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Home My WebLink About991816.tiff PIHR-04-1992 10:75 ...WELD '_CM ITV HEHLTH LEFT .-� 19703554965 Ha) WELD CO HEALTH DEPARTMENT -- 1517 16TH AVENUE ICOURT, GREELEY, CO 80631 (970) 353 -0635 EX 2225 FAX (970) 356-4966 Permit # : .. 6P-9600547 Sec/Twn/Rng: Status: ISSUED Permit Type : RNEW C-commercial. R-r'esidencial - NEN. REP. -r. V?uLT Applied: 10/14/1996 Parcel No : 1311 27 Issued : 10/15/1996 - 1 Finaled: Location: ' 4500 WCR 16 1;} (W Legal Desc : • APPLICANT BEARSON NELVA Phone : (303 ) 857-93_ 9208 WCR 25, FT LUPTON :CO 80 21 OWNER BEARSON DARRELL Phone : (303) 857-656 ' 9208 WCR 25, FT LUPTON CO 80 21 SEPT-ENGR CROWE CECIL R ALPHA ENGINES ING Phone : (970) 857-23C PO BOX 392 , FORT LUPTON, COL RADO 80621 SEPT-INSTL SELF Phone : (970) 999-99E X, GREELEY CO 80631 Description : MOBILE HOME 27-02-67 Commercial (Y/N) : N Resider ial (Y/N) : Y Acres : 80 . 00 Number of Persons : 2 Basement Plut ing (Y/N) : N --umber of Bedrooms : 3 Bathro ms-> Full : 1 3/4 : 1 1/2 : Water Public ',(Y/N) : Ut lity Name: Water Private !(Y/N) : Y Cis ern (Y/N) : Well (Y/N) : Y Water Permit No : Percolation' Rate , 23 .3 Limiting Zone : 08 ft 00 in Desc : Ground Slope : 4 Dir: W Soil Suit ble (YIN) . Y Engineer Design Req' d (Y/N) : rV In 100 Yr Flood Plain (Y/N) : Minimum InatallLation Septic! Tank: 1000 gal Absorpt 'on Trench: 729 sq. ft . Abso Lion Bed: 939 sq. ft _ ActualInstallation SepticiTank : kin gal Absorpt ' on Trench: sq. ft . Abs tion Bed: , sq. ft .9'9 O ' NOTICE The issuance of this permit dues not imply compliance wieb othe stater Cooney om local regulatory or building requirements, nor shall is act co certify that the subject system will operate in compile ce with applicable state, county and local regulations adopted persuant to Article 10, ?icle 25, cs no amended. except for Ehh purpose of establishing final approval of installed system for issuance of k local occupancy permit persuanc co CRS 1975 25 10.11.1 121 . This permit is not cranyferable. The Wald County Health Department reserve:: one right co impose additional tersms and condirions required co meet our regulations ea a cone inuiny basis. ✓i oil pnamic approval -9e contingent upon the final in.,peccion of ch.. "' pieced sysc cm by chat Weld •.aunty Health Dcpartmanc. pi-4-k mie-ryv-4 . 991816 r0THL P.02 WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit # : SP-9600195 Sec/Twn/Rng: 27 02 67 PERMIT Permit Type : RNEW C=commercial, A=residential i NEW, REPair, VauLT Applied: 04/08/1996 Parcel No: 1311 27 000043 Expires: 04/03/1997 Location: 9455 WCR 16 FORT LUPTON CO 27-02-67 Legal Desc : 20410-A E2SW4 27 2 67 9455 WCR 16 WEL APPLICANT BEARSON NELVA Phone : (303 ) 857-6468 9743 WCR 16, FORT LUPTON CO 80612 OWNER BEARSON DARRELL L & NELVA M & BEARSON MICHAL S & BRADLEY D, 9208 WELD CO RD 25 , FT LUPTON CO 8 Description: MOBILE HOME Commercial (Y/N) : N Residential (Y/N) : Y Acres : 90 . 00 Number of Persons : 1 Basement Plumbing (Y/N) : N Number of Bedrooms : \3 ) Bathrooms-> Full : 2 3/4 : 1/2 : Water Public (Y/N) : l// Utility Name : Water Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No: r- Percolation Rate : �0. ) Limiting Zone : > ft _ in Desc : 96 Ground Slope :— Dir: Soil Suitable (Y/N) : y4S Engineer Design Req' d (Y/N) :/LJQ In 100 Yr Flood Plain (Y/N) : AJ[I From the application information supplied and the on-site moil percolation data the following minimum installation specifications are required: Septic Tank : tOu7) gallons, Absorption Trench cgoi sq. ft . or Absorption Bed /um sq. ft . In addition,, this permit is subject to the following additional terms and conditions : 585( r4 ( fc csLPt )yrcv. .1•1Yd • NOTICE This permit is granted temporarily' to allow construction to commence. This permit may be revoked or suspended by the Weld County Health Department for reasons set forth in the Weld County individual sewage disposal system regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. This permit is not transferable. Before issuing final approval of this permit 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 is ingent upon the final inspection of the completed system by the weld County Health Department. ) jr/ 1i, (1-i2g60 X Piwi � y-1?-ci 6 Environmental Specialist Date 991816 WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit # : SP-9600546 Sec/Twn/Rog: PERMIT Permit Type : RNEW c=commercial, R=residential + NEW, REPair, VauLT Applied: 10/14/1996 Parcel No : 1311 27 Expires : 10/09/1997 Location : 4500 WCR 16 27-02-67 Legal Desc : 6 ei y APPLICANT BEARSON NELVA ' Phone : ( 970) 857-6468 9208 WCR 26 , FORT LUPTON CO 80621 OWNER BEARSON DARRELL Phone : ( 970) 857-6468 9208 WCR 26 , FORT LUPTON CO 80621 INSTALLERS BEARSON DARRELL ENGINEER CROWE CECIL ALPHA ENGINEERING Phone : (970) 857-2308 PO BOX 392 , FORT LUPTON CO 80621 Description : MOBILE HOME Commercial (Y/N) : I Residential (Y/N) : Y Acres : 80 . 00 Number of Persons : 3 Basement Plumbing (Y/N) : N Number of Bedrooms : 3 Bathrooms-> Full : 1 3/4 : 1/2 : 1 Water Public (Y/N) : Utility Name : Waak r Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No: 045562F �V // FX2 Percolation Rate : "'0, b Limiting Zone : ,U ft 0 in Desc : % Ground Slope : _ "I Dir : • r� Soil Suitable (Y/N) : Engineer Design Req' d (Y/N) : /v In 100 Yr Flo od Plain (Y/N) : From the application information supplied and the on-site soil percolation data the following minimum installation specifications are required: Septic Tank: jO-O-O gallons, Absorption Trench / 7 5---sq. ft . or Absorption Bed I2-C..-) C7 sq. ft . In addition, this �per�lit is `subject to the followin additional terms and conditions : 1�^-' G�-�- C / - ` �-e 4 L /I ok 77t NOTICE /° fS/�� permit is granted temporarily to allow construction to commence. This permit ay be r oked or suspended by the Weld County This Health Department for reasons set forth in the Weld County individual sewage disposal sy em regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. 1 permit is not transferable. Eefore issuing final approval of this permit 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 is contingent upon the final inspection of the completed system by the Weld County Health D artment. rTh 991816 3�y/ WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit # : SP-9600079 PERMIT Permit Type : RNEW c=commercial, R=residential . NEW, REPair, VauLT Applied: 02/12/1996 Parcel No : 1311 27 000040 Expires: 02/06/1997 Location: 9743 WCR 16 , FT LUPTON 27-02-67 Legal Desc : 20409-B W2SE4 27 2 67 (2R) 9743 16 CR WELD APPLICANT BEARSON DARRELL L & NELVA M & BEARSON MICHAL S & BRADLEY D, 9208 WELD CO RD (303) C 25 , FT LUPTON CO 688 OWNER BEARSCN DARRELL L & NELVA M & Do BEARSCN MICHAL S & BRADLEY D, 9208 WELD CO RD 25, FT LUPTON CO 8 Description: MOBILE HOME Commercial (Y/N) : Residential (Y/N) : Y Acres : 90 . 00 Number of Persons : 2 Basement Plumbing (Y/N) : N Number of Bedrooms : 3 Bathrooms-> Full : 1 3/4 : 1/2 : 1 Water Public (Y/N) : N Utility Name : Water Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No : Percolation Rate : 324:1— Limiting Zone : )? ft in Desc : _ Ground Slope : H Dir: __ Soil Suitable (Y/N) : r Engineer Design Req' d (Y/N) : A.TO In 100 Yr Flood Plain. (Y/N) : From the application information supplied and the on-mite soil percolation data the following minimum installation specifications are required: Septic Tank : Iwo gallons, Absorption Trench DI sq. ft . or Absorption Bed le sq. ft . In addition, this permit is subject the following additional terms and conditions : \ 1.�,i ,C• � 1J,bj C API" NOTICE This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Health Department for reasons set forth in the Weld County individual sewage disposal system regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. This permit is not transferable. Before issuing final approval of this permit the Weld County Health Department reserves the right impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is :ingent upon the final inspection of the completed system by the Weld County Health Department. X ' 2' 2a,6 i Environments Specialist Dat 991816 ...1 - HSP106P ...---444):VIDUAL SEWAGE DISPOSAL SYSTEM PERMIT . • NCL G-900239 • WELD .COUNTY HEALTH H DEPARTMENT NEW PERMIT - ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COURT, tr 1;••:i ! E_Y CO 90631 353-0635 l:XT..222' • _ ., LUPTON 7'C!i�1.' r :DRE::: '•.. OF r:.;.•t,ir•'t':SEE:? ,SY' T=. ,f 9µ' 'S r � ',r:)eaA?i '; . .. ' T FORT LUPTON CO 2 . :7 ... DESCRIPTION i:';':'. �.""r? EEC .2 r W r` '1► 67 LOT ZH.:',V: Eg : PERSONSE 80.00 ACRES . r.. BATHROOMS 2,00 ; w«7.,. PLUMBING NO WATER SUPPLY t SEC ' D Pi RECEPTIONIST AID • DATE, .... 1 /N?/90 SIGNED X) fly i`� �r�; BEAR SON DATE E"1.,1/0R/90 SO:L .PERCOLATION , UNSUITABLE i•:'E. INCH LIMITING 1 FEET ' • • t �; �• — •rr: �., GROUND ELOPE �?,",. I}:Ci'�E"t".1':CC1A! r!v! ,...:.1:........ EN G: iii.ER DESIGN YEE . . ...:f^. `' .... r•i'' P'.. .r A'Y...l.i�: INFORMATION SUPPLIED l:�� ',..,p AND � v, ��•y ,•y: ; ... MINIMUM N �:i'... 'L .::.S} 1"1 A. THE ON—SITE TI:` SOIL PERCOLATION«'. .............. �.,•G INSTALLATION f' hCt�l_t r i'.;.'::ii4 Z?:� E...E...r1i':i ;;'E ..":f:r':f:c'17 !:0," `1 X1 ;1 ....., ..... '�:1`•ii': •f �' r:,,;;. GALLONS; t ,�, ., S' r'>:1:.` r::I:�Ciit.!:1:I�iI:::L' G : , ; ABSORPTION N TRENCH:i._ -ft'. _.C ! C:r; (:lf'v: '!:CJt :d .E•i t''r'i FT, EQ. ' > ADDITION, .� t- PERMIT �• ABSORPTION BED 3ia36 .SQ . FT. 'i'�r•� i.� , ... . .... ...'r' :r.. SUBJECT FOLLOWING ADDITIONAL TERMS :irE:,.'� T ; GRANTED TEMPORARILY ?"Ll ALLOW CONSTRUCTION Ci TO COMMENCE.y _......_._ i"i r..''S' �::'•.... REVOKED OR x:''1... . Y1i:��' �;t4' :E,. !"; iro p f•�.., ., r I E '1'I_�:r i:.l::.'•:1"I.r..r .r.. THE I...... COUNTY HEALTH ,:': HE !i t-...:.' COUNTY Y INDIVIDUAL �f.. :: DISPOSAL yy� y ... t. ...... •'� T. , .r�. , i.1 t DEPARTMENT T I`'I I::.I��1 1 FOR I.1• �r•';,.'••'�Ii!. SET .......??:'-�E::. , , ,. .. ,t r TERM ( ,::. . SYSTEM REGULATIONS INCLUDING t ' • MEE:" . r .�1 . ERM OR CONDITION IMPOSED r„;• :,,, I P THEREON DURING TEMPORARY FINAL ,=;. . ,.. , .: ...n THE .:.;k,.. '!r•")Nf:';:: i-,�;. .�., •. 4, ...�, x t�'tl�;Y OR :t. PERMIT i} :�E NOTCONSTITUTEASSUMPTION .L ..... .