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Home My WebLink About20042764 aaaebbiZZ3 ^1-613 P 02/03 F-493 - � l Fogn.Na... OFFICE OF THE STATE ENGINEER svas.25 COLORADO DIVISION OF WATER RESOURCES 318 Centennial blog..1$13 ShemMn 61.,Denver.edema a0203 (203)846 36.81 �] 403 WELL PERMIT NUMBER 938 .35- /7- - .•.apltCANT, DIV. t WD2 DES.BASIN MD APPROVED WELL LOCATION WELL)COUNTY WEGGY L MARTIN SE 1/4 SE 114 Section 1$ Township 1 N Range 67 W Sixth P.M. 1437 WCR rP 9 FT LL•PTON,CO 60e2[- 215 Ft. CES FROM SECTION LINER Ft.from South Section Line 125 Ft from East Section Lyle (303)659-0424 t ITM COORDINATES flERMIT TO CONSTRUCT A WELL Northing: Easring: ISSUANCE OF THIS PERMT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well snail be used in such a*ay as to cause no material tangy to existing water rights_ The issuance of this permit aeas ROE assure(ha applicant:hat op ropey will occur to another vested water dent or preclude anoints owner cf a vested !I water-q;hr from sassing relief in a civil court action. 2) The construction of this well snell be in compliance with the Water Well Can&tn:cIon Attlee 2 CCR 432-2.unless approval of variance h5a been granted by the State Deere of Examiners of Water Well Conetructon and Pump instalalion Ccnaactrs in accardance with Rule 18. 3) Apployed pursuant se CRS 37-92-602(31(c)for the relocation of an exweng well.permit no.93835. The old well must be pbgliea in accordance with Rule 16 of the Water Well Construction Rules within ninety(90)days of completion at the new well. the aneelosad Well Abandonment Report farm must ne completed aria submitted m affirm tat he old well was Plugged 4) The use of ground water from this well Is(utited to lire protection,ordinary ttousebola purposes insldo not more than 2 singe farni,r dwelling(s),the irrigation of not more than 10,000 square feet of tome gardens and awna,end the watering of domestic animals. f ! Poet:char,ham s well m S) (and 210 c baba(the round restricted t urface. Painn c rie Laramie Fox Hills • ceasing shall se installed and grouted to pre veto pro action froth other zones. + j 5) Toe maxunum pumping rata ai t!tis web shalt not exceed 15 GPM. • ?) This well shall be constructed not more than 200 feet tram the loeadon specified on this permit. •• 8) The depth to ms top of the Laramie-Fox Hide aquifer is approximate. To ensure me exctuslon of peer quality wafer from Sales inn ied,atety abovb the aquifer,plain easing and grout sat(extend through the lowermost Mel angler carbonaceous shale that oeed,es the Laramie send pardon of Me aquifer. NOTE;The ablity of chic well to wlirdraw as authorized amount of wager from this non-renewable aquifer may be less than Ire 130 years upon whim the amount of water in the aquifer is allocated,due to anticipated water level declines. NOTE!To ensure a maximum productive life of this wog,perforated rasing should be set!hmugh the antra prow.Csng interval of the approved zone or aquifer Indicated above_ T) y APPROVED 21 0 e • JLV Sate engineer ` 0 22 2 Receipt No.0485112 DATE ISSUED el TION DATE 1.••••, 2004-2764 05-06-04 11:42AV FROM-DIVISION OF WAy+ .RESOURCES 3038662223 -•"!