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Home My WebLink About20032799.tiff ADEQUATE WATER AND SEWER SUPPLY BRANCUCCI ZONE CHANGE FROM AGRICULTURAL TO INDUSTRIAL Portion of the South Half of the Southeast Quarter of Section 30, Township 1 North, Range 66 West of the 6th P.M., County of Weld, State of Colorado. The following 8 items document the existing septic and well permits and locations for the proposed Zone Change property. r 2003-2799 )00.1 la.'N/k'/ie u.,a ,^'SC Oh'O, h'rhe 7• 2 • Form No OFFICE OF THE . .'ATE ENGINEER i w C /LA GWS-25 COLORADO DIVISION OF WATER RESOURCES fZ 818 Centennial Bldg.. 1313 Sherman St., Denver, Colorado 80203 / jl,_c) (303)866-3581 /� r LIC WELL PERMIT NUMBER 057300 - F APPLICANT DIV. 1 WD 2 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY NE 1/4 SE 1/4 Section 30 STEPHAN BRANCUCCI Township 1 N Range 66 W Sixth P.M. PO BOX 127 DISTANCES FROM SECTION LINES HENDERSON, CO 80640- 1475 Ft. from South Section Line 200 Ft. from East Section Line (303) 659-5261 UTM COORDINATES PERMIT TO CONSTRUCT A WELL Northing: Easting: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2j The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. ,,,l) Approved pursuant to CRS 37-90-137(2)for the replacement of an existing unregistered well. Upon completion of the new well, the old well must be plugged and abandoned in accordance with Rule 16 of the Water Well Construction Rules. A Well Abandonment Report form must be submitted within sixty(60)days of abandonment of the old well. 4) Approval of this replacement well permit shall not result in an expanded use of ground water. The use of ground water from this well is restricted to domestic uses in two dwellings, the watering of domestic animals and/or poultry,fire protection, drinking and sanitary purposes inside a warehouse and 1/3 acre of lawn and garden irrigation. 5) The maximum pumping rate of this well shall not exceed 30 GPM. 6) The average annual amount of ground water to be appropriated shall not exceed 1.5 acre-feet. 7) Production is limited to the alluvium. The depth of this well shall not exceed 40 feet or the depth at which sandstone or shale is first encountered,whichever comes first. 8) The owner shall mark the well in a conspicuous place with well permit number(s), name of the aquifer, and court case number(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 9) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner(recorded at least annually)and submitted to the Division Engineer upon request. 10) This replacement well shall not be constructed.any closer to any other existing well than the well it is replacing, if such other well is within 600 feet of the replacement,is completed in the same aquifer, and is not owned by the applicant. 11) This well shall be constructed not more than 200 feet from the location specified on this-permit. 12) This well is subject to administration by the Division Engineer in accordance with applicable decrees,statutes, rules, and regulations. 13) This well shall not be pumped unless included in a court approved plan for augmentation or a substitute water supply plan approved by the State Engineer. This well is currently covered by GASP. APPROVED J/_ 9� • JMW Receipt No.0490163 State Engineer DATE ISSUED APR 11 2002 B EXXPIIRATION DATTTTEE APR 11 2003 APR-08-2002 10'59 DIU (JA'EP. RESCURC FS 303 866 3583 P.02/03 . COLORADO DIVISION OF WATER RE"--ifiCES Office Use Only 5 DEPARTMENT OF NATURAL RESOUF.