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Home My WebLink About20003120.tiff U S WEST Communications MwESr® 12680 WCR 58 COMMUNICATIONS Greeley, CO 80634 Brad Windell 11044 WCR 221/2 Fort Lupton, CO 80621 September 12, 1999 Subject: Property U S West Communications will provide telephone service to the above party in accordance with the Tariffs on file with the State of Colorado Public Utilities Commission. If there are any questions I can be reached on (970) 350-2944. Sincerely, A olj,z4 • Jesse L. Trujillo Manger CPFE jmh EXHIBIT • 2000-3120 O Public �+ r, 9 • Public Service Company of Colorado 12466 Weld County Rd. 2 1/4 Brighton, CO 80601 • • September 11, 2000 Brad Windell 11044 WCR 22 1/2 Fort Lupton, CO 80621 Dear Brad, This correspondence is to verify that Public Service Company has a natural gas distribution main in Weld County Rd 23 between roads 20 and 221/2. If requested, Public Service Company can utilize that main to serve new customers in accordance with the Gas Main Extension policy on file with the Public Utilities Commission of the State of Colorado. Please call me at 628-2632 if you have any questions or if you would like to request new service. Thank you. SitK iely , KL, A„,, , • Rog W. Peer . . Planner, New Services .. North Region • j • UNITED POWER ELECTRICAL FACT' ITIES *74n4 OVERHEAD UNDERGROUND . r ..,c i phrase —. 0, JOINS 1 MAP 33 A A. '" 69C �.. ._ - I IN. - r __ -- - 9/• •19 U.S.Oil ,9a0 r —� • .} • 2 I 9 •6 4; 34.51(1/ 8 I i • K (f3io 20 I :: - •23 -011 ID= rte"— I • L CBA !Dr _ s+�Cy , ,y Co li_..- w�23 • 1 : ti a 14 r. 13 • II \ S M I 2i I • 2�F 0Ey host • .Iv 5 s Fc.�3 �C i s,,: rHs �\ -—J r'„_ \ %0 12 So 0 ,t.$' /3 ,1 QLif. Esc O — 1�0'r 1 33 ar_AoE 1O. a3 811 � v • J. �` 029 I 1 a f • f `i • m 3, •, , . _I- W- fP_ • • � ill ' .Q `. 5 14 M I. " OCR 33-1Y-J! 9.O�_ • • \ I 70 A •; •3¢ 5 .� y� OCR 3313.43 \ IS• 4,3.:' \D (N ��'J�r Z. I© 0' _ •-• ors Ph A se Q • ' \N♦ ` ©© q v�st �1: OCR 33-13-Y/ .�phac >� �� i \\v . -r..., .- • { ' To 4 T3 /Ifie X2O . — 2,"1_ ,��,I 3j m 3 =9 1 • •! t1a o ,<� ! o_L _11 ABC • Uzz 1 3i •- 1 Z ► • • to I° s9 10 so, ,g O u • 0 s :'2"15 41 per' j 3 - 17 -3 : It-j ° i 1q Zr .1 /— 1 i---r 47 i 22.96 .•• 3• • 11" _-I� 1• i• 23_ •. l- . -` •: .• •34 0j I • 32 n ' a. ,moo 133 .— • 7" y r y lg. 1 7 i -tie� 1� - • , T1. Cy !' �' I :55 1� // FA.Chf L- f i I pf j • S`' . / • ___-I ``'lid 27�'J' Jai� 1- = QJC?v i 0// t o •n IC�lf � •� \ _f� S v_. Ism �)) 33 LO , .•� �); 33.25-5q. K.S. 2 c < 5 G; �� • ea s c, �`^r 2 Ic I JOINS MAP' 33 G 31-2r-58 . 33.u.1a _ • • SCALE BATE R€VISION5 AND PURPOSE UNION .RURALELECTRIC •' .AREA B I INCH. _ - = - ' 4e-li . V-5 ASSOCIATION INC: 4 SECTION MAP /O-95 GSA/. .eeI/ uc.L RURAL ELECTRIFICATION AD�INISTIIA_ y- 9G— GEN. REV. VZ-5, BRIGHTON. COLORADO STATES COUNTY! TOWNSHIP 1 YAP Y_, , 7.. • _ ^ o-i_j COLORADO 22 BOULDER COLO ( T 2 N '6_33i Iii Ca/ AN \ ('1 LEASE r _ "-_ rl'r mAA._(I'nwlnccrs) B `y `/I1./ /�1,I/ GAS 111.J.n SE ,.Iron✓'... it loon ell &Coin.1912 Iii v. IIllS A(ItrrMl KT, rare red into Ilds the sloth____ day of_A'..el)1:.}ga11,Y.._ _—..___._...__. __-_,m it) e.etween R Iollie 1. Vincent and li?aliethVincent,__fulsband and wife It, Lupton, Colorado ._hereinafter enlled lessor. • and S• Pac el ;111_ 1 al torso n Pict Denver, Co1,or_I do I102lP,elpmmlee called lessee, darn Wlme,.: 1 Irmo lessor, to d uldrrxuon or the a r try Nn A, O llnrn 1 d paid non m Use covenants And In be , agreements hereinafter Irma.e performed by n I 1 ll thin tai vim] Ie 1 e let n tl port n er newith . 