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Home My WebLink About20000552 wayzy_r.i P(C.11G1 V C.Li MAY 0 7 1982 -. • COLORADO DIVISION OF WATER RESOURCES WATER RESOURCES TYPE OR 818 Centennial Bldg., 1313 Sherman St.• BATE ENGINEER PRINT IN BLACK INK. COPY OF ACCEPTED Denver, Colorado 80203 COLO. (T AT EME NT MAILED REQUEST. STATE OF COLORADO AFFIDAVIT COUNTY OF SS. • • STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD X LATE REGISTRATION n /� PERMIT NUMBER I2SM3I LOCATION OF WELL !HE AFFIANT(S) CHI,r)51bPNEie A44 County WCLO whose mailing / W2.7 p I J�E /V to 6 address is /1822 Wi"Lb Rh 4-9 t 1160 ./. of rlso /3 60 v., Section, 6 City _IACUSO/J �� g0674Z TWP. g Al Rng _6 417 6 P M farNLl in el (N OR Si is OR wi being duly sworn upon oath, deposes and says that he (they) is (are) the owner(s) of the well described hereon, the well is located as described above, at distances of 84o feet from the '4 section line and 2 2 O feet from the Iwo.t,.o. souT•r (~) section line; water from this well was first applied to a beneficial use for the purpose(s) described herein on the /ST I(N♦ o. wt),i day of QTAcu.oy , 19./_1-; the•maximum sustained pumping rate of the well is 40 gallons per minute, the pumping GDR rnte claimed hereby ise•'*O gallons per minute; the total depth'of the well is aS feet; the average annual amount of water to be diverted is 4 .0.P. acre-feet; for which claim is hereby made for .DDNESTI C purpose(s); the legal description of the land on which the water from this well is used is Lo o� 13E/4-13E/4- AA.).D Alt ,U -0/4 OF A)()/4 Se T200 /e 6,4a3 of which , V.41:08 owes are irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his (their) knowledge. (COMPLET REVERSE SIDE OF THIS FORM) Signature(s) 7 .., F .� 02(00 90 Subscribed_an4,sworn FOR OFFICE USE ONLY to before_me 9,0:0 6 day of .7.-9‘;'-'1-7 , 19 ,f-2- . , - --l`.. J� "�� Cozen Cow No 'My CommTssign e•xpi4s: - _..el I/, /7,r5 - .. ' _��1 = - P,ior. Mo. Day NOTARY PLISLIC ACCEPTED.Fb l- G BY THE STATE ENGINEER OF COLORADO PURSUANF?•0;THE FOLLOWING CONDITIONS: se __— i. well Use ACCEPTED•PURSUANT TO C.R.S. 1973, 37-92.602, (1) (b), FOR DOMESTIC PURPOSES AND THE IRRIGATION OF NOT D"' — Bo"a Man 'ER ONE ACRHOF HOME GARDENS AND VWNS. +•2• r......_,E ...........1A- - o-B. Q 'ettArtai!" AM 2 0 1982 l/�/�IIFSiSt ►ant DATE STATE ENGINEER BY r �� — 2000-0552 wra.'sR.--v. 7a Cr ORADO DIVISION OF WATER RESOI'nCES( 818 G ennial Bldg., 1313 Sherman St., Denver,Colo, .) 80th3 1 PERMIT APPLICATION FORM RECEIVED Application must I MAY 0 7 1982 be complete where ( ) A PERMIT TO USE GROUND WATER ; applicable. Type or ( I A PERMIT TO CONSTRUCT A WELL • 1RKTER RESOURCES print in BLACK FOR: ( 1 A PERMIT TO INSTALL A PUMP STATE ENGINEER INK.No overstrikes CEO , or erasures unless (REPLACEMENT FOR NO. initialed. ( ) OTHER ' • WATER COURT CASE NO. --6/0—€.--c.- (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME CitJRfSSb�L/�7P, •TERR.• c AP - E -- Receipt No. 026090 / STREET /18a2 WELA An. 4.9 Basin Dist. CITY fMDeni CO80642 mo CONDITIONS OF APPROVAL TELEPHONE NO. .536 -4717 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 0JE/ 1) right from seeking relief in a civil court act( n. �U GO /. of the � APPROVED AS A REPLACEMENT OF WELL NO.�7-S4 31 , IS), I) COGO /%','Section THE COSTING WELT:MUST BE PLUGGED AND ABANDONED Twp. 2 lSJ, Rng. $4 w, 6 P.M. ACCORDING TO THE REVISED AND AMENDED RULES AND ft s, I E.m REGULATIONS FOR WATER WELL ANj PUMP INSTALLATION (3) WATER USE AND WELL DATA CONTRACTORS. THE ENCLOSED AFFIDAVIT MUST BE SUBMITTED WITHIN SDCIY (60) DAYS AFTER THE ,f CONSTRU�C11ONN OF THE NEW WELL,AFFIRMING THAT Proposed maximum pumping rate(gpm) 40 - was NO. 125'12 I WAS PLUGGED AND ABANDONED: Average annual amount of ground water ACCEPTED PURSUANT TO C.R.S. 1973, 27-92.602, (1) (b), to be appropriated (acre-feet): C e,O2 FOR DOMESTIC PURPOSES AND THE IRRIGATION OF N( Number of acres to be irrigated: 24/000 SF. QVER ONE ACRE•OF HOME GARDENS AND LAWNS. Proposed total depth (feet): el s) Aquifer ground water is to be obtained from: 130% e-WE,e Owner's well designation GROUND WATER TO BE USED FOR: v - ( ) HOUSEHOLD USE ONLY- no irrigation (0) (I-(DOMESTIC (1) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) ( 1 COMMERCIAL (4) ( I MUNICIPAL (8) 1 1 OTHER (9) APPLICATION APPROVED DETAIL THE USE ON BACK IN (11) 2CA PERMIT NUMBER -125431 -A (4) DRILLER DATE ISSUED MAY 201982 Name O LO V E/2 .S .DIeI LC/ /j cc- EX ION/DATE Y 20 19 4 Street 72 Co / GO E LA RD i a/ JJ C City FT. LuPTo,3 CO Ass (ST TE ENGI ER) (Slaw te ral BY e d/f• Telephone No. g$7-20 4/ Lic. No. S03 j 698 / a ^� I.D. I rOl COUNTY �L (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL ,. .1ST BE LOCATED BELr)W which the water will be used must ' ..*ndicated on the diagram below- by dir :es from section lines. Use the CENTER SECTION (1 secti. 640 acres) for the well location. + — 71" — ± + — -I-- -- -)- — — + -- + 2-Q ft. from (north or southI sec:.itne I i t 1 MILE,5280 FEET I -2Z0 ft. from A) sec. line (east or west) f -4- . + ' . + ± + LOT BLOCK FILING u i •+ - 4 _ I NORTH SECTION LINE — + SUBDIVISION WC�A ��jl — + (7) TRACT ON WHICH WELL WILL BE NGRTH I LOCATED Owner: Lt:. T. F. RC—ES' z — T — — — RI a + ± No. of acres 4 7 Will this be J N I I o z l m the only well on,this tract?`,. lug t r'.. 4 + U • -I-- 1 wI 5 — + (8) PROPOSED CASING PROGRAM I- r I Plain Casing + + 3 — — — — m + - B in.from O ft.to 1O ft.I I I I in.from ft.to ft. + — + SOUTH SECTION LINE — -- — H- Perforated casing . I s'5 _in.from /O ft.to 6O ft. 4 , , ± . • 1 + -4- 4 4 -I- in. from ft. to ft.1.'11.I ,1'11 11,. •.i I I. I t (9) FOR REPLACEMENT WELLSgivedistance I and direction from old well and plans for plugging .1... —' Iq_' — 'I— — T' + — f — 4_ — + — _k it: The scale of the diagram is 2 inches= 1 mile D(.LE I3ORTH 400 FT, FIR, 0Lh Each small square represents 40 acres. WELL.— OLD W Er-1 'To 8 E WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot-covers 1 acre of lend 1 foot deep g ii 1 ED W /TH COtiCJcETE Oti 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. SCA trA tZ' LE OTHER- Ad.,tTER/At 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): a N kJSTOtPHE2 ,4DO 7 ER'11'y ,C- ,e&ES No of acres: '4-9 Legal description: GI.) R 201 OE 14- Aico/4 ,n- e tOA /4 fiat,* SG T2N A64_10 6 P.1-4, (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. PR) P IRkiG,aT/a1J of rPEcS no f) DRrP /Ra(r:-arivtCi wHF,cE swr&D 'coz orrt2R- Cg "s , AlVESTOCX . A8O(4T 24, 000 s- F. !S THE AREA SO Lf9ATaRED. (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 WE.Lt- boME:,TIC SAafE h5 Aaa ✓ (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. _r GNAT OF PLICANTISI Use additional sheets of paper if more space is required. (5) THE LOCATION OF THE PROPOSED WELL and the area on (b) I fit VVtLL ,. .i I tlt LULA i to tstLUvv which the water will be used must ' 'ndicated on the diagram below. by dir :es from section lines. Use the CENTER SECTION (1 sectiL _ 640 acres) for the well location. 42.0 ft. from N sec.l+ne __ — + '-- ± — .+ — _-�.-. - + -- --i- -- 4- (north yth or south) I T444- 1 MILE,5280 FEET---}l ( 2.2.0 ft.from (east or west) sec. line ` T T . ' + + + + + ! LOT BLOCK FILING # •+ — -4- _ i NORTH SECTION LINE — + — SUBDIVISION I 14)EL.).- /// ‘/I--jl I I (7) TRACT ON WHICH WELL WILL BE LOCATED Owner: G- I1 T F 1?2-E ' NORTH 1 z — + — _ + T RI y a I 1 —i + + No.of acres 4 7 Will this be I I m the oily Well or)-this tract? A3Q w 5 (8) PROPOSED CASING PROGRAM to z I y 1 I r_ I Plain Casing "� w —_ Z -Hm S in.from O ft. to 10 ft. 1 I I I in.from ft. to ft. - r — . }. Perforated casing — -{- SOUTH SECTION LINE — �� I • I I P _in. from /Q ft. to 60 ft. -{- . H- . H + 4 + --I- + + in.from ft. to . ft. ,l I Il , riIL I I . '. 'I.' (9) FOR REPLACEMENT WELLS givedistance and direction from old welt and plans for plugging .i.