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Home My WebLink About20033092.tiff May 13 02 12: 43p 970 3a2 1816 p. 2 . : b ;ti COLORLUuf OIVISIOt'I DI- CUATEII ItESOU; c:rS 3hO Columbine Hutu., 1845 SI! ii n ;t., Oc,tver, Coltrrnda EI0203 rr-rE``ITT 0 PERMIT APPLICATION FORM .0,--.. i ca tir•.n must --__ _ • rnn cdete where ( hA PERMIT TO 115E GROUNDWATER pli czbl e. Type or (_A PERMIT TO CONSTRUCT A!:'ELL pUYGU .r, nt in RLACI: FOR: *MU RC A PERMIT To INSTALL A PUMP Sllt1� L a1O.CR :IC.No overstrikes � erasures unless (x I REPLACEMENT FOR NO._.-- fiaGtJ• ( ) OTHER WATER COU31 CASE NO.- .) APPLICANT-mailing.address FOR OFFICE USE ONLY: 00 NOT 0IRITE N THIS COLUMN AME. Ren 1'_Counte_ Receipt No. • Dar-orie L. Counter p � -REET__ins- 203 Basin Dist. :Y_ri.._14uptpn Cnlo rad) 876'1 (state) (ZIP) CONDITIONS OF APPROVAL • LEPHONE NO.857-2289 This well shill he used in such a way as to cause no material injury to exis:ing water rights. The j LOCATION OF PROPOSED VVELL 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 unty Weld right from seeking relief in a civil court action. _ % of the_ : 'A,Section ;g APPROVED AS A REPLACEMENT OF WELL NO.'a� il ,.—_� N_, Rng.66 1-1__, fit-T) PM THE DUSTING WELL MUST BE PLUGGED AND A iN-St i`.WI ACCORDING TO THE REVISED AND AMENDED RULES Aft '.:'ATER USE AND WELL DATA REGULATIONS FOR WATER WELLAN�PUMP iNSTALLATIO CONTRACTORS. THE ENCLOSED AFFIDAVIT MUST Be SUBMITTED WITHIN SIXTY (60) DAYS AFTER The Jposecl maximum pumping rate(gpm) 50 CONSTRUCTION OE.THE NEW WELL,AFFIRMING TWAT r�.:;e annual amount of grcurd water WELL NO. 93' 7 9 WAS PLUGGED AND WIDOW ba appropriated (acre-feet): -L/7 rn I 12/ , .tuber c of acres to be irrigated: 3. • • posed total depth (feet): - 55 ,taller ground water is to be obtained from: . Plate a=lluvium • .:.rr's well designation—rlrmastic____.- - - .[tOUN0 WATER TO BE USED FOR: HOUSEHOLD USE ONLY- no i:rigatinn CC) 1DOMESTIC (1) I I INDUS:HAL Ni I L1v ESTOCY. (2) ( ) IRRIGATION (61 COMMERCIAL (4) ( ) MUN)CI PAL (8) • I OTHER (9) APPLICATION APPROVED DETAIL THE USE ON LACK IN (11) • -- - PERMIT N0MEER 9.J y12.siel ;;I 1L-Ft SEP 16 19 DATE - .te Clover. 'sD_illing - G?;PIRA'fit�iy ATE SEP�'" r a --la c)__31 J)� fe /`fin ~` .r.. "----" _ ! Ct...I.o a 11 WI Ft. Lupton Colorado 80621 r. -- p --- _.— IS7A7E E 1 GIN_ER "Y-- ----Ft -------- .57-?.041 Li,:.ti rn. D 2003-3092 May 13 02 12: 44p 970 392 1816 p. 3 n - COLORADO D: vtsiON V//VIER tcESOURCES CV n:r 3'J.'. Columbine alit, . I'.lf, Silcr.r,un St. _r;r`I ti errs, `ell u;.ILFL Denver, Coin.rds, 6'11203 '.rr4t STATE OF COLORAi:O AFFIDAVIT {{��77��(�COUNTY OF iJELD ) SS. RECEIVED ED STATEMENT OF BENEFICIAL USE OF GROUND WATER eti, 36'77 AMENDMENT OF EXISTING RECORD WATER RESOURCES x LATE REGISTRATION STATE ENGINEER C0L0.PERMIT NUMBER 9343'i '.-._ Loci,iION OF 1YGLL ,i=FIANT(S) Set; F. Counter ar.d Mar,iurie L. Co.mcer co„,,, Weld moiling i- ___fox 208 _ NE 'bet a. NE -. X. Stci on 30 .Luatsia__ Colora�-�_ . 8062}.__ r,.p �_ . N , Pry. _ 66 W 6th P M (1....,) ,2.1.1 n.: o SI -- re e, M1I ivly sworn upon oath, deposes and says thot]b. (they) Y);(rne) the owners) of the well described ' erra-2; 16e well :. ! as described above, at distances of _ 630 feet frorn the Nortla section line and 630 feet horn the in _ section line; water from this well was first ',poired to a beneficial use far the purpose(s) described herein mmxthe __ .Gar of , 1914 ; the maximum sustained pumping rote a' tie well is 50 gallons per minute, the pumping i.-red hereby is -_5&_- gallons per mu ate; the total depth of the well is ___3.5_____ feet; the overage onnua'i amount es', to be diverted is .