1. a it old trans, ir ,o , let .aryl+repo. to Wr le:re the • thereby as erwli,o(te land. sad fors rigid to moiled Ibis base n t1, parr thereof wl Other er her all slot ant IPP een ere g o n any moot ill the (ling. [ rM , end °r x.r ing for, pr provided,mil owinghe poseado ill a to remising on georinllIebeh,,geoP4*A eislcnl nmr oWrr eeMid l woothek.r Including al core drilling. ad the drilling. ...ors. • nil ferinrstR for, p. r.osdo ' Irrl saver" .11 ill the all, fans. tonic oil 8 .t awls power avellnr non oil ne lints tse o1, er b lrl,lrr' thereon sere vnpn nil Inr eelforl the rnmin. Icy top slop lines. Molding 'none, r stoning budding n powers. Motions, telephone I lave and other ofrllraid m nufactl 1 or <OnvenlenL for the economical nprutlnn or Raid InuJ 'lone m conjointly with neighboring Innnt, to pratlnce,save. take mire of, raid manufacture roll tit nocrr mb#nnren. and for hansom and hourrllno employees, sold tract 0r land Willi Any reversionary rights therein being situated In the County of___. , I LY!til.1) 1.11]I+KAIXI _ ..-.___.._......._...._ .. 9lnle ill. nom described an roll,,,,,: 1 SeC.-12 ot l __. ' In e.mr 1 ≥ Twnnlinr O. North n 13i7 1rest Gth!PI mid rpmalm a2o.11�i ra,mm<mf die, 1 .. -__ -......_ tae__ _-1.— R 3, Thin lease Mind r lain hi home Inr n repo ill RI Vr'_�J l _YCore nod as Ieng thereafter at oil, Ens, ensln8liend gem,renintsrnll Resnllne nr , any of the product. covered by Ibis Inane M or char he produced. 3. ".0 lesser,tali sine,o to lessor on rigidly, tee of real,oil use lease. or info the pipe liar le which leaner role connect Its wells the egllnl one-eighth Pmt (all oil produced nnr'salted froth the lensed 'osmoses,or nL the lessee's option may pop In II„ rotor too mull o .el(11Ll, roY,lly the "aloes price for all of like grade and trnvlly prevailing her the day such ell I,11111 lilt'the pipe line or Into storage Inoks. • I. the leaner ,hell Pny to lessor for gas produced or nosy oil well need tined lop Me lusrr Inc then nnlneture of gasoline an any serer pnelnc' ere rem- arty L; at the parkas valor, at such Rnt t the n roar' it the will: hand Ann In sold by the lessee. then nn royalty It of the pincer.of Inr node thereof ill the m nth of the wr11 The root shall Pity lessor in roYnitr ' of the Prncerds Irmo,the sale of RAs n Snell nt the 10011111 of the well where en,side I, Inlnul I and where noel, got is not sold or nxJ. Inner rush an or lender ill snoop at the end of "aril nearly period dining which Irb gas Is not moll) Ir imed. n royrnlly i amount e,pinl to the delnr rented provided ill rnph rb r hr•n r, rod o1111 aid ,potty Is s poll Unfitted this Ira a rim ll be held pr learnt poem. n,ller',n ograr,le a roe eel: rl^e lemon' ogre err of .harp iron any Well O lensed premises tor slo x and 'Oriole lights in n lop o pros Irnl dwelling twos n mold lasso hr kiln,,Ill' n n mnneelont with Ilrt well. IIIe bee of such son to be nt the torn s sole%kk nmr exionme. I. If nprrnumie tin me drilling of a nett for ml m go: n sat tmmnrrlre I ill on id la td no or helot a 11 thane of. l ebl%n'1rY- i.71 this Mom shrill Manion'''.11 Manion'''. no In both portico. mile. the lessee .Ilan on old r hit'. s retie coy Or tender to The lesser or Mr the le ern credit In he Mom Pet. Ilop ton State ink M. I't. lgn)ton, Colorado . or Ile xur'ressel, whirr nerve and OR teen, II., o-„err n norm net ,non mourner err Me deponnevy ill n y nrid all moms nnYe m „ •r 'ill.. i a.a regardless of changer, m rinm snarl. in nmr lend o In the oil mid pas 0 to the mule's 1 mirror he adrr, the n