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:nolic,ula. •/pe •ar ( I A ?caMITTO USE GICUNO wA T E:l ,JUN29 Is 37
Yint in • nl•tC4tUi12.�' )�S� ( I A PERMIT TO CONSTRUCT A WELL
U;-1L�07 t�:`i ? IJu�
ro
iN.< NO mrcnlmt ct FOR: IAPERMIT TO INSTALLAPUMP OJ?{7? 21 r r
r—.Ee oraturet unlot•llATel +b-•tSo^-
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( NI CPLAC�MENTFOR NO. • VATRES PC012 -;1 .
nidalaa. •;.wtC•eyeabt IXJOTHCRr _jj +a.
• wATIrz COURT CASE Na. Lit .u- 'e _o
ill A'PLICANT• mailing address �— a `Q
•
FOR OFFICE USE ONLY a9 ,VO' :4fIITE 1N TiIS CO LUhIN
' NAME Jerrold A. Jamison L fA; Sl
Receipt, . 72/a
S'RE_i 7^t I/ 11 r, 41 tf) •
"` `�' �
Satin . '
cry °t• Gunton Colo. 806°1 �--= Diet.
st.r.t ILIof AUDITIONS Op qoo t
TELE?HDNE,VO.1=8$7- 191 or 571 57G! •. 90141
•
This well shall be used in such away as to 'cause
(ZI 4OCATIQV ng'PgOrn4rn evrlI no material injury to existing water rights. The
' issuance of the permit does not assure the applicant
that no injury will occur to another vested water
Canty right or preclude another owner of a vested water
—� Weright from seeking relief in a civil court action.
_:: of the Sr_ . ;:, Socdon 1� ..
1) APPROVED PCII sith IIICD24S3 Di USZ OF AN
Two.2_1__,.IHaI' Rnq. Ar I CIS IVG WRLI, PLI2SUAV b C.R.S. ?7-90-137(4)IC.wl - 'i�- -P M A(NU[�1.� pLYpIVCS OF 2g� STAi^i �t1Gi�iR DA1 iJ(C) 'HATER USE AND WELL DATA %�D"tu�i'AL
rOWRO A73RACr .LVNUAL 1MOUAT OF CAT?I1
•
TO II& WITHDRAWN )Y MIS ALL IS 3 ACS—FEE';.
3) Tlu? •Ll.`(Liu,j ?L'•r?ING it&ri OF TIQ WELL SUiLL
Proposed maximum pumping rite (open) 1 S NOT EXCRRD IS CALLOUS PIM• ;chivies.
n) CItOUND HA•1p11 PRODUCTION :imam TrrIS WELL Site
✓-''ge annual amount of found water U WHICH
LIMITED TO TM (•ARA4 -FOX 1(ILL.S AOUI uR
It. . appropriated (un fgro H( IS LOCA;t:D 33O FEl BELOW LAND SURFACE
- CASINOTMUST PC T STALL 0;' 6G0 Flf:T. PL•lIN
NT
`Z Humber of aces to be irrigated:mar• J PTIJ3u A,ID S•• r•:. ,
▪ OUI1.1{R, L DAr. OF GROUND HATS „a O j ri .
Proposed total depth•(feet): 47I wOY� M R FUND OITO ri
P
(Tr/1 !tN AQurf rC1. , . O!•' GROUND HA:I:aZ
▪ •a4 A ItOTAL1ZI;!(. w HEM MUST
Aquilergraund waterls to Da obtained from: a US$ OF rUr. P? •44 CANC'S(S Pr{ err NOAI.L2Dc
Tom. t rT , (. OTE: NON-CONSTRUCTION CONDITIONS TIO. E3l lrr.
FDIDINCS) ,
i��� 7 '/Y-Y7
Cwner't well designation ' •
•
a3�UWATr•9 TO gF IfcFn t o. ,
( I HOUSEHOLD USE ONLY•no irrigation (0$ •
L C COMESTIC III Oil INOUSTRIAL. (5)
I •
� I L:vESTOCX 121
l� COMMERCIAL IJ) ( "I G MUNICIPAL ( (GI
1 'I (01
! I OTHER f01 .
. DETAIL THE USE ON OACK IN (111 PPLlCA�ION APP90
i4) Oql• I�_c� PERMITNUMOCR 032004 -i
Name T4
DATE ISSUED J :� O i]1 1.' +
Nan" „ EXPIRATIONCATE_ jUi 'r f 'ORq
^o�i_ , a . ids /.