— , to I ocre.feet; for .which claim is hereby made for r,nmesrir-1i r+;iygck 'vier, purpose(s); the legal description of the lard on which the water from this well is used is :_et-inchorl of which _acres ore irrigated and which is illustrctod on the mar on the reverse side of this form; that this well was completed'm .nce with the permit approved therefor; this statement of beneficial use of Grc','rid water is filed in compl,once with law; he ..us (have ecd the statements made hereon; knows the car-tent thereof; and thor tie same are true of his (their) knowledge „_j, .�/—q� (COM}'+L�F.i''E REVERSE �S1D¢f)F THIS FORf.i) (5)177,—.> )�7 A-. __,, ,,77-- / 1'1'/7A 4. I 7//:, -4--- (-) (� e S Ibed and sworn / r ill FOR OFFICE LSE ONLY 're me on this _/6?'s_ day of /a ',:._ 7 ` —_ , IS /2 ' �( c<ve,c.., No / . ._ .- .m.ssion expires: ? _1/4/±2,_c_t___/7.2_/ �-..r., ! �. r i P., Day —._yr Div. cry.. __ .TEC FOR FILING BY THE STATE ENGIiJ_ER CF CC_CRP.Dr; i :AN r TO THE FOLLOWING CONDITIONS. Sec. ___ k. i, _ y Well ------ —_--- — Una:. __ __ EI.u.I ._ .___— voo. D•+ . w-" r !'s%, '‘::,•%.(1„..2,4 a 6'l, y.+r,L.jv{3+1Fa.'F !. 61977 Diatte.4 Form rho. . OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg.,1313 Shaman St,Denver,Colorado 80203 (303)866-3581 LIC WELL PERMIT NUMBER 5;73 13 APPLICANT DN. 1 WD2 DES.BASIN MD APPROVED WELL LOCATION WELD COUNTY NE 1/4 NE 1/4 Section 30 ELIZABETH C ROSEMAN Township 2 N Range 66 W Sixth P.M. 7853 HWY 85 DISTANCES FROM SECTION LINES FT LUPTON,CO 80621- 710 Ft.from North Section Line 310 FL from East Section Line (303)857-6026 UTM COORDINATES - - PERMIT TO CONSTRUCT A 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 rnjuy to westing water rights. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or prelude another owner of a vested water right from seeking relief In a dvil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rides 2 CCR 402-2,unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump In/ � emJLalion Contractors In accordance with Rule 18. 3) Approved pursuant to CRS 37-90.137(4)and the findings of the State Engineer dated " a. 3j icc z 4) The maximum pumping rate of this well shall not exceed 15 GPM. 5) The average annual amount of ground water to be appropriated shall not exceed 0.75 acre-feet. 6) Production is limited to the Laramie-Fox Hills aquifer which is located 420 feet belowland surface and extends to a depth of 880 feet. Plain casing must be installed and grouted to prevent the withdrawal of ground water from other aquifers and the movement of ground water between aryuifas. 7) The depth to the top of the Laramie-Pox Hills aquifer is sparmdmate. To ensure the exclusion of poor quality water from zones Immediately. above the aquifer,plain easing and grout shall extend through the lowermost coal and/or carbonaceous shale that overlies the Laramie sand portion of the aquifer. 8) The entire length of the hole shall be geophyslcally logged as required by Rule 9 of the Statewide Nontributary Ground Water Rules prior to installing casing. 9) The owner shall mark the well In a conspicuous place with well permit number(s),name of the aquifer,and court case number(s)as appropriate. The owner shall take necessary means and precautions to preserve these marldngs. 10) A totalizing flow meter must be Stalled on this well and maintained in good working wrier. Permanent records of all diversions must be • maintained by the well owner(recorded at least annually)and submitted to the Division Engineer upon request. 11) This well shall be constructed at least 600 feet from any exlssrgwell,completed in the same aquifer,that is not owned by the applicant 12) This well shall be constructed not more than 200 feet from the location specified on this permit 13) Pursuant to CRS 37.90-137(9)@)and the Denver Basin Rules,no more than 98%of the nontributary ground water withdrawn annually shall be consumed and the well owner shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98%of the water withdrawn ails be consumed. 