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HomeMy WebLinkAbout20011693.tiff Form No. OFFICE.OF THE '`ATE ENGINEER GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303)866-3581 LIC WELL PERMIT NUMBER 055618 ._._ APPLICANT DIV. 1 WD2 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY NW 1/4 NE 1/4 Section 32 JOHN HOCHMILLER Township 3 N Range 65 W Sixth P.M. P 0 BOX 600 DISTANCES FROM SECTION LINES HUDSON, CO 80642- 450 Ft. from North Section Line 1580 Ft. from East Section Line (303) 536-9865 UTM COORDINATES PERMIT TO USE AN 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. r-4) Approved pursuant to CRS 37-90-137(4)and the findings of the State Engineer dated i / r „toe/ . Approved for the use of an existing well, the construction of which was approved pursuant to findings of the State Board of Examiners of Water Well Construction and Pump Installation Contractors dated April 9, 2001. 5) The maximum pumping rate of this well shall not exceed 15 GPM. 6) The average annual amount of ground water to be appropriated shall not exceed 1.63 acre-feet, as requested by applicant. 7) Production is limited to the Laramie-Fox Hills aquifer which is located 300 feet below land surface and extends to depth of 620 feet. 8) 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 markings. �9) A totalizing flow meter must be installed on this well and maintained in good workings/0d ���jecord of a diversions must be maintained by the well owner(recorded at least annually)and submitted to the DfvisionR� IMRSPt. co request. or) co 10) This well shall be constructed at least 600 feet from any existing well completed in the same aquirer,tfQatjy @jvned by the applicant. ^ .. o 11) This well shall be constructed not more than 200 feet from the location specified on this ��rtr1r. � N 12) Pursuant to CRS 37-90-137(9)(b)and the Denver Basin Rules, no more than 98%of the nontri u ary r u w 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 will be consumed. 13) 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 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. 441 to APPROVED Z Z4O"SCCAPR State Engineer APR 1 $ 2001 B ° 2 Receipt No.0471890 DATE ISSUED A By DATE BEFORE THE STATE BOARD OF EXAMINERS OF WATER WELL CONSTRUCTION AND PUMP INSTALLATION CONTRACTORS STATE OF COLORADO FILE NO. 01-BC-016 FINDINGS IN THE MATTER OF THE CONSTRUCION OF THE WELL OWNED BY JOHN HOCHMILLER LOCATED IN THE NW'/4 OF THE NE'/ OF SECTION 32, TOWNSHIP 3 NORTH, RANGE 65 WEST, 6TH P.M.; RECEIPT NO. 471890 The State Board of Examiners of Water Well Construction and Pump Installation Contractors, having reviewed the well construction information provided by the well owner and licensed water well construction contractor, hereby enters the following Finding with respect to the adequacy of construction of the subject water well: FINDING At its meeting on April 3, 2001, the Board of Examiners reviewed the Licensed Contractor's Well Inspection Report and information submitted by the well owner for the subject well constructed by a licensed contractor and finds the well to be adequately constructed to protect the ground water resource and the public health. By this finding the Board waives its requirement for submitting a Well Construction and Test Report for construction of the well. However, the well owner must obtain the necessary well permit from the State Engineer authorizing withdrawal of ground water from the well. Dated this 9m day of April, 2001. Janet ellis, air Sta oard of Examiners of Water Well Construction an Pump Installation Contractors DEC-20-00 WED 12 :04 ACTIVE TRUCK SALE & PART 13035360418 P- 01 ACTA TRUCK PARTS, INC. FAX COVER SHEET Active Truck Pans PO Dox 600 19640 CR. 28 Hudson, CO. A0042 USA 303-636.9866 303-5360391 SEND TO Company name froemm�-- t !