•y E. ..... ...1.1 .._ `E.':_.1. ?i 0 i" •;' FOR , �' THE T A, _ LIABILITY C! THE �'r'>ra:!_.!.!i'�:i::. �_1)��; INADEQUACY r•�!.- • t 7 C r e m Ee \ 9O !'I`r i"i SMITH ;i1A':/48/9° ENVIRONMENTAL SPECIALIST F ... ,/• 7. . :E:... NOT T ;'i i , B 1..."' AND i) SHALL B E: C O M tµ VOID I'1 t, ••r•:M __ ; ..'?' .,. ...,. . ,...1••r!w ;i!".. .l'.` ` E..r. CONSTRUCTION HAS . . . THIS PERMIT ITS ISSUANCE. . BEFORE 1:,c :'U u N G FINAL r _, THE DDI— '; } HEALTH E`F,::E'Ar;; '?"iE.•":: {' ��;E:::.;r:'E:::f�:V'E:::,S THE RIGHT '' t IMPOSE .�.... .. ...... .. ,,... PERMIT APPROVAL .r t CONTINGENT D CONDITIONS REQTMED TO MEET OUR REGULATIONS ON A CONTINUING .C:;f.".•;.... SYSTEM P �1:: ;.LYk.NT UPON THE r•'..�:!`1AL i'ij.r':'•'l::.t,`r'...�.J?' UI r. M- ELD 7`)r .f_. i...Tl-E xl `:.Pfi7,rl'1E '7YSTEM INSTALLER Altetw.Y141.0.A.u..... ..r� iii"i' '.r �i.TE 1 ( 30 go .,D r•'.•i�' • 7YET i 1.: SYSTEM INSTALLED.. .........................._...,..,.....,._._.__ ..•,,....__APPROVAL _.............. __.... at+.rr ' .HEN , .srFr..'. . S�... .........._._..._.._ . ' .. , ...... CE THIS PERMIT DOE,.. NOT 7 i:•;; Y COMPLIANCE t WITH I STATE, COUNTY ,, �'� .1r'(._..r••.i'=?t::E� OTHER � ('. tl7..,r. :J :...'.)!,.+, ... :!::.... ..:i.,.!A;�'��!�;'tr r.�:. r�:.. r!...r ' E`•G REQUIREMENTS, NOR :'t' .. ) CERTIFY .... ... ..:f:�,.!�'.. _ _.'�i.� T 1::.�' WILL:E:..,1... OPERATE IN COMPLIANCE APPLICABLE h SHALL! ;E' 1 'i'1 .E':.)"'`�"�:rr'Y' THAT :').. "i T':; ...1! r:, ,'k'l; 'i:::I} t::;:: c'E.!F'.�!'T :r.E} ARTICLE r ;1 C'... ._ STATE,, COUNTY AND . ..... l 1.;;'�:,' ,.?: ESTABLISHING I :r. , ! '. . ,.,. t••,("l'::.I�:X)E7 ., F :I N FINAL L APPROVAL OF f�N INSTALLED Y .. .. ... .. .... ;�i ....i:li:'t")E.. ::.1i. ,;.!;�.'..��r. PERMIT.�. 1:t�.,S'T't'•l._.L(,-"T} SYSTEM: T'I`:t'i 1�',:? • .. l't...RM.I. r PURSUANT TO f_:•C''t' i � ty"7..,. "+5.._•p0....•i 4 Cyr• • -- ,,,,,,„...R.,, , ... • I••I,SF'1 06F' INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT T ' NO . G-900 20i -- WELD COUNTY HEALTH DEPARTMENT NEW F'EPOli ' ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COURT, GRE":ELEY, CO 80631 353-0635 EX.T..2225 OWNER BEARS'ON, :uARI;EL..L L. ADDRESS 10501 WCR 25-1 /2/;:' 1='F1 (303). 857--64 FORT I...UP 10N CO 03(•)62 ADDRESS' OF PROPOSED SYSTEM 9202 WCR 25 . FORT 1...UF'TON CO 13062.1 1 -.Grii... DESCRIPTION OF "IT'1::: : W2 SE:(:: 18 TWP ;.:'. RNG. 66 ;+ SUBDIVISION : LUF''0i'1 MEADOWS • I..0T 7 BLOCK 0 UL.TN(: 0. . USE TYPE: : RESIDENTIAL S IDI: NTIAL HOUSE ' SERVICES.: PERSONS 4 BATHROOMS :f.. 00 LOT SIZE 28, 00. r-)Ci E.r BEDROOMS S 3 BASEMENT PLUMBING YE::,:; WATER SUPPLY I WI::f.:l:' ti APPLICATION FEE $150.00 • i.t.. ' i) BY RECEPTIONIST PTIONIST AID SIGNED BY N1:::1._VA BEAR SON , s . DATE 09/25/90 DATE 09/25/90 PERCOLATION RATE:: '7.2 MIN F'I-1 INCH LIMITING ZONE :'-.0!1.7E40: . S'(:1:!:I._ TYPE SUITABLE: PERCENT GROUND ,LOP 0% •D-I'F�;,ECTION REQUIRES ENGINEER DE�w`IG: N NO ., FROMTHEAPPLICATION INFORMATION SUPPLIED AND THE ON-=SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM MUM INSTALLATION SPECIFICATIONS AM:.RC:(;UII ED : ..,•._ • ' SEPTIC T:I:C TANK 1000 GALLONS; ABS'ORF'T :ION TF,L l H 5'422'.. SQ:-..ETZ • O I •ABSORPTION hIUN LI) L ..(' 711 SGT: .ITT... ADDITION, THIS PERMIT ISSUBJECT .10 THE FOLLOWING.;AD'DIT:I ONAL •.T..I RMS.. AND•-...... . C'ON:�):i TION,S ..,• . . .�„ ' THIS PERMIT IS GRANTED TEMPORARILY 'T0 `Al'1...OW- C(3NSTRUCTIUN', TO COM 'iENCC:', THIS. PcRr4t1 MAY BE REVOKED OR SUSPENDED BY THE WELD ('(JUNT'(. HEALTH i)L.-`1 Ai"t i'ilE NT'...I(:li RLAS'.ONS... .SET,. FORTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM 'RErGULAri.UNE• INCLUpi. EG.. FAILURE 1 "1(:1 iiiiI.T • r`•;N'( TERM ri OF; CONDITION IMPOSED 11..11:"RL0 I LU":IN( TEMPORARY OR FINAL:" APPROVAL. 1"1'll::: ISSUANCE OF THIS PERMIT DOES NUT ..CON;3T'TITUTE.ASS'i_ll1F"`Tz'.IOhI;ISY THE • DEPARTMENT. OR ITS EMPLOYEES OF LIABILITY FOR THE FA7:.LUF1 lice. INAD!„G�UAC ' .•.OF THE . . SEWAGE DISPOSAL Sii ...rC 5"awr/ WE S. I"OTTER .--3_ 09/2i,/90 /�_ 9_3 4� /C '--"f' �/-N-9/ C� IIN'd1.RUNMCJITAL ,SF'L(vI:A ,Is;T ; _DATE' • . THIS r•'�: ;: ��I--i- IS NOT TRANSFERABLE ABLE: AND SHALL. BECOME VOID .,IF S•YS.TC:M CONSTRLJC'T:EON •HAS .NOT COMMENCED WITHIN ONE YEAR OF ITS ISS'(JANCE.. .. :cEF:LIRE. -:ISS0I.NTr FINAL.,;APPROVAL OF THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES RVES THE RIGl..ib TO 1 MF'OS'E ADDI__ T':I:ON1ai... TER ME AND CONDITIONS REQUIRED TO MEET DUR I LGULA,T'IUNS -ON ,A CONTINUING L'A • — • S:I:S:. F"ItNAi... PERMIT AF'1''ROVAI.. :I E. CONTINGENT UPON THE FINAL.. INSPE::C'TION OF THE COi'i.- PLI:::'TE1) SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. • SYSTEM INSTALLER ,, ,Se.1 • FINAL li-NPECIUN r L:.NI::.I.fll:E:I N.. _.._ ...._..__.._........__.. ,F P ROV A L. ___........ ............ ... ....._........ . __________ ENVIRONMENTAL ON`MENTAL. SPECIALIST .T...r:�"•j: OF SYSTEM :I:N;:'T'f-11...I...IWi) � +'' r r • :. ISSUANCE OF THIS PERMIT 'DOES NOT. IMF'I...Y COMPI...:i:Aw :'I::: WITH;L OTHER ST rE, COUNTY • Li, LOCAL REGULATORY( OR BUILDING L ING REQUIREMENTS, NOR SHALL 1 ACT TO CERTIFY THAT - THE SUBJECT SYSTEM WILL OPERATE:: :IN COMPL:LAKCE WITH APPLICABLE STATE, COUNTY AND' LOCAL REGULATIONS ADOPTED PERSUAiNT TO ARTICLE 10, TITLE 25, CRS 1973, AS AMENDED, EXCEPT FOR THE:: PURPOSE OF ESTABLISHING, FINAL APPROVAL. OF AN INSTALLED SYSTE i. FOR • ISSUANCE . OF A l...Ot.,i•a1... OCCUPANCY PERMIT ITT PURSUANT TO CRS 1 '%7;i 25-10-111' (2) . 991816 S Div ...Jaw'. k , •k.„u . `k.#1,1 ,nlarvduurML. OtrVMut UISPUSAL SYSTEM No. Comp t.,,,,Fer WELD COUNTY HEALTH DEPARTMENT // Q ENVIRONMENTAL HEALTH SERVICES �y0� / .;; New 1516 Hospital Road,Greeley, CO 80631 Repalr`_ 353-0 40l EXT. 27pp ----- , , Ps; OWNERI_) Arc - N 1 i_�i'fiY SO (1 ADDRESS 1t 50 1 WC. � .e.--a ADDRESS OF PROPOSED SYSTEM A-5 c? / c e �J-• G&. A 1770 /ON LEGAL DESCRIPTION OF SITE: PT�� ' S 7 ,Tt R 66 / SUBDIVISION }' - ' lOT , BLOCK________, FILING USE TYPE: RESIDENTIAL '-)7.-714.}2;i(4; /..1,,,,,_i INS ITUTION COMMERCIAI ( OT ERA A SERVICES: PERSONS . BATHROOMS f "T tt dP.S LOT:SI BEDROOMS / BASEMENT PL4MBING WATER SUPPLY :1i/..LZJ _ TYPE OF SEWAGE DISPOSAL REQUESTED: A-,12- 4 (-I '°l-AA-CQ Applicant acknowledges that the completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Health Department to be made and furnished by the,applicant or by the Weld County Health Department for purposes of the evaluation of the application;and the Issuance of,the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article,l0, Title 25, CRS 1973, as amended.The applicant certifies that the proposed system will not be located within 400.feetof a com- munity sewage system. The undersigned hereby certifies that all statements made, information and reports submitted here- with and required to be submitted by the applicant are, or will be, represented to be true and correct to) a bestof myknowl- edge and belief, and are designed to be relied on by the Weld County Health Department in evaluating the same.for purposes ' of issuing the permit applied for herein: I further understand that any fa slflcation or misrepresentation may result in the denial of the application or revocation of any permit granted based upon sad application and tritgal action for perjury as providledd by law. Application fee 3 S. 43 1. 42../a} �«J � /`-`/C P/-. Rec'd by '� trio-LA 5�- Dated-/y"8V,/ /_ �OJ�w erl gent Signature Date * * w w w •, w w�) w w * w 3ret-. 4 . .., w c'e'cCI nycseae*c.i *14-146././47 w r�" }fit 0/f° St\-ES /ilg i ,- ��, i d , , 7_r.x w�iwYw 6t FOR DEPT. PERCOLATION RATE P WATER TABLE'DEPTH '= USE ONLY SOIL TYPE f'�' gRCENT GROUND SLOPE REQUIRES ENGINEER DESIGN ( )YES(YIN° • . w w w w w w w * * * w w w w * w w w w * * * * * * * r* * * w w w w w• * *',* w w w w * ww w w w w w w w INDIVIDUAL SEWAGE DISP0��1 Sp PERMIT From the application information supplied and the on-site soilpercolatio'I dat he: 9Uawing mi Installation specifi- cations are required: \ ; SEPTIC TAN k T(S7" GALLONS, ABSORPTION TRRENCH ~Y SQ. FT. ° d ABSORPTION BED 3�.. `� 411, N .Nj-G� In addition, this Permit is subject to the ff llowIng additional ter and conditii ns:-- . SQ. FT. 0, _cote 4iNPY /t r .UQ d ri ee r�Gli, c d This Permit is granted to orarily to allow construction to carnmence This Her'm; ray be revokgd or suspended by the Weld County Health Department for reasons set forth in the Weld Count'ylhdivldual Sewage Disposal ;stem Regulations, including failure to meet any term or condition imposed thereon during4eymporary or fin-at-approval—The issuance o/this Permit does not consrritute,,aassumption b the pepartmenl or It o lia it l �7 /14able 14Dotes' rv)nye li 4f-P N: r--: 1 /j//,iv �' eQ E yl�os vyage.dlsposal system. Environmental Specialist 4 Date This Permit is not transferrable and shall become void if system construction has not commenced within one year of its Issuance. Before issuing final approval of this Permit 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 is contingent upon the final in- spection of tie completed system by the Weld County Health Department. SYSTEM CONTRACTOR S.