.:2.u, ,...I I : ' N(;•t .II �_
Taco_none No. 35;-:738 , 'CO I 7Y \'� �'�� ..�
L.c.No.�_ \ 71 t \7 nrn7� -A rte. :?•-•
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2006-2493
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wILCn Ne al[r will �•":'� ',l��L and the Pt S4 an I (G) TL ,LI ' '
.• Us. :h. C_tI T II 'x atca m 'err,
un ln. and allow.' - . _ 11 c- , . „ _ .
SGCT:C.V II s._,ran, dle nm by '• 1., l._ _..C.:T._O.q _ •
trio acrr) for the well location. ��Yr��C��tn�ne�z Iron t' '-• • I1 et '�� .
•4.--__--1 MILE,Sb0 FEET }I - ,41..."7`.-r..____.-
:�n e, wgi,n I•
r^'- 1 i t -I-• .L l am- -�. t from_�1
' I . I•In a— %t=.Tina
( I LOT QLOCK_ -ILING •_
.i,.. _ 1 NORTSf SE7taN LIMP ..
( I f _ SUOOIVIStaN '• •.
NORTH, • �.,� �. I I �) LL.L?A. TEIJ ,Y41 H Nct L '— VfrC
A `I I I , -f- .L Ownar. Jnrraid Jami:an
I
I I� I No, of fcr.t G
I y r _ I I^ I . 'Nil( this Sn.
W I In lhe only wall on this Ir,rl Y,.n
W to (Q) PROPOSED CASING PROGRAM
-it- : 1. S _ J. __ + X Iz ..I.. .et
i • Pisln Gating
1 I A I h- St blffrom
_ —Q_ fL to- --_tL
I • I . r, 1
SOUTH:EcrI ON LIN 2 P-stingre�^��ft.to 204�,�(y-' -�' .1 Perforated wslnq
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I L 1 _L o ot��Q �t(I_ft. ;°S t
• IT. to—�_ :L
I : •.,-1- L �' • .• .r?• t,.: i (9) FOR REPLACEMENT WELLS givedi:since
. . .', • ...•' •LJ I, ..•! I•. .•. .4_,..
-}..• _ It: direction Tram Old well and pons larplugging
•f I• .The seal. of the die a It:
••• Exh small `� m'h2lnctiay:'1 mile ,snwre reorients 40 acrin: .__
• WATER CrLTAtli:E•IRovicled Fl
;r•An ecre•loot corer I *CI i land i( P+rwl
.i cubic loot per t end.l loaf d.eo• • : .
eoonJ'ICfr1 .; 447•A ,emil?of wlrl • hytor rmna minute• •o•
• s tomato,no a.lh ergii 7aomr
' ' •1 .cre.leet..,40,540 Cubic legit r t 3 7411or . waN Yw
', . . 1,000 Ton p„mo,.d con tinuou try hymned.", >•I:Ne
d.v o•aausn a',a7 rorl«t. •
1101 ! ANC) N 'NH H f N 'N
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Cwn.rni: Jnrrnld ,1' Jnm , •
Legal detcrintlan: /, P 71
No.o( aeres: G(]
^ ir. h
;111 vETAILFn I'1FQ(`arnrr I • ' r
WYtt.m to be used. of the use at ground vote: Houwhold use and domertic wells mart Indicate
^ r c I type of di,p'a,a!
•
1121 0",±•R "/ATFry RtC TC
- - ---�". used an this land; Including wills. Give
Type or right Aagl:7ation and Water Cain Casa 'Numbers.
Used for(purpose)
Wane
se Description of land an which used
(12) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
'-.U'E TO THE EST OF HIS KNOWLEDGE.
:l InOAA, tC'^T ' 1 r ,
Ut4 addtdana ,l,.ets of p.M, If more loin. I, r--..;._.,
•
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.//
FLNOINGS CF THE STATE ENGINEER
IN THE MATTER OF AN APPLICATION FOR A WELL PERMIT IN WATER OIVISION NO. 1 ,
WELD COUNTY, COLORA00
APPLICANT : JARRALO A. JAMISON •
•
AQUIFER : LARA,MIE-FOX HILLS
PERMIT N0. : a 0 0 4- F
•
In compliance • with C.R.S. 37-90-137(1) and the Statewide Nontributary
Ground Water Rules, Jarrold A. Jamison, 15721 Weld Co. Rd, 10, Ft, Lupton,
•
Colorado 80621 , (hereinafter "applicant") submitted an application for a
permit to construct a well . [lased 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
June 29,• 1987.
2. The applicant proposes to increase and expand the use of an existing
. well , Permit No. 84494. Permit No. 84494 was issued on June 23, 1976
for domestic purposes . Well construction was completed on January 0,
1978 to a total depth of 410 feet with perforated casing installed
from 330 feet to 419 feet deep.
3. The well is located in the NE 1/4 of the SE 1/4 of Section 32,
Township 3 North, Range 65 West, 6th Principal ,Meridian.
