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Home My WebLink About20021919.tiff MAR 22 '02 12:40 FR SRFEWRY 2917 303 654 0065 TO 19703046498 P.02/02 \�, OF FORT Lo to eitp of fort 'Lupton F C y �.. 1 18 t-7.-r. . ' 36 nir.-PROUD to xh-crTv i.n<'wnnu^oucui.i.osn ur[stiu.. -rtoKoei NO'm Act u P0. Box 148 County of Weld 130 S. McKinley Avenue (303) 857-6694 COLORADO Fort Lupton.Colorado 80621 Fax (303)857-0351 Performance,Integrity.lcamwork Aceoumabilily and Service March 21, 2002 To Whom It May Concern: Mr. Javier Fernandez will be using water from the City of Fort Lupton's water hydrant. They will be allowed to draw the water using our water meter and back-flow preventer attached to it. Please call me if you have any questions or require additional information at 303-857-6694 Ext-127. Sincerely, Ramon Hernandez, Public Works Manager EXHIBIT I L/r 2002-1919 ** TOTAL PRGE.02 ** (1 DEPARTMENT OF3 HEALTH AND ENVIRONMENT 60t 1555N. 17T"AVENUE GREELEY,COLORADO 80631 ADMINISTRATION(970)304-6410 PUBLIC HEALTH EDUCATION AND NURSING(970)304-6420 WiLge FES(970)304-6415 ENVIRONMENTAL HEALTH SERVlCES(970)304-6415 FAX(970)304-6411 COLORADO July 19, 19r Rebecca Ric I 3051 Wester Drive Hudson, Cob,;ado 80642 Dear Ms. Rickel: On July 15, 1999, your water was sampled at 3051 Western Drive, Hudson, Colorado, by Cindi Etcheverry, an Environmental Technician of this Department. In accordance with the Standard Methods for Drinking Water Analysis, your water was tested for bacterial quality using a Chromogenic Substrate Test. In this procedure, our laboratory looks for the presence of total coliform bacteria, the principle organism used to determine sanitary quality of the water. Analysis of your water yielded the following results: TOTAL COLIFORM ABSENT: In accordance with the microbiological standards set in the Colorado Primary Drinking Water Regulation and Standard Methods for the Examination of Water and Wastewater, your water is considered acceptable. If you have any further questions regarding your test results, please contact our department at (970) 304-6415. Sincerely, Connie O'Neill, Laboratory Supervisor Environmental Health Services CO/bg-0601 Enclosures I-OHM NO. STATE OF COLORADO For Office Use only cws11 OFFICE OF THE STAT..+GINEER 07/83 818 Centennial Bldg., 1313 SI An St,Denver,Colorado 80203 (303)888-3581 PRIOR TO COMPLETING FORM, SEEN TRUCTIONS ON REVERSE SIDE CHANGE IN OWNERSHIP/ADD1 ,C-SS / LOCATION WELL PERMIT, LIVESTOCK TANK OR EROSION CONTROL DAM 1. NEW OWNER NNAME(S) ' , 1 /� p {`� Mailing Address....3 0 51 W es I C gA3 N R city, st. zip l'�v IJ so to Go g O6 Li a,, Phone ( ) - 2. THIS CHANGE IS FOR ONE OF THE FOLLOWING: ,L� WELL PERMIT NUMBER y 9 0 7 9 ❑ UVESTOCK WATER TANK NUMBER ❑ EROSION CONTROL DAM NUMBER 3. WELL LOCATION: COUNTY to C LA) OWNER'S WELL DESIGNATION (Address) (Ciy) (State) (Zin) 3 1/4 Save 6,IA)1/4, Sec. / 7 Twp. ICI N. or❑S., Range_6.5. ❑E. or k.rLI W. 6 P.M. Distances from Section Lines Ft. from❑N. or❑S. Une, Ft.from❑E. or❑W. Line. Subdivision Lot Block Filing (Unit) 4. UVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY 1/4, Sec. Twp ❑ N. or❑S., Range ❑E. Of❑W. P.M. 5. The above listed owner(s) say(s) that he (they) own the structure described herein. The existing record is being amended for the following reason(s): thE Change in name of owner. ❑ Change in mailing address. ❑ Correction of location. 