-D-C ' FINAL INSPECTION SYSTEM ENGINEER [� APPROVAL I /\ ci �A/lw �0� 'a 1 J Re -_c=+ t / —/ 3 -eV Environrntal Specialist` pat he 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 pursuant to Article 10, Title 25, CRS 1973, as amended, except for the purposes of establishing final approval of an installed system for issuance of a local occupancy permit pursuant to CRS 1973 25-10.111 (2). ':,, Original-Applicant; Copy-WCHD WCHD—EHS February, 1981 / r I5 991816 APPLICATIGN FL INDIVIDUAL SEWAGE DISPL.,AL SYSTEM. No. I/a S 3 , ;}y' WELD COUNTY HEALTH DEPARTMENT New .; 41 ENVIRONMENTAL HEALTH SERVICES 1516 Hospital Road, Greeley, CO 80631 Repair 353-0540 EXT.270 iiiiesh OWNER .i .dirt 7! ./�i If;'.SD Q "ADDRESS /rcO/ 19 C '7r' � // �(4H0NE: BP / C (, a / �7, HONE ' . -/l'44-e1 ADDRESS OF PROPOSED SYSTEM r LE'hi 1° '' LEGAL DESCRIPTION OF SITE PT E-'%' S ? , T 2 , R SUBDIVISION LOT BLOCK F • ILING USE TYPE: RESIDENTIAL >c- /2.7611,7*''' //CM E+. INSTITUTION COMMERCIAL OTHER SERVICES: PERSONS / BATHROOMS / LOT SIZE Z. - G7Nrr s . BEDROOMS BASEMENT.p .UMBING 7)6' WADE J SU��Y -C-CJe // TYPE OF SEWAGE DISPOSAL REQUESTED: ---5927r 6— +a kJ /C Pt. en t P Applicant acknowledges that the completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Health Department to be made and furnished by the applicant or,by:the r. Weld County Health Department for purposes of the evaluation of the application; and the issuance of the-permit Is subject-'t to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted:under Article-l0, Title 25, CRS 1973, as amended. The applicant certifies that the proposed system will not be located within 400 feet of a com- munity sewage system. The undersigned hereby certifies that all statements made, information and reports submitted here- with and required to be submitted by the applicant are, or will be, represented to be true and correct to the best of my knowl- edge and belief, and are designed to be relied on by the Weld County Health.Department in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsificati' or misrepresentation may result in the denial 1 of the application or revvatio2 of any permit granted based upon said pplication an ' legal action for perjury as provided by law. (1 Application,fee �� /7 7i Rec'd by tHez //iv-_ �t s,. Date 2' u'-2✓ Owner/Agent Signets a Date * * « * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * • * � FOR DEPT. PERCOLATI +RAT !, WATER TABLE DEPTH w- e2- «-) try i ONLY SOIL TYPE2o-Lrn-Z 0-eK✓'-ry•1%U45--Y'srnt fiocifERCENT GROUND SLOPE/ i REQUIRES ENGINEER ' SIGN ( )YES,(4No -j, INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ' From the application information supplied and the on-site soil percolation data, the followinggg)ninrmuminstaiiation specifi- cations are required: // /400 SEPTIC TANK GALLONS,ABSORPTION TRENCH �3© SQ. FT. 't 20 r 3< Or ABSORPTION BED 4: O In addition, this Permit er _ is sub ct to the following additional terms and conditions: SQ. -�tat-AY , fit it r7'" 'L�'ei'< -y.�"-,M�i 'p o;(Jw�! ,�//`^� 'R""'�:_!!J'. (J'u. .,-� 6} This Permit is granted temporarily allow construction to co once. This Permit m e revoked or suspended by the.WeldA,*„ : _ County Health Department for reasons set forth in the Weld County Individual Sewage Disposal System Regulations, including failure to meet any term or condition imposed thereon during temporary or final approval. The Issuance of this Permit does not constitute assumption�j by the D`epertment or its employees of Ifapl for t e fail re or inadequac of the sewage disposal ystem. Environ I Specialist / Date r, This Permit is not transferrable and shall become void if syst construction has not commenced within one year of its issuance. Before issuing final approval of this Permit 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 is contingent upon the final in- spection of the completed system by the Weld County Health Department. SYSTEM CONTRACTOR FINAL INSP p I� /� TEM ENGINE R / 23 / F G_/ t� APPROVAL dtJ/T/ 7- a / 7- 0 3 nvironment eciallst / Date s. The issuance of t is Permit does not imply compliance with other ate, county or local regulatory or building requirements, r nor shall it act to certify that the subject system will operate in compliance with applicable state, county and local regulations adopted pursuant to Article 10, Title 25, CRS 1973, as amended, except for the purposes of establishing final approval of an i Installed system for issuance of a local occupancy permit pursuant to C 1 111 (2). Original-Applicant;Copy-WCHD �,� WCHD—EHS February, 1981 . . • HSP10E,"•' APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM NO. G-6'70:2 WELD COUNTY HEALTH DEPARTMENT NEW APPLICATION ENVIRONMENTAL HEALTH SERVICES 1 51 6 HOSPITAL ROAD, GREELEY, CO 80631 353--0635 EXT.2225 OWNER BEARSON, MICHAL S. ADDRESS 10501 WCR 25-1/2 FT. LUPTON PH (303) 857-64r, ADDRESS OF PROPOSED SYSTEM PENDING WCR 16 & WCR 21 CO 80b21 FT LEGAL. DESCRIPTION OF SITE: W LUPTON CO 80621 2 SE4 SEC 27 TWP 2 RNG 67 SUBDIVISION: LOT 0 BLOCK 0 FILING 0 USE TYPE: RESIDENTIAL 2 MOBILE HOMES ON 1 LOT SERVICES: PERSONS 3 BATHROOMS 3.00 LOT SIZE 80.00 ACRES BEDROOMS 6 BASEMENT PLUMBING NO WATER SUPPLY CWCWD APPLICANT ACKNOWLEDGES THAT THE COMPLETENESS OF THIS APPLICATION IS CONDITIONAL UPON FURTHER MANDATORY AND ADDITIONAL_ TESTS AND REPORTS AS MAY BE REQUIRED BY THE WELD COUNTY HEALTH DEPARTMENT" TO BE. MADE AND FURNISHED BY THE APPLICANT OR BY THE WELD COUNTY HEALTH DEPARTMENT FOR PURPOSES OF THE EVALUATION OF THE APPLICATION; AND THE ISSUANCE OF THE PERMIT IS SUBJECT TO SUCH TERMS AND CONDITIONS AS DEEMED NECESSARY TO INSURE COMPLIANCE WITH RULES AND REGULATIONS ADOPTED UNDER ARTICLE • 10, TITLE 25, CRS 1973, AS AMENDED. THE APPLICANT CERTIFIES THAT THE PROPOSED SYSTEM WILL NOT BE LOCATED WITHIN 400 FEET OF A COMMUNITY SEWAGE SYSTEM. THE • JNDERSIGNED HEREBY CERTIFIES THAT ALL STATEMENTS MADE, INFORMATION AND REPORTS SUBMITTED HEREWITH AND REQUIRED TO BE SUBMITTED BY THE APPLICANT ARE, DR WILL BE:, 7EPRESENTED TO BE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND %RE DESIGNED TO BE RELIED ON BY THE WELD COUNTY HEALTH DEPARTMENT IN EVALUATING 'HE SAME FOR PURPOSES OF ISSUING THE PERMIT APPLIED FOR HEREIN. I FURTHER UNDER- :TAND THAT ANY FALSIFICATION OR MISREPRESENTATION MAY RESULT IN THE DENIAL OF THE: IPPLICATION OR REVOCATION OF ANY PERMIT GRANTE:I) BASED UPON SAID APPLICATION AND N LEGAL ACTION FOR PERJURY AS PROVIDED BY LAW. PPLICATICJN FEE $150.00 MICHAL S. BEARSON EC'D BY COFFEY, DIANNE p DATE 10/06/27 OWNER/AGENT SIGNATURE 10/06/87 0 DATE • 871.5£0 [GIPJAL-APPLICANT; COPY-WCHD WCHD-EHS MAY, 1984 991816 • RECENED GWS-18 (April 1987) APR 2 6 'S6 STATE OF COLORADO OFFICE OF THE STATE ENGINEER V1ATERRE•`{UKCC_ DIVISION OF WATER RESOURCES STAIEENt.4,-E? CALP NOTICE OF WELL COMPLETION Well Permit No. 01/ 81562- WELL OWNER-Mailing Address Name _ affeatu/ Bears oW Telephone No. 303- es-7-71:23/Address 74's W c ? /6 cr 2 upten0 Co 2706S/ (Street No. ) (City) (State) (Zip) WELL LOCATION � Alf 1/4 of the 5101/4, Section 9//, Twp. 49/V RniaL27_ pv , PM 2000 ft. from _5ouTI. Sec. Line & a0aj ft. from _jcdest Sec. Line Date of well completion: 0-AA/vary 19 _ Name and Lie. No. of Contractor: CsZo✓erS Vn//(,'t.(9 710r/g (Name) (lic. No.) Additional information filed pursuant to Rule 7A(6) is attached: (Yes/No) (we) claim and say that(P (we) am (are) the owner(s) of the well described above and that the construction of the 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 if filed in accordance with Section 37-90-137(3)(a)(II) C.R.S. 9aa �o�,aan, y a 96 (Signature of Owner) (Date) INSTRUCTIONS This form is required for wells constructed under permits approved pursuant to the provisions of Colorado Revised Statute 37-90-137(4) and must be filed with the Division of Water Resources prior to the expiration of the well permit as required by Statewide Nontributary Ground Water Rule 7A. Type or print neatly in black ink. This form may be reproduced by photocopy or word processing means. (DWR OFFICE USE ONLY) 991816 1313 Sherman Street 8th Floor Denver Colorado 80203 (303) 866-3581 10/94-FORM NO. GVVS-19 STATE OF COLORADO tecENEO OFFICE OF THE STATE ENGINEER DIVISION OF WATER RESOURCES k NOTICE OF COMMENCEMENT OF BENEFICIAL USE "{" ` `- "..S giA5L crei�EF COW WELL PERMIT NO. a '/5-3-6 02 1. WELL OWNER-MAILING ADDRESS: Name a3.Qilee// ea s- e/il Address 174/3 1 C,0 1 t l4 toiv C o L0. Co 6V/ (No. & Street) (City) (State) (Zip) Telephone No. 30 3— S',S'7— 9.3 2 2. WELL LOCATION: �/ / /� ,// NE 1/4oftheSW 1/4, Section 019 ,Twp. /v ,Rng. L� / P.M. C.o O c ft.from the Se91/ti section line and .1-0O0 ft.from the &€S7 section line. Iq 3. DATE OF FIRST BENEFICIAL USE OF GROUND WATER: /9 9, 4. USE OF GROUND WATER • L't/e s rocks '1 Ho Se hie ,0 I (we) claim and say that I (we) am (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 filed in accordance with Section 37-90-137(3)(a)(II) or Section 37-90-108(2)(d), Colorado Revised Statutes. 1-a51-7C (Signature of Well Owner) (Date) INSTRUCTIONS: This form 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 use. Please type or print neatly in black ink. Office of the State Engineer and Colorado Ground Water Commission Division of Water Resources 1313 Sherman Street Room 818 Denver CO 80203 (303)866-3581 991816 ,. .,., rum,' INS FALLATION AND 'f LS1 REPORT GUS•32 11/90 'I STA1 E OF COLORADO, Of :E OF THE STATE ENGINEER RECEIVED I i 1. WELL PERMIT NUMBER 04/5,5'6,„2 F SEP 2 7 1996 2. OWNER NAME(S) ? �a.c1•5 a—r• I� WATER RESOU S - Mailing Address � w e R r V ! ST cENG OLO"EER City, St. Zip Pt Ai Phone (30.3 ) 85y _9 a a� 3. WELL LOCATION AS DRILLED: NI 1/4 54,/ 1/4, Sec. a7 Twp. � /V , Rnncr 6.Zk1 _4:5942 DISTANCES FROM SEC. LINES: bhp ft. from 5or2Yh Sec. line. and r$c)pd ft. from W t~S7 Sec. line. (north or sourn> (oast orNostr SUBfiiVISION: LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: 97x2/3 kJ _ /� 4. PUMP DATA: Type Sr/6 S i6 � Installation Completed c.,a - 17 -9.Si Pump Manufacturer(,07)14__ --- Pump Marini No. Design GPM _2_S _ at RPM___ , HP S Volts a�(1 _, Full Load Amps -- - y- Pump intake_ Depth ,5',3 d Feet, Drop/Column Pipe Size 1///`� Inches, Kind ADDITIONAL INFORMATION FOR PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: ❑ Electric ❑ Engine ❑ Other Design Head feet, Number of Stages , Shaft size inches. 5. OTHER EQUIPMENT: Airline Installed❑Yes❑ No. Orifice Depth ft. . Monitor Tube Installed ❑Yes❑No, Depth ft. Flow Meter Mfg. Meter Serial No. Meter Readout IE Gallons, G'Thousand Gallons, ❑ Acre feet, ❑ Beginning Reading- TEST DATA: I X1 Check box if Test data is submitted on Supplemental Form. Date a-17-9k ' Total Well Depth 6/0 Time _ ?AM — - Static Level _�nS Rate (GPM) 339 Date Measured 1- ,3a — Pumping Lvl. 3o0 7. DISINFECTION: Type A I-A, Amt. Used S /,6 s S, Water Quality analysis available. ❑ Yes 1)(1 No 9. Remarks t0. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge (Pursuant to Section 24-4-104 (13)(a) C.R,S., the making of false statements herein constitutes perjury in the secon degree and is punishable as a class 1 misdemeanor.) CONTRACTOR k_ _ __.c_ _ .5 /N. Phone o,��/�N (�d3) �S�`off // Lic_. r`1o. fvfailing Address - Name/Title (Please type or print) Signature � Date Ira O.i P_ >7? - C'�v`n1 `5 " Jar' 991816 - . • WELL CONS 1 RUC i ION AND !ES I I iEPOR L I Far Office Use ,nry cvs 31 STATE OF COLORADO, -FICE OF THE STATE ENGINEER RECEIVED i I1/;Q H. WELL PERMIT NUMBER , SS1,? Y i SEP 2 7 1996 . 