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HomeMy WebLinkAbout830558.tiff .-N RESOLUTION RE: APPROVAL OF APPLICATIONS FOR LEASE OF STATE LAND AND WATER PERMIT AND AUTHORIZATION FOR CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is 'vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Weld County Department of Engineering Services has requested that an application be submitted to the State Board of Land Commissioners to lease land on which to place a grader shed for the maintenance of Grader District 20 in north- easterly Weld County, to be known as the Vim Grader Shed, and WHEREAS, they are further requesting that an application be submitted to the Colorado Division of Water Resources for a permit to use ground water, construct a well and install a pump at said grader shed location, and WHEREAS, said land for which the applications are being sub- mitted is described as the NE4, NW' of Section 16 , Township 11 North, Range 58 West of the 6th P.M. , Weld County, Colorado, con- taining 2. 0 Acres, more or less, and WHEREAS, after review, the Board deems it advisable to approve said applications, copies being attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Com- missioners of Weld County, Colorado that the application to be submitted to the State Board of Land Commissioners to lease land on which to place a grader shed on the parcel hereinabove des- cribed be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the application to be submitted to the Colorado Division of Water Resources for a permit for well water on the above described parcel be, and hereby is, approved. 830558 E/_ Page 2 RE: APPLICATIONS FOR VIM GRADER SHED BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said applications to the State Board of Land Commissioners and the Colorado Division of Water Resources. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 26th day of September, A.D. , 1983 . t4ttr, BOARD OF COUNTY COMMISSIONERS ATTEST: /� � /] `1, WELD COUNTY, COLORADO Weld County Clerk and Recorder and Clerk to the Board Ch c Carl so� � so , Chairman By: 6.26„„Lei4.46._.) EXCUSED fluty County Clerk John T. Martin, Pro-Tem APPROVED AS TO FORM: Ski I(/ 03-4 'A/ Gene R. Brantner County Attor ey Norman Carlson J cq line nson DAY FILE: October 3 , 1983 WRJ•5•Rev. 76 COLuRADO DIVISION OF WATER RESOUh‘,;ES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 PERMIT APPLICATION FORM Application must be complete where ( X) A PERMIT TO USE GROUND WATER applicable. Type or ( X) A PERMIT TO CONSTRUCT A WELL print in BLACK FOR: ( X) A PERMIT TO INSTALL A PUMP INK.No overstrikes or ensures unless ( ) REPLACEMENT FOR NO. initialed. ( ) OTHER WATER COURT CASE NO. (1) APPLICANT- mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN STATE OF COLORADO NAME acting by and through the Receipt No. STATE BOARD OF LAND COMMISSIONERS STREET Ruem 620, 1313 Sherman Street Basin Dist. CITY Denver, CoIerado 80203 CONDITIONS OF APPROVAL (state) (ZIP) TELEPHONE NO. 