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Home My WebLink About20113331 WJR.2G.17 1 3 t COLORADO DIVISION OF WATER RESOURCE• RECEIVED ) 11 F4 M MUST B£SUBMI TTED 1313 Sherman Street - Room 818 WIT1$HINO 6C DAYS OF COMPLETION Denver, Colorado 80203 MAR 0 4 1982 t OF THE WORK DESCRIBED HERE- ON.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPOiIT CATER RESOURCES INK. PERMIT NUMBER 11536+ . _ i ETAYE EnGINEA • 0010. 15 Panhandle Eastern Pipeline Co. NW I NW , WELL OWNER_ »: 7.of the Y.of Sec. t 35 N• 7th Ave. • ADDRESS Brighton, CO 60601 T 1 N , R. 67 W , 6 P.M. DATE COMPLETED March 27. 1981 19,___ ROLE DIAMETER WELL LOG in.from_______to____.—ft. Water From To Type and Color of Material TLoc. ----in. from_ to ft. _ in,from to _ ft. DRILLING METHOD CASING RECORD: Plain Casing Size_—& kind _from to .Y..__ ft. Size &kind __ —from to ft. Size _& kind ..__ from _ to ft. Perforated Casing Size . & kind____._ — from _ _ to ft. • Size &kind from to ft, Size & kind from - to .ft. GROUTING RECORD Material _.. Intervals Placement Method _ ___— >— GRAVEL PACK: Size Interval — -- —� TEST DATA Date Tested . , 19 _— Static Water Level Prior to Test ft. Type of Test Pump Length of Test Sustained Yield (Metered)_ TOTAL DEPTH • Use additional pages necessary to complete log. Final Pumping Water Level T, _ 2011-3331 PUMP INSTALLATION REPORT 4::::. ;a. • Pump Make � 81 iKEIaEO -y '`' Type _ Submersible 9.: CrO �� Electricity c. - ~�` Powered by HP . 2 iCn " is ` _____ Pump Serial No _ 8027310 _ 'Y ," , gg WATER Motor Serialilo. _ 2-80 ',•. 3 > c» TABLE . P w W 4/20/81 Date lnstalleo _ ti J a to Pump Intake Depth _ 146. __ _. _ r +: Remarks �_,.. _ _ _. _ _ ,, z - r.: .7: Z a •.w • ,'t ;� I z WELL TEST DATA WITH PERMANENT PUMP a. a' g a Date Tested — —__Y2018-1_. _ . . _. ,.i z ', GONE OF a '. .t• DEPRESSION Static Water Level Prior to Test ___286._ o II W Length of Test _ two(2) Hours A •Sustained yield (Metered)____13 _ __ ._ . GPM Pumping Water Level 400 Remarks __ . i.1 i. V c i T 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. Signature e � e�r , ,ot .z9-4.-.. _._ _._ ___.__.. _ License No. .---71S_-_- State of Colorado, County of -...__ZZ_ ZI/_._ ._ _ ---- SS Subscribed and sworn to betore me this3 ay of -ft�� - _ __. , 19� My Commission expires: _ _Le._ , 19�_ Notary Public_---_, _ { _ Z",'' • FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides snd signed. WHITE AND GREEN copies must be filed with the Steps Engineer.PINK COPY is for the Owner and YELLOW COPY is for the Driller v. W,Ia-16.77 V COLORADO DIVISION OF WATER RESOURCES •THIS FOAM MUST BE SUBMITTED 1313 Sherman Street • Room 818 WITHIN ea DAYS OF COMPLETION Denver, Colorado 80203 OF THE WORK DESCRIBED HERE- ,Its- :wfal�tl ON.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT -..r QMeV INK. PERMIT NUMBER 115364 11,0,i. WELL OWNER Panhandle Eastern Pipeline Oo. — NWNW 'ti_y of the of Sec. 15 , 635 N. 7th. Ave., ADDRESS Srightone 0010. 80601 T __1_11 _—, R._67_ W _. 6 P.M. DATE COMPLETED Mar. 2?, 1981 , 19 __ HOLE DIAMETER WELL. LOG 13_3j_eilin,from_CI__to 503 ft. I Water From To Type and Color of Material Loc. .5 5/e in.from_503_to 675 ft. 0 80 May & Weathered °hale in,from to it. 80 93 Dark Shale 93 94 Sandrock DRILLING METHOD Rosary► 94 320 8hrle CASING RECORD: Plain Casing 320 490 Shale & Oval layers Size 6,._ .