ofTillieC Ililil(iref' '[✓vent_ .yen. ,ll l xnoh "loan „p Inv etrental aid r ic tin nrlelicae of detention the rn usher operations for del e o mFn rotund rl ono one-.t iit:e l anal upon like mete ir ( i,morn lisp r o hint el rgmmunnn for redelns...id imunr.or deterred n! unr yarns. Cm., n.rer.inn Iessorort a i'le rrlo me be epode ur trek or arm l no imam rill nnY i nrnlend iii st rme mmlrn 1r dr(loom sir m before slop rrmnl ryo,en nom, rn het wren m lessor .elan, or lo meld wheno add uailk. mm Il Is sooert mss in emend t tit i.e a nmae' opt ,,,(loot .eared extending herein. ipe(down r Item, mrtY II tprivilegeic iot,granted le Ibe, t veil when son lint rant m IN It boos n ninl'rnmQ sent ten the rot, es payment of a nnr o that ols Ill so ni"mere nnr'any het on other rights etas, d ire.. a%triunes. Moe drnih m rug lest". or In, surceased?.is mml[eL the nnmmnl or irnnm r ,,wait hl Hoc Innlnrr ahnv<114hmi he binding a i the lire,. spew.,. rnrenmie. and mninm.vnmr.ht such persons. . A ll tit on tl'ile Mine In the discovery hl it no.gee Oil tills loud 1,1,1 doming the tar 111 of thy,Ien.er. the Irene shall-drill n err hole. o- holes nil this Isom, 'trot lease "morel Ireleelnale. provided operations lot lilt drilling hl n well shall be C1, red by the next a nnhrg rental paving Ole. 01 111011IJr'I Ill' lend., herons or re n e the rnvenn, n h n the manner tied r erresnnen;e nrnvwea, nod in i lids event me preventing rornrrmrht ,elms r erniiig the payment ofrrent.. end the non nner amp Wind Ikere.l Mall eminent in foyer, ,. t. In rare said lessor on n lees in rr k m the damn described bad the the entire nod ,rvhvhlnd toe rl b herein ° nnwr [node,therein then the loyalties 10111,11 111,11 r m he Incenseden provided mex Weill 'entnt i lessor alter rsop reversiowhich e his to river iirel Inierent. So rind undivided n'. n".:r1,.,ni,1.Ii shill e ,e xl ee rent. anniversary n any reversion her n nrnnnrn. R. 'rar lestoe shell 1'eve the eight to eve, rrr'o el cont. gni. all and Warr n," nn Anl'I 101,11 per n n .talons, thereon, esemale x'nrrr barn II'^ w or me mean when repined by Ire^ot the lessee shall bury II.. pipe Mors below plow 0nrru shall Pip i 1. R. tossed In Its . ml ri it ,ill..r on lend. No wed mini! 1 I a than rn 1 to 11 a I I 1. 'ill l oil I. I iIlessor. 1 II hove lhesright ' nod time 1 I , ilie oviolintion or Oils tense to remove all marlitierry. IINIIIIP5. 1 buildings an1 Other Shitriores Wined oil sold premises, ineltoding the right In draw null remove all rasing, but lessee shell br Diode, IIg llon to elenll lessee be milletpry oldilistIon to rrnl r'r the vole, to Its origin. coodllinh where any alle'n le dinners hr ,Ohers weir due to ope-n loon 0rn.ennnlly orressnrY under tills beer, a If the torero.of either party hereto Is assigned (Pled the (iris'liege of n«Imxna in Itliest or In part Is rtl"rule ells,e,ll, Ise loon here! Minn extend lo the brim. I L d 1 1 t a L 1 e the d 11 1 -e n r 1 lids 1 Hiatt h binding the 1 morn It hos heels lurnInfild with Minn- the ipl 1 recorded Instrument r couveyanre or n dilly dll rl rontp r Certified telly of the.in iti link tl d o nnr and of the prnh te thereof, Bolo r ropy of the p 11 , Aiming lilt l+l an,et. I tr t for the estate of destined In 1 I I I. lrhl With all i1, ded 'bailments of 'Ilea duly ill Jtra copies thereof n showing complete te chain whichever title herb 1 1 to 1 full 1 I si cio I '''Si ail d • inlet berme e Ip.of said d ll vats nimll hr bindin nassign,. n c r r it l' *Milk lore binding n nub direct or I,ddrnrl AcvM d nllhlrnrnq a .tone I1 or Ica' in. It the trashed Premise. are shall hues fine be owned In severalty w in arr'rile trent%, tee nrronlnm nevertheless shall be demon rill and oiler. need nitro el lea e.tad ,h tnr.urr now eeremmer s�t�o�1h� be l rated a entirety and ' In, divided n noon end rme in 'oh ',Ornate a let the red by n[h serurnte rebel le !In-L1�e-'gpllteri her r There snnl no.,ligation on I n Port I on. art PIN sit egon.le.trcts.Into which the dal funded Ir this lease rimy e 1prrnrtri divided by tole, 'Irvine, deemed or othrrn let or illrslrrll.ilr eery the asuring or roomierstill tank,. Il is hereby ageerd that 1n the event thin knot 10511 lit nAMi Ileti 0. In a pant or at to poll)of the n r 1 lash and then deorb smelt'part r parts shall oink.. donna in the rmaneil o1 'the rrnp0'Ihroale part of the rent dm. limn I'01, n, them. stir), derolll or salt.rentals.henle to Ilelent n Affect 11,11 Ignite Inselnr as It reverie e part hl s.,1 Inorl upon w'hlrl the Ie.sote or any omnivore loin.,( shall .make.plow p yr rill 11. Lessor lion cloy warrant, nod agrees to delimit the title to the Innd herein n crlhed nod agrees that Hie Ironer. t Its alarm,. I' e' ^a, nod dlo.'horen he whole at In port acts tomer, morl1,1re, m other Deno existing. levied, n cnscll on ei ill altar the r honor described bind,need, lei event.sole •1[15,1 'Melt salon% it sill hr l' ,.near" in Im eights no sit, holder or holds.A 'herr., and rosy rellnl hitter .1111 by ,Pn1Y01p Iii the discharge 01 aril mail Inn'.note. Ins o oilier lien, arty royalty or irritate ere ulna hereunder. I2. flstwlthot,nNnB oythielt in LldS lent, contained to the rnntrnq, it IS eopreuel' agreed Ihal it ler,er. ,hall c nlirroinnn for ill lntng 0'. oily lime white thle lease le In Forge, this knee shell remain In force and IRA terms shall ,hut"le 50 Iona as surs °net linru ere proorrdted nmr. 11 nrophau„,o r oh as!nulls ll,erere ,then long as production continues, u, If within the of trod of this tees%. production on the leered premises 011011 sense from any e must, this Irene shrill net Irmnh'nfe presided nurse. lions for the drilling f n well Omit be commenced before o to tile next rimming rental paying ,here , provided lesser sepal" 1 rat 'nth Inr lo'rnallt of 1'•nlnio Ill the rummer od ,Isoo'i hrrelnberose Ilrovided, r tf. alter the expiration ill the ;Winery tern of this loose. production m'rthe11 here' 'uremia", ellen retire li hen smT' ea he this lease shrill not tormllnnle provided testier. r operations for 0011ll'n n well 010111,1 sixty 10!I dnrx 'tout noel. [ 0n Intl ,,111 this lease Minn remain In force dining Ilan prosecution r ones O ernllon,rr nod. rl re:l0I,e0 .r_rL, .,,.,..rho, .ern on limn n r'hho'tlon tontinmes� Ira lemon rosy tit n Moe a ender n emend lids len.e In whole o, le, part laydell nisi, n, nnilihe a .olrn%e to 1 ms.,..r. or norposh %nn ••1 eehlrl hi mes Outman., hr pepper . 'LILY. in trine seed donee le a rendered and rene.clyd ins to only n pno:lnl'r hl the holes", r ernd Isenhr, 11,—Il ell r'r,mr'de1e°I'd 'Inhter 1 r nnnlrs,r under the terms ill said r Inner ns to the portion en riled shall tenon anoi determine nmr Olin Menials t oiler loop 101001 i n,ipnlernmed n n nursed°hinds. hitt an to the portion er the acreage not relenaodn the tern,and provIslnne n this tense shall continue mut season in lulls farce omit el lerinil purposes. In All ,mvta,me armor. espieel or Implied, shrill he subject to ml federal and mole lows and h'r orders,,eons, h regulations Mud lhtrrrrelillh'lt Mer. oe of n governmental flatteries naminhtrrmn