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HomeMy WebLinkAbout20110483.tiff . - tes'gsn7 .(.5.t. • " I[l 6 pi STATE OF COLORADO .012131415..sr �� jF ISION OF WATER RESOURCES -- 'Co- .�4 `� ≥� ' •fir — OFFICE OF THE STATE ENGINEER eL..S-t,ca JUL 7971 1. - W TE, v Et) ;; Yield P AND STATEMENT FOR WATER WELL FILIN ' - SIATF ENca'E yes tit Checked By_____ ____ cwR -70 (p� ' `-'0,-, `' CO( ER PERMIT NUMBER Iw Cw V �rf o' La 151FSTATE OF COLORADO SS 7 WELL LOCATION Z CLAIMANT (sl Althen and Royer Weld __,County being duly sworn upon oath deposes and says that he (they) is (are) SW % of >SW %, &ec 23 the owner(s) of the well described hereon; the total number of acres T IN R 68 W 6 P.M. of land irrigated from this well is Wens ,• work was commenced on this well by actual construction on tho INDICATE WELL LOCATION ON DIAGRAM 4th day of November 19.5-(.; the sustained NORTH I i I yield from said well is_.1.2.____gpm, for which claim is hereby made I for Domestic and Industrial ----- } T _purpose (s); I I I the average annual amount to be diverted is 20i - I _ I T' acre-feet; this map and statement is filed in compliance with law; 3 I I rrt m he(they) has (have) read the statements made hereon; knows the l I content thereof; and that the same are true of his (their) own knowledge. ,{ I I I •Si g �Cj�nature (s .C. !�/� e*"' ._ i II Address' 836 last 17th Avenue SOUTH -Neiniilt,t-, Colorado 80218 WELL SHALL BE LOCATED WITH REFERENCE TO GOVERNMENT SURVEY CORNERS OR MONUMENTS, •` - OR SECTION LINES BY DISTANCE AND BEARING. Subscribed-an : d sworn to before me on this ..,/,4" day • r Y. of - 19 7/7225 ft. from South section line. (North or South) My ComnhissiakexlAres:. My Commission explrea Apr. 6, t972 GSea0 ✓7 ? .. d 290 ft, from West section line. e. ,. (llz 12 -V • (East or West) ary Public ' - - Ground Water Basin WELL DATA Water Management District • Date Completed April 13th, 1956 Domestic wells may be located by the following: Static Water Level 275 feet _ LOT , BLOCK Total Depth of Well 680 feet . SUBDIVISION FILING k ACCEPTED FOR FILING IN THE OFFICE OF THE STATE ENGINEER OF CO ORADO ON THIS 1 7 DAY • / �' 'lam OF f 7/, ST E E INEER 2011-0483 FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both side_ WHITE AND GREEN copies must be filed with the State Engineer within 30 days after the well is completed or within 7 days after expiration dote of the permit, whichever is sooner; PINK COPY is for the Owner and YELLOW COPY is for the Driller. Kurt Althen *abject: FW: Water Well Permit# 15774-F tachments: Certification .txt From: Williams, Joanna [mailto:Joanna.Williams@state.co.us] Sent: Monday, May 17, 2010 4:53 AM To: Kurt Althen Subject: RE: Water Well Permit # 15774-F That is correct. The well can be operated as long as it is operated in accordance with the terms and conditions on the permit. From: Kurt Althen [mailto:kalthen@gotnerve.net] Sent: Thursday, May 13, 2010 3:33 PM To: Williams, Joanna Subject: RE: Water Well Permit # 15774-F Thank you Joanna, I assume then as the well owner I can continue same usage of the well as long as I am in accordance with the permit.. From: Williams, Joanna [mailto:Joanna.Williams@state.co.us] Sent: Thursday, May 13, 2010 1:30 PM To: Kurt Althen Subject: RE: Water Well Permit # 15774-F •Mr. Althen, Attached is the letter. Thanks Joanna Williams, P.E. Colorado Division of Water Resources 1313 Sherman Street, Room 818 Denver, CO 80203 Phone: 303-866-3581 ext:8265 Fax: 303-866-3589 • 1 WATER SUPPLY INFORMATION SUMMARY • Section 30.28.133,(d). C.R.S. requires that the applicant submit to the County,"Adequate evidence that a water supply that is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED AQC 1_e ExL \99 .,,a • AAIkl.zbA - re 2. LAND USE ACTION 3. NAME OF EXISTING PARCEL AS RECORDED "i 1 '3 0 O OD 5- PI SUBDIVISION A W.,ken � FILUNGLu C Lo-� l4lEOCK LOT 2 4. TOTAL ACREAGE 1,3 9 6. NUMBER OF LOTS PROPOSED l PLAT MAP ENCLOSED Bit YES 6. PARCEL HISTORY - Please attach copies of deeds, plats or other evidence or documentation. A. Was parcel recorded with county prior to June 1, 1972? 