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Home My WebLink About20012812 ttlr9tt« 1t4. . �t4 ' .y�e e )�i�r } {," lV YY 1� �{y �f.�5� -44. � 1 r .. ` ab� 1 Itl THE WATER COURT IN AND FOR WATER DIVISION I , STATE OF COLORADO i 1 , , CASE N0 it 2889 Y ' IN THE MATTER OF 711E APPLICATION FOR ) F WATER RIGHTS OF v t s <, i FINDINGS AND RULING " ° MAX J . RUIIGE OF THE REFEREE , '. , v 44 r • Y�, t ' i IN Weld County 'I sy T THIS CLAll1, having been filed with the Mater Clerk, Water Division I ,'Q 4 T J .A s • on May 26 , ' 1972 and the Referee being fully advised in the ' "t premises , does hereby find: t7 All notice; required by law of the filing of this application have been fulfilled , and the Referee has .Julisdiction of this application.` ,, No statement of opposition to said application has been filed , and the time for filing such statement has expired . • All matters contained in the application having been reviewed , and testimony having been taken `whe`re such testimony is necessary, and such corrections made as are indicated by the evidence nresentod herein , IT IS HEREBY DECREI:D : , 1 . The nar„e and address of the claimr,nt: Max J . Ruhge Route 1 , Max 148 o Brighton , Colorado 80601 2. The name of the structureS 'to which a right is hereby Decreed : • Well No. 1 -Unregistered Well Nu . 2-Unreralstered i 3 . The legal description of the structures : Well Igo. 1 -Unregistered is located in the SE?, of NEt, of Sec- • t4on 31 , Township 1 North , Range 66 West of the 6th PM. , t Weld County, Colorado, at a point 2450 feet South and 1019 i feet West of the NE Corner of said Section 31 . ' Well No. 2-Unregistered is located in the SE', of NU, of Sec- t tion 31 , Township ' North, Range 66 West of the 6th R.M. , Weld County , Colorado , at a point 2560 feet South and 1260' • feet West of the NE Corner of said Section 31 . EXHIBIT f.` ,z. i Lti.6 tfih�i ' +; 5r`"a epic 4 3r Z" AF X4,' 1! CY 9 •4. k.4 n�w�441,K a h- II ,p �. 4 Mss "r• x .. . d.w_-- 2001-2812 r ® C No . F!- 28:9 Page 2 ill: . . ./ . / 4 . The source of 'water is : Groundwater / .; 5. The date of appropriation : Well No . 1 -Unregistered : July 31 , 1940 Well to 2-Unregistered : August 31 , 1946 • 6. The amount of water : Well No . 1 -Unregistered : 1 . 1 cubic feet per second Well No . 2-Unregistered : 0. 01 cubic feet per second • 1. The use of the water : Well No . 1 -Unregistered : Irrigation of approximately 11 acres in the WI a of SEh and Era of SW.i of IIE'.; , all in Sec- tion 31 , Township 1 North , Range 66 West of the 6th P .M . , Weld County , Colorado . .4;e11 No . 2-Unregistered : Domestic . " ;. i;,. 1 D A I i.(1 this LL,,l,„_.__- day U f c_ i r , 1913 . . ,•. _ „ .._ 97 it , /7-7 ( ) chylous J Aron , di. , Water I{cferoe P Water Dior ,iei; I , State of Colorado t No prntec.t: was filed in this matter. t `." The foregoing l:ulinq is confirmed':' ti .. and approved, and is rude the dudga.cnt. and Drcrcc of this Court . Dated : (2-c.c.-in-et /1 Ii; __ a ' pt,•' Water Judge � -2. _/J rl 46S 1.4. 7, r1� �� Q c —• ^ t✓1 /l Lad' AIGHARO rn LA MM m A DO n n �- Jr JERIS�e DngineEL-5-ON r •n� Governor U State Engineer C:1:21-4-441 T ,r;,_t f',' _ OFFICE OF THE STATE ENGINEER p1, , R'1' : DIVISION OF WATER RESOURCES i(1t1f 2'r 5 Les -`✓ 6r A01-, , Y 1313 Sherman Street-Room 810 Denver,Colorado 80203 .