•
4. The well is located outside the boundaries of a designated ground
water basin.
•
•
S. The applicant proposes to apply the water withdrawn from the well to
the following beneficial uses : Domestic, commercial, industrial , and
irrigation.
•
6. 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 3 acre—feet.
7. The applicant is the owner of the land on which the well is
constructed.
8. The well withdraws ground water from the Laramie-Fox Hills Aquifer
(hereinafter "aquifer") , which, according to the Denver 3asin Rules,
is located 330 feet to G60 feet below land surface at the location of
the well .
9. The location of the well is .more than 600 feet from any existing well
completed in the aquifer.
Applicant : Jarrald A. Jamison Page 2
Aquifer : Laramie-Fox Hills
Permit No. : 3 >,Oo•{- 1-
10. •According to a sworn statement, the applicant owns, or has consent to
withdraw ground water underlying 40 acres of land as further •
described in said statement, which 1s attached hereto as Exhibit A.
11 . 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) .
•
12. 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 aquifers life
of 100 years, C.R.S. 37-90-137(4) (b) (I) .
13. The quantity of water in the aquifer, exclusive of artificial
recharge, underlying the 40 acres of land described in Exhibit A is
960 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 160 feet.
14. A review of the records in the State Engineer' s office has not
disclosed that there are any other existing wells or other water
rights claiming or withdrawing 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.. mr
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 3 acre-feet (the quantity of
water requested by the applicant) .
b. The maximum pumping rate of the well shall not exceed 15 gallons
per minute.
c. A totalizing flow meter must be installed on the well and
maintained to good working order. Permanent records of all
diversions must be maintained 5y the well owner (recorded ac least
annually) and submitted to the Division Engineer upon request.
' •2.020 a . , . . • .mot
•
•
;;• � Applicant : Jarrald A. Jamison Page 3
' Aquifer : Laramie-Fox Hills
Permit No. : .3 10041—,C .
•
• •d. Production is limited to the Laramie-Fox Hills Aquifer. The well
must be constructed with plain, non-perforated casing properly
grouted so as to prevent intermingling of water between aquifers.
e. 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 reason-
able satisfaction of the State Engineer that no more 'than 98% of the
water withdrawn will be consumed.
f. The owner shall mark the well in a' conspicuous place with appro-
. pr.'iate well permit numbers, name of the aquifer, and court case
numbers. He shall take necessary means and precautions to preserve
these markings .
g. Use of this permit cancels permit No. 84494.
Dated this 'q-4h day of ll��s , 19 c7 ,
•
• + s . Danielson •
• State tngineer
•
8y: Q 1.12 \ (1 1
Steve Lautenschlager
Water Resources Engineer
Ground Water Section
•
Prepared by: KVH
0992!/Farm 10546(a)
ritreje-
4
2na l� ter_
-• •-• -- L..;LUHAOU O!'4SiCN CF WA cy ncJCURGc:j
815 Cant.nn.0 8taq.. t31 :Ma St. O.nve. Coiu+aa 34144
(:0.Z) 3463;11
L=
war... PERMIT NUMBER 039679 . - _
FF _ -`IT OIV. 1 CNi b. 62 WO ? OES. BASIN MC
Lot: Block: Filing: Subdiv:
APPROVED 'NELL LOCATION
COUNTY WELD
r_ VE 1/4 SE 32
JXR aZ.D A. JAMISO,r 1/4 Sectcn
15721 TWCR 10 Twp 3 V , Range 65 a 5b _
FT LUPTCN CO 80621
DISTANCES FROM SECTiCN LINES
303/554-0250 1331 Ft. from South Section tyre
377 Ft. from aas` Secion Line •
:ERMIT TO CONSTRUCT WELL
•
ISSUANCE OF THIS PERMIT OCES NCT CONFER A WATER ER RIGHT
CONOmONS OF APPROVAL
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 cr preclude arc:r.er
owner of a vested water right from seeking relief in a civil court action.
1 The construction of this well shall be in compliance with the Water Well Construction and Pump !nstallaticn Ruies
2 CCR 402.2. unless approval of a variance has been granted by the State Board cf Examiners of Water Weil
C9zstrucicn and Pump Installation Contractors in accordance with Rule 17.
.oved pursuant to CRS 37-90-137(4) and the findings of the State Engineer darted August 29. 1991.
The maximum pumping rate shall not exceed 15 GPM.
The average annual amount of groundwater to be appropriated shall rot exceed 4 acre-feet.
Production is limited to the Laramie-Fox Hills Aquifer which is !coated 330 feet below land surface and extercs :o
a deoah of 860 feet. Plain casing must be installed and sealed to prevent the withdrawal of ground water from c.ter
aquifers and the movement of ground water between aquifers.
