twp. 3 �1 .Range 6 5 1A/ T1dyA'NCES FROM SEC. LINES: .n ft.from �VOK Sec. Una. and O C) ft.from �i�j)yef�! Sec line. IK SUBDIVISION: o� k `LOOT �f BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: 4. pow DATA:Type SUBMFRSIRI. InstalladonCompleted iO -I4t-CSC] Pump Manufacturer GOU 1..-)S 'J Pump Model No. i A&S Q L.&,I Design GPM Sat RPM 3 hO 13 n . HP )mM 3Q .EuiLLondSpS 1 -. -. . ' Pumpfntake 14231 Feet, Drop/Column Pipe Size t n Inches, Kind PVC SC-1-1 D. . APD(i1QNAL,INFORMATION FOR PUMPS GREATER THAT 50 GPM: • 'TURBINE DRIVER TYPE: O Electric O Engine O Other Design Head feet, Number of Stages . Shaft sae inches. 5. OTHER EQUIPMENT: ��yy Alone installed Oyes X)No,Orifice Depth ft. . Monitor Tube Installed O Yes LEI No, Depth it. Row Meter Mfg. Meter Serial No. , • Meter Readout'(]Gallons,O Thousand Gallons,O Acre feet,O Beginning Reading S. **DATA: 0 Check box If Test data is submitted an Supplemental Form. Date rZ i� Total Wef Depth __VAL__� Time Steno Level 1�S• C1 Rate(GPM) - Date Measured I 0--i k-cc Pumping Lvi. X DISINFECTION: Type I-7L-1 Amt Used I CUP • 8. Water Duality Dualiity analysis available.O Yes_ On No • • 1Q 1 have read the statements made herein and know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 24-4-104(13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and Is punishable as a class 1 misdemeanor.] CONTRACTOR R J Q (I HP P Phone A70)853-3 i I E Lio. No.X57- Mailing Address Pn wit !7 7 Q a EY• Ro NamWTitle(Please typt or print) �,,,,,se,. Slgnatu • ( Date .Arn Sceer 0f#2{7±) ': ". //A° INSTRUCTIONS FOR PUMP INSTALLATION REPORT The report must be typed or printed in BLACK INK All changes on the form must be initialed and dated, Attach additional sheets if more space is required. Each additional sheet must be identified at the top by the well owner's name, the permit number, form name/number and a sequential page number. Report depths In feat below ground surface. $ . • . . This form may be reproduced by photocopy methods, or by computer generation with prior approval by the State Engineer. Photocopy reproductions must retain.margins and print:quality .of the original form. The original form must be submitted to the State Engineer's Office within 60 days after completing the well or 7 days after the permit expiration date, whichever is earlier. A copy of ilia form must be provided to the well owner. if this form is submitted in conjunction with the Well Completion and Test Report,form number GWS-31, ONLY THE PERMIT NUMBER AND OWNER NAME NEED TO BE COMPLETED in items 1 and 2 1. Complete the Permit•Numf$er-dn full. — — - .. ._ . _ .- .. . • 2. Fill In Name and Mailing Address of Well Owner where correspondence should be sent. 3. Complete the blocks for the actual location of the well. For wells located in subdivisions the lot, block and subdivision information must also be provided. 4. Indicate the type of pvmp installed and complete the requested information. When Installing pumps greater than 50 gpm, complete the additional Information In this area. • 5: Provide the Information on other equipment.whichmay be_installed in the well. 6. Report test data as required by Rule 13.9. Spaces are provided to report all measurements made during • . the test. The report should show that the test compiled with the provisions of the rules. If a test was not performed explain when it will be done. If available, report clock time when measurements were taken. 7. Record the type and the amount of disinfection used, how placed and the length of time left in the hole. a. Indicate If a water quality analysis was performed and submit a copy of the report If available. 