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Home My WebLink About20011465.tiff FORM NO.t . . . STATE OF COLORADO i For Office Use only 0' 1/ OFFICE OF THE STATE EN EER 7/93 818 Centennial Bids, 1313 Shemta..,L,Denver, Colorado 80203 (303)8863581 PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE ftcr,,,l , ":RANGE IN OWNERSHIP/ADDRESS / LOCATION WELL?ERMIT, UVESTOCK TANK OR EROSION CONTROL DAM NOV 2 5 199? 1. NEW OWNER W,TE- PEsou NAME(S) Edward D. Schmidt and Janet K. Schmidt r o°' ENG Mailing Address .2,74,. r telfr. City, St. Zip... rce.! e` ��13/ Phone (_920) �tiC '7%0?) 2. THIS CHANGE IS FOR ONE OF THE FOLLOWING: M WELL PERMR NUMBER 1-11606R ❑ LIVESTOCK WATER TANK NUMBER ❑ EROSION CONTROL DAM NUMBER 3. WELL LOCATION: COUNTY f!I eld OWNER'S WELL DESIGNATION / /} (Address)re 510, (City) �� (State)St / (Zp) ..J...0 l )/44 of the.// 1/4, Sec ///T��wp'5 ;K.I or❑S., Range.., ❑E. or L .W. -P.M. Distances friSm ion Lit ?i Ft. from N. or I 1 S. Line, Ft from /❑E. Of❑W. Line. .bdivision Lot Block Filing (Unit) 4. ,LIVESTOCK TANK OR EROSION CONTROL DAM LOCATION: COUNTY 1/4, Sec. Twp ❑N. or❑S., Range ❑E. or❑W. P.M. 5. The above listed owner(s) say(s) that he (they) own the structure described herein. The existing record is being amended for the following reason(s): ElChange in name of owner. ❑ Change in mailing address. ❑ Correction of location. 6. I (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] Name/Title (New Owner) Please type or print Si re (New Owner Date Edward D. Schmidt 'ez J � �'/�,,, �ol� Janet K. Schmidt -7-nzz L/V 11/21/97 FO OFFICE USE ONLY EXHIBIT • State Engineer By • Date Court Case No. Div. Co. WD Basin MD Use 2001-1465 . . . - : .• OFFICE OF THE STATE-ENGINEER- COLORADO DIVISION OF WATER RESOURCES 821 Centennial Bldg., 1313 Sherman St., Denver,Colorado, 80203 - . _ . _ __ Main No. (303) 866-3581, Records No. (303) 866-3447 CHANGE IN OWNERSHIPIADDRESSILOCATION REQUEST WELL PERMIT NO. //64 -/C7 FROM: DATE: L z74,7f z f Arc/ G ,ll` This Change in OwnershiplAddresslLocation form is being returned to you for more complete or a correction of data. Complete andlor amend as necessary and return as soon as possible. CORRECTIONS ARE TO BE MADE ON THE GWS-11 FORM. PLEASE INITIAL ANY CHANGES YOU MADE TO THE FORM. Complete the well owner name and address. 2._ Enter or verify the permit number. Our records show permit number at this location: 3._ Complete the blanks for the location of the well where checked. 3A.j The location given does not correspond to the location on the well permit Please amend orlexplain the dis epancy. Our Cr, indica that the w to ted in the 5trl 1►4 of the$F 114 of Sec. /d , Township _s South or(y Range .5 East o es 6 P.M. Ft from N or S and FT E or W Section lines. 4._ Complete the blanks for the location of the Livestock or Erosion Control Darn. 5._ Indicate the reasons, either name, address andlor location 6._ The new well owner must sign the document Print or type your name in the first block. If signing as a representative of a company who owns the well, then your title must also be included in the first block. Sign the second block and date the last block 7._ We can not locate the permit for this well with little or no information, please contact your local tax assessor for the legal description of your property. Names of previous owners, and Subdivision, lot and block number may also help in the search. Thanks. Other. Tr tea Ito c ( 1-Ctic ,41C made- 4.64.....12. d—�/`� " n ,1 aWe CENTRAL WELD COUNTY WATER DISTRICT January 11, 2001 Edward D. &Janet K. Schmidt 24250 Weld Co. Rd. 58 Greeley, CO 80631 RE: Water Service Dear Mr. & Mrs. Schmidt: This letter is in response to your request for water service to serve the following property described as follows: Part NW'/. Section 18, Township 5 North, Range 64 West, Weld County, Colorado. Water service can be made available to the above described property. Submitted herewith is the cost for one 5/8"tap and meter set at Weld Co. Rd. 49 '/2 between 56 & 58: 5/8 "Tap Fee $18,600.00 TOTAL DUE $18,600.00 Upon receipt of the above "Total Due" and appropriate documentation the District will prepare a work order for the installation of the meter set. The District requires a 30 day notice for a tap installation. The cost estimate and availability of service is good for 30 days. Please note that you are responsible for confirming that this property has met the