low snore, end tins1'ase Abell not be in n war terminated holly or e pneltlly m obeli IIr best. hr Ilnhlr for ll nrinr,er Inlllllnee Inn IrrplY with tiny r the expressnor Muffled peevish,. hereof If any tams,( Across with illy tit'. Inas. orrlerz. rules or regulations e1, r totlnno rllernl I. IF lessee 5115111,1 he prevented red during the lest six mouths the or the roman, Imo hewn.roan drilling well heriodr,be 111,nmr'or^ Y rellchilling Authority Imohq lh Nahetion °temente. or II leper should be stable during Said ptrlml in drill n well hereunder"dile In enipmntl. 1,e ern y In the mul'o Snldr equll'usent is not tevallahlo but thInble on e Iernt of vier 'ball y pay ldelaythe rrniralls loran rn el presideds doming sing,ll [extended thee,ue nedit six months sole told ender b nmr suspended •• if The un II nd inn of thin leer, a e omuer thereof with any other Ira, 0r lenern or .swans thereat hell Ire Rennin Wittier, by nn err-Olen net fill's In knave in the r nrding office of any comity of an Inst:intent declaring its',moose In'maize and describing the Jeerer and Innd nmlltr'1,It 1'NI, 'rl'll- Oration shall cover the y 1 Ill, only and meows. n s not exceeding npr"nxlo,ntrl5 Ye 'the mini!), Provided for ty herrin oath reepr,t In Imps 8n.e .oil enrol Llr�,l5li!llnnirf snmde the h 1 'I arts royalty n 1j rme rrnm¢ed p ZTF'elnntked ores m me mmrink" 'hat War ntnrett, Ise ilia minerals 1 nder the Wide 111,1„ snel .mused wrenerbent to me rlhvrrd'nude. i'. f the lands to net unitized a r Any well drilled en such unit Moth be for nn w well anon,this tome mod shall iuerthe rental pronrnnn of this lease m to all of tile land covered"thereby: Pt-'reed, how'rver, lesser ,eon he under nn oelitntmn, sleeve or Implied,m rill more wn one ra,well on mho unit. I7. This leer had an its terms, enimmos,, and ,un,dtrons than extend to nod be bind Ilia on an ameese..of meld lessor nn0 Tema. IN WITNESS WIIEM1EOP, we akin the shy and your nett shore written.r yt tBEAL, __ _' __ IHEMd•_f/ 1 P.{L1( �n JLl:.tra zi(s/.f MEAL, ( (il 1/4 .. 7" C Cf-dL rE �1Lt1G%t•-- _mrnr.I -(—IEH-L1-k& r1r—VJ-NGCN11 ) svgs." (--.El&.-Z41.7FI H--V-HJCEN'l'—)— --.swill __ 000ALI 0- •f' . v"��/'.4,-( ` + ,f^ • IND:I:v:#:D1. SEWAGE DISPOSAL .. _.F4I PERMIT ! 94902:1. ••!,' INDIVIDUAL f�E:R t• SYSTEM. }::�{� 4'•41.1 t::i••-� WELD COUNTY HEALTH DEPARTMENT NEW PERMIT — ENVIRONMENTAL HEALTH•T R»'s SERVICES • 1517 16TH AVENUE COURT. RE LEY, CO C3C7631. 353....063': I:::xT .222'.", NER THE VINCENT PARTNERSHIP ,' :'E`. S `.,`"",ry 1 : ,'.TUL:IAl••R WAY PH c,..L.._ r 776-233/ WESTMINSTER CO 20621 DRESS OF PROPOSED SYSTEM 11404 WCR 22 1/2 F T ...1.1F>TC�r} CO t: 06x»�:4. GAL DESCRIPTION OF SITE: !ti 2 SEC 12 TWP ^ !�;NG •: , BD:E'•.':1:;: (•7N: 4...L'!::''rt:N MEADOWS LOT TYPE: RESIDENTIAL I••loL; E:i:/ X21.' 9'I' 1'ti�J:I:C: ::.a': PERSONS 2 BATHROOMS 1. .00 LOT SIZE 44.76 ACRES BEDROOMS 2 BASEMENT PLUMBING NO WATER SUPPLY}_Y F WE{...R... P L I CA'1 T.C)N FEE $0.00 c 'D BY CINDY }t L»AZAR SIGNED BY R.O. VINCEN'T. DATE02/03/94 DATE 02/03/94 }: COL AT':I of i RATE 0.,0 MIN PER INCH LIMITING ZONE . 0 FEET :1:L, TYPE SUITABLE i°rL<I..,E PERCENT GROUND SLOPE % DIRECTION QUIRES ENGINEER DESIGN NO IN :LCO YEAR R:.L..00x PLAIN ZONE HO (:1M THE APPLICATION N INFORMATION SUPPLIED r11+ir. THE ON—SITE SOIL PERCOLATION DATA E ':•(:sl.»LOWINk• MINIMUM INSTALLATION SPEC:I:F':rc::Ar:}.OHS ARE REQUIRED: SEPTIC TANK 900 GALLONS, ABSORPTION TR1:::1'1(:;H "00 SO„ FT. OR ABSORPTION BED SO. F...E.. ,..... , .x. SUBJECT T O THE FOLLOWING!...!..OWING ADDITIONAL TERMS ITS AND i•,..