HomeMy WebLinkAbout20000868 01;13/2000 15:52 867596:
DREILING DRILLING
01-13-00 05:25PM FROM-DIVISION OF WATER RESOURCES 3038662223 502 01
T-55i P 02/03 F-500
C RADO DIVISION OF WATER RESOURCES )c) -
DEPARTMENT OF NATURAI.RESOURCES
1313 SHERMAN ST.,RM.818,DENVER CO 30203 JAN 0 6 2001:1
phone-info: (303) 856-3587 main: (303) 8Ae-3b81
NEW 35+ ACRE RESIDENTIAL 67.if khan Efr
Review• ater V completed in cr tlnd
etsuactlpras odor,m Cuatatt�le'tbt9 torn Must be wnrphrtad in blame*or tread
1.APPLICANT INFORMATION 6. USE OF WELL (Mack
Ma.,of topknot JIMMIE&SHARON WoLFRUM I A Or household purp d pop;Hate entry x entries)
C/O DREILING DRILLING CO., INC. oses in up to 3
M.WN rw...sIe'heniy Meetings,tie watering of
P.O. SOX 638 domestic animals, and the irrigation of not more
my
I titan one(1) acre of home gardens and)awns
° ter°°e° au B. Livestock watering (on Harm1ranch1n
FORT MORGAN Cp 8O7O1 "e°1°°°" °)
tattoo.Mae'nw arse oo.ntl
OO--8OO-894-716O 7.WELL DATA
1
2.8 OP APPLICATION . MAXIMUM PRODUCTION RATE OF THE WELL
SHALL NOT IXCEM 15 GPM
CONSTRUCT A NEW WELL ON A TRACT OF B. TYPE OF RESIDENTIAL SEWAGE SYSTEM
LAND OF 3$ACRES OR MORE QI Septic tank /absorption leach field
3. REFER TO Q Central system
applicable): te.ekt caw:
wa.00nne°r.ad°n° °'°"°°r ❑ Vault
Mil" REQUESTED 01-04-00 .nca.n.a...r.m n.nna.d t0!
is Other tan copy of wMaanne&Oen)
4.LOCATION OF WELL
cowry ouenarie+ww o"'"°" 9. PROPOSED WELL DRILLER(gpdanee
WELD SF 114 NE 1/4 Na
o..Cm. -Tonne* le or 6 Rayq. ter nieSetM..m.. DREILING DRILLING CO., INC. i 12O7
10 . 6 CI 0 64 d SI 6TH �1Q.SIGNATURE of aonlicartUs) or authorized agent
oktw M
,. m s wee tun section N... *Tito making of talsastatemems herein constitutes penury —
2555 n the word degree.which is punishable as a class 1 airs.
_h.ham a is R ss 200 It ten 53 E El w eallermwr pursuant to CRS. z4-4-104(13)(a). I nave read
ma mein,.aa,.r,a Swam 1mm maestri.4mws PI eppleaahi the statements herein,Now the a itmns thereof and state
11 S they arc true o 1
5.TRACT ON WHICH WELL WILL RE LOCATED a' T GA
A.
S Nhtar.i ", .,.,,
CAROLINE F.DREILING
ATTACH LEGAL DESCRIPTION Rat 46+ ACRE TRACT 'Mk SEC. /TREAS. ore
O Development DREILINGDRILLING CO., INC- I 01-04-00
Milo,U..Only non cap Po
Wain!
Lot no. Unit I
a Omer
Invoice k 455191 DIV
1/6/08 -- 3:14:53 Pn
6. STATE PARt9. Cashier IL: 81
c 68.60 CO
IDA'instant. -
e. r era..in ran Check Purchase- M16999 y�
40 WD
ro.
BA
THIS WILL BE THE ONLY WELL ON THIS TRACT
USE MD_
Fort GWS-50(12/9,7
EXHIBIT
2000-0868 II a D
USE BY SPECIAL REVIEW - EVIDENCE OF ADEQUATE SEWAGE DISPOSAL
PERMIT FOR ENGINEERED SEPTIC SYSTEM IS CURRENTLY BEING APPLIED FOR.
Hello