& kind -ateel_from_,_-i0._to 505 ft. 590 509 Sand 509 513 Shale Size .414._& kind _______from to ft. 513 560 Sand X 560 565 Shale Size & kind from to ft. 565 611 Sand X 611 614 Shale 6114 626 Sans X Perforated Casing 626 634 Shale Size . _ & kind steel from 1+95 to 675 ft. 0 634 636 Sandrock 636 674 Sand X Size _.& kind _from to ft. 674 675 Shale. Size _& kind from _ to ft, GROUTfNG RECORD Material Clement Intervals __ O.x.503t Placement Method _ tialliburton GRAVEL PACK: Size Interval ,--- TEST DATA Date Tested Mer_ 27 r 19P1 , 19 Static Water Level Prior to Test 295 ft. Type of Test Pump Airlift - Length of Test 2 lira Sustained Yield (Metered) 20 ant TOTAL DEPTH 6 I III, Use additional pages necessary to omplete log. Final Pumping Water Level Jet at 490' PUMP INSTALLATION REPORT +r' Pump Make -'' S.� Type__ `\ Powered by - HP -. Pump Serial No '. '' J• WATER Motor Serial No. .__._...._..____._ —. _ _ . . . �} .• a �w TABLE it la W Date l nstal leo _._ ___ —_.___ _. A J oc ,n w Pump Intake Depth . -.r-__. —_ _._. . . <l - - - Remarks _.. . _ ' " to 1•- .: z — - _ — — �s it t: 31 . ' A. , W \% i 1 t :. i _ r` WELL TEST DATA WITH PERMANENT PUMP eL — ° ''t I X 1•- , Oate Tested .______ ._ ... _ _ s .. co of ti a i' DEPRESSION Static Water Level Prior to Test ___.___.._____ o- . • Length of Test _._ Hours -• Sustained yield (Metered) _ GPM Pumping Water Level _-_ __. _ .. Remarks _ ,- ___ ______ __ ',1 i • CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation descrbed hereon; that he has read the statement made hereon; knows the content thereof, and that th sa e is true of 's own no d.•. Signature __ .___ _ ( .. __ License No.f_______ .. State of Colorado. County of ___ t . SS Subscribed and sworn to before me this.? ..cl4ay of--.T , 19 kt My Commission expires.My commission — - Notary Public_ ..Ld_--44.....-III FORM TO BE MADE OUT I OUA RUPLICATE WHITE FORM must be en original copy on both sides end signed. WHITE AND GREEN copies must be tiled with the State Engineer.PINK COPY is for the Owner end YELLOW COPY is for the Driller r 1YRJ-5-Rev. 76 COLORADO DIVISION OF WATER RESOURCES • • 818 Centennial Bldg., 1313 Sherman St.,Denver,Colorado 80iO3 1. PERMIT APPLICATION FORM ) RECEIVED p1 Application must be complete where ( I A PERMIT TO USE GROUND WATER r JUL 3 applicable. Type or (X )A PERMIT TO CONSTRUCT A WELL 9 print in BLACK FOR: ( )A PERMIT TO INSTALL A PUMP 1"i SOugal INK.No overstrikes VIRE EN Erit or erasures unless ( ) REPLACEMENT FOR NO. C010 initialed. I )OTHER WATER COURT CASE NO. (1) APPLICANT • mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME Panhandle Eastern Pipe Line Company Receipt No. mS 4 / / STREET 635 North Seventh Avenue Basin Dist. CITY Brighton Colorado 80601 lstale) (z.o) CONDITIONS OF APPRQVAt TELEPHONE NO (303)., 659-5922 This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water County .. Weld right from seeking relief in a civil court action. _NW Y. of the i'1W %,Section 15 Twp .L_ N Rig. 67 W Gth _P.M. APPROVED PUBSt5AAT