requirements of Northern Colorado Water Conservancy District and the Bureau. Central Weld cannot issue a tap until all requirements are satisfied. Due to the rapid cost increase of raw water, existing tap fees may not apply for water service to this property. The District will not notify, by separate letter, any prospective landowners or land purchasers of tap fee or line extension cost increases. Pursuant to District policy, the Tap Fee and/or Capital Improvement Fee will have to be paid in advance to the District by the prospective customer. If you have any questions regarding the above,please contact this office. Sincerely, CENTRAL WELD COUNTY WATER DISTRICT r o W. Zadel eral Manager JWZ/rg 2235 2nd Avenue • Greeley,Colorado 80631 • Phone(970)352-1284 • Fax(970)353-5865 John W.Zadel,General Manager CENTRAL WELD COUNTY WATER DISTRICT January 9,2001 Edward D. & Janet K. Schmidt 24250 Weld Co. Rd. 58 Greeley, CO 80631 RE: Water Service Dear Mrs. &Mrs. Schmidt: This letter is in response to your request for the availability of additional water service for the following described property: Part E '/2 NW '/a and NE 'A SW ''A of Section 18,Township 5 North, Range 64 West, Weld County, Colorado. Water service is presently available to the above described property by tap number 1622 located at Weld Co. Rd. 58 between 49 & 51. Additional water service can be made available to this property provided all requirements of Central Weld County Water District, Northern Colorado Water Conservancy District and the Bureau are satisfied. This property has been petitioned into Northern Colorado Water Conservancy District. Central Weld County Water District requires that contracts be consummated within one (1) year from the date of this letter or this letter shall become null and void unless extended in writing by the District. Please contact the Central Weld office for further information about water service. Due to the rapid cost increase of raw water, existing tap fees may not apply for water service to this property. The District will not notify, by separate letter, any prospective landowners or land purchasers of tap fee or line extension cost increases. The cost of a tap fee and/or improvements will have to be paid in advance to the District by the prospective customer in accordance with. District policy. If you have any questions regarding the above,please contact this office. Sincerely, CENTRAL WELD COUNTY WATER DISTRICT } 111" Al p f W. Zadel, Manager JWZ/rg 2235 2nd Avenue • Greeley,Colorado 80631 • Phone(970)352-1284 • Fax(970)353-5865 John W.Zadel,General Manager JAN-25-2001 11 08 P.01 � • r11 Nicomo. b 5� 11 Ili • Phone a Phones RUNTY HEALTH DEPARTMENT Rod* (35a 1/4. fe�a 3NUE COURT, GREELEY, CO 80631 • T 5 EXT 2225 FAX (970) 356-4966 renalea Permit # : SP-9700515 Sec/Twn/Rng: Status: ISSUED-, Permit Type: RIVEN C-ceneercial, R-residential + NEW, REPair, VauLT Applied: 11/24/1997 Parcel No: 0963 18 200053 Issued: 02/03/1998 Finaled utAr nn© .i ,10 Location: 24250 WCR 58 18-5-64 btr • Legal Desc: LOT B RE-2090 24250 WCR 58 APPLICANT CONESTOGA DEVELOPMENT Phone: (970) 568-3886 P.O. BOX 689, WELLINGTON COLORADO 80549 OWNER SCHMIDT ED & JAN Phone: (970) 356-4108 SEPT-INSTL DOUG SWENSON EXC Phone: (970) 481-6606 11676 N HWY 287, LAPORTE CO 80535 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres: 77 . 00 Number of Persons: 2 Basement Plumbing (Y/N) : Y Number of Bedrooms: 3 .Bathrooms-> Full: 1 3/4 : 1/2 : • Water. Public (Y/N) : Y Utility Name: CENTRAL WELD WATER 'ater Private (Y/N) : Cistern (Y/N) : Well (Y/N) : • Water Permit No: Perco]ation Rate: < 5 .0 Limiting Zone: 02 ft 06 in Desc : SAND/GRAVEL % Ground Slope: Dir: . Soil Suitable (Y/N) : N Engineer Design Req'd (Y/N) : Y In 100 Yr Flood Plain (Y/N) : N • Ninimum Installation Septic Tank: 1000 gal Absorption Trench: sq. ft. Absorption Bed: 850 sq. ft . Actual Installation Septic Tank: COO gal Absorption Trench: sq. ft . 1 n+3� 'W 7 � Absorption Bed: (0( sq. ft . Design Type: lj (lholptiew • NOTICE The issuance eE 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 persuemt 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 12). This permit !e 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 vas contingent upon the final inspection of the coapleted.sysl em by the Weld County Health Department. oiac1 ►wash I7A X{' nii Environmental Specialist Date WOW SiS SEP D3 igggkIdtViit\CO TOTAL P.01 Hello