14) This well is subject to administration by the Division Engineer In accordance with applicable decrees,statutes,rules,and regulations. NOTE:The ability of this well to withdraw ib 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. NOTICE:This permit has been approved with a change to the permit application form from that applied for by the applicant You are hereby notified that you have the right to appeal the issuance of this permit,by filing a written request with this office within sixty(60)days of the date of issuance,pursuant to the State Administrative Procedures Act(See Section 24-4-104 through 108,C.R.S.) cigar 9/%z APPROVED 'f� e _ GMB State EnEngines. By er+ a � ,!`:tom Receipt-No.0493683 DATE ISSUED SEP 12. 2002EXPIRATION DATE SEP 12 2Q03 r- - FINDINGS OF THE STATE ENGINEER IN THE MATTER OF AN APPLICATION FOR A PERMIT TO CONSTRUCT A WELL IN WATER DIVISION NO. 1, WELD COUNTY, COLORADO APPLICANT: ELIZABETH C ROSEMAN AQUIFER LARAMIE-FOX HILLS PERMIT NO.: 58313 -e In compliance with C.R.S. 37-90-137(1) and the Statewide Nontributary Ground Water - Rules, Elizabeth C. Roseman, (hereinafter "applicant") submitted an application fora permit to —- construct a well. Based on information provided by the applicant and records of the Division of Water Resources, the State Engineer finds as follows: • 1. The application was received complete by the State Engineer on August 28, 2002. 2. The applicant proposes to construct the well in the NE 1/4 of the NE 1/4 of Section 30, Township 2 North, Range 66 West,6th Principal Meridian. 3. The proposed well Is located outside the boundaries of a designated ground water basin. 4. The applicant proposes to apply the water withdrawn from the well to the following beneficial uses: commercial (drinking water and sanitary). 5. The proposed maximum pumping rate of the well is 15 gallons per minute, and the requested average annual amount of ground water to be withdrawn is 0.74 acre-feet. 6. The applicant is the owner of the land on which the well will be constructed. 7. The proposed well would withdraw ground water from the Laramie-Fox Hills Aquifer (hereinafter "aquiifer"), which, according to the Denver Basin Rules, is located 420 feet to 680 feet below land surface at the location of the Proposed well. 8. The_location of the proposed well is more than 600 feet from any evicting welt completed in the aquifer. 9. According to a sworn statement, the applicant owns, or has consent to withdraw ground water underlying 3.5 acres of land as further described in said statement, which is attached hereto as Exhibit A. 10. Withdrawal of ground water from the aquifer underlying the land claimed by the applicant will not,within one hundred years, deplete the flow of a natural stream at an annual rate greater than one-tenth of one percent of the annual rate of withdrawal and therefore the ground water is nontributary ground water as defined in C.R.S. 37-90-103(10.5). • Applicant:' Elizabeth C. Roseman Page 2 Aquifer Laramie-Fox Hills Permit no.: 5g3 13-f 11. In considering whether the requested permit shall be approved the provisions of C.R.S. 37-90-137(4) and the Denver Basin Rules shall apply. Withdrawals shall be allowed on the basis of an aquifer's life of 100 years, C.R.S.37-90-137(4)(b)(l). 