�y� {�'/py,' � ,,.F;.,ss, i,nefs (303) 866-3581 / " "� rs"o�� O 2 ticvr Fr April 9, 1985 O -- 3S3'c�l�3s-/ 0 NOCRANDUM TO: ROBERT A. LONGENBAUGH, ASSISTANT STATE ENGINEER FOR GROUND WATER FROM: JERIS A. DANIELSON, STATE ENGINEER SUBJECT: POLICY CONCERNING THE EVALUATION OF WELL PERMIT APPLICATIONS FOR EXEMPT CO*MERCIAL USES In 1972 the legislature established a rebuttable presumption in subsection 37-92-602(3)(b)(II), C.R.S. , that wells used solely for household purposes in _ a single-family dwelling will not materially injure the vested water rights of others or any other existing well. This presumption has been used to approve many permits for "household use" wells appropriating ground water tributary to overappropriated stream systems. By including small capacity wells used for drinking and sanitary facilities in a commercial business in the exemptions of Section 37-92-602(1), C.R.S., the legislature apparently intended for such wells to be approved under special limiting conditions, however, the presumptions of subsection 37-9Z-602(3)(b)(II) do not apply to these well permit Applications. Therefore they must be evaluated pursuant to subsection 37-92-602(3)(b)(I) In order to assist in the evaluation and provide for approval of certain limited uses of well permit applications to serve drinking and sanitary facilities in a commercial business, it shall be the policy of the State Engineer that if the proposed annual diversion and the consumptive use of water from the well do not exceed those values of ordinary in-house purposes inside a single-family dwelling, there shall be a rebuttable presumption that such uses will not injure other vested water rights or wells. This policy shall be implemented by applying a rebuttable presumption of non-injury when the following conditions are met: 1. No other water supply source or system is available to serve the property. An affidavit by the applicant affirming this situation must accompany the applications as well as an affidavit from any entity capable of serving the use that it will not do so. 1 i E8 2L�71 _'Cu SE MEMO TO: Robert A. Longenbaugh Page 2 2. The well must be the only well on the site. 3. The site must have been established prior to June 1, 1972, or must be exempt from the definition of a subdivision pursuant to Section 30-28-101(10)(c) and (d), C.R.S. For lots in subdivisions approved after June 1, 1972, the recommendations made in the water supply review process will be honored. Ground water production will be limited to the aquifer approved during the review process and will be restricted to one aquifer only by Conditions of Approval. 4. The pumping rate shall not exceed 15 gallons per minute. 5. The amount of ground water diverted shall not exceed 1/3 acre-foot annually (108,600 gallons). The applicant must support the application with evidence that the proposed use will not create a demand greater than 1/3 acre-foot. 6. The consumptive use of the water shall not exceed 10; of the volume of ground water diverted. The return flow from the use of the water must be discharged to the same stream system in a location so as to not injure any vested water right. An approved septic tank and non-evaporative leach field is an acceptable discharge method. Other types of disposal systems must be evaluated to determine the amount and location of the return flow. 7. The use of the water diverted is limited to drinking and sanitary facilities only in an individual camercial business. No uses of water are permitted outside of the building. 