HomeMy WebLinkAbout20043268.tiff Forin,No.. OFFICE OF THE STATE ENGINEER
GWS-25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg.,1313 Sherman St.,Denver,Colorado 80203
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(303)866-3581 1207
WELL PERMIT NUMBER 2237'16 •
APPLICANT DIV. 1 WD 3 DES.BASIN MD
APPROVED WELL LOCATION
WELD COUNTY
FREDRICK ZIEGLER NW 1/4 SW 1/4 Section 28
401 N SUMMITVIEW DR#30 Township 9 N Range 67 W Sixth P.M.
FT COLLINS, CO 80524-
DISTANCES FROM SECTION LINES
1445 Ft.from South Section Line
(970)221-4559 200 Ft.from West Section Line
PERMIT TO CONSTRUCT A 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.
3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A)as the only well on a tract of land of 40.00 acres described as the NW
1/4,SW 1/4,Sec.28,Twp.9 N,Rng.67 W,Sixth P.M.,Weld County.
4) The use of ground water from this well is limited to fire protection,ordinary household purposes inside not more than
three(3)single family dwellings,the irrigation of not more than one(1)acre of home gardens and lawns,and the watering
of domestic animals.
5) The maximum pumping rate of this well shall not exceed 15 GPM.
6) The return flow from the use of this 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. •
7) This well shall be constructed not more than 200 feet from the location specified on this permi `}/sc3/DO
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APPROVED
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Receipt No.04550408 State Engineer DATE ISSUED ��v CVVU B EXPIRATION DATE FEB 23 2R
2004-3268
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
.^ GREETFY, CO 80631
PHONE (970) 304-6415 FAX(970) 304-6411 'inaled
Permit#: SP-0100130 Sec/Twn/Rng: 28-09-67 Status: ISSUED
Owner: ZIEGLER FRED Applied: 03/26/2001
Applicant: COALSON JULIANA Issued: 03/27/2001
Permit Type: RNEW C--Commercial,R=Residential+NEW,REPair,VauLT Finaled: l7-((-D
Parcel#: 0453-28-0-00-005
Location: 49566 CR17
Legal Description: /end iri
Installer: It
Description: MODULAR
Commercial: N Residential:Y Acres: 50
#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#: 225372
Percolation Rate: 25 Limiting Zone: 8 ft 0 in Description
Ground Slope: 0 Din Soil Suitable: (1/N) Y
Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1000 gallons Absorption Trench: 729 square feet
or Absorption Bed: 939 square feet
Actual Installation
Septic Tank: IZS0 gallons Absorption Trench: :F`-O square feet
Absorption Bed: square feet
Design Type: C .4 .
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 Department of Public Health and Environment
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En 'ronm Health Specialist Date
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