2. OWNER NAME(S) ,„.L?.,e pr?a.SO h wpgERaEsour+�c� Mailing Address cl y3 pvCI 87A • CO1NE�R City, St. Zip At A,of J`o,•, c,A0 Phone (.3c23 ) i;.1---,-..,/,9:3.,.)3 ----- -— 3. WELL LOCATION AS DRILLED_ /Ye 1/4 ,.Tiii 1/4, Sec._„2,-_7 -Twp. a Ae Range ��h) .G /�/8 DISTANCES FROM SEC. LINES: (9000 ft. from So:/Y-R Sec. line, and 0O p ft. from w eS t- Sec line. OR (north or south) -(nest or west) SUBDIVISION: LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: c5,),5/ 5 W C/ J 4. ,2--/-,4,,,00)(0,1 Ce A.o P-0 i•X/ - it. GROUND SURFACE ELEVATION ft. DRILLING METHOD DATE COMPLETED I- a 9(p . TOTAL DEPTH /O„/D ft. DEPTH COMPLETED 'a/p ft. 5. GEOLOGIC LOG: 6. HOLE DIAM. (in.) From (ft) To (ft)Depth Description Description of Materiel (rypn, SRO- Color. Water Location) ____& n G I 0 _n-/O Qp— ;.4 --- - - 0.75 C o a.1J 7. PLAIN CASING ?S--/O26 ,5h�k Q OD (in) Kind Wall Size From(ft) To(ft) Alfa -JT.10 5 44,.(r e 02_ .S)(e1., . )s• o �S A=?.aQS t~u a 14 ass -370 .s,S AI e,,ca.d��- sa , 8_i')' SA.a�< PERF. CASING: Screen Slot Size: >Ioo s.cA Cu/ ,' 'y3 4s Snx, A-'1"" '4 sfes1., 189' 5/65 f10 /b 575 LTA- ...J 4. s 1 cc i. e ,1 — S"QS- On __ �' -� V -` 8. FILTER PACK: 9. PACKER PLACEMENT: Material Type Size — Interval Depth 10. GROUTING RECORD: terjal Amount Density Interval Placement REMARKS: ♦*11Ab,/.3SJ'Acifr „2.EO"4,id Ca •y d 5 ,viYlre ,t7,uP,' 11. DISINFECTION: Type /14-h_ Amt. Used ,S 1,6s 12- WELL TEST DATA: ,:k Check,box if Test Data is submitted on Supplemental Form. TESTING METHOD ,5,,b ,_I,s,ge Static Level ,s 05 _ ft. Date/Time measured /-3 D - 7G `j' 444 , Production Rate .3c.) gprn, Pumping level _3 cv) ft. Date/Time measured 41. - pl_?& ../Pm , Test length (hrs.) 4 . Remarks 13. f have read the statements made herein MO know the contents thereat.and that they are true to my knowledge.(Pursuant to Section 24.4.104 (13)(a)C.R.S..the making of false statements herein consnhrtes perjury in the second degree and is punishable as a class 1 misdemeanor.) CONTRACTOR r,)eve}s ]••114/ti�qy Phone 3v3 ) VS2-03'o '/ Lic. No. 6(78'filingAddress 706rLa,C JPi3/ f�- ft LA)ld",-. Ca- ` o -o { az / Name/Title (Please type or print) Signature Date D hA.h )--r) LY -e . >j. 7 --69-1- .0-' -,S,-/jq,6 991816 Form No: OFFICE OF THE STATE ENGINEER GV:S-25 COLORADO DIVIS .4 OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 698 WELL PERMIT NUMBER 045562 - APPLICANT DIV. 1 CNTY. 62 WD 2 DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION WELD COUNTY NE 1/4 SW 1/4 Section 27 DARRELL BEARSON 9743 WCR 16 Twp 2 N RANGE 67 W 6th P.M. FT LUPTON CO 80621- DISTANCES FROM SECTION LINES (303)857-9323 2000 Ft. from South Section Line 2000 Ft. from West Section Line PERMIT TO CONSTRUCT A WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDMONS 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 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 right from seeking relief in a civil court action. 2) 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. /�� 3) Approved pursuant to CRS 37-90-137(4)and the findings of the State Engineer dated OoY� f '- )3f /q 1 5 4) Production is limited to the Laramie-Fox Hills Aquifer which is located at a depth of approximately 375 feet below land surface and extends to a depth of approximately 645 feet below land surface. Plain casing must be installed and sealed to prevent the withdrawal of ground water from other aquifers and the movement of ground water between aquifers. 5) This well shall be constructed at least 600 feet from any existing well completed in the same aquifer that is not owned by the applicant. 6) This well shall be constructed not more than 200 feet from the location specified on this permit. 7) The maximum pumping rate shall not exceed 30 GPM. 8) The allowed average annual amount of ground water to be withdrawn is 23.4 acre-feet. 9) The entire length of the hole shall be geophysically logged as required by the Statewide Nontributary Ground Water Rules prior to installing casing. 10) A totalizing flow meter must be installed on the 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. 11) The owner shall mark the well in a conspicuous place with well permit numbers(s), name of the aquifer, and court case numbers(s) as appropriate. The owner shall take necessary means and precautions to preserve these markings. 12) Pursuant to CRS 37-90-137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the well owner shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. 13) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. APPROVED DAM h z , �( o0 Receipt No. 0389750 DATE ISSUED OCTs� 6 1995 EXPIRATION DATEOCT 1 6 199 991816 FINDINGS OF THE STATE ENGINEER IN THE MATTER OF AN APPLICATION FOR A PERMIT TO CONSTRUCT A WELL IN WATER DIVISION NO. 1, WELD COUNTY, COLORADO APPLICANT : DARRELL BEARSON AQUIFER: LARAMIE-FOX HILLS PERMIT NO.: 44S56Z " F In compliance with C.R.S. 37-90-137(1) and the Statewide Nontributary Ground Water Rules, Darrell Bearson, 9743 Weld County Road 16, Ft. Lupton, CO 80621, (hereinafter "applicant") submitted an application for a permit to construct a well. Based on information provided by the applicant and records of the Division of Water Resources, the State Engineer finds as follows: 1. The application was received complete by the State Engineer on August 31, 1995. 2. The applicant proposes to construct the well in the NEI/4 of the SW1 of Section 27, Township 2 North, Range 67 West, 6th Principal Meridian. 3. The proposed well is located outside the boundaries of a designated ground water basin. 4. The applicant proposes to apply the water withdrawn from the well to the following beneficial uses: Commercial (Dairy operation). 5. The proposed maximum pumping rate of the well is 30 gallons per minute, and the requested average annual amount of ground water to be withdrawn is 25 acre-feet. 6. The applicant is the owner of the land on which the well will be constructed. 7. The proposed well would withdraw ground water from the Laramie-Fox Hills Aquifer (hereinafter "aquifer"), which, according to the Denver Basin Rules, is located at a depth of approximately 375 feet below land surface and extends to approximately 645 feet below land surface at the location of the proposed well. 8. The location of the proposed well is more than 600 feet from any existing well completed in the aquifer. 9. According to a sworn statement, the applicant owns, or has consent to withdraw ground water underlying 80 acres of land as further described in said statement, which is attached hereto as Exhibit A. 10. Withdrawal of ground water from the aquifer underlying the land claimed by the applicant will not, within one hundred years, deplete the flow of a natural stream at an annual rate greater than one-tenth of one percent of the annual rate of withdrawal and therefore the ground water is nontributary ground water as defined in C.R.S. 37-90-103(10.5). 991816 • , Applicant: Darrell Bears_.i Page 2 Permit Laramie-Fox SS`ZHeF ls Permit No.: 11. In considering whether the requested permit shall be approved the provisions of C.R.S. 37-90-137(4) and the Denver Basin Rules shall apply. Withdrawals shall be allowed on the basis of an aquifer's life of 100 years, C.R.S. 37-90-137(4)(b)(l). 12. The quantity of water in the aquifer, exclusive of artificial recharge, underlying the 80 acres of land described in Exhibit A is 2,340 acre-feet. This determination was based on the following as specified in the Denver Basin Rules: a. The average specific yield of the saturated aquifer materials underlying the land under consideration is 15 percent. b. The average thickness of the saturated aquifer materials underlying the land under consideration is 195 feet. 13. A review of the records in the State Engineer's office has not disclosed that there are any existing wells or other water rights claiming or withdrawing ground water from the aquifer underlying the land claimed by the applicant. Based on the above, the State Engineer finds that there is water available for withdrawal by the proposed well and no material injury to vested water rights would result from the issuance of the requested permit subject to the following conditions: a. The allowed average annual amount of water to be withdrawn from the aquifer by the well shall not exceed 23.4 acre-feet (the quantity of water which is considered available divided by the 100 year aquifer life). b. The well shall be constructed no more than 200 feet from the location specified on the permit application. c. The applicant shall submit geophysical and lithologic logs after the construction of the well. The geophysical logs shall be obtained from the hole before the casings are installed. d. The maximum pumping rate of the well shall not exceed 30 gallons per minute. e. A totalizing flow meter must be installed on the 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. f. Production is limited to the Laramie-Fox Hills Aquifer. The well must be constructed with plain, non-perforated casing properly grouted so as to prevent intermingling of water between aquifers. g. Pursuant to C.R.S. 37-90-137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the applicant shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. 991816 • , Applicant: Darrell Bears _ .i Page 3 Aquifer: Lara ie-Fox Hills Permit No.: yIna er h. The owner shall mark the well in a conspicuous place with appropriate well permit numbers, name of the aquifer, and court case numbers. He shall take necessary means and precautions to preserve these markings. � Dated this j day of Ce�ng$Lo o`t'v- p, 19 / .