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Home My WebLink About20122797.tiff Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATERRESOURCES 518 C.S III Bldg.,1313 Shames St.,Denver,Colorado (303)886,3681 EXST WELL PERMIT NUMBER 288818 APPLICANT DIV. 1 WD 3 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY NW 1/4 SW 1/4 Section 2 DORIS CUNNINGHAM Township 7N Range 66 W Sixth P.M. 3987 CREEDMORE LAKES ROAD QISTANCES FROM SECTION LINE$ RED FEATHER LAKES,CO 80545- 2250 FL from South Section Lire 75 Ft from West Section Line (970)368-0505 UTM COORDINATES(Metera.Zone:13.NAD831 CHANGEIEXPANSION OF USE OF AItEXISTRIG WELL. Ending: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way es to cause no material awry to editing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a SR 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 Wafer Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-02-002(3)GXI)and the policy of the State Engineer for appropriation of ground water tributary to South Platte River system. 4) Approved for a change of use of an existing well constructed under permit no.260453. The issuance of this permit hereby cancels permit no.260483. 5) The use of ground water from this wills limited to drinking and mew tidies as described in CRS 37-92-802(1Xc), for a commercial business. Water from this well shall not be used for lawn or landscape Inigation or for any other purpose outside the business building structure. 6) The pumping rate of this well stab not emceed 16 GPM. 7) The annual amount of ground water to be diverted by this well stall not exceed 1/3 acre-foot(106,600 gallons). 8) Approved as the only well on a tract of land of 3.49 acre(s)described es Lot B,Recorded Exemption No.0707-23RE-gal Weld County,reference attached exhibit'A'. 9) The return flow from the use of this well must be through an Individual waste water disposal system of the non-evaporative type where the water is returned to the same stream system in which the well Is located. 10) 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. 11) This well shall be located not more than 200 feet from the location specified on this permit. A•ae. 0-17•act 11 APPROVED nn ADB �._, lQ o7Rt_ ellEX Lf� Receipt No.3850310 tstm DATE ISSUED 08 22-2011 PIRATION DATE WA 630O-d7g7 It w COLORADO DIVISION OF WATER RESOURCES Office�Use Or& e DEPARTMENT OF NATURAL RESOURCES O Fermiktetitiffiff4 1313 SHERMAN ST.RM 61S,DENVER,CO 50203 phone-info:(309)8604587 maim(3 906-3681 far(303)806,1660 INDIN temmter.YWe.mas GENERAL PURPOSE AUG 1 8 2011 MAY 1 1011 Water Well Permit Application %H AT E SOU l�SOURCES , MW Ms Review ruse o on aide Flab completing bans cOU0 The lam must be composted In Molt or blue Mk or typed. 1.Applicant Information 6.Use Of Well(check applicable boxes) tun Aeest • Attach a detailed description dose spelled for. t^ g,, ' �5 Lu nt JJ, k M ❑Industrial ❑DewatsSystemqSystemMinieedi i (/ Lain El MuNdpd ❑GsotlromW(0 production or 0 mkyaoUon) 37(D 7 r ao rtstt Lain g D. I octet(desabe): 'Rip for mutt T.Well Data(proposed) ( )970- -e61AS wawa pa ewes Masi.ae..Type Of Appleton(check applicable boxes) �� Will lrya ... m,a.., 2. AppletonL)3 safest ❑Central nsawml 0 a ha rge sane eosr) ❑Raphoa satingWsS 0 RasmAloalot(expired permit) �' fast * as existing nil 0 COOCC oar S.Land On Which Ground Water Will Be Used QO Change or Incas tee ❑Otter _ Legal Detaptke way S ammo ra@Maher 3.Refer To("applicable) . Wd malt, wr.Malawi 2�-4S3 mrg w tr.ekhaa0 Warm* NCO 4.Location Of Proposed Weil(important!See instructions) of ueSfornp lissom asses m that alien ruled no Q N mars w A. eas 3 4 �l B. On WE. � st Can aos (IA. Pm C. SINKSnags or wawa a lm ho et Misdwlkaha@Mn Maas me Minnnl flSO far.