8. A totalizing flow meter must be installed on the well. Permanent annual diversion records must be maintained by the well owner and submitted to the Division of Water Resources annually. Exempt commercial wells which do not meet the above criteria will be evaluated on the basis of material injury. This policy becomes effective immediately and is essential to reduce the back log of well permit applications. It shall be modified or revoked only in writing. J is A. Danielson JAD/RGH/jp cc: Hal Simpson Division Engineers 4397I(6) TOTAL P.02 1 99 CCWCD ASSESSM'2` T Central Colorado Water Conservancy Lllstrict 3209 West 28th Street Greeley, Colorado 80631 Local (970)330.4540 or Metro(303)825-0474 Billing Date: 01/02/99 Amount Due: $ 50.00 Ruhge, Margaret Due Date: 02/15/99 12757 W.C.R. 2 1/2 'NOTE: A late fee of$50.00 will be assessed if payment Is not received by February 15,1999. Brighton, CO 80601 Contract Number: 553 Type: 1 Acres Irrigated: 10.00 County: WELD r- r r " F ..i�5E'civ.r__ "it'R "^N'ri2A^"'.IL:I B'R "5�3i uiv'f^"n""EC" ••,f; ••�.•,L•e:TF,' WHITE SHEET WITH YOUR PAYMENT. RETAIN THE YELLOW COPY. MAKE CHECKS PAYABLE TO CCWCD. WELLS AUGMENTED: Pump(GPM) Permit Number Case Number Location(114,1/4/114) Section Township Range W-2889 SE NE 31 01N 66W 495 Surface Water: System ystem PLEASE REPORT YOUR 1998 WELL USAGE BELOW: REPORTING OF CROP INFORMATION WILL NOT AFFECT YOUR ASSESSMENT. THIS INFORMATION IS USED TO ESTIMATE 1999 PUMPING. Did you pump your well(s)in 1998 Yes !f(,, Are any other sources of water not listed above,leased or owned, used on this��farm? Nom,. Estimate the number of days your well(s)were in operation: ii a days(a) 7 hours per day. y SC;u )r 5. K w F Please Indicate your crap and the Dumber of acre4 irrigated in 1998. Ft; i^ / y?bSC'43un Com — Sugar Beets Govnm't Beans Potato Turf/Sod Alfalfa Vegetables / 0 CA-e/errs Other Small Grain Pasture k _ __ -. _.-- - Form STATE OF COLORAL J For C .e Use Only No. OFFICE OF THE STATE ENGINEER GWS-12 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 i I 6/00 (303) 866-3581 Fax(303) 866-3589 REGISTRATION OF EXISTING WELL Name, address and phone of the well owner:` NAME(S) Ma Y iv— V-t-All C Mailing Address I 7)5 7 W C(R- a- 1`2_ city, St.zip t6YtJlr. v- , C6 . %0603 oSC Phone (3d�) 61541 — WELL LOCATION: County Jf...IcP__— — _ Owner's Welt Designation_._1yv11. hQi^ 1 2-151 WC.R a I Z {city j ------ (State) (Zip) (Address) N.or i5., Range L E.or W., C�� 'P.M. s 1/4 of thee-1/4, Sec.-6 L Twp-—I__ 9 Distance from Section Lines P [sz) Ft. From l.ai N.or S., _1_019 Ft.From E.or W.Line. Subdivision Name _—_ Lot_—__.__. Block_-__,Filing/Unit—_—T The well has historically been used for the following purpose(s):_Iv- S.6 Nc_L4 '�3 e Lp-3 __ --— -- C Y c ('S _^ - --- -- - - -v- ------- Water from the well was first usedbeneficially— by the original owner for the above described purposes on a�x.y 3 ti 1_ } ?4 0 . 1 The total depth of this well is_ 3 5 feet. The pumping rate of this well is 5 00 gallons per minute. The average annual amount of water diverted is 3 C) _—acre feet. Thei land irrigated(watered)by water from this well is___—L O _-- {+X Acre or ❑(�Square feet, described as: t�� `c O'C SCGR--x: 3 I ( ( 1 ac ics I,v\ W l�Z .... S e i/i umber (r, .c_ s W"Ai v or as_— __ --Subdivision Lot(s) _�Block Filing/Unit_—"___. I(we)claim and say that I(we)are the owners)of the well described above,know the contents of the statements made herein,and state that they are true to my(our)knowledge. Please print the Signer's Name &Title Signature(s)of the owner. Date Pict 1-413 pi E. 1R 4 63 e _ ` 13. - s'-_A---_0 ---- For Office Use Only State Engineer By Date COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT D 1 Water District 2 Purpose of Inspection:Late Reg. X Replacement Date of Inspection: 5 / 2-Z-/ O Other: Applicant: N a v5 .ytc-C ��L Person contacted if not applicant: Address: ( 27 57 Cri C 2- 3 1 7_ W.C. Name and phone#: ROBERT STAHL &.