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Home My WebLink About20021518 Form STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS-12 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 7/00 (303)866-3581 Fax(303) 866-3589 http://water_state.co.us/default.htm REGISTRATION OF EXISTING WELL Name, address and phone of the well owner: NAME(S)_ /447i0/1/0“1-u/1/.<Z. 744 cif7GvA5 Mailing Address_ Zs oo d GO e.g. 6 9 -- city, St.zip F''//-e'c 5E CO 96 6?se Phone ( Po ) SS3 - 996 0 WELL LOCATION: County �� Owner's W�y Designation__7CE S — 3 _251356 Gil c.2 6 9 ,csa C-c' 6o.Gyye(Address) / �p'7 (City) (State) (Zip) __ _1/4 of the'1/4, Sec.$ `r, Twp._ S Ipl I/� 1 N.or S., Range 63�_� n E.or W., _6_P.M. Distance from Section lines 2905 Ft. From I�`I N.or❑S., /o Ft. From I!1 I E.or 1W.Line. Subdivision Name Lot , Block____, Filing/Unit __ The well has historically been used for the following purpose(s):4)?oliEsnc ,r+Sa 6 c (a) //err-c Ours',t- w)rrs-n..rG ar Bnpx-arc O,, 00o s tcr. • Water from the well was first used beneficially by the original owner for the above described purposes on The total depth of this well is /© O feel The pumping rate of this well is gallons per minute. The average annual amount of water diverted is acre feet. The land irrigated(watered)by water from this well is I/3 , an' El Acre or Square feet, described as: 2 3 35 ,riv.& 2+'SS a W c rt L ray , eo 8fl6 or as Subdivision Lot(s) Block Filing/Unit I(we)claim and say that I(we)are the owner(s)of the well described above,know the contents of the statements made herein,and state that they are true to my(our)knowledge. Plea 9e print the Signer's Name 8 Title I Jatureothy7_ rDate1 o For Office Use Only WE WR CWCB__ TOPO _ MYLAR__ Div_ WD B EXHIBIT 1 -lit- 2002-1518 GWS-13(3104 COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT Please complete this form in INK DAL I WD / apps receipt no(s). DATE OF INSPECILON: Z� Z APPLICANT: 4 person contacted iI not app5cant J N LAM V Y ADDRESS: 7sooa IA/G!L lot W_C.name&phone#_ ,ur Scr!fzWri Shy CD .80/015/ 770 —3CZ—��7iZ phone:e: 470 (3s3—*if) EXISIING.WEIL LOCATION: 114, /(le 114,Sec 3'/ ,Twit 4) AJ , Rn9. G 3 , Cr P-M-; D/SE 2445_hon&ksecine, /06 Iron F Vseelne;Coratij. ((&n (dreg..give drsL a tilt to new wei site circle type of-misting , HAND DUG, SPRING WELLL, GALLThYWEL, GRAVEL.PIT, 01N8? how many iencs am k,cated Litt parcel?. use? are they.mgisteted? permit/case#(s)? EST DATEWELLCONSMUCIED /968 aaTEOFRRSTUSE In I'/ EST-PUMPING RATE ,S—gpm TOTAL at OF ACRES W THIS'RACT'PARCEL /[P .. . ACRES additional stttdlparcel irdo_ USE OF WELL hortsehold tsein(indcate.how marts Z single family dwelGttg(s). watering of porday and/or domestic animals.(`domestic animalst would include a few cows,homes, etc.), • - watering of(nmstock on a farm or ranch—apptot how many head? is this a feedlot? -how many head? (it-is nrsrurtmrt to spec*estimatedhistoric fawn(ganfen kr_)it ! square feet 'of lawn and/or garden a=fire protection commercial'—drinking&sat only?(write details in-comments-section) other(write details in comments*ration) O/esno WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? NOTE-IF ANY CHANGE IN THE HISTORIC USE OF THIS WELL HAS OCCURRED SINCE MAY 8, 1972. Please indicate(he dates)the use changed.and discuss this c harhgelandfor expansion of the curmnt/or proposed use in the"uummam section of this form (if completing inspection for NON-EXEMPT USES, use comments section below(include case ,e. S acres irr. if applicable, etc)) signed: dated: / 7-4, 0 Z. additional comments and/or information: 1-413--- ,fist 6tp,{Ili • WAltil SU1i LY INkUHMATION SUMMARY Section 30.28-133,(d), C.R.S. requires that the applicant submit to the County,'Adequate evidence that a water supply that is sufficient in terms of quantity, quality and dependability will be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED Co-- Mc,Oocf-1 Pa 2. LAND USE ACTION C•hac ge.. y �11 '��ei /"T Y f� 3. NAME OF EXISTING PARCEL AS RECORDED 1211 1 (7•F 'E2 O(2C-l- on L,.� TS'N F2&i h iv m SUBDIVISION FIUNG BLOCK LOT VA'Id C0(,(11 rn. 4.TOTAL ACREAGE 75 2$ 5. NUMBER OF LOTS PROPOSED I'? PLAT MAP ENCLOSED Pa'Y1 8. PARCEL HISTORY - Please attach copies of deeds• plats or other evidence or documentation. ✓ A.Was parcel recorded with county prior to June 1, 1972? O YES O NO 8.Has the parcel ever been part of a division of land action since June 1, 19727 0 YES 0 NO H yes, describe the previous action 7. LOCATION OF PARCEL • Include a map deliniating the project area and tie to a section N corner. / . - �i' 1/4 OF 1/4 SECTION TOWNSHIP 5 Sib O S RANGE V,777 O E 12(1N PRINCIPAL MERIDIAN: afiTH O N.M. O UTE O COSTILLA 8. PLAT -Location of all wells on property must be platted and permit numbers provided. Surveyors plat (i3'Yes O No If not, scaled hand drawn sketch O Yes O No 9. ESTIMATED WATER REQUIREMENTS • ealluns p.r Day or Acre Ent per Year 10. WATER SUPPLY SOURCE ft x IX'+1'1 _ OrEXISTING ❑ DEVELOPED 0 NEW WELLS - HOUSEHOLO USE # �1 of units �� GPO AF WELL f PLLS ERMIT NUMBERS SPRING mo m AWFFAs.(CHECK WI PERMIT I ! ❑MOLL O UREA IMAM Q UREA 0AWS0N C LOWER AWAKE COMMERCIAL USE # of S.F. GPO AF 0 LOWER oAN$oN ❑ ARautE FOX KILLS ' I g4 ��icA-'-{ ❑oerw ❑Wars IRRIGATION if t. f of acres GPO AF % ') ; 2;7450024" O oraEn • STOCK WATERING # of head GPO AF O MUNICIPAL ' ❑ ASSOCIATION WATER COURT DECREE CASE NO.'S OTHER • GPO AF 0 COMPANY ❑ DISTRICT TOTAL GPO AF NAME LETTER OF COMMITMENT FOR SERVICE ❑ YES ❑ NO 11. ENGINEER'S WATER SUPPLY REPORT 0 YES 10 IF YES. PLEASE FORWARD WITH THIS FORM. (The:nay bs required before our review '¢completed) 12. TYPE OF SEWAGE DISPOSAL SYSTEM , CgEPTIC TANK/LEACH FIELD O CENTRAL SYSTEM - DISTRICT NAME i LAGOON 0 VAULT- LOCATION SEWAGE HAULED TO O ENGINEERED SYSTEM IAII.cb . copy.) engineering design) 0 OTHER wR1 .73 Cry IADO DIVISION OF WATER RESO(I "ES • 300 oine 0149., 1845 Sherman Sr., D Cola, 7203 • PERMIT APPLICATION FORM Appicatian must q^s n f1� `7 complete where ( xl A PERMIT TO USE GROUND W FjJ�f�, ,`.j C'4� Ji V ..pi ccble. Type 0 ( x) A PERMIT TO CONSTRUCT A W JyR•_O.•�I('..�I✓ L p I Pin: .r. BLAC FOR: ( x) A PERMIT TO INSTALL A PUMP a INK. Nc overstrikes or erasures unless APR 2 6 t889- initialed. Proper fee ( ) REPLACEMENT FOR NO. 2 9 60.00 must be submitted 032472 120.00 with the opplicatio^ ( ) OTHER ry c• `� 0011 TT' s^n nn (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE I }ITIU-COLU9�N j ac 0.03 • NAME _ National Hog Farms , Inc. Receipt No.q\0.S1 1 Z P / ITN 25000 Weld County Road 69 -1 . . CITY Kersey, Colorado 80644 - (State) (zip) CONDITIONS OF APPROVAL TELEPHONE NO. (303) 353-9960 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 Weld right or preclude another owner of a vested water County right from seeking relief in a civil court action. SE 'A of the NE Y.,Section 34 1) APPROVED PURSUANT TO SECTION 37-90-137(2), C.R.S. AND THE TEMPORARY SUBSTITUTE WATER Twp. 5 N png. 63 W 6th P.M. SUPPLY PLAN APPROVED BY THE STATE ENGINEER ON• APRIL 28 1989. THE PLAN IS CURRENTLY VALID T (3) WATER USE AND WELL DATA fiT�NDUDED OR IF A OCTOBER 3PLAN9FOR AUGMENTATION IF IT IS NIIS NOT APPROVED BY THE WATER COURT THIS PERMIT SHALL BE NULL AND VOID AND ALL USE OF THE WELL MUST Proposed maximum pumping rate (gpm) 15 CEASE. 2) THE MAXIMUM PUMPING RATE OF THE WELL SHALL 4'�Average annual amount of ground water IMT EXCEED 15 G.P.M. to be appropriated (acre-feet): 3) THE ANNUAL AMOUNT OF GROUND WATER TO BE APPROPRIATED BY THIS WELL SHALL NOT EXCEED 4.5 Number of acres to be irrigated: Approx. 1.4 (lawns) AqC)RE—FEET. 4) THE USE OF GROUND WATER FROM THIS WELL AND WE Proposed total depth (feet): 75 LL PERMIT NO. 3 SO O 33 -(= IS LIMITED TO ORDINARY HOUSEHOLD PuHP6sEs 1N UP TO 12 SINGLE FAMILY DWELLINGS AND IRRIGATION OF A MAXIMUM OF Aquifer ground water is to be obtained from: 60,000 SQUARE FEET OF GARDENS AND LAWNS. Alluvium of South Platte River 5)A TOTALIZING FLOW METER MUST BE INSTALLED ON THE WELL AND MAINTAINED IN GOOD WORKING ORDER. RES-2 PERMANENT RECORDS OF ALL DIVERSIONS MUST BE Owner's vbell designation MAINTAINED BY THE WELL OWNER (RECORDED AT LEAST WEEKLY) AND SUBMITTED TO THE DIVISION ENGINEER GROUND WATER TO BE USED FOR: UPON REQUEST. 6) THE OWNER SHALL MARK THE WELL IN A CONSPICU— ( ) HOUSEHOLD USE ONLY - no irrigation (0) OUS PLACE WITH APPROPRIATE WELL PERMIT NUMBER (x ) DOMESTIC (1) ( )INDUSTRIAL(5) COURT CASE SHALL TAKE NECESSARY MEANS AND PRECAUTIONS TO ( ) LIVESTOCK (2) (x 1 IRRIGATION 161 ( 1 COMMERCIAL (4) ( ) MUNICIPAL (8) PRESERVE THESE MARKINGS. Xvr+ s-z- Yr ( 1 OTHER (91 APPLICATION APPROVED I D. W.D. O ( COUNTY 62 (4) DRILLER PERMIT NUMBER 035062 - F Name __ Canfield Drilling Co. DATE ISSUED MAY 0 21989 y� Q �trt:et 111 West Street EXPIR IQj� DATE_ ! W 0 2 ,..,,amis--,7_If•-City Fort Morgan, Colorado 80701 a . (State) (Zip) ( TE ENGI EER) Telephone No. (303)867-2943 Lic. No. 765 ye} BY /. 7G . (5) THE LOCATION OF THE Ph..... , SED WELL and the area on (6) THE WLLL 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. ��1i --f- 2230 ft, from North sec. lire + -- t -- T — T -- -4- — + -- I — -- — it (nortn or soutn) I '÷ 1 MILE,5280 FEET I 525 ftJ•frem .E a s t' • sec. line jr -I- -I- +' -� ± ' 1 '(east or west) LOT BLOCK FILING it + — 4 — ( NORTH SECTION LINE I — + yI • SUBDIVISION �`>F''r' I I I I (7) TRACT ON WIftC'H WELL WILL BE LOCATED NORTH + 18.1 Z- — — — — — _D + + No. of acres Will this be J N ( y o I I g m I the only well on this tract? No -)" u' I I o 1 — -1-. H ) o (8) PROPOSED CASING PROGRAM z m r I Plain Casing L ¶ _ ± _ — _ -m ♦ t S in.from 0 ft. to 55 ft. I I I I in.from ft.to e* + - 4- - SOUTH SECTION LINE - --I- - Perforated casing I I I I 5 in.from 55 ft.to 75 ft. + + .T + . :4 T -I- -I- -I- in. from ft, to ft I (9) FOR REPLACEMENT WELLS give distance - :1 . - I .- ..-_ - . T I and direction from old well and plans for plugging -(—..— -r — — -}- - -f-- - "1' it: - . The scale of the diagram is 2 inches= 1 mile.- -. N/A Each small square represents 40 acres. .• WATER EQUIVALENTS TABLE (Rounded Figures) - - •An aore-foot covers 1 acre of land 1 foot deep . - . 1 cubic toot per second Ids) ...449.gallom pef 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 clumped continuously for one day produces 4:42-acre-feet. (10) LAND ON WHICH. GROUND WATER WILL BE USED: • Owner(s): National Farms, Inc. No, of acres: .1nf/ 9€4,. 0-41-/Ki Legal description:A 18.1 acre parcel of land located in the SE=, NEti, Section 3(, T.5N. , R.63W. (11) DETAILED DESCRIPTION •of the.use of ground .water: Household use and domestic wells must indicate type of disposal system to be used. Water- will be used for all -in-house domestic uses, irrigation of residential lawns, and other miscellaneous' outside uses pertinent to 12 single-family homes. Waste- water from domestic use'will'be treated using conventional non-evaporative septic tank/ leach field disposal systems. -- - (12) OTHER WATER RICHITS used on this land, including wells. Type of right Used for (purpose) Legal Description of land on which used None-11';"‘ 7:2 f 1 , 13 THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS OWLEDGE. ,� r SIGNA TORE OF APPLICANT l m o�� _ Fo2 / VFT(o/V>4L t-f �G. �ARmS Lv1c. WJR-26-77 __- COLORADO DIVISION OF WATER RESOURCES THIS FORM MUST BE SUBMITTED 1313 Sherman Street - Room 818 WITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 OF THE WORK DESCRIBED HERE- ' TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT PERMIT NUMBER 35O62-1' WELL OWNERNRt1OTL?1 Ifs 1P7,71S Tnr- cr %, of the ill' '/. of Sec1/4 ADDRESS .2 C1V0 [J(5' 64 Km-Roy, (Y1 P.;1F4L. T. 5 _a_, R.G3 W 5 P.I DATE COMPLETED June 10 , 19 89 HOLE DIAMETER WELL LOG 7 in. from - to 117 ft. Water From To Type and Color of Material Loc. — in. from • Fto ft. 1`I 4 loam in. from to ft. t 33 sand,gravel 10' DRILLING METHOD 33� 41) blue clay,scme gravel & sand CASING RECORD: Plain Casing 's. 5C coarse gravel �� 5/8 steel. +1 ;0 60 gravel,rusty colored Siz & kind from to 20 f ,0 70 clay -e 821/ clay,traces of fine sand Size 5 & kindplastic from 6 to 110 f ""• 90 fine sand,sand 90 95 gravel,clean Size & kind from to f 15 102 gravel,traces of clay }021 1071/- sand,clay,dirty Perforated Casing ij.07�116 coarse gravel,few boulders 26a 117 shale Size ___5___& kindplast■c from 110 to 117 f Size & kind from to f Size & kind from to f GROUTING RECORD Material fieat cement Intervals 6' to 20' Placement Method spilltube GRAVEL PACK: Sizd3tt hot Interval 20)' to 117' TEST DATA Date Tested 6/10 19(''9 Static Water Level Prior to Test 10' f Type of Test Pump Bailed Length of Test 2 hrs. Sustained Yield (Metered) 15 gpn TOTAL DEPTH 117 Use additional pages necessary to complete log. Final Pumping Water Level 11' PUMP INSTALLATION REPORT .°' .. ,::' ':;t ;p._ , Pump Make Crundos • -a. Type Subcaersl hte • . �� cowered by rr..lt'Ctr'r HP 1 {:: Pump Serial No. P.710-Sp-L1 n r, ''1 W 3 J WATER Motor Serial No. 77-1 r5Q-F$F ; a TABLE W W Date Installea R/11/ N J • W Pump Intake Depth TV t Remarks _ - 2: t' - - z - - \` . nl �'� li . W , 1; � i x E r` WELL TEST DATA WITH PERMANENT PUMP o_ I'- t.. W O O '- Date Tested R/11/89 _ = ' CONE OF Static Water Level Prior to Test 10' i- o Length of Test 1 Hours ustained yield (Metered) 15 _ GPM �, r Pumping Water Level 11' Remarks '4 f V ' a? ; r' sim 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 hi n nowl ge. Signature !� License No765 �o� ;�/��) State of Colorado, County of / lLy� 2 /. ! SS ll/ /;✓ Subscribed and sworn to betore me this-2 day'bf77 �` /zi, , 19 {•. /2 c My Commission expires: .."....p.f t- 19/. Notary Public "111'7 Ziit. 1 .( 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 Driller. IHJ-IJ-r a 2 _ntp 2 19u COLORADO DIVISION OF WATER RESOURCES YPE OR 818 Centennial Bldg., 1313 Sherman St. RINT IN BLACK INK. 0PY 0F ACCEPTED Denver, Colorado 80203 W 'ENT MAILED ,EST. STATE OF COLORADO AFFIDAVIT 11 Weld 1 SS. COUNTY OF 1 Y STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD LATE REGISTRATION PERMIT NUMBER 35062-F LOCATION OF WELL -HE AFFIANT(S) _ National Hog Farms, Inc. co ni, 'Weld 'hose mailing .ddress is 25000 WCR 69 SE 34 /. of 1♦.e NE '/.. Section :ity Kersey, Colorado 80644 TWP 5 N Rn 9 63 W 6 P M ,,,,, inlet IN ox 51 - IEIE oe nni eing duly sworn upon oath, deposes and says tha t hs (they) is (are) the owner(s) of the well described ereon; the well is OI> s ocoted as described above, at distances of U feet from the north section line and 5 feet from the Moen. on sour.) east section line; water from this well was first applied to a beneficial use for the .esr oe ,e,,I) 1 pp purpose(s) described herein on the 11 ay of August , 19 89; the maximum sustained pumping rate of the well is 15 gallons per minute, the pumping ate rlaimed hereby is . 15 gallons per minute; the total depth of the well is 117 feet; the average annual amount ,t >•r to be diverted is 4.5 acre-feet; for which claim is hereby made for Houses, lawns, & Misc. uses purpose(s); the legal description of the land on which the water from this well is used is 5E=,, NE'- Sec. 34, T5N, R63W of which l hcres ere irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in _ompliance 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 st ement made hereon; knows the content thereof; and that the same are true of his (their) knowledge. (COMPLET REVERSE SIDE OF THIS FORM) ;ignature(s) ,ubscribea' and :worn Af0 FOR OFFICE USE ONLY o before me on thi s c day of clhPrrn,epe , 19 pp Court Cote No. Ay Commission expires: /'D -/S-Jd I5t•`I /J /� Prior. Ma. Dov —__ Yr. lUll 305$("tea Di.. Cly. \CCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO , 'URSUANT TO THE FOLLOWING CONDITIONS: See 'A, 'A. '.. Well Use Din. __ Bosh Mon. On • 'ArE STATE ENGINEER BY FORM NO. STATE OF-COLORADO a For Office Use only GWS-10 OFFICE OF THE STATE ENGINEER �.- �(a-ssrt 31 03/92 818 Centennial Bldg.,1313 Sherman St,Denver, Colorado 80203 q;.[",� - `..