HomeMy WebLinkAbout20123379.tiff Form No. OFFICE OF THE STATE ENGINEER
GWS-25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver,Colorado 80203
(303)866-3581 EXST
WELL PERMIT NUMBER 75930 -F -
APPLICANT DIV. 1 WD 1 DES. BASIN MD
Lot: Block: Filing: Subdiv:#1305-21-1 RE-4328
APPROVED WELL LOCATION
WELD COUNTY
NW 1/4 SE 1/4 Section 21
SHIRLEY DAHL Township 2 N Range 64 W Sixth P.M.
PO BOX 66 DISTANCES FROM SECTION LINES
HUDSON, CO 80642- 2290 Ft. from South Section Line
1700 Ft. from East Section Line
(719)429-4045 UTM COORDINATES (Meters,Zone:13,NAD83)
CHANGE/EXPANSION OF USE OF AN EXISTING WELL Easting: Northing:
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 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 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 for the expansion of use of an existing well constructed under permit no. 268537. Permit no. 268537 is hereby canceled.
4) Approved pursuant to CRS 37-90-137(4)and the findings of the State Engineer dated April 4,2012.
5) The use of ground water from this well is limited to domestic,commercial and,the dog kennel.
6) The pumping rate of this well shall not exceed 15 GPM.
7) The average annual amount of ground water to be appropriated shall not exceed 2.1 acre-feet.
8) Production is limited to the Laramie Fox Hills aquifer.
9) The entire length of the hole shall be geophysically logged as required by Rule 9 of the Statewide Nontributary Ground Water Rules prior to
installing casing.
10) 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.
11) 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.
12) This well shall be located at least 600 feet from any existing well,completed in the same aquifer,that is not owned by the applicant except
for the well constructed under permit no.268536 in which a 600 foot well spacing waiver was submitted by the owner.
13) This well shall be located no more than 200 feet from the location specified on this permit.
14) Pursuant to CRS 37-90-137(9)(b)and the Denver Basin Rules, no more than 98%of the nontributary ground water withdrawn annually shall
be consumed and the well owner shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98%of the water
withdrawn will be consumed.
15) This well is subject to administration by the Division Engineer in accordance with applicable decrees,statutes, rules,and regulations.
NOTE:The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years
upon which the amount of water in the aquifer is allocated,due to anticipated water level declines.
NOTE:To ensure a maximum productive life of this well, perforated casing should be set through the entire producing interval of
approved zone or aquifer indicated above.
APPROVED
JLV
State Engineer
%Receipt No.3653889 DATE ISSUED 04-04-2012 XPIRA ION DATE 04-04-2013
Weld County Environmental Health Services Department
t V t 1555 N. 17th Avenue
1q Greeley, CO 80631
` ID Phone: (970) 304-6415
C Septic Permit - Final Fax: (970)304-6411
tbd.0itnn0 www.co.weld.co.us
Application Number: SP-0800157 Status: Ready to Final
App Type: Health\Residential\New\Septic Applied: 08/07/2008
Applicant Name: SHIRLEY DAHL Issued: 0;12/21)08
Fineled: S 13 Oq
PO BOX 66 _If1220
HUDSON, CO 80642
Owner Name: DAHL SHIRLEY & BIRDWELL JANA
Parcel#: 130521400027-R4255506
Legal Desc: PT N2NW4SE4 21-2-64 LOT B REC EXEMPT RE-4328 SITUS: WELD 000000000
Site Address: 8759 CR 55
KEENESBURG, CO 80643
App Specific Info:
1/2 Bathrooms 0 r
3/4 Bathrooms 0 •
Application Date 08/07/2008
Associated Building Permit Yes
Associated Building Permit Number MFG08-00115
Basement Plumbing Yes
Full Bathrooms 2
Location Description 8754 CR 55-CORRECTED ADDRESS 8759 CR 55 (LIN
DODGE, PLANNING)
Number of Bedrooms 3
Number of Persons 2
Other Water Supply Utility
Parcel Acres 8.96 i'
Private Water Supply Well
Private Water Supply Permit Reference •
Number
Public Water Supply No
Public Water Supply Utility
Repair Reason Type
Septic Permit Expiration Date
Waive Fees No
Waive Fees Comment
Year Installed
EHS Perc Test(Site):
Engineer Design Required No
Engineer Evaluation Received Yes •
Engineer Job Number
Engineer Letter Received No
Ground Slope 3
In 100 Year Flood Plain No
Limiting Zone Feet 8
Limiting Zone Inches •
L0
Limiting Zone Qualifier Greater Than
Percolation Rate Qualifier Equal To
Percolation Rate Value 16.6
Slope Direction N
Soil Description
Soil Type Suitable Yes
Variance Required No
factIII Weld County Environmental Health Services Department
®aW 1555 N. 17th Avenue
4n. CO 80631
C�I Phone: (970) 304-6415
Septic Permit - Final Fax: (970) 304-6411
www.co.weld.co.us
Minimum Installation:
Absorption Bed 1121
Absorption Trench 861
Additional Terms and Conditions Y
Bed Option 1 36
Bed Option 2 61
Bed Option 3 48
Chamber Option 1 Biodiffuser
Chamber Option 2 Infiltrator Quick4
Chamber Option 3 ARC 36
Septic Tank Size 1000
Trench Option 1 28
Trench Option 2 47
Trench Option 3 37
Actual Installation: Chambers
Septic Tank: I I {)CO gallons Absorption Trench: sq ft
Absorption Bed: 1. -Cd76 sq ft
Design Type: G{. Chamber Model
NOTICE
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 persuant to Article 10,
Title 25,CRS as amended,except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit
persuant to CRS 1973 25-10-111(2).
This permit is non-transferable and non-refundable.The Weld County Department of Public Health and Environment reserves the right to
impose additional terms and conditions required to meet our regulations on a continuing basis.Final permit approval was contingent upon the
final inspection of the pleted em by the Weld County Department of Public Health and Environment.
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