�1;>:1: s ,�.1:�:��I,, THIS PERMIT :I:�:3 `•:• ;•••• r x ND:I:T:L'OH::3^ _........_.........................._...._,.... .. IS PERMIT :!:' GRANTED 't•F::!"RR::'C?I� f14:� :R....'r` TO ALLOW (:::(:l#ti!:i3'T'I:�;I.IC:'T':#:{:lR�! "i' . COMMENCE. , `i• :#:+E REVOKED c:R SUSPENDED BY THE tJi:::1...:O COUNTY {••#:::.;"i4...T{{ DEPARTMENT FOR REASONS :.::}::: R TH IN •Il••11:.: WELD t.r(:?!JN.....•( :I:Ikil>:I:''J3:Y'1JA1... SEWAGE DISPOSAL SYSTEM REGULATIONS:t::)1..'',..r'AT:I(:II•NEti> 3:I'•I(::!...?,;i)IRtl(:l :IL.i RE: T(:) MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL F'R(:YJAI... THE ISSUANCE OFTHIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE I ART MEHT OR ITS EMPLOYEES'.:', (..E1•' 1._3:(11:{:kl...:!::T'Y I C LI:4 T'-IC FAILURE OR INADE@UACY (31- THE WAGE DISPOSAL SYSTEM. E R'1,. :c PAM SM ,1. T!-1 02/0..:/ .>4 ENVIRONMENTAL SPECIALIST DATE IS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME vo:i:D IF SYSTEM CONSTRUCTION HAS T COMMENCED WITHIN ONE YEAR OF I'T'S ISSUANCE.. BEFORE ISSUING F:1NA1_. APPROVAL OF IS PERMIT THE: WELD COUNTY NT•Y HEALTH DEPARTMENT RESERVES THE R::::LGH.T. TO IMPOSE ADDI.. OhdF11... TERMS AND CONDITIONS REQUIRED D '''(::t MEET DUR RI::31JI...AT'3:R'JLI i CWI f"s CONTINUING BA— S. FINAL PERMIT APPROVAL 3:S CONT NGE::NT. UF'(: N THE FINAL INSPECTION OF THE (rt•:JR"I- E::T'ED SYSTEM BY 7•{.•IF:: WELD COUNTY HEALTH DEPARTMENT . STEM INSTALLER { t FINAL INSPECTION DATE 02/03/94 STEM ENGINEER APPRO+JAR... PAM SMITH PE OF SYSTEM INSTALLED TANK ENVIRONMENTAL SPECIALIST Y•'t,' E ",,;:'c_?LSr'iR'•{tE O}. T1-1I`•3 PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNT ;ta1._ REGULATORY OR BUILDING REQUIREMENTS. NOR SHALL :} r ACT O CERTIFY• Y SYSTEM{. xs 7 r.i' 'I::• I COMPLIANCE WITH APPLICABLE STATE. COUNTY AND ?:a .al.'I�'4:{E�(:,''T• ...''(._�'T .1 td.'L..1... ..!�'E.. 4r•"•s..# »: 1•�; i:t.. 7:r•"tR•dEwi::. 3. 'T'4-R f�F. , S ADOPTED TO •,• ,:• CRS •t AS AMENDED. R !:.I•'. :.:r11... REGULATIONS 'T'#::.,.! ! '#:::f�:`:::;.1 R�!'T' f1f;•:':#:r::L..!::: :!.t). 'T'...'T'L..I::: ...,�� (... .,''�', :'' w R:.::hS'�. . :4r::'r:'T• FOR #!..{L. PURPOSE OF ESTABLISHING FINAL APPROVAL O1:= AN INSTALLED D SYSTEM FOR ::rtJAI••CE OF: A 1...(:;( Al... OCCUPANCY PERMIT PURSUANT TO CRS 197Z 25-10-111 t",:. . ., 1/2 mile WELD COUNTY ROAD 221 O O • HOUSE F cn ,Q-TANK escI ' • r BLACK INK ONLY! N W E S WELD COUNTY HEALTH DEPART M1 ?�.,1, FEE $10.00: ENVIRONMENTAL PROTECTION SERVICES LL1LL. tt� WE #: O.2/-/n� 1517 16th Avenue Court MAN *: 1+1/ 2/ Greeley, Colorado 80631 VGreldCounryHeafthDepartmerit ISDS #. (303)353-0635 REPAIR#: STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) OWNER OF RECORD: The Vincent Partnership, a Colorado PHONE: 303-776-2334 General Partnership MAILING ADDRESS: 9859E Julian Way, Westminster, CO 80030 City State Zip SITE ADDRESS: 17.404 Weld County Road 2215, Ft. Lupton, CO 80621 City State Zip LEGAL DESCRIPTION: PT: WI PT:�_ SECTION: 12 TOWNSHIP: 2 N RANGE: 67 W SUBDIVISION: Lupton Meadows Land Company LOT: 1A/1B BLOCK:_ FILING: ---- NUMBER OF PEOPLE: 2 BEDROOMS: 2 BATHROOMS: 1 WATER SUPPLY: Well RESIDENTIAL / COMMERCIAL BASEMENT PLUMBING: Y N LOT SIZE: 44.764 acres SYSTEM SIZE: Tank is constructed of cement and has 900 gallons capacity @material) --YIELD: Bed gravel or Trench square feet. DATE SYSTEM INSTALLED: 1974 You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location, length, width, and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel of ground identified by the above legal description and further states that the system is in good working order and to the best of his/her knowledge is not failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in legal action for perjury as provided by law. The Vincent Partnership, a Colorado General Partnership February 3, 1994 Ct111-11.14-4C--17 Date // Owner r Subscribed and sworn to before me this r-l^k. day of 0ru fl r( , 199 1, tJ by e __\ . \iinCi`'!1. 