�'1• (303) 866-3581 FOR INSTRUCTIONS, SEE REVERSE SIDE • i STATEMENT OF BENEFICIAL USE WELL PERMIT NUMBER 35062-F 'i4= 1. WELL OWNER NAME(S) National Hog Farms, Inc. Mailing Address 25000 WCR 69 City, St. Zip Kersey, CO 80644 Phone ( 303 ) 353-9960 • 2. WELL LOCATION: COUNTY Weld OWNER'S WELL DESIGNATION PFS-7 25000 WCR 69 Kersey, CO 80644 (Address) (City) (State) (Zip) SE 1/4 of the NE 1/4, Sea 34 Twp. 5 0 N. or❑S., Range 63 ❑E or❑x W. 6 P.M. Distances from Section Lines 2205 Ft from 0 N. or❑S. Line, 534 Ft from®E. or❑W. Line. 3. The well is being used for the following purpose(s): Houses, lawns, & misc. uses. 4. Water from the well was first used beneficially under this permit number, for the above described purposes on August 11 1989 (Do not report a date which Is before the issued dale of this permit) The pumping rate claimed is 15 gallons per minute. 6. The average annual amount of water diverted is 4.5 acre feet. 7. The land area irrigated (watered) by water from this well is: 1.4 0 Acres or ❑Square feet, (Numbs!) described as: SEi, NE4, Sec. 34, TSN, R63W • (Legal Descnphon) Or as Subdivision Lot(s) Block Fifing/Unit 8. Well drilled by: Canfield Drilling Co. Lic. No: 765 Pump installed by: Canfield Drilling Co. Lk. No: 7 9. Meter Mfg. by IMI Milton Roy Serial No.: 91656081 Date Installed:Approx. 12/92 epi t I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a Class 1 misdemeanor.] 10. Name/Title (Please type or piing ISignatuQ ate y� William J. O'Hare g/X,i/tr OFFICE USE ONLY r•• Accepted that those conditions of approval at atated on the permit are complied with, DIY/fj dal � 0 f Co. h Idj _APR 191995 aft s State Engineer By!" Date G Court Case No. Div, 04 WD ol Basin MD Use O - --- ., /We . • /N THE SE QUARTER OF THE NE QUARTER OF -GT/ON 34 ,TOWNSHIP 5 NORTH, RANGE 63 WEST OF THE 6TH P.M. WELD COUNTY, COLORADO • / \`/ . V -- Sco%, /'./00a' We// Local i 534' 34 1 .. CLIENT: Na/iona/ Farms P.&' 035nbA ee 0,,.011S/r0 ' ' JRDERED BY: 4t! D. Farr "4`� SURVEY DATE: dune 20, /989 SURVEYOR'S CERTIFICATE THIS IS TO CERTIFY THAT AN ACTUAL AND ACCURATE FIELD SURVEY WAS CONDUCTED TO ESTABLISH A WATER WELL LOCATION. THIS PLAT DEPICTS THE RESULTS OF SAID SURVEY. ALL INFORMATION SHOWN HEREON IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. S2‘,#-7.7/3,30e /p mnmmimm�rm,cp GERALD B. McRAE, PROFESSIONAL ENGINEER AND Ira Ce @(nt{� LAND SURVEYOR, COLORRO�REG. NO. 6616 Vl� "j McRflE 6 SIIORT,INC. 1231 8th Ave. Greeley, Colo. B0G31 Phone 356-3121 /53-881 ,•,gyp i-yr_; CC IADO DIVISION OF WATER RESOLI--9S 300 Dina Bldg., 1845 Sherman St., Denver, Colon 13203 • PERMIT APPLICATION FORM icble. t ( x) A PERMIT TO USE O GROUND WATER owN R'^ ; nsccb,e. T ( x) A PERMIT TO CONSTRUCT A WELL r�` Copy print :n BLAGI(., FOR: ( xl A PERMIT TO INSTALL A PUMP INK. Ho oversti.80( 2 5 1999 or erasures unless mustb. Psub'ats ( ) REPLACEMENT FOR NO. must be sub with the appliao ( ) OTHER (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME National Rog Farms, Inc. Receipt No9\\S1 " g / STREET 25000 Weld County Road 69 Basin Dist. CITY Kersey, Colorado 80644 (State) pip) CONDITIONS OF APPROVAL. TELEPHONE NO. (303) 353-9960 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 Weld right or preclude another owner of a vested water County right from seeking relief in a civil court action. SE Y. of the NE ye, Section 34 - 1) APPROVED PURSUANT TO SECTION 37-90-137(2), R Twp. 5 N , Rng. 63 W _ 6th P.M. C.R.S.U PLAN APPROVED TD BY THESTATE ENGINEER TE NE ON APRIL 28 1989. THE PLAN IS CURRENTLY VALID (3) WATER USE AND WELL DATA THROUGH OCTOBER 31 1989 AND IF IT IS NOT EXTENDED OR IF A PLAN FOR AUGMENTATION IS NOT APPROVED BY THE WATER COURT THIS PERMIT SHALL ' BE NULL AND VOID AND ALL USE OF THE WELL MUST Proposed maximumpumping rate (gpm) ZD CEASE. 2) THE MAXIMUM PUMPING RATE OF;THE WELL SHALL Average annual amount of ground water 4.5 NOT EXCEED 15 G.P.M. $) to be appropriated (acre-feet): PP THE ANNUAL AMOUNT OF GROUND WATER TO•DE A APPROPRIATED BY THIS WELL SHALL NOT EXCEED 4.5 Number of acres to be irrigated: Approx. 1.4 (lawns) A4C)RE—FEET. THE USE OF GROUND WATER FROM THIS WELL AND Proposed total depth (feet): 75 4)OORRDINARYY HIT NO. 350.(e. SS�,,22 IS LIMITED TO FTIRYOShrIN-UP TO 12 SINGLE FAMILY DWELLINGS AND IRRIGATION OF A MAXIMUM OF Aquifer ground water is to be obtained from: 80,000 SQUARE FEET OF GARDENS AND LAWNS. 5A TOTALIZING FLOW METER MUST BE INSTALLED ON Alluvium of South Platte River TEE WELL AND MAINTAINED IN GOOD WORKING ORDER. RES 1 PERMANENT RECORDS OF ALL DIVERSIONS MUST BE Owner's well designation MAINTAINED BY THE WELL OWNER (RECORDED AT LEAST WEEKLY) AND SUBMITTED TO THE DIVISION ENGINEER GROUND WATER TO BE USED FOR: UPON REQUEST. 6) THE OWNER SHALL MARK THE WELL IN A CONSPICU— ( ) HOUSEHOLD USE ONLY - no irrigation (0) OUS PLACE WITH APPROPRIATE WELL PERMIT NUMBER, k I DOMESTIC (1) ( ) INDUSTRIAL (6) COURT CASE NUMBER AND NAME OF THE AQUIFER. HE ( I LIVESTOCK (2) Ix ) IRRIGATION (6) SHALL TAKE NECESSARY MEANS AND PRECAUTIONS TO ( ) COMMERCIAL (4) ( ) MUNICIPAL (S) PRESERVE THESE MARKINGS. Xvk .r- '-- 5^; ( I OTHER (9) APPLICATION APPROVED I.D. I W.D. O ( COUNTY G 2 (4) DRILLER PERMIT NUMBER 035063 - E game Canfield Drilling Co. DATE ISSUED MAY 0 21989 I atreet 111 West Street EXPIRAT O DATE MAY 0 21990 City Fort Morgan, Colorado 80701 A,l,r a . . (State) (Zip) (303)867-2943 765 ATE EN NEER) Telephone No. Lic. No. B • THE(5) THE LOCAThe ION OeFuTHE sed PRbOePndicated on the diagram area elow, (6) by distances _.nS section lines. ED BELO'N- ' Use the CENTER SECTION (1 section, 640 acres) for the well location. North sec. line 1930 ft. from 11 (north or south)- - fr fr I-_ — I 1060 • East" sec. line ft. from 4---1 MILE,528O-FE ET-- least t + 4 + ± + ± LOT BLOCK FILING * I I I I SUBDIVISION — — NORTH SECTION LINE — + — --F T (7) TRACT ON WHICH WELL WILL BE I I I LOCATED 18.1 . Will this be NORTH m — I — — — .� — —D + + No,of acres T ? U z I I % mio ' the only well on this tract? No + } st o — + (8) PROPOSED CASING PROGRAM m I I Plain Casing 55 — I — — L — _m + 1 5 in,from 0 ft.to tt. T _ T I I I in.from ft.to ft. — T — .._LPerforated casing 4— — -4- — SOUTH SECTION LINE 55 75 ft. I 5 in.from ft.to 1 I I T _ —r L T in.from ft. to ft. + + T I (9) FOR REPLACEMENT WELLS give distance ). - '� _ .. - I and direction from old well and plans for plugging I I t — -1- — 4- — T it — — r _ '� — — —I— N/A The scale of the diagram is 2 inches= 1 mile Eachsmall square represents 40 acres. — WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 toot deep 1 cubic foot per second Icfsl ...449 gallons per minute 19Pm) 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: , n/�� ` W� National Farms , Inc. - .. No.of acres: pm/at,� Owner(s): T.SN. R.63W. Legal description: A 18 1 acre parcel of land located in the SE=G NEti Sectie^ (11) DETAILED DESCRIPTION of the use of ground.water: Household use and domestic wells must indicate type of disposal system tD be used. Water will be used for 'all in-house domestic uses, irrigation of residential lawns, and other miscellaneous outside uses pertinent to 12 single-family homes. Waste- water .from domestic kite will .be treated using conventional non-evaporative septic tank/ leach- field disposal systems. (12) OTHER WATER RIGHTS used on thr and, including wells. Used for (purpose) Legal Description of land on which used •Type of right None r• (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIWLEDGE. / 1 C 2 A/Ffl14TIO�.MC 'CC; 1-A2M-S 1V\ C . ) SIGNATURE OF AP:a TISII - I.o adrftlnn6l !fleets of Danes if more space is required. WJF-Z6-// COLORADO DIVISION OF WATER RESC,..r10ES THIS FORM MUST BE SUBMITTED 1313 Sherman Street - Room 818 WITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 OF THE WORK DESCRIBED HERE- .—. I.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT K. 1145t)G 9�n PERMIT NUMBER WELL OWNER !iatim-bat ftor "ars, Inc. SL % of the 'ar '/ of Sec,'•t '?SCM YI TN It, I`�O Y.5e`.r r�. S?(IF,('!, J ..i i3 it F ADDRESS 25000 T. R. P.I DATE COMPLETED June 12, , 19 S9 HOLE DIAMETER ^ 120 WELL LOG in. from ` to ft. Water From To Type and Color of Material Loc. — in. from • Fto ft. rl 3 loam in. from to ft. 3 50 sand,gravel 111/2' DRILLING METHOD 50 101 cday,scme fine sand CASING RECORD: Plain Casing 111 105 gravel,sand Size 5/8 & kind steel from +1 to 20 f 105 120 coarse gravel,few boulders Size 5 _ & kind plastic from 6 to 110 f Size & kind from • to f Perforated Casing Size 5 & kind plastic from 110 to 120 f Size & kind from to f Size & kind from to f GROUTING RECORD Material neat cement Intervals F.' to 20' Placement Method Spill tube GRAVEL PACK: Size Buckshot 2O' to 120' Interval TEST DATA June 12 Sf Date Tested 19 111 Static Water Level Prior to Test f wiled Type of Test Pump 2 hrs Length of Test 15 ;:,p1 1`n, Sustained Yield (Metered) TOTAL DEPTH 121/2' Use additional pages necessary to complete log. Final Pumping Water Level FUMY INS IALLATION HEY()Hf ...•.� ,. 1, a' Pump Make Grundfos ,} as .LYPe Submersible f. -.Y, \„ .. :_, :a: cowered by Electric HP 1_ • • Pump Serial No. R971-P2SR d ,1' w a WATER 3 Motor Serial No. 10-16.15-P3L r TAI TABLE > U> W <W Q J Date Installeo Seer 21 ,long _cc i- w ' • Pump Intake Depth 3n' _ A e - - - y , Remarks _ '' t7 , ar 1 =I ` ' w c E I, ` : 1 Q t / •. ` Z S �h WELL TEST DATA WITH PERMANENT PUMP w v' 0 •0 (- Date Tested Srp- 21,1989 a F _ CONE OF F a DEPRESSION 0 la Static Water Level Prior to Test 11T 1- o • Length of Test 1$ Hours Austained yield (Metered) !5 GPM Pumping Water Level 12' . Remarks '^ 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//fy'' own Jknnooav�ledge. Signature t/�i , ` -L 46Y/ License No. 765 State of Colorado, County of SS • Subscribed and sworn to betore me this, day o '--r , 19S1 My Commission expires: 41[, r /2 . 199 Notary Public d�LL✓✓'l�ill://4T- IFflu', L 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 Driller. .WR.t-25.75 .• COLORADO DIVISION OF WATER RESOURCES TYPE OR 818 Centennial Bldg., 1313 Sherman St. • PR'VT IN BLACK INK OF ACCEPTED Denver, Colorado 80203 EMENT MAILED iEOUEST. STATE OF COLORADO / AFFIDAVIT Weld r SS. COUNTY OF 1 MC STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD LATE REGISTRATION PERMIT NUMBER 035063—F LOCATION OF WELL (HE AFFIANT(S) National Hog Farms,Inc. County Weld whose mailing t address is 25000 WCR 69 SE I. of die NE z. sw..,. City Kersey C0 80644 _ TAI. 5_ _N . Rng. 63 _ A_ . 6 P M 1 It1Y1 N OM •.1 iF. um NI being duly sworn upon oath, deposes and says that he (they) is (ore) the owner(s) of the well described h on; the well is 1193 qk3 located as described above, at distances of a feet from the north section line and au-._ feet from the ino11Ir.us smarm. east section line; water from this well was first applied to a beneficial use for the purpose(s) described herein on the 22— I{.,. o. n.-.I day of Sept , 1989 ; the maximum sustained pumping rate of the well is 15 gallons per minute, the pumping claimed hereby is 15 gallons per minute; the total depth of the well is 120 feet; the average annual amount ) of water to be diverted is 4.5 ' acre-feet; for which claim is hereby made for Domestic gardens, & 1 awnc purpose(s); the legal des ription of the land on which the water from thls well is used is SE—NF4—Sec.3frT5N-R63W of which 1.4 acres ore 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 arc true of his (their) knowledge. / /�/��r7'�l `—(COMPLETE REVERSE SIDE OF THIS FORM) Signatures) -_ GL./1 U FOR OFFICE USE O..LY Subscribed and sworn", � to before me on this ;/}'� day of ..5 A7e/1;Klee , 19 /9 Coua Cole No. — MyCommission expir.e.s: &I —/S- 9U Ise>.• Pnur• mo. Coy — Ts. .o'Au r ru.ua •icas5 cafe 0? Div. CIy. _ ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: 4 e.*pI d+pyyfie Sec. 'A. _ A. .. Well Use ..".". Di>I. _ Basin Moe_ Du. OAI ( STATE ENGINEER 0Y FORM/92 STATE i OF COLORADO For Office Use ony Iowst°NO. OFFICE OF THE STATE ENGINEER �sca�-a 8- I03 818 Centennial Bldg., 1313 Sherman St,Denver,Colorado 80203 „�i (303) 8663581 gig FOR INSTRUCTIONS, SEE REVERSE SIDE MAR 2. 6 '1 ;) STATEMENT OF BENEFICIAL USE „* , I, WELL PERMIT NUMBER 035063F `�.. 1. WELL OWNER NAME(S) National Hog Farms, Inc. Mailing Address 25000 WCR 69 City, St Zip Kersey, CO 80644 Phone ( 303 ) 353-9960 2. WELL LOCATION: COUNTY .Weld OWNER'S WELL DESIGNATION- pEs-1 - 25000 WCR 69 Kersey, CO 80644 (Address) (City) (State) (Zip) SE 1/4 of the NE 1/4, Sec. 34 Twp. 5 ❑x N. or❑S., Range 63 ❑E. or©W. 6 P.M. Distances from Section Lines 1973 Ft from©N. or❑S. Line, 963 Ft from❑E. or❑W. Line. 3. The well is being used for the following purpose(s): Domestic, gardens & lawns 4. Water from the well was first used beneficially under this permit number, for the above described purposes on Sept. 22 19 82. '_ (Do not report a date which is before the issued date of this permit) ?The pumping rate claimed is 15 gallons per minute. 6. The average annual amount of water diverted is 4.5 acre feet 7. The land area irrigated (watered) by water from this well is: 1.4 O Acres or ❑Square feet, (Number) described as: SE4 - NE4 - Sec. 34 - T5N - R63W • (Legal Description) or as Subdivision Lot(s) Block Filing/Unit 8. Well drilled by: Canfield Drilling Co. Uc. No: 765 . Pump installed by: Canfield Drilling Co. • tic. No: 764 . 9. Meter Mfg. by L41 Milton Roy Serial No.: 92347352 Date Installed:.Approx. 12/92 . I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a Class 1 misdemeanor.]10. Name/ (Please type or print) rignature� 13372 1`// ! , William J. O'Hare FOR OFFI USE ONLY Accepted that those conditions of approval. ii91 3 stated on the permit are complied With j i AttriWrat . 2 'ittas• � $ APR 19 1995 State Engineer By Date Court Case Nn Div. I Co. O t WD (o' Basin MD Use WELL LOCATION /N THE SE QUARTER OF THE NE QUARTER OF SECT/ON 34 ,TOWNSHIP 5 NORTH, RANGE 63 WEST OF THE 6TH P.M. WELD COUNTY, COLORADO P -- I Scale. /"•/000' 963' Wer Location .34 • • CLIENT: Na/ionat Farms / ,35o3 J ORDERED BY: W. D. For, EmP/°`/e- SURVEY DATE: chine 20, /989 • SURVEYOR'S CERTIFICATE THIS IS TO CERTIFY THAT AN ACTUAL AND ACCURATE FIELD SURVEY WAS CONDUCTED TO ESTABLISH A WATER WELL LOCATION. THIS PLAT DEPICTS THE RESULTS OF SAID SURVEY. ALL INFORMATION SHOWN HEREON 15 CORRECT TO THE BEST OF HY KNOWLEDGE AND BELIEF. tetSP B. GERALD B. McRAE, PROFESSIONAL ENGINEER AND .Ft VyW b• 0% ' LAND SURVEYOR. COLORADO REG. NO. 6616 g t0 6616 ,Zvv�F.ANO Pia �YYeihm ellt MCRRE I SHORT,INC. 1231 8th Ave. Greeley, Cola. 80631 Phone 356-3101 /53-881 Form STATE OF COLORADO For Office Use Only No. OFFICE OF THE STATE ENGINEER GWS-12 818 Centennial Bldg., 1313 Sherman Si. Denver, CO 80203 7/00 (303) 866-3581 Fax(303)866-3589 http://water.state.co.us/default.htm REGISTRATION OF EXISTING WELL Name, address and phone of the well owner: N/r770 117- F/t5e-aS NAME(S) - -- ---- — - — ---- MailingAddress__ZSo00_ W G�• 6 9 —_— Cit Y. p SL 2i yea,C. Sty , Co so • - 7o S 3 - 996 0 Phone ( ) — - WELL OCATION• County r� Et-OS Owner's W�y Designation_ DES - 3 2l33s wc,e 6 9 ,(!�rs�Z/ C� o4Vfe (Ad-dress) (City) (State) (Zip)NetSE_1/4 of the ___ 1/4, Sec.$__, Twp. S Ipl N.or ri S., Range 63(__6_P.M. Distance from Section Lines 2 9'O Ft. From l5`1 N.or❑S., /0�! Ft.From M E.or ❑W.Line. Subdivision Name Lot\ , Block____, Filing/Unit ____ BonEn7 ass' rv.c �2� /1orrr3 o ter cra)e- a-- The well has historically been used for the following purpose(s): i Ain't-n-40.4' ez' Attu-a K. y3-, 0 sp.'3b TR-Ec Je..