6. 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.) Name/Tdle (New Owner) Please type or print Signature (New Owner) Date FOR OFFICE USE ONLY r State Engineer By Date Court Case No. Div. Co. WD Basin MD Use / q 07Cj WP. ' S-69 DIVISION OF WATER RESOURCES,DEPARTMENT OF NATURAL RESOURCES 212829303/. r 101 Columbine Bldg., 1845 Sherman Sere ', Denver, Colorodo 80203 % �1 e� - E / / A PERMIT TO USE GROUND WATER N S� @p m A PERMIT TO CONSTRUCT A WELL w 5 cc APPLICATION FOR: / / REPLACEMENT FOR NO. Sr, nt° Glt9 ° /-- A PERMIT TO INSTALL A PUMP �'o` ' Nyhlp'�•Eao' jam/ / J OTHER e68/1G916�q‘Si\ PRINT OR TYPE LOCATION/10,F WELL APPLICANT /�n Cr /Ceicir_y COUNTY aide Street Address ,Z5-1.37 4Z-. S/ Bu) /41, of the Si_ 4, sec. / 7 /1/ G uj / City & State �jrvn� /O� °Pa , T. , R. , 6 P.M. Street or Use of ground water 0©se7 e 5 f/ G Lot X. Block Owner of land on which well City or is located Subdiv. Filing Owner of irrigated land Ground Water Basin Number of acres Water Management to be irrigated District Legal description of irrigated land LOCATE WELL ON THE BACK OF T9IS SHEET S Driller i$Cr J(CG hC & No. 4/03 Other water rights on Driller's � this land Address U/coO a-- er4l /14,01.-694J-C,2 Aquifer (s) ground water is to be obtained from a�-._- ...77%.. ..7-.....e.-I_�-__- Signature of Applicant Storage capacity AF CONDITIONS SEE APPROVAL J ANTICIPATED PUMPING RATE /S GPM AVERAGE ANNUAL AMOUNT OF GROUND WATER TO BE APPROPRIATED Acre-feet ESTIMATED WELL DATA Anticipated start of drilling <p7J1 l924 Anticipated start of use at- I iczz Hole Diameter: e i6 3 'i91 ...--- 7* in. from f0 ft. to '2lj ft. APPLICATION APPROVED: in. from ft. to ft. VALID FOR ONE (1) YEAR AFTER DATE ISSUED UNLESS EXTENDED FOR GOOD CAUSE SHOWN TO Casing: THE ISSUING AGENCY Plain 7* in. from () ft. to 9ft. PERMIT NO, 49079 CONDITIONAL / / C • in. from L5' ft. to 3-Q ft. SEP 2 8 1971 DATE ISSUED Perf. C in. from ft. to 7g/ft. ..FA•^ y • � in. from ft. to ft. L ' ..—• 4 STATE ENG NE ESTIMATED PUMP DATA l n e Outlet BY r Type ctr HP T3� Size MUST BE COMPLETED SATISFAC BEFORE ACCEPTANCE (OVER) f i zs; STATE OF COLORADO rlmei;h s DIVISION OF WATER RESOURCES ^) , r —Z OFFICE OF THE STATE ENGINEER O5262728_,N it er9. k c791/46 Yield MAP AND STATEMENT FOR WATER WELL FILING ti 0CT WS u. Checked By PERMIT NUMBER h19079 sin l RECEIVEDO ca. Wern WELL LOCATIO Wai cp VEER STATE OF COLORADO ) SS m 6. CLAIMANT (s) Vern J. Gulliksen Weld �S/P/El )1,14‘C° being duly sworn upon oath deposes and says that he (they) is(are) SW h of SW _Y., sec. 17 the owner (s) of the well described hereon; the total number of acres T. --t-51,41.N R. 65W 6 P.M. of land irrigated from this well is INDICATE WELL LOCATION ON DIAGRAM work was commenced on this well by actual construction on the 8 day of Sept 19 71; the sustained NORTH I I 1 I I yield from said well is_ 15 gpm, for which claim is hereby made I I I for domesti c purpose (s); I I the average annual amount to be diverted is - I i acre-feet; this map and statement is filed in compliance with law: Ii r r m he(they) has (have) read the statements made hereon; knows the I I content thereof; and that the same are true of his (their) own ___J_ __ knowledge. I • I I I Signature (s) >(--- „ e✓rJ �" � —�-2- x i I Address: 7537 Quay St. SOUTH , Arvada,Colo. 80002 WELL SHALL BE LOCATED WITH REFERENCE TO GOVERNMENT SURVEY CORNERS OR MONUMENTS, Subscribed and sworn to before me on this .2/gam- day OR SECTION LINES BY DISTANCE AND BEARING. of 2.