°J VA`---i C 8O6O3 303-857-07x2 Phone: 3O3 (0SS - gt.V7 ( Rn `LD W , 6th P.M. EXISTING WELL LOCATION: S F 1/4, Pe--1/4, Sec 3 'T`vp' g' Distance:a 5C:=O from 61)'S section line, IZ/oC from©"W section line;County W dAt (if replacement give distance and direction to new well site N A CIRCLE type of existing well:,I RILLE I D DUG,SPRING WELL, GALLERY WELL, GRAVEL PIT y i es how many II ;permit#, case#, use? 1 r r. we_ W— %5 Any other wells on this parcel:2\10S � (.fY ) l EST. DATE WELL CONSTRUCTE(D�� t4(0 DATE OF FIRST USE lei L EST. PUMPING RATE AccvtcD -' .U \ CCs c�c �`- �C 5 gPn' Total #of acres in this parcel I I , C Aaaress of property (if different than applicant address) N Additional subdivision/parcel info: N' l - #of acres irrigated(non-exempt/crop irrigated)N t 14-Name of augmentation plan: r-� Use o Well: Household Use in (indicate how many 2-- single family dwelling(s) X. Watering of poultry and/or domestic animals ("domestic animals"would include at=cows, horses, etc.) Watering of livestock on a farm or ranch - approx how many head? Is this a feed lot? ;how many head? r,�,fly�t and/or garden Important : specify estimated historic lawn/garden irrigation)Irrigates sq.fee x Fire Protection Commercial-drinking and sanitary only? (write details in comments section) Other(Write details in comments section) WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972,yes or lease indicate the date(s) the use NOTE:If any change in the historic use of this well has occurred since may 8, 1972,p changed, and discuss this change/and/or expansion of the current/or proposed use in the comments section of this form. Date: S / 22 / 0 / SIGNE . Additional comments and/or information: {�� 28FS �7 orsnL37tc 1� � � [ tm STATE OF COLORAG rFor O1 Use Only No. OFFICE OF THE STATE ENGINEER GWS-12 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 6/00 (303)866-3581 Fax(303)866-3589 REGISTRATION OF EXISTING WELL Name, address and phone of the well owner: NAME(S)_ ^__�--------- Mailing Address_12 1S 7 k!`DC 2- 011-1 — _—_- city, st.zip Y t5_1(3,6,.—„±C c • 7,C169 3 —___-- Phone ( 3G3) CSC, - 90EC? WELL LOCATION: County _-Lid_ Owner's Well Designation ( e S1-1 LS 12.-1S1 WC?. t7 itZ—�---(Address) (City) SC 1/4 of the NE 114, Sec.? ` 1 , Twp. - �� 4 N.or S., Range t?!b E.or IX w.. P.M. Distance from Section Lines cD5C47b Ft. From ® N.or S., 1ZbU Ft.From IKE.or W. Line. Subdivision Name Lot _, Block Filing/Unit The well has historically been used for the following purpose(s): r^4 S.A. t �-- -- - Water from the well was first used beneficially by the original owner for the above described purposes on_ u ��t_1�2 y —_• The total depth of this well is_—_ t—__.feet. The pumping rate of this well is—_—15 ---gallons per minute. The average annual amount of water diverted is_ 3_—__—acre feet. The land irrigated(watered)by water from this well is L____-- IN Acre or ❑ Square feet, described as: uc rc, w1/7_ o Sr se 'Li r•c o Swi% 0 N� � O k stct-to-- 31 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. Please print the Signer's Name&Title Signature(s)of the owner. Date aryareT etkos.. � 5 a-o� For Office Use Only State Engineer By Date COLORADO DIVISION OF WATER RESOURCES FIEL.) INSPECTION REPORT 'v. 1 Water District 2 Purpose of Inspection:Late Reg. Replacement I Other: Bate of Inspection: s ZZ/ t7/ - Applicant: Y Ye b ? 