- — u-• — ± — -}- - + - -t- -- + -- +- — + it: The scale of the diagram is 2 inches= 1 mile D(-LE /OORTI-I 400 F7' FR, ocr) Each small square represents 40 acres. Gc)ELL— C-L-. WE-4-4_ To 8 E WATER EOUIVALEMTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep P1 L1 (D t !TH CO0C)C-KETE D/e., 1 cubic foot per second(cfsl .. .449 gallons per minute Igpm) A family of 5 will require approximately 1 acre-foot of water per year. jl t I T4$LE DTt1ER- M,,,,i-Etc I AL 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): e N 1215T1P L DE ,4/.)E T E121 y �. i& No.of acres: -n / Legal description: (A) 2.20 / OE /4- �UW14 Rll�(J IC 40/4 44 k)'&)/4 S (2 T /J R‘,,4 1.0 6 P.A4• (11) 0fTAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. DPP .ZRRIG,¢T/ol.1 OF TFeC3 /top DRIP 1RR1&.4Ti0ti A..)/tE,-E S. u rE1 fr--07t, arrtE/2-- CRoPa , L/VCTTOC.X . 4130(41- 24,000S. F_ rs THE AREA SO LOA TXRED. (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 lAJ E1.G- t)O M E`;T/C S hi a S A I.3c_✓ (13) THE APPLICANTS) 'STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. Gie-- 7-- -.4 _'7,-< -- '-- . A47.111A-- . . . : - - -7,-,.-- NAT OF PLICANT(S) Use additional sheets of paper if more space is required. _giber 15, 1999 K Thao Loan Approval Request No.: 99-062 Page 2 TOTAL COLIFORM PRESENT/E. COLI ABSENT: In accordance with the microbiological standards of the Colorado Primary Drinking Water Regulations and the Standard Methods for drinking water and Wastewater,the presence of any coliform bacteria renders the water potentially unsatisfactory and unsafe. A chlorination procedure may be recommended in additon to follow up test up test (see enclosed instruction sheet). The tank lid must be replaced with a concrete lid. l' I Y)1( �i Ill' `V\ 3NA-1 Date Specialist / / illillieWELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE, GREELEY, CO 80631 COLORADO PHONE (970) 304-6415 FAX (970) 304-6411 SEPTIC LOAN APPROVAL • Closing Date : 9/8/1999 Request No : 99-062 New Loan : Y Date Received: 09/08/1999 Re-Financed : N '0 WHOM IT MAY CONCERN: review and inspection report regarding water and the sewage disposal system 'or an existing dwelling: SEND TO: Rick Thao Realtor Phone : • 10314 Woburnkeep Apt 202 Owner Phone (H) : (303) 252-8329 • Thornton, Colorado 80229 Owner Phone (W) : • INFORMATION: Address : 11822 WCR 49 . HUDSON CO 80642 Legal : 8363 NW4NW4 EXC W40' ALSO W220' Sec/Twn/Range : 64 Subdivision/Legal : Property Owner: Rees , Christopher & Terry Tank Pumped On: 09/13/1999 By: A-1 Septic Service Licensed: Y 'Er"IT ON RECORD: Permit No : G19889114 SOE (Y/N) : Y Year Installed: 1988 iginal Owner: REES CHRISTOPHER & TERRY Bath: 1 Bed: 3 Acres : 45 . 00 Date of Final Insp : 11/03/1988 Water Supply - Public : N Utility Name : Private : Y Cistern: N Well : Y Permit Number : Tank Capacity: 1250 gallons Field Size : 1200 square feet INSPECTION FINDINGS : Date of Inspection: 9/9/1999 Soil Conditions - Dry: xx . Saturated: Snow-covered: Residence - Occupied: xx Vacant : Sewage Disposal System - Satisfactory: Other: See comments Bacteriological Water Test - Acceptable : xx Other: . :OMMENTS : See page two of two for comments. �)ate : l )(V1 Signature : 14��1�1u' �A%� Environmental Protection Specialist either the County of Weld, nor any of its agents or employees undertake or assume any liability to the owner of the above property, o any purchaser of the above property or to any lending agency making a loan on the above property in connection with either its xamination of the property or in the report. . his inspection was conducted solely for the purpose of detecting health hazards observable at the time of inspection, and, does not or ute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested ur>..y periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. ater sample reports reflect the bacteriological quality of the water supply at the time the sample was taken. Evaluations based on tatements of Existing (SOE) relies on information the property owner provides, under oath, indicating current status of the system nd representing to the best of his/her knowledge the system is not failing to function properly. Hello