HomeMy WebLinkAbout20051822.tiff Site Specific - Water Use
The proposed weld fabrication shop does not require any water usage
other than restroom.
Or�L. I �
Larry el Kathy . 'tte1
2005-1822
wRJ.5•Re... 76 COLORADO DIVISION OF WATER £S t e_r ... ,f(EGE!`•r C
818 Centennial Bldg., 1313 Sherman St., Denver,Co orarogb_4b3.
'Jul JUL - 71!
PERM;' APPLICATION FORM 2 fi )99th
Application must ) ER WATER i:i1;0:9
' be complete where ( A PERMIT TO USE GROUND WATE g S Mit ?':,E'"•—•-.
applicable. Type or (Y) A PERMIT ro CONSTRUCT A WELL Co
print in BLACK FOR: (ir) A PERMIT TO INSTALL PUMP
INK.No overstrikes ,,.l' /
or erasures unless ( ) REPLACEMENT FOR NO.A t t.4;LI / .J /re 6.14
initialed. ( ) OTHER
WATER COURT CASE NO._ .d.-'a-*-1-c _
(1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS
NAME 94//:t! r �,cv,s 37 q ' v , . '89�
Receipt No.
STREET J//.?-5-/ /--6/C7-/e 9 / Basin Dist. _
CITY/6r!i rdei /e C t0 1O4/1
� (staid') (Zia) CONDITIONS OF APPROVAL
TELEPHONE NO. G 5Z' 9t:Gcif This well shall be used in such a way as to (
no material injury to existing water rights.
(2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the appl
that no injury will occur to another vested t
/' right or preclude another owner of a vested t
County .r.C�' right from seeking relief in a civil court actio
/✓K/ '/a of the '/✓/u% '4,Section —26> APPROVED AS A REPLACEMENT OF. WELL N(4
Two...it_ , Rng. G 2 &L, G P.M THE EXISTING'WELL' MUST BE PLUGGED AND AE
N.si e.wl ACCORDING TO THE REVISED AND AMENDED RL
(3) WATER USE AND WELL DATA REGULATIONS FOR WATER WELLAND PUMP INS1
^ CONTRACTORS, THE ENCLOSED AFFIDAVIT MUS
,
SUBMITTED WITHIN SIXTY(60) DAYS AFTER THE
Proposed maximum pumping rate (gpm) /.5 CONSTRUCTION_ '0€THE NEW was,AFFIRMING
Average annual amount of ground water WELLS 132.y ED 23 WAS PLUGGED AND AD
/
to be appropriated (acre-feet):
Number of acres to be irrigated:
Proposed total depth (feet):
300
Aquifer ground water is to be obtained from:
r o...C ,-,�cu VI-e_/9
Owner's well designation '4' /
GROUND WATER TO BE USED FOR: .w ' Copy
( 1 HOUSEHOLD USE ONLY-no irrigation (0)
(kf DOMESTIC I11 ( I INDUSTRIAL (5)
( I LIVESTOCK (2) ( I IRRIGATION (6)
I I'COMMERCIAL (4) ( I MUNICIPAL (81
1 ) OTHER (9) APPLICATION APPROVED
DETAIL THE USE ON BACK IN (11)
(4) DRILLER PERMIT NUMBER 132423.-A
DATE ISSUED AUG 2 9 1983
AUG 2 9 1985
Name (7,0 b-U 04 r C- ‘ EX ION DATE �j
Stree (..-4;141‘
/ c /
e✓I Cr
City —
(State) (Zia)
Ass ` td t '%TE ECG E )
er will used/iich
the CENTIER SECTION (1msection,t640 acres) for thelwell t ion.
by distances from senlines.t — 4_ - 4- -I-- -I_ - -I- - -I - 2qzSC-ft. from sec.line
I tnorth or south)
„ice 1 MILE,5280 FEET--..�
+ + Iit. from_�/ line
-f- —f-• + ±
(east or west)
I
LOT BLOCK FILING st
+ — —I- — ' NORTH SECTION LINE 1
SUBDIVISION
— -r
t
NORTH I I(7) TRACT LOCATED ON WHlcu LL
+ us — — — — } — m + ± Owner: cl . •
z No, of acres ��
O
m I Will this be
'+- -}- i0 n
-(- - -I the only well on this tract?. ✓o S
tu
N
I I i ' (8) PROPOSED CASING PROGRAM
{- l _I - z Plain Casing
+ I I I _____y_in.from- ft. to O U ft.
