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HomeMy WebLinkAbout20030067.tiff 12-06-01 12:3CPhk FROM-O!VISION OR '"ATER RESOURCES 3038n'2223 T-962 P.QSiC4 8-392 W J_5_?4 COLORADO DIVISION OF WATER RESOURCES REC 'IYEc . 161 Calurnbine Bldg,.1645 Sherman St,Denver, Colorado 8Q2C3 A c,:- o�� Sat 2$ le7S ,--- PERMIT APPLICATION FOR,/1 a•ppl:c3xion thus? • t complete vhti- 1 1.n PERMIT TO USE GROLt'lO WATER wi3•ErT RE5 x�,.1, =- -- appiiciihle. Type or ic.4 A PERMIT TO CONSTRUCT A WELL STATE Entlikg Z' win: in SLACK FOR: t >‘.1 A PERMIT TO INSTALL A PUMP iCLo. INK-Noovar:trike. ,r7 f .��•� of erasures u:iles. +) REPLACEMENT FOA NO. ./ — 7 / / - S.tra Initiese.d. a ( i OTHER O1O1 .._— ,..-3.4) V L(CAN - mailing address FOR OFFICE USE ONLY: OD NOT VIIRITE IN 1� SieE9L- N°` y,ATF NAME `..1t)'j4 •.S 1.J, L 1.4i �L Receipt No.? ' (AA' /_ — STREET /C s�.1Li tW LU f,2 ' 5' Adi id Basin Di;t. ' � 1 CITY ,tr `t-. f CO i . gp‹:ZI P CONDITIONS OFAPPROVAL ;slate) iZIPI r 6' •6 This well Shall be used in such a way as to cause no material injury to existing water runts. The (24 I-ai_AT1 OF p +Gl?rSED WELL issuance of the permit does' not assA,re the applicant mat no injury will occur to another vested water right or preciude rJnother owner of a vested water countyf.i/ •=•-•---- - - _ right from seeking relief in a civil court action. ./l i 1+t +. /11,1/Z 'gyp 4 • 4f The i l•..+oCCt o I - PAVED AS A RI ACEMEN T OF w�IE•.do 7I f'7 , i ' ` An g. e"'!'----" 4 d; P.'Ll E VISTING ' rIl.. MUST BE PLUGGED AS0 A M4 NZ CCURDING TO THE REVISED AND AMENDEre AU1.41i AK, - '?) WATER USE AND WELL DATA ''..17-tEGULATICNS FOR WATER WELLANI PUMP)NSTA#.i ` MI CONTRACTORS. THE E 1CLOSED AprIIDA`+IT MI.ar SUBMITTED WITHIN SIXTY (60) DAYS AMR THE Pr;pried megirnurn pumping rate(gpmj / -1 _ _ cO JSTRIXT1ON CF THE NEW WEpU•,AFFiRMlNG.Th — Adi:raoe anr,u t amount of ground water i WELL !`0.,..1 7 i f-✓ _ WAS FLUGGED ANC ASANwwi > Pa i- to be appropriated (acre-feet): PERMIT EKFI:RAT;<ON CATE EXTENDE6 !�E YEAS Ter" f;e�n�bar of acre:to bu irrigataei: ..�"'� / JANUARY 1 , 19 Q. /cP %?A' Propesati total depth (feet) PERMIT EXPIRATICIT DATE EXTENDED le AGai;er yroar:u water is to be obtained from: TO.\ I*1U 9 �.1 a -12.&L--SL-=. I (f 7 C:iner%'veil designation GROUNP WATER TO BE USED FOR: t ) HOUSEHOLD USE ONLY • no irrigation (61 (XI DOMESTIC(1) I I INDUSTRIAL (5) ( ) LIVESTOCK (2) ( I IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (a) t I OTHER (9) - APPLICATION APPROVED — PERMIT I T KAISER 'mss' 7 pit, -Al .._ -- :1 �;= 0�-E��z � l ee � DATE tS`3'�En JAN Qti 1,440-,f, ^,L-.64.4 r" MCG2.OE,) ..✓/E:'.`/ /'t/v G;.P1!`Si 7;t". r}S IA,Al tl .?real '^ ." - _ /"`'') �' �► r:t w �r'Ci, . & A) c ,'''',/('i� LS �r- N`h I 2',T r -^.L� (t11=:A j C —Wit.-n) (.diA3 1 r0.J....w4!Ar,/ •, '/ ' Li Y Telephone No.--1-7-7 w.? +a.-' a Lic. No.. d 1 -VjrI • 2003-0067 12-06-01 12:29PM FROM-DIVISION WATER RESOURCES 3036662223 r T-962 P.02/04 F-392 41RJ-5-68 ' STATE OF COLORADO DIVISION OF WATER RESOURCES �.9 ,Q +b,%�ol�3 JL3'')` L� C__/ A PERMIT TO USE GROUND WATER ^ p ` lh6b Lyi''A PERMIT TO CONSTRUCT A WELL APPLICATION FOR: L`] REPLACEMENT FOR NO, GOLD .L - A PERMIT TO INSTALL A PUMP KATE ENGINEER ("J OTHER PRINT OR TYPE / LOCATIONOF WELL APPLICANT —. eince:frJ� 4�'Qn2e ' COUNTY GI?/�Ir�ff f / A f / Street Address n / /(/ v /121/4/1 Z. sec. '7 Q City S. State 1.121i3Or ? 