--"/ , 19 -77_ ft. from section line. Cninlnisslon ires.Decembr�r 16, 1972 My Commission expires:1 (North or South) t op (Seal) ft. from section line. a (East or West) otary Public Ground Water Basin. WELL DATA Water Management c District Date Completed Sept. A - 7/ Domestic wells may be located by the following: Static Water Level 144' LOT , BLOCK Total Depth of Well 78' SUBDIVISION FILING # ACCEPTED FOR FILING IN THE OFFICE OF THE STATE ENGINEER OF COLORADO ON THIS DAY OF 19—. STATE ENGINEER FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must he filed with the State Engineer within 30 days after the well is completed or within 7 days after expiration date of the permit, whichever is sooner; PINK COPY is for the Owner and YELLOW COPY is for the Driller. • WEIL LOG WELL DATA From To Type & Color of Material Water Loc. Type Drilling Rotary 7 sand 7 35 clay HOLE DIAMETER: 33 35 gravel 35 45 clay 778 in. from 0 ft. to 78 ft. 5 77 gavel • shale X in. from ft. to ft. 77 in. from ft. to ft. CASING RECORD Plain Casing Sizr58 kind steel from_p_ft. to 30 ft. SizeI, kind Plas from 15 ft. to 58 ft. Size, kind from ft. to ft. Perforated Casing Size, kinj)las from 58 ft. to 78 ft. Size_, kind from ft. to ft. Size__, kind from ft. to ft. GROUTING RECORD Material cement . Intervals constant Placement Method pumped GRAVEL PACK RECORD Size Interval TEST DATA - Date Tested Sept. 8 _ Type of Pump bailed . Length of Test 1hr. Sustained Yield(Metered t 15 Drawdown 471 WELL DRILLERS STATEMENT The undersigned, being duly sworn, deposes and says: he is the driller of the well hereon described; he has read the statement made hereon; knows the content thereof, and the same is true of his own knowledge. Use additional paper if necessary to complete log. _i X State of Colorado, County of ..124-40/ ) ss License No. 403 Subscribed and sworn to before me this / 7 day of f/fJ _ . 19 My Commission expires May 21,2925 ��—�,�� t My Commission expires,19 0 Notary Public Neceived: // IL/�JH �J:U IMM; I� -> Frank and Marla Lanes; Page 3• AJUL. 12. 1999 ' 1: 38AM' G19 MOODY ,)JSURANCE ""A" 3" 66E .37 N0 X136 P. 3/4'z "a9vv 1b;53 ate�a`.neelY Berne ryayt^i ,., SolP,el t sp I flay D•a iwr 1517 WE LD COUETY EBALT• H bEPARTMgIT, (517316=0 TOMS COURT, ORBELEY, CO 80631 1 $XT 2225 FAX (970) 356 . . SSPtxq LOAD AP Rant 4966 t• Closing Date: .YS/20jigg7 Re est No . , 97_ Ne Lban 07.3 Re Financed : N pap Received. 08/13/1997 WHOM IT 1411Y ONC$RN; ;view and izfsp ction report regarding w )r an existing dwellin 9 9 water and the sewage ,nND TO1 NancylGulliks n 9 disposal system • Realtor Phone ; Owner 'Phona (R) : (970) 536-921,2 Fax t :Debbie OwnerPhone (w) : (Fax) 680-8373 me r.C:atlytpaw mm,e ;2,......h..,.*.==,4.trim....L-CCre..... m er s • RY.