-.r—L/mo- `. /eon /4- f—ti► Water from the well was first used beneficially by the original owner for the above described purposes on The total depth of this well is O feet. The pumping rate of this well is tics gallonsper minute. The average annual amount of water diverted is acre feet. The land irrigated(watered)by water from this well is 9) , an" ❑Acre or g Square feet, described as: 's<3 3s ,rw 2 9CS z Au cx Lrber, ,f -c a1 , Co S 94. c5' or as Subdivision Lot(s) Block Filing/Unit I(we)claim and say that I(we)are the owner(s)of the well described above,know the contents of the statements made herein,and state that they are true to my(our)knowledge. Plea§e print the Signerr''s Name &Title Signature of lheowner Date ------------- `Nfiivr+-ieC H�/fiiu ,t AOr --------------------------�-- ----------------- For Office Use Only WE WR TOPO MYLAR__ Div___ WD____Basin_ _ MD___ GWS-13 t31UZI COLORADO DMSION OF WATER RESOURCFS FIELD INSPECTION REPORT Please complete this form in INK DIV._ _WD aPPL receipt no(s). _ DATE OF INSPECTION: • i4 "z APPIJCANi )‘) person contacted it not applicant jag,' &m u X ADDRESS: 7cdoe WCQ /owl W_lname&phone s_ _ jr <c 40-/rz_ I co g .19 770 —3Cz -E7i z phone 470 3-9110 • DOS7WG•WELL LOCATION: �tL. SE T<, N6 vd Sec. 3</ , TWP- 4,,i/ *ling. 63 . Le PM; DIST ZAIaC N p secline, /04 frortgAtsesame; ... :. ._.. .. (if rept,give cast.d dr.to new wed rife circle type of existing HAND DUG SPRING _WS.L, GALLERY WELL, GRAVEL PIT, OTHEIY. hownaaryotherwels are located on this parcel? use? we they tryiaMed! pemait/case S(s)7 EST DATEWEILCONS7RUC7H') /968 DATEOFFIRST(1SE EST_PUUMPINGRATE /S-913m TOTAL iF OF ACRES W THIS TRACUPARCI3 /. 1.0,- ACRES • additional suhdfparcel info. USE OF WELL: household use in(indicate how man}) Z single family dwelfng(s) watering of poultry and/or domestic animals.(domestic animals•wordd include a few COWS,horses, etc.)_ • • watering of Gves:ock on a farm or ranch—apprmc how manyhead? is this a feed lot? ;how many head? / (rtis important to;Decry estimated historic lawn/garden irr)in._ / square feet ar 'of lawn and/or garden lire protection cormnercial—dilating&sane only?.(write details hn"comments'section) other(write details in'comments'section) GI no WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? NOTE IF ANY CHANGE IN THE HISTORIC USE OF THIS WELL HAS OCCURRED SINCE MAY 8, 1972, please indicate the date(s)the use changed, and discuss this change/and/or e*pansion of the current/or proposed use in the'WWI I=16. section of this form (if completing inspection for NON FY1ZMPT USES, use coma=its section below(include case #, #acres in-. if applicable, etc-)) signed: dared / z4, O Z� additional comments andlor information: '�7--- CO."� t4tPrtTr l c� WELL LOCATION /N THE SE QUARTER OF THE NE QUARTER OF SECT/ON 34 ,TOWNSH/P 5 NORTH, RANGE 63 WEST OF THE 6TH P.M. WELD COUNTY, COLORADO • • /"•/000' • 963' Wer Location 34 • • • • CLIENT: Na//Oval Forms ,44'9 P¢,wL�"`�j5Db3 : IYJSlN4 // ORDERED BY: WO Farr ryigkfire9 SURVEY DATE: dime 20, /989 • SURVEYOR'S&FRTIFICATF THIS IS TO CERTIFY THAT AN ACTUAL AND ACCURATE FIELD SURVEY WAS CONDUCTED TO ESTABLISH A WATER WELL LOCATION. THIS PLAT DEPICTS TOE RESULTS OF SAID SURVEY. ALL INFORMATION SHOWN HEREON IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. OJ ea REC/g"h3 GERALD B. NcRAE, PROFESSIONAL ENGINEER AND EL,* tn - LAND SURVEYOR, COLORADO REG. NO. 6616 .g; to 6616O X. s MOIRE 6 S110RT,INC. 1231 Blh Ave. Greeley, Colo. B0G31 Phone 356-3101 /53-88/ /N THE SS QUARTER OF THE NE QUARTER OF -CT/ON 34 ,TOWNSHIP 5 NORTH, RANGE 63 W£5T OF THE 6TH P.M. WELD COUNTY, COLORADO • N Scale, We// Location 534' 34 • • CLIENT: Nafionaf Farms ' • PIS' 035°6 e Slays/�� )RDERED BY: W D. Farr EMI e �I • SURVEY DATE: dune 20, /989 • SURVEYOR'S CERTIFICATE THIS IS TO CERTIFY THAT AN ACTUAL AND ACCURATE FIELD SURVEY WAS CONDUCTED TO ESTABLISH A WATER WELL LOCATION. THIS PLAT DEPICTS THE RESULTS OF SAID SURVEY. ALL INFORMATION SHOWN HEREON IS CORRECT TO THE BEST OF MY kNOWLEDGE AND BELIEF. `ople0lplm, GERALD B. HOME, PROFESSIONAL ENGINEER AND 616 LAND S LAND SURVEYOR, COLORAOS;REG. NO, 6616 '4 AWOCN-20 McUAE 6 SIIDRT,INC. 1231,BIN Ave. Greeley, Colo. 80631 Phone 3S6-31e1 /53-881 AUG-02-2001 THU 02:20 PM TROUT rTWER & FREEMAN FAX NO. 303F'T14o5 P. 04 WATER LEASE AGREEMENT THIS WATER LEASE AGREEMENT ("Agreement"), dated as of 2001, is between National Hog Farms, Inc., a Colorado corporation ("Lessor"), and ("Lessee"). RECITALS WHEREAS, Lessee is acquiring from Lessor certain real property and housing units together with two small capacity wells known as Well Nos. RES-1 (permit no. 35063-F) and RES-2 (permit no. 35062-F) (collectively the "Wells"); and WHEREAS, the Wells have supplied the housing units with water for the uses of domestic, fire protection and irrigation of approximately 3 acres of lawn; and WHEREAS, the Wells each have decreed underground water rights in the amount of 15 gpm (0.03 cfs) absolute, with an appropriation date of April 26, 1989, for uses of domestic, fire protection and irrigation of approximately 3 acres ("Water Rights"), as confirmed in Section BIB of the Findings of Fact, Conclusions of Law, Ruling and Judgment and Decree entered in Case No. 94CW217, Water Division 1, on October 3, 1997 ("Decree"); and WHEREAS, the Wells are tributary to the South Platte River and require augmentation to allow their continued use within the priority system at times when the wells' Water Rights are out of priority and otherwise subject to administration; and WHEREAS, the Decree also approved a plan for augmentation to replace water withdrawn from the Wells, that relies on water rights owned by Lessor which are also the sources of augmentation water for certain large capacity wells and a surface irrigation pump as decreed in Case No. 88CW264(B),Water Division 1; and WHEREAS, withdrawals from the Wells for their decreed purposes in connection with the housing units is estimated not to exceed a combined annual total of 19 acre-feet; and WHEREAS, the Water Rights and Wells are being conveyed by Lessor to Lessee by separate deed; and WHEREAS, Lessee desires to continue diversions from the Wells pursuant to the Water Rights under the augmentation plan approved in Case No. 94CW217; and WHEREAS, Lessor desires to lease to Lessee a portion of those certain water rights identified as sources of augmentation water for the Wells in Case No. 94CW217 for the purpose of allowing such continued diversions. C:\DATA\Nationalrarms\Water Lease Agreement Revl.wpd EXHIBIT,C - Page 1 A'UG-02-2001 THU 02:20 PM TROUTThIER & FREEMAN FAX NO. 303E' 1465 P. 05 THEREFORE, in consideration of the promises and covenants contained herein, Lessor and Lessee agree as follows: 1. Lease. Lessor hereby leases to Lessee for the terms and conditions set forth below, up to 19 acre-feet of water per year from the augmentation sources described in the Decree for the purpose of augmenting the Wells pursuant to the Decree. 2. Conditions. Subject to the provisions of the Decree regarding the order of preference for use of the replacement sources, Lessor may use any of the augmentation sources decreed in Case No. 94CW217 to make said replacements. Lessee shall be responsible for maintaining totalizing flow meters on the Wells and measuring and recording on a monthly basis withdrawals from the Wells, and shall promptly make such monthly records available to the Lessor and Division Engineer as necessary to ensure that the accounting requirements for the Wells as set forth in the Decree are fully met. Lessor shall be responsible for satisfying all other accounting requirements set forth in the Decree, including submitting to the Division Engineer a monthly report which includes a monthly reconciliation of diversions and depletions, and augmentation credits (including a breakdown of the location of such credits), and submitting by May 1 of each year a proposed diversion and net stream depletion schedule for the next 12 months. Lessee shall timely provide to Lessor any information reasonably necessary to prepare the necessary proposed diversion and depletion schedule. Lessee shall file a change of ownership form for the Wells with the State Engineer's Office within 30 days of the date first written above. Should this Agreement be terminated or not renewed for any reason, Lessor shall have no obligation to provide for the augmentation of the Wells and may amend the augmentation plan decreed in Case No. 94CW217 to exclude the Wells, and diversions from said Wells may be subject to curtailment by the Division Engineer. 3. Term. The term of this Agreement shall be twenty-five (25) years from the date first set forth above. The Agreement shall automatically terminate on the first day following the twenty-five-year anniversary of the date first set forth above, unless otherwise renewed in accordance with the provisions herein. Lessee shall have the option to renew the Agreement for another twenty-five-year term by notifying Lessor in writing no less than six (6) months before the end of the lease term that it intends to renew the Agreement. If Lessee exercises its right to renew the Agreement, Lessee shall have the right to renegotiate the rent provision of the Agreement to reflect market conditions. All other provisions of this Agreement shall continue in full force and effect upon renewal unless otherwise modified by mutual agreement between the parties, 4. Rent. As consideration for Lessor providing augmentation water and performing the augmentation plan accounting services required by Paragraph 2 hereof, Lessee shall pay to Lessor as rent the sum of Five Hundred Dollars ($500.00) annually for the term of this C:\DATA\NatiunalFarms\Water Lease Agreement Rev].wpd 2 EXHIBIT C - Page 2 A,UG-02-2001 THU 02:21 PM TROU°-'1TWER & FREEMAN FAX NO. 303"'°4465 P. 06 Agreement. The first rent payment shall be made on the date of this Agreement set forth above. Rent payments shall be due in full every year thereafter on or before the last day of the month in which this Agreement is dated. 5. Use. Lessee shall use the Wells only for the purposes decreed under the Water Rights in connection with the housing units acquired from Lessor and shall not withdraw from those wells more than 19 acre-feet in any one water year defined as the period from November 1 through October 31 of the following year, unless otherwise agreed upon in writing. 6. Default. If either party to this Agreement is in default under the obligations set forth herein, the other party shall give the defaulting party written notice specifying the nature of the default. The defaulting party shall then have 10 days thereafter to cure, or commence to cure, the default. If the defaulting party does not cure, or commence to cure, the default within such time, the nondefaulting party may elect to terminate this Agreement by giving written notice to the defaulting party or may elect to treat this Agreement as in full force and effect and retain the right to seek damages (including reasonable attorney fees and costs) as the sole remedy. 7. Notices. All notices required or permitted under this Agreement shall be in writing and shall be sent by registered or certified mail, postage pre-paid, or by hand delivery directed as follows: If intended for Lessee to: If intended for Lessor to: National Hog Parms, Inc. 1600 Genesse, Suite 846 Kansas City, MO 64102 With a copy to: James S. Witwer, Esq. Trout and Raley, P.C. 1120 Lincoln Street, Suite 1600 Denver, Colorado 80203 Any notice delivered by mail in accordance with this section shall be deemed to have been duly given 72 hours after the same is deposited in.any post office or postal box regularly maintained by the United States Postal Service, Any party by notice given as above may change the address C:\DATA\Nationa]Farms\Water Lease Agreement Rev ,wpd 3 EXHIBIT C - Page 3 AUG-02-2001 THU 02:21 PM TROUT"""ITWER & FREEMAN FAX NO. 3038 '1465 P. 07 to which future notices may be sent. 8. Assignment, Either party to this Agreement may assign its rights and obligations under this Agreement. The assigning party shall promptly provide the non-assigning party written notice of such assignment. 9. Miscellaneous. a. This Agreement shall be binding upon and inure to the benefit of Lessor and Lessee and their respective successors and assigns. b. The section headings are inserted only for convenient reference and do not define, limit, or prescribe the scope of this Agreement. c. By signing below, each of the undersigned indicates that he or she has full power and authority to bind the party which he or she represents, and that all necessary action necessary for such party to enter into this Agreement has been taken. Executed as of the date first written above. LESSF.F By: LESSOR National Hog Farms, Inc. By: • C:\DATAWationatFarms\Water Lease Agreement Rev].wpd 4 EXHIBIT C - Page 4 AUG-02-2001 THU 02: 19 PM TROUT WITWER & FREEMAN FAX NO. 3U38324455 P. 02 • BARGAIN AND SALE DEED AND ASSIGNMENT NATIONAL HOG FARMS, INC. a Colorado corporation, whose legal address is ("Grantor"), for and in consideration of TEN DOLLARS and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, hereby does sell, convey and assign to Upland, L.L.C., a limited liability company, whose legal address is ("Grantee") the wells known as Well No. RES-1 (permit no. 35063-F) with a decreed location in the SE1/4NE1/4 of Section 34, T5N, R63W, 6" P.M., Weld County, Colorado, at a point 1,930 feet south of the North section line and 1,060 feet west of the East section line of said Section 34, and Well No. RES-2 (permit no. 35062-F) with a decreed location in the SE1/4NE1/4 of Section 34, T5N, R63W, 6"P.M., Weld County, Colorado, at a point 2,230 feet south of the North section line and 525 feet west of the East section line of said Section 34 (collectively the "Wells"), together with well permits associated therewith and the water rights decreed to the Wells in the amount of 15 gpm (0.03 cfs) absolute for each well, with an appropriation date of April 26, 1989, for the uses of domestic, fire protection and irrigation of approximately 3 acres ("Water Rights"), as confirmed in Section III.B of the Findings of Fact, Conclusions of Law, Ruling and Judgment and Decree entered in Case No. 94CW217,Water Division 1, on October 3, 1997 (Decree), and any existing pipelines necessary for the use of said Wells for their decreed purposes. Said Wells and Water Rights do not include any water rights to be used for augmentation of the Wells as provided for in Section III.C.3 of the Decree, or any interest in,the Peterson Well No. 2 (permit no. 12752-R) described in Section III.C.2 of the Decree. Said Wells and Water Rights shall not be used for purposes other than the decreed uses set forth herein above, unless Grantee obtains additional augmentation water rights and a judicially approved plan for augmentation to replace depletions from said additional uses. DATED this day of , 2001. National Hog Farms, Inc. By: By: CADATAWationalFanns\Rcc Wdlc Dccd.wpd EXHIBIT D - Page 1 AUG-n2-2001 THU 02:20 PM TROUT)d1TWER & FREEMAN FAX NO, 303824465 P, 03 STATE OF COLORADO ) ss. COUNTY OF ) The foregoing instrument was acknowledged before me this day of 2001, by and of National Hog Farms, Inc., a Colorado corporation. Witness my hand and official seal. Notary Public My commission expires: WELL LOCAT/01, /N THE SE QUARTER OF THE NE QUARTER OF SECT/ON 34 ,TOWNSHIP 5 NORTH, RANGE 63 WEST OF THE 6TH P.M. WELD COUNTY, COLORADO n / V Sco/e, /'•/000' ' 963' (VT Location 1 .34 • CLIENT: Na/%ono/ Forms g 0360 pjAwed ORDERED BY: W D. far, EIvo 3I 0 SURVEY DATE: 'hint tO, /989 • SURVEYOR'S CERTIFICATE THIS IS TO CERTIFY THAT AN ACTUAL AND ACCURATE FIELD SURVEY WAS CONDUCTED TO ESTABLISH A WATER WELL LOCATION. THIS PLAT DEPICTS THE RESULTS OF SAID SURVEY. ALL INFORMATION SHOWN HEREON IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. 11,67% S. GERALD B. MCRAE, PROFESSIONAL ENGINEER AND Si(' G LAND SURVEYOR, COLORADO REG. NO. 6616 11/4.4 B - Naas- MCRAE 6 SHORT,INC. 1231 8th Ave. Greeley, Colo. 60631 Phone 356-3101 /53-88/ vdp..i.�.