HomeMy WebLinkAbout20023390.tiff ® Weld County Planning Department
GREELEY OFFICE
MAY 14 2002
RECEIVED
Heather Hathaway
7673 County Road 6
Brighton, CO 80603
Weld County Planning Department
1555 Norht 17'h Avenue
Greeley, CO 80631 May 11, 2002
I am sending you copies of my Notice of Well Completion and Notice of Commencement
- of Beneficial Use. Please add this information to my USR file number 1261. I
understand that this qualifies as commencement of the USR and that as long as I keep
your office informed of my progress I will not be in jeopardy of having the USR revoked.
Since Julie Chester resigned,I do not know who to address this information to,but I trust
that it will be put in my file for future reference. If you need to contact me, you can reach
me at(303) 659-3958. Thank you.
Shirty,
Kea , //
Heather L. Hathaway
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Form ISTATE OF COLORADO For ue tuse Only
No. OFFICE OF THE STATE ENGINEER and
GWS-19 GROUND WATER COMMISSION
5/00 DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203
(303)866-3581 Fax(303)866-3589
NOTICE OF COMMENCEMENT OF BENEFICIAL USE
For well permits issued pursuant to C.R.S. 37-90-137(4)or 37-90-111(5)
Insert the Well Permit Number t_}9-+-
Well Owner Information: ! { 6
Name(s) c7 0,4\t'1 '
Mailing Address `t I74;~a L C r}. �/ R o ct ( 1
City. St.Zip ) a c� iJ � C( EC(c)0,3
Phone ('k:'r� ' 72>c
WELL LOCATION: County A?\C Owner's Well Designation Corrfnec
l n
S 1/4 of the 7J'^1/4, Sec. 2- Twp- hA N. or{ is., Range (O t 1 I E_ or!`jI W.,
Distance from Section Lines 7120 Ft. From N. or V° S., 6== Ft. From E. or IV W. Line.
Subdivision Name Kkf\ Lot , Block , Filing/Unit
Date of first beneficial use of groundwater L -• -(7)2-
Use of groundwater. 1 - l c c.,(- cla--: •'(7), CC:fr +Pr'C.tc
I (we) claim and say that I (we) (are) the owner(s) of the well described above and that the commencement of
beneficial use of ground water from this well, lawfully made under the well permit, occurred on the date indicated;
and that the statements made herein are true to my (our) knowledge. This notice is tiled in accordance with
Section 37-90-137(3)(a)(11) or Section 37-90-108(2)(d), Colorado Revised Statutes.
Please print the Signer's Name&Title Signature(s). Date
/ ' 1'y • •
\1\ine..11 1 q -mac-O2
INSTRUCTIONS:
This notice is required for wells approved under permits issued pursuant to the provisions of Colorado Revised
Statutes 37-90-137(4) or 37-90-111(5), and must be filed with the Division of Water Resources within 30 days
after commencement of beneficial use. Please type or print neatly in black ink. This form may be reproduced by
photocopy or word processing means.
For Office Use Only
340A-h U. __
S
Form STATE OF COLORADO ---._� - For ueUse Only
No. OFFICE OF THE STATE ENGINEER
GINS-18 DIVISION OF WATER RESOURCES
5/00 818 Centennial Bldg., 1313 Sherman St_, Denver, CO 80203
(303)866-3581 Fax(303)866-3589
-- i
NOTICE OF WELL COMPLETION
For well permits issued pursuant to C.R.S. 37-90-137(4)
Insert the Weil Permit Number j_k .'per�t=
----
Well Owner Information: I
NAME(S) eo thed' 1 0.4-3/4Th L1(
Mailing Address 1 kO1 ?) CD ar4- f ritY6rA 1
1 ',
City, St.Zip V}IINCif-AL-N f�M � ['1 (:)(-00 12..>
Phone ( 9k37,) 105C1 .P)C1`.)
WELL LOCATION: County \ etc - Owner's Well Designation ('aJMfirNeec,.O-1
1/4 of the_3 1/4, Sec. . -Q,Twp. \ VIN. or P s., Range (O 1 [ I E. or M W., (din P.M.
Distance from Section Lines Z-5 Ft. From N. or V S., 45 Ft. From E. or V W. Line.
Subdivision Name K1,4 Lot , Block , Filing/Unit
Date of well completion: 4 - 7
Name of the Well Construction Contractor. N`e
License Number: bq )
I (we) claim and say that I (we) (are)the owner(s) of the well described above and that construction of this well
was completed lawfully, under the well permit on the date indicated; and the statements made herein are true to
my (our) knowledge_ This notice is filed in accordance with Section 37-90-137(3)(a)(II) C.R.S. _
Please print the Signer's Name&Title Signature(s). Date
)041--)e f'` iCmr- s_fi •
4Wcv ' d�j c%l3 r A,
INSTRUCTIONS:
This notice is required for wells constructed under permits issued pursuant to the provisions of Colorado Revised
Statutes 37-90-137(4), and must be filed with the Division of Water Resources prior to expiration of the well permit
as required by the Statewide Nontributary Ground Water Rule 7A. Please type or print neatly in black ink. This
form may be reproduced by photocopy or word processing means.
For Office Use Only
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