+ SOUTH SECTION LINE '— _I_ — —+ Perforated casing from ft. to ft.
I
I-I- +, + + -I- + 4 + I in.from_22_€____,o ft,tos.�{Z ft.
+ in.from ft.to h.
I- - + - (9) FOR REPLACEMENT WELLSgivedistance
-I- -- + _ + _ a-- — and direction from old wnd plans for plugging ell a
it:
The scale of the diagram is 2 inches= 1 mile
Each small square represents 40 acres. �elL ""' /
WATER EQUIVALENTS TABLE Rounded Figures) -�/r^' r p /-^� �L /
An acre-foot covers 1 acre of land- (
• I cubic toot 1 foot deep...* i Lr�P// ,� •.//� • ��• per aecond;lds).. ,449 gallons per minyt�,tg ! n �.«__3d H e
A family of 5 will 560 d feet..ately I acre-foot of water per year.
1 acre-foot...43,560 cubic feet...325,900 gallons.
1.000 gpm pumped continuously for one d LT E r r f d r 0 n s a T/V 4
ay produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED
Owner(s):
No.of acres: P- Z-----
Legal description: '4, A/
(11) m to be ED Ian of the use of ground water: Household use and domestic wells must indicate
system to be used. type of disposal
to; rsr �l
`�r —v yi i .//ilp rc� i c Ta.n t�� .�/� nfc ;r�L
(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.
Type or right Used for(purpose)
/7:./, Description of land on which used
(13) THE APPLICAPtITf) '..fAtE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE/TO THE BEST OFLHIS KNOWLEDGE.
SiGr#JRE OF APPLICANT(S)
•
•
Use additional sheets of paper if more space is required.
WELD COUNTY HEALTH DEPARTMENT
1517 16TH AVENUE COURT, GREELEY, CO 80631
(970) 353-0635 EXT 2225 FAX (970) 356-4966
Permit # : SP-9900001 Sec/Twn/Rng:
Status: ISSUED
Permit Type : RREP C.commercial, R-residential . NEW, Repair, VauLT
Parcel No: 0545 29 Applied: 01/04/1999
Issued: 01/04/1999
Location: 43901 WCR 77 BRIGGSDALE/29-08-62 Finaled: Finaled
Legal Desc :
APPLICANT DAVIS DANIEL E Phone : (970) 656-3668
PO BOX 69, BRIGGSDALE CO 80611
OWNER DAVIS DANIEL E Phone : (303) 656-3668
PO BOX 69, BRIGGSDALE CO 80611
SEPT-INSTL CASS WELL & BACKHOE SRV Phone : (970) 656-3540
42085 WCR 80, BRIGGSDALE COLORADO 80611
Description: HOUSE
Commercial (Y/N) : N Residential (Y/N) : Y Acres : 22 . 00
Number of Persons : 3 Basement Plumbing (Y/N) : Y
Number of Bedrooms : 3 Bathrooms-> Full : 3 3/4 : 1/2 :
Water Public (Y/N) : N Utility Name :
W"+er Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y
Water Permit No:
Percolation Rate : 5 . 6 Limiting Zone : >08 ft 00 in Desc :
Ground Slope : Dir: Soil Suitable (Y/N) : Y
Engineer Design Req'd (Y/N) : N In 100 Yr Flood Plain (Y/N) : N
Minimum Installation
Septic Tank : 1000 gal Absorption Trench: 495 sq. ft .
Actual Installation Absorption Bed: 645 sq. ft .
Septic Tank : (pxc gal Absorption Trench: 6°211 sq. ft .
Absorption Bed: — sq. ft .
u/t Design Type :
NOTICE
The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor
shall it act to certify that the subject system will operate in compliance with applicable state, county and local regulations
adopted perauant to Article 10, Title 25, CRS as amended, except for the purpose of establishing final approval of installed
system for issuance of a local occupancy permit persuant to CRS 1973 25-10-111 (2) .
This permit is not transferable. The Weld County Health Department reserves the right to impose additional terms and conditions
required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the
completed system by the Weld County Health Department.
SjS Finaled Envlyagenta Specialist Da
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