-y CC" , .ADO DIVISION OF WATER RESOU--7S 300 c Bldg., 1845 Sherman St., Denver, Colon 03 . PERMIT APPLICATION FORM Application -•.7 complete l ( x) A PERMIT TO USE GROUND WATER Oh' ^wliccb:e. T ,. ( x) A PERMIT TO CONSTRUCT A WELL NKt Hon oveBBLAcl 2 6 1989 FOR: ( x) A PERMIT TO INSTALL A PUMP or erasures unless initialed. Prop: ( ) REPLACEMENT FOR NO. must be sub with the opplice • ( ) OTHER (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME National Hog Farms, Inc. Receipt Nog 4 S 1 2g / STREET 25000 Weld County Road 69 Basin Dist. CITY Kersey, Colorado 80644 (sar.) (zip) CONDITIONS OF APPROVAL TELEPHONE NO. (303) 353-9960 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 Weld right or preclude another owner of a vested water County_. right from seeking relief in a civil court action. SE _+4 of the NE _ Y., Section 34 - 1) APPROVED PURSUANT TO SECTION 37-90-137(2), 5 N Rog 63 • WC.R.S. AND THE TEMPORARY SUBSTITUTE WATER Twp. - g. , 6th P.M.pMSUPPLY PLAN APPROVED BY THE STATE ENGINEER ON APRIL 28 1989. THE PLAN IS CURRENTLY VALID (3) WATER USE AND WELL DATA THROUGH OCTOBER 31 1989 AND IF IT IS NOT EXTENDED OR IF A PLAN FOR AUGMENTATION IS NOT ^ APPROVED BY THE WATER COURT THIS PERMIT SHALL BE NULL MID VOID AND ALL USE OF THE WELL MUST roposed maximumpumping rate (gpm) 15 CEASE. 2 ATE THE MAXIMUM PUMPING R OF THE WELL SHALL Average annual amount of ground water 4.5 NOT EXCEED 15 G.P.M. to be appropriated (acre-feet): 3 THE ANNUAL AMOUNT OF GROUND WATER TO'BE APPROPRIATED BY THIS WELL SHAI.I. NOT EXCEED 4.5 Number of acres to be irrigated: Approx. 1.4 (lawns) A4C)RE—FEET. WELLTHE USE OF GROUND WATER� FROM p THIS WELL AND Proposed total depth (feet): 75 ORDINARY HOUSEHOLDS `URPOSEs-in w'S LIMITED TO TO 12 SINGLE FAMILY DWELLINGS AND IRRIGATION OF A MAXIMUM OF Aquifer ground water is to be obtained from: 60,000 SQUARE FEET OF GARDENS AND LAWNS. Alluvium of South Platte River 51A TOTALIZING FLOW METER MUST BE INSTALLED ON tE WELL AND MAINTAINED IN GOOD WORKING ERMANENT RECORDS OFORDER. ALL DIVERSIONS MUST BE PP Owner's well designation RES-1 MAINTAINED BY THE WELL OWNER (RECORDED AT LEAST WEEKLY) AND SUBMITTED TO THE DIVISION ENGINEER GROUND WATER TO BE USED FOR: UPON BEQUEST. 6 THE OWNER SHALL MARK THE WELL IN A CONSPICU- 1 I HOUSEHOLD USE ONLY- no irrigation (0) OUS PLACE WITH APPROPRIATE WELL PERMIT NUMBER is I DOMESTIC (1) ( ) INDUSTRIAL (5) 'COURT CASE NUMBER AND NAME OF THE AQUIFER. ; ( ) LIVESTOCK (2) Ix ) IRRIGATION (6) SHALL TAKE NECESSARY MEANS AND PRECAUTIONS TO 1 1 COMMERCIAL (4) ( ) MUNICIPAL (S) PRESERVE THESE MARKINGS. %UH 1- z- f ,. ( I OTHER (9) APPLICATION APPROVED I.D. ` W.D. 0 ( COUNTY (0;2— (41 DRILLER PERMIT NUMBER 035063 - E .tame Canfield Drilling Co. DATE ISSUED MAY 0 21989 rtreet 111 West Street EXPIRAT 0 f DATE MAY 0 21990 City Fort Morgan, Colorado 80701 a . 44,0%-s,..---- (state) (2.,) (303)867-2943 765 ATE EN NEER) Telephone No.(303)867-2943 No. B (5) THE LOCATION heer I OeF THE ed PROPust be (di. 'WELL on the and the area m elo on (6) THE by rte EI ---STtBE lines. OCATED BELOW.- Use the CENTER SECTION (1 section, 640 acres) for the well location. 1930 ft. from North ---sec. line (north or south) --1— ± -— — — I — — I 1060 ft. from East---sec. line I' 1 MILE,5260 FEET-i (east or west) t. 4- + + + + ± ± LOT BLOCK FILING • I I I _I._I SUBDIVISION NORTH SECTION LINE — -r — l WILL BE — } - (7) TRACT ON WHICH WEL I 4 LOCATED i NORTH I w -- J_ — — 1 -m + -1- 18.1 Will this be 1- "- z I T — xi H No.of acres C c) I i X m ' the only well on this tract?_11c!_-- 4- w I { a - + (8) PROPOSED CASING PROGRAM N I I r Plain Casing co z 0 ft. — 1 — -- - n + I 5 in.from ft. to 55 I I I I in.from ft.to ft. I I _ — i _ 4 Perforated casing -I— — + — SOUTH SECTION LINE I 5 in.from 55 ft.to 75 ft. 1 II + -4- 4 L -r in.from ft. to ft. I (9) FOR REPLACEMENT ELLS give distance -). .4 I Wand direction from old well and plans for plugging T T N/A ^ 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 Ids) .. .449 gallons per minute Wpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot.. .43,560 cubic feet. . .325,900 gallon. 1.000 gpm pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND WATER WILL BE USED: ,,,, , /�4X � National Farms, Inc. No.of acres: St, Legal description: A 18.1 acre parcel of land located in the SE'Z> NE'-t, Section, T.SN. , R.63W. (11) DETAILED DESCRIPTION of the use.of ground.water: Household use and domestic wells must indicate type of disposal system to be used. Water will be used for all in-house domestic uses, irrigation of residential lawns, and other miscellaneous outside-uses pertinent to 12 single-family homes. Waste- water from domestic uae will 'be treated using conventional non-evaporative septic tank/ leach field disposal systems. (12) OTHER WATER RIGHTS used on the land, including wells. Type of right Used for (purpose) Legal Description of land on which used None - 'n T=: ' x•13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS,NDOWLEDGE. A ' C MLe-0-1 Fog_ /V frTlO�.7f4C '�` 1Th-ARMS t �V1 C . SIGNATURE OF A.1:1=TlSI I i.o .drirtlnna: meets of oaoer if more space is required. WIN,26-/i �i� COLORADO DIVISION OF WATER RESO..nCES THIS FORM MUST BE SUBMITTED 1313 Sherman Street - Room 818 WITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 OF THE WORK DESCRIBED HERE- ^I.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT PERMIT NUMBER 0250G3�r WELL OWNER IlatiOnal 1+o^ :,arT,B, Inc. ST- V. of the lir V. of Sec, ADDRESS 2500e sN'CR C'1. '' Ci5C'i,f:l). FO/,[.[, T. j .•I R. '3 is P1 DATE COMPLETED June 12, , 19 °9 HOLE DIAMETER 7 • 120 WELL LOG in. from to ft. Water From To Type and Color of Material Loc. — in. from to ft. 0 3 loam in. from to ft. 3 50 send,gravel 111:1' DRILLING METHOD 50 lot clay,sase fine sand CASING RECORD: Plain Casing 101 105 gravel.,sand Size 5/13 & kind steel from 41 to20 f 105 120 coarse gravel,tet.+ boulders Size 5 - & kind plastic from 6 to 110 f Size & kind from to f Perforated Casing Size 5 & kind plastic from 110 to 120 f Size & kind from to f Size & kind from to f GROUTING RECORD Material Heat cairn Intervals 6' to 20' Placement Method Spill tube GRAVEL PACK: Size Buckshot 20' to 120' Interval TEST DATA or Date Tested June 12 19 3 Static Water Level Prior to Test 11 f Type of Test Pump allied Length of Test 2 hr s Sustained Yield (Metered) 15 "gl TOTAL DEPTH 1`nr 121' Use additional pages necessary to complete log. Final Pumping Water Level PUMP INSTALLATION REPORT Pump Make Grundfos Type SUhlnrrsible }'; cm' fa l „ �., .. .: ne aered by Elertrir HP 1,___. ,; Pump Serial No. R471-P9SS t ., a WATER • Motor Serial No. 10-2415-F84 -V > i TABLE l•o ', W W i J Date Installed Sept 21,1939 ¢ N w Pump Intake Depth 30' _ •" '' a Remarks _ ., i 0 r r 2 . - d i , 1 ♦ :; • / s / WELL TEST DATA WITH PERMANENT PUMP a I ` Q" .0 I- Date Tested Sept.21,1989 , z = g CONE OF •-. a. i, •:. DEPRESSION Static Water Level Prior to Test llls' F n r Length of Test 3/4 Hours o AI >tained yield (Metered) 15 GPM Pumping Water Level 12' • Remarks '� r :^Fr L .' 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 ' own kilo edge. Signature 1 License No. 765 State of Colorado, County of SS f. fi'c, Subscribed and sworn to before me this day o �fi , 19 (CC/ My Commission expires: 7t , // , 19 g:;() Notary Public -'l�c /1 ,x 12 !Ft/LF.•'1� FORM TO BE MADE OUT IN GUADRUPLICATE: 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 Oriiler. "WR t.m-ts r. .1. COLORADO DIVISION OF WATER RESOURCES TYPE OR 818 Centennial Bldg., 1313 Sherman St. ' PP'•IT IN BLACK INK. C OF ACCEPTED Denver, Colorado 80203 ' ,...,EMENT MAILED `.0UEST. STATE OF COLORADO I SS. AFFIDAVIT COUNTY OF Weld r XX STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD LATE REGISTRATION PERMIT NUMBER 035063-F LOCATION OF WEL_ fHE AFFIANT(S) National Hog Farms,Inc. county Weld whose mailing - t _..3 address is 25000 WCR 62 SE y. al the NP: S. section City Kersey_, CO 80644_ T.vp. I— .1I . Rog. 63 _ „>_ . _6__ P M tar el I11Y1 iN ON I.I IE Y. WI being duly sworn upon oath, deposes and says that ,fit he (they) is (are) the owner(s) of the well described ed ton; the well is located as described above, at distances of e" feet from the north section line and i PF.?_ feet from the I.O.IM O. ]Oulnl Past section line; water from this well was first applied to a beneficial use for the purpose(s) described herein on the77 It.,? DO WI]rl day of Sept , 19$9 ; the maximum sustained pumping rate of the well is 15 gallons per mi-iute, the pumping I .—,cloimed hereby is _ 15 gallons per minute; the total depth of the well is 120 feet; the avercge annual amount of water to be diverted is 4.5 • acre-feet; for which claim is hereby made for DomPStic,gardens & lawns purpose(s); the legal des ription of the land on which the water from this well is used is SF —NEE --Sec.3/—T5N—R63W of which 1.4 acres 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 arc true of his .;their) knowledge. 4,./� (COMPLETE REVERSE SIDE OF THIS FORM)Signature(s) .Subscribed and swamiFOR OFFICE USE 0.>ILY Am) SFP 7e?9,ear `J to before inc on ibis , day of � 19 [� Court Case No. _ My Commission expires: al •—"1.>—9(J Iss+.r Prior. Mo. Cay _ Yr. • PU*LIr I ass teed /_7 Div. Cly. ACCEPTED FOR FILING BY THE STATE ENGINEER OF COLORADO PURSUANT TO THE FOLLOWING CONDITIONS: eiar4 ,s''' See. 'r.. _ i. A. Well Use "^ Dist. __ Basin M.nn. Drs. . Halt STATE ENGINEER BY FORM NO. STATE OF COLORAD.. • ^9a For Office Use only OWS-10 OFFICE OF THE STATE ENGINEER as-84 03/92 818 Centennial Bldg., 1313 Sherman St,Denver,Colorado 80203 (303) 866-3581 FOR INSTRUCTIONS,SEE REVERSE SIDE Fr R G j STATEMENT OF BENEFICIAL USE WELL PERMIT NUMBER 035063F • • 1. WELL OWNER NAME(S) National Hog Farms, Inc. Mailing Address 25000 WCR 69 City, St. Tip Kersey, CO 80644 Phone ( 303 ) 353-9960 2. WELL LOCATION: COUNTY .Weld OWNER'S WELL DESIGNATION._ RES-1 - 25000 WCR 69 Kersey, CO 80644 (Address) (City) (State) (Zip) SE 1/4 of the NE 1/4, Sec. 34 Twp. 5 0 N. or❑S., Range 63 ❑E. or Ea W. 6 P.M. Distances from Section Lines 1973 Ft from®N. or❑S. Line, 963 Ft. from 0 E. Of❑W. Line. 3. The well is being used for the following purpose(s): Domestic, gardens & lawns 4. Water from the well was first used beneficially under this permit number, for the above described purposes on Sept. 22 19 .. (Do not report a date which Is before the issued date of this permit) The pumping rate claimed is 15 gallons per minute. 6. The average annual amount of water diverted is 4.5 acre feet. 7. The land area irrigated (watered) by water from this well is: 1.4 O Acres or O Square feet, (Number) described as: SE4 - NEi - Sec. 34 - T5N - R63W • (Legal Description) or as Subdivision Lot(s) Block Filing/Unit 8. Well drilled by: Canfield Drilling Co. Lic. No: 765 Pump installed by: Canfield Drilling Co. Lie. No: 764 9. Meter Mfg. by 1141 Milton Roy Serial No.: 92347352 Date Installed:.ADprox. 12/92.. I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a Class 1 misdemeanor] 1111rrrr,,,, 10. Name/Title (Please type or print) 'Signature ID>2 �19�- William J. O'Hare I FOR OFFI USE ONLY Accepted that those conditions of approval as S� stated on the permit are complied with,;, '�iw" ',� , -�� APR 191995 State Engineer t By Date Court Case No. D'nt. Co. O L WD (02 Basin MD Use Page 1 of 1 Todd Hodges Design, LLC From: "Ann & Paul Johnson" <pajohnson@viawest.net> To: <toddhodgesdesign@earthlink.net>; "Kadavy, John" <johnk@searsrealestate.com>; <psmith@co.weld.co.us> Sent: Friday, December 21, 2001 5:33 PM Subject: Cottonwood Falls GeoTechnical Report December 21,2001 Pain, Happy Holidays. Thank you for taking time from your busy schedule to talk with me this morning. You indicated during our conversation that you were very well acquainted with the Cottonwood Falls project at the National Hog Farms. An outcome of our conversation today is that a GeoTechnical Report is not necessary due to the fact that the septic systems, wells and all structures are existing. As you suggested, copies of all existing permits will be included with the combined Change of Zone and Sketch Plan application in mid-January. Thank you for your expert advice! Hope to see you in the neighborhood this break. Sincerely, Anne Best Johnson,AICP Todd Hodges Design, LLC (970)412-8640 pajohnson@etos.com 2/20/02 McRAE & SHORT, INC. 1231 8th Avenue Greeley, Colorado 80631 Telephone (970) 356-3101 Engineering, Surveying, Planning & Land Development January 28, 2002 PROJECT NO. 01235 Mr. Drew Scheltinga Weld County Department of Public Works 1111 - 'H' Street Greeley, CO 80631 RE: COTTONWOOD FALLS P.U.D. - FLOOD HAZARD REVIEW Dear Mr. Scheltinga, Upon review of the original permitting procedure, a Flood Hazard Report was prepared by this office and reviewed by Weld County. The minimum Top of Foundation elevations have been established and were verified by "As Built " survey. r-. There are no historical drainage problems associated with the site. No new structures are proposed and the historical drainage patterns (North to South) will be maintained. Please contact me if you have any questions. "loittlO9y ty Respectfully, ‘en0 RE(�,i� McRae & Short, Inc. .5w 6616"t.m" Cam' IeyQ4 Avg, .."CO.° Gerald B. McRae, Profe s i ona l Engineer and i`k,•4 A"••'•"• :0•4' Land Surveyor, Colorado Reg. No. 6616 °°•+4 ,,I.,4.4, '�`� WAT.FR SUPPLY INFORMATION SUM$MRY Section 30-28.133,(4), C.R.S. requires that the applicant submit to the County,'Adequate evidence that a water supply that is sufficient in terms of quantity, quality and te dependability will llI be available to ensure an adequate supply of water. 1. NAME OF DEVELOPMENT AS PROPOSED Oc.c T—(1 I IC, PLI 2. LAND USE ACTION C h r ge F0''1 1 2-00e- 3. t 0e- 3. NAME OF EXISTING PARCEL AS RECORDED �tr 1 of 'E 2 S rt Gn TS-NI R G?W SUBDIVISION FILING BLOCK LOT INc-I COL )III 4.TOTAL ACREAGE 25 Ogg 5. NUMBER OF LOTS PROPOSED I?) PLAT MAP ENCLOSED 62-ir 6. PARCEL HISTORY - Please attach copies of deeds, plats or other evidence or documentation. A.Was parcel recorded with county prior to June 1, 1972? 0 YES O NO B. Has the parcel ever been part of a division of land action since June 1, 1972? 0 YES 0 NO If yes, describe the previous action 7. LOCATION OF PARCEL • Include a map deliniating the project area and tie to a section corner. 1/4 OF 114 SECTION •2!1i TOWNSHIP 5 ec N/ c 0 S RANGE 7'? 0 E II W PRINCIPAL MERIDIAN: f�6TH 0 N.M. 0 UTE� 0 COSTILLA 8. PLAT - Location of all wells on property must be plotted and permit numbers provided. Surveyors plat Pies 0 No If not, scaled hand drawn sketch 0 Yes 0 No .1. ESTIMATED WATER REQUIREMENTS - Games per Day or Acre Fat per Year 10. WATER SUPPLY SOURCE ET-EXISTING 0 DEVELOPED 0 NEW WELLS - WELLS SPRING PROPOSER AOUFERS• CHECK OK HOUSEHOLD USE / of units GPO • AF WELL PERMIT NUMBERS to ALLUViAL 0 UPPER ARAPANOE T � 0 UPPER DANSDN C LOWER ARAPAHOE COMMERCIAL USE p of S.F. GPO AF T VrJ��/ 0 LOWER DAWS I 0 UNLADE FOX NRu Y n.e{ 0 DENVER ❑DAKOTA Clio?y-f 2/1.4,2 F COTMER IRRIGATION 0 of acres GPO AF ) • STOCK WATERING N of head GPD AF 0 MUNICIPAL ❑ ASSOCIATION WATER COURT DECREE CASE NO.'S OTHER GPO AF 0 COMPANY • ❑ DISTRICT TOTAL GPO AF NAME LETTER OF COMMITMENT FOR - SERVICE ❑ YES ❑ NO 11. ENGINEER'S WATER SUPPLY REPORT ❑ YES ID4 IF YES, PLEASE FORWARD WITH THIS FORM. Me may be required before our ram a completed.) 