=2'i>s Oh;er•>,ym mmY YCy'SC-fir - P0RE1AT10N! Ad aces. 3051 WESTERN DR ��"n2m �ega1: HUDSON VANTAGE ACRES 17, 01 65 Subdivision/l. gal;: 584 SECi7 Sec T�'n/Range: • 'rapexty Owns ; Gulliksen, . VernN01N RNG65W �k 'Pumped o 08/14/1997 B R 3' •ON pedO ; y' Arils Sanit tion Service 1'ir tai OCne Pg'r-mit No: 619710823 SOE ( /N).c ll :ILicensed:9Y G�yl+LIKSEN VERN Year. installed:i 1971 aLh:„ 2 8e 3 ater sp Acae,3 5. 00 Date of Banal Ins p:A: DO/00/0000 Public : I Utility' Mame: Private: Y ' ' Cistern: Well' y 1 pPrmiY. Number: snk Capacity: 1250 ga11'ona Fiejd Size; 20 e_e r�tt= . 1 20 square feet M atS� mm awr e[se.e[m r,rm....msCmet. >,ceae:as me..3rmb «aaavi smm da bmt=====PaeICZ;t= ,y e. xm C .q >S.CTION BIND 6t; Date of' zhspeCtion! 0811,18/1997 )i1 Conditio s - pry; g ;oidence Saturated; snow-covered: wage Dispos 3. Syitemx vacant : . wage logi0 1 Water Testatisfactory: x ENT3: - Acceptable: X Other: Other: . d Signatures: 2 i En to Protection Specialist the CoantY of we 4, for .nY or its agente le employ.el undertake r erne,* ray liability we ohs a >•irch..ar of the vs ptoDa7tY er to any lending a !Peking a �,oah ref the above roe "der or ch. above either ltoexactly, :ion of the preps by er in the rcpert. Y D rCY in connection a}trr tither tie •Dtacs,o, wee ten seed solely tar the 1 ,� ^ purse's et detecting beelth heserde observable rerrenty th t the system is without flaw or that it;v111 ten loos COtc et the tied . ins ,ds of .rave Dnotios, and doss net vex end high sell Saturation mep ftO potn in the yersrdu Ytspeoverea requested ale reports ref ect ear be et gwoclw:a le vc1uh to time the a. le el,a eons aces. to of !stating 1 OP) reties 'oe Snfcrnatian'the property dwner is was taken.+ken. Eva lueCaoAs hared a. • f to tee leaf of his/her Kotula Pr Sde., under 'male,Properly.Indicating current knowledge the .yste. la riot felling to erweeioh status of the q.:ee I Sc P ( 1 1 wFb 7- 1z- (37 / LL b K, �-�-V iak: ieL L 3 0 3 VO - -5 g 9-t I • M ACCOUNT WIM CARLSON SANITATION SERVICE - 14105 WELD COUNTY RD. 2 -BRIGHTON.CO 80601 U t .,0 r VI' SAMUEL F CARLSON / LANCE F.CARLSON =_LVA 303-659-2585 or 303-654-1530 PROMPT DEPENDABLE SERVICE EVERY DAY EXCEPT SATURDAYS Septic Tort,Cesspooh.G.ease Traps.easements.Lagoons,Digesters,Aerators.Uses Rooted,etc. Mere wffbea1l/1%Interest/dchorge for fhalse cc_o 30 dogs overdue_ - 3 r d c dGvG.(.�'GrC 32 . / �� x 4.„ �°,^l 9-) '— Y;2 IN CLEANING NOUR SEPTIC TANK EVERY I TO 2 YEARS IT EXTENDS THE LIFE OF YOUR LEACHING FIELD. 7 jN _, _ „ ,, 1 . Col- 1_fc LIS____>---„,. ±7--y'rle-1/41---O- es pe gteCg or ( eC'...e -11.-cC r `1� '., .Gel ,e".: ,,zt1 , sh-24 eel ,e . . /%f )14 /air K- C �/Lf�F. 1(a Charge CM CO ..c. -ir CW../, JI/-n_ i. .t /� '� �11(pay t�n� I TAL DUr'J1 GTC da .s invoice ,,a ,. G y l:"\V" $ . Received: 7/12/99 9:02AM; r�•� -> Frank and M^1a Lallasy Page t . ; b. 16. 1”J I . JOHN • • ' MUUL NJUKANUEt 4 N AN " 66 037; I 4.:16v.to'S4 N0. 0136 P. 4/�tx .—. il I 11 I r 16 Ililli • P.F2 1 r li K I ;I li• i i s ' : I I • __Ili 'S ' 1.T w �I y ] • , . gI I a • i , . 10 ; V y 1 ql AlhiI 9 �I I � i I i 11 I I h ;z . ;� I I 3 j • 1 .• ill 1 1.-- J. I 1 1 , ao 1 1 II $g5ypq• I L-- ' f I 4 I i g i ` . • 1 1 ICI "! .I 1f ' ll/iiJI , Jk : I . I I • I i • i r P021+Ir ex No16 7671 D}u AS • Cprfl}{IL F � 11 Photo i Phone} S V7 G d -, (o -� -®e.C5:1/2 n,} • Hello