9. Uso%thaurnadcs.area-to-fote any additional information incjudi* addifionai.equipment installed,water_ supply construction problems. • 10. Fill in Company Name and Address of Contractor who installed pumping equipment. The report must be signed by the licensed contractor responsible for the installation of pumping equipment. rat / WELL CONSTRUCTION AND TEST REPORT For Wee use only 1ND1 STATE OF COLORADO,OFFICE OF THE STATE ENGINEER _ e 97,2270 ' 1. WELL PERMIT NUMBER ...4h P 33 c--R RECEIVED 2 OWNER NAME(S) I{,.� I-Li Cwt-} TURKEY N-ATGHERV INC_ OCT 1 g 2000 Marling-Address g(r. IA/C 3 Coy,St;Zip LA!71—`" I i CO WATER RES xunces Phone(q O) '7-85-a2.a4A atnn• o ER 3. WELL LOCATION AS DRILLED; NIA/ 1/4 SW_1/4,Sea 3o. Twp.,..__S_ N ,Range (,f) IV DISTANCES FROM SEC. LINES: MO ft.from c�I f in Sec. line, and 1400 ft. from 'Wiry Sec. Wm.OR SUBDIVISION: LOT BLOCK FIUNG(UNn) STREET ADDRESS AT WELL LOCATION: 1 4. GROUND SURFACE ELEVATION ft. DRILLING METHOD 7?QTA 12Y • • • •."DA �. :7,4 i _ .__ -•lVIAL'D iati 6O tCD 1t1L°oi6TP[EYb 5. GEOLOGIC LOG: 6.HOLE► M. On.) From (ft) T.�or(ft) Depth Description of Material gyps.Sae.Color.Warm Location) per ': a _ I. C O P SO 14_. ' I {fit _L+60 -kS IROWN CLAN OA.L_ b UN- S 4141 OD (mom) Kin CASING Wall SiSize From(ft) To(hf) 10pk—W AL �i - 13. r4L E _ •caw-_ Salo_ 17iG,- 1 F•fA P ceA•I 174.. I 111II OCK CASING:Screen sly 3�0 0 • lei- �US TONG • a I'5- o ,�H-Aa..i± • 3, O- SAND STONE - 4{A L E 8.FILTER PACK 9.PACKER PLACEMENT: - .h AL�TONE edal PER Cr2AVEL Type j Size ae, _ . ._.. . __ _ • frites ffl 1 /GT {i 110 .> s� a- :fir _ — 10. GROUTING RECORD: Material Amount Density Interval Placement REMARKS:01-7NIProT 3OSICS I,$h a-4.79 I�osrnv8 TTI. 13icPL oCEHL7JT I1. DISINFECTION: Type 14►H • Ans.Used . 1 CUP • 12 WELL Jac.DATA: O Check box if Test Data Is submitted on Form Na GWS 39 Supplemental•Well•Test • TESTING?METHOD•. en itwb ' . . . - Static Level t Date/Rme measured to- 5-00 . Production Rate SO Pumping level r) ft. Date/Time measuredgpm. Re1Q- Fi-QO Test length (tusJ t hrS • • 13. I Mom reed the statements made herein and knew the octants thereof,and that they are We to my knowledge.[Pursuant to Seaton 244-104(13)(4 C.RS.the retaking et fade statements herein constitutes perjury Et the second degree and Is punishable m a clese 1 thlsdemeanor.) CONTRACTOR RA kJ a.L✓P I-IP Phone (C1-70) Z53-31[•p, Uc. No.Q�5 . MaWno Address Q( 0 57; (4gs kei 0.0 Re 6$2 f Name/Tele(Please i(,'y,'47d or print) . , Signafur • T Date • INSTRUCTIONS FOR WELL CONSTRUCTION AND TEST REPORT • Rev, Oct 94 The report must be typed or printed in BLACIMS. All changes on the form must be initialed and dated. Attach additional-sheets if more space IS required. Each additional sheet must be Identified at the top:by the well owner'sname;the permit number,form Name/number'and a sequential page.number. Report.depths in feet below wound surface. . . Jut .. This form may be reproduced by photocopy methods; or by computer generation witit prior approval by the '. .Slate Engineer, Photocopy reproductions must retain margins and print quality of the original form. • The original form must be•submitted to the State Engineer's Office within 60 days after completing the well or 7 days after the permit expiration date,whichever is earlier. • A copy of the form must be provided to the well owner. • • 1. Comptetetlte-Weje Ufuteberfir1ult •• . . - . • . . .