1{7' __ _/ T. ///' R. b5---W, é P.M. �c Street or Use of ground water fa/p7e?S7/i`c_ Lot & Block _ _Owner of land on which well City or is located Subdivision Number nl acres CO be irrigated _ _�,. Ground Water Basin_ Legal descriprion of Water Management irrigated land District __ .._._. Other water rights on this land LOCATE WELL ON THE BACK OF THIS SHEET Owner of irrigated land Driller ��` .Sc2 e N ��_o, 7' Aquifers) ground water is to be obtained Driller's j frog. 4 Address .‘-� Tom' / Storaq- capacity ._.�� _ ___ __ _ AF �4 ena/t! Y/`1 — -- - -- �� Signature of Applicant THE FOLLOWING TWO FIGURES ARE MAXIMUMS AND CONDITIONS OF APPROVAL CANNOT BE EXCEEDED IN FINAL USE, MAXIMUM PUMPING RATE )O _ GPM r; .;-RAGE ANNUAL. AMOUNT OF GROUND WATER TO p PROPRIATED Acre-Feet ESTIMATED WELL DATA a Anticipated start o Gf drilling 19 iti Anticipated start of use Fe( ///i 19 6i APPLICATION APPROVED: Hole Diameter: VALID FOR ONE (1) YEAR AFTER DATE ISSUED in. from ;y) ft. to [,O ft. UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO in. from ft. to ft. THE ISSUING AGENCY Casing: PERMIT NO.__ 39908 CONDITIONAL /T/ Plain in. from �_ ft. to _loft. S in. from ._ fs`_ ft. to gc—ft. DATE ISSUED DEC 4 1969• _ �r� fire- r P eF. .5 in. from - 1I�$J ,fa ft. to y fc. in. from ft. to ft . STATE ENGIN R o,r AIRMAN GROUND WATER COMMISSION ESTIMATED PUMP DATA By 97-c„,&.,_ . ' Type 644 y__ HP 'e . _ _- ._ L _ -.._.. _ _-.� _ . . APPLICATION MUST BE COMPLETED SAAi ISFACTORILY BEFORE ACCEPTANCE (OVER) 12-06-01 12:30PM FROM-DIVISION `IATER RESOURCES 3038662223 T 652 P.03/04 F-392 C'ir - WI7j 5- 74 COLORADO DIVISION OF WATER RESOURCES RECEIVED 101 Columbine Bldg.. 1845 Sherman St.,Denver.Colorado 80203 k C._O3 • ea 22 1976 PERMIT APPLICATION FORM Application must be complete where I ')A PERMIT TO USE GROUND WATER reiteR ktsauxcE$ applicable. Type or I A PERMIT TO CONSTRUCT A WELL STATE DaliNEDI print in BLACK FOR: ( -1 A PERMIT TO INSTALL A PUMP CetO, INK.No overstrikes �_ y J/y7 pCc or erasures unless $1 REPLACEMENT FOR NO. ptG initialed. r'IT-{ I } OTHER trldt'& l At APPLICANT- mailing address TFOR OFFICE USE ONLY; DO NOT WRITE IN,tTFAaI attar-v salt NAME '�J/3�J S FJ. L'�R1CL� --- Receipt No. ?� .2�"Y^ / STREET /g5-7-6 WeLD etrtc�r+?�! yeti, u T Basin DI TA. CITY Aids-04)c/c04) v Co, - g'b[:y.). - CONDITIONS OF APPROVAL {State) (ZIG) TELEPHONE No S4C - 9 2-24 This well shall be used in such a way as to cause no material injury to existing water rights. The (2) I_QCATIQN OF PROPOSED WELL issuance of the permit does net assure the -applicant that no injury will occur to another vested water right or preclude another Owner of a vested water County [ti& right from seeking relief in a civil court action. /1.)W. if. of the i/V -- ti,section PROVED A'., A REPLACEMENT OF WELL N0.-T 7 � t Tyllp-1 /1/. Rng. s' lQ P.M. E DOSING WELL MUST BE AND ABA NED CCORDING TO THE REVISED AND AMENDED RULE$ AN (3) WATER USE AND WELL DATA EGULATIONS FOR WATER WELLAN�PUMP INSTAUA lON _ NTRACTORS. THE ENCLOSED AFFIDAVIT MUST at 5 SUBMITTED WITHIN SIXTY (6O) DAYS AFTER THE Proposed maximum pumping rate{gpml ;1STRIICTION OF THE NEW WELL AFFIRMING THAT Average annual amount of ground water / ELL NO. `j 7/ ¢7 WAS PLUGGED AND ABANDONtD, - to be appropriated (ecre-feet}: PERMIT EXPIRATION DATE EXTENDED NE YEAR 11 Number of acres to be irrigated: .