HomeMy WebLinkAbout952582.tiff In Z00'd Z99T 'ON RC 9Z:CT 96/8T/80
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COLORADO DIVISION OF WATER RESOURCt{it NOV i
MILS.Amy. �8 ag5p_ C�.1 _
- BIB CentennialBlda.,7s,S Slfsrmall Se,Denver,Colorado �a
DEC —2 1985 at
APPLICATION FORM
Applioatiou must RIMER
be complete where ( PIA PERMIT TO USE GROUND WATER WEE-ENBI
applicable. Type or 4 ji A PERMIT TO CONSTRUCT A WELL (
print in BLACK FOR: ( A A PERMIT TO INSTALL A PUMP. r
INK-No owratriges
or erasures unless / 1 REPLACEMENT FOR NO. --
initialed. ( )OTHER -
WATER COURT CASE NO.
(1)APPLICANT-maiilingaddress FOR OFFICE USE ONLY: 00 NOT WRITE IN THIS COL
NAME Steven L. Sherman Receipt No. (p0 3
STREET 2570 1lathaws Ave Basin Dist- -
CITY Pt. Lupton. C� 80621 QONOtT(ONSOFAPPROVAL
EC,9 ado
TELEPHONE NO. 659-7240 This well shall be used in such a way as to cads
no material injury to existing water rights. Th-
(2) LOCATION OF PROPp WELL issuance of the permit does not assure the applican
that no injury will occur to another vested watt
right or preclude another owner of a vested watt
County Weld right from seeking relief in a civil court action.
AAA idefthe Anil . ye,Section 13 1) APPROVED PURSUANT TO CRS 37-92602(3)(!
+ UNDER THE FOLLOWING CONDITIONS-
Two. 1 N ,ring. 66 JL, 6th P,M, 2) PLAIN (NONPERFORATED) CASING MUST BE TI
"•s' MK, STALLED FROM GROUND SURFACE DOWN TO A MIN:
(3) WATER USE AND WELL DATA , DEPTH OF CoS FEET AND PROPERLY SEALED '
PREVENT DIVE-'k UN OF WATER ABOVE THIS DEP'
0 Proposed maximum pumping rata(gpm) l s TEE DEPTH OF THE WELL SHALL NOT EXCEED 2
FEET. WHICH CORRESPONDS TO THE BASE OF l)fl
Average annual amount of ground water l UPPELIZ, A iZAPAHCa AQUIFER.
to be aowocriated (acnrfeetl: „...T _ 3) THE USE OF GROUNDWATER FROM THIS WELL
Number of ants to be Irrigated: - 0 - LIMITED TO ORDINARY HOUSEHOLD PURPOSES IN
ONE SINGLE FAMILY DWELLING, THE WATERING
Proposed total depth(feet): 300 DOMESTIC ANIMALS. AND THE IRRIGATION OF N
MORE THAN IC) SQUARE FEET OF HON
Aqulir ground waxer itoto be obtained from:
s ii$ GARDENS MD LA
topAlg410,6 104PailkedilV. yeafielMErialPiallarrr 4 THE ANNUAL AMOUNT OF GROUNDWATER TO BE
APPROPRIATED BY THIS WELL SHALL NOT EXCEE
Owner's well designation s•$�•S ACRE...FEET t .. 2' I Weic)
GROUND WATER TO SE USED FOR; ivtslCahl COF
( I HOUSEHOLD USE ONLY-no irrigation 10) (NOTE: TO INSURE A XIMUM PRODUCTIVE LIF
I x) DOMESTIC(t) I I INDUSTRIAL(S) THIS WELL. PERFORATED CASING SHOULD BE SE
t ) LIVESTOCK (21 1 1 IRRIGATION(6) THROUGH THE ENTIRE PRODUCING INTERVAL OF
( 1 COMMERCIAL(41 1 )MUNICIPAL($) APPROVED ZONE OR AQUIFER INDICATED ABOVE)
( I OTHER 19) APPLICATION APPROVED
DETAIL THE USE ON SACK IN(111 142434
PERMIT NUMBER DEC �Q
(4) DRILLER�A DATE ISSUED DEC 3 1 985
N�,g ,v`� %sang Ca ' EXPIRATION PATE CA"
ow 1967 -
Hastings /a" G. A
Street
W11s�IM1ltit�a W � )
City t,2'
(UM5 1
Telephone No 41x9-Slo9'7 Lie.No. gain _p
1.0, ? COUNTY
•
~ ii ii + 952582
20'd01 JINNI 1NaollddUNa IHd WULid 6e:21
Ill E(li 'd Z99I '0N XH SZ:ET 86/81/80
20'd 1H101
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(S).THE'LOCATION OF THE PROPOSED WEI.,L end the area on cm THE WELL NOW BE LOCATED DELON
wil winch the vaster l be used must be indicated on the diagram below. by distances irbmSac Sweats inn.
Use the CENTER SECTION (1 section. 640 aerie)for the wish leaniort.
-E; 1- .— + — -f•-• — I-— -f- — ± — + — + 3�n ft from nwtb ter n r-itu l irx tin
I 44 1 MILL Siac FEET----la! I 1941n ► C
ft.from 1 .-S sec.lint
west or .et
t . + + + t + t + 1 1 . LOT 7 _RL0CK 2 FILING •
I I I I
-I- — -1- — ' NOR noNsale — + — + St1BOtV+&14N country Tseat��
`V+ i (7)TRACT ON WHICH WELL WILL RE
i I I LOCATED Owner .At i cant-
fNORTN+ i - r. - -- + -- + t No.of acres 10 .Will this be
IT' I ~ I
0 the only well on this tract? Ye*
- 1- • 47d — +' (a)PROPOSED CASING PROGRAM
5I- II ' Pain Casing .
+ f 6 5 8 in.from _ 0 n.to.....a.—.-0 _—n.
1 I
I 41/4 in.hom_, IQ..—,item 200 n.
4- -- -I- - _ -I- -^ -+ Performed casing
I I - I I 44 in.from 200 n.to 390 ft
+ + -- + + -I- —I- 4- + in.from N.to h.
I I (S) FOR REPLACEMENT WELL4givsdistence
and direction from old wan and Plans fete Plugging
+ - -1,- — + -- + — ± — + - -I- - 4- - -I- it:
The scars of the Diagram is 2 inches a 1 mile N I A
-
Each Small Squint represent 40 acme,
• WATER EQUIVALENTS TABLE (Rounded figural
An WO-100Z Waft 1 age of led 1 Met Osaa
illi I cubic bet tw.swami refs%...Me pMWws per a n ne leom
A family of 5 win require approweeteIY 1 acrefoot or—w per Yee.
1 sonuloot...43.500 cubic bas__-326.900 eseos .
LOGO rpm pumped continuously fr one der attunes 4A3 seMN1.
(10) LAND ON WHJDH GROUND WATERJWLL RE USED; - '
Owner(s). anal icant No.et acres: 10
Legal description; sate as above and rsunrn. Ai4a
(11) DETAILED DESCRIPTION of the use of ground water Household use and domestic wells must Indicate type of diepoiei
system to be used_
Domestic use (materials lawn%
Sentie`].each field
•
(12) OTHFR WATER RIGHTS used on this land, including went Give Registration and Water Court Case Numbers.
TYPO or right Used for(purpose) °ascription of land on which used
none
(13) THE APPLICANT(S) STATE(S) .THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
SIGMA rime OP APYLrCAN>'M! -
Use additional sheets of paper if Mere space is required.
352582
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