- - .. _ 2. Mtn in Name and Mailing Address of Well Owner where correspondence should be sent 3. Complete the blocks for the actual location of the well where drilled. If the owner has more than one well serving this property, provide the identification (Owner's Designation)for this well. DO NOT Mg Mg, gjnIE SUPPLIED LOCATION unless a survey has been provided. For wells located in subdivisions 'the lot block and subdivision information must also be provided. ' • 4. Report the ground Surface elevation in feet above sea levellt available:.This value may be obtained from a topographic Map. .Describe the drilling method used to construct the well and the date completed. Indicate the total depth drilled and•the actual completed depth of the well. • • 5. Fully describe the materials ancourltAred'in drilling. Do not use formation names unless.they are in conjunction with a description of materials. Examples of descriptive'terms Include: Grain size—Boulders, gravel,sand, slit, clay. Hardness—Loose, soft,tight, hard,very hard. Color—All materials. Most critical in sedimentary rock. Depth when water is encountered (d it can be determined). 6. Provide the diameters of the drilled bore hole. _.•. • .:7. n ca ids; eter,.knd,.�.tess and.interval of-casing-lengths must be indicated: ' 8. Indicate the type and size of filter (gravel) pack and the Interval where placed. 9. Indicate the-type and setting depth for any packers installed. • 10. The density of the grout slurry must be reported and may be indicated as pounds per gallon, gallons of water per sack, total gallons of water and number of sacks used, etc. Specify the grout placement method, i.e. !ramie pipe or positive displacement. The.percentage of additives mixed with the grout should be reported under remarks. • • • • 11: Recardthe type 2nd the amount of disinfection tiled,how placed and the length of time left in the hole. 12. Report we9•test data as,requlred by Rule 10.7. Spaces are provided•to report all measurements'Made during the test. The report'should show that the test complied with the provisions••of the rules. 'If a test was not performed explain when It will be done. If available,report clock time when measurements were taken. . 13. FM in Company Name and Address of Contractor who constructed the well The report must be signed by the licensed contractor responsible for the construction of Tex/Ali. . • ; state of uotoraaO water Resources - view Well Details:Receipt 04/3693 Page 1 of 1 dbrAb DeyNnmt el Neva ReIDueea Ddor+de�ger I Goblet Us 43 1r3ruJr3 .t)1v1.e1an a1 V} Y c3,. c t .2C,' Colorado's Well Permit Search Well status UNKNOWN fillip_, Last Refresh:16/tt/2m11zsaa7AM Receipt: 0473693 Division: Permit#: 54323-F- Water District: 2 Well Name/#: County: WELD Designated Basin: Management District: Case Number: WDID: (-) Applicant/Owners History Date Range Appllcant/Owner Name Address City/State/Zip Unthaws-Asses NrrrlR9a1L t1C 16634 woo COUNTY Roma 33 NATIEWIF Q1 NSW (-3 Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines NW NW 32 3.0N 65.0W Sbcth 240 N 400 W Northing(UiM y): 4448718.7 Easting(IJiM x): 525930.4 Location Accuracy: Spatted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract (-) Permit Details Date Issued:04/03/2001 bate Expires:04/03/2002 Use(s): COMMERCIAL Aquifer fE FOX HIU5 Special Use: (s): Area which may be Irrigated: Maximum annual volume of appropriation: stabita Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report Na No No Cross Reference Permit Number Receipt Description Permit(s): 16111-F- 4062337 Comments: (-) Construction/Usage Details Well Construction Data: Pump Installation Data: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing(Tap) Perforated Casing(Bottom) Static Water Level Pump Rate 0 (-) Applcation/Pemdt History Ownership Charge Ol/10/2007 Pent Issued 04/03/2001 Application Received 03/15/2001 C-] Imaged Documents Document Name Date Imaged Annotated . ,, Copydght 9 2009 Colorado DMdon of Water Resources.AS rights reamed. Kane I Contact Us I Hip I Water Urda I Cdorado.gov I ONR I Privacy Policy I llampamrcy Online Protect(TOP) http://www.dwr.state.co.us/WellPerrnitSearch/View.aspx?receipt=0473693 10/11/2011 INWE Wright Water Engineers, Inc. RECEIVED mateccom 1 Colasad 