__S Lorm GWS-45 } 1313 SHERMAN ST.,KM 818,DENVER, CO 80203 phone—Into (303}888.3587 main:(303)866.3581 tax:C3031888-3889 http://www.water.state.co.us GENERAL PURPOSE -"' Water Well Permit Application Review instructions on reverse aide prior to completing fom. The form Most be completed in lalack ink, 1..App(icant information B. Use Of Wall (check a l;caole boxes) iuni or ca�1 ., ._._._ __ _ �._. ` Attach y rfatii!?CI CIOSCri9110r1 of uses applied for. Mawrp addres: �_ _..__-_ ___...,_.___, ©Industrial ❑Omer (describe): llIdO /DQvd f."47.. ❑ Municipal ' /4.4.1 r s614.49/40_,/ f •-,tv P ptets ...1p c000 - ❑irrigation P�f,.ScyN 1 �o g —— L.1 - 2?ye ACornmerciel / R 05 Id eNir`R 'aiay+one r ..._. f ( .303 ) (R_S y-5.)-61 7. Weil Data (proposed) 2. Type Of Application (check applicable boxes) M""""r"wrprotaq ,a,„�,t w�[,r.n ❑ Construct new wall _.._-3�___..._.._ ARm .._ scre•teet ❑ Use existing we'I Toe.deta 0407_._..._._....._.__.._. 0_000 lsrReplete ex,stinp well °Q`ac' ❑ Change or increase use ,,// I 0 Change source (squifer7P�'K 70 fee; 0 Reapplication (exolted Permit} D other $. Land On Which Ground Water Will Be Used A. Legal riescrlotion(nev es proYdeo as an attachment::3. Refer To (it_a_mjicable) ._Desgnain,Berm ,r,,noc,i — : Will name ar0 -.-----. I •4. Location Of Posed _,_ In used for c oo irr•caUan,attach a scaled non Mat shoN s irrpatec al as.) 1/'1 �8. N At,ea ' C. Owner P-I� LYE i; of ma S� 1/4 SIeloen TowrlrND N ay SRO•w `rrre o Lletdgn 30 ❑ i �� ❑® p o. Ult any other woos Haw rlghu Lase on Mt:lane: OlrIartcA of wsn fern..i0+,irnda tiadtioe lints Le tlp,co4y not proporw line 5l .. .I#75 ►t twin❑ N Ks X00 I r1.more,®,!D W 9. Proeosec)Well Driller License i�(optiorial); 'Oplcii nest;.,,t4orvy_e,ranusnd Oii:Jicn frerP olo west t. new�;rell .�S feel Sad�� r 10. Siijnature Of Applioent(s) Or Authoruzed Agent The mating of false statornartu heroin constitutes _._ Wa.Ireucal adOrra!H apR';caolc: '. . -'_.`..—.._..-.-- perjury in the CiCOnd degree, which it punishable as a class 1 misdomeilnor pursuant tc -.S4-rvIf c4-0 _-I'._.._. . , __. _� C.R.S. 24-4-144 (131{e}. I have reed the stateme is herein,know the Optional: GPS wail'location iniamation in UTr.i icrmat _.... — contents thejjnc,{tall than{hey.4rc true,p fn kncwleoge. R li;cirs0 fA ttioac to GPS unite are as fnl OWa: sign hoc 1 sit Co originalsreneturil l Due sa.r et meet u LYN ____^ - 0000— 6611.41/57Aekale-4/C,,e/ Northing Print n; Me Ur,u mutt'be haat►n • Datum Must tie N4:J27 CI 0l:uYi EatUnp —jejOAAN ` ,32�'Nc__!ice., [2e-r-i -/e./� Ur,l m,it La re;;0'W 'NI AVM - Office se Only 4re pants e.eveNa'D'e 0 NC -uS4S mac ner•M ( 5. Parcel On Which Well Will Be Located own map ro. re�clo.. ca A. Log.l Description rimy to 000,:4114a an at3eehMUU: ---�;. Receipt irs7 only .S&€— /5111/4e4 i I i 8. a of Was m(mom •.__..._._.__.__ ..•._C�_p, nor ..,..-.�..._.«..