The entire length of the hole shall be geophysically logged as required by the Statewide Nontribt.2arf Ground Water
Rules prior to installing casing.
This we!! shall be constructed not more than 200 feet from the location specified on this permit.
A :ctalizing flow meter must be installed on the well and maintained in good working order. Permanent reccr:s cf
all diversions must be maintained by the well owner (recorded at least annually) and submitted :o :he Division
Engineer upon request
The owner shall mark the well in a conspicuous place with well permit number(s), name cf the aquifer. and court
case number(s) as appropriate. The owner shall take necessary means and precautions to preserve :hese
markings. Gas )ZG)gI
c.z • to .
Star. _ngmear 3v ...
0_ _330 � __• 11IIC •
Applicant: Jarrald A. .'-mison Page 2
Aquifer: Laramie-mac.. ,-
Permit No.: 3?G79-F
12. The quantity of water in the aquifer, exclusive of artificial recharge, underlying the 40 acres
of lard described in Exhibit A is 9660 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 160 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 withdrawing ground water from the aquifer
underlying the !and claimed by the applicant. Well permit no. 32C04-F is valid and allows
the annual withdrawal of 3 acre-feet of 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 far 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 tram the aquifer by the
well shall not exceed 4 acre-feet (the quantity of water which has been requested by the
applicant).
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 boas 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 gallcns per minute.
e. A totalizing flow meter must be installed on the well and maintained in cccd working
order. Permanent records of all diversions must be maintained by the well owner
(recorded at least annually) and submitted to the Division Engineer upon request.
f. Production is limited to the Laramie-Fox Hills Aquifer. The well must be constructed
with plain, non-perforated casing property grouted so as to prevent irtermincling of water
between aquifers.
g. Pursuant to C.R.S. 37-9C-137(9)(b) and the Denver 3asin Rules, no more than 98% of
the ncntrtbutary ground water withdrawn annually snail 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.
Applicant: Jarr-'d A. Jamison Fa
• Aquifer: Lary Fox Hills
Permit No.: c-,`1rQ74- F
h. i ne owner shall mark the well in a ccnspicuous place with appropriate well c=
numbers, name or the aquiver, and court case numbers. He shall take necessary
and precautions to preserve these markincs.
Dated this ?9 day of < , 19 q/
a -`
ris . Danielson
State Engineer .
Bruce E. DeBrine
`hater Resource Engineer
Prepared by: SAJ
0301 F.saj/Form #0546(o)
(April 1987) 1' •
"t
"STATE OF COLORADO
OFFi..E OF THE STATE SNGLYZZR
DIVISION OF WATER RESOURCES
•
NOTICE OF CCHwENCEMINT OF BENEFICIAL USE
Well Permit No. 039679 -F
•
/ELL OWNER-Mailing Address
ram" JARRALD A. JAMISON • Telephone No. 1-303-554-0250
address 15721 WCR 10 FORT LUPTON COLORADO 80621
(Street No. ) (City) • (State) (Zip)
;ELL LOCATION (WELD COUNTY) .
• 6th
NE 1/4 of the SE 1/4, Section 32 Twp. 3 N 65 W Rng. PH
•
1331 ft. from SOUTH Sec. Line & 377 ft. from EAST Sec. Line
ate of first beneficial use of ground water: OCTOBER 21 , 19 91
Se of the ground water • DOMESTIC, COMMERCIAL AND INDUSTRIAL
•
(we) claim and say that I (we) am (are) the owner(s) of the well described'
hove and that the commencement of beneficial use of ground water from this well,
a filly made under the well permit, occured on the date indicated; and that the
tatmeats Made herein are true to ay (our) knowledge. This notice is filed in
coordance with Section 37--SO-137(3) (a) (II) , C.E.S.(3V41-taCjignature o (Date)
,NST.YGCTIONS
his fors is required for wells approved under permits issued pursuant to the
revisions of Colorado Revised Statute 37-90-137(4) and must be filed with the
ivision of Water Resources within 30 days after the first commencement of use.
ype or print neatly in black ink. This fora say be reproduced by photocopy or
ord processing ins.