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 WPM right from seeking relief in a civil court action. NE % of the NW '4, Section 16 Twp. 11 N , 'zing. 58 107 6th P.M. I N,SI IE,Nh ' (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) Average annual amount of ground water to be appropriated (acre-feet): Number of acres to be irrigated: —O— Proposed total depth (feet): Aquifer ground water is to be obtained from: Owner's well designation GROUND WATER TO BE USED FOR: ( X) HOUSEHOLD USE ONLY - no irrigation (0) ( 1 DOMESTIC (1) ( 1 INDUSTRIAL (5) I 1 LIVESTOCK (21 ( ) IRRIGATION (6) ( 1 COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) PERMIT NUMBER (4) DRILLER DATE ISSUED LICENSED DRILLER Name EXPIRATION DATE Street (STATE ENGINEER) City (State) (Zip) BY Telephone No. Lic. No. I.D. COUNTY 35) -8E LOCATION OF THE PROPC .D WELL and the area on (6) THE WE. .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 (1 section, 640 acres) for the well location. 1�, • + - t - + - -}- - + - -�- - -I- - + - -� 290 ft.from Motor south) sec. line I LI-1 MILE,5280 FEET I 1790 ft.from 37 (east oOODIX sec. line + + + + ± ± + k - LOT --- BLOCK --- FILING . --- I I I I SUBDIVISION None + _ I _ I NORTH SECTION LINE _ + l.d1 I (7) TRACT ON WHICH WELL WILL BE I I I I I LOCATED Owner:State of Colorado NORTH If + '� -1- -I_ z- —1+6 — — — — _y ± ± No. of acres 2.07 , Will this be J 0 Z I m I the only well on this tract? Yes o m + w I I o — + (8) PROPOSED CASING PROGRAM I I- I I r I Plain Casing N + r_ _ —I_ — — — — _mi + f in.from ft.to ft. I I I I in.from ft.to ft. + — + - I I _ + - J- Perforated casing SOUTH SECTION LINE I I in.from ft.to ft. -)- + ..I-. - -F 4 -- 4- in.from ft.to ft. I I I I I (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging _t- — 4 — + — 4- - + - 4- - + - + - -{- it: The scale of the diagram is 2 inches= 1 mile NO Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfs) . . .449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot 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 BE USED: Owner(s): State of Colorado No. of acres: 2.07 Legal description: NEg. NNAd Sec. 16, TUN, R58W, 6th P.M. (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Household and grader shed water, septic tank and field system. (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 (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. l S/GNAtTIRrbf AFPL1EANT(S1 C 1C Son, Chaintart Board of Weld County Commissioners WELD COUNTY P. O. Box 758, 915-10th Street Greeley, W 80632-0758 (303) - 356-4000, ext. 6a0Adiccon&ig3913% if more space is required. (1O11 - 156-4000. ext. 4750 (Engineering 1pt.) t WRJ.5•Rev. 76 COLORADO DIVISION OF WATER RESOUnCES R/tv 8'3/12 fl 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 -- 2. PERMIT APPLICATION F613 c ,�, 8 v C O• Application must 1f44 50 1-' V C -`'\: ' be complete where (X) A PERMIT TO USE GROUND WATER ' applicable. Type or ( XI A PERMIT TO CONSTRUCT A WELNOV 1 1983 . print in BLACK FOR: (X) A PERMIT TO INSTALL A PUMP INK.No overstrikes t•dcn - • or erasures unless ( ) REPLACEMENT FOR NO, STATE LAN B4:ri1`b.;0 ems,,.ryc it:tin I initialed. ( I OTHER U.C• • .. WATER COURT CASE NO. '1 �l (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN STATE OF COLORADO '12 5 NAME actirg by erd fir: h the Receipt No. / STATE BOARD OF LAND COMMISSIONERS STREET Basin — Dist Room 620, 13;3 Sherman Street l CITY_ flamer. Cr.:or:da 80'03 (state) (zip) CONDITIONS OF APPROVAL TELEPHONE NO. 866-3454 This well shall be used in such away as to cause no material injury to existing water rights. The ' (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure Ow applicant that no injury will occur to another vested water i t right or preclude another owner of a vested water 4 a, County Weld right from seeking relief