-6'3 P 03/03 F-493• • r Fora I•STATE CF COLORADO Y—� For Office Use Only -"^'_ `- 1 Ne, r 1 OFFICE OF THE STATE ENGINEER rNr-�/ _ (�/ :' GWS-I+ 618 Centennial ald 1313 Sherman St.,Denver,co 80L03 -x c2{' 1 i 1 06/% 1303)86&3581 Fax(303)666-3589 �• II CHANGE IN OWNERSHIP/ADDRESS I CORRECTION OF THE WELL LOCATION RECEIVED i Insert the Well Permit Number q 3 2 3 5—A- MAR $ 12002 Name.address and Onone of the person daimon owner$hlp of the wee: sr►reee e cat ,,�..,�^�r j j! NAME(£)�rl�lrdi. deflrir9P.,r�-a..,�` e4•YJ_ 'v "'Y If your well bus am absolute.watrraght,decreed i I Mailing Address 3,2-ii //Aid /W 15? a by the coact and the well is aor tsgiateued with the 1J /�� State Sttgtcecr,effiat the WaterCourt Cue I City,St Zip R. C 4%AvlG,-.L- L-9 Ov,::- _,/ Number/Civil Actioo Ntuaber sad twU awabcr _ — — asdccrecd - I Phone (303 1 6 5 7-5G+$"9' j This form is filed by the named indieiduatlentity claiming that they are the owner of the well permitted as referenced above. I This Ring is made pursuant to C.R.S.37-90.143. _ I WELL LOCATION: Countyr 1041x.1-- Owner's Well Designation_ _ _ 30 (Address) (City 1 (State) flip) �r I `?��L4_of thd�E.1/_4.Sec.. /,�,7wp.� -t,�.N.or�S..-Range ��-Q E.-{or{��J W.,{-�i':M. Distance from Section Lines �'(I5 Ft. From Q N.or,S., Lac Ft.From t�4 E.or t.._t W.Line. . Su. Name • Lot ,Block .Filing/Unit i The above Doted owner(s)say(s)th t h ,she(they)own the well a= -s •=d herein. The existing record is being I amended for the following reasons: AChange in name of owner a Change in mailing address. O Correction of location for exempt wells permitted prior to May 8,1972 and non-exempt welts permitted after May 17, 1985. Please sea the reverse side for further information regarding correction of the well fapatlon- I(we)Claim andsay that I(we)(are)the.owner(s)of the well described above and that the commencement of I extraction of 9ratind water from this well, lawfully made undert he well permit,occurred an the date indicated,and i that the statements made herein are true to my(our)knowledge. i I Please print the Signer's Name t.Title Signatures)of the new owner. _ Data AbaoJe.fi-e. Tharn�tc-o.r, nee .7),©^.f/' 3/c240 A I I It is the responsibility of the new owner of this well to t emplme and Sign the Mt n.-Signatures of agents are acceptable if an 1 i orIgInal letter at agency signed by the owner Is attached to the frmm upon Its receipt. AC•CEpryDASACHATG6iNO1VNW2SHt1' froro?uuuKtltdr . AND/OR MAfl.3 iD ADDRESS. .J' --: __ �� APR ? C "f" Stan Eietb eer 9y Duo __J i-i. F'i 6P ]:ND]:V:I:I)LJAI... SEWAGE DISPOSAL ,S`i' TIE.M PERMIT • • • 0 50203 WELD COUN'T'Y HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1516 F.I(:1S1: :I:TAI... ROAD, (:;F:E1..:L..E:Y, CO or•),>:31 353-0635 iXT.2may:?=,. :IWN R MARTIN INVESTMENTS INC. ADDRESS 7990 GREEN COURT PH (30 4270?;:.. WI:::S'T' MINISTER CO 00():30 DDRESS OF PROPOSED SYSTEM 3037 WCP 19 FT. LLJF'TON CO 80621 ..E:C;AL DESCRIPTION OF SITE : 5E4 5E4 SEC 16 TWI::' i F:NG 67 1.1BDIV.Is:[ON . LOT 0 BLOCK 0 F:L'I_.IN(: 0 i;'"'l:: TYPE : RE:S:rDENTIAL. .R ICE PERSONS "3 BATHROOMS 2 .00 LOT SIZE 5. 