8O21low vwwwmIgJanuary 5,2007 ema0' htvd s1Y- 1 9 2007 (303)4801700 TEL (303)480-1020 MX WATM IvEE00RCEe1 SWAM natai6q Via First Class Mail cow Ms.Brenda Hoisington Office of the State Engineer Division of Water Resources 1313 Sherman Street Room 818 • Denver,Colorado 80203 Re: Change in Ownership Forms Submittal • Dear Brenda: Please find attached twelve (12) separate Change in Ownership forms (GWS-11) for wells that are now under the ownership of Butterball, LW. Wright Water Engineers, Inc. is assisting this entity with water resources issues related to the properties on which these wells are located. Please feel free to contact me should you have any questions about these forms. Very truly yours, WRIGHT /WATER ENGINEERS,INC. By I�i�.. AO • Gary '. . itt, G. H g l'rojectManager Attachments cc: Doug Pentode,Butterball,LLC • Michael Browning,Porzak Browning&Bushong,LLP ZiPmjeet Filat06b61-1421061-14701X Engineaingflange in Ownership Fumu\GTO Transmitta)ODW 010507.doc • (970)945.7755 TEL (970)9459210 FAX (970)259.741 I TEL (970)259-8758 FAX It . e Form STATE OF COLORADO i For Office Use Only No. 'OFFICE OF THE STATE ENGINEER OWS-II 818 Centennial Bldg., 1313 Sherman St.,Denver,Co 8E203 RECEIVED 612006 Phone—Info:((iO3)866-3587 Main:(303)866.3581 Fax:(303)866-3589 http://www.water.state.co.us CHANGE IN OWNERSHIP/ADDRESS . JAN 0 9 2001 CORRECTION OF THE WELL LOCATION wAeaeso , STATEN uncEs Review instructions on the reverse side prior to completing the form. cdae° Name.address and phone of the person clalmina ownership of the well: NAME(S):Butterball. LLC • Mailing Address: 16634 Weld County Road 33 ' • City,St.Zip:Platteville.Colorado 80651 Phone (970)785-2966 01173& 13 This form is filed by the named indMdual/entity claiming that they ate the owner of the well permitted as referenced above. This filing is made pursuant to C.R.S.37-90-143. WELL LOCATION: Well Permit Number.54323-F Receipt Number:473693 County Weld Owner's Well Designation(optional)Everareen (Address) (City) (State) (Zip) hl 1/4 of the NW 1/4,Sea 3_2_,Twp.3 ®N.or❑S.,Range 65 ❑E.or El W.,6th P.M. Distance from Section Lines:240 Ft.From 4 N.or❑,S.,400 Ft.From O E.or 0 W.Line. Subdivision Name Lot_ ,Block_ ,Ftiing/Unit The above listed owner(s)say(s)that he,she(they)own the well described herein. The existing record is being amended for the following reasons: 0 Change In name of owner 0 Change in mailing address O Correction of location for exempt wells permitte)i prior to May 8,1972 and non-exempt welts permitted before May 17,1965. Please see the reverse side for further information regarding correction of the well location. I(we)claim and say that I(we)(are)the owner(s)of the well described above,know the contents of the statements made herein,and state that t y are true to my(our)knowledge. Signature )of the n owner Please pri the Signer's Name&Title Date 7 zoo A! /a4 crArl6us Ali /2�sldto It Is thnsibility of the new owner of this well to complete andsign the form. Signatures of agents are acceptable if an original letter of agency signed by the owner is attached to the form upon Its receipt. For Office Use Only ACCEPTED MAIIdNG ADDRESS OWNERSHIP i AJ .Aneg,cia By .94/-/— z o O 0473893 54323•P_ Div. 1 STATE OF COLORADO OFFICE OF THE STATE ENGINEER P..; Division of Water Resources • Department of Natural Resources tie 1313 Sherman Street,Roam 818 March 11, 2002 Y .