-. Ted , jib?" Ha D. Simpson State Engineer By: l/ z( C Al Eckermann, P.E. Water Resources Engineer Prepared by: DAM 389750.FDG/Form #0546(o) 991816 • • FCFI'/ED WRJ.5-$ev. 76 C.. ORADO DIVISION OF WATER RESO1 L'ES 818 Centennial Bldg., 1313 Sherman St., Denver,Colorado 80203 AUG 2 1 '95 PERMIT APPLICATION FORM A 'I �h�,T�t2 =eduAGE3 — Application must _ �leEfYFt4? e7��litatt be complete where ( X) A PERMIT TO USE GROUND WATER ��y. �'�"� applicable. Type or ( K) A PERMIT TO CONSTRUCT A WELL MIA 3 1 '95 print in BLACK FOR: ( X) A PERMIT TO INSTALL A PUMP INK.No overstrikes 111,41 (_, or erasures unless ( ) REPLACEMENT FOR NO. +Tr+T'r 1- initialed. ( ) OTHER WATER COURT CASE NO. (1) APPLIC NT - mailing,address ad � FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME [J 2-e do—Q""""' Receipt No. 379756, / `�'l' " \ STREET 99V3 kJc4/w Basin Dist. CITY Y-��++ Lc2 p A- x CO 8010,g/ . (State) (zip) CONDITIONS OF APPROVAL TELEPHONE NO. 30 9- F57 - .93 3 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 �eGD right or preclude another owner of a vested water County right from seeking relief in a civil court action. /V Celt $of the S ' w) 4, Section /a-9 Ste- ZtO Twp. a Al,_ Rng. CD 7 , (9 P.M. =73-M(N,S) (EX _. (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 30 Average annual amount of ground water as" to be appropriated (acre-feet): Number of acres to be irrigated: O Proposed total depth (feet): • 6.5 27 Aquifer ground water is to be obtained from: ink/wile -En gifts Owner's well designation Pal ry u)a(7 GROUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY - no irrigation (0) ( 1 DOMESTIC (1) ( ) INDUSTRIAL (5) (��') LIVESTOCK (2) ( ) IRRIGATION (6) I COMMERCIAL (4) ( ) MUNICIPAL (8) 1 1 OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) PERMIT NUMBER (4) DRILLER /. t DATE ISSUED /�Name ._ v NOIJ€> 5 D )..144; 41 EXPIRATION DATE Street 7.31/I L,CII of of CityAt I Lie TO '71 7A0.4 0 ' (,7(al r . ,STATE E.N., .)�(s um}, _. , a (State) (ZIP) Zi r. a) 343.. BY i1.: OF WATER .;,.r." E Telephone No. ...v. .Lic. No. . I.D. COUNTYI/J2-(/7 (5) THE LOCATION OF THE Ph...POSED WELL and the area on (6) THE vvELL 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. 2+ — 't — ± — ± — _k __ + — — __—i- -i_ -+- OPQ ft. from rm S sec. line (noorm or south) .4 1 MILE,5280 FEET----.),I �`y Q 00 ft. from 14/ sec. line (east or west) ± 4- + + ± ± ± + -1 LOT BLOCK FILING # I I I I -I- — — _i NORTH SECTION LINE — + — SUBDIVISION I I (7) TRACT ON WHICH WELL WILL BE I I I NORTH I I LOCATED Owner: t%n't ilea? illi — T — — T - m + t No. of acres O o . Will this be N 1 0 m the only well on this tract? �/E' 5 FI + -1- y �( I z — -1-- + (8) PROPOSED CASING PROGRAM I y r I Plain Casing f -`" Li* in.from O ft. to el" ft. I I I in. from ft. to ft. T — + - I I , Perforated casing SOUTH SECTION LINE - _ _ L I y a in. from yOD ft. to 6 SO ft. + -}- -I + -I- + -4- L 4- in. from ft. to ft. I I I (9) FOR REPLACEMENT WELLSgivedistance and direction from old well and plans for plugging - ) - + - - + + - � r it: • The scale of the diagram is 2 inches= 1 mile 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 Igpml 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) LANDDON WHICH GROUND WATER WILL B/E/ USED: / Owner(s): v %= 4. t ,, Ailto 7 ®/1p4 .C7'Qa�..a.#2 O-- No. of acres: ! ed Legal description: E 3 SiA—, See` O / TAA7 4'S 7G1, a�es/6rn (11) DETAILED DESCRIPT N of the use o»g round water: Household use and domestic wells must indicate type of disposal system to be used. '. 1 ._ C./ (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 AfONe— (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FO TH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. 9 tar SIGNATURE OF APPLICANTS) 991816 Use additional sheets of paper if more space is required. rxtos/r A (plc I ) - - GWS1(Rev.April 1987) Or-s I .,.., STATE OF COLORADO OFFICE OF THE STATE ENGINEER �31 '95 DIVISION OF WATER RESOURCES tear.:R , erArSCOLO,NEB NONTRIBUTARY GROUND WATER LANDOWNERSHIP STATEMENT I (We) Sa Ere 4z Se-et "/ (Name) claim and say that I (we) am (are) the owner(s) of the following described property consisting of 9'© acres in the County ofg L. p , State of Colorado: (INSERT PROPERTY LEGAL DESCRIPTION) 5 s4 sec 02 7 7-,24/ /r' � `pill l /O41 and, that the ground water sought to be withdrawn from the IfRF3nnie co X' /fir(/5' aquifer underlying the above-described land has not been conveyed or reserved to another, nor has consent been given to its withdrawal by another. Further, I (we) claim and say that I (we) have read the statements made herein; know the contents hereof; and that the same are true to my (our) own knowledge. Da.rr`ct4 z . ,9eaysoew Bradley nurre // l3earsor , .7 95 JJ (Signature) (Date) NE.rU4 &gRQSOfl i lrte a ee. rron g (Signature) (Date) INSTRUCTIONS: - Please type or print neatly in black ink. This form may be reproduced by photocopy or word processing means. See additional instructions on back. 991816 1313 SHERMAN ST RM 818 DENVER CO 80203 (3031866-3581 . [ XH a8/ TN STATE OF COLORADO N 73 •73 OFFICE OF THE STATE ENGINEEIF RePat-�F^ 818 Centennial Bldg., 1313 Sherman St,Denver,Colorado 80203 ,Q/n •td (303) 866-3581 . 32 vs , Ala4 NONTRIBUTARY LANDOWNERSHIP OR CONSENT VERIFICATION OF NOTI 810417 I (We) �cweeC �dr� (Name of.Well Permit Applicant) claim and say that I (we) have given notice pursuant to CRS 37-90-137(4)(b.5) of the application for a well permit by registered or certified mail, return receipt requested, no less than ten days prior to ;Halting of the application for the permit,'to every record owner of the overlying land.and to.every. person who has a lien or mortgage upon, or a deed of trust to, the overlying land recorded in the county in which the overlying land is located. The names of the persons given notice are listed below: e,e2 Agee / ' oc2r'ers of 7Xes a,/v Further, I (we) claim and say that I (we) have read the statements made herein; know the contents hereof; and that the same are true to my (our) own knowledge. 9arI eL I. Lie rco / a? . a2�r - [3r nd IP Farrell 8ear<nn (Sign e) • (Date) /1le�rx, cei c:�O /1 (Signature) (Date) INSTRUCTIONS PLEASE TYPE OR PRINT NEATLY IN BLACK INIC THIS FORM MAY BE REPRODUCED BY PHOTOCOPY OR WORD PRO(FSSING MEANS. SEE ADDITIONAL INSTRUCTIONS ON BACK. 991616 . DARRELL BEARSON RECEIPT NO. 389750 AQUIFER DEPTH LOCATION: NE1/4 OF SW1/4 OF SEC. 27, T.2N. , R.67W. (2000 SSL, 2000 WSL) Ground Elevation: 5005 Number of Acres: 80 ELEVATION DEPTH TO ANNUAL NET APPROP STATUS AQUIFER BOT. TOP SAND BOT. -TOP A-F UPPER DAWSON ---- - --- - --_ LOWER DAWSON ---- ---- • ____ DENVER ---- ---- ____ UPPER ARAPAHOE ---- ---- ____ ____ -'-- ---- --- LOWER ARAPAHOE ---- ---- ____ ____ ____ _--- --- LARAMIE-FOX HILLS 4362 4631 189 .8 643 374 22 .77 NT note: E indicates location is at aquifer boundary and values may be more approximate. SATURATED THICKNESS ANNUAL APPROPRIATION FOR A 80 ACRE TRACT LOCATED: SEC. TWP RNG ACRES 27 2N 67 80 NON-TRIBUTARY NOT NON-TRIBUTARY TOTAL AVERAGE ANNUAL AVERAGE ANNUAL ANNUAL AQUIFER ACRES SAT. APPROP ACRES SAT. APPROP APPROP UPPER DAWSON LOWER DAWSON DENVER UPPER ARAPAHOE LOWER ARAPAHOE LARAMIE-FOX HILLS 80.0 193.6 23 .2 23 .2 Ig5X �'DX . IS - () 3q c2 3, g PEAK 991816 GY.'.S-18• (April 1987) STATE OF COLORADO 'R ��y OFFICE OF THE STATE ENGINEER ECEIVED DIVISION OF WATER RESOURCES APR 1 8 1989 NOTICE OF WELL COMPLETION WhTii Well Permit No. d?y yy. -F WELL OWNER-Mailing Address Name /MCA a ! Sc arse) ✓ Telephone No. 815-Z-Z` 3.23 Address 9%9,3 toC Q te CoL0 5?c9 ./ (Street No. ) (City) (State) (Zip) WELL LOCATION //_N1./4 of the 51_1/4, Section 21 , Twp. c _21/ Rng.L7 1.4) , 1(2 PM a9LU ft. from 5ovT)f Sec. Line & ;227/ed ft. from _fc,ST Sec. Line Date of well completion: / 2 — / 9 , 19 b`7 - Name and Lic. No. of Contractor: LL O `717 C-7≥, °ilk .8%22 rf (Name) (lic. No. ) • Additional information filed pursuant to Rule 7A(6) is attached: (Yes/No) g(we) claim and say that (we) ® (are) the owner(s) of the well described above and that the construction of the 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 if filed in accordance with Section 37-90-137(3) (a) (II) C.R.S. 771 e Q P� �wza.� '/- /2- (Signature of Owner) (Date) INSTRUCTIONS This form is required for wells constructed under permits approved pursuant to the provisions of Colorado Revised Statute 37-90-137(4) and must be filed with the Division of Water Resources prior to the expiration of the well permit as required by Statewide Nontributary Ground Water Rule 7A. Type or print neatly in black ink. This form may be reproduced by photocopy or word processing means. (DWR OFFICE USE ONLY) 991816 1313 Sherman Street 8th Floor Det',er Colorado 80203 (303) 866-3581 GWS-19. (April 1987) 7.sEel416)* ,\ 181:2F9 STATE OF COLORADO OFFICE OF THE STATE ENGINEER DIVISION OF WATER RESOURCES '3 NOTICE OF COMMENCEMENT OF BENEFICIAL USE aft Well Permit No. 3 V9 7*F WELL OWNER-Mailing Address Name /41i/CA Q L Be a. r on/ Telephone No. 337- 93,13 Address 971/3 LOC /9 /(o Fr/o?tO/V COL4 frO6.2/ (Street No. ) (City) • (State) (Zip) P WELL LOCATION /Vw1/4 of the S±1/4, Section �7, Twp. � /V , Rng. /o 2 z PM p440O ft. from _SOvr4 Sec. Line & 01960 ft. from FecST Sec. Line Date of first beneficial use of ground water: /1 ,2 — /O 19 8'? Use f the ground water S e Ta NIBS s JPcpck ,'et L,`clesrOck I (we) claim and say that I (we) am (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, occured on the date indicated; and that 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. /7-89 (Signature of Owner) (Date) INSTRUCTIONS This form is required for wells approved under permits issued pursuant to the provisions of Colorado Revised Statute 37-90-137(4) and must be filed with the Division of Water Resources within 30 days after the first commencement of use. Type or print neatly in black ink. This form may be reproduced by photocopy or word processing means. (DWR OFFICE USE ONLY) • • • • 99/816 1313 Sherman Street 8th Floor Denver Colorado 80203 (303) 866-3581 ,JR_,6:. 7 a €-AbE RECEIVED G_-_ORADO DIVISION OF WATER RESG..riCES TF:IS FORM MUST BE SUBMITTED 1313 Sherman Street - Room 818 F`B 0 5 1022 WI THIJ 60 DAYS OF COMPLETION Denver, Colorado 80203 E ' THE WORK DESCRIBED HERE- WATER RESOURCES i.