12. TYPE OF SEWAGE DISPOSAL SYSTEM ID'IEPTIC TANK/LEACH FIELD 0 CENTRAL SYSTEM - DISTRICT NAME LAGOON 0 VAULT - LOCATION SEWAGE HAULED TO 0 ENGINEERED SYSTEM (Attach a copy of engineering design) 0 OTHER Colorado Department of Public Health & Environment Compliance Monitoring & Data Management Unit REPORTING FORM FOR NITRATE/NITRITE as NITROGEN ANALYSES SAMPLER: PLEASE FILL OUT ONE FORM - FOR EACH INDIVIDUAL SOURCE/PLANT or COMPOSITE SET YES [ ] or NO [ ] THESE RESULTS ARE TO BE USED TO FULFILL STATE SAMPLING REQUIREMENTS PWSID#: 162525 COUNTY: Weld DATE COLLECTED: 4/13/00 SYSTEM/ESTABLISHMENT NAME: National Hog Farms SYSTEM ADDRESS: 25000 WCR69 Kersey CO 80644 Street address/ PO Box CITY STATE ZIP CONTACT PERSON: Mr Frank Haywood PHONE: (970) 454-1484 SAMPLE COLLECTED BY: F. Haywood - TIME COLLECTED: 9:50 am/pm WATER TYPE: RAW (No chlorine or other treatment)[ ] or CHLORINATED [X] or OTHER TREATMENT [ ] SOURCE(S) : LOCATION(S) :—Address SAMPLING POINT(S) : DOM-02 GW WELL 24603 WCR 69 - HOUSING-02 DO SAMPLES NEED TO BE COMPOSITED BY LABORATORY? YES [ ] or NO [I] For Laboratory Use Only Below This Line LABORATORY SAMPLE NUMBER 0: 00—A6531 037667 CLIENT NAME OR ID#: NAT002 LABORATORY NAME: ACCULABS, INC. LAB PHONE 1: (303) 277-9514 DATE RECEIVED IN LABORATORY: 4/14/00 DATE ANALYZED 4/26/00 COMMENTS: (mg/L) (mg/L) EPA (mg/L) PARAMETER. RESULT MCL METHOD LAB MDL NITRATE/NITRITE-N 6.8 10.0 353.2 0.05 NITRATE-N NT 10.0 353.2 - 0.05 NITRITE-N NT 1.0 SM4500-B 0.05 -- --- NT = Not Tested for compound B = The analyte is found in the associated blank as well as in the sample. mg/L = Milligrams per Liter MCL = Maximum Contaminant Level Lab MDL = Laboratory Method Detection Limit H = Holding Time has been exceeded �y , ;��"iJ Laboratory Manager 5/ 1/00 Reviewer -6and Approved by Title Date MAIL RESULTS TO: Colorado Department of Public Health & Environment, MOOD-CMDM-02, 4300 Cherry Creek Drive South, Denver CO 80246-1530 1 Annual Drinking Water Quality Report for National Hog Farms - Company Housing 1999 PWSID#: 162525 Esta es informacion importante. Si no la pueden leyer, necesitan que alguin se la traducean. We are pleased to present to you this year's Annual Quality Water Report. This report is designed to inform you about the quality water and services we deliver to you every day. Our constant goal is to provide you with a safe and dependable supply of drinking water. Our water source is: groundwater pumped from the South Platte Alluvial Aquifer. If you have any questions about this report or concerning your water utility, please contact: Jackie Jones at 970-353-9960. NHF wants you to be informed about your drinking water. If you want to learn more, please call Jackie. All public water systems are required to have a source water protection plan in place by January, 2001. Many systems have already begun source water protection activities. To find out what your system has been doing, call Jackie. NHF routinely monitors for constituents in your drinking water according to Federal and State laws. This table shows the results of our monitoring for the period of January 1a, 1994 to December 31s, 1999. All drinking water, including bottled drinking water, may be reasonably expected to contain at least small amounts of some constituents. It's important to remember that the presence of these constituents does not necessarily pose a health risk. Further information on this subject can be obtained by calling the EPA Safe Drinking Water Hotline at 800-426-4791 or at www.evaeov/safewater on the Internet. The sources of drinking water (both tap water and bottled water) include rivers, lakes, streams, ponds, reservoirs, springs, and wells. As water travels over the surface of the land or through the ground, it dissolves naturally occurring minerals and, in some cases, radioactive material, and can pick up substances resulting from the presence of animals or from human activity. In order to ensure that tap water is safe to drink, EPA prescribes regulations, which limit the amount of certain contaminants in water provided by public water systems. FDA regulations establish limits for contaminants in bottled water, which provides the same protection for public health. In this table you will find many terms and abbreviations you might not be familiar with. To help you better understand these terms we've provided the following definitions: Not Tested(NT) -Not Tested Non-Detects (ND) - laboratory analysis indicates that the constituent is not present. P/A —presence or absence of coliform bacteria Parts per million (ppm) or Milligrams per liter (mg/1) - one part per million corresponds to one minute in two years or a single penny in$10,000. Parts per billion (ppb) or Micrograms per liter (ug/l)- one part per billion corresponds to I _ I one minute in 2,000 years, or a single penny in$10,000,000. Parts per trillion (ppt) or Nanograms per liter (nanograms/l) - one part per trillion corresponds to one minute in 2,000,000 years, or a single penny in$10,000,000,000. Parts per quadrillion (ppq) or Picograms per liter (picograms/l) - one part per quadrillion corresponds to one minute in 2,000,000,000 years or one penny in$10,000,000,000,000. Picocuries per liter(pCi/L) - picocuries per liter is a measure of the radioactivity in water. Million Fibers per Liter (MFL) - million fibers per liter is a measure of the presence of asbestos fibers that are longer than 10 micrometers. Nephelometric Turbidity Unit (NTU) - nephelometric turbidity unit is a measure of the clarity of water. Turbidity in excess of 5 NTU is just noticeable to the average person. Action Level - the concentration of a contaminant which, if exceeded, triggers treatment or other requirements which a water system must follow. Treatment Technique (TT) - (mandatory language) A treatment technique is a required process intended to reduce the level of a contaminant in drinking water. Maximum Contaminant Level - (mandatory language) The "Maximum Allowed" (MCL) is the highest level of a contaminant that is allowed in drinking water. MCLs are set as close to the MCLGs as feasible using the best available treatment technology. Maximum Contaminant Level Goal- (mandatory language) The "Goal"(MCLG) is the level of a contaminant in drinking water below which there is no known or expected risk to health MCLGs allow for a margin of safety. WATER QUALITY TABLE TEST RESULTS The state requires us to monitor for certain contaminants less than once per year because the concentrations of these contaminants are not expected to vary significantly from year to year, or the system is not considered vulnerable to this type of contamination. . Some of our data(e.g.,for organic contaminants),though representative,is more than one year old. Contaminant Sample Violation Level Unit MCLG MCL Likely Source of Contamination Date Y/N Detected Measurement Microbiological Contaminants I.Total Colifmo Bacteria Monthly N NI) P/A 0 presence of Naturally present in the colifoam environment bacteria in 100m1 5%of sample monthly samples 2.Fecal coliform and E.coli Monthly N ND P/A 0 a routine Human and animal fecal waste sample& repeat sample are total conform 100m1 sample positive,& one is also kcal colifxm i-- or Ecoli positive 3.Turbidity NT NTU N/A TT Soil runoff Percent of readings below MCL 2 Contaminant Sample Violation Level Unit MCLG MCL Likely Source of Contamination Date Y/N Detected Measurement Radioactive Contaminants 4.Beta/photon emitters 4/28/98 N 11 pCi/I 0 50 Decay of natural and man-made deposits 5.Alpha emitters 428/98 N 3 pCl/1 0 15 Erosion of natural deposits 6.Combined radium NT pCi/I 0 5 Erosion of natural deposits Inorganic Contaminants 7.Antimony 4/08/99 N ND ppb 6 6 Discharge from petroleum refineries;fire retardants;ceramics; elchmiq solder 8.Arsenic 4/08/99 N ND ppb N/A 50 Erosion of natural deposits;runoff from orchards;runoff from glass 9.Asbestos NT and electronics production wastes MFL 7 7 Decay of asbestos cement water mains;erosion of natural deposits 10.Barium 4/08/99 N 0.021 ppm 2 2 Discharge of dnlEng wastes; discharge from metal refineries; erosion of natural deposits 11.Beryllium 4/08/99 N ND ppb 4 4 Discharge from metal refineries and coal-burning factories;discharge from electrical,aerospace,and defense industries 12.Cadmium 4/08/99 N ND ppb 5 5 Corrosion of galvanized pipes erosion of natural deposits; discharge from metal refineries; runoff f tun waste batteries and paints 13.Chromium 4/08/99 N I ppb 100 100 Discharge from steel and pulp mill;erosion of natural deposits 14.Copper- 90th Percentile 1999 N 0.36 Fpm 13 AL=1.3 Corrosion of household plumbing Action Level exceeding system;erosion of natural deposits; leaching from wood preservatives 15.Cyanide NT p0 200 200 Discharge from steel/metal factories:discharge from plastic and fertilizer factories 16.Fluoride 4/08/99 N 0.32 Fpm 4 4 Erosion of natural deposits water additive which promotes strong teeth;discharge from fertiliser and aluminum factories 17.Lead- 9Oth Percentile 1999 N 6 ppb 0 AL=15 Corrosion of household plumbing Action Level systems,erosion of natural deposits 18.Mercury(inorganic) 4/08/99 N NI) ppb 2 2 Erosion of natural deposits; discharge from refineries and factories;runoff from lasal5lls runoff from cropland 19.Nitrate/Nitrite(as Nitrogen) 4/08/99 N 5.0 Fpm 10 10 Runoff from fertilizer use;leaching from septic tanks,sewage,erosion of natural deposits 20.Selenium 4/08/99 N ND ppb 50 50 Discharge from petroleum and metal refineries;erosion of natural deposits;discharge from mines 21.Thallium 4/08/99 N ND ppb 0.5 2 1»rbing from ore-processing sites; discharge from electronics,glass, and drug factories Synthetic Organic Contaminants including Pesticides and Herbicides 22.2,4-D 7/29/97 N ND ppb 70 70 Runoff from herbicide used on row cups 23.2,4,5-1?(Silver) 7/29/97 N ND ppb 50 50 Residue of banned herbicide 24.Aaylamide 7/29/97 N ND N/A 0 TT Added to water during sewage/wastewater treatment 3 1 Contaminant Sample Violation Level Unit MCLG MCL Likely Source of Contamination Date Y/N Detected Measurement �--. 25.Alachlor 7/29/97 N ND ppb 0 2 Runoff from herbicide used on row aops 26.Atrazine 729/97 N ND ppb 3 3 Runoff from herbicide used on row crops 27.Beow(a)pyrene(PAH) 729/97 N ND Nanograms/1 0 200 Leaching from linings of water storage tanks and distribution lines 28.Carbofuran 7/29/97 N ND ppb 40 40 Leaching of soil fumi gat used on rice and alfalfa 29.Chlordane 7/29/97 N ND ppb ' 0 2 Residue of banned termiticide 30.Delapoa 729/97 N ND ppb 200 200 Runoff front herbicide used on rights of way 31_Di(2-ethylhexyl)adipate 7/29/97 N ND ppb 400 400 Discharge from chemical factories 32.Di(2-e hylheryl)phthalate 729/97 N ND ppb 0 6 Discharge from rubber and chemical factories 33.Dibromoc lompropane 729/97 N ND N amgamx/1 0 200 Rumofr7leecLing from soil fumigant used on soybeans,cotton, 34.Dinoseb 7/29/97 N ND pineapples,and orchards ppb 7 7 Runoff from herbicide used on 35.Diquat 729/97 N ND soybeans and vegetables ppb 20 20 Runoff from herbicide use 36.Dioxin NT Picograms/I 0 30 Emissions from waste incineration [2,3,7,8-TCDD] and other combustion discharge from chemical factories 37.Erdotha0 7/29/97 N ND ppb 100 l00 Runoff from herbicide use 38.Endrin 729/97 N ND ppb 2 2 Residue of burned insecticide 39.Epichlorohydrin 7/29/97 N ND N/A 0 TT Discharge from industrial chemical factories;an impurity of some wale treatment chemicals 40.Ethylene dibromide 729/97 N ND Nanogmms/l 0 50 Discharge from petroleum refineries 41.Glyphosam NT ppb 700 700 Runoff from herbicide use 42.Heptachlor 7/29/97 N ND Nanogmms/1 0 400 Residue of homed tenniticide 43.Heptachlor epoxide 7/29/97 N ND Nanograms/l 0 200 Breakdown of heptachlor 44.HeacNmobeacne 7/29/97 N ND ppb 0 I Discharge from metal refineries and agricultural chemical factories 45.Hcmchlorocyclo-pentadiene 7/29/97 N ND ppb 50 50 Discharge horn chemical factories 46. Lindane _. -. 7/29/97 N NDNanograms4 200 - 200. . -- Renal/leaching from insecticide- used on cattle,lumber,gardens 47.Methoxychlor 7/29/97 N ND ppb 40 40 Ronoff/lemching from insecticide used on fruits,vegetables,alfalfa, livestock 48.Oxamyl[Vydde] 7/29N7 N ND ppb 200 200 Rum671e thing from insecticide used on apples,potatoes and tomatoes 49.PCBs[Polychlorinated biphenyls] 729/97 N ND oanograms/I 0 500 Runoff from landfill.%discharge of waste chemicals 50.Peotachlorophmol 7129/97 N ND ppb 0 I Discharge from wood preserving factories 51.Picloram 7/29/97 N ND ppb 500 500 Herbicide runoff 52.Smote 7/29/97 N ND ppb 4 4 Herbicide runoff 53.Toxaphent 7/29/97 N ND ppb 0 3 Runo67Ieaching from insecticide used on cotton and cattle 4 Contaminant Sample Violation Level Unit MCLG MCL Likely Source of Contamination Date Y/N Detected Measurement Volatile Organic Contaminants 54.Benzene 7/29/97 N ND ppb 0 5 Discharge from factories;leaching from gas storage tanks and landfills 55.Carbon tetrachloride 7/29/97 N ND ppb 0 5 Discharge from chemical plmb and other industrial activities 56.Chlorobenune 7/29/97 N ND ppb 100 100 Dis charge from chemical and agrumlaual chemical factories 57.o-Dichlorobenreoe 7/29/97 N ND ppb 600 600 Discharge from industrial chemical factories 58.p-Dichtlorobeoane 729/97 N ND ppb 75 75 Discharge from industrial chemical factories 59-1,2—Dichloroethane 7/29/97 N ND ppb 0 5 Discharge from industrial chemical factories 60.1,1—Dichloraethylene 7/29/97 N ND ppb 7 7 Discharge from industrial chemical factories 61.cis-1,2-Dahleoe(hylene 729/97 N ND ppb 70 70 Dis charge from industrial chemical Factories 62. bans—1,2—Dichloroethylene 7/29/97 N ND ppb 100 100 Discharge from industrial chemical factories 63.Dichlorome haae 7/29/97 N ND ppb 0 5 Discharge from pharmaceutical and chemical factories 64.1,2-Dichlompropane 7/29/97 N ND ppb 0 5 Discharge from industrial chemical factories 65.Ethylbenune 7/29/97 N ND ppb 700 700 Discharge from petroleum refineries 66.Styrene 7/29/97 N ND ppb 100 100 Discharge from rubber and plastic factories;leaching from landfill.; 67.Tetrachlmoethylene 7/29/97 N ND ppb 0 5 Leaching from PVC pryer; discharge from factories and dry cleaners 68.1,2,4—Trihlaobenzene 729/97 N ND ppb 70 70 Discharge from tamle-finishing factories 69.1,1,1—TrichlwoHhane 7/29/97 N ND ppb 200 200 Discharge from metal degreasing sites and other factories 70.1,1,2—Trichloroethane 7/29/97 N ND ppb 3 5 Discharge from industrial chemical factories 71.Trichloroethylene 7/29/97 N ND ppb 0 5 Discharge from metal degreasing sites and other factories 72.TT11M 7/29/97 N ND ppb 0 100 By-product of drinking water [Total trilhalmoednuns] chlorination 73.Toluene 7/29/97 N ND ppm I 1 Discharge from petroleum factories 74.Vinyl Chloride _ 729/97 N ND.. _ ppb 0 2 _ Leaching from PVC piping; discharge from chemical factories 75.Xylertes 7/29/97 N ND ppm 10 10 Discharge from petroleum factories;discharge from chemical factories Violations: NONE Additional Drinking Water Concerns: NONE EPA is reviewing the drinking water standard for arsenic because of special concerns that it may not be stringent enough. Arsenic is a naturally occurring mineral known to cause cancer in humans at high concentrations. Arsenic levels above 25 ppb warrant public concern. Nitrate in drinking water at levels above 10 ppm is a health risk for infants of less than six months of age. High nitrate levels in drinking water can cause blue baby syndrome. Nitrate levels may 5 rise quickly for short periods of time because of rainfall or agricultural activity. If you are caring for an infant, and detected nitrate levels are above 5 ppm, you should ask advice from your health care provider. Infants and young children are typically more vulnerable to lead in drinking water than the general population. It is possible that lead levels at your home may be higher than at other homes in the community as a result of materials used in your home's plumbing. If you are concerned about elevated lead levels in your home's water, you may wish to have your water tested. Flush your tap for 30 seconds to 2 minutes before using tap water. Additional information is available from the Safe Drinking Water Hotline at 1-800-426-4791. Some people may be more vulnerable to contaminants in drinking water than the general public. Immuno-compromised persons such as persons with cancer undergoing chemotherapy, persons who have undergone organ transplants, people with HIV-AIDS or other immune system disorders, some elderly, and infants can be particularly at risk of infections. These people should seek advice about drinking water from their health care providers. EPA/CDC guidelines on appropriate means to lessen the risk of infection by cryptosporidium and microbiological contaminants are available from the Safe drinking Water Hotline above. Jackie Jones National Hog Farms 25000 WCR 69 Kersey, CO 80644 Tel.: 970-353-9960 Fax: 970-353-1537 nhfenviro@prodigy.net 6 HSF'106F' INDIV1LLiAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G-890102 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1516 HOSPITAL ROAD, GREELEY, CO 80631 353-0635, EXT.2225 OWNER NATIONAL HOG FARMS, INC. ADDRESS 25000 WCR 69 PH (303) 353-99. KERSEY CO 80644 ADDRESS OF PROPOSED SYSTEM 24589 WCR '69 KERSEY CO 80644 LEGAL DESCRIPTION OF SITE : SEC ,34 TWF' 5 RNG 63 SUBDIVISION : LOT 0 BLOCK 0 FILING 0 USE TYPE : RESIDENTIAL EMPLOYEE HOUSE 41 SERVICES : PERSONS 4 BATHROOMS 2.00 LOT SIZE 18.20 ACRES BEDROOMS 4 BASEMENT PLUMBING YES WATER SUPPLY F'WELL APPLICATION FEE $150.00 REC ' D BY COFFEY, DIANNE SIGNED BY WILLIAM J. O ' HARE DATE 05/16/89 DATE 05/16/89 PERCOLATION RATE 5.0 MIN PER INCH LIMITING ZONE 8 FEET SOIL TYPE SUITABLE PERCENT GROUND SLOPE 1 % DIRECTION S REQUIRES ENGINEER DESIGN NO FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON--SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: SEPTIC TANK 1250 GALLONS, ABSORPTION TRENCH 660 SQ. FT. OR ABSORPTION BED 860 SQ. FT. :I.r+• ADDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND DITIONS: 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 DISP9SAL SYSTEM. ttw4 j-j n ce3— (� 2R-el G X STAFF 05/22/89 al$5 9c ENVIRONMENTAL SPECIALIST DATE THIS PERMIT IS NOT TRANSFERABLE 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 ADDI- TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA- SIS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM- PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. SYSTEM INSTALLER _ FINAL IN T DATE U _ SYSTEM ENGINEER r APPROVAL TYPE OF SYSTEM INSTALLED -tl�[i--- ENVIRONMENTAL SPECIALIST THE 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 SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND LL-r1L REGULATIONS ADOPTED F'ERSUANT TO ARTICLE 10, TITLE 25 , CRS 1973, AS AMENDED, EXCEPT FOR THE PURPOSE 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-WCI-II) wr-in-•ruc MAY S 4PA 1.friolfoyze- . by I _ -rte ,Z50 0 . Y � • I /� • i :art &J'�Vl.