in a civil court action. NF h of the NW /,,Section 16 1)APPROVED PURSUANT TO CRS 1973, 37-92-602 FOF • • DRINKING AND SANITARY FACILITIES ONLY IN AN I Twp. 11 _N, Rng._ 58 W 6th P.M. INDIVIDUAL COMMERCIAL BUSINESS(GRADER SHED AN[ +. "'s' E'W) ' . SHOP) AND NOT TO BE USED FOR ANY OTHER PURPOSE (3) WATER USE AND WELL DATA - 2)THE AVERAGE ANNUAL AMOUNT OF GROUND WATER T( BE APPROPRIATED BY THIS WELL SHALL NOT EXCEED • • Proposed maximum pumping rate (gpm) 15 1/3 ACRE-FOOT. 3)APPROVED AS THE ONLY WELL ON A TRACT OF LANE Average annual amount of ground water 2.07 ACRES DESCRIBED AS A PORTION OF NE' , NW4, to be appropriated (acre-feet): - O . 33 SEC . 16, T.11N, R.58W, 6th P.M. '4 Number of acres to be irrigated: 0 4)THE RETURN FLOW FROM THE USE OF THE WELL MU: BE THRU A WASTE WATER DISPOSAL SYSTEM OF THE WON Proposed total depth (feet): 155 EVAPRATIVE TYPE WHERE THE WATER IS RETURNED T( THE SAME STREAM SYSTEM` IN WHICH THE WELL IS Aquifer ground water is to be obtained from: LOCATED. .J.kl3 , i C/a 4/8', Owner's well designation • GROUND WATER TO BE USED FOR: I I HOUSEHOLD USE ONLY • no irrigation (0) ( ) DOMESTIC (11 ( I INDUSTRIAL (5) ( 1 LIVESTOCK 121 I I IRRIGATION (6) OWNER'S COPY • ( XI COMMERCIAL 141 - -exempt 1 ) MUNICIPAL (81 I I OTHER 19) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) 133357 • I4) DRILLER • PERMIT NUMBER • DATE ISSUED 0C((((((1111����T��n��nTTTT2 8 1983 Name I i renced driller E TION DAT /'' Street ��✓r/ u. City ASS IS n IS ATE ) (State) (Zip) EkE) (/, BY e-<-Q �L�L-uazs "�_ Telephone Nd. -. Lie.. No. _ --- -- ID. / 6 -2_,COUNTY-_ • (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 (1 section, 640 acres) for the well location. 2t (� ft.from _ . line + north sec — — ± — T — _jr -- ---H — ± _ (north or south) I 'd 1 790 west )4 ft. from sec. line 'a 1 MILE,5280 FEET---� (east or westl } + ± + + LOT BLOCK FILING s SUBDIVISION NORTH SECTION LINE I + ) i X I ± + (7) TRACT ON WHICH WELL WILL BE i i I LOCATED Owner State of Coloradt �NORTHf _ _ _ _L.. W' T a + No. of acres 2 • Will this be • Z' H 1 C I I m I the only well on this tract? Yes I -I _L_ + I to a - + (8) PROPOSED CASING PROGRAM 0 Plain Casing - +- i- - -I- - rt __ 4_ _ _ -re ± I 4 in. from 0 ft. to 20 ft. l I I in. from ft.to ft. + — + I I _ _}_ _ i Perforated casing SOUTH SECTION LINE I I I I 4 in. from 2 0 ft. to 155 ft. + +. -+ --1- -1- 4 -4- 4 in. from ft. to :t. 1 I I 1 (9) FOR REPLACEMENT WELLSgivedistance and direction from old well and plans for plugging I The scale of the diagram is 2 inches= 1 mile I. Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfs) . . .449 gallons per minute lgpm) A family of 5 will require approximately 1 acre-loot of water per year. ii 1 acre-foot . . .43,560 cubic feet . . . 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 1 (10) LAND ON WHICH GROUND WATER WILL BE USED: H 2 . 07 Owner(s): State of Colorado No, of acres: Legal In NENW-16-11N-58W description: (11) QETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Household and grader shed water, septic tank and field system. ` (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Pp Type or right Used for (purpose) Description of land on which used (13) THE APPLICANT(S1. STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. ✓ q-iie,, e r �% - 414,-- SIGNATURE OF APPL!CAT.") COLOR, , STATE BOARD.OF LAND COMMISSION. S -1313 Sherman Street, Room 620 