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION/ REPORT SAW-ENGINEER - PERMIT NUMBER 3-3-2-511=r 3tHqt./ F COED. WELL OWNER Mirhal S RParsnn NW '/. of the SF Y. of Sec. 77 , ADDRESS 10501 WCR # 25 1/2 2 N R 67 W 6th. T P.M. Ft. Lupton, C.U. 50b21 DATE COMPLETED 12-10 , 19 R7 HOLE DIAMETER WELL LOG 8 3/4 in. from 0 to 620 ft. Water From To Type and Color of Material Loc. — in. from to ft. 0 14 Brown sandy clay in. from to ft. 14 90 Brown clay DRILLING METHOD Rotary 90 264 Blue shale CASING RECORD: Plain Casing 264 403 Blue shale/thin layers of coa] 6 5/8" steel 0 435 403 435 Blue shale 435 Size & kind from to ft. 435 610 Fox Hills sands 610 610 620 Blue shale Size & kind from to ft. Size & kind from to ft. Perforated Casing Size 6 5/8"& kind to steel from 435 620 ft. Size & kind from to ft. Size _ & kind from to ft. GROUTING RECORD Cement Material 00-435 Intervals �((/��1j1 �V l t!11 ®� Pa n cementing e t Method ap G .. PH 1 SI V� L GRAVEL PACK: S Size at 435' I f % 44-. Interval , v �_ TEST DATA 12-10 87 Date Tested , 19 Static Water Level Prior to Test .2P6 ft. Type of Test Pump Air Length of Test 3 hrs. Sustained Yield (Metered) 40 GPM TOTAL DEPTH 620' Use additional pages necessary to complete log. Final Pumping Water Level Jet from 600' • p0 Eu ii>coc - C,co Pl-lj=(E.it. LOS It Gcc, O • 991816 PUMP INSTALLATION REPO^T ;7i.-y :4a . . • Pump Make a .. .' Lne .. ' w \ ` Powered by HP e. , Pump Serial No. i, w a WATER Motor Serial No. • .‘-' w w TABLE •: w Date Installeo I- u .p w Pump Intake Depth L. -- rt 3 - Remarks {'. _ - -_ r. n o - . CL * / N i w Yd — WELL TEST DATA WITH PERMANENT PUMP a • o I- Date Tested a F CONE OF I- a i DEPRESSION Static Water Level Prior to Test _ o o - Length of Test Hours • S..,tained yield (Metered) GPM ^F :e' Pumping Water Level Lt, Remarks V . I. CONTRACTORS STATEMENT l - • The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that the same is true of his own knowledge. Signature ..e a7 License No. 827 State of Colorado, County of ,TPffprcnn SS • Subscribed and sworn to betore me this ___5th day of FPh_ , 19 88 My Commission e p4L1k1\ 2f. Feb. I , 19 90 Notary Public Aur\ 991816 FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer.PINK COPY is for the Owner and YELLOW COPY is for the Griller. WJR-ze-n t' ' CLAP.) ��jj �n i CuLORADO DIVISION OF WATER RESOURCES`E`EIVW THIS FORM MUST BE SUBMITTED 1313 Sherman Street - Room 818 JAN 3 1 198g WiTHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 CF Th.'; WORK DESCRIBED HERE- - ON.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPOR t 47Cs 4K. PERMIT NUMBER 0-12-517"=F� 349W-rm. E.Cl." OW WELL OWNER 11) LeActL 5. 6ean.4on NW '4 of the 56 ''/< of Sec. 27 , ADDRESS 10501 WCR 251 FL Lapt3562C/o. T 2 N R 67 W 6th PM DATE COMPLETED Decembert /0. /987 , 19 HOLE DIAMETER WELL LOG in. from to ft. Water From To Type and Color of Material Loc. — in. from to ft. in. from to ft. DRILLING METHOD CASING RECORD: Plain Casing Size _ & kind from to ft. Size & kind _ from to ft. Size & kind from to ft. Perforated Casing Size & kind from to ft. Size & kind from to ft. Size _ & kind from to ft. GROUTING RECORD Material Intervals Placement Method GRAVEL PACK: Size Interval TEST DATA Date Tested , 19 Static Water Level Prior to Test ft. Type of Test Pump Length of Test Sustained Yield (Metered) TOTAL DEPTH 620 ' Use additional pages necessary to complete log. Final Pumping Water Level 991816 r',,,v•' I N3 TALLATION REPORT _ , a Pump Make gacuz L " . Type Su�men2l� (e t• s^ `' �� •, , . owered by Pieri n LcL₹u HP 5 r• A Pump Serial No. 9AUG85 W .-.j .aa WATER Motor Serial No. R-86 w TABLE > U> Date Installer) ///8/88 r �J cc N W Pump Intake Depth 509 ' —_-- a Remarks - t� L` Z O ' fl 0 -N. a i w WELL TEST DATA WITH PERMANENT PUMP a — _( Date Tested 1/18/88 z CONE OF Static Water Level Prior to Test 283 ' o w DEPRESSION;" 0 Length of Test Two(2) Hours N stained yield (Metered) /5 _ GPM 0r :e' Pumping Water Level 465 ' ' , Remarks Y_ ti CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that the same is true of his own knowledge. r Signature � � ,d License No. 7/5 • State of Colorado, County of Welc SS Subscribed and sworn to betore me this _2 day of f arzuaity , 19 89 My Commission expires: Novemben. 2 19 92 Notary Pub rya rt �J_� 991816 FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer.PINK COPY is for the Owner and YELLOW COPY is for the Driiler. _ . „ ...rd....r i;ilia: WR!-s.Rev. 76 COL ;ADO DIVISION OF WATER RESOUR 3 iiL ,.,;, 6 ,,1 )939 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 1YPr7ER a:Sa17CES PERMIT APPLICATION FORM ZVI•Din;META --. Application must Mtn Se complete where ,..:2,; r`_ i O( ) A PERMIT TO USE GROUND WATER ' applicable. Type or i '1" ( 1A PERMIT TO CONSTRUCT A WELL print in BLACK ,:,FOR: ( ) A PERMIT TO INSTALL A PUMP 0:5—C3••••89 INK.No overstrikes • U S `•.:):b or erasures unless ( I REPLACEMENT FOR NO. � " •0 initialed. 'LATER 1,69y;FC.'tS ( ) OTHER edPP�icaT/or4 fO? EXPr'k2s av:a.lf Ferri;9at9.4 S n'te WATER COURT CASE NO0DIA . L (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO"-NOT WRITE IN=THIS COLUMN NAME /c/7t/et L S, eeet r-5- A/ Receipt No. 9 !S I Lt /�i ,,,,1;.. STREET / // "y-7 C4' / i / Basin _ Dist. CITY fr L UP /r/ Ca' tr,(o a/ (State) (zip) CONDITIONS OF APPROVAL TELEPHONE NO. -26 3 -- 's 7— 6 `/6e. 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 l.,--/e L !> right from seeking relief in a civil court action. 4/W '4 of the S E 7a, Section/" a- 7 1 APPROVED FOR AN EXISTING WELL CONSTRUCTED Twp. /✓ Rng.-_(P_/ yr [� TO ERRWELL37E PERMIT 32591-F FINDINGSII POFSU ET p, P.M. ) AND w.5) (e.w) STATE ENGINEER DATED 3/28/89. (3) WATER USE AND WELL DATA 2) THE MAXIMUM PUMPING RATE OF THE WELL SHALL • NOT EXCEED 15 GALLONS PER MINUTE. 3) THE ALLOWED AVERAGE ANNUAL AMOUNT OF WATER �5 TO BE WITHDRAWN BY THIS WELL IS 22.3 ACRE-FEET. Proposed maximum pumping rate (gpm) 4) GROUND WATER PRODUCTION FROM THIS WELL SHALL BE LIMITED TO ME LARAMIE-FOX HILLS AQUIFER. Average annual amount of ground water 5) THE WELL SHALL BE CONSTRUCTED NO MORE THAN to be appropriated (acre-feet): 200 FEET FROM THE LOCATION SPECIFIED HEREON. 6) A TOTALIZING FLOW METER MUST BE INSTALLED. Number of acres to be irrigated: / #O21/C. (NOTE:FINDINGS) .ON-CONSSTRUCTI NON CONDITIONS IN Proposed total depth (feet): 6 J-(! Aquifer ground water is to be obtained from: 4 Ara evi i e. Co u /1,'//_s Owner's well designation GROUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY - no irrigation (0) l ) DOMESTIC (1) ( ) INDUSTRIAL (5) (,X) LIVESTOCK (2) ( 1 IRRIGATION (6) IX) COMMERCIAL (4) ( 1 MUNICIPAL (81 I 1 OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) 0349'74 — 'F PERMIT NUMBERAPR 121989 . (4) DRILLER DATE ISSUED Ca L I o /9 To H4/ f ,, 1', '.c). ,.,-1,;.1_,,: 'ame EXPIRATI N DATE ,(,(�� - - ; Street 1�0 /A/d,t?/I�A --.—••-/� I`/` /- A. Gri City Go/cleN 1O�{O3 E E (GINN{EEER) /�� (State) �(zlpl \ � ". �. + Telephone No. 22/a3-51 Y Lic. No. p/1 /J _BY Q ��'' �Yv��Y�l?.`D. v"L (5) THE LOCATION OF THE F iPOSED WELL and the area on (6) THL .ELL 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. '»+iG -SOU7X + _.-_ — - — ..� — -I-- _I-- _.-- - -- -f.._ -- -1 �Qt7 ft. from zno south) sec. line A--- 1 MILE,5280 FEET —�lI ft. from ,�.' /c'FcZST a �� sec. line (east or west) + + + + +- I T LOT G' BLOCK G RILING # I NORTH SECTION LINE SUBDIVISION C' — — 1 I + — (7) TRACT ON WHICH WELL WILL BE I I LOCATED ,Cl1 al S, gee/Is-0 NORTH � Owner: iF z _y No. of acres_ �4 . Will this be -i ? S es O m the only well on this ifact.:w X a I (8) PROPOSED • CASING PROGRAM to r I Plain Casing rn - _ Z + f ^ -� ' ' m I ?6 in. from 0 ft. to 4-S ft. I I in.from _ft. to ft. _ + _ I f I _ -7_ — .L. Perforated casing I SOUTH SECTION LINEI I J I in.from 171-36-- ft. to '''- C7 ft. --i- - -I- -J-- 4- 4- -4- in. from ft. to :t. I II I I (9) FOR REPLACEMENT WELLS givedistance I and direction from old well and plans for plugging — _1_ — +- ----- -t .L.— + +._. --_ 4_ — .+ — -r it: The scale of the diagram is 2 inches= 1 mile 7/5 ere ct e e Al C G1%/nrr Each small square represents 40 acres. /Ls 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): 44 i C a% 4 -C-' 3 e a.r_so Al No. of acres: 45)67 5E 4 sec -2 7 t V i, '//� 6�4 p M Legal description: /+ uJ y (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Va.r/Q/ I/ 'c 5TOGfk wa reri'nW 3 .5 ��T1 / ti1k / a- AvJ LF et-ch /,'r.- G.e_D1 O iir,S1Y. er rr... ,(-w el,1ylci 6;e NerJ,L 2f( ; c e r)..S' [-0 AI '7" psi-,.ri')' (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 4/0 /1/ /1/c'e A/a We_ (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. 1Y';',/-C/-7i;C(2_-- ,-' /--c'..-C4 SIGNATURE OF APPLICANT(S) 991816 Use additional sheets of paper if more space is reouired. FINDINGS OF THE STATE ENGINEER IN THE MATTER OF AN APPLICATION FOR A PERMIT TO CONSTRUCT A WELL IN WATER DIVISION NO. 1, WELD COUNTY, COLORADO APPLICANT : MICHAL S. BEARSON AQUIFER : LARAMIE-FOX HILLS PERMIT NO. : coq' -F r In compliance with C.R.S. 37-90-137(1) and the Statewide Nontributary Ground Water Rules, Michal S. Bearson, 9743 WCR 16, Fort Lupton, Colorado, (hereinafter "applicant") submitted an application for a permit to construct a well . Based on information provided by the applicant and records of the Division of Water Resources, the State Engineer finds as follows: 1 . The application was received complete by the State Engineer on March 20, 1989. 2. The applicant proposes to withdraw water from a well originally con- structed under expired well permit No. 32591-F. The well is located in the NW1/4 of the SE1/4 of Section 27, Township 2 North, Range 67 West, 6th Principal Meridian. 3. The well is located outside the boundaries of a designated ground water basin. 4. The applicant proposes to apply the water withdrawn from the well to the following beneficial uses: livestock, commercial . 5. The proposed maximum pumping rate of the well is 15 gallons per minute, and the requested average annual amount of ground water to be withdrawn is 24 acre-feet. 6. The applicant is the owner of the land on which the well will be con- structed. 7. The well would withdraw ground water from the Laramie-Fox Hills Aquifer (hereinafter "aquifer") . 8. The location of the well is more than 600 feet from any existing well completed in the aquifer. 