TO CRS 1993, 37-9L-602 rv.sl ,E. ' w) (1) (c ) FOR DRINKING AND SANITARY (3) WATER USE AND WELL DATA FACILITIES ONLY IN All INDIVIDUAL III COM LCIGRCILL BUSINESS.. Proposed maximum pumping rate(gpm) 15 THE AVERAGE DAILY APPROPRITION FROM THIS WELL Average annual amount of ground water1/2 SHALL NOT EXCEED ED 800 GALLONS. id), to be appropriated (acre-feet): Number of acres to be irrigated:— 1 Proposed total depth (feet): 550 Aquifer ground water is to be obtained from: Owner's well designation GROUND WATER TO K USED FOR: ( I HOUSEHOLD USE ONLY -no irrigation (0) (X) DOMESTIC (1) ( ( INDUSTRIAL (5) ( LIVESTOCK (2) t ) IRRIGATION (61 ( •• �) (f ' ( ) MUNICIPAL (8) ( I OTHER (9)Djt"444) ► SdA)2'.irp4.1,0640aa:rt 0* APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) PERMIT NUMBER 11`5 3604 �Q�� (4) DRILLER DATE ISSUED JUt. 29 1980 Name Will take bids EXPIRDATE JUL 29 1982 - ;?.3-4ti_t.c:g_t' �Street _ • City wan (STA IN ')/ (State) (7,el BY :e1TL�.e -- Telephone No Lic No. 1.D. / - 0z- COUNTY ‘Z (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW • which the water will be used must be indicated on the diagram below. by distances from section lines. Use the CENTER SECTION 11 section, 640 acres) for the well location. 420 ft.from North sec,line - — t — - i. -- 4._ — 4.._ _ • — _+ -- 4 — 4- (north or south} .f• 1 MILE,5250 FEET--►1 165 ft. from west sec. line Least or west] t- + + ... + + -{- f + - LOT BLOCK FILING s I E I -- — ' NORTH SECTION LINE — + — + SUBDIVISION TRACTWHI H ELL WLBE I Ir ) (7) LOCATED NQ �PanYhandle Eastern NOIaTII wm -4 Z — — + — t + No.of acres 48.56 Will this be J - ' O l m the only well on this tract? yes 4- - + �- ••4t w (8)PROPOSED CASING PROGRAM N i Gp a 4 * 1 Plain Casing + - -1- - -i- - -i- - m + t- 6 5/3 in.from 0 ft.to 450 ft. 1 I i I -in,from tt,to ft. 4- -- -i-- - I .-- -4- --.. .-.I- Perforated casing SOUTH SECTION LIN ' 4 1/2 450 550 in,from ft.to ft, + 4- t- 4- -I- 4 • i- 4- -4- in.from -ft.to_ _ `t. I i I I (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging �- -- -( -- -I-- — + -- + - -i- --- -i- --- 4- -- -I- it: • The scale of the diagram is 2 inches= 1 mile N/A Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre foot covers 1 acre of land 1 toot deep 1 cubic foot per second lcfs] ..449 gallons per minute(gprn) A family of S will require approximately I acre•toot Of water per year. 1 acre foot.. 43,560 cubic feet...325,900 gallons. 1,000 gpm pumped continuously for one day produces 4 42 acre-feet (10) LAND ON WHICH GROUND WATER WILL Bg USED; Owner(s): Panhandle Eastern Pipe Line Company No.of acres: 48.56 Legal description: SPA-FX)-11RLT_:' 'A (11) (DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Drinking and sanitation ur o 400- trees which will be-placed-inside the property boundary.le, 1-Atie. u.ii//r 2/74,92,4 )N TA, coax ee'csa+ „swat.,' fiWe Racy, (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for(purpose) Description of land on which used None N/A N/A (13) THE APPLICANT(S) STATES) THAT THE INFORMATION SET FORTH HEREON 1S TRUE TO THE BEST OF HIS KNOWLEDGE. SIGNATURF OF APPL ICANTlSI • Panhandle Eastern Pipe Line Company R. E. Park Right-of-way Representative