(DWE OFFICE USX ONLY)
•
1313 Sherman Street 8th Floor Denver Colorado 80203 (303) 866-3581
AR216914S B 1222 REC 02169148 01/26/89 14 :09 $12 . 00 1/004
F 1811 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
LEASE
THIS LEASE made and entered into this th day of
December, 1988 between MOSER FARMS, INC. of 22468 WCR 30 , Hudson ,
Colorado 80642 , hereinafter "Moser" and TIRE MOUNTAIN , INC. of
12311 WCR 41 , Hudson , Colorado 80641 , hereinafter "Tire" , and
WITNESSETH
WHEREAS , Tire is the owner and operator of a tire land fill
and recycling operation located in part of the Southeast One
Quarter ( SEf ) of Section Thirty-two ( 32 ) , Township Three ( 3 )
North , Range Sixty-five (65) West of the 6th P.M. ; and
North
WHEREAS , Moser owns property located in the t Half
• (N} ) of Section Nine ( 9 ) , Township Two ( 2 ) North , Range
Sixty-five ( 65) West of the 6th P.M. ; and
WHEREAS , said Moser property has two adjudicated wells ,
( 1 ) Well Permit No . 3507F for 1 , 000 gallons per minute and ( 2 )
Well Permit No. 20370-R for 1 , 000 gallons per minute; and
WHEREAS , Tire desires to enter into a lease agreement with
-- Moser concerning the use and operation of the wells for emergency
fire fighting operations upon the property owned by Tire
described hereinabove;
NOW , THEREFORE , in consideration of the understanding ,
mutual covenants, rights, duties and obligations herein created ,
the parties hereto agree as follows:
1 . All of the foregoing recitals are incorporated herein
and made a part of this agreement .
2 . This Lease is expressly contingent upon Tire being
granted a Certificate of Designation and Amended Use by Special
Review for a tire land fill and recycling operation upon the
property owned by Tire. Said application for the Use by Special
Review and Certificate of Designation have been submitted to both
the State of Colorado Department of Health and Board of County
Commissioners of Weld County and are pending as of this date. In
the event the Use by Special Review and Certificate of
Designation are not approved in accordance with the applications
submitted by Tire , this Lease shall be null and void and all
parties released from the provisions hereof.
3 . For and in consideration of the sum of Five Hundred
Dollars ( $500.00) per year which shall be paid by Tire to Moser ,
Moser hereby agrees to lease to Tire the right to use the wells
1
B 1222 REC 0216.48 01/26/89 14 : 09 $1 .00 2/004
F 1812 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
described hereinabove for emergency fire fighting operations
appurtenant or necessary at the property described hereinabove
owned by Tire . The Five Hundred Dollar ($500. 00) annual payment
shall be paid by Tire to Moser on or before February 1 of each
year commencing February 1 , 1989 and due every year thereafter
during the term of this Lease.
4 . The term of this Lease shall commence January 1 , 1989
and be in effect for a period of ten ( 10 ) years unless sooner
terminated .
5 . As additional rights and considerations for the
granting of this Lease, Moser agrees to allow Tire to install , at
its own expense , necessary equipment and apparatus to allow the
wells to be used by the Platteville Fire Department for fire
fighting operations . All equipment and apparatus shall be
installed with the approval and supervision of the Platteville
Fire Department and Moser agrees to allow the installation of
such equipment . It is agreed that the installation of such
equipment is the sole responsibility and expense of Tire and Tire
hereby indemnifies and holds harmless Moser for the use and/or
operation of such equipment at any time . Moser further agrees to
allow either the Platteville Fire Department or Tire to test said
wells and apparatus at any time to assure proper flow and
operation .
6 . Moser agrees to provide all necessary electrical
connections and supply to keep the wells in good operating
condition such that the wells can be used on a year-round basis .
Moser further agrees to keep the wells and appurtenant pumping
equipment in good and operable condition such that the wells will
each provide not less than 500 gallons per minute of water for
eight continuous hours.
7 . Tire will be in default under this agreement if Tire
fails to pay the rent in full on or before the dates when it is
due or if Tire fails to comply with any of the affirmative
obligations set forth in this Lease which must be performed by
Tire . Moser shall be in default under this agreement if Moser
fails to comply with any of the affirmative obligations set forth
in this agreement to be performed by Moser. In the event of any
default by any party , the non-defaulting party shall provide
written notice of the alleged default to the defaulting party and
the defaulting party shall be allowed 30 days to correct any such
default . The 30 days shall commence as of the date of mailing or
delivering the written notice to the other party and all such
mailing or delivery shall be by registered or certified mail
postage prepaid and properly addressed or by personal delivery .
If , after 30 days the defaulting party has not corrected the
default , the non-defaulting party may terminate this Lease .
However , in the event of a default by Moser, Tire shall have the
2
B 1222 REC 02169148 01/26/89 14 :09 $14.00 3/004
F 1813 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
right to make any repairs , connections or adjustments to any well
to bring it into operation . All such costs incurred by Tire
shall be deducted from rent which may be owed by Tire to Moser.
8 . It is further agreed between the parties that Moser
shall not be liable to Tire for any damage or injuries caused by
any shortage of water from the use of the wells .