�- Denver,Colorado 80203 a ; a Phone(303)866.3581 FAX(303)866-3589 Bib Owens wlm:waterstate.co.us Governor Greg E.Watcher Executive Director Hal O.SImpSon,MILE HIGH TURKEY HATCHERY IN State Engineer P.E 16634 W CR 33 PLATTEVILLE CO 80651- • RE:Well Permit Number 54323 F Located in the NW 1/4,of the NW 1/4,Section 32 Township 3 N, Range 65 W,S P.M. NOTICE This permit to construct a well and divert water for beneficial use was issued on 4/3/2001. The expiration date of the permit is 4/3/2002. In order for the permit to remain valid,certain actions must be taken.by the well owner and documentation must be received prior to the expiration date of the permit. As of this date,a • completed Statement of Beneficial Use form or a request for extension of the expiration date has not been received by the Division of Water Resources. • The permit was approved under Section 37-90-137(2);Colorado Revised Statutes. Under the.statute,the well • • must be constructed,pumping equipment installed and water diverted for beneficial use prior to the expiration • date of the permit. In order to affirm that the well was used prior to the expiration date,the well owner must • complete and submit a Statement of Beneficial Use,Form No.GWS-10. The completed form must be received by the Division of Water Resources prior to the permit's expiration date. A blank Statement of Beneficial Use form was provided with the copies of your original permit. If the well Is not in use,the well owner may request,in writing,a one-time,one year extension of the expiration ' date:The request must be received with a$60.00(sixty dollar)filing fee prior to the expiration date and must provide a reason or reasons for not having the well in use and why the expiration date should be extended for an additional year. If the•well has been constructed, pumping equipment installed,and water will not be used until after the expiration date of the permit,the permit expires and will be of no force or effect. It will be necessary for you to obtain a new well permit by submitting a completed application for an existing well along with a$60.00(sixty dollar)filing fee. If the expiration date has already been extended for one year,the statute does not allow more than one extension of time. If the well is not in use and the Statement of Beneficial Use is not received by the expiration date,the permit expires and is of no'force or effect. If the well has not been constructed,and you do not wish to pursue construction of a well,please advise us in writing In order that we may formally expire the permit without requiring additional notification. If you have any questions,or need additional forms,please contact Mr. Richard Bell of this office at (303)666-3581. Thank-you for your immediate attention. • FINDINGS OF THE STATE ENGINEER IN THE MATTER OF AN APPLICATION FOR A PERMIT TO USE AN EXISTING WELL IN WATER DIVISION NO. 1, WELD COUNTY, COLORADO APPLICANT: MILE HIGH TURKEY HATCHERY, INC PERMITNO.: 5g3073 -F In compliance with C.R.S. 37-90-137(1) Mile High Turkey Hatchery, Inc, (hereinafter "applicant")submitted an application for a permit to use an existing well. Based on information provided by the applicant and records of the Division of Water Resources, the State Engineer finds as follows: 1. The application was received complete by the State Engineer on March 15,2001. 2. The well is in the NW1/4 of the NW1/4 of Section 32, Township 3 North, Range 65 West, 6th Principal Meridian. 3. The existing mills located outside the boundaries of a designated ground water basin. 4. The proposed maximum pumping rate of the well is 14 gallons per minute. 5. The applicant proposes to apply the water from the well to the following beneficial use: Domestic, livestock and commercial. 