( CT C�,`I . ' l ,i , • ' 'i III I , I 12. 1 ; i Ii 1�"COUNTY DEPARTMENT PUBLIC HEALTH AND ENVIRON.""NT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 ermit #: SP-0100196 Sec/Twn/Rng: 34 05 63 Status: BOH-HOLD Owner: NATIONAL HOG FARMS Applied: 04/26/2001 Applicant: VANNEST GERALD Issued: Permit Type: RNEW C=Commercial,R=Residential +NEW, REPair, VauLT Finaled: Parcel #: 0965-34-0-00-029 Location: 24593 CR 69 34 05 63 Legal Description: , 77/55 -M NE4/E2NW4 34 5 63 (2D2R) 24335 69 CR WELD Installer: /( 5 Description: HOUSE Commercial: N Residential:Y Acres: 0.5 # of Persons: 4 Basement Plumbing: Y #of Bedrooms: 3 Bathrooms - Full: 1 3/4: 1 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit #: Percolation Rate: 5 Limiting Zone: 0 ft 0 in Description SAND/GRAVEL To Ground Slope: 0 Dir: Soil Suitable: (YIN) N Engineer Design Required: (Y/N) Y In 100 Year Flood Plain: (Y/N) N Minimum Installation Chambers Septic Tank: 1000 gallons Absorption Trench: 0 square feet or Absorption Bed: 1373 square feet Actual Installation Septic Tank: I coo gallons Absorption Trench: square feet Absorption Bed: 133-3 square feet Design Type: C .A-. NOTICE The 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 persuant to Article 10, Title 25,CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973 25-10-111 (2). This permit is not transferable The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. /�1 W—L�01 SR* x Environ ental Health Specialist Date Form:S_FtNAL tr t '"k r • 1 i t I !cr" I I I IC I nn II � �2 'I Z / I1 AY'"` f j ral-AI WELD COUNTY Ir'ARTMENT OF PUBLIC HEALTH r D ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit #: SP-9900567 Sec/Twn/Rng: 22 05 63 Status: BOH-HOLD Owner: NATIONAL HOG FARMS INC Applied: 11/08/1999 Applicant: VANS SERVICES Issued: Permit Type: CNEW C=Commercial, R=Residential+NEW,REPair, VauLT Finaled: Parcel #: ?? Location: 25000 WCR 69 KERSEY 22-5-63 Legal Description: 7503 ALL 22 5 63 • Installer: Description: OFFICE Commercial: Y Residential: N Acres: 1 # of Persons: 11 Basement Plumbing: N # of Bedrooms: 0 Bathrooms - Full: 0 '3/4: 4 1/2: 1 Water Public: Water Source: Water Private: Y Cistern: N Well: Y Well Permit#: ,Percolation Rate: 5 Limiting Zone: 8 ft 0 in Description FINE SOIL /o Ground Slope: 0 Dir: Soil Suitable: (Y/N) N Engineer Design Required: (Y/N) Y In 100 Year Flood Plain: (Y/N) N Minimum Installation Septic Tank: 1000 gallons Absorption Trench: 0 square feet or Absorption Bed: 1603 square feet Actual Installation Septic Tank: /COO gallons Absorption Trench: square feet Absorption Bed: / Z Z square feet Design Type: NOTICE The 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 persuant to Article 10, Title 25, CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973 25-10-111 (2). This permit is not transferable. The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. En ,ironin ntal Health Specialist Date Form:S_FINAL 1 U (`� NOTE: INSTALL WIN. 52 H-10 STANDARD INF1l1RATOR UNITS IN ACCORDANCE TO MANUFACTURER RECOMMENDATIONS. n It Distribution---------I�1� Box ri O ♦. II■IIIIIII,--�----�JI 1000 Callon n . Septic Tank 5 Ia i 62.25. MIN I rI I PLAN , ,_, , ,_, , ,_ — NTS I I 1-1 I In —1 I 1—I I 1- Finished Grade —I I HH"_ —IIIIIIII— I I— r- 12. max hotic011 xr over opening cow ,T a I I— um..w of manholes s.wr R Inlet Plastic sweep -r r —.---or Baffle F—Vent Invert r L.r y. r -r scorn naat sp,m m T -u-r L's.rl.rs '1 CTrs TrT'i T"r-Tr=.T r?r 5¢U I IA.,- Water Level 1 I Outlet N C7� emir Gass a 'Ir•' Y Zl= —�— Over 1 _l_ Z W WOO0 �__—_Tank Q¢r� Sludge divider d d.- 9udge K ' " T'T 1 f°fT'1''1' 'f'1,'rq"�' �, r�,� •.ate., SEPTIC TANK LIMITIN ZONE Nrs A-A, N IS 99222SEP SEPTIC SYSTEM NATIONAL HOG FARMS - UNIT 8 HARDEN, COLORADO Q Total Engineering Service, Inc, DATE: 11 /16/99 SCALE: ©© NN"'aIVNNNNNNNNNNNNNN PROJ. NO: 99-222 NT S 3310 STATE STREET (4. EVM45 COLORADO 60620 DRAWN BY: T.M.C. SHEET 1 (970) 339-5215 CHECKED BY: T.M.C. OF 1 I 1. ; , HSF'i 06F' IN.DIVI. AL SEWAGE DISPOSAL SYSTEM , ZRMIT NO. G-990103 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1516 HOSPITAL ROAD , GREELEY, CO 180631 L^ OWNER NATIONAL HOG FARMS, INC. ADDRESS 25000 WCR 69 PH (303) 353-99 KERSEY CO 80644 ADDRESS OF PROPOSED SYSTEM 24587 WCR 69 KERSEY CO 80644 LEGAL DESCRIPTION OF SITE : SEC 34 TWP 5 RNG 63 SUBDIVISION : LOT 0 BLOCK 0 FILING 0 USE TYPE: RESIDENTIAL EMPLOYEE HOUSE 42 SERVICES : PERSONS 4 BATHROOMS 2.00 LOT SIZE 18.20 ACRES BEDROOMS 4 BASEMENT PLUMBING YES WATER SUPPLY PWELL APPLICATION FEE $150.00 REC 'D BY COFFEY, DIANNE SIGNED BY WILLIAM J. O ' HARE DATE 0.5/16/89 DATE 05/16/89 PERCOLATION RATE 5.0 MIN F'ER INCH LIMITING ZONE 8 FEET SOIL TYPE SUITABLE PERCENT GROUND SLOPE 1 % DIRECTION S REQUIRES ENGINEER DESIGN NO FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK 12510 GALLONS, ABSORPTION TRENCH 660 SQ. FT. OR ABSORPTION. BED 860 SQ. FT. IN ADDITION , THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND C 'nITIONS : 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 :[N THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING FAILURE]:LURE TO MEET ANY TERM O1: 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 . C -k-o If \A —1 O �- C✓ X STAFF 05/2_'/89 Emil 14..1-- c ;`-,(; ENVIRONMENTAL SPECIALIST DATE THIS PERMIT IS NOT TRANSFERABLE AND SHALL. BECOME VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED WITHIN ONE YEAR OF 7:T S ISSUANCE. BEFORE ISSUING FINAL AP'P'ROVAL OF THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI- TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA- SIS.IS.. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM- PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. SYSTEM INSTALLER fal ___----X5 •----•-----_._,__.-F:CrlAL :[NEF'1"pl:A�N C 1 �TL SYSTEM ENGINEER r' _ a Jf P _._ ---------- T YPE OF SYSTEM INSTALLED .._........__.._._. ENVIRONMENTAL SPECIALIST THE ISSUANCE OF THJ:S PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY OR I ..JCAL. REGULATORY ORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT T H1SLJBJECT SYSTEM WILL OPERATE E IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND L_::. REGULATIONS ADOPTED F'E RSUANT •r0 ARTICLE 10, TITLE 25, CRS 1973, AE AMENDED , EXLLIPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN INSTALLED SYSTEM'TF FOR ISSUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-111 (2) -- RIGINAL-APPLICANT,. COPY-WCH ' WCI-ID•-•EHS MAY, 1984 I h 3 ' -' <_r 4. 7 y�t Y+- Y4 dH 414ja lot r �kZr(ti ';t}t,t','.7.' ': 1 ^;35 . .. .. . .. .... f ili f �- Crl ( x- 1:-. ' 2 . V. ( ' . - goqi; �� a& tiii+d b k: Y - �n ,U :_IS'l::'10 ,..: INDIVIDUAL SEWAGE DISPOSAL '; 7 PERMIT re C:i+:;':-: i .':,�`• WELDS COUNTY HEALTH AL,•T H DEPARTMENT NEW PERMIT .�, ENVIRONMENTAL HEALTH SERVICES -Pii6 HOSPITAL ROAD, GREELE: , CO eo6. 'i .353-0635 EXT,.2225 OWNER NATIONAL IONAL HOG FARMS, INC,. ADDRESS 25000 1CR 69 PH 03) 353-996 KERSEY Y ADDRESS OF PROPOSED SYSTEM 2458% 4CR 69 DESCRIPTION'}' KERSEY CO 80644 �• LEGAL SCRIP ? ION OF SITE :!_-.. SEC 34 WF, 5 RNG 63 SUBDIVISION: I_(J T c.) BLOCK 0 FILING 0 E TYPE : RESIDENTIAL EMPLOYE_ ROUSE t.a SERVICES: PERSONS :X BATHROOMS ROOMS a?.0+;) LOT SIZE 18..20ACRES BEDROOMS 4 BASEMENT PLUMPING YE«} WATER SUPPLY F iE LL APPLICATION E"E 131 .50.00 R C' ti BY r'OFrteY, DIANNE SIGNED BY WILLIAM I:. O ' HARE ;I= DATE 05/16/89 DATE 05/16/R9 PERCOLATION RATE 5.0 MIN PER INCH. LIMITING ZONE 3 FEET SOIL TYPE SUITABLE E PERCENT SLOPE i P'?':. .+i.:.f. s i_. GROUND 1 DIRECTION S REQUIRES ENGINEER DESIGN NO FROM THE APPLICATION INFORMATION 1«; r{'_N AND i ON—SITE PERCOLATION •t+ T t`t.1 .. .:i:. E .L.J!`E r 1 JE'ti .1 «.i J, . SUPPLIED f•i\:3,; '("Ii=. l.3, .. .t. ��... SOIL ._.'.'f..t7l_.,; f _...:�: DATA =; THE. FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK 1250 ! � ABSORPTION •r ;ti TRENCH ry0 S .f ••{IL' GALLONS,L.�?�..'' ) f�A.`!J!�E�t i ].u1� ��t i�,l�l I-1 r�t:.i1 .7T„ OR 7'j �••� ABSORP ! ION BED 360 . Y FT,. I r`DD ~{ THIS PERMIT SUBJECT TO FOLLOWING ADDITIONAL A D ._ .:=.:.I. .�.=.'I<'r . '\�.i. .-.,.. .. F.f 1.�..J G.4 i THE 1-�1LL�+t{+:r... a' , ��r`_:"`�.l t�� T:pA'f.E S PERMIT :i T GRANTED TEMPORARILY{�� Tl WELD ALLOW CONSTRUCTION ' t. '.�OMME:tNC . THIS FERMI :'-�;^t1 i'i_ REVOKED o SUSPENDED 7;ti 4't' THE WEi..:,. COUNTY y HEALTH? 3-'I DEPARTMENT t..:.OT'•. REASONS ,--- - OR . { THE WELD (��j!H'.J..«.,{. INDIVIDUAL'r.rT { SEWAGE DISPOSAL SYSTEM ..-,v REGULATIONS 'n• } ;{'l •.?i.. .i. .I. i a}l..I`'t}... .•:,I .. ... .. 1 i:.. ? INCLUDING l�: :.l�.. `s^li. _-i. RE TO ME_ . ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY'ORi:RY OR FINAL APPROVAL, 1f HE ISSUANCE 111 NC _'F THIS..: PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE I _ .. ,. . . . . .?"{Ei . OR J .} EMPLOYEES':ES I71" LIABILITY FOR THE FAILURE Ot INADEQUACY 2r THE :EWLIE DISPOSAL SYSTEM,. X STAFF 05/22/89 ENVIRONMENTAL SPECIALIST,.. DATE 7LIIS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS O'y COMMENCED WITHIN ONE YEAR OF IT_. ISSUANCE, BEFORE ISSUING FINAL APPROVAL•ll OF • i:...: PERMIT '..E1 WELD COUNTY HEALTH... t LH DEPARTMENT t_,-..RESERVES • THE {.!` IMPOSE _._ _ 77..tt 77 ! .f.'...:'i::. "v .'S 1 � � RIGHT 1 i � �� ...:"E"`!.1.:>i... ADDI— TIONAL u'.,. T.,.i..3' �"1+._ TERMS AND CONDITIONS:?.ON.J REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING NUI BA— u... PERMIT APPROVAL .?.,.. ClN i INI. ENT UPON TI"IE::. FINAL INSPECTION OF 1 _ -.. ''E...ti-Tr-c SYSTEM BY THE WELD _�UNT`! HEALTH. A)L-_Y R T MEN!•. INSTALLER ,:•:,--.».� ENGINEER is , .... 142 X � I '! "i 'f 1: ir? DA i ,. . {,wig i STS ?•i-{I_, :....-..&AL._ _.._.._........_._- - t:� t5�.., .1- 3'..? E SPECIALIST... ....-_._..._.... 'HE ... S!_iANCis ._. 7.4I_: PERMIT DOES NOT I-Pi ,t' COMPLI1-••-!NCE WITH OTHER STATE, COUNTY 1 `: .:r....-. REGULATORY i't. BUILDING REQUIREMENTS, PJ?R SHALL ... I•�I tY {"~ 7{A._. ▪ UB :a.t : . E : WILL OPERATE - COMPLIANCE W•{ ;+ • _ - ..-._,.. �_ ,.. I ....:'� i/•3.�:..... ._ ....r�:i•� % .. ..'•� WITH i~h'3 '::{{ .. ... ..: :.{I:%'....... :.. : ,�, COUNTY ;'ti^:i}".J .'.C rl... :'d:.GUL..^. ...t.iN:.} ADOPTED .'?::i'::.'r'.Ai•. . TO ARTICLE E'• 25, c. RS1977, AS AMENDED . %-.iY .'..t.:.::.:_ ,.. ... —HE PURPOSE OF ESTABLISHING FINAL APPROVAL AN ':i r - Y -y_ '-'q• Jaq: % �¢ f -- 119 i 11 1O ^�SxW yyrr x5LL �P� ,T `r.4'::.:1;,...t...S 3° 4 < K \auk - �" �ous I fs u � 3 o f 6 rrh ` " i 7e. _s„ v. ., .. ..._... ,,„, .,. „. �. REP106P INDIVIDUAL SEWAGE DISPOSAL t'i»':'i':, i SYSTEM PERt,,.i' NO . :::,-e9 01T9 '-{ •JEL..D COUNTY HEALTH DEPARTMENT NEi r.! PERMIT ., i^ ENV. ONMENTAL HEALTH .. ! r 516 HOt;i»: . L ROAD, si'CE. ••T• c 1q06-,S1 Y.:.5 -0635_.. .«+.J T _« OWNER NATIONAL HOG FARMS, ADDRESS 25000 WCR t9 PH f-07; 353•_99e A S -Aii ,:. � INC,11 a ,w. .r 51! •.� - :. _ . .E .t"EY CO ADDRESS OF PROPOSED SYSTEM 2459=; WCR '.9 K ERSEY CO 90644 LEGAL DESCRIPTION OF I T SEC 4 TWP -,- RN•fx tr.3'. SUBDIVISION : LOT 03 ?LOCK 0 , T.._I\,s�;. 0 USE TYPE: RESIDENTIAL ' FL..C YEE MOUSE• v 4,. SERVICES : PERSONS BATHROOMS 2..0.0 LOT SIZE is,'-) ACRES . BEDROOMS 4 BASEMENT PLUMBING YES WATER ''.;P P L. I j:-W`.....;_. APPLICATION FEE Ii50.0L 1 REC { BY RECEPTIONIST AID SIGNED BY DEBBY V!i!4f�'..:.S I DATE 07/19/89 DATE r: 07/1S/99 • PERCOLATION PATE rLO �TN PER INCH LIMITING .Zo1'n 0 FEET TYPE SUITABLE PERCENT flpouNp ,:iLC1pF (,',°i DIRECT TON REQUIREE ENGINEER DESIGN NO . FROM APPLICATION INFORMATION ti_ ..i IE AND THE i-• E E ,•s'.i1.L PERCOLATION AT/ w _ ,:•i.._..�,._:� >•7 #i= "ii', 'r• THE FOLLOWING MINIMUiM INSTALLATION'J SPECIFICATIONS :`.,r•,r. 'r., . !•. ., .•D : ,.. ..1...F-?iq-(I a jy�y ARE.. REQUIRED : 1_ .t.{', .. SEPTIC TANK 12.-0 GALLON:!7, AI ORF'T.I.ON TRENCH SG . F•. . OR A k THIS IS Y� SF. 3RI'Y i....'N 'TED :}"48 ;'Q F. , .. .-N :iY;. .r i TO. TH.1 s. PERMIT'- I«> SUBJECT TO THE« FOLLOWINGADDITIONAL.. TERMS AND CONDITIONS : •----..••...._..._._..___ ---"-----•-------_.....__...__..._____._.._.._.__._._.-__~•._....-_...__......_.•....___..____-_._.._......_..._. ▪-!',.. P .._ M' I ..FJ7 GRANTED TEMPORARILY TO ALLOW CONSTRUCTION O OMMEN�FC i# :t PERMIT : n MAY BE ,•.1_ ,1.x:,._1. ORSUSPENDED BY T`-IF' WELD COUNTY HEALTH DEPARTMENT MENT ':.1RREAS0NS- SET i�� '�! • ,�1- lsE r s}'EtNTY .- , - I ` -OS ,+'TEM ''E��iil..,, ! .f' . ;.Nf,l..i..:x;..t r, - ... .. . . ... WELD_ ,.�s ! INDIVIDUAL _SEWAGE.r i:: DISPOSAL, .T!+t l_. SYSTEM.. 1... i'. x... .r. INCLUDING FAILURE To MEET ANY TERM ORCONDITIONIMPOSED _ .f. N r;I t- TE; 'O^' ' FINAL. . ,I.i. •t,... . i� ?IE. 1». i- 1-!{ ... t� THEREON DURING,I'# �i •,:tii=?�'� C1 F; f. n PPFXJ';1A!' .t.. ISSUANCE , . ,_ THIS DOES �•• CONSTITUTE .•Y .... .._.. THE:.» �F r�":�.... PERMIT �l..i i '�S�/ . I�i- DEPARTMENT OR .•r:4 EMPLOYEES OF LIABILITY FOR THE FAILURE '5R INADEQUACY OF THE S E:AiAGE DISPOSAL SYSTEM , 7-1 'thk, X STAFF _ 07/31/89 'o-7i-fig ENVIRONMENTAL SPECTALIST DATE TE C4•Y./p 1C-17-- ?. T r`ir PERMIT,... , i`i4. R 5�•= '�r:!_i"..f:+�':LE AND SHALL i. 'BECOME VOID F SYSTEM ,ON _C+',If.'.'f.ION HAS NOT COMMENCED WITHIN ONE EAi-, OEi. I .. ISSUANCE, BEFORE ISSUING�] _.N;•�•t I... Si-''`i'•:i.S17,Al_- Or THIS ' _.. M.. • Fii'� WELDWELD !_COUNTY HEALTH ? r.P F, 'firE `T RESERVES THE `ME'. RIGHT TO TMPCSE ,DDI - ...`..t[`J:`'.i ri.V •rM+T AND f'(^a!i:�' T'•iij. REQUIRED t O .-IF�ET OUR REGULATIONS - 1N !''j, .-,t•-:I ...�'IUING 144- Elf, • .i. r. .i». .,r d.• _.... ._Li s', . .....•:.Y L .. ..�.. ... 1 t.. :r EJNAL PERMIT APPROVALCONTINGENT '_- FINAL INSPECTION OF THE C.liti-. '_C T.. , ,:r T FM BY THE WIF D COUNTY HEALTH. DEPARTMENT, T . ,✓ E A r 1 F`..T : i 7 L L i"ir' Ithitri2er---. -.. \ 1... I tit t)- = j .!N 'f+'t T It. /(/.AilI- SYSTEM. �N if•i%_.....:.D /fir'{f ENVIRONMENTAL ...' `.._._.t.f',i...I __.._ ._ rYPE : W!::' . .. -.,`??'I ..I::. OF THIS PERMIT DOE., NOT IMP j i..OMP!......;-!;ii»,t`. WITH OTHER STATE, CUNTY ��!.:�!i.. REGULATORY C'i": BUILDING REQUIREMENTS, � ...:r: S'7!ALL p..._.,... .. .... TO . ...?^. , ... Y THAT , C} r•r-,Y• SYSTEM OPERATE TE� "\"- y Lf .;� ' STATE, .. WILL -i, �a r_. .I�?c- .f I- 'i' z:r: AND ....::: ... REi:ri_.AT N ��^:c1:: . .. •D PERS"iAN-. ..'_t ARTICLE........... TITLE .•t_. '.7;R : : 4 ';'77, t• *:yy;P;ta)f F.. , I77. THE .is•:-`O,} •B: , s'H y i•J,:a;•• ; ! OF �.ar. E _:d rt"'i!Y , i` J , .. :.... ._F =•!,... .%c_..!':.AN ':ET...! IT r RE_. :,N __ ... 9.71 72, n..... ' : . s... . I r .. 