Use additional sheets of paper if more space is required. • STATE Or COLORADO DIVISION O1' WATER RESOURCES RECEIVED JUL 031980 STATE OF COLOR O ) WATT' lasouRcES ) SS Af1'IDAVM MOINEIR COUNTY OF J ) • The affiant(s) /A7`j,4,c4A ,rsTa4w , I,,✓e whose mailing address is (3S it/ ?.Ir• , tit)diglia edie.4+/v (street) (city) (state) Pia/ , being duly sworn upon oath deposes and says that he is (zip code) the owner of the following described property situate in the County of GJe/a/ , State of Colorado: (insert legal description or attach hereto)S„ idizeched r ,Gr7 ; • Further, the affiant(s) deposes and says that he has read the sta'.omerits made herein; knows the contents hereof; and that the same care-t,-ii?..o1 his ri,../n knowledge. PZIA,01 e t, . /ad_ :. c Subscribed and sworn to before me this 3 day of My Commission expires:y Commission Enke,Om.22.198? ,,et.,; . 9_ Notac Public Accepted this day of , 19____ State Engineer + Ii 'ri. 'I 1. ", WELD COUNTY HEALTH DEPARTMENT �. 1 1516 Hospital Road Permit No. /(; c Greeley, Colorado y' PH. 353-0540 Application for permit to install, construct, an Individual Sewage Disposal System. Owner •/ ////kii4 e j, 11g > ll9/ Address f'��//!lQ �c%Gf�T� , '<-,f ' 57��// A. A:71//;2'7' Phone .; i Directions to site: Hwy Rd. N mi, E mi, S mi, W mi Legal Description: Ptn. cG& Sec. 45' ,T / N, Rb9W, Sub. Lot_Blk i,l19jn/n)� 57-4M075491 a�1 Information 1 De t. Use Onl No. Bedrooms l2/X.0./ ag/CP AN&. Persons g7b ' Perc rate ( vg. of 3) O t No. Baths / Basement Plumbing /1,O . Soil Type Size of Lot yK 4C4QS I H2O Table Depth $ / s126". . H2O supply (If well give depth) I,JP// Lot Grade .‘...... ?-0474) ' New Home Mobile Home Modular Add'n /561/e. Engineer Design Yes yG No Type of sewage disposal requested: Orr(( 4. 6 jAs If YES-reason: Septic tank AI Privy Other Comments: This is to certify that the system is NOT within 400 ft. of a public sewer Y ,iii- , 1 Installation instructions: (Minimum Requirements) I Septic Tank / Gals. Absorption Trenches g/ V Sq. Ft. . Other or Special Instructions ` Seepage Bed '3 g-5--- - Sq. Ft. This system will be constructed and installed in accordance with the above specifications and regulations regarding individual sewage disposal systems in Weld County, Colorado. This permit shall expire at the same time as the building permit, or, if no building permit is issued, the permit shall expire 120 days after its issuance if construction has not been commenced.• 4 Date: g7,5.- g _ Owner: K.„;t7, -. /`'•,,. Applicant: The plans and specifications as shown are approved pending payment of permit fee. Date: -- .7B_ .''"-CD SanitarianT1 The above system inspected nd found to comply with plan and description. Systems Contractor: =% g ry _- Date: V P.--111 Sanitarian: ient,4./t.,,n .c.t Engineer Review: (Date) (Signature) Permit Fee: $ OQ Received by: _ .."44.'�/�4 ---;‘)/ ,_.._ Date: :/er nc.J �_.�.. __-_ 22 19-79-1 p aed 4 • 13. 81 - S11Gstm 0e4r eanhc:nc'e cc..L\ k � C=t`vr:�'�' e�c�emSia� ctf ar\ �} o►,c� e�Yr,��C c'/38/&a" -4h,s `ce . -Met') o'm TA-61 aw"nC a Rci ,r . e�.4 r iQ \pr. O ! wno .,1• .-� n a.�vn.i�l K... v+.G rc.l, tG c, i • 1 o • =e49-1" 3a -3 6a • Hello