❑N Di s 17 st 5' It sae❑E®W 0.Proposed Wei Driller License#(optlonai): _ NEmimo.ae.Se4.lersadtamawn ad 10.aionatun Of ApplNeM(s)Or Authorized Agent bet direction The maim ciMs snifters honk amwtAss pee ay in the second werraa.Sale grab q,err of Ci ahsiM Or inn-lei mei.. deers,Wish is puiMMe Ni dm l niditoer pwuwd to C.R.S. 24-4-104 9 M 1' , d fvt* Cat 606 i v ee• p+r I* the samaraskno hslak6 kmavt •D... is �II450 W�..,`33 ttel.a nldaal.brlMy setnsbmrblewtedee. Opeaaak OPa ad leads klae.aaen a UN lent You MN*aa OM Mkt kill- 1 news antes s Maw D... D// I L t Foes iaat be tit nti.rlb l a bra 12 oO Zama Meng Sill �" �fMl u@MMae as larhadbe ens Northing Office Use Only Ski not to so b rams Ma mop.ash Gnawer. Swim an Vs ON wedaladMao& ❑Yu Raisether to sit Oases to NADea 6.Parcel On Which Well Will Be Located Receipt rea only (YOU MUST ATTACH A CURRENT DEED POR THE SUBJECT PARCEL) A. Legal Description phya"Mod a molar Le* Q kgcosenm it,pi,pea 0 70 7-3-5-sifi Tram Number:3060©10 611617011 22010 PM Jul Mdevir Cif) TES Trans Mat$1D000 CHECK Chick Number 7764 CIrlllfineut {100.00 S. Od. %peal C. Oar MAW/ m 3 . 44)_ Me'D. le Msssmeeentrpeeel ONDRm-n emit VA, cve✓ E. err Peal IOC(ardor.* --- ' TTOPOOV 7 DNA._ WDA BA_MD_ GwZSS( . COLORADO DIVISION OF WATER RESOURCES Flap INSPECTION RFPO/3fECEIVED Please complete ma tons in INK 0CT 2 1 2084 DAL Iwo 3 spit nail(nets). DATE OF INSPECTION: Inko4Io4 STATEENGGa&tn$ - CALO. APPLICANT: ciktui'% -iNts.,S CvNnl ga%.�,va pawn contacted a'not app e:ant AA //�� ADDRESS: T CatoAAWL. LW-4€AO ey_c.aaaneaphaset An _cannot-) 1 0gsteu r&LA%Ff co Fo545- 970-41.°-15c8 plane: th0-1.3q-R,00 EXS7ING.$SL LOCATION: NW 114, SW 1K sec 2. , flop. 7/4 .Rng. 06 W . ✓o PAL; OAST. 7.250 ho.N4Lec ne, 751 homE/�/ ecie:Couay WELD (reap .pie first.atar.eomar eel site— I aide we ataisEngsti HANDING. SPRM3194 GAU.BIYIiS4 GRAIH.PIT, 017ei howm.gaamrweesanebenbdmltisp.oer, /Iv& ale? MO daq'aegis.-ed? parade!(s1? at oar Hsi CONSIRUClw 115os our on Friar usE 1950'5 sr.PI9,gp )AI nGRATE row*OF ACRES N THIS MAC:PARC 33•b ACRES aadt0'a.r sutee-ad no: USE OF 1113.L ___L__hossellekt use Opasta.Aowcasa4_Lag.One _Rabe orpaselysna raLotenbsahefeb eilbeniseleseolls LRCMS at am Woes.ay) _ .eaadgeflisbdaesOsaaraaae,T nem Ae.aasgtisedT / let#OatedbO :Da.taq'haed! J cbee�.e/marena 1 awe/ee®d lawn sdlorgnat? llespoleollan _eoeweY,Shaft aria,ear?fast dee *lizs.araecYwy _aAariltel diet b booms ite seating ®1 no WUTE THE USES CID ABOVE INITIATED PRIOR TO MAY 8. 1972? NOTE 1F A n'Cl/MICE N 7lE Ip$IaAC 16E QF PC% . uae nna aarx ad�v n 1911 OS.se Iadleaa at MAW bug.dad end east*a,...aandlla►easionohe aorta*nosed use i+sae'sgew.t seep dnelbtm ( "-'#'v �supec /� mots- f<16 use comments season below(include case a, s aces NT. a] .dote re. ua1) sigma: 0'll� !I // � awed:10 / lYj r 04 wagons continents and/or/1Namal iun. L 'Pu.S r$AtI JA1 .`____.. _.. 1 • RECEIVED a(16 (�1) caaMAoo laa6aMor WATER Mewutcas m Fere0Yv8 oe141MnBelf or NATURAL IImOUtlCO 1f136INAMST•110011 eel,oesttR CO 30203 AppaCdbn Recalpt No. is S03 1 0 eata(aas)treaaal )lMJeraMLYeM.aoa lx(303)800-3189 Orana MSC Mat Pat oresN . 1Aea►S ((.00u l•4,•( COMMERCIAL DRINKING AND SANITARY WELL WORKSHEET ILL..bflublons.swam sib Owft easplwyfanaTaebs sera be osegleld M molt yW ltebb& 1. Non god TypedBabasSt/7 EXGAvAI*Nj - Di( F&& IMANtItc 4-u.aut 2. Mete application tar a new well? gins ■no,M Ode application far a change dua 1crn eadatigg wag? MY. Permit Naar dwal(1l amicable)_1D'1a3 Ns Far wee used for ainM end say awes yearlong"51972,afddMpecrandla b very MSc as M rabbet Bee fain(3WS-12 Remiehallon d Etdslna Wit brbr S Mbmrlon. 