Denver, CO 80203 (303)866-3454 RIGHT OF WAY APPLICATION NO. Application is hereby made for a right of way over, upon, under or across the following lands: SUBDIVISION SECTION TOWNSHIP RANGE P.M. COUNTY ACRES NE1 NW1/4 16 11N 58W _ 6 Weld 2.07 THE FOLLOWING QUESTIONS MUST BE ANSWERED FOR ALL FACILITIES Describe use and service Grader shed for the naintenance of Gra r District 20 in nortbeacterly Weld County Width requested inn, Length (lineal feet) inn' Estimated date survey to be made Septen}er 12, 1983 • Estimated date construction to begin 11/15/R3— (Allow minimum of 30 days for processing) Estimated date of completion 10 Aayp Expected life of facility 50 years Remarks: Type of land facility will cross: Forest Grazing Irrigated Dry Land y Other Will any timber be cut, trimmed or removed? Explain None Will any materials be moved or removed? No Type Quantity Remarks: Will any improvements, owned by the state or the lessee, be affected? No. all new Explain: 24' x 48' Grader Shed. Well. Septic. Fencing Will the facility serve only state land? Nb Will the facility occupy part of or all of any other R.O.W.? Yes Explain: 2.07 Acres Will another R.O.W. be abandoned? NO Explain: Has the lessee been contacted? Yes Special and unusual conditions: POWER AND COMMUNICATION LINES ONLY Transmission Power Distribution Communications Voltage 220 Tower H-frame Single pole y Buried Depth Other installations: Nhne Special conditions: Power—Pine Bluff Rural Electric, Meter for shed, well. PIPE LINES ONLY Size (Circle one) I.D. O.D. Surface Underground Depth No outside lines brought in. ROADS AND RAILROADS Is there an existing road in this location? Weld County Road 130. north side only. Will the existing road be used and maintained to entrance only or abandoned? Has a R.O.W. been granted for this existing road? Weld County Road 130 Right-of-Way — Yes Remarks: Will fencing be required? Yes. 5 strand barhwire with gates for the site. I CERTIFY that the answers in this application are true to the best of my knowledge and belief. APPLICANT: WTI) COUNTY DATE: Septemher 70, 1983 (NOTE: Applicant's name a a d s i - b%/in th -ysame form as it is to appear on the document) AUTHORIZED SIGNATURE: ' l/ TITLE: ty ADDRESS: Street P. O. 8. 915-10 Stnaet Comm°. stoners City Greeley State CO Zip code 80632-0758 PHONE: ( 303) 356-4000. ext. 4700 (Commissioners) 356-4000, ext. 4750 (Engineering Dept.) OFFICE USE CHARGES AMOUNT FUND DATE RECEIVED RECEIPT NO. Consideration Permit Consideration Application fee Document fee 1 '93/4igtat" Cieri OFFICE OF THE WELD COUNTY SURVEYOR JASPER FREESE I WELD COUNTY SURVEYOR PHONE(303)352-0100 P.O.BOX 913 C. GREELEY,COLORADO 80631 O COLORADO LEGAL DESCRIPTION A parcel of land in the Northeast Quarter of the Northwest Quarter (NE'OW') of Section Sixteen (16) , Township Eleven (11) North, Range Fifty-Eight (58) West of the Sixth (6th) Principal Meridian, Weld County, State of Colorado, being more particularly described as follows: Beginning at the Northwest corner of said Section 16, considering the North boundary to bear North 90°00'00" East, with all other bearings contained herein relative thereto; Thence North 90°00'00" East, 1,630.00 feet, to the True Point of Beginning; Thence North 90°00'00" East, 300.00 feet; Thence South 00°00'00" West, 300.00 feet; Thence South 90°00'00" West, 300.00 feet; Thence North 00°00'00" East, 300.00 feet, to