HomeMy WebLinkAbout20110483.tiff . -
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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.
E irre�er-REwi�>>A • •_._._ �} .,:i.,' a•.3,.; e.r . .
ng = . =
F,errn Yt ,�f �x<'` ... :.::„ .•:•-,,,.-;.-..,,,.....,.....,,,...,.•,•:.:' :
... „, ...,. . , .,, ,••••4::,1'4,."..:,'•Re4+eYuted b •fs a�, f� L`r { - • � `} 'M„
�.. . -q,: t Y. •:+,,.14.rA .!: .ivy1. k k� :•S•.:
,. .. . .. � .. .cl' > ..;.:'-...7_. ,.it'-tX-4-n:,'-?'1•'- .. .. ...r. •:mod°.° .,
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