-.... •' YJ♦•r _i e.PC9 5tepAA-Oa 8/Ltawort/ vm 0. Yri l mu be the*toy wan on trop utcall OYES OW Of no-list other walk; --r. CWCB TQPq E, Sy[s Isrcd foe wotIorrl: —�—"" M1'LAR e0 OIY_ WO�. BA- T MD 3 WELD COUNTY BOARD OF HEALTH /Q 7`/ lc;C dc7-2 ENGINEER DESIGNED SYSTEM REVIEW APPLICANT: S'l'ut, rant 4Cfi NO: G- `j000sr LEGAL DESCRIPTION: PT 5 uJ 4 SEC a 9 TWN O) RNG 6 SUBDIVISION ! IAT BLOCK FILING SITE ADDRESS: /agi W6/z a7— (ai-IC�k,1/4- • FACILITY: iC t nr k.,,t o Q nL 215 R l& G ACRES: 60 PERC RATE: 1O-O-O.. C. SOIL:SUdhletri9k1(y,hu *. WATER SUPPLY: ®&ki/ SLOPE: LIMITING ZONE: x' ENGINEER nDESIGN (3.5) EXPERIMENTAL DESIGN (3.14) ENGINEER: O_„r,4-Q C ADDRESS: (a /7 5.i1 Acuff Po a-c9c 3 9 0& 9t. n Ct. ESTIMATED -FLOW: ISO G.P.D. • PRIMARY TREATMENT: A servo,;6.44:",►tk. . CAPACITY: i 00 0 taw, Cr'OSAL METHOD: /�a,Q,yl Y ti ta. -6,42SIZE: 66y 4 CJ' e% REQUEST. FOR VARIANCE: STAFF COMMENTS: rQ/� nictren....na-the4.) illerrartte 4&c soltpu. STAFF RECOMMENDATION: eltistent, ENVIRONMENTAL PROTECTION SPECIAL'S REVIEWED BY BOARD: 4-24-10 /B.O.H. DECISION: A APPROVED DENIED TABLED l Tom Cope, airman Weld County Board of Health - 4 ES24 �'ercolatton rate of imported soil - 10 t ( v ruin. / 1n. 1 ) FF1 bedroom hove 282 X 2 h64 >yuare tee . . Use 12 ' x 47 ' absorption bed 2 bedroom hone requites 1 . 000 gcl l ion septic tank. NOTE: Construct according to Weld County Ln Health regulations. CERTIFICATION: I hereby certify that the septic system design shown on this plat was performed by me and under my direct supervision and are accurate to the estof my Howl ge and belief . Cecil R. Crowe, P. E. E. L. S. 12330 . . coLR. o,.. GPIs • Is ;02,4-4- %9T :Q $ L. en L,:,<: ) SEPTIC SYSTEM DESIGN FOR GOLDEN WEST AT 1281 W.C.R. , 27 WELD COUNTY, CO. • ALPHA ENGINEERING 617 5TH STREET-P.O. BOX 392 • FORT LUPTON, COLORADO 80621 METRO (303)573-5186 • FORT LUPTON (303)857-2308 REVISIONS BY DATE PREPARED FOR DRAWN BY ISCALE NOTED 800( DATE 4- 3-90 M£T4L Bldg. Bid9 AE%ISTING HOME N p \5 MOBLE .56 HOME _e- �' IOOOgal. SEPTIC TANK , ABSORPTION BED !� v !SS' Q' 6 2 - DEPARTMENT OF HEALTH 1516 HUSH;AL IiOA.; j GREELEY, COLORADO 80631 ' tf ADMINISTRATION (303)353-0586 HEALTH PROTECTION (303)353-0635 WI I ID C COMMUNITY HEALT4 (303) 353-063? COLORADO . STAFF APPROVAL OF ENGINEER-DESIGNED SYSTEM The engineer—designed Individual Sewage Disposal System proposed for the property located at la 71 wen a---7 r7ol, ' and designed by (1,(.C� tc i( - �„ is hereby approved subject to the following conditions: / • & 9000CS I, �leup /J/-arvaic-c- ' , applicant for I.S.D.S. Permit No. under the provision of the Weld County Individual Sewage Disposal System Regulations, do hereby understand and agree that after approval by the Director of Health Protection Services, I may proceed with the construction of my engineer-designed sewage disposal system prior to approval by the Weld County Board of Health, but that the Board of Health reserves the right to disapprove any or all parts of the system design when it considers my application. I understand and agree that I proceed at my own risk and that I may be required by the Board to remove any or all of the system installed - prior to Board of Health consideration of my application.. 4t 4e/jeaerielear lizez i Director, ealth rotection Applicant 47 G —90 Date • Date 7 f"" WELD COUNTY ' NEALTH DEPARTMENT ENVIRONMENTAL ttEAL`rD SERVICES I ITEM EVALUATION Ouner .2„W Rrancuccr 6;- 90005-S p [cation No . Sioe /a'( 600e a - /31-''Skin PT $4) SAZ7T / R 4 , ate 9 j98 Sub — —Lot Block Filing RCOLATION TEST DATA : Start Time ale Hole NZO // :dam / 0066 la•.o5 /a! /3 /?t2$ ¶ min . 