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'1 ' • ' V�-4 C. \DI.:V.3C LL:itk L fl1 rr�'f(A, (i.;-..:tai i n DISPOSAL `VELA: COUNTY HEALTH DEPARTMENT NEW PERMIT ....i`'7.rP''. EN t :y L. HEAL-n:4.EA ..n:4 SERVICES 1516 HOSPITAL ROAD, tx R i_ .`...is M1. CO 20631 353-c:,635 EXT,2225 OWNER NATIONAL HOG FARMS, INC. ADDRESS 25000+ WCF 69 PH C303)i - ' .._9 j .:J-., .E , i:5 2064- ....... ADDRE..'S OF PROPOSED SYSTEM• '-./.r.:: :JET. !JCR 6 _�•A }+ i'"4:r:Y • CO SQ6..14 LEGAL DESCRIPTION CF SITE : 3 r 3.z ,W ... e';? G 63 'SUBDIVISION : LOT {:i BLOCK :} FILING USE TYPE : RESIDENTIAL E F'l YEt_ HOUSE air SERVICES: PERSONS 4 BATHROOMS 2..00 LOT SIZE 12. 20 ACRES BEDROOMS 1 BASEMENT Pi... 1P:::NG YE.. WATER SUPPLY L- _Ar--PLICATION FEE 'fi70,00''. - t'':t::L: ' D BY RECEPTIONIST AID SIGNED BY DEBBY VANNEST DATE fy7p, a/e9DATE 7,'18/89 PERCOLATICN PATE MIN PER INCH: LIMITING ZONE 5 FEET ' ':•'::?.t. TYPE:'E Si.ITPt:LE .='FR CSC: ;ROUND ELOPE % DIRECTION REQUIRESENGINEER DESIGN NO 1 1J FROM THE. APPLICATION Il..: - !.jlit INFORMATION SUPPLED AND(l ON .� :_t:" ~f -r �,{ � THE %J{�'^'_:.1.''.�R:. «. '..i.�:�_. PERCOLATION DATA THE FOL.-OWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : . SEPTIC TANK 1250 GALLONS, A {EOF,rF. . IO9'i TRENCH . r'C FT.. ,,//�1^_ _ AE SORPTION f1:' ! :1.1»!:`� BPD 948 :?u•• ET . ... ..' .L"' ICN f. ! t"�—t:. PERMIT RMIT IS SUBJECT TO HE FOLLOWING t:. ADDITIONAL TERMS" .4 , _ ww11 ND THIS PERMIT 1 .,. ., GRANTED TEMPORARILY -r: ALLOW CONSTRUCTION O i i N , ,THIS R MAY .::'r; !..;;EVOKED!'r�.- _'t•' �1�� . •� " 11 - THE WELD COMMENCE,. .L ah ...._`�'... t-- _ . . . .. . i.:.... OR : .. !:'. Jt t:.'t B tt ..: r 4.::t;t COUNTY .iA rrr' -t.} .s�E-`!=)t't;-t`.i C. FOR REASONS' �1' CONDITION _: �• ,.' ••, >... ...�3'..r 1 i�.l._;..�_E:.. `�i- :., !2,.. -'t.iCt 'i:J'"A.;r• r .L:_1�}I:�E TO MEET ANY TERM OROR ...:Yii"OS D THEREON .- T-. '.! �)r}.f elf_. . - :. .r. �:. :'`f�.'�- '-r ;IPERMIT DOES t-c.;,...CONSTITUTE DURING ! .=.!'SI"t_i:,: f't'i FINAL DEPARTMENT -OR EMPLOYEES O LIABILITY !'� F; :'�%_ .L�. 2t INADEQUACY A f�•� :!•:.7.;,..:AitE I,...POS.AL EYE "'f. '1^; 1. _,t`'i i•-1.�{': ,'_i i•^4. ':,( THE re /0 - 6 _ ‘7' clg 0604 . . STAFF 07/31/39 t� / ..:.t1rk I:tt.f�`?:1ENT'•"fL SPECIALIST DATE 7.t»:.... '.'.... .. .... , :�,�. NOT TRANSFERABLE ,Nr E ME VOID ' �' SHALL J:C.i'LJ11,_. IF SYSTEM '.ON,7.wRUO'v-••:7,t tjV: ,!07 �t.�... 's.• ;"t '!_i^,�try t� .. _•• : �-:ice. _ ._._. ....r..,», PERMIT o-J....._. .._..... •—. ._ , .. . ... .�... . 1 _._.., .,.,_.; ..r:�.i:: .....'.�l.. It�l, FINAL,`•?IJ;... APPROVAL f_j!.. . ..1. , t".:.RMI `-i:. WELD COUNTY( HEALTH .�!i::.i �•,,_..M':::;,i' RE::,r�::'4{ttr-- THE n......HT : m r ...i.ft 11'=.. TERMS t�i'!f CONDITIONS L REQUIRED `i_' MEET - ! REGULATIONS. r-: i '"±•CONTINUING ... ..�-:...i.' i I... . FINAL F•t:..•. `..i . APPROVAL I S. CONTINGENT_.:r`';:;,UPON `t»{.:: FINAL INSPECTION 'i -t_ `M'-Y... -t;. . .—D SYSTEM t.".i i B'{ THE WELD COUNTY HEALTH< i". .�:�!"'i�li'.DEPARTMENT. T.. •• - '--- It14( Ail (. ISSUANCE[:•i�..!AikCE OF THIS .'t_•i::',:i r isOE.... .: _ IMPLY- COMPLIANCE H !. O .tPt".�..'•`INCE WITH. OTHER{..fi::i STATE A"' COUNTY REGULATORY R DUILDING REQUIREHENTS, SP ALL CERTIFY __ ,J r:J E_: : w . SS : t•'.., ;,4 ILL,_.._ ,-,t._ , a , r�-"r;l`1 y th!t ,h,t .t f,i r.!i..� ,_. -•T� -.r-- - ._.'i � :t .'V ....,.. . ..._. �t.i ,....1;._i-i�:`f-!r• STATE, COUNTY AND .EG...LAiION i".1..`..!.`' E�.t , , ,�L.S..sN- O r.".R .t.r._.... ,t;( - . .,. �_s r77. ,{., .' FOR H . ..�.... .... ......m BL_IZ!-:.:.'Tt..: FINAL L ,'�f.:t ."':.!ltt EL. ..�1" AN {,i .r. ,i Eil FOR attt3 x . '44 ^`r4 L;u,11 a rleC2- ( ; rte— : -y iti1c. 1 a p„� cc l.or rte-ece, 9 Y .-ar.,A- Itk ,0.i;i_ LAut ..-+ h b),4_9(1- 1 t-i( / J� r`� ,7 ! HSr' )63"' .Lf,!j I'. _ . L.. SEWAGE DISPOSAL SYSTEM , _.R!1I 4[f_ ''s't . i WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL'' HEALTH SERVICES , y rte 4'_ 1 6 HOSPITAL Y ' ROAD,D COC 80A71 .w"'�',i +;✓;-rwl6. 5 L:.MF.2_.25 JWi\IER NATIONAL_ HOG FARMS, INC. ADDRESS 25000 WCR ti '' PH <303); KERSEY CO 80644 DDRESS OF PROPOSED SYSTEM 24591 WCR 69 KERSEY CO 80644 _EGAL. DESCRIPTION OF SITE : SEC 34 TWP UBDI'r ISION : LOT 0 BLOCK 0 FILING 0 JSE TYPE : RESIDENTIAL EMPLOYEE HOUSE -6. L 7ERVICES : _.i P y _ .�'' 4 BATHROOMS t 2.00 LOT �'I ACRES BEDROOMS' A,SEMENT PLUMBING YES WATER SUPPLY PWELL pF'LICA T' QN FEE $150.00 EC ' D BY RECEPTIONIST AID SIGNED BY DEBBY VANNEST DATE 07/12/89 DATE 07/12/29 'ERCOL_ATION RATE 5. 0 MIN P'≥wR INCH LIMITING ZONE 4 I-EE.... OIL TYPE SUITABLE PERCENT GROUND SLOPE \Z DIRECTION EtUIRES ENGINEER DESIGN NO 'ROM THE APPLICATION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION 1-)ATA -HE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK 1250 GALLONS, ADSORPTION TRENCH SG?. FT. OR ABSORPTION BED 943 SQ.. FT.. :N 'DITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND C :TIONS : -HIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT lAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASON w SET `OR T LI IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING •='a'1IL URE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL •PPROVAL.. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE TMEN i• OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR • , 7 ,F<.1- aF' ; i= 7' INADEQUACY OF THE :EWAGE DISPOSAL SYSTEM. X STAFF 07/31/89 6e�me J ' ENVIRONMENTAL SPECIALIST DATE -HIS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS 10T _OM tE 4CLw:o WITHIN ONE YEAR or ITS ISSUANCE. BEFORE. ISSUING FINAL APPROVAL OF 'HIE PERMIT I THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI•-• •INAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING PA— :IS. FINAL PERMIT APPROVAL IS CONTINGENT UF'ON THE F:INAL. INSPECTION OF THE COME. 'LETF:D SYSTEM BY THE WELD Y COUNTY HEALTH DEPARTMENT. Y•w T...., IN'TAL.LER a-kJ I CIY.Y FINAL IN:•?F >-•T:C ', !J poll' D_�`•(�.T....:i E.NGINEE; -- APPROVAL lWt' - (a1 __ YF'E OOF S; S'Tr._i IN S'-IALL' D EV' ENV:I:RONM NT�'=t( E .. IST �__._. HE ISSUANCE OF THIS PERMIT DOES NOT IMPLY, COMPLIANCE WITH OTHER STATE, COUNT: R LOCAL REGULATORY OR BUILDING REQUIREMENTS, NO 'I-TALL IT ACT MTL+ CERTIFY THAT HE� UBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND c!C. REGULATIONS: ADOPTED F'ERSU iN i. TO ARTICLE 10, TITLE 25, CRS 1977, AS AMENDED, :ALE PT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL r;OVAL OF AN INSTALLED SYSTEM FOR SSUANCE OF A LOCAL OCCUPANCY r r~' T PU! SU sTO ��T.:' - T7-10—ill •t"rL. PERMIT t PURSUANT ... ... , . �'..- (2) . . .. GTNAI_—..P F'i._H U:`I r' f i•tJ F L'J C,H D WCHD—FHE MAY, l • • • . . .,:e.,,41:.,......;.:::17.k1'..?..z.,.:;;;:i.. -4 .:::::?..-: •• ••....:‘..7:::•'•;-,•-•i.l'i' • .. ::;x: 41.�^ �.*.,�i �.._••c •-- .'.s.. • ', ,.. P� ` :.;::.tis,.�w4i. �, S • • - x--'49 -• • ..t• ••1...er..7...... . . ..• • - .....!..':'-.,..t.';'vo...:41':•-•sr""...k.••;.• • •... P. < • t • • -Cf1/4.1i,C. :)i't..• • • /s �c • . • . ..I4 a . - :itigq:t. 1 d .11 .• • • • • • • • • • • • • • • � � Ct• • • • • • • • • • • • • • • • • 1 -2.W.. 5 ' a: •!Dl:VIDJ.LOL SEWAGE >>7:.;'F'O • 1 _M M IT NO. G-89016? WELL' COUNTY HEALTH DEPARTMENT r..r ENVIRONMENTAL HEALTH SERVICES PERMITE:\r�: 15/ 4 HOSPITAL ROAD, GREEL_EY, CO 806:-11 373-0637 EXT. 7225 'k _F: :aATIOr!AL. HOG FARM, INC. D D R E: s 25000 WC F 69 KERSEY DDRESE OF PROPOSED SYSTEM 24c;'31 wcR 69 CO 80644 KERSEY CO 80Y;: EGAL DESCRIPTION OF SITE : �' UBDI.�ISION : SEC 4� Tr+IF, If RNG 63 SE TYPE : RESIDENTIAL EMPLOYEE HOUSE 0 BLOCK FILING EMPLO r EE HOUSE 47 ER' ICES : PERSONS BATHROOMS 2. 01 ,: LOT SIZE 18.20 ACRESiEDROBOM„,,, '-4 BASEMENT PLUMBING YE ' WATER ER SUPPLY PWELL I"'F'L 1:tCATION FEE $150.00 EC ' D B RECEPTIONIST AID -DATE 07/18/89 SIt,NE- D BY DEBBY Y i"rHNI:s'I DATE 07/18/89 r F;!Ci�!_A?',`l CiN RATE _:,;- . 0 MIN PER INCH LIMITING ZONE 0 O.IL. TYPE SUITABLE PERCENT GROUND ► +% FEET -+• r•IIR ENGINEER DESIGN ELOPE �;�. DIRECTION ROM THE APPLICATION INFORMATION SUPPLIED AND THE HE FOLLOWING MINIMUM n hON-SIT E SOIL F'Eh.+�ul_.A r 1.rJr� DATA + MUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK 1250 GALLONS, ABSORPTION TRENCH SQ., FT. O R ., ; .. �_.��`,!, ABSORPTION BED 948 SG . FT. ADDITION,_Or THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND -II ,ERtvill IS GRANTED TEMPORARILY TO ALLOW rte, :aY , I_ REVOKED I- CONSTRUCTION TO COMMENCE. THIS PERMIT (=y OK F D OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT T FOR REASONS +F:TH Ir! 7'!!E k(EL.D LUUI;Ti' INDIVIDUAL AL SEWAGE DI �� ri :CNDIVIDU DISPOSAL SYSTEM REGULATIONS SET .�+_i.Jr��;E "►-(J MEET ANY TERM .. TF-.� -E,7LJL�,T:IuN,.�' INCLUDING M Or: !CONDITION IMPOSED O.S'ED THEREON DURING TEMPORARY OR FINAL 'P'r'T'VAL., THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION f�'A r:I iti i=:i-�t T �E F: I.•T S EMPLOYEES f] LIABILITY., ._ T F' y�`.LI ri F''T.,.�_+i:T T�'�, ;1-;E :WAGE , - r=. L:I.AB:I:L:[T'+ FOR THE FAILURE iir INADEQUACY OF "THE :WAGE DISPOSAL SYSTEM. `' STAFF 07/31/89 ENVIRONMENTAL SPECIALIST DATE '!IS PERMIT IS NOT TRANSFERABLE AND SHALL T +.J'iii°iE !Ci_D WITHIN ONE BECOME VOID IF SYSTEM CONSTRUCTION HAS I MPERMIT T!! ,F ITS ISSUANCE. F' " E WELD COUNTY HEALTH DEPARTMENT BEFORE ORE ISSUING FINAL L APPROVAL r L ��I_. :r:l'i�HL T�-{'`r rL T H .LEPARTMEN T REEER'.;ES THE RIGHT TO IMPOSE ERIE AND CONDITIONS REQUIRED TO MEET OUR - ADDI- FINAL PERMIT F:i-'i:f.'T �,•,c•, •r c CONTINGENT� + REGULATIONS t:s 11_A T i O I'd S +a i:! A +_i=r i•:!T I p:!LI I++\,!+� BA- :S-�....__„ CO:•.•r :I.NGEN•T• UPON THE F:[i,JAL... INSPECTION OF THE COi"i- I ED SYSTEM BY THE WELD COUNTY HEALTHDEPARTMENT. fr STEM 1'i�:s'T≥~L.LrP. 1� 11_. ('' _� () ) . ' /; STEM ENGINEER —�—•— _..—.____.__.._.__FINAL IN ' IOV074,1 ,k.„,._______.: _, �� . '' �+ __APPROVAL rr� L( i .� �U�1 F'._ r rF" SYSTEM Fi°i INSTALLED :�Y�:.._..__.-•--• ... .. .:_ . _ . ' ''.:::-."__—„,',1-----` — ____..__ ENVIRONMENTAI_.�SPEClq.I5T ..._..___...___ E ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE L..O C r�•r!_. REGULATORY WITH OTHER STATE, COUNTY OR BUILDING REQUIREMENTS, NOR E SUBJECT SYSTEM — '± I� � '� +T�' , SHALL IT ACT TO CERTIFY THAT �UL _E _ WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND CAL REGULATIONS ADOPTED F'EF:,"!_(�iidT 'I r�l ARTICLE ' AL r:•iG! THE PURPOSE OF F •r •i !_'.I, TITLE 25, CRS 1 973 , r=;.�. AMENDED, _.TT,1rl �.`�HI,VG= FINAL _ U, J.E. OF' A LOCAL �JC( UPANC�Y� PERMIT PURSUANT TO (.;r,4± 1973 ROVA... t7F ;'25-10-111. + _ i SYSTEM FOR `::+a:isNi=!!_.•--r'•iF'Pr_ .Ci' N h1'P Y'-'WrHD WCHD—EHE MAY, / 984 of Y. .. .✓...-.z,,....•,i.. 7,�.. _ 1.+A 47 .. •.'^ Ndt.:- .. .h:,1"y _��Ia�..'Y��`Fl'� -3'Y t" "•� �J�c •• -�w n��Ts.'c...IG:.fJ�i•w.vi�y.k::'wy-:.C..s134 .•P,a 14;, , ...Ct i-. { j 1, '� ` ,; • a r--"/ .\\r \ - % J - ' 6) e . x 1 i , l s-o s - -' �`� • . . .' • r`..` HSP1 •-!- IMD. ',I ID r-'I_ SEWAGE DISPOSAL OSAL.. i ._ I EM PERMIT NO. G-890163 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL. HEALTH H SERVICES 1516 HOSPITAL ROAD, GREEL.EY, CO 80631 35 3-0635 EX T.2225 .::225 )WNER NATIONAL I-IOG FARMS, INC. ADDRESS 25000 WCR 69 PH (303) 353-996 _ KERSEY CO 80644 ; DRESS OF PROPOSED SYSTEM 24599 WCR 69 KERSEY CO 80644 _E GAL DESCRIPTION OF SITE : SEC 34 T WP 5 RNG 63 'UlwivlSTON : LOT 0 BLOCK 0 FILING 0 J."E TYPE : RESIDENTIAL EMPLOYEE HOUSE C 'ERVICES : PERSONS 4 BATHROOMS 2.00 LOT SIZE 18. 20 ACRES BEDROOMS 4 BASEMENT PLUMBING YES WATER SUPPLY PWELL `:PPL_ICATION FEE $150. 00 ;E!. 'D BY RECEPTIONIST AID SIGNED BY DEBBY VANNEST DATE 07/18/89 DATE 07/18/89 ='ERCOLATTUN RATE 5. ) MIN PER INCH LIMITING ZONE 5 FEET .'OIL TYPE SUITABLE PERCENT GROUND SLOPE }% DIRECTION I-QUIRES ENGINEER DESIGN NO `ROM THE APPLICATION INFORMATION ' SUPPLIED SUF'ILIED AND THE ON-SITE. SOIL PERCOLATION DATA INE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED :. SEPTIC TANK 1250 GALLONS, ABSORPTION TRENCH S[ . FT, OR ABSORPTION BED 948 SQ.. FT. EN ADDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERME AND .:i' ?:TIOt'S . IIIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT IAY BE REVOKED 1_,R SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET • =ORTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS:IONS INCLUDING 7AILi.JRE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL )F'F Li AlL. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE )EPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF TI-Ik. C:wAG E DISPOSAL POSAL YSTEM. 99 X STAFF 07/31 /89 Q_0*-9 ENVIRONMENTAL. SPECIALIST DATE TI-1IE PERMIT .T.S NOT TRANSFERABLE AND SHALL. BECOME VOID :IF SYSTEM CONSTRUCTION HAS JOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL I� OF -HIE PERMIT T THE WELD COUNTY HEALTH DEPARTMENT RESERVE::; THE RIGHT TO IMPOSE ADDI•- 1.!_1r-dr::iL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS GULATION'.S ON r=1 CONTINUING PA- 7I S:. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COi ••- ._.ETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. di2//(627 i S TEM .INSTr'il._1.,.E i • JLiskA 'YS11=1`3 t.,'.ri`..l•`E1�. f }- 1f 1! 1� - --- ...,.. r. .I . _ -_ : __._.._.....___ ____.- I.1 i:i.i�ALi'V/L ( � �.• 4-TINA ,, �i r',-1'E OF SYSTEM INSTALLEt; , " a .ai�z.__._ ENVIRONMENTAL S F'F..C:[r-^{).L;[ST. 'HE ISSUANCE OF THIS PERMIT DOES NOT IMPLY. COMPLIANCE WITH OTHER T ATE, COUNTY t: LOCAL RF ULr1TORY OR BUILDING REQUIREMENTS, NOR SHALL_ IT ACT TO� CERTIFY THAT HLr UBj CT :SYSTEM WILL OPERATE IN COMPLIANCE iA ! I.ri r WITH APPLICABLE .STrai•E . COIJivTY r",i•Jil CC REGULATIONS ADOPTED F'ERSUAN"i TO ARTICLE 10, TITLE 25, CRS 1973, NI : CEPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF INSTALLED .:i.i':J F:1 jJ(::C- 1;�1 F' '' i_I 1",r"-I OCCUPANCY;1 � ',, r..,... .... r SYSTEM 1-i.!E�. A L_CA__ OCCUPANCY PERMIT PURSUANT TO C=E;;... 1973 _:.`.: -11 0-1 1 1 (2) . RI( INAL-APPLICANT; COPY-..WC1-ICJ aye% ' , 4 : s° ;mss 4 � �x i .t. /l } 7t'i&fie ° [ .,' • 1ti VVV ,x, fib p$ -.1.n 124-11;1&-a,',":" {c Y N•:-...-... •i Cr4 , ,. , , , \ - ' --"N •-Z11 '•--O • O O P ' i - _1 /, G B St i 00 1 -ISPI 0,_'F' INDIVIDUAL SEWAGE DISPOSAL SYSTEM F't,. M]:T NO. G-890/ 64 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES ', 1517 16TH AVENUE COURT, CREELE`r , CO 0.,=ah31 353-0635 EXT.2225 WNER NATIONAL HOG FARMS, INC. ADDRESS 25000 WCR 69 PH 303) 353-996 KERSEY CO 80644 DDRESS OF PROPOSED SYSTEM 24597 WCR 49 KERSEY CO 80644 EGAL DESCRIPTION OF -SITE ; SEC 34 TWP 5 RNG 63 UBDIVISION :ION : LOT 0 BLOCK 0 FILING 0 SE TYPE : RESIDENTIAL EMPLOYEE HOUSE 49 - ERVICES : PERSONS 4 BATHROOMS 2.00 LOT SIZE 18. 20 ACRES BEDROOMS 4 BASEMENT PLUMBING YES WATER SUPPLY PWELL FPLICATION FEE $150.00 EC ' D KY• . RECEPTIONIST AID SIGNED BY DEBBY VANNEST DATE 07/18/89 DATE 07/18/89 ERCOLATION RATE 5.0 MIN PER INCH LIMITING ZONE 8 FEET OIL TYPE SUITABLE PERCENT GROUND SLOPE 1 % DIRECTION S EQUIRES ENGINEER DESIGN NO ROM THE APPLICATION . INFORMATION INFORMATION SUPPLIED AND THE ON--SITE SOIL PERCOLATION DATA HE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK 1250 GALLONS, ABSORPTION TRENCH SQ. FT. OR ABSORPTION BED ' 48 SQL. FT. N.- T)DITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERME AND :C. iTIONS : 'HIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT FAY BE REVOKED OR SUS'P'ENDED BY THE WELD COUNTY HEALTH DEPARTMENT MENT FOR REASONS SET 'OF:TH IN THE WELD COUNTY IND:f:V:[DUAL. SEW/:CF DISPOSAL SYSTEM REGULATIONS T IONS INCLUDING "AILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL I'F'i;:OVr=,L. THE ISSUANCE E OF THIS PERMIT DOE'S NOT CONSTITUTE ASSUMPTION ION BY THE )EF'ARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE >EWAGE DISPOSAL SYSTEM. „L a Du,.rtr. STAFF 08/10/89 '-�� ENVIRONMENTAL SPECIALIST DATE THIS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS 401 COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI— TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING .BA— IS, . FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM-- 'LETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. SYSTEM INSTALLER 10:32N � hI r I i;1 - T T C � P A- . I ... ENGINEER -- a _.._—..—_....._.__ FFrO'bAl U rI lJ� ' E .. A -� TYPE OF SYSTEM INSTALLED .