0 YES 0 NO B. Has the parcel ever been part of a division of land action since June 1, 1972? 0 YES 0 NO If yes, describe the previous action 7. LOCATION OF PARCEL • Include a map deliniatino the project area and tie to a section earner. S in/ 114 OF ') Li 114 SECTION X3 TOWNSHIP ® N ❑ S RANGE 6 l ❑ E W PRINCIPAL MERIDIAN: ® 6TH 0 11.M. ❑ UTE 0 COSTILLA 18. PLAT - Location of all wells on property must be plotted and permit numbers provided. Surveyors plat 0 Yes 0 No If not, scaled hand drawn sketch 0 Yes 0 No 9. ESTIMATED WATER REQUIREMENTS - Gallons pr Day or Acre hot per elm 10. WATER SUPPLY SOURCE ( ID EXISTING 0 DEVELOPED 0 NEW WELLS • WELLS SPRING ( PROPOSED AQUIFERS•(CHECK aD HOUSEHOLD USE # of units GPO AF WELL PERMIT NUMBERS ❑ITEM 0 veem ARAPAHOE 0 UPPER OAWS 0 LOWER ARAPAHOE l 77 y -FON 0 LOWER DAWSOW 0 LARAMIE FOX mua COMMERCIAL USE # 3 of S.F. 30 GPO AF ❑DENVER ❑DAKOTA 0 OTHER IRRIGATION N of acres GPO AF STOCK WATERING R of head GPO AF 0 MUNICIPAL ❑ ASSOCIATION I WATER COURT DECREE CASE NO.'S OTHER GPD AF 0 COMPANY ❑ DISTRICT TOTAL GPD AF NAME LETTER OF COMMITMENT FOR SERVICE 0 YES 0 NO 11. ENGINEER'S WATER SUPPLY REPORT 0 YES 0 NO IF YES, PLEASE FORWARD WITH THIS FORM. (Thu may be required baton our review is compiled! 12. TYPE OF SEWAGE DISPOSAL SYSTEM X SEPTIC TANKILEACH FIELD 0 CENTRAL SYSTEM • DISTRICT NAME • 0 LAGOON O VAULT • LOCATION SEWAGE HAULED TO 0 ENGINEERED SYSTEM (Attach a copy et engineering dagnl 0 OTHER • tt131 ku..xs7o: d a STATE OF COLORADO �g1011 .6%?- ic na. , DIVISION OF WATER RESOURCES �� a /,�,�j — OFFICE OF THE STATE ENGINEER , r m 'MUM ,iet aweihetow.C lilL td.a WATER ea ofD N, Yield MAP AND STATEMENT 015774 FTOR WATER yWELL FILIN FI " SriTa ea_ .� Checked by PERMIT NUMBER 015 ! ! 4-'r" Ct1c8 -20 �ve CO O Ntes q y ce82L2914 STATE OF.COLORADO ) as- . WELL LOCATION 6 CLAIMANT(s) Althen and Boyer Weld County .'being duly sworn upon oath deposes and says that he(they) is (are) 8W I4 of d, sec3 the owner Is) of the well described hereon; the total number of acres T R. 6811 • 6 .P.M. of land irrigated from this well is None - ; INDICATE WELL LOCATION ON DIAGRAM work was commenced on this well by actual construction on the 4th day of November _ 195.6.; the sustained NORTH yield from said well is.J.Z.._ —gpm, for which claim is hereby made for Domestic and Industrial purpose (a): —,Ri 1 --- --- the average annual amount to be diverted is 20 • . I I I T c acre-feet; this map and statement is filed in compliance with law; ( '4 m . he{they) has(have) read.the-statements made hereon; knows the . • I ( content thereof; and thatthe same are true of his (their) own erviedge. ��(aJ�c I I 1 , Signature (s t. 6.1a41.7-47-- J . t t I • 836 East 17th Avenue SOUTH Address: _ • Denver, Colorado 80218 WELL SHALL BE LOCATED WITH REFERENCE TO GOVERNMENT SURVEY CORNERS OR MONUMENTS, Subscribed and sworn to before me on this / dayOR TIgN LINES BY DISTANCE AND BEARING. f_ of , 19 7/ 225 ft. from south section line. Mirth or South) My Commission expires:. MT` °IseloaexplresApr. E,1474 • (Seal) ��e . /] /, 290 ft. from West section line. L% rr (L9z�,C, e • (East or West) ary Public Ground Water Basin WELL DATA Water Management ' District Date Completed April 13th 1956 Domestic wells may be located by the following: • Static Water Level_ 275 feet LOT , BLOCK _ Total Depth of Well 680 feet. SUBDIVISION_ FILING # • ACCEPTED FOR FILING IN THE OFFICE OF THE STATE ENGINEER OF CO ORADO ON THIS , 19 DAY 71 ST E E INEER FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. Winn 't`arOteM nnnae',mot hi.tired with the, State Engineer within 30 dove after the well is comolered or within 7 days f •1 WELL LOG WELL DATA . .d , ,s. • From To Type & Color of Material Water Loc. Type Drilling Rotary 8 Clay 4t5 HOLE DIAMETER: 8 35 Soap-stone o 6 in. from 0 ft. to 485 f 35 160 Blue Slate 680 160 250 Grey Slate - ft" 41 in. from 485' ft. to 680 f 250 252 Coal in. from ft. to f 252 333 Grey Slate 333 335 Iron Rock CASING RECORD 335 338 Black Slate Plain Casing 338 341 Coal size6", kindsteellrom 0 ft. to 485 341 418 Grey Slate • 418 419 Iron Rock Size kind " from 485 ft. to 6800 f 419 426 Grey Slate 426 440 Coal Size_, kind front., ft. to ' • 440 445 Grey Slate Perforated Casing 445 446 Coal 446 496 Grey Slate Size 6, kindsteelfrom 0 ft. to 485 496 498 Coal 498 510 Sand Slate Size44f , kind " from 485 ft to 680 510 515 Grey Sandstone 515 600 Laramie Sandstone Size, kind from ft. to 600 650 Grey Slate GROUTING RECORD 650 656 Material Cemented from 485 ft. to 656 680 Sandstone 680 ft. ; clay—packed to • Intervals earfeee•, Placement Method GRAVEL PACK RECORD Size. . _Interval TEST-DATA Date Tested Nov. 5; 1971 • Type of Pump EIei .and rod Length of Test morl.tt Sustained Yield f Moterod) 12 qltilons per 105 ft. min. Drawdown � WLLLDRILLFRS STATEMENT The undersigned, being duly sworn, deposes and says; he is the driller.of the well hereon described; he has read the statement made herec • knows the content thereof, and the same is true . • of his own knowledge. Use additional paper if necessary to complete log. X • State of Colorado, County of .1 ss License No, . Subscribed and sworn to before me this day of , 19 My Commission expires , 19_, Notary Public 1184,15,6;b4--' DIVISION OF WATER RESOURCES, DEPARTMENT OF NATURAL RESOURCES 101 Columbine Bldg., MI5 Sherman Sfreei, nonvcr, Colorado 80203 / / A PERMIT TO USE GROUND WATER iCONSTRUCT APPLICATION FOR: / 7 REPLACEMENT FOR NO, 0;10B-706 ��L A WELL p2�?�?P4c' /---/ A PERMIT TO INSTALL A PUMP ;i VA, ,wo�i C;lc a PRINT OR TYPE LOCATION orerWELL', e' L_,t 'C� `•I ;' 'oJ .yi _ APPLICANT Althea land Beyer COUNTY yield c 6$ e:% / Street Address 836 lla. 17th Ave. SW 4, of the SII k".!;711-11.2/3 c. City & State Denver, Colorado 80218 _ T. 1 R , R, _ 68 W , 6 P.M. ( Street or Use-of ground w. ter Dome sti e R Industrial Lot & Block Owner of land on which well City or is located Althen and Boyer sadly. Filing Owner of irrigated land Not 1rrl5ated by moll Ground Water Basin None Number of acres Water Management to be irrigated District None Legal description:of . - ' - . irrigated land LOCATE WELL ON THE BACK OF THIS SHEET Driller George Waneka No. 2 Other water rights on Driller 's this land Address Aquifer (s ground water is to be obtained 1�,4 �+ .t- e� /� from 485 to 680 ft. �`1 - (Na`�7-a---_ /ter It r7c*?f c-r-- Signatu a of Applicant / *storage capacity None AF CONDIT.IoNs_OE.APPROVAL. Py ANTICIPATED PUMPING RATE 12 GPM GE ANNUAL AMOUNT OF GROUND WATER TO PROPRIATED 20 Acre-feet TED WELL DATA ated start of drilling Summer 19 71 aated start of use e19 • meter: in, from 0 ft. to _ 11.85 ft. APPLICATION APPROVED: in. from 485 ft. to 680 ft. VALID FOR ONE (1) YEAR AFTER DATE ISSUED UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO THE ISSUING AGENCY P. Plain 6 in. from 0 ft. to 1 8aft. PERMIT NO, _ cONRITIONAL En 41 in. from 485 ft.... to Oft. DATE ISSUED - , Perf. 6 in. from 0 ft. to 485ft. . • _ in. fran 485 ft. to TBtft. , STATE ENGINEER • ESTIMATED PUMP DATA - Outlet BY Type electric HP 5 Size 1§ I-- APPLICATION MUST BE COMPLETED SATISFACTORILY BEFORE ACCEPTANCE (OVER) v THE LOCATION OF THE PROPOSED WELL SHALL BE SHOWN ON THE DIAGRAM BELOW WITH t • s • REFERENCE TO SECTION LINES OR GOVERNMENT SURVEY CORNERS OR MONUMENTS. 225 feet from South (North or South) section line 294 feet from West (East or West) section line IF WELL IS FOR IRRIGATION, THE AREA TO BE IRRIGATED MUST BE SHADED OR CROSS-HATCHED. This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well . ft toe w + 1 Mile ■ I , - 1 T I I - + + + - + - + - + - i I I -- I I - + - + 1 + -- + - + --- + - ID I I - f I + — + - N , d } I 2.3 I I cs - 1 1 a I I I I I I ----+---- + + - + - + - + — + I 1 l 1 f i fir THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS ONE-MILE it if .. i s ..,,,!.:•7•;:t..,'-'7','-4-'-: 1?i•. i._ .7:4. _ 44i: .,. WELD COUNTY .1-IEALTH •DEP•ARTM'ENT },t,;;: 17.%,:e*'; •:+"ire {.' `iQ14rm d PER rA,'IIT NO_ ' Application for permit *p *Install, Construct, -aa� Indiv+iduaf:'Sewage Disposal System,J f q y� ) 1 / 0, ea' W' IT Addre; ;J-5- -.-..:.2.1.(7;:cc f �r h �a ,•y ��:r•_:,�..R�;..�:. �o*. G� • • .lY!• .� 'I7'n g �'';,�i'e � 'r' r/ r.. .._,'t,:.,: ,Vein I./ .xu ld ;...::....-:��• ,rt�ri3ra ta:. _-Rd. _. %X;�s;_ -• f�; �. i , 1h'_, mi. ' .:4., at i, +r . to n Ii .` .•ta r. ,R Y` .. .. Iii fI,!.✓ -� .C, .._...... .......L...f.. ~, f —-... 4 el Lcgcl Description: •Ptn- 4' `'�,y. 'r. N .1�f.2 V S}.1bd; ._�?��r T _ .n�le-TL 'R ;1-1/...r.. -1 - General Infa rem at n : !;..�Ix_ • j,)• '6 U •4 . r Dept. 'Use-01 f Nil •ise•c:rnr-ms .._ N: P•prs1�: '`• I :7:y p,iG•f+S .44703411. _ Pert:. Rote `t' g.. of 3);11--••• 1•15111_11.t•:$ 1la Batty, _Bosement;Plii b.ng _ 5:7:: n.• I.:,t --, 00 , :l r! ,•':;`;,. •.. , sr 1 H,20 .suppry' fit weft giv Lot 'Grade.� ___.._: __. - tv.'tt^lift•!. Mobile Horne_..... .. Modular •Add'n,_,_ a£qu'i'nes :Engineer Deslgr • Y(�;. `. Psi_; Type of sewage di. of Vailimill - `. " yes 'reason_ _ ___ .. Septic tank'- Privy_..._._._.._ Other _._........ •- -- : G:,mm�e' • , is 1 r!1:.!,': .A_.s„.4.0 4,Q,,,,-1 7- 4---1„---„4-e--,-2,-:- .)..- . s 13-"Lt t 'Intructions.: iMinun' :Rgairements '�-� J, isciiation �- , sc-;:,tit_• 'i ank _ — Go Is. Absorption Trenches_ '_ n.. Sr:l. Ft yrekrr br Other • -� . • Seepage bed. ....____5...Z_)__ Sq. Ft, Spec,ni Instructions .. . .......-.-_. . • Ifiis :,y.tcrn wili .he constructed dnc7..;instolded •,in-:ncrorclance .wi:i, the above 'spvificetrons ond•:teg.alallcn; re- ,;i..rdirig intliti'rdrao; sewage disposal'sy5terns In 'Weld -County, Colaracn `'ili., priin-I shuII exp:re at t'he:safre time a:: th :*«x lidiny'..Permit, cr, ii no budging permit is issue:* the permit :.;'r:lI r:xp:rt 12f. cloys 01 er'its'.i'ssutnce, -if nstructien'bas:not`been.•ornmenc.ed, Dote . .:�`":%?tLf=.G s _.," �1.. ;,�f3+vrier 0.'sr.4eit �`. •Apptitcrnt:.._..It . - •aa c., ,-.-:,,,.. I-•..<:' Mans and pecificotk ns cs shown aria apf}rcved:pending.payment of pertrvit .fes, • ..,•`_.,`..7S'Z:sit'teo:,;•.3u.^ s:�.•�v ,a�3_paey� ��..:;',3; '!� .:��� �r i':• y Y�1e}Gf]OVc ':,S#�ru !t ]y�� ti> {lr ; w y. 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