1y i Witness my hand and official seal. y conmi sion expires: i2-j..2 /01 Date Notary Publid1 j STATEMENT OF EXISTING REVIEWED BY: Environmental Protection Specialist DEPARTMENT OFPUBLI HEALTH AND ENVIRONMENT 1555 N. 17TH AVENUE 04.-toGRT OF HEALTH 80631 DEPARTMENT OF HEALTH 1517 16WMIENTialgt9WRIT 304-6410 PUBLIC HEALTH EDUCATIgIk dR@INj 304-6420 FAX(970)304-6416 ENVIR M tai YI ff:.304-6415 HEALTH PROTECTION (970) (7304-6411 COLORADO COMMUNITY HEALTH (970) 353-0639 FAX (970) 356-4966 STAFF APPROVAL OF VARIANCE The Individual Sewage Disposal System proposed for the property located at 11044 WCR 22 '/: Fort Lupton is hereby approved subject to the following conditions: Construct according to the engineers revised design ed / / . All Weld Coun ISDS regulations apply. applicant for I.S.D.S. Permit No.: SP- 9800601 under the provision of the Weld County Individual Sewage Disposal System Regulations, do hereby understand and agree that after approval by the Director of Health Protection Services, I may proceed with the construction of my sewage disposal system prior to approval by the Weld County Board of Health, but that the Board of Health reserves the right to disapprove any or all parts of the system design when it considers my application. I understand and agree that I proceed at my own risk and that I may be required by the Board to remove any or all of the system installed prior to Board of Health consideration of my application. Envi nm I Protection Specialist ican 8/22/00 _ Date Date 4 (, DEPARTMENT Or PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17TH AVENUE 7tetiv - GREELEY,COLORADO 80631 ' ADMINISTRATION(970)304-6410 PUBLIC HEALTH EDUCATION AND NURSING(970)304-6420 c FAX(970)304-6416 WI O ENVIRONMENTAL HEALTH SERVICES(970)304-6415 FAX(970)304-6411 COLORADO STAFF APPROVAL OF ENGINEER-DESIGNED SYSTEM Owner Name: Bradley Wendell Location Address: 11044 WCR 22 % Fort Lupton The engineer-designed Individual Sewage Disposal System proposed for the above property, and designed by Michael L. Ikeler is hereby approved subject to the following conditions: Construct according to the engineer revised design dated 7/20/00. nce is n ed I` eld County ISDS regulations apply. , owner/applicant for I.S.D.S. Permit No.: SP-9800601 under the pr vi ion of the Weld County Individual Sewage Disposal System Regulations, do hereby understand and agree that after approval by the Director of Health Protection Services, I may proceed with the construction of my engineer- designed sewage disposal system prior to approval by the Weld County Board of Health, but that the Board of Health reserves the right to disapprove any or all parts of the system design when it considers my application. I understand and agree that I proceed at my own risk and that I may be required by the Board to remove any or all of the system installed prior to Board of Health considerate n of my appli tion. Envi-onm ntal Specialist wner/ plica Date Date Forn No. OFFICE OF THE 'TATE ENGINEER GW s-25 COLORADO DIViolON OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 LR WELL PERMIT NUMBER 215049 - APPLICANT DIV. 1 CNTY. 62 WD 2 DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION WELD COUNTY NW 1/4 SE 1/4 Section 12 BRAD & HEIDI-HYNES WINDELL 11044 WCR 22 1/2 Twp 2 N RANGE 67 W 6th P.M. FT LUPTON CO 80621- DISTANCES FROM SECTION LINES (303)857-2199 • 2250 Ft. from South Section Line 2600 Ft. from East Section Line REGISTRATION OF EASING WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDmONS 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 the 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. 