- l JANUARY 31 r 1980. /13 . /fie Proposed total depth (feet}-_ S© PERMIT EXPIRATIO{V' DATE p /�EX(TT�ENDED Aquifer ground water is to be obtained from; TO--\ Pout ARY %) , .jS$j� e i t/2 e L7 Si • Owner's well designation GRQUND WATER TO BE USE4-FOR: ( ) HOUSEHOLD USE ONLY • no irrigation (0) (X) DOMESTIC (1) I i INDUSTRIAL (5) ( 1 LIVESTOCK (2) ( 1 IRRIGATION (6) ( 1 COMMERCIAL 141 ( 1 MUNICIPAL (8) ( ) OTHER (8) APPLICATION APPROVED /-+�.L, PERMIT NUMBER 'V f 7 - -- (4) DHILLE11 ran I L i DATE ISSUED JAN al Name /701,62,4./- S no4MA) .liP/L'""- / EXPIRATI ATE J A ► M.903' • "� Street - --L)1/4+ 511 • . • City_/1tlC/50") s a••o ga6r�y t' t5 yTcrENGI E R //.. Telephone No.5-214 - �y / Lic.No., BY _47-..r2^ G COUNTY ;-s.) -- 12-06-01 12:31PM FROM-DIVISION NATER RESOURCES 3038662223 r T152 P.04/04 P-392 (5) THE LOCATION OF THE PROPOSED WELL and the area on f(6) THE WELL MUST BE LOCATED UELOW which the water will be used must be indicated on the diagram below. by distances from section lines. Use the CENTER SECTION (1 section, 640 acres) for the well Vocation_ S 4O0 ft. from /1/04774— sec. line ± v ± _ .- — t — 4_ +_ —.. __ _I_ �7p''�-,- (north or south) i C /- �gft_trom �� sec.line {_.___i MILE,5260 FEET --}t )east or west) + + + �' H— I ± + LO _ BLOCK aILINC rr I i I SUBDIVISION .4- T NORTH SECTION LINE I_ _ t .,,_ t SS (7) TRACT OObI.WH►CB WELL oaLL..gAL I I I LOCATED Owner: , nle$ .3. C,Ptjp✓ I NORTH, w - ^ _,_ ,_,T, Q Will this be ^har I . f us T No. of acres / -$ I w� I 0 I m t the only well on this tract? /1 c' 1 w �4 o + (8) PROPOSED CASING PROQRAM ce I 1 z I Plain Casing z I 1 I in.from ft.to ft. -I- — -4- - 1 J L ± _ -. Perforated casing small SECTION LINE _ .__in.from d ft-to _ft. + -� + 4- 4- -r + ± in. from ft. to ft. I I I (9) FOR REPLACEMENT WELLS give distance I and direction from old well and plans for plugging The scale of the diagram is 2 inches= 1 mile /�/ 1w, ( `S 'LI`Q G.,tr Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures, r? / i /�J An acre-foot covert 1 Mora Of land I foot oeep .57-- ce; 1 cubic foot per second Icfsl .--449 gallons per minute(qpm) y) /. /��/�C f�L��� � A tames)Of 5 will require approximately 1 acre-foot e-1 water per year. !F li'-'e 1 !/" 1 acre-loot000 u 43.560 tinu feet.. .325,000 prolong- rr`z"1 sI � { c 1 Q00 gpm pumped eontinuousry'fof one day produces 4.42 acredaot. R/(� � U ((F /e,J1/ (1O) LAND ON WHICU G.lWB j.ft. W)LL AF Ian; Owner(s): 1r4r 1ES O1 /14)/eM,9 P C.PA/A✓ No. of acres; Legal description: (11) DETAIL-ED DE*CR)PTION. of ire use of ground water: Household use end domestic wells must mdi:ore type of disposed system 5t d. /-fort '`r- e'�R .24-2-.721/ p/tt S 712 -s -57/11.5 , (12) (THFR WATER RIGHTS used on this and. including wells. Type or right Used kn Ipurposel Description of land on which used . 641 j//0) 2 -S zi` c rcr4,4SeL// ohil`f— _ OP zr!e iy 4 c��a,/ a_ T l " (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE ES OF HIS KNOWLEDGE. j 7yY �G.-- fr 74. -C CA farerP— (272%(2-err-r---' I NATURE OF APPLICANTS) cttg.) If 7L, Use additional sheets of paper if more space is regµired. M1.2 ata � o:_F.�,;��Es 703016411 ( WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, COLORADO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit N: SP 0100613 Sec/Twn/Rng:20 01 65 PERMIT Owner: CROWE GLEN Applied: 11/20/2001 Applicant: CROWE GLEN Expires: 11/15/2002 Permit Type: RNEW C=Commercial, R---Residential + NEW, REPair. VauLT Parcel N: 1473-20-0-00-020 Location: 19526 CR 8 y.:. Legal Desc: 10804B N1482' W300' NE4 20 1 65 EXC N30' ?' (1/8R) %19526 'NCR 8 Description: MODULAR Commercial: N Residential:Y Acres: 9.88 /1 of Persons: 2 Basement Plumbing: N N of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2: 0 .vatet Public. N Water Source: �(y� 'Water Private: N Cistern: N Well: Y Well Permit Number: Percolation Rate !4,3 Limiting Zone> S