't1 C- Person contacted if not applicant: `JC T�1 L Address: t 2• 51 WC 2 0� �— W.C. Name and phone #: ROBERT STA11L Lc3Y� h / G. go.6-3 303-857-07x2 Phone: 30 j 9 — q(385_ // Rn �b 1/d YJ l/- 31,Sec � ,Twp. �e-- rCA 6th P.M. J EXISTING WELL LOCATION:�� I Distance: 4•� from�S section line, �( fromV section line;County � Pt- ) (if replacement give distance and direction to new well site IJ )MND DUG, SPRING WELL, GALLERY WELL, GRAVEL PIT L CIRCLE type of existing well DRILLED, e l , i es how many.___�permit#, case#, use?(qYn`f�}- 6W1 S Any other wells on this parcel.��S (�fy ) EST. DATE WELL CONSTRUCTEDL�DATE OF FIRST USE H 4-0 EST. PUMPING RATE gl,Hz I Total II of acres in this parcel II IC n Address of property (if different than applicant address) / Additional subdivision/parcel info: N) I A' I Name of augmentation plan: C e #of acres irrigated(non-exempt/crop irrigated) I o Use of Well: single family dwelling(s) Household Use in (indicate how many g g() Watering of poultry and/or domestic animals ("domestic animals"would include a La cows, horses, etc.) Watering of livestock on a farm or ranch - approx. how many head? Is this a feed lot? chow many head? Important :specify estimated historic lawn/garden irrigation)Irrigates sq.feet/acre of lawn and/or garden Fire Protection Commercial-drinking and sanitary only? (write details in comments section) —Other(Write details in comments section) WERE THE USES CHECKED ABOVE INITATED PRIOR TO MAY 8, 1972,yes or no? \IC S NOTE:If any change in the historic use of this well has occurred since may 8, 1972,please indidate the date(s) the use changed, a • s this change/and/or expansion of the current/or proposed use in the comments section of this form. x / 22 /_�L_ SIGNED. Date: � �) p p • Y r ICI vv ( -_88 Additional comments and/or information: -- Form No. OFFICE OF THE Si ATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 318 Centennial Bldg., 1313 Sherman St.,Denver,Colorado 80203 (303)866-3581• LR WELL PERMIT NUMBER 2.34084 -DIV. 1 WD 2 DES. BASIN MD APPLICANT APPROVED WELL LOCATION WELD COUNTY SE 1/4 NE 1/4 Section 31 MARGARET RUHGE Township 1 N Range 66 W Sixth P.M. 12757 WCR 2 1/2 DISTANCES FROM SECTION LINES BRIGHTON, CO 80603- 2560 Ft. from North Section Line 1260 Ft. from East Section Line (303) 659-9089 UTM COORDINATES REGISTRATION OF EXISTING WELL Northing: Easting: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. This well is recorded and permit approved in accordance with CRS 37-92-602(5) for historic use as indicated herein and described in CRS 37-92-602(1)(b), being a well producing 15 GPM and used for ordinary household purposes inside 2 single family dwelling(s),fire protection, the watering of domestic animals and poultry, and the irrigation of not more than 1 acre of home gardens and lawns. 4) The date of first beneficial use, as claimed by the applicant, is August 31, 1946. HL) Gl ig10l J APPROVED J� Z - 4°..% JMW 7' State Engineer By Receipt No.0477099A DATE ISSUED JUN 15 2001 PJRATION DATE N 4 al orm No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DI3 VISION OFerman St., rWATElorado RoRESOURCES LR 3 • (303)866-3581 WELL PERMIT NUMBER 2341 064 -_ DIV. 1 WD2 DES. BASIN MD APPLICANT APPROVED WELL LOCATION WELD COUNTY • . SE 1/4 NE 1/4 Section 31 Township 1 N Range 66 W Sixth P.M. MARGARET RUHGE 12757 WCR 2 1/2 DISTANCES FROM SECTION LINES BRIGHTON, CO 80603- 2560 Ft. from North Section Line 1260 Ft. from East - Section Line UTM COORDINATES (303) 659-9089 Northing: Fasting: REGISTRATION OF EXISTING WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. , This well is recorded and permit approved in accordance with CRS 37-92-602(5) for historic use as indicated herein and described in CRS 37-92-602(1)(b), being a well producing 15 GPM and used for ordinary household purposes inside 2 __ single family dwelling(s),fire protection, the watering of domestic animals and poultry, and the irrigation of not more than 1 acre of home gardens and lawns. 