3. M made wag d maw aadlableto the properly?gm.ale detect rwan wee) ❑Ys Vs,MdraM what Viedew:son Is—(44..durr dab envoi pest rebid VI 4. Typo of dMpoW opium ® I ' te ❑ Central awn(act nave)— ❑ Van(Nook.mange haled lo:) ❑ ONer ach copy of engineering daipl) 6. Wide Dsand Caleula-era(brava faatera for water dead see blow) 1179515998 Halberd X Mintier Gabon X Number c Doris ESOS - Gam per Ye Fmplsysa lCFmpbysprBat Wade per Year a a, x #S dJ X a60 - 0Maks A Cutaniera Number at X Maribor clanks X Nunbao Days Budas at Won per Yaw Cana pr Day M Open per Yeas x t• x _ a 6 - 0 Salon B Other Us.(Nola No uses auntie tithe biding wool be akin r bus lypa dab) Type Mae X Gans X "Days par Yew a Gaon par Wet X x • 0 0 C Total mount of an required: ER Gdaa per Year (A+B+C) ■ 0 11/3W) • Far we used ti aamerdel ream and sectary purposes.ad a6r May 11,1972,ISMS weir rend wart swami 106,900 pica(113 of in enlace payer. Fr wet used for comrade)diLMMI and ealialy purposes'alMy 6,1972,the loll wisrderurud caret stead 326,900 plate saerbs0 pewit r+00d�C Fso a eY vurb(1rM( Kilian want—10 pYlaalpalraMM, Churches(dais not Muds food seta)—6plionakenday Proprietor Ow night Wpm¢saSSo a de Bed&S—"—l)—DO oeIawpeleaddly Additional a demand Wee may besbMMad from a private welsrconed rOwnatodveoolmacsonrimn at. mart, Page lot • RECEaEO ...... ---• - cm,H CICPYAge Lf C =PEP Ct '1nul ilia ( Zewares I $ /oo ", A � 14)BE Jr 20433 IFat i ritiO q,rlkb.akpme.dc.00mMIX EBC196VBBC1961 1B49(294797A64378_ 6/15/201 no-,nents hip 1ofl a_41_Sir4-r:_J . II 209 . A "i'7 waraworrasto Salta • bftprilthink.pinetekaniEBCEIC1961/11BC1961.AWIWO•Proorms&SIII-45DSA... 61/5/2011 RECEIVED AN 115 2011 Bill Hall , , ifs 32712 Vista Lake Road Greeley,CO 80631 July 22,2011 2011 Arlene D.Boom Water Resource Specialist Department of Natural Resources 1313 Sheer Street,Suite 818 Denver,CO 80203 RE: Receipt No.3650310 I am writing in regards to the cbmge of use to commercial for Well Permit 206453. The well will be used by C&H Excavating,the company occupying the building owned by Dorris Cumingbam. As I have stated in the Commercial Drinking and Sanitary Well Wodrsheet,the estimated usage will be 91,000 gal.per year,well within the limits proposed by the Sate of Colorado. We will install a meter and will keep track of usage on an annual basis as required by the Sr Fagineer. I have enclosed copies of the deeds on the Curming!m property. There are two deeds as Dorris Cunningham is the prod representative of ha late husband's estate. Also enclosed are previous submitted well information and copies of the check received by Water Resources. If you have any questions or problems,please contact me at 970-356-0505. Thinks for your help, Be di Representing Dorris Cunningham and C&H Excavating Rug 11 11 05:28p Doris Cunningham 9708342298 p. 1 Doris Ctmninghs.n 3967 Creedmore Lakes Rd. Red Feather Lakes,CO 80545 August 16,2011 RECEIVED AUG 1 8 2011 T R RESOURCES Arlene Boone svjv3 S ba �4'2J S{ ENGINEER Water Resources 1313 Sherman Street Suite#818 Denver,CO 80203 Dear Ms.Boone: I have given Bill Hall permission to act on my behalf in changing the status of my well on property located at 41450 W C Rd 33,Ault,CO from residential to commercial. If you have any questions,you can contact me at 970 8812730. Thanking you in advance for your attention to this matter.Ake, C ! '�Gt � Byb• 7�i( Doris Omninghem idm:DC cc Bill Hall • ' . DEPARTMENT OF NATURAL RESOURCES •q..1 DIVISION OF WATER RESOURCES John W.xisGovernor Hickenlooper trecutiveNtrector Dick Wolfe, Engineer June 6, 2011 Ms. Dorris Cunningham 3967 Creedmore Lakes Rd. Red Feather Lakes, CO 60646 RE: Receipt No. 3650310 The enclosed wet permit applications are being returned for the reason(s) listed below. The amendments and/or additional Information or documentation requested is•required before we can proceed with the evaluation of the application. All amendments made to the application must be typed or printed in$LACK INK. Please Initial and date all amendments