9 . Moser agrees not to abandon or terminate use of the
wells without the prior written consent of Tire . The parties
hereto understand and agree that the emergency use of said wells
is a requirement for the operations of the tire facility.
10 . This agreement may be modified or amended by all
parties hereby entering into any such modification in writing and
signed by all such parties .
11 . This lease may be renewed for an additional period of
ten ( 10 ) years by Tire . To renew this Lease , Tire shall give
written notice to Moser not later than November 1 , 1998.
12 . The parties agree that this agreement or a memorandum
of this agreement shall be recorded with the Clerk and Recorder
of Weld County , Colorado incorporating the provisions of this
agreement which shall bind not only the parties hereto but also
their heirs , personal representatives , lessees , successors and
assigns and the provisions of this agreement shall constitute
covenants running with the title to the lands described herein .
'.,•,WITNESS WHEREOF , the
•�'''�� t,Ri(IC parties hereto have executed this
a.tp em nt the day and year first above written .
es
<40 . •t
T` I. MOSER FARMS, INC.
D"''''.47.,46.2..) Varziltl I cemi4,O41 1---Mcp-I.An (<1.)....--t.
Secretary / \ President
\ e ..0''%
Ik ... ,%'� . o Cn ' TIRE MOUNTAIN, INC.
ta ° m
(:; :a :D r : cal%O�ty
dent44:r.L.,
�- a !/ SCet
ecretary
President
3
B 1222 REC :69148 01/26/89 14 :09 12. 00 4/004
F 1814 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
STATE OF COLORADO )
) ss.
COUNTY OF WELD )
Subscribed and sworn to before me this // 7-4
December, 1988 by !� day of
/(��••,<•, Cott/ and /Q.n..or /Leerw
as President and Secretary respectively of Moser Farms , Inc .
,.,�� """' it'Wness my hand and official seal .
do •. '',.
o• *• My.; commission expires : /1—`J Z
▪ 1'180 ,
STATE OF COLORADO )
) ss.
COUNTY OF WELD )
Subscribed and sw to before me this day of
„.<1.w-Deoe,kb. r , 1988 by and
•?-:•'as'71)4: 4dent and retary r tively o Tire ta , nc .
1\01ARy
;Witness my nd and o icial seal ,
a 1,Nautn- ,Ry commission expires : - ,,;;yT .
r i � ° 774.1.1.60ANotary u lic
4
B 1227 RE 32173698 03/17/89 15: 22 $6 .00 1/002
F 0190 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
AMENDMENT TO LEASE --
AR ?3698
This AMENDMENT made and entered into this /7y/ day of
March , 1989 between MOSER FARMS , INC . of 22468 WCR 30 , Hudson ,
Colorado 80642 , hereinafter "Moser" and TIRE MOUNTAIN , INC . of
12311 WCR 41 , Hudson, Colorado 80641 , hereinafter "Tire" , and
WITNESSETH:
WHEREAS , on December 6 , 1988 Moser and Tire entered into a
Lease Agreement which was recorded on January 26 , 1989 in Book
122, Reception No. 02169148 of the Weld County Records; and
WHEREAS, Moser and Tire desire to amend said Lease ;
.NOW, THEREFORE, the parties hereto agree as follows :
1 . All of the foregoing recitals are incorporated herein
and .made a part of this agreement .
2 . Well Permit No. 3507-F for 1 , 000 gallons per minute and
located in the . North Half (Ni) of Section Nine ( 9 ) , Township Two
( 2 ) North , Range Sixty-five ( 65 ) West of the 6th P.M. is hereby
deleted and released from the December 6 , 1988 Lease . It is the
intention of this Amendment that Tire makes no claim and shall
' have no right to the use of said Well Permit No. 3507-F.
'3 . • As -.a replacement : for ..the..well•.described hereinabove at
`Paragraph 2, Moser hereby leases :,to .Tire Well Permit No . 2117-F
adjudicated `for 1 , 000 gallons per minute. Said well is located
' in the Southeast Quarter of the Southwest..Quarter (SEi SW ) of
Section Four ' ( 4 ) , Township .Two (2) North, Range Sixty-five (65)
-West df' the 6th P.M. , Weld County, Colorado . All terms , rights ,
duties and obligations of the December 6 , 1988 Lease are included
herein and shall be binding upon Well Permit No . 2117-F as if
said will were included in the original .Recember 6 , 1988 Lease .
• 4 . All other terms and conditions of the December 6 , 1988
Lease except as modified herein are hereby confirmed , ratified
and made a part of this amendment . It is further agreed that
this amendment shall bind the parties hereto including their
• heirs , personal representatives , lessees , successors and assigns
and the provisions of this amendment shall constitute covenants
running with the title to the lands described herein .