the True Point of Beginning. Said described parcel contains 2.066 acres, more or less. SURVEYOR'S CERTIFICATE I hereby certify that the adjoining map and legal description were prepared under my personal supervision and is a true and accurate representation of existing conditions to the best of my knowledge. \ • . . ,u.,u.q ��L tam mss'y , J p Fre se ��y5� 6�STEREp FS� Co •ra• • P.E. and L.S. OI4 $2 • S ' do _*1n4392E * 91;616. • °m a� ,•� d'••.ffromEER1i•�CO� . r ,,,,,,••�• �•''oF OF C0VO _ PLAT OF SURVEY WELD COL/NTY VIM SR.ADE/C sec. MI T.I1N., R58 W. glethew Ste. Nid arn. ,tae! /6-//-58 A earn. Se/6-//-S$ /'-//-58 Wel C'oilni Pad 13O X 'E /6301 e41-3O/ 30O 3O. c w Rio Sol al.P-O-W N N. 90 Ooi� E. :`4 Una. ID, 4.. VIM GRADER l ,8 N aT§ 8 g SPED LOG'4T/ON M'$ t h 'Cl • 300 ® .5.Soloo'oo'rkl e Sec. /6, 7:11N., 85814/. Gt LEGEND ANI • a -aiiv sEr ® -P/N FouND .l` OW force/ire(,.*rmif�+nf)-7 �_.L__ x -X----x X KS m x +' ^ Seale: /1=200 tSAl Cbrr' see. Sac. /6A-H-56 c g4:R•FR;s' 1, t ET n 0 n n 4+ JASP. E , PROF SLONAL E,JGV5EEiL%Ait ' ` o4 LAUD u OR, CoLAQADO REb. NO. W $ heft OP Eel Ul (,/eqL) ^Co.?`missionert _ �- .Cr �- •: ANTHONY SABATINI cat •- Administrator ROWENAROGERS F s $. WM H CLAIRE 0Ir=( ^�,—,,.., TOMMYNEAL * s, i >t Q - '_' _- THOMAS E.BRETZ I 76 * ll� •,r, ROBERT '/ PGOOD BOARD OF LAND COMMISSIONERS 8 1983Chi�fi ountant Department of Natural Resources 620 Centennial Building GTE L=r, CO • 1313 Sherman St., Denver,Colorado 80203 LO. (303) 866-3454 November 2, 1983 Mr. Chuck Carlson, Chairman Weld County,Board of County Commissioners P.O. Box 758 Greeley, CO 80632-0758 Dear Mr. Carlson: Re: Right-of-Way Application No. 83/420 Maintenance Yard Enclosed you will find your copy of the approved Well Permit No. 133357 for the grader shed and shop. Please have your driller submit the logs, pump installation report and beneficial use statement to us, we will then forward the forms to the Division of Water Resources. We wish to further advise you that your right-of-way is considered of full force and effect as of September 21, 1983. We will forward your document on our standard county format as soon as we can have it prepared. Very truly yours, STATE BOARD OF LAND COMMISSIONERS 1/7 William J illip II Engineering-R/W Coordinator WJK:jah Enclosure Corn' mars <'� ANTHONY' SABATINI A iminisirator 310WcI\ ROGERS N "-j WM N G-AIRE h h• THOM .S E.BRETZ TOMMYNEAL � " z Min'e'iais Director 197`f � t llJ+ ROBERT.I¢, PGOOD •r•"' e✓'BOARD OF LAND COMMISSIONERS (, 1983Chi1f; ountant • Department of Natural Resources `" ---------___.... -.� d ,j 620 Centennial Building 1313 Sherman St., Denver,Colorado 80203 (3031866-3454 November 2, 1983 Mr. Chuck Carlson, Chairman Weld County,Board of County Commissioners P.O. Box 758 Greeley, CO 80632-0758 Dear Mr. Carlson: Re: Right-of-Way Application No. 83/420 Maintenance Yard Enclosed you will find your copy of the approved Well Permit No. 133357 for the grader shed and shop. Please have your driller submit the logs, pump installation report and beneficial use statement to .us, we will then forward the forms to the Division of Water Resources. We wish to further advise you that your right-of-way is considered of full force and effect as of September 21, 1983. We will forward your document on our standard county format as soon as we can have it prepared. Very truly yours, STATE BOARD OF LAND COMMISSIONERS