�-.._ I`L _�_..__._.__i_.__._—_—._-- ENVIRONMENTAL ECIAL:IS T rHE ISSUANCE OF THIS PERMIT DOES NOT IMPLY, COMPLIANCE WITH OTHER STATE,Al E COUNTY Y )R LOCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT ll'UBJECT SYSTEM WILL. OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND h ':� ADOPTED �� ._ iq •21�... CRS_t:1!-:. ... E"::E:�:YI.1I--�,T":[.Cat,, : r"iDCiP , r_;.. F'EW;��.>L1r=�r!T TO ARTICLE .I �;?, TITLE � , C..';S 1 '= 3. >•"•;S AMENDED, EXCEPT FOR THE P'URP'OSE OF ESTABLISHING FINAL AP'P'ROVAL OF AN INSTALLED SYSTEM FOR ISSUANCE OF i-`, LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25--10-1 1 11 (2) . 1 TTr ^-t.., , ..-,'21Prq TrAM i . r•PlPY—',Iri-rf WCHD'-'-ENS MAY , 1924 1 -__ ^. ^ 5 ,�� ` , Wig., i. r,n-:f ,r; i r -� ^ ,Ftt• !! c a„.fi ). • I 33 3. - i (it'll . H . ,______i _____Hfr _112117--cf--1 I. 33I c ii ,O la 3� _ �, I 1(t F I ..... "n HSPI E:'r6:'- INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N _!., G-890'-'47 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1516 HOSPITAL ROAD, GREELEY, CO 80631 :wNER NATIONAL HOG FARMS, INC. ADDRESS 25000 WCR 69 PH (303) 353-996 KERSEY CO 80644 IDDRESS OF PROPOSED SYSTEM 24607 WCR 69 KERSEY CO 80644 _EGAL DESCRIPTION OF SITE : SEC 34 T WF' 5 RNG 63 7UBDI.VI IoN : LOT 0 BLOCK 0 FILING 0 JSF TYPE : REEIDE"NFTh-L EMPLOYEE I-IOUSE nfG • r rrRVICE S • PERSONS ON.. 4 BATHROOMS 2. 00 LOT SIZE 8 2,0 ACRES BEDROOMS 4 BASEMENT PLUMBING YES WATER SUPPLY F'WEE LL IP'F'LICATION FEE $150.00 CFC ' ' BY CO!'F'EY , DIANNE SIGNED ;;` ROGER rt^iiildi'::;0N DATE 10/12/89 DATE 10/12/89 ='ERC!D;_A;•.ION RATE 7- 0 MIN PER INCH LIMITING ZONE 0 FEET 70IL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION *SQUIRES ENGINEER DESIGN NO "ROi°1 THE APPLICATION INFORMATION SUPPLIED AND THE ON—SITE SOIL PERCOLATION DATA fHE FOLLOWING. MINIMUM INSTALLATION SPECIFICATIONS IONS ARE REQUIRED : SEPTIC TANK'. 1250 GALLONS, ABSORPTION TRENCH ,.Q?. FT. OR r� ABSORPTION BED 948 SQ. F T. E'r -'.'DI { ION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND .,Oh,,, .TI!1N --- F HIS'.. PERMIT If GRANTED TEMPORARILY T O ALLOW NCOMMENCE.CONSTRUCTION I•':,'UC1'IC!N TO THIS PERMIT IArY B F REVOKED OR 7U 'F Ei'•?DED � Y THE 'JEi_D COUNTY HEALTH DEF'A T i t REASONS `• = t-� F' riFi T FOR EFT "2R T H IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING 'AILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY Y OR rl:JAL 1PPROVAL. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE )r=.P ARTMENT CF' IT. . EiMF'I_.O'r•rE,i OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE E_WAGE DI F•OfSAL SYSTEM. --c.-c__ -4 1 "'l 'lam- X STAFF 10/1 -7/39 J �1—:3-`1- d QtrnP ENVIRONMENTAL SPECIALIST DATE -i-11S PERMIT :1 NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS TOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROtidAI_. OF 7FI1:S PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVE; THE RIGHT TO IMPOSE ADDI— •IONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING PA— 'IS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM— 'LrETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. „Tc TE`c INSTALLER __ '_ xJ?-___..___...__._.._______....w._FINAL. INSPECT �IN , ?ATE, Esca.t•_ . •'I STFP•i ENGINEER ��. APi"'F;OVA}_ �^yt 'bt ��L-- #✓i'te, • t __ ";'F'E. OF ,_'�''TE IN..T EL!E.D ____ .._ EENVIF;IJrlt1EP!TAI_. ..F'E._. r;L.�^ E__ _._.__. 'HE ISSUANCE OF THIS PERMIT DOES NOT IMPLY' COMPL.I.ANCE WITH OTHER STATE, COUNTY )R ,..i.JCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO ERTIFY THAT 'Hi U"':.'ECT SYSTEM WILL. OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND .00PL REGULATIONS ADOPTED PEREUAN;- TO ARTICLE 10, TITLE 25, CRS 1977Z, AS AMENDED, -:.CE PT FOR THE PURPOSE OSE 'tr ESTABLISHING FINAL APPROVAL OF AN INSTALLED SYSTEM FOR ...».�U(aE.sCE OF A t...UC',IL. OCCUPANCY PERMIT MIT PURSUANT TO Cr'wt 1973 25-10-111 ('3) .. r•,+rrr:-I,rl .Arrr•:r 7r,Al. . .....m s_, ,Ir,:!.rr urLIT .._trl..tt^ ..,... . . ,; n.. F :. Q sF arm ..,.'4,.....,=, A1%,..: ¢, ' tc 4 y 1.,2,:.i....'...v.::-.. .a wl'. .y.:,. 1s:• • • • • • • • ';'",-,', .t.:.It'Y'T4t.......:-:._•• • • --:"-..: • • »3_ .:rte. • .MSS-q . ?_w-• ,A', .Yip'• • ( • f S ?; • • • _�• r• 1 • • '\dcs # .be.. cif: • • • • • rt ri • •r---�f, � .c. • • / I 4 !:'1.s:ck;:l;�)c\Fh INDIVIDUAL..:D..:A4... SEWAGE DISPOSALSYSTEp.; PERMIT ':.,. x3�.. �_-�-.�.:�% � :?':. '. 'fit�� '!�•'r:) 4...., ?,+ R,^,. t .{,4...r._.WJ.' WELD Y r, I J , • HEALTH ., F•g WA,2:`:r daiy_c.' V I::.:.sJ COUNTY�' t i ! DEPARTMENT ENVIRONMENTAL HEALTH SERVICES .S .t_.. _ y ... .1 AVENUE COURT, €:7f7KE NA C?Ni-'sL I••IC1C; FARMS, INC s=sI)1)l^:E: :....: .`::5;)0r) bJ(_E, 69 j'•t ! a 353-996 I;ie:L' I.-': CO 80644 }DRESS OF PROPOSED SYSTEM 24605 WLR 69 KERSEY CO20644. LE• GAL DESCRIPTION OF SITE: SF::(:; 34 i!!JF' 5 RNG 63 (J BLOCK ! USE TYPE: RESIDENTIAL f MPL Y E: H(?US F.i:.: #1:L' . . LOT s.. , FILING SERVICES:L�C:#_:' : PERSONS 4 BATHROOMS Z.00. SIZE 18.20 ACRES BEDROOMS 4 BASEMENT EETME NT• PLUMBING YES I:�ra :t �:;�:i i:; Y ;:3 WATER SUPPLY r'W!`:?...!_. APPLICATION FEE $240.00 i::Ef:'':l BY #-IOE.,.1..Y DENNIS SIGNED BY STEVE C AL..!-#F'JO4:! DATE 08/11/95 DATE 08/11/95 r • PERCOLATION RATE 0.0 MIN F• INCH LIMITING - t!:!:t•f •PER r 1C1••! :i:CJ!•-! ,•t FEET SOIL TYPE. UNSUITABLE PERCENT GROUND SLOPE 0 DIRECTION REQUIRES r:S ENGINEER DESIGN i a s III YEAR FLOOD o NO FROM THE APPLICATIONAPPLICATIONI:#'.#!.:•E,-IR::MAT•IO!# SUPPLIED AND t�THE ON-SITE: SOIL.1 - F PERCOLATION .,r_-c:;C•O! .�•r: .., THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED: _. SEPTIC IC TANK 1250 GALLONS, ABSORPTION TRENCH E SQ. F:..{.. OR 1.-• ABSORPTION BED :l2-',�. SQ. 1=T• THIS PERMIT IS SUBJECT .f y O THE FOLLOWING - - C(...- .:l:T:I s.J 1'•I k:t:, ... ADDITIONAL TERMS AND THIS S PERMIT IS GRANTED TEMPORARILY T O Cll CONSTRUCTIONa .• .. _ _ ... _T u r _ ALLOW ai 'i-('; COMMENCE.:1::.. 'i�!::I: �; PERMIT MAY BE REVOKED ED (`R SUSPENDED'F.N �E-,,? BY HI- WELD COUNTY HEALTH•i^sl..(2 DEPARTMENT FOR REASONS S:..I.:..,. FORTH IN I T•y.,{.. WELD i';('j' '' INDIVIDUAL':' -. SEWAGE - : .... ...... . COUNTY l.: .h ?s •1 L1()l1FK1 •:F• - ..a#::. .,.r. _iF'.r•� .}�, ,..,,f,;.,.{....lT! REGULATIONS FAILURE TO'I MEET ANY TERM k Z CONDITION IMPOSED `O {' TEMPORARY!"'(..tF%'i'4!ti`, j,•. FINAL INCLUDING # ,r •,: !••. THEREON DURING r! f.�'"' ..:!'••-i�`sl... APPROVAL. THE ISSUANCE OF THIS PERMIT EE..S:, NOT •:I.lS f , ASSUMPTION s THE s DEPARTMENT f"{R.-#MEN{•,#_/• c:: ITS T:: EMPLOYEES c::r- 1 .r'`. j'.'' 4 DOESTHE •FAILURE _ . • ' 'T .. t.+, ••,t 1...T ABILITY I:L..:i:•T' t FOR#':' E••;E::: :••;:1.,.L..E..l::l::: t.:s••; INADEQUACY OF THE •i#::: SEWAGE DISPOSAL SYSTEM. ,_,.T ...,, C f J 17)-118- Z 3�E:.:. 1... f !. < < 4•_ SPECIALIST ;fit'` 2:.r•4., EhEv:rI':oNME!,IyAL �'1�. THIS PERMIT I'.•3 NOT TRANSFERABLE I°II''#sJ SHALL BECOME VOID:•{•v.l r_ SYSTEM , tt•,.•,• I•:.t...:.::.:. ... �t::..... :!: :=s� :.. ! ,:.?T: CONSTRUCTION l�.:i.lf:;�J�:l:':!#'•I .iCi COMMENCED!1TME:!:C:E::.I) WITHIN !:.{h!#= YEARI O ITS`:1 ISSUANCE., BEFORE 3#:' ISSUING I:�!'•', FINAL:: APPROVAL f OF �4:•.#:�'t:: I::: i.. # !(:� !�':..1'•.Isl.. •..i(::�F' THIS PERMIT T'!-II WELD COUNTY HEALTHDEPARTMENT 1_ ,,..S.. / f { F ...,"?I... RESERVES 1'::•{:; �T•;.. RIGHT •Y•r•, IMPOSE,r.. 1 .i.(..11tiEs`:fE_, TERMS ,.I.,! � r ... ._ .. t.... lE:. !";.E.,.!. , . c.f ...1 j3..•;-J'::�s••. ADDI— TIONALAND CONDITIONS F:!:::(:'tl.l:l:f:l-::,) S•1.1 MEET OUR REGULATIONS :.'N A CONTINUING :i:tr::A.... : IS. FINAL PERMIT APPROVAL IS CONTINGENT UPON T•!-113 FINAL INSPECTION OF THE COM ::•I...r:::"f'!:_:() '•::'l;:i-s'•#..:'1 BY THE WELD COUNTY HEALTH DEPARTMENT. _ cob..,_M.�Er�:.�,Y._.......,_.... .�I'•lr�L.. INS' � .T..f SA,42.(„,I),^f•7" ((.�.1.��1.E :1:E'!. ::#-, _..Eol%�_. Y,3'{ __,._ ._.,. =fF:'F:'!:(:J'wral:.. ''"' �t .. . !I OF SYSTEM INSTALLED ALLED =k-L i. .f'x4*rOe_ ENVIRONMENTAL .._.::'E:C•- 1 IST "HE ISSUANCE 1ANC E OF THIS ..t::,�,1I.T. .,.,f_ r •t ;• PERMIT.1. r ::ii.:,:.. :5 NOT :I 11�',...'`.r ,.:i:JET#Pl...:I(•si••!(.'I". WITH OTHER .....s.. COUNTY )11: y, ](:'i #_ REGULATORY (:Jr: BUILDING #REQUIREMENTS, ? i(:)R SHALL :r r ACT TO CERTIFY ,. . :l_l, THAT •1..1( UBJEf_ : SYSTEM w:I?...i... OPERATE E: #''•! COMPLIANCE STATE, tf•• � � 1:: :t. WITH �`1F:'i"'1...:I1":��s1•:�I...#::. COUNTY AND .S.l(.:,--,L.. REGULATIONS 1•y r.#:...11+''� ADOPTED T.,.' 1 ,I.:•s:;.t:, ,.T. -T.f.. ,.., ' :::i =is ,.. t:::a:> .. .,1.)!'1!'••c i , ,..� t7l;.T..{.(.`l..•:- '3 ':), '�":I:'T'? ::1:; �r;;{'� t:r-:• {'' AMENDED, :'r'�z-l:'Y ,:• • !. THE PURPOSE,�•„-' - .. _.:... .:.... _ CRS ... . . ,. f1�� k-- , s s .:r�:1:: . ,;1:. :::I!:: ESTABLISHING FINAL NAl... APPROVAL OF AN INSTALLED SYSTEM F0.yt.-, :7.'-.._•i`t .:... OF A LOCAL? OCCUPANCY PERMIT I N ... ,. / ,,. r� _;',-:;:="Q•••,-;.::,.5..;.; 1Fy • t.if • :.''� • `a ;"-:•• ••,•-•:.•7.. . i a- -F, I •y I I I E f� Irf, in I7 s of ° a , )2 . :I- 4-4 7 C ' 3 0 - (NI- x � 0 !-fSE'i O ,J'+ INDIVIDUAL SEWAGE DISPOSAL SYSTEM n ''r_RMI T NO. G-_790244 WELD. COUNTY HEALTH H DEPARTMENT ,!1=W PERMIT ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COURT, f RF ELE`i, CO `{06•�i 353-0635 EXT.2225 )WNER NATIONAL HOG FARMS, INC. ADDRESS 25000 WCR 69 PH (303) 353-996( . • KERSEY CO 80644 DDFESS` OF• PROPOSED SYSTEM 24603 WCR 60 KERSEY CO 80644 ..EGA i• DESCR.IF'TION OF SITE : SEC 34 TWF' 5 RNIG 63 U?DIVISION.:. LOT 0 BLOCK 0 FILING JSE TYPE: RESIDENTIAL EMPLOYEE. HOUSE 012 :ERVICES PERSONS 4 BATHROOMS 2.00 LOT SIZE 10.20 ACRES BEDROOMS 4 BASEMENT PLUMBING YES WATER SUPPLY PWELL :,PF'LICAT.ION FEE $150.00? ^.EC ' D BY COFFEY, DIANNE- SIGNED BY ROGER AMUNDSON •DATE 10/12/89 DATE 10/12/89 ERCOL.ATION RATE 15. 0 MIN PER INCH LIMITING ZONE• 0 FEET OIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION ;EQUIRES ENGINEER DESIGN NO "ROM THE APPLICATION INFORMATION SUPPLIED AND THE ON-• 'I'TE SOIL. PERCOLATION DATA HE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK ice'50 GALLONS, ABSORPTION TRENCH 50., FT. OR ABSORPTION BED 1 040 E !. FT. EN,--4)DI 7'I11N, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL 7•ERME AND :t.!, 1:I-IONS: ___.__._..___..._____._. _._.._-•---__._..___________.._... _. ___ i HIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT lAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET :•( TH IN THE WELD COUNTY .I.NDIti'IDUAL.. SEWAGE DISPOSAL SYSTEM REGULATIONS :INCLUDING -AII._URE TO MEET ANY TFRM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL `!PF'ROVAL_. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE )EF'ARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE ;EWAGE DISPOSAL SYSTEM.. L -\-6 b vw.a, _ X STAFF 10/18/89 C intkp /S -01`40 b . ENVIRONMENTAL SPECIALIST DATE F.HIPERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION! HAS 40T COMMENCED W]:THIN ONE YEAR OF ITS ISSUANCE. BEFORE: ISSUING FINAL APPROVAL. OF HIS PERMIT THE ]WELD COUNTY HEALTH DEPARTMENT r EEERVE S THE RIGHT TO IMPOSE AL'DI- IONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ni`•! A CONTINUING RA- IS. FINAL PERMIT APPROVAL IS CONTINGENT UPON_THE FINAL INSPECTION OF THE COM-. :'L.F-FED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. 'YSTEM INSTALLER W 1 F•INA Ir!- 'EG tiA"T �Q F .Y STEM M ENGINEER 7.5 -ri_- L i ` _I W -`*.'f='E OF SYSTEM :I'r�lSTr,1_l.E�_._ (��C �._.__.___...__.._-.-._._.. _. .•_ ,,. •-• 1. __._ . ENVIRONMENTAL ... _ _:IiA,LIS- -HIE ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY IR LOCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT -HE UBJF_CT SYSTEM WILL OPERATE IN. COMPLIANCE WITH APPLICABLE STATE=, COUNTY AND .00AL REGULATIONS. ADOPTED PERSUr-,riT TO ARTICLE 10, TITLE 25, CRS 1973, A:; AMENDED, ..XCEPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN ]:i'JSTAII_.iw•D SYSTEM F'or S EUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-iii (2) , PTr:TM,+.r _;rDPr TP.k,T . rnpy.-i.;r,..i. IJfHil-F'HE MAY , 1984 i _f _ -".ta! • _ ''�_ . .. .;iii.(.. • . . • : • :quo T \• - : -..• 1 • • t' . I WELD COUNTY WThRTMENT OF PUBLIC HEALTH A.'s' ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 .n0.. IeL Permit#: SP-9900579 Sec/Twn/Rng: Status: Owner: NATIONAL HOG FARM INC Applied: 11/15/1999 Applicant: ROBS REPAIR Issued:Permit Type: RREP C=Commercial,R=Residential+NEW,REPair,VauLT Finaled: /497/O//p/D//?I? Parcel #: ?? Location: 24589 WCR 69 KERSEY 34 05 63 Legal Description: Installer: • Description: HOUSE Commercial: N Residential:Y Acres: 1 # of Persons: 4 Basement Plumbing: N # of Bedrooms: 3 Bathrooms - Full: 1 3/4: 1 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit#: Percolation Rate:0.6 Limiting Zone: 0 ft 0 in Description GRAVEL % Ground Slope: 0 Dir: Soil Suitable: (Y/N) N • .Engineer Design Required: (Y/N) Y In 100 Year Flood Plain: (Y/N) N Minimum Installation Chambers Septic Tank: 1250 gallons Absorption Trench: 0 square feet or Absorption Bed: 1830 square feet Actual Installation Septic Tank: I zso gallons Absorption Trench: square feet Absorption Bed: I s?Z square feet Design Type: cs„q . NOTICE The 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 persuant to Article 10,Title 25, CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973 25-10-111 (2). • This permit is not transferable. The Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. • X - /z /—S, En ironme tal Health Specialist Date Form:S FINAL I sz-rs i'. a O 2 Cs-ts 4{5 z I 2_0 go 0 o too —D q o � i 5�a7 �$�Gp. • INDIVIDUAL_ SEWAGE DISPOSA1_. SYSTEM PERMIT NO. G-890243 WELD COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES NEW PERMIT 1517 16TH AVENUE COURT, GREELEY, CO 80631 353-0635 EXT.2225 r . 44/ ER NATIONAL HOG FARMS, INC. ADDRESS 25000 WCR 69 KERSEY PH (303) 353-9960 ADDRESS OF PROPOSED SYSTEM 24605 WCR 69 CO 80644 KERSEY CO 80644 .EGAL DESCRIPTION OF SITE : SEC 34 TWP 5 RNG 63 UBDIVISION : LOT 0 BLOCK 0 FILING 0 SE TYPE : RESIDENTIAL EMPLOYEE HOUSE 411 ERVICES : PERSONS 4 BATHROOMS 2.00 BEDFpO•#1S 4 BASEMENT P LOT SIZE 18.20 ACRES PLUMBING YES k4ATER SUPPLY fiIAELL IPPLICATION FEE $150.00 iEC:'D BY COFFEY, DIANNE SIGNED BY ROGER AMUNI)SON . DATE 10/12/89 DATE 10/1/89 'ERCOLATION RATE 5. 0 MIN PER INCII LIMITING FEET 'OIL TYPE SUITABLE PERCENT GROUND SLOPE 0% DIRECTION :EQUIRES ENGINEER DESIGN NO ROM THE APPLICATION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA 'HE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK 1250 GALLONS, ABSORPTION TRENCH SQ. FT. OR ABSORPTION FT. N EDITION, THIS PERMIT-IS-SUBJECT TOTHEFOL_LOWING ADDITTIONAL48 SQ. TERMS AND HIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT AY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET ORTH IN THE WELD COUNTY INDIVIDUAL. SEWAGE DISPOSAL SYSTEM REGULATIONS AILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINALE PF'ROVAL. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE EPARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE EWAGE DISPOSAL SYSTEM. - X STAFF VC._ NO D Cow p 0. )7-1-5G �L ENVIRONMENTAL SPECIALIST 10/i7/89 DATE HIS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM , DT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE, BEFORE ISSUINGFINALTAPPROVAL_HOOF LIIS PERMIT THE WELD COUNTY HEALTH _DEPARTMENT RESERVES THE RIGHT TO ADDI- IONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGUI_.ATIONSONA CONTINUING DA- IS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM-- _ETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. (STEM INSTALLER )4070?- __ 'STEM ENGINEER _ _ �_ -.._.-_FINAL INS ECTT N DpT d �l7 'F'E OF SYSTEM INSTALLED ____AP'I-'ROVAI_. _. -.Q,��;5 T - - _ '" ENVIRONMENTAL SP IAL:[ST IE ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY : LOCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT E ^'D,JECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND CA- REGULATIONS ADOPTED PERSIJANT TO ARTICLE 10, TITLE 25, CRS 1973, CEPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN INSTALLED SYSTEMNFOR SUANCE OF A L_OCAL.. OCCUPANCY PERMIT PURSUANT TO CR E 1973 25-10-111 (2) . UT.TN4 ....AF'Pl Tr,-,nli . -.nr.-,v_. i.ir^:.:r, 1 2 . 1f . Hello