4) The date of first beneficial use, as claimed by the applicant, is August 31, 1946. ?ICU GI,y1o • / APPROVED //, .Z , 401". JMW State Engineer 2001 By XP RATION DATE Recei t No.0477099A DATE ISSUED Four Copies To Be Filed Two copies of State Engineer well permit or well registration must be attached IN THE DISTRICT COURT IN AND FOR WATER DIVISION NO. STATE OF COLORADO CASE NO. W- IN THE MATTER OF THE ) • APPLICATION FOR ) WATER RIGHTS OF ) ) IN THE 5o OT/I PL,TTE �' APPLICATION FOR RIVER OR ITS TRIBUTARIES ) UNDERGROUND WATER RIGHT TRIBUTARY INVOLVED ) ) IN WELD COUNTY ) • 1. Name of Applicant: AMA T )u w?E Mailing Address: HT: / 9°A 1'f ig NIGHT-01v cote, go6oi -2. Legal description of'well location: WELL No, ! /O/y /`Atom 5,957• 5Ec. L/n'F_ 2410 FROM NoRTN 5Ec, L,NF WELL /✓o, 2 /2 6Or FROM E:A5r 56c, 2//vE 25" 601 FROM I✓ofFH S•F_c. HNE 3. Depth of well: V✓GLL T✓o, / 30 FT - wELL No• a 2.7. PT 4. Date of initiation of appropriation: yvE L L go, l WbLL Na,� 5. Amount of water claimed in cubic feet per second of time: WELL i✓o / _ OM:4 L No _ 6. Use or proposed use of water: WELL NO / IRRIGAT/o1J WELL /va OO M E,T/c 7. Number of well as registered in State Engineer's office or, if a new well, the number on the permit: WELL /vo / NOT REG15TF4'EP we,.t. A'oz per /tiP/S TV?EO 8. Land irrigated (description and acreage). WE'LL No )! //p cRE5 /N W y 5 E "•••-0- 5 w N ME 4 of • SEc 3/. rim, 1166 w of 6THP• M. MAX T RAGE f1l Applicant-��. Q_ Address: 0 I9 " co $ Bficfrrom corn So6oI Telephone: 65"9 /611 w State of Colorado ) � ) ss. County of ) . • 771,i, G��o , being first duly sworn upon oath, --deposes and says he has read the foregoing motion, knows the contents thereof and that the same is true. • . ?Y2 -,e fe-t -- .,_. : • Subscribed and sworn to before me this 4X57 day of /777,:s0( , 19Z. My commission expires: c` / /f7/i/fr . . Ill& Notary public// WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit #: SP-0000193 Sec/Twn/Rng: 31 01 66 Status: ISSUED Owner: RUHGE MARGARET E Applied: 04/07/2000 Applicant: RUHGE MARGARET E Issued: 05/24/2000 Permit Tytpe; . NEW C=Commercial,R=Residential+NEW,REPair,VauLT Finaled: Parc(Ortik 1' tO 1471-31-0-00-039 Locatio 19 n: 757 COUNTY RD 2 1/2 BRIGHTON Legal Description: 16010C PT S2NE4 31 1 66 BEG SE COR SW4NE 4 E166' NELY 956. Installer: (".ii/ r 1 .3 Description: 1 & 2 BEDROOM HOUSE Commercial: N Residential:Y Acres: 11.5 #of Persons: 2 Basement Plumbing: N #of Bedrooms: 3 Bathrooms -Full: 2 3/4: 0 1/2: 0 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit#: Percolation Rate:2.5 Limiting Zone: 3 ft 6 in Description SAND/GRAVEL % Ground Slope: 0 Dir: Soil Suitable: (YIN) N Engineer Design Required: (Y/N) Y In 100 Year Flood Plain: (YIN) N Minimum Installation Chambers Septic Tank: 2000 gallons Absorption Trench: 0 square feet or Absorption Bed: 879 square feet Actual Installation, Septic Tank: (('1(`i gallons Absorption Trench: square feet Absorption Bed: tr(t square feet Design Type.CW1'1 t' 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 Dep wiya ent of Public Health and Environment. X IVICOVHVA cC`/ 11 lAN Environmental Health Specialist Date Form:S_FINAL Hello