3) 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 two (2) single family dwellings, 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 June 30, 19 OWNER'S copy APPROVED Tice L JLV 74 ;24:ri.% . State Engineer Sy Receipt No. 0430066 ,DATE ISSUED JAN 07 L99 EXPIRATION DATE I J I Form No. OFFICE OF TF. STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 698 WELL PERMIT NUMBER 21557`79 - -_ APPLICANT • DIV. 1 CNTY. 62 WD 2 DES. BASIN MD Lot: 1 Block: Filing: Subdiv: APPROVED WELL LOCATION WELD COUNTY • NW 1/4 SE 1/4 Section 12 BRAD & HEIDI WINDELL 11044 WCR 22 1/2 Twp 2 N RANGE 67 W 6th P.M. FT LUPTON CO 80621- DISTANCES FROM SECTION LINES (303)857-2199 2250 Ft. from South Section Line 2600 Ft. from East Section Line PERMIT TO CONSTRUCT A WELL ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDmONS 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 the 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. 3) Approved pursuant to CRS 37-92-602(3)(b)(ll)(A) as the only well on a tract of land of 47 acres described as part of the SE1/4 Section 12,Township 2 North, Range 67 West, Sixth Principal Meridian, also known as Lot 1 (parcels 1A& 18) Lupton Meadows • division of land, Weld County. 4) Approved for the relocation and change of source of an existing well, permit 215049. The old well must be plugged and sealed according to the Water Well Construction Rules within ninety (90) days of completion of the new well. The enclosed Well Abandonment Report form must be completed and submitted to affirm that the old well was properly plugged and sealed. 5) The use of ground water from this well is limited to ordinary household purposes inside not more than three single family dwellings,fire protection,the watering of poultry, domestic animals, and livestock on farms and ranches, and the irrigation of not over one acre of home gardens and lawns. 6) Production from this well is restricted to the Laramie Fox-Hills aquifer which corresponds to the interval between 155 feet and 470 feet below ground surface. Plain casing shall be installed and grouted to prevent production from other zones. 7) The maximum pumping rate shall not exceed 15 GPM. 8) The return flow from the use of the well must be through an individual waste water disposal system of the non-evaporative type where the water is returned to the same stream system in which the well is located. 9) The use of this permit cancels permit no. 215049. 10) This well shall be constructed not more than 200 feet from the location specified on this permit. Note: To insure a maximum productive life of this well, perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above. Note: The ability of this well to withdraw its authorized amount of water from this non-renewable aquifer may be less than the 100 years upon which the amount of water in the aquifer is allocated, due to anticipated water level declines. y �N 5t off . A, ,7.APPROVED • q RAN iCQ A . rC N Y L� Slate Engineer FEB 1 9 1999 B" FEu 2001 Receipt No. 0430015 DATE ISSUED EXPIRATION DATE Hello