9. According to a sworn statement, the applicant owns, or has consent to withdraw ground water underlying 80 acres of land as further described in said statement, which is attached hereto as Exhibit A. 10. Withdrawal of ground water from the aquifer underlying the land claimed by the applicant will not, within one hundred years, deplete the flow of a natural stream at an annual rate greater than one-tenth of one percent of the annual rate of withdrawal and therefore the ground water is nontributary ground water as defined in C.R.S. 37-90-103(10.5) . 991816 Applicant: Michal S. Bearson Page 2 Aquifer: Laramie-Fox Hills Permit No. : 3`f-Q'74 —F 11 . In considering whether the requested permit shall be approved the provi- sions of C.R.S. 37-90-137(4) and the Denver Basin Rules shall apply. Withdrawals shall be allowed on the basis of an aquifer's life of 100 years, C.R.S. 37-90-137(4) (b) (I) . 12. The quantity of water in the aquifer, exclusive of artificial recharge, underlying the 80 acres of land described in Exhibit A is 2232 acre-feet. This determination was based on the following as specified in the Denver Basin Rules: a. The average specific yield of the saturated aquifer materials under- lying the land under consideration is 15 percent. b. The average thickness of the saturated aquifer materials underlying the land under consideration is 186 feet. 13. A review of the records in the State Engineer's office has not disclosed that there are any existing wells or other water rights claiming or with- drawing ground water from the aquifer underlying the land claimed by the applicant. Based on the above, the State Engineer finds that there is water avail - able for withdrawal by the proposed well and no material injury to vested water rights would result from the issuance of the requested permit subject to the following conditions: a. The allowed average annual amount of water to be withdrawn from the aquifer by the well shall not exceed 22.3 acre-feet (the quantity of water which is considered available divided by the 100 year aquifer life) . b. The well shall be constructed no more than 200 feet from the location specified on the permit application. c. The maximum pumping rate of the well shall not exceed 15 gallons per minute. d. A totalizing flow meter must be installed on the 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. e. Production is limited to the Laramie-Fox Hills Aquifer. f. Pursuant to C.R.S. 37-90-137(9) (b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the applicant shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. 991816 Applicant: Michal S. Bearson Page 3 Aquifer: Laramie-Fox Hills Permit No. : CS4q '14 -E g. The owner shall mark the well in a conspicuous place with appropriate well permit numbers, name of the aquifer, and court case numbers. He shall take necessary means and precautions to preserve these markings. ,mcDated this '�� of , 19 ! 7 eris A. Danielson State '4ngineer >e _� Steve Lautenschlager Water Resources Engineer Ground Water Section Prepared by: RAC 1360I/Form #0546(o) 991816 APPLICANT: MICHAL S. BEARSON PERMIT NO. : 34 --1=' EXHIBIT A • PAGE 1 OF 1 GWS-1 (Rev. April 1987) TYL nib STATE OF COLORADO d7i. .2a OFFICE OF THE STATE ENGINEER ana DIVISION OF WATER RESOURCES W' E"r NONTRIBUTARY GROUND WATER LANDOWNERSHIP STATEMENT I (We) MIicAaL S LiearscN (Name) claim and say that I& (we) (are) the owner(s) of the following described property consisting of _OIL acres in the County of we 4.0 State of Colorado: (INSERT PROPERTY E� Pm N� �ih.>.:.�. ?nvi uRi. LEGAL DESCRIPTION)Iv.v, 96,1 pe RE s at rife SEy Sec 27 r 41 'V) i? 4 7 W ,. P and, that the ground water sought to be withdrawn from the /ahetM,R? Fox W,w-s aquifer underlying the above-described land has not been conveyed or reserved to another, nor has consent been given to its withdrawal by another. Further, I (we) claim and say that I (we) have read the statements made herein; know the contents hereof; and that the same are true to my (our) own knowledge. me: .ref— - - 17 (Signature) (Date) (Signature) (Date) INSTRUCTIONS Please type or print neatly in black ink. This form may be reproduced by photocopy or work processing means. See additional instructions on back. 1313 Sherman Street 8th Floor Denver Colorado 80203 (303) 866-3581 -- __ 991816 IAA (• -e...,' (A-4)C ‹._, `1 i .I 1 - r. -- . • • ' LOCATION: NW1/4 OF SE:]./4 OF SEC. , , • ..... I _<-_I�I_ , R.6714. (<_4C}C} SSL, 2400 ESL) Ground Elevation : 5040 Number o f Acres: 20 ELEVATION DEPTH TO ANNUAL -------------------- NET --------------- APPROP 3..I..A)-I. AQUIFER L30T. TOP SAND ROT- TOP A--F= UPPER DAWSON ------- ----- ---- ------ ---- ---- -__.-- LOWER DAWSON ------ ---- ---- -------- ---- ----•-- DENVER ---- ---- ---- ---- ---- ---- --- UPPER ____- UPPER ARAPAHOE .--.---- -- --- ---- ---- .___.-.._- LOWER ARAPAHOE -----__- ----.-_--._ ---- ---- LARAMIE--FOX HILLS 4360 4_r._I2 106 6,00 412 22.303 NT note: E indicates location is at aquifer boundary and values may be more approximate. want to do another (Y/N)? • • 991816 MEMORANDUM TO: George Van Slyke FROM: Rich Cooper DATE: 3 •. -CD• Bet SUBJECT: Applicant: L.A(CHkL. S . Well Permit No: 3ZSa L- /Owners Well No:: t Location: 1‘314.) 1/4 a( _1/4 Sec Z-)_, Twp 2 N , Rng C,T7 (A-) 2.Lt 00 feet from ;> & feet from Attached are geophysical logs for the subject well. Please provide the data indicated below. Acuifer Depth to Too Depth to Base Sat. Thick. Y37' 7Nc) 14S zo-C) SST COM_m_ENTS: BY. _ =.TE: Y/5/1j 991816 LAKAMIL - t- UAt-1ILLJ CD wig 20 21 22 ,Jew u c*,J dr4J "6 -1 et, 1 7 Pc ) NFL O � � �1 3x591-F 0.pu[0 B5 29 28 27 S. 4 55"0 4 3 3 5 6B 630 OEARSON • N ► W 32 33 34 T 2N T IN • CF COto Esti 4' • -ROY ROMER � �� p JERIS A. DANIELSON Governor State Engineer * 167G OFFICE OF THE STATE ENGINEER DIVISION OF WATER RESOURCES 1313 Sherman Street-Room 818 Denver, Colorado 80203 (303) 866-3581 March 14, 1989 Michal S. Bearson 9743 WCR 16 Fort Lupton, Co. 80621 RE: Well Permit Application For An Existing Well, Expired Permit No. 32591-F, Receipt No. 97770 Dear Mr. Bearson: Please amend the legal description in the attached Landownership Statement to describe your entire 80 acre land area. I assume this area is the W1/2 of the SE1/4 of Section 27 as described in your original Landownership Statement for expired permit No. 32591-F. I am also returning your well permit application. In the application for expired permit No. 32591-F you noted in item #3 and #11 that the ground water from the well would be used for commercial use in a dairy operation along with livestock use. You may wish to indicate the same proposed uses in the new application. Please return the amended statement and application to this office. inc ely Richard Cooper Engineering Technician Ground Water Section 991816 2 3•Nl :vr.,•s•. �;. ;� C DRADO DIVISION OF WATER RESOI ;ES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 RECEIVED PERMIT APPLICATION FORM Application must be complete where ( X) A PERMIT TO USE GROUND WATER applicable. Type or n rT f 5 `•'987 ( x} A PERMIT TO CONSTRUCT A WELL 10-L"e-'_q�' 17l.9 print in BLACK n.2.72 FOR: { X) A PERMIT TO INSTALL A PUMP '.:_�__-F•_ 60,C0 INK.INK.No overstrikes or erasures unless WATER RE9 JRC ;J';�jr,q n�•�, STAB MIKES ( ) REPLACEMENT FOR NO. TM. -' initialed. ( ) OTHERCOM 60,��- WATER COURT CASE NO. (1) APPLICANT - mailing address FOR OFFICE USE ONLY:,DO NOT'WRITE FIN THIS COLUMN NAME Michel S . Bearson Receipt N ��fj�0 T �/ STREET 10501 W. C .R. 251/2 N�OTc:-F"vK i., i tt...1-Itil i t r O��'v1AT10N SEE CITY Fort Lupton Colorado 80621 (State) (zip) CONDITIONS OF APPROVAL TELEPHONE NO. 303-857-6468 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 Weld right from seeking relief in a civil court action. NW % of the SE ''h, Section 27 1) APPROVED PURSUANT TO C.R.S. 37-90-137(4) AND THE FINDINGS OF THE STATE ENGINEER DATED Twp. 2 N, Rng. 67 W 6th p.m. 10/15/87. iN.$) IE.W) ' 2) THE ALLOWED AVERAGE ANNUAL AMOUNT OF WATER (3) WATER USE AND WELL DATA TO THEWMAXIMUMNPUMPINGSRATELOFSTHE.WELLRSHALIE,T. NOT EXCEED 15 GALLONS PER MINUTE. 4Proposed maximum pumping rate (gpm) 15 BE LIMITED WTOER THEROLARAMIEFOXN OM HILLSS WELL AQUIFERHALL WHICH IS LOCATED 412 FEET BELOW LAND SURFACE Average annual amount of ground water 24 AND EXTENDS MUSTCASTNGF 680 PLAIN BE INSTALLEDANDSEALED TO PREVENT to be appropriated (acre-feet): THE WITHDRAWAL OF GROUND WATER FROM OTHER Number of acres to be irrigated: none AQUIFERS AND THE MOVEMENT OF GROUND WATER BETWEEN AQUIFERS. 5 THE WELL SHALL BE CONSTRUCTED NO MORE THAN Proposed total depth (feet): 700 ' 200 FEET FROM THE LOCATION SPECIFIED HEREON. 6/ Aquifer ground water is to be obtained from: BE GEOPHYSICALLY LOGGED ACCORDING ENTIRE LENGTH OF THE LTOE S THE LLATTACHED /�S v7 sand stone / �, INSTRUCTIONS. y! /.g4 ,a7)e - P /�77� is 7) A TOTALIZING FLOW METER MUST BE INSTALLED. (NOTE: NON-CONSTRUCTION CONDITIONS IN Owner's well designation FINDINGS). R.qC Ip,ia.g 7 GROUND WATER TO BE USED FOR: ' ) HOUSEHOLD USE ONLY . no irrigation (0) EXPrDOMESTIC (1) ( ) INDUSTRIAL (5) « (X ) LIVESTOCK (2) 1 1 IRRIGATION (6) � ^� ` (X ) COMMERCIAL (4) ( ) MUNICIPAL (8) f( �J ( ) OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) 032591-F (4) DRILLER PERMIT NUMBER Te� DATE ISSUED �G"� +� 1987 co Name EXPIRATION DATE R & R Well & Pump , Inc . OCT 2 2 1388eiikillluf iv Street P • O. Box 5 7 7 iV ferJ City Greeley Colorado 80632 ST zi T �`��{ E EN INEFR1 (State) (Zip) .-N.\ryzcttmLryN_, Telephone No. 3 0 3-3 5 3-3 1 AA. No. 857 B /- I,D. - -' __ COUNTY �- (5) THE LOCATION OF THE Pi,...)POSED WELL and the area on (6) THE WELL MUST BE LOCATED•8ELfOW 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. + — H.__ _ ± . 4 _4_ _ + _ .+ + — 2400 ft _from South sec. line (north or south) I 4A-----L 1 MILE,5280 FEET---_�I 2 4 0 0 E a s t I ft, from sec. line- I + + + fi -� + (east or west) 1 T LOT 0 BLOCK 0 FILING # 0 -I_ _ -1 _ NORTH SECTION LINE I SUBDIVISION 0 I — + — - I I (7) TRACT ON WHICH WELL WILL BE NORTH _ 1 LOCATED Michal S . Bearson -rjz_ — T , _m -I Owner: z I y + No.of acres R() Will this be I O m the only well on this tract? y e s o cn w (8) PROPOSED CASING PROGRAM w —1— z Plain Casing I 6 in.from +1 ft. to 200 ft. I + + I _in. from ft. to ft. SOUTH SECTION LINE `4 Perforated casing I I 5 7 /8 oReffbm 200 ft. to 450 ft. + + T -I- -I-- 4- in. from ft. to t. I I I (9) FOR REPLACEMENT WELLS give distance _1... — - _ _ _ + _ _ + ' + __ 4__ and direction from old well and plans for plugging rt it: - The scale of the diagram is 2 inches= 1 mile There are no other wells 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): Michal S . Bearson 80 1.5181 Lu No. of acres: x'15 Legal description: - 4SE1, SE..c . 