OW- /000.vaii7X, el? William Jllip II Engineering-R/W Coordinator WJK:jah Enclosure ^' N0V 2 1 19$3 %GRPEL, z(991,9, -WR1.5•Rey, 76 C-MOR ADODlvi510 VN OF A T ER R T`C r,02 ESO' ES R/w 0 818 Centennial Bldg., 1313 She: St., Donver, Colorado 80203 PERMIT APPLICATION FORM - _. •- - Application must 1 ' " .:-• C=., it . LE.? complete where I X) A PERMIT TO USE GROUND wAT°ER" applicable. Type or I X) A PERMIT TO CONSTRUCT A WELL NOVIl eIyD print in BLACK FOR: (X) A PERMIT TO INSTALL A PUMP Nov INK.No overstrikes r ,l.‘ ' ' .• • or erasures unless ( ) REPLACEMENT FOR NO. :.;.-1C 7.i: 47 �-11►k4 rat,.- 'Yrrr•,'is initialed. I 1 OTHER _ y `1'0` WATER COURT CASE NO.-- — • (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN STATE OF COLORADO ) 5 f NAME_ OCtif b.) (Tr' Receipt No, /I,^,h the STREET STATE BOARD OF L ,!': :' COMMISSIONERS Basin — —. Psi _.___- ._ . Hoorn b..0, 1.(^j:. xn13n Street CITY ❑e•nt:,, , CrSir.�-a 202113 CONDITIONS OF APPROVAL (State) (zeal • TELEPHONE NO. 866-3454 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 I 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. NF. % of the NW %, Section 1)it 1)APPROVED PURSUANT TO CRS 1973, 37-92-602 FOF DRINKING AND SANITARY FACILITIES ONLY IN AN Twp it A Rnq _:58 11 6th P.M. I!•ID1VIDUAL COMMERCIAL BUSINESS(GRADER SHED ANC iNs' E'" SHO;) AND NOT TO BE USED FOR ANY OTHER PURPOSE (3) WATER USE AND WELL DATA 2)T(!E AVERAGE ANNUAL AMOUNT OF GROUND WATER TC BE APPROPRIATED BY THIS WELL SHALL NOT EXCEED 15 11/3 ACRE-FOOT. Proposed maximum pumping rate (gpm) p)APPROVED AS THE ONLY WELL ON A TRACT OF LAM Average annual amount of ground water 12.07 ACRES;.DESCRIBED AS A PORTION OF NEt , NW„ to be appropriated )acre-feet): 0 • •3. ` —• SEC . 16, T.1311, R.58W, 6th P.M. Number of arses to he irrigated: p i4)TijE RETURN FLOW FROM THE USE OF THE WELL MU! BE THRU A WASTE WATER DISPOSAL SYSTEM OF THE Proposed total depth (feet): 15 S EVAPRATIVE TYPE WHERE THE WATER IS RETURNED IC THE SAME ,STREAM SYSTEM IN WHICH THE WELL IS Aquifer ground water is to be obtained from: LOCATED. .. ,,„°3 . IO/,;t 4lp 5 • Owner's well designation • GROUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY • no irrigation (0) i `i i',.A h LF,. j Tin . �f � ( rEnv 1 DOMESTIC (11 I 1 INDUSTRIAL (51 (1„/y°,��q j).m, )',...!1 �b t•. 4(,C•.. �•• ( 1 LIVESTOCK (21 ( 1 IRRIGATION (6) ( X) COMMERCIAL (4) - -exempt 1 1 MUNICIPAL (81 I OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) .tf 183357 PERMIT NUMBER (4) DRILLER • DATE ISSUED 0CT 2 8 1983p� Name I.i conced driller Eh TION DDA�TE • �nt� 8.5 - Street _ l C. 'j t C ` t City is,'SS1S (S ATE)) . FE-R1 ---- (State) (z'a) Icily (/(�/ //A sY e< �o <� /G =a- Telephone No. Lic. No. /1L/ �j� Z, LD. `�' ,_ CQUNTY V� _. .. _ 7.—, • :,. .Re.. 76 L-.LOB, .DO DIVISION OF WATER R;_St. ACES Vo 8-3020 818 Centenn'al Bldg., 1313 Sherman St., Denver, Colorado 80203 — • T PEr1MIT APPLICATION FOAM ` 1 • -r - :, • . Application must t� L,.„ -r ` • be complete where (X) A PERMIT TO USE GROUND WATER applicable. Type or (X) A PERMIT TO CONSTRUCT A WELL NOV 1 1,63 " print in BLACK FOR: 1 X) A PERMIT TO INSTALL A PUMP INK.No overstrikes rr, ,,,,,, _ or erasures unless ( ) REPLACEMENT FOR N0. 'a„P=•1t''LAND K.