made, then return the original application and all attachments to this office. If you have any questions, Icon be reached C 303-866-3581. • Please submit a current deed for your parcel. • Please tell us what kind of commercial use you are trying to change from your existing well permit no. 260453. If you are doing an exempt type use for the commercial business then please complete the enclosed Commercial Drinking and Sanitary Well Worksheet for the uses. • Please be advised that the aforementioned criteria must be addressed and received by this office by August 6, 2011 to retain active status Of the ground water well permit application. Information submitted after that date will require a new ground water well permit applIcation and will be assessed the appropriate fee. Thank you, Ct',t Gam .0. Sian e.. Arlene D. Boone Water Resource Specialist 19id11 Office of the State Engineer 1313 Sherman Street,Suite 818•Denver,CO 80203•Phone;30f3-866.3581•Floc 903866-3589 www.watetstate.co.us =':? DEPARTMENT OF NATURAL RESOURCES c • • DIVISION OF WATER RESOURCES . Jain W.HIckonloopor -n61: Gonna Dick August 10, 2011 Mr. Bill Hall 32712 Vista Lake Rd. Greeley, CO 80831 RE: Receipt No. 3850310 The enclosed well permit applications are being returned for the reason(s) listed below. The amendments and/or additional information or documentation requested is required before we can proceed with the evaluation of the application. All amendments made to the application must be typed or printed In BLACK INK. Please initial and date all amendments made, then return the original application and all attachments to this office. If you have any questions, I can be reached©303.888-3581. • If you are not the owner of this parcel please submit an authorization letter from the current owner allowing you to apply for this well permit on their behalf. • Please send beck the original applIcation that is date stamped In green Ink. Please be advised that the aforementioned criteria must be addressed and received by this office by October 9, 2011 to retain active status of the ground water well permit application. Information submitted after that date will require a new ground water well permit application and will be assessed the appropriate fee. Thank you, Arlene D. Boone Water Resource Specialist Office of the Stale tinglnme 1313 Shaman Seer,Sidle 518•Dewey CO 80203•Pion 3068663381•Fax 3)3$66-3589 www.waterssue.co.us Scanning Cover Sheet for Septic Permits Permit # G19820005 Permit Type: Health I EHS History/EHS Conversion History Situs Street Address 41430 CR 33 Situs City, State, Zip • Sec/Town/Range: 02-07N-68W Application Status: Finaled Application Date: 03/11/1996 Parcel# (12 digest 070702000057-R0021768 Owner Full Name: TATEYAMA FARMS Owner Address: 41430WCR 33 AULT,CO 60610 Owner Phone#: 000 0000000 Contact Name: Contact Address: • Contact Phone# Information above has been Verified in Accela by employee noted below XjA January 15, 2009 Processedpy: Date Report ID: EHS00024v003 Page 1 of 1 Print Date-Tine: 1/15/2009 1:12:27PM • ≥'! ' gztalos- cc, '• • •• - APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM No. 1 ,'"'' WELD COUNTY HEALTH DEPARTMENT New • ENVIRONMENTAL HEALTH SERVICES Repair _ ISIS Hospital Road, Greeley, CO 80831 363-0640 EXT.270 L BP Li' OWNS i ''}t• V4vv Ffi f nnS ADDRESS 1//y3Q._ ( Y t 33, .1 w I/ PHONE ADDRESS OF PR POSED SYSTEM `L/Y30 LX'.dt 33 , A, /i- LEOAL DESCRIPTION OF SITE:PT 1 Li) Y9 8 %4- ,T� R a SUBDIVISION __ LOT.__ BLOCK___'r, FILING USE TYPE: RESIDENTIAL 1g5 litic I INSTIT ION COMMERCIAL OTHE ,VfOr✓,I•� � �p.PO SERVICES: PERSONS 4, BATHROOMS r2 _LOT SIZE • , xerte '.6tAf e'6 m scow BEDROOMS BASEMENT PLUMBING WATER SUPPLY 4/�"��` •,.�YT .PeOF SEWAGE DISPOSAL REOUESTED: ✓h. e �' . 