6. The well was constructed under permit no. 16133-F on February 7, 1972 to a depth of 385 feet,and was perforated in the interval between 322 feet and 385 feet below ground surface so as to produce from the Laramie-Fox Hills aquifer. Permit no. 16133-F was replaced by 16133F-R. 7. Well no. 16133F-R was permitted on June 23, 2000, was constructed on October 5, 2000 to a depth of 460 feet, and was perforated in the interval between 320 feet and 460 feet below ground surface so as to produce from the Laramie-Fox Hills aquifer. In a pump test conducted on October 14, 2000 this well produced 20 gpm. 8. The well constructed under permit no. 16133-F would be used to supplement well no. 16133F-R for the purpose of obtaining the original appropriation of well no. 16133-F. The original appropriation cannot be obtained from well no. 16133F-R 9. The Statement of Beneficial Use for well permit no. 16133F claims that an average of 56 acre-feet of water was being diverted by this well at a rate of 35 gpm for Domestic, livestock and commercial use. 10. A June 22, 2000 field Inspection states that this well has been used In a turkey farm for domestic,commercial and livestock uses. No material injury to vested water rights would result from the issuance of the requested well permit subject to the following conditions. a) The combined maximum pumping rate of this well and well no. 16133F-R shall not exceed 35 GPM. b) The combined annual amount of ground water to be appropriated by this well and well no. 16133F-ft shall not exceed 56 acre-feet. c) The use of groundwater from this well and well no. 16133F-R is restricted to the Domestic, livestock and commercial use. d) Production from this well shall be from the Laramie-Fox Hills aquifer only. e) Totalizing flow meters must be Installed on this well and well no. 16133F-R and be maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. 0.02 Dated this day of G� .20O1 h . forflos... Hal D.Simpson State Engineer By: rte - /<-2G9z- Kevin G. Rein Water Resource Engineer Prepared by:JMW Form:0546(o) Permit Evaluation Summary Receipt No.: 473693 Applicant: Mile High Turkey Hatchery Inc. Facts 1. Based on a March 26, 2001 phone conversation with the applicant they would like to use the well constructed under permit no. 16133-F as a supplemental well for 16133F-R. 2. Well no. 16133-F was constructed on February 7, 1972 to a depth of 385 feet,and was perforated in the interval between 322 and 385 feet. The well produces from the (NT)Laramie-Fox Hills aquifer as a pre-213 well. 3. Based on a Statement of Beneficial use,well no. 16133-F pumped 35 GPM, appropriated 56 acre-feet and was used for commercial, domestic and livestock use. 4. Well no. 16133-F Is not decreed. 5. A replacement well was constructed under permit no. 16133F-R on October 5, 2000. 6. Well no. 16133F-R can only pump 20 GPM based on a 10/14/00 pump test. permit • 1. The supplemental permit will be issued limiting the simultaneous pumping rate to 35 GPM and the combined average annual amount of ground water withdrawn to 56 acre-feet. 2. Permit no. 16133-F will be cancelled and a new well permit will be issued. 3. The condition to plug and abandon well no. 16133-F will be waived. • Denver Basin Team 1A March 20, 2001 Geotechnical Services Branch Consultation Evaluator. Joanna Williams Receipt No:473693 Location: NW''/<, NW%, Section 32,Township 3 North, Range 65 West, 6th P.M. Aquifer(s)Requested: Laramie-Fox Hills Request: Please verify the aquifer interval Consultation Recommendations: Ss- s -f t,,s I M h. O� Y3 .t / Ay0u eci (r N v / ger , ,2,.. • Special Permit Conditions: Geologist Signature: ~—- C Date: z/�.t av MILE HI NF41 I) Pmt ouaklY ♦uASeny,: g-1 8'1 . . ♦ 30 s • 20 If 5 $ CRY s. I 21 Q57SS2 Woo SIC 1 6 \ • \` '� Nrw NFw Nr•-J I avc Gown,went +uaa: 30 ""' rw {1 29 I + 28 • 1 manse 3tf4(S„u16...?d iI40f Gaga) j! 169 • n Ai 1 • �sit u 1b3 Ibs 04 1 i• :4w 4. 1.1 31 ,I34_1__ .v.,31 32 u.,ri' 33 041••314y6•f • Ta.lseh 3104 r CE • • K ��q�Okl fiill i 46.17 (l..0 +AA f 6',' 9 ,y..Y7 ,y✓r75 4 I. L fib}6t A ' �. A 1 i • l000�97 1 ', Lest' p NU Wtf\�\�� cG. LL / lYndmnl 19 , `' J613 4954 \.. '. = 21 �1 ^ _ - . . J \35• O \ ` 1 • iC J} • ,,_ • \ r I _ k •\ • 0 aa• •\ \ • N — t .