-o Attention rr S Hwr 4—.+e-SG.s.a.o. / 1 — / — Q Office location O/8oe location Fnx numtins • Mullin nuuitisr 3v3 - C3c— -- ❑ Urgent ❑ Reply ASAP ❑ Please comment ❑ Please review D For your lnrormaaon Taint pnvnn,isarie Mtnla COWS' COMMENTS - �..ry,�..e JiC..."c-- L.. ...,,,T-` — ..,..rte" R.c Ce.l.. ...1L.i...........__......_..... r"'" Q ../.044".a Cl ...c...."Firy c<S Voce,,...r.....S W 2C- - L-�I s42._.� .. . ... �Y e' ll J �/ ' J e�,,,,,, e 4. ,FI•S..Lte.� L.......T..4? LS,�'ca S r_-e S eP ....--Bt` c.: £AJ G- /1.c -/ 'fit'.', —''''.c/ ....... -a .r`=4-4(p+e.1/4_ 11.4o d DEC-20-00 WED 12 :05 ACTIVE TRUCK SALE & PART 13035360410 P. 03 ______ ell NO. WELL CONSTRUC NUN'AND TEST REPORT ' Fw omec Jac onh d - 19/96' I STATE or COLORADO, OFFICE OF THE STATE ENGINF.FR 10J- WELL. PERMIT NUMBER: 90'411-A _... .. .- 2. uWNFR NAME(6) _____Jeutar.acgainuays Malliny Address 1 asap Tans 42g n 0 Box 6UQ City, St. Zip _. Ituelsoa. -tin Sng41 Phone ( 3_03) .534-5102 --•• .- 3. WELL LOCATION AS DRILLED: NW 1/4 NE 1/4, Soc. '39 Twp. 's N flangc__y= : .. • DISTANCES FHOM SEC. LINES . t .400 ft. from north Eeo, lino. and 1580 ft. from mae{u w Scc. line, OR car auucu SUBDIVISION: _ I OT BLOCK__ FILINr(LINIT)__ _ STREET ADDRESS AT WELL LOCATION: 4. LRCM IND SURFACE ELEVATION G1''"'" ft. DRILLING MFTI I0D St and dtt9. , _- DATE COMPLETED _ b-11-98 . TOTAL DEI'IH 620 tt. DEPTH coMv1-FTFr: _ _ IL S. GEOLOGIC LOG: 6. HOLE DIAM. (In.) From (It) T ltf.. Depth Description of Material (Typo,Size,Color,Water Location) 11 0 .-- 8 . 21 5:t;. .. U — 2 'Popnoil CYmc-nted bottom 100 , -•well nt1t, .....____ 2 — iD Sand 10 - 14 Stria 1.1 caravel 1. PLAIN CASING 14 30 Multi colored •clay OD (in) Kind Wall .Site From(ft) 1 oft1 30 - 35 Dirty a.ravel • _.. F. ' at-nn'I -F1 -n__r.v r 'I l . i 36 40 Sandy clay. - _____4�y pvr . 250 —_ '!-(-) { 40 - 46 Redish colored- clay , 4 . 5 pvr- . 2`.L 41, - 130 Gray catered shale with _..._; 1iccjht gray colored sand- ['HIE. CASING: Screen Slut Size: . t',;% Stone . . Q - 5 p'r _._21-5..0___. r 138 - 156 • ,Light pray colored sand- 4 S I,�r.. . 25C) stone. ._.__ .._.-- r.158 -- 287 Gray shale with coal _ _ otrcaka and lightly • cemented zones It. FILTER PACK: 9. PACKER Pt3.CEMNT 287 - 350 Cray sandstone Material hma11 arilvet Type ,. 350 -- 360 Sandy shale Sizc 1 /n" 390 . Gray- sandstone Interval 100' ..,pn ' Depth 390 - 490 Hard lim380estone 10. GI IOU RECORD: 490 540 Dray shale can 543 Hard 14 me,ctnne Material Amount fRnSlty Interval lnOCmem REMARKS: - - - • cement .-Cuft 6 cra ! ._'-- 'r'. _7 ''.- :=-- 520-6-,70 wns c rmeU *d ; `hi( putaping .— _. - —____..,_ cement into place 11. DISINFECTION: Typsf—IT T TT Amt. Used 11 oz3 . 12. WELL,TEST DATA 1 I QheCk,hex If Test Date Is submitted on Form No. GWS 39 Supplemental Well rust. TESTING G METHOD t ire y'rnnhmnrtnt„1 P pilau) I Static 8tecOntIrmuasured .__.. Produrtinn Rate 1 o ._. Pumping level 283 , ,.-ft3.ps i IMQ?flleesured , Test length (Ins.) r:z.yr -7. _ ____ Remarks - . , ..•t>.t;: ---. 3.. -- —, 13. I have road the otatomonte made herein and know the°entente thereof, and that thoy aro 4110 10 my knowioago. (Fcant to S.-cnon z61 .. . .,II C.R.S.,the making Of talso statements herein constitutes perjury in the second degree and Is punlshaP In as a nla.es I misncmonrcr 1 CONTRACTOR r ooh 1:lrii1 41"7. i^^ Phone C.:2_20. F-3-4--,f/2,-;•-;4_,. -. L.Ir Nn ,,.. :.-... MailinaAddress p n Ctn.. Ks „__ LL se -3-:-_A• -._ . Name/TItle (Please type or print) Shgp�at„la! ;— F.dwin D. Lochs Jr . , Pees - /`YS��rY lc'i --.....' :.1.:.r.