• •,' ' :"1 0it•AL.51c IN r i e initialed. ( I OTHER T:IG WATER COURT CASE NO. (1) APPLICANT _ mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN STATE OF COLORADO '12' 5 NAME_ ietie-; by and t,, }hC Receipt No. / STATE BOARD OF LAND COMMISSIONERS Basin — __ Dist STREET_ • Hoorn b2U, 13113 ?Y.::riil2n Street CITY f7 tntrc.c r- .tThlo •- ROQ(n3 (Slate) (Zip) APPROVALCONDITIONS OF TELEPHONE NO. 866-3454 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 I 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 '.ested water County Weld right from seeking relief in a civil court action. NF. 'h of the NW Section 16 _ I1)APPROVED PURSUANT TO CRS 1973, 37-92-602 FOF (DRINKING AND SANITARY FACILITIES ONLY IN AN Twp,_ 11 N, Any,_ 58_. W 6th P.M.iiNDIVIDUAL COMMERCIAL BUSINESS(GRADER SHED ANC 'Ns e," • (SHOP) AND NOT TO BE USED FOR ANY OTHER PURPOSE (3) WATER USE AND WELL DATA I2)THE AVERAGE ANNUAL AMOUNT OF GROUND WATER Ti IBE APPROPRIATED BY THIS WELL SHALL NOT EXCEED Proposed maximum pumping rate (gpm) 15 ' '3 A ACRE—FOOT. p g 3)APPROVED AS THE ONLY WELL ON A TRACT OF LANE- Average annual amount of ground water 2 .07 ACRES DESCRIBED AS A PORTION OF NE14, NWIo: to be appropriated (acre-feet): 0 . 33' SEC . 16, T.11N, R.58W, 6th P.M. .J Number of acres to be irrigated: 0 4)THE RETURN FLOW FROM THE USE OF THE WELL MU` 1 9 BE THRU A WASTEWATER DISPOSAL SYSTEM OF THE f • Proposed total depth (feet): 155 EVAPRATIVE TYPE WHERE THE WATER IS RETURNED TC THE SAME STREAM SYSTEM IN WHICH THE WELL IS Aquifer ground water is to be obtained from: . • (LOCATED ��t� IC� ', .al..L� . a 4 3r_ , 1 "owner's well designation !:.' 1 , ) 1 . � ' 1 •• i.r 'KM, 't gl T GROUND WATER TO BE USED FOR: d E If n r N „ 3 , f i ( i Li Y I HOUSEHOLD USE ONLY - no irrigation (0) i' it p': ( 1 DOMESTIC (1) ( ) INDUSTRIAL (51 ^h,®` o"'U N I ) LIVESTOCK (2) ( I IRRIGATION (6) ( X) COMMERCIAL (4) --exempt ( ) MUNICIPAL (8) ;,x;,,;:( .,1;:.;,,,:.... .air r:e r4! I OTHER.(91 APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) 13335e7 PERMIT NUMBER (4) DRILLEF • DATE ISSUED 0CT _2 8 198r31 Name 1.irenced driller E 4775, TIONDATE & CI _2 `9, Street _ U/I e..4....9 "• • City ,MIS np (S ATE E /F��-�••)/ (Slate) (Zip) I / rry BY Telephone No. _ Lic. No. /,, 'L,/ I.O. .. _ / " ( _ " COUNTY *RJ.9.Rev. 76 C" "JRADO DIVISION OF WATER RESO"°CES RAw $3/ o 818 Centennial Bldg., 1313 Sherman St., Denver, Colo,.uo 80203 -' PERMIT APPLICATION FOI M. ] 77 j D, a,-. - -.• ,( Application must I a E:."'. ,.'e• k-., 1 ... _ L, be complete where ( XI A PERMIT TO USE GROUND WATER applicable. Type or ( X) A PERMIT TO CONSTRUCT A WELNOV I 1983 . • • print in BLACK FOR: (X) A PERMIT TO INSTALL ;A PUMP INK.No overstrikes r ,t:, . . .. or erasures unless ( I REPLACEMENT FOR NO. STATE LAND 1�,1)._D fltYd-.E Crrdrn initialed. ( ) OTHER al•G WATER COURT CASE NO.__ (1) APPLICANT • mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN STATE OF COLORADO '11":i NAME_ oetieg by end '.':;C::ah the Receipt No. —mE. STATE BOARD OF LAND COMMISSIONERS • STREET_ Basin _ "Dist. Hoorn 620, i3_0—Si1crn13n Street CITY flc•nvet r rinr4(L 8(1.7(13 - (State) (zip) CONDITIONS:DF APPRQMAL • TELEPHONE NO. 866:3454 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 th•• applicant that no injury will occur to another vested water right or preclude another owner of a basted water County Weld right from seeking relief in a civil court action. NE. '4 of the NW Y.,Section 16 1)APPROVED PURSUANT TO CRS 1973, 37-92-602 FOF DRINKING AND SANITARY FACILITIES ONLY IN AN Twp. 11 _N, Rog. 58 {V 6th P.M. IRDIVIDUAL COMMERCIAL BUSINESS(GRADER SHED ANC N.s E•"" •. SHOP) AND NOT TO BE USED FOR ANY OTHER PURPOSE (3) WATER USE AND WELL DATA 2)THE AVERAGE ANNUAL AMOUNT OF GROUND WATER T( BE APPROPRIATED BY THIS WELL SHALL NOT EXCEED Proposed maximum pumping rate (gpm) 15 1/3 ACRE—FOOT. 3)APPROVED AS THE ONLY WELL ON A TRACT OF LANG Average annual amount of ground water 2.07 ACRES DESCRIBED AS A PORTION OF NE4, NW',, to be appropriated lacre•feet): 0 . 