ATTEST: MOSER FARMS, INC.
Seal �� �/�
BY: / /1,',To •47 l By: a4-7---0.6e.‘" '',z` r7
Secretary President
1
B 1227 REC 0 73698 03/17/89 15 :22 ¢6 .00 2/602--
F 0191 ,MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
ATTEST: TIRE MOUNTAIN , INC.
Seal
By: /?rkee .-I/4^s--e,.- //!•s-et .
Secretary President
STATE OF COLORADO )
) ss .
. COUNTY OF WELD )
•` : `. S•ubscribed and sworn to before me this /,'7/— day of March ,
tu : • . Q y„ Ai() r.••,, r�lEcc' and ,',•t(c,L• v//xc.•
.1\• jeS1;iient and Secretary respectively of Moser Farms , Inc .
ate:;aD L\G b'Kteiess my hand and official seal .
r •My commission expires :
Notary Public
STATE OF COLORADO )
) ss.
COUNTY OF WELD )
Su scrib d sworn to before me th ' s 3 of Marcht
1989 by
as Presi a d Sectary espectivelydo Mount. , Inca
Wi ness my hand. and off CiaJ sp i _
; : 6 o15.0 .oission expires :
J'-n;. , r : tary P'ubllc
OF (V��Q
2
B 1227 REC J2173698 03/17/89 15 : 22 $6.00 1/002
F 0190 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
AMENDMENT TO LEASE
ARr"-)3698
This AMENDMENT made and entered into this /1/A day of
March , 1989 between MOSER FARMS , INC . of 22468 WCR 30 , Hudson ,
Colorado 80642 , hereinafter "Moser" and TIRE MOUNTAIN , INC . of
12311 WCR 41 , Hudson , Colorado 80641 , hereinafter "Tire" , and
WITNESSETH:
WHEREAS , on December 6 , 1988 Moser and Tire entered into a
Lease Agreement which was recorded on January 26 , 1989 in Book
122 , Reception No . 02169148 of the Weld County Records; and
WHEREAS, Moser and Tire desire to amend said Lease ;
NOW, THEREFORE, the parties hereto agree as follows :
1 . All of the foregoing recitals are incorporated herein
an'd made a part of this agreement .
2 . Well Permit No. 3507-F for 1 , 000 gallons per minute and
located in the North Half (Ni) of Section Nine ( 9 ) , Township Two
( 2 ) North , Range Sixty-five ( 65 ) West of the 6th P.M. is hereby
deleted and released from the December 6 , 1988 Lease . It is the
intention of this Amendment that Tire makes no claim and shall
' have no right to the use of said Well Permit No . 3507-F.
'3 . • As .a replacement : for the well • described hereinabove at
Paragraph 2 , Moser hereby leases :,to •Tire Well Permit No . 2117-F
adjudicated for 1 , 000 gallons per minute . Said well is located
' in the Southeast Quarter of the Southwest -Quarter ( SEi SW ) of
Section Four ( 4 ) , Township Two ( 2) North, Range Sixty-five (65 )
' West of' the 6th P .M. , Weld County , Colorado . All terms , rights ,
duties and obligations of the December 6 , 1988 Lease are included
herein and shall be binding upon Well Permit No . 2117-F as if
said well were included in the original fecember 6 , 1988 Lease .
4 . All other terms and conditions of the December 6 , 1988
Lease except as modified herein are hereby confirmed , ratified
and made a part of this amendment . It is further agreed that
this amendment shall bind the parties hereto including their
heirs , personal representatives , lessees , successors and assigns
and the provisions of this amendment shall constitute covenants
running with the title to the lands described herein .
ATTEST: MOSER FARMS , INC .
Seal �y�j Y���
BY: Ale° � ! ' L�\ By : � t.i r.cJl ( �!�!/CC3` QQT7
Secretary Presider. :
1
B 1227 REC 02_ /3698 03/17/89 15 : 22 $6 . 00 2/002
F 0191 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
ATTEST: TIRE MOUNTAIN , INC.
Seal
By: A /'I((e , '//( c-rip. AIorfiw: ir , /1c5',0c.
Secretary President
STATE OF COLORADO )
) ss .
COUNTY OF WELD )
%,.•:\,‘ C:- .7-.:.. .Subscribed and sworn to before me this /)y/'_ day of' March ,
it :. /MI It', and /7,•«cor' v//of n.
• Z. Q A 41cnt and Secretary respectively of Moser Farms , Inc.
'? : c,-O=<-0- :.. E.
` `•.;ioubL1c, 4l tPess my hand and official seal .
y '.k' ,
• '• e "7.e:•*" £'
(-chi/ commission expires : 0-t-9/
YXC4 :. f, l [c.c&.