12. The quantity of water in the aquifer, exclusive of artificial recharge, underlying the 3.5 acres of land described in Exhibit A is 75 acre-feet. This determination was based on the following as specified in the Denver Basin Rules: a. The average specific yield of the saturated aquifer materials underlying the land under consideration is 15 percent. b. The average thickness of the saturated aquifer materials underlying the land under - consideration is 142 feet 13. A review of the records in the State Engineer's office has not disclosed that there are any existing wells or other water rights claiming or diverting ground water from the aquifer underlying the land claimed by the applicant. • Based on the above, the State Engineer finds that there is water available for withdrawal by the proposed well and no material injury to vested water rights would result from the Issuance of the requested permit subject to the following conditions: a. The allowed average annual amount of water to be withdrawn from the aquifer by the well shall not exceed 0.75 acre-feet (the quantity of water which is considered available divided by the 100 year aquifer life). b. The well shall be constructed no more than 200 feet from the location specified on the permit application. c. The applicant shall submit geophysical and lithologic logs after the construction of the well. The geophysical logs shall be obtained from the hole before the casings are installed. d. The maximum pumping rate of the well shall not exceed 15 gallons per minute. e. A totalizing flow meter must be installed on the well and maintained In good working order. Permanent records of all diversions must be maintained by the well owner(recorded it least annually)and submitted to the Dfvisia Engineer upon request f. Production is limited to the Laramie-Fok Hills Aquifer. The well must be constructed with plain, non-perforated casing properly grouted so as to prevent intermingling of water between aquifers. g. Pursuant to C.R.S. 37-90-137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the applicant shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. h. The'owner shall mark the well in a conspiaious place with appropriate well permit numbers, name of the aquifer, and court case numbers. He shall take necessary means and precautions to preserve these markings. Dated this 3� day of /(Z 2�^1-A , 2002. 4 - - - Hal D. Simpson • State Engineer By: ...412/174.-2/, l Kevin G. Rein Water Resource Engineer Prepared by. GMB hCt.6j WELD COUNTY HEALT1. )EPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 ffrr•i4iL✓f ^ Permit # : SP-9700069 Sec/Twn/Rng: Status: SOS-HALE Permit Type: RREP C-commercial, R-residential + NEN, REPair, VauLT Applied: 03/05/1997 Parcel No: 1309 30 Issued: (/h0bQf}- Finaled: �/r71, g4a- Location: 7853 HWY 85 FT LUPTON 30-2-66 Legal Desc: APPLICANT MINTLE DENNY OWNER FORMBY INC Phone: 303 . 857.2787 13015 WCR 16, FT LUPTON, CO 80621 SEPT-INSTL GREIN CONSTRUCTION INC Phone: (303) 659-3969 PO BOX 381, BRIGHTON CO 80601 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres : 3 .49 Number of Persons: Basement Plumbing (Y/N) : N Number of Bedrooms: 4 Bathrooms-> Full : 2 3/4 : 1/2 : Water Public (Y/N) : Utility Name: Water Private (Y/N) : Y Cistern (Y/,N) : Well (Y/N) : Y Water Permit No: Percolation Rate: < 5 . 0 Limiting Zone : 00 ft 00 in Desc: SANDY GRAVEL Ground Slope : Dir: Soil Suitable (Y/N) : N Engineer Design Req'd (Y/N) : Y In 100 Yr Flood Plain (Y/N) : Minimum Installation Septic Tank: 1250 gal Absorption Trench: sq. ft. Absorption Bed: 860 sq. ft. Actual Installation Septic Tank: gal Absorption Trench: sq. ft . Absorption Bed: sq. ft . 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 Health Department 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 Health Department. )20461MOCK Environmental Specialist Date J cc fV ii tbl 1S' 12S) OeikkitN tai Hello