9` O tF�9 / (22.0.25e_.Applicant acknowledges that the completeness of this application 45 conditional upon further-mandatory and additional tests and reports as may be required by the Weld County Health Department to be made and furnished by the applicant or by the , Weld County Health Department for purposes of the evaluation of the application:and the Issuance of the permit is subject to such terms and conditions as deemed necessary to insure'compliance with rules and regulations adopted under Article 10, Tine 25,CRS 1973,as amended.The applicant certifies that the proposed system will not be located within 400 feet of a com- munity sewage system.The undersigned hereby oertlfletthat all Statements made, information and reports submitted here- with and required to be submitted by the applicant are,or will be,represented to be true and correct to the best of my knowl- edge and belief,and are designed to be relied on by the Weld County Health Department in evaluating-the same for purposes of issuing the permit applied for herein.I further understand that any falsification or misrepresentation may result in the denial of the applicatloVi revocation of any permit granted based upon d application and In Isgal action for penury as plovlded bylaw. Application tee iOO•a a O r'5 57E i3LCGS to• Rsc'd bras/lOxjirt,#ebq,7 Date — OwnerlAgent Signature Date 427 FOR DEPT. PERCOLATION RATE `714•1/1 WATER TABLE DEPTH p r USE ONLY 8O1L TYPF PERCENT GROUND SLOPE G30* REQUIRES ENGINEER DESIGN( )YES f No INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT From the application Information supplied and the on-site soil percolation data, the following minimum Installation specifi- cations are required: SEPTIC TANK 4000 GALLONS,ABSORPTION TRENCH 2 5 5 SO. FT. or ABSORPTION BED 33 gO.FT, In addition,this Permit is subject to the following additional terms and conditions: This Permit is granted temporarily to allow construction to commence.This Permit may be revoked or suspended by the-Weld County Health Department for reasons set forth In the Weld County individual Sewage Disposal System Regulations,including failure to meet any term or condition Imposed thereon during temporary or final approval.The Issuance of this Permit don not constitute assumption by the Department or its employees of liabtilfy for Ihgilurs or Marcy of thesewips dNpopl syrltem. T f 5' 1VC (!i^LeW�lZk 1�� 8 Envlr nmental Specialist Date This Pemat is not transferrable and shell become void If system construction hes not commenced within one year of its Issuance. Before liming final approval of this Permit the Weld County Health Department reserves the right to impose additional terms end conditions required to meet our regulations on a continuing basis. Final Permit approval/la contingent upon the final in, spntion of the completed system by the Weld County Health Department. see al/ached plot 9/L,rd Aron • SYSTEM CONTRACTOR /(/e// M/y24rl FINAL INSPEC4t1ni3. JJ// �_ D • SYSTEMENGINEER APPROVAL VatQrfit ► 7. 1682 lronrrrerftTei Specialist[ Date The issuance of this Permit does not Imply compliance with other state,county or local regulatory or building requirements', nor shall It act to certify that the subject system will operate In compliance with applicable state,county and local regulations adopted pursuant to Article 10,Title 26,CR8 1973,as emended,except for the purposes of establishing final approval of an installed system for Issuance of a local occupancy permit pursuant to CR8 1973 26.10.111 (2). Original-Applicant;Copy•WCHD WCHD—EHS February, 1981 V i £ � .�� -� N 3 A . 1 x 9Z -sir-- 0 1 L I m . � vim, ` 1� t., 1N v. _ tL h i is a 4 t n! S i $ 1 ..—.. ...,, f i 1 1 �+ �� ,1•4 1 O \\40,49 ct...,) _mss4 .�.Iw .-_I oo. e� Cr - t CI JJJVVVV�}��}}} 0/ _ •N __ to 4. < %,(1 Hello