•r .v �04�4 ,� 1 ^ Q^Ikea 4918' 6 l/ 4557 /v ` dim Si -- 5 r —' \'o�-,-T -5886'"----`—+ ` "4a9r 4814 CJs 4 I j i,:'j.• • • ` •' o G q• , `root 79 Lx�as\ //� n Ik �.' 07 e • 3�J.6 - i .' \ f �f• y Ir 19 :s ptoo 01 S ,.:„.----- 4927V?" in 28 J• 301^ �29'= • • 44 • \ �J,N�.^ Iwe It, a0-_3 5 R•I4f3 4'- i `:;` a win is, _.85 ./zoo ow? • {-- ' - •� -r ` •F;. " . . ,:DOD Wndm01 0 r` +Dx , - 1 �.. '� \ 4843 _••• Wlndmille\ _ .._'s..% .. .r� e./� ,486 e ` 4858 b �'6 _ 48ii0 ?�. v , o'pe -,4 -'•�� i.1 �-:� •:. - - • 1.1..:..:k� 4 Od7G v 145r e 1 • ' ' •. ..+'I I 4.Jr Windmill - •J.1 G' - _.: G r. • _ \ • • O ee� a 48DD - rr,..„1 r• "-.-2 _. o 1�47�41 • Nana fe . 7.{C.' •4880% , w „a41::----\- . lave - •o9Da- - !} fit; 4W6U49S V. i - lean . a' 7t .e/..._... i ! \ _ ...�fi4 4BL¢ 1100 - L ' rIi...y4. 45A) s 3 O s� 4 ciD SC ei J� _ " �--- 42 ��JJqyprrI 03 -Th \• r yT� I •7z\ 's• _ ' _ G}-Y66 11! 4gyv `V.• "- e.. \ . 0859 �. 4852 Z7 r'r:.. 4843 4801 \ .4. '`` •G y`X'- mvv•��' r ;. ti x ' `, •`" f80D•79 1iy dT\ —f — r frxK h ', 1 ` _ • 0 CJ'_' / ._J • 1 ( / IDDD {ps • p1 • g ^ `• 15 �g1t5II FR ��• �iyr.,u ,.' ,. ,No �� i• b`�+a ! 1 ! 4 •t..-\ 6aa— r if 4865 - •_ •`.\�.3i3c.;7-I- _ - / y +NDSl4a6t lass: 1..• q c` ants t\\^\ - ;(. I (!•M A,��'�u• (xe. e6 c." `i. 4ars -- ` ...-----‘• ^-� --• M1 \\ t • r---- ,,....--89 -.b 4'-F - Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO3DIVISiONt.,oOFrWATEado eReRESOURCES 818 3 • (303)866-3581 857 WELL PERMIT NUMBER S'/3 a 3 . F DN. 1 WD 2 DES.BASIN MD APPLICANT APPROVED WELL LOCATION WELD COUNTY NW 1/4 NW 1/4 Section 32 MILE HIGH TURKEY HATCHERY INC Township 3 N Range 65 W Sixth P.M. 16634 WCR 33 DISTANCES FROM SECTION LINES PLATTEVILLE,CO 80651- 240 FL from North Section Line 400 Ft.from West Section Line (970)785-2966 UTM COORDINATES PERMIT TO USE AN EXISTING WELL Northing: Easting: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used In such a way as to cause no material injury to existing water rights. The Issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief In a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2,unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors In accordance with Rule 18. . / 3) Approved pursuant to CRS 37-90-137(2)and the findings of the State Engineer dated 11141 L .2, Zen/ . 4) Approved for the use of an existing well,constructed under permit no.16133-F,as a supplemental point of diversion for well no.16133F-R. 5) The use of ground water from this wants limited to commercial,domestic and livestock. 6) The maximum pumping rate of this well shall not exceed 14 GPM. The simultaneous maximum pumping rate of this well and well no.16133F-R shall not exceed 35 GPM. 7) The combined annual amount of ground water to be withdrawn by this well and well no.16133F-R shall not exceed 56 acre-feet. 8) Production is limited to the Laramie-Fox Hills aqufer. 9) The owner shall mark the well in a conspicuous place with well permit number(s),name of the aquifer,and court case number(s)as appropriate. The owner shall take necessary means and precautions to preserve these markings. 10) A totalizing flow meter must be installed on this well and well no.16133F-R,and maintained in good working order. Permanent records of all diversions must be maintained by the well owner(recorded at least annually)and submitted to the Division Engineer upon request. 11) This well shall be constructed at least 600 feet from any existing well completed in the same aquifer that is not owned by the applicant. .12) This well shall be constructed not more than 200 feet from the location specified on this permit. 13) This well is subject to administration by the Division Engineer in accordance with applicable decrees,statutes,rules,and regulations. 