--0-•--,-2- I I DEC-20-00 WED 12 :04 ACTIVE TRUCK SALE PART 13035360418 P. 02 ranm No. PUMP INSTALLATION AND TEST REPORT For uniso lido only owc92 el...„ met STALE OF COLORADO, OFFICE Or THE STATE ENS'3INEFR . Wt-1 I. PERMIT NUMBER _ 04411—A 2. OWNER NAME(E) John ffocicmillcr Mailing Address 19640 wCR �78 P.U. WO( eon City, St. Zip _ Hudson, CO 801142 Phone (30'1 ) 534-5102 3. WELL LOCATION AS DRILLED: NW 1/4 NT' 1/4.sec. 32_TwP. 9 N. , Range ft5 DISTANOFS FROM SEC. LINES: _ 400 ft. from North Sec. line, and 1580 ft. from An Sec. line. Piam or aoumr (Caa r wart) SUBDIVISION: LOT_ BLOCK I-ILING(UNIT) _• STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA_Type Submersible Installation Completed 1 I • 06-98 Pump Manufacturer I:nnl dr. _Pump Model No. _-x_.9104] Design GPM 13 at RPM 3450 , I IP 1 , Volts 'l40 roll Load Amps_ Pump Intake Depth 360 Feet, Drop/Column Pipe Size 1 aerh an Inches, Kind INC with bras 365' of 10 4 neo wire. AnDITIONAL INFORMATION FOR PUMPS GREATFR THAT 50 GPM: TURBINE DRIVER TYPF: CI Electric CI Engine I:LI Other _._ Design Head feeet, Number of Stages , Shaft size incncc. S. OTHER EQUIPMENT: Airline Installed 0YOe®No, Orifice Depth ft. . Monitor Tube Installed El Yes Ix No. Depth ft. . ._ Flow Meter Mfg. None Meter Serial No. Meter Readout Q Gallons,©Thousand Gallons.C Aore feet.0 Beginning Reading b. TEST DATA: 0 Check box if Test data is submitted on Supplemental Form. r",, Date Total Well Depth 380' • Time Static Level 120 Rate (GPM) A ._ Date Measured 11-Q6-98 Pumping Lvl. 9Ra' 1. DISINFECTION: Type H.T.H. Amt. Used_____7_1/2 nee. 8. Water Quality analysis available. O vas ® No • 9. Remarks A well completion report was riled 7-5-90 with a total depth or l20' . 1n worltina with the Colorado Oil S. Gas Commission, wc determined t.lta.I. cementing etf the_ area below 9R0' m141,( alleviate some of tltn fnrmotinned S prohlema, (in 6-9-98, a vi"rl-a)._ ircLIIIit #98VE225 was: iased,thtrh was not executed. We did. h- ce era pump neat cement i nt.n the bore hole to that Off arty wD+tr-.r nr _lR, 1e1 w the 3RO' 7 eveL on ly=,-mi 4. #13441 Lat.., We then set, the nnrnp at 160' A9 allow any oa' ent.r.ri ni the wall bore to be ..,L_ws. the Demo intake lever- Everything to Slate aeelptl to b funL'tiuuitl_r set ti BFactoriiy__ _ 10. I have read the statements made herein and Know the contents thereof, and that they are true to my knowledcge. (Pursuant TO Section 24.4-104 (13)(a) C.R.S., the making of false staterents herein ronstitutee penury in the SecunL degree and is punishable as a class I misdemeanor.] CONTHAC I OR resit Dc i.111.1.04, Inc. _ Phone (970 ). p.4-7An,n Lie. NO. 21 Mailing Address P.O. Row 56. Ault, CQ_ 80614 T j p.4-7 Name/Title (Please type or print) --ej ' ' d-- !��_�, Date Eel Leah, 31- - Hree. ..-- l�i� !{r-.r< s "1 27--;-. 7; r f . _ i . . t tUCiVtu "i,tj.S.Re*-. 76 • COLrADO DIVISION OF WATER RESOURPckS ' SEP 2 O f9Fn • • 8.18 Centennial Bldg., 1313 Sherman St., Denver,Coloradt. .0203 1;rett;n q�„ r .♦�iTE Elva; PERMIT APPLICATION FORM Cole tppllcation must . be complete where ( 1 A PERMIT TO USE GROUND WATER applicable. Type or ( 1 A PERMIT TO CONSTRUCT A WELL print in BLACK FOR: ( 1 A PERMIT TO INSTALL A PUMP orINK.Noerasures e unless nkss DC REPLACEMENT FOR NO. 2 K LI / I or initialed. ( I OTHER vis T��F" WAT€R COURT CASE NO. ley ya.r. r... . (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN (� of kO 2. NAME) 4 /1/ /V aC. An it IE� Receipt No. a 9� Bl STREET1y94Y 0 r a ps a6 Basin Dist. my Ht f d S Q N/ CO/O. 8 0 4 et a 7 CONDITIONS OF APPROVAL '/(State) (Zip) TELEPHONE NO. 5-3 _`5V C a- This well shall be used in such a way as to cause no material injury to existing water rights. The ELL issuance tit life permit dues lit) USSUte (i tb upp i iL5ri (2} LUi;AiUN OF PROPOSED WELL that no injury will occur to another vested water right or preclude another owner of a vested water County W • /g• V,D right from seeking relief in a civil'court action. A/ CA-1 Y. of the Al 5 '/.,Section 3' _ / LL APPROVED AS A REPLACEMENT OE WELL NO y/ Any. S (tif, lh't/7 P.M. 7wp.