ft in Description % Ground Slope a Direction S Soil Suitable (YIN) Engineer Design Required (YIN) r~( In 100 Year Flood Plain (YIN) Frog. ill( application information supplied and the on-site soil percolation data the following minimum installation specificatIonc aro required: Chambers Septic Tank 1 > gallons, Absorption Trench /,,r square feet ,.a° or Absorption Bed square feet ,71? In addition, this permit is subject to the followin additional terms and conditions: f.js: + =17 ."t I L:% ` — ALA —1`T�r +tom 7� C NOTICE TIii, permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld Count) Department of Public Health and Environment for reasons set forth in the Weld County Individual Sewage Deposal Syste:ii Regulations including failu-•: to meet any term or condition imposed thereon during temporary or final approval. "Iltc issuance of ;hr, permit c'•tei not corutimr assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. This ns mit is not trnnsternlur. Before issuing final approval of this permit the Weld floozy Dattmentoar Health and Environment reserves the rigi.t to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval :s contingent upon the tinal inspection ot'the completed system by the Weld County Department of Public Health and Environment. This] niit expires one tear from thegnnlication date. A Form. s NEwn .nvironmental Health Specialist Date tt `i•`� DEPARTMENT OF HEALTH � � I1517-18 AVENUE COURT LOAN APPROVAL GREELEY,COLORADO 80831 O ADMINISTRATION(303)3534588 WI HEALTH PROTECTION(303)353-0835 COMMUNITY HEALTH(303)353.0839 COLORADO CLOSING DATE: 03/31/93 REQUEST NO: 051-93/516 FAX FEE ($2.00): N/A DATE RECEIVED: 03/11/93 NEW LOAN FEE $105.00: 03/11/93 • TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: SEND TO: CRAIN, JIM REALTOR NO.: N/A 19526 WCR 8, HUDSON, COLORADO 80642 OWNER NO.: 536-9226 (g) PICK-Up: N/A OWNER NO. : N/A FAX TO: N/A FAX NO.: N/A (W) INFORMATION: Address: 19526 WCR 8, Hudson, CO 80642 Age of Septic: 1969 Legal: PT: NE4 PT: SEC: 20 TWN: 01 N RNG: 65 W Subdivision: N/A LOT: 000 BLK: 000 FLG: 000 Property Owner: CRAIN, JIM & NORMA Original Owner: KRAMER Tank Pumped on: 10/09/92 By: Art's Sanitation Services Licensed: Yes PERMIT ON RECORD: Name: Crain, Jim & Norma Permit No. : G-939030 S.O.E.: Yes Bathrooms: 2 Bedrooms: 3 Total Acres: 10.0 Date of Final Inspection: N/A Water Supply: Private Well Well Permit No. : Unknown Tank Capacity: 1000 gallons Field Size: 900 square feet INSPECTION FINDINGS: Date of Inspection: 03/15/93 Soil Conditions: Dry XXX Saturated Snow-covered Residence: Occupied XXX Vacant Sewage Disposal System: Satisfactory XXX Other Bacteriological Water Test: Acceptable XXX Other COMMENTS: Not Applicable. DATE: 03/25/93 SIGNATURE: QUA. SlaW Environmental Protection Specialist Neither the County of Weld, nor any of its agents or employees undertake or assume any liability to the owner of the above property, to any purchaser of the above property or to any lending agency making a loan on the above property in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable at the tune of inspection, and does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Water sample reports reflect the bacteriological quality of the water supply at the time the sample was taken. Evaluations based on Statements of Existing (S.O.E.) relies on information the property owner provides, under oath, indicating current status of the system and representing to the best of his/her knowledge the system is not failing to function properly. Hello