14) Condition no.3 on well permit no. 18133F-R requiring that the well constructed under permit no. 16133-F must be plugged and abandoned is hereby waived. JNkd g140, APPROVED M b It age^ APR 0 3 ,Receiot No.0473693 State Engineer DATE ISSUED APR 03 2001 a EXPIRATION DATE /, COLORADO DIVISION OF WATER RESOURCES RECEIVED DEPARTMENT OF NATURAL RESOURCES .1313 SHERMAN ST.,RM.818,DENVER CO 80203 phone-info: (303) 868-3587 main: (303)866-3581 MAR 15 2001 • GENERAL. PURPOSE Water Well.Rermii pplication (Please note:other fora are available for specific uses including-residential,livestock,monitoringtobeeev.,grave`TI$T&,Megistrenon of old wells) Review instructions prior to completing form Must be completed in black ink or typed 1.APPLICANT INFORMATION 6. USE OF WELL (please attach detailed description) Name erwt 0 INDUSTRIAL ❑ OTHER: PM. g's A /urkl J4 - -. MUNICIPAL COMMERCIAL Y t! Y 0 m.mngdrdaaew ❑ IRRIGATION - /y o 79 i C e 7 7 ❑ FEED LOT—number of held: , ro J 7 td IC J J 7.WELL DATA eta' Mute Zip Cede Mohntn swept:I rm. ,A,nm`ml'1m-,sun '//7 .yLI /n Co) ^' e• 4 4 gPm LlMd.Ifl:llltu W a be-f� - / /Q 1 • (�1�(c.. �//LO�/ Tad depth AgYhr Thane nunbwrnerwto wee eat) 0 '35 feet rot hrii (9%') 788-.& B. LAND ON WHICH GROUND WATER WILL BE USED 2. E OF APPLICATION (check applicable box(es)) A. LEGAL DESCRIPTION(may he provided as en attachment): • ❑ Construct new well 0 Use existing well • O Replace existing well ❑ Change or Increase Use O Change (source) Aquifer 0 Reapplication rewired perdu RI Other: Sl ppk...a...* et used for crop ideation,attach waled map that shows blighted am.) 3.REFER TO (if applicable): a. floras C. Owner Water court case I Permit e AD/33 F.-- D. List any other wells or water lights used on this lend: Emerge nay Verbal I Monitoring hale aclmawladgtnent -VE- MH- 1 Lui33 R- -►z Well name or 0 9. PROPOSED WELL DRILLER(optional) Home. Decree number 4.LOCATION OF WELL Q. R V0 11 l'•Pl:Ln ,p 859 County� // Quansrfauarter Quarter 10. SIGNATURE of applicantls) or authorized agent W??Z/0.' Il/(,) % Nit/ 14 The making of false statements herein constitutes perjury Section rowrtsly nets Rang( E or W Pd ypd Moak" in the second degree, which is punishable as a class I mis- z 3 It) ❑ ($- O On 6'1 P/f/ demeanor pursuant to C.R.S.24-4.104(131(a). I have read Distance of well from section lines the statements herein,know the contents thereof,and state al4O n from(81 N 0 s 4bO ft from O E al w that they are true to my knowledge. Wee ba8onaddress.If Aflame from eppaeeneartme Of epp&abiol Mitt byp+yS&gnewm f nda//�/e'j� g,,, • Fes r.peoemem wale only una r-t .eM deem e t new o (-from GM well well J11. /?MA .7. 26-al feet direction OPTIONAL INFORMATION 6.TRACT ON WHICH WELL WILL BE LOCATED uags reap name Owe map no. Surface den. A. LEGAL DESCRIPTION(may be provided as an attachment): • Office Use Only / Co o11.-"--- 8 473693 D•IV / 3/15/81 — 3:12:86 P8 Cashier ID: 61 CO El. STATE PARCEL $ 68.89 me leipsosan: Check Purchase- 88872 WD CT C.gee.wtwee O. Dews BA E. W81 this be the only well on this tract? pYES Iil.NO of other wells are on this treat,see detailed inst., USES) . MII0- ! Form GWS-45(12/95) 1 LOCATION: NW1/4 OF NW1/4 OF SEC. 32, T.3N. , R. 65W. (240 NSL, 400 WSL) Ground ,Elevation: 4905 Number of Acres: 319 ELEVATION DEPTH TO ANNUAL NET APPROP STATUS AQUIFER BOT. TOP SAND BOT. TOP A-F UPPER DAWSON ---- ---- ---- ---- --'- ---- --- LOWER DAWSON ---- ---- ---- ---- --'- ---- --- DENVER ---- ---- ---- ---- ---- ---- --- UPPER ARAPAHOE ---- ---- ---- ---- ---- ---- --- LOWER ARAPAHOE ---- ---- ---- ---- ---- - --- LARAMIE-FOX HILLS 4270 4588 169.4 635 317 81, 06 NT note: E indicates location is at aquifer boundary and values may be more approximate. Hello