—.�— �• �' - THE EXISTING WELL MUST BE PLUGGED AND ABANDON_ D i N.JI IE.WI ACCORDING TO THE REVISED AND AMENDED RULES AND 13) WATER USE AND WELL DATA REGULATIONS FOR WATER V'IELLANJ PUMP INSTALLATION CONTRACTORS. THE ENCLOSED AFFIDAVIT MUST BF. Proposed maximum pumping rate (gpm) / S SUBMITTED WITHIN SIXTY (GO) DAYS AFTER THE CONSTRUCTION OF THE NEW WELL, L AFFIRMING AN THAT Average ropri ed (act of ground water / WELL NO.-_9 ii// to be appropriated (acre-feed: / DEPTH OF THIS WELL SHALL NOT EXCEED:L... Number of acres to be irrigated: FEET WHICH CORRESPONDS TO THE BASE OF. THE i Proposed total depth (feet): if00 a Aquifer ground water is to be obtained from:FOX H "1 GB (NOTE! TO INSURE A MAXIMUM PR UCTIVE LIFE 0 THIS WELL, PERFORATED CASING SHOULD BE SE] Owner's well designation Pao,.r Ha ,ao- THROUGH THE ENTIRE PRODUCING INTERVAL OF TH AQUIFER. TO THE DEPTH INDICATED BOVE). t3ROUIVU vv&l Lys iv be 1.2.CU nut; :".1`' in A 1 HOUSEHOLD USE ONLY - no irrigation (0) 4 ' i 5 w D ,q O4,DOMESTIC (11 I' I- INDUSTRIAL (5) ILL ' ( ) LIVESTOCK (2) I IRRIGATIONAL l(6) 1 1 COMMERCIAL (4) 81 1 1 OTHER tg) APPLICATION APPROVED �• DETAIL THE USE ON BACK IN (11) PERMIT NUMBER' 'I � ` I1-A (4) DRILLER DATE ISSUED `1CT081980 AM LieEt4gEd EXPI v�DATEOCTO SLE Name . e /� Street y- y (STAT GINE R) City (State) (ZIp) - - BY_ Telephone No. Lic. No. LD. / - 02 COUNTY z 7 r-D COUNTY HEALTH DEPARTMEN" ' 1516 Hospital Road �// Greeley, Colorado PERMIT NO. 1c:�C2 Ph. 353-0540 r. application for permit to Install, Construct, on Individual Sewage Disposal System. Owner�,__? .''.t i .., 1/;,./.-.4.-.' it.... _/Address --- .-_ .-r-'',-1/. � t Phone "• - <. C;(112- Direction to site: Hwy__ -Rd.!./-�_f-rii N_mi., E_mi., Smi., W mi. Legal Description: Ptn ._ ,; ec. -._:7 , T3 N, ti-SW Subdiv. Lot Blk General Information Dept. Use Only No. Bedrooms No. Persons ' Perc. Rate (Avg. of 31 /" 4, 7,w ..-, No. Baths a - Basement Plumbing ' - Soil Type ?c`- i4 Size of".Lot �! ac tea,j tea, is H2O Table Depth H2O supply (if well give depth)__a_tep L rid - Lot Grade L = , 4. I New Home _Mobile Home , ` Modular Add'n — Requires Engineer Design Yes. No Type of sewage disposal requested: If yes — reason Septic tank ' Privy Other Comments:_ ,A?Installation Instructions: (Minimum Requirements) pat. . Septic Tank 1 QQC) Gals. Absorption Trenches it 2 5 Sq. Ft. Other or Seepage bed .4--6-3- Sq. Ft. Special Instructions s00ci J - A•/' This system will be constructed and installed in accordance with the above specifications and regulations re- garding individual sewage disposal systems in Weld County, Colorado This permit shall expire at the some time as the building permit, or, if no building permit is iisued, th,�rmit shall expire 120 days after its issuance, if construction has not been commenced. . , " ' i c - 4.1 Date: Owner:`-''CrG.7c.-, a Ts. Applicant % _ The plans and specifications as shown are approved pending payment of permit, fee. Date: �'/-av (1Co Sanitarian__ The above system inspected and found to comply with plan and description. J Systems Contractor: 5e-(c -- 4.1 •K Date: 37..2 V 7 Sanitarian: /�-. dia �� "'Engineer Review: (Date) (Signature) Permit Fee: $-"�_S • r' ,�) / Received by: R eta 2 7-+_ *—' Date: —:' /";/74. Hello