33 - SEC . 16, T.11N, R.58W, 6th P.M. Number of acres to be irrigated: 0 4)THE RETURN FLOW FROM THE USE OF THE WELL (1U`. BE THRU A WASTE WATER DISPOSAL SYSTEM OF THE Proposed total depth (feet): 155 EVAPRATIVE TYPE WHERE THE WATER IS RETURNED T( • THE SAME STREAM SYSTEM` IN WHICH THE WELL IS Aquifer ground water is to be obtained from: . LOCATED. ,,V.3 • iC/,;t4/S 3 Owner's well designation • • GROUND WATER TO BE USED FOR: ( I HOUSEHOLD USE ONLY • no irrigation (01 ( I DOMESTIC (11 I ) INDUSTRIAL 151 r'1 d` a " r..,) r/� V ) LIVESTOCK (2) I I IRRIGATION (61 AN¢ L t a S� 6 Op y ( X) COMMERCIAL 14) - -exempt ( ) MUNICIPAL 181 _. !!!,.»>111..��� i 1 I OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) PERMIT NUMBER 133357 _ (4) DRILLER OCT G r1 8 1983 DATE ISSUED V O Name_ Iirenced. _drill er E TIONDAT CI Street — • _-- • _ (-(1 vl. ,' City ISIS' II IS AT .ye-- R --• -- -(siate} (Zia) / C BY 4.cry_p P. 4n:1-u+tt Telephone No _ _ Lir No. / i . ` I D --- I �?— . _ COUNTY !-2- (5);THE LOCATION OF THE PRO, USED WELL and the atea on (6) THE 1+,,_LL 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 f t sectic,n. 640 acres) for the well location. 290 ft. from north sec. fine + _ + — — -4-- _- -- - , — + -_ -17 (nortnbr soutn) I 1 ' 90 ft. from west sec. line I e 1 MILE,5280 FEET —*' ! least or west) 1— + + —t— -r- -1-- 1 i F LOT BLOCK FILING a 1 + — —I• — NORTH SECTION LINE - SUBDIVISION x l (7) TRACT ON WHICH WELL WILL BE II l LOCATED Owner: State of Coloradt +NOwTM+ z- + r t No,of acres 2 . 07 . Will this bP /'� J -4(1 I 1 S Z I en the only well on this tract? Yes I i ' 4' — —1— y I , • 5 1 —4_ (8) PROPOSED CASING PROGRAM y r- ` Plain Casing VI f CI ttr - ." + �- -- - _- -I- r"z + +. 4 in.from 0 ft. to 0 ft. 1 I . ' I in.from , ft.to ft. + — + _ ; _ __(_ _. 4 Perforated casing SOUTH SECTION LINE 4 in. from 20 ft.to 15 5 ft. + + ;-i-- -4- -,- -f -I- -i- in. from ft.to `t. • I (9) FOR REPLACEMENT WELLS give distance — -)- — -�- — ± - + - .- --- + - _ and direction from old well and plans for plugging it: The scale of the diagram is 2 inches= 1 mite Each small square represents 40 acres. WA.TE-R--EOUIVALENTS TABLE (Rounded Figures! An acre-foot covers lure of land 1 foot deep 1 cubic foot per second(cfs) . .449 gallons per minute fcprn) A family of 5 will require approximately 1 acre-toot of water per year. 1 acre-foot . ..43,560 cubic feet . . .325.900 gallons. 1,000 gpm Dumped continuously for one day produces 4.42 acre-feet. • (10) LAND ON WHICH GROUND WATER WI. L BE USED: Owner(s): State of Colorado No of acres: 2 . 07 Legal description: In NEN1ti'-16-11 N-5 SW (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. 11c aaold and grader sued water, . septic tank and field system. (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 (13) THE APPLICANT(S}. STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST,OF HIS KNOWLEDGE. f Q'i/t-e e r 7 e-- ../ PPj;Wet' SIGNATURE OF APPL(CAN ! Hello