3 . Depth Remain /Pn7 iG ,� p inch min . min. min . min. min. min. min. min. min . 78, '7/0 •7/� 720 I .,cisip 9n 't/75 f +rA • a.09 2 '71 * n 9 �/ o *, Z? • ..3. 38 364 11,3S 4.15 i 'l s ! 'S 9. S *4/4 •� 4L 2d . 34 • 14/ Q . 150 ( 10 -• n o S 4 .2 . 67 36 lcD ., /ss . /35 .9T 36 q1 78D 705r '71 68s 6/O y'S,3 f L$0 *•-<6.4 .*•-<6.4S • 07./2 ' .33J,, i 70 / 75 43 a /ao s 's-;;2s '/�t BCx, Y 77 • . 6 (0,5O a-jf. n fl,10 +-G7 X.3- 3 S ' 1 7 $ 5 /90. 9 " • .11 measurements in .mm unless otherwise indicated. /5. 34 Total - Add H2O nvironmental Health Specialist . . ..... Average Rate ,q. SS ' PLOT PLAN SOIL PROFILE I .-Nil - C.14/sµ,•,! >� ,. D O • P - ' 19 :Li yn- 5eta"...row cjv-v`�( `ter bYY `st4fra u p io I Z n .. D3 d t '.'1 AD rc 4 1 iy_ tiii1... 1".I 1 .......i..1"II\ I , w.WI 1 W .I IAf . ya.: • HJf`1 O6F' APPLICATIONINDIVIDUAL :!:�' O� _ �C� �� Sir WF�L.L DISPOSAL f�',�.S�^,I-. SYSTEM M � NO. G-90005 I' HEALTH ,.. t C:'t::•A T 1 NEW C"I S}1:'. •.'�'Y'' 1 1 WELD L..I) COUNTY .-s c::�`•;f...'i"F�, DEPARTMENT,_i f't 'i�i:::?v'T' �� ..�I t:', ,._."C:I-. I ..,.,!'�, r:N'v:c :r'NM:::NT,":'_ !••IEALTI••? SERVICES • r 16TH AVENUE COURT , GREE L..E:Y, CO 006 31 353-06735 lyy_,. , "5 EXT-2225 _ C I .....,,...,..,I... .,�. 1 '281 27 III 03' 659-526 .J N E.F'< I:i i-�A N lJ,..l.:.1. , STEVE ADDRESS,.r,•�. ....:, .: l�.i(.,r� ,;. I .'.. ,,...:,�,� BRIGHTON CO 03061 DDRESS OF PROPOSED SYSTEM 12a1 i WCR 27 BRIGHTON CO 08061 =GAL. DESCRIPTION OF SITE : SIJJ4 SEC 29 •114F' i RNG 66 JBDIVISION : LOT 0 BLOCK f) FILING . 0 SE TYPE RESIDENTIAL MOBILE HOME FAVICES . PERSONS 6 BATHROOMS 1 .00 LOT SIZE 60.00 ACRES BEDROOMS 2 BASEMENT PL.UNI :':I:Nc1 NO WATER SUPPLY F'WELL. 'PLICANT ACKNOWLEDGES THAT THE APPLICATION CONDITIONAL -, :::.:i�:Li�a lrl� COMPLETENESS t. I'� I-I:I., t•t -E��'I..].i.:.'�!'. 1'7t•I .... .iJ u�.'T_ r—:NA1_ :'ON FURTHER MANDATORY AND ADDI'T'IONAL TESTE AND REPORTS AS MAY BE REQUIRE::') BY THE =LD COUNTY HEALTH DEPARTMENT TMEN T TO BE MADE AND FURNISHED BY THE APPLICANT O'. BY THE LD COUNTY HEALTH DEPARTMENT TMENT FOR PURPOSES OF THE EVALUATION OF THE A: PL.:I:(:A :1:ON; ,[D THE ISSUANCE Or THE PERMIT IS SUBJECT TO SUCH TERMS AND CONDITIONS AS DEL:'i•i;= S r•'RY TO INSURE:: COMPLIANCE _ ....... ... G:. .... i'. ..�.:....i::..:r i•:i'`;.L' REGULATIONS ADOPTED• UNDER 4 ARTICLE ), TITLE ....'•, CRS 1973, AS AMEN DD, THE APPLICANT.....CCAN : CERTIFIES THAT THE PROPOSED, (STEM WILL I« LOCATED WITHIN <, . ... .. . ..._. NOT )~{ew. L.C I— ::;: FEET _,- r:, COMMUNITY SEWAGE SYSTEM.. . I WDERSI( NED HEREBY CERTIFIES THAT ALL STATEMENTS MADE, INFORMATION AND REPORTS JBfiITT'I":D HEREWITH AND REQUIRED TO BE SUBMITTED BY THE APPLICANT ARE, OR WILL BE, 1":"'SCINTED TO BE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE: AND BELIEF, AND :L JES':I:C,rNi D TO 1:.;1..: RELIED ON BY THE WELD COUNTY HEALTH DEPARTMENT IN EVALUATING •IE SAME FOR PURPOSES OF ISSUING THE PERMIT APPLIED FOR HEREIN. I FURTHER UNDER- -AND THAT ANY FALSIFICATION OR MISREPRESENTATION N'IO1 .l:ON MAY RESULT :[N THE DENIAL OF THE F'LICATI'ON OIL REVOCATION OF ANY PERMIT GRANTED BASED UPON SAID APPLICATION AND 4 LEGAL ACTION FOR PERJURY AS PROVIDED BY LAW. 'PLICATTON FEE $150 .00 STEVE BRANUCCI :C ' D BY RECEPTIONIST A:%1i _�rl� ? 4!'� --._.__ ._. _._(),-5/�'1:3•'�'r; DATE 03/213/90 OWNER/AGENT SIGNATURE DATE 9 Hello