27 , T2N , R67W, 6PM (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Septic Sytem & Leach field- Water to be used for dairy operation and livestock use and general office use at dairy . (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 none none none (13) THE APPLICANTr(S)i: STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE' BAST Og:HIS KNOWLEDGE. ,7-jetz•-e 7 SIGNATURE OF APPLICANTS) s. ¶E' �`' 991816 Use additional sheets of paper if more snare is rpniiiro-t • FINDINGS OF THE STATE ENGINEER IN THE MATTER OF AN APPLICATION FOR A PERMIT TO CONSTRUCT A WELL IN, WATER DIVISION NO. 1 , WELD COUNTY, COLORADO APPLICANT : MICHAL S. BEARSON AQUIFER LARAMIE-FOX HILLS PERMIT NO. : 034531- F In compliance with C.R.S. 37-90-137( 1 ) and the Statewide Nontributary Ground Water Rules, Michal S. Bearson, 10501 W.C.R. 25-1/2, Fort Lupton, Colorado 80621 , (hereinafter "applicant") submitted an application for a permit to construct a well . Based on information provided by the applicant and records of the Division of Water Resources, the State Engineer finds as follows: 1 . The application was received complete by the State Engineer on October 5, 1987. 2. The applicant proposes to construct the well in the NW 1/4 of the SE 1/4 of Section 27, Township 2 North, Range 67 West, 6th Principal Meridian. 3. The proposed well is located outside the boundaries of a designated ground water basin. 4. The applicant proposes to apply the water withdrawn from the well to the following beneficial uses: Commercial , livestock. 5. The proposed maximum pumping rate of the well is 15 gallons per minute, and the requested average annual amount of ground water to be withdrawn is 24 acre-feet. 6. The applicant is the owner of the land on which the well will be constructed. 7. The proposed well would withdraw ground water from the Laramie- Fox Hills Aquifer (hereinafter "aquifer") , which, according to the Denver Basin Rules, is located 412 feet to 680 feet below land surface at the location of the proposed well . 8. The location of the proposed well is more than 600 feet from any existing well completed in the aquifer. 9. According to a sworn statement, the applicant owns, or has consent to withdraw ground water underlying 80 acres of land as further described in said statement, which is attached hereto as Exhibit A. 991816 Applicant : Michal S. Bearson Page 2 Aquifer : Laramie-_.fo Hills Permit No. : UJ� �. -F 10. Withdrawal of ground water from the aquifer underlying the land claimed by the applicant will not, within one hundred years, deplete the flow of a natural stream at an annual rate greater than one-tenth of one percent of the annual rate of withdrawal and therefore the ground water is nontributary ground water as defined in C.R.S. 37-90-103( 10.5) . 11 . In considering whether the requested permit shall be approved the provisions of C.R.S. 37-90-137(4) and the Denver Basin Rules shall apply. Withdrawals shall be allowed on the basis of an aquifer' s life of 100 years, C.R.S. 37-90-137(4) (b) ( I) . 12. The quantity of water in the aquifer, exclusive of artificial recharge, underlying the 80 acres of land described in Exhibit A is 2232 acre-feet. This determination was based on the following as specified in the Denver Basin Rules: a. The average specific yield of the saturated aquifer materials underlying the land under consideration is 15 percent. b. The average thickness of the saturated aquifer materials underlying the land under consideration is 186 feet. 13. A review of the records in the State Engineer' s office has not disclosed that there are any existing wells or other water rights claiming or withdrawing ground water from the aquifer underlying the land claimed by the applicant. Based on the above, the State Engineer finds that there is water available for withdrawal by the proposed well and no material injury to vested water rights would result from the issuance of the requested permit subject to the following conditions: a. The allowed average annual amount of water to be withdrawn from the aquifer by the well shall not exceed 22.3 acre-feet (the quantity of water which is considered available divided by 100 year aquifer life) . b. The well shall be constructed no more than 200 feet from the location specified on the permit application. c. The applicant shall submit geophysical and lithologic logs after the construction of the well . The geophysical logs shall be obtained from the hole before the casings are installed. d. The maximum pumping rate of the well shall not exceed 15 gallons per minute. 991816 Applicant : Michal S. Bearson Page 3 Aquifer : Laramie- oANills Permit No. : ii F e. A totalizing flow meter must be installed on the 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. f. Production is limited to the Laramie-Fox Hills aquifer. The well must be constructed with plain, non-perforated casing properly grouted so as to prevent intermingling of water between aquifers. g. Pursuant to C.R.S. 37-90-137(9) (b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the applicant shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. h. The owner shall mark the well in a conspicuous place with appropriate well permit numbers, name of the aquifer, and court case numbers. He shall take necessary means and precautions to preserve these markings. Dated this '54-h day of (7:)C-Lo6.?.t' , 1987. Je Danielson State Engineer By: (ti Steve Lautenschlager Water Resources Engineer Ground Water Section Prepared by: RAC 1296I/Form #0546(o) 991816 AP; _!;CAN :ITCH"' S. B`-AijSGy, PERMIT NO. JJ4SJa.-f EXHIBIT A PAGE 1 OF 1 „CENED GWS-1 (Rev. April 1987 f�,�,`, 0CT n51q 7 STATE OF COLORADO OFFICE OF THE STATE ENGINEER WATER RESOORC".S DIVISION OF WATER RESOURCES sfASE•EnGINEEE Coto. �� NNONTRRIBUTARY GROUND WATER LANDOWNERSHIP STATEMENT J_' I (We) __ 2C49L S S rsb,11 (Name) claim and say that I Ewe-) am (as.e) the owner(s) of the To:lowing. described $property consisting of 7__ acres in the County of __/42 State of Colorado: pp (INSERT PROPERTY LEGAL DESCRIPTION) u.i )/2_ SEA el: a 'c 27 7z4 if k7L 6-P b and, that the ground water sought to be withdrawn from theA+s}tP_7d([Ills aquifer underlying the above-described land has not been conveyed or reserved to another, nor has consent been given to its withdrawal by another. Further, I (we) claim and say that I (wt) have read the statements made herein; know the contents hereof; and that the same are true to my (atm) own knowledge. n1/4-4 atea_tar-a-I-cArrni in (Signature) ( aD' te) (Signature) (Date) INSTRUCTIONS Please type or print neatly in black ink. This form may be reproduced by photocopy or work processing means. See additional instructions on back. 991816 1313 Sherman Street 8th Floor Denver Colorado 80203 (303) 866-3581 L_0CA"ETON: NWI/4 OF `..)F:;1./4 Of SEC_ 2/ , T.2N. , R.67W. (2400 SS1 , 2400 fS1 ) Ground Elevation: 5040 Number of Acres: GO ELEVATION DEPTH TO ANNUAL -- ---------- --- NET - -------------- APPROP STA T LJ'. AQUIFER BOY. 'TOP SAND BOT. TOP A_.-E- UPPER DAWSON ---- ---- ---- -____._ LOWER DAWSON --- - ---- -_---.. ---- DENVER ---- _-_-_-__ --- --_..-_...._ ---- __--._ UPPER ARAPAHOE ---- ---- ---- ---- ---- _ --- 1 OWER ARAPAHOE ----- _._---_ ----_.__.__-_._ ---- _.__.__--.. L_ARAMIE--FOX HILLS 4360 4628 .186 680 412 22.303 NT note: E indicates location is at aquifer boundary and values may be more approximate. want to do another (Y/N)? 991816 919":66 z z • 2 !-* H 0 d r ) mrLI � . ‘Z rTr 2`� rn k.IZ N � mj° `" 2 131-G° N 2 2 N a in 2 OF COO /Afw -INKA ;4 R9O TROY R.OMER JERIS A. DANIELSON L.) O State Engineer Governor /876 OFFICE OF THE STATE ENGINEER DIVISION OF WATER RESOURCES 1313 Sherman Street-Room 818 Denver, Colorado 80203 (303) 866-3581 Michal S. Bearson 10501 W.C.R. 25 1/2 Fort Lupton, Co. 80621 RE: Well Permit No. 32591-F Dear Mr. Bearson: Please be advised that well permit No. 32591-F expired on October 22, 1988. The well permit holder failed to file notice of well completion as required by Section 37-90-137(3) (a) (II), C.R.S. (1986 Supp) and the Statewide Nontributary Ground Water Rules (2CCR402-7) prior to the expiration date of the well permit. Since the well has been constructed, it is necessary for the owner of the well to maintain a valid well permit. Failure to obtain a new permit could result in orders to plug and abandon the well. An application form and Landownership Statement form are enclosed for your convenience. A $60. filing fee should accompany the application. The conditions of approval on the expired well permit No. 32591—F required that the well be geophysically logged prior to the installation of the well casing. A review of our records indicates that the required geophysical log has not yet been received by this office. Please obtain a copy of the log and submit it with the new permit application. If you have any questions concerning this matter, please contact Rich Cooper of this office. Sincerely, \\ r� ,1\— Steve Lautenschlager Water Resources Engineer Ground Water Section SPL/RAC Enclosures 991816 ORDER OF THE STATE ENGINEER IN THE MATTER OF WELL PERMIT NO. 32591-F LOCATION: NW1/4, SE1/4, SECTION 27, TOWNSHIP 2N, RANGE 67W APPLICANT: MICHAL S. BEARSON THE STATE ENGINEER FINDS: The well permit was issued pursuant to Section 37-90-137(4) , C.R.S. (1986 Supp) on October 22, 1987 and had an expiration date of October 22, 1988. The applicant failed to file notice of well completion as required by Section 37-90-137(3) (a) (II) , C.R.S. (1986 Supp) and the Statewide Nontributary Ground Water Rules (2CCR402-7) prior to the expiration date of the well permit. The well permit is hereby expired and n is of no further force or effect. Dated this _ day of TZbK7VJ0.`(' 1/41i , 19 _EL. Jeris . Da ielson State Engin er Steve Lautenschlager Water Resource Engineer Ground Water Section Prepared by: RC cc: Division 1 Applicant 0596I/Form #0838(G) 991816 Hello