78 ACRES BEDROOMS 3 BASEMENT PLUMBING NO WATER SUi'I::'L.Y F'•'WEI._L is'{_.rC'ATr(:lN FEE $150.00 :; ' i) IiY RECEPTIONIST AID • SIGNED BY PE GGY L . MARTIN DATE: 08/19/85 DATE 08/19/85 'ERCOL_ATION RATE 33 .0 MIN PER :I:NC:H WATER TABLE.: DEPTH 8 FEET (:IL.. TYPE SUITABLE PERCENT GROUND SLOPE 3% DIRECTION NE !:QUIRES ENGINEER DESIGN NO ROM THE: APPLICATION INFORMATION SUPPLIED AND THE ON.•_SITE. SOIL.. PERCOLATION DATA FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE F;i::QUIRI:::1' i;'1.:PTIC; TANK 1000 GALLONS, ADEORF'T:I:ON TRENCH 001 SQ. FT. .� OR ABSORPTION BED 1014 S( . FT. !\ , ,i)I):i.T:I.UN, THIS PERMIT :I:.S SUBJECT TO THE FOLLOWING ADDITIONAL ONAL TERMS AND :r'iv I)] ?':[O N.S 'HIS PERMIT .LS GRANTED TEMIOl;AR:i:i...Y .T.(:r ALLOW CONSTRUCTION TO COMMENCE. THIS '::.E::;_,i••1'I' 1AY BE: REVOKED OR SUSPENDED isr THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET •(:1i:;:;-i..I IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING 'A I:I...URE: TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL •il::PROVAI._,. Till ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE 'I :F'ARTMENT OR ITS EMPLOYEES OF I...:I:A1:B:I:1._:I:'i"'Y FOR Till FAILURE OR INAD(:QuAc'r OF THE: 'E:WAGE DISPOSAL_ SYSTEM. WODTKE:, THOMAS 10/11 /85 ENVIRONMENTAL. SPECIALIST DATE: 'HIE PERMIT IS NOT TRANSFERABLE AND SI••Ii1L..i... BECOME VOID IF SYSTE:M CONSTRUCTION HAS OT C,IJnNii:::N(:;i..:I) WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL.. r1Pi"'Ft:(:1Vf-1I... OF HIS PERMIT 1111 WELD COUNTY HEALTH DEPARTMENT AMEN i RESERVES THE RIGHT TO IMPOSE ril)DT-.. ONAL_ TERMS AND CONDITIONS REQUIRE?:) TO MEET OUR REGULATIONS ON A CONTINUING DA- IS ... FINAL PERMIT APPROVAL.. ...`> CONTINGENT UPON THE FINAL.. INSPECTION OF THE ( OM-. ..J:: ,ED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. Y TIM .r.NcI I...I...EP tic-i-rr"' oICAL' F:I:Nni... :IN.`.>''' (::T :i—H DATF 4 lJdY' •r i r::.r•! ENGINEER APPROVAL V A l ''r`P F.:. OF E" SYSTEM INSTALLED ME AL SPECIALIST �t�.c�.---_.,.._..._._.....__........_............ I!- q--$? •i;.-.:I:,`>SUF=rNC;E OF THIS PERMIT DOES NOT IMPLY COMPLIANCE: WITH OTHER STATE, COUNTY C .:iCi. i_. REGULATORY OR BUILDING REQUIREMENTS, NOR SIIAL.L. IT ACT T -CO CERTIFY Ti••Ir`iT HE SUBJECT SYSTEM W]:L..L.. OPERATE IN COMPLIANCE W:I:TF•I APPLICABLE STATE, COUNTY AND OC.;Ai_. REGULATIONS ADOPTED PEl:SUANT TO ARTICLE 10, TITLE 25, CRS 1973, AS AMENDED, :'CE-P'T' FOR THE: PURPOSE OF E "TA1{I...:.,;'H]:N(; F:i:NAi... AF:'I''ROV (IF ;I O;:;. . APPROVAL AN i`�i INSTALLED; 'I�r�i i_.I_E 1:i SYSTEM;: :�i•i i .,.1lANC E. OF A LOCAL OCCUPANCY PERMIT PURSUANT TO .CPS 1 „73. 25....: .. ,..... ... ......, ! is i�- , r:.... . ., • V I /®S /losisuctse r . ll O- 1 esti 1 � I � U i9� D August 23, 1988 Non Exclusive Access to Septic System Easement To Whom it may concern: Access to property at 3037 WCR 19, Fort Lupton CO., 80621 is given to Mike&Nici Thompson or resident of 3047 WCR 19, to maintain septic system by Peggy Martin, owner of 3037 WCR 19. Septic& drainage will be maintained in good working order at all times. „Ly PE . MARTIN 3037 WCR 19 Fort Lupton, CO 80621 Hello