Notary Public
STATE OF COLORADO )
) ss.
COUNTY OF WELD )
Su scribed d swore to before me this _� of Marc )t
1989 b ,� � } r 5
as Presi il� afd e tart'espectivelydo₹it i Mounta'' , Inc
Wi ness my hand and off.igi'k1 "21
m, -\\\\ti-, ,:era)ission expires :
;' G::jt:.. O
t' - . : r : tart' Public
•; :e. OF
2
•
SECOND AMENDMENT TO LEASE
THIS SECOND AMENDMENT is made and entered into this to tk day of May,
1999 between MOSER FARMS, INC. of 22468 WCR 30, Hudson, Colorado 80642,
hereinafter "Moser" and TIRE MOUNTAIN, INC. of 12311 WCR 41, Hudson, Colorado
80641, hereinafter "Tire", and
WITNESSETH
WHEREAS, on December6, 1988 Moser and Tire entered into a Lease Agreement
which was recorded on January 26, 1989 in Book 122, Reception No. 02169148 of the
Weld County records; and
WHEREAS, on March 13, 1989 Moser and Tire entered into an Amendment which
was recorded on March 17, 1989 in Book 1227, Reception No. 02173698 of the Weld
County records; and
WHEREAS, Moser and Tire desire to again amend and extend said Lease and
Amendment;
NOW, THEREFORE, the parties hereto agree as follows:
1. All of the foregoing recitals are incorporated herein and made a part of this
Agreement.
2. The Lease and Amendment are hereby confirmed, ratified and reapproved.
Said Lease and Amendment are renewed for an additional period of Ten (10) years. This
extension shall be for the time period commencing January 1, 1999 and ending on
December 31, 2008.
3. This Second Amendment binds the parties hereto including their heirs,
personal representatives, lessees, successors and assigns and the provisions of this
Second Amendment shall constitute covenants running with the title to the lands described
in the Amendment and original Lease which lands are located in the North Half (NYC) of
Section Nine (9),Township Two (2) North, Range Sixty-five(65)West of the 6th P.M.,Weld
County, Colorado.
TIRE MOUNTAIN, INC. MOSER FARMS, INC.
By:� By: e
F:UKFLVAMIS0MM0SER.AMD
11111111111111111 ���� ���� 1111111 Hilt iii 11111 ���� 1111
2693072 05/11/1999 01:43P Weld County CO
1 of 1 R 6.00 D 0.00 JR Sukl Taukamoto
641 I3111111111141 111111111111illlllrlN111111111County, 11111II1
1 of 2 R 11.00 D 0.00 Steve Moreno Clerk& Recorder
THIRD AMENDMENT TO LEASE
THIS THIRD AMENDMENT is made and entered into this 11th day of February,
2004 as of January 1, 2004, between B&M LAND COMPANY, A PARTNERSHIP of P.O.
Box 519, Hudson, Colorado 80642, hereinafter"B&M"; and RICK MOSER, GALE MOSER
and BRUCE MOSER of-11488-WCR 41, Hudson, Colorado 80642,hereinafter"Moser',
and TIRE MOUNTAIN, INC. of 12311 WCR 41, Hudson, Colorado 80641, hereinafter
"Tire",and -
WITNESSETH
WHEREAS, on December 6, 1988 Moser Farms, Inc.and Tire entered into a Lease
Agreement which was recorded on January 26, 1989. in Book 122, Reception No.
02169148 of the Weld County records; and
WHEREAS, on March 13, 1989 Moser Farms, Inc. and Tire entered into an
Amendment which was recorded on March 17, 1989 in Book 1227, Reception No.
02173698 of the Weld County records; and
WHEREAS, on May 6, 1999, Moser Farms, Inc. and Tire entered into a Second
Amendment which was recorded on May 11, 1999 as Reception No. 2693072 of the Weld
County records; and
WHEREAS, the above referenced Leases concern two irrigation wells being
identified as Well Permit No. 2117-RF and Well Permit No. 20370-RR; and
WHEREAS, Moser is now the owner of Well Permit No. 2117-RF; and
WHEREAS, B&M is now the owner of Well Permit No. 20370-RR; and
WHEREAS, B&M, Moser and Tire desire to again amend the Lease and
Amendments as well as to extend the Lease;
NOW, THEREFORE, the parties hereto agree as follows:
1. All of the foregoing recitals are incorporated herein and made a part of this
Agreement.
2. The Lease, First Amendment and Second Amendment are hereby confirmed,
ratified and reapproved. Said Lease and Amendments are renewed and extended and
shall now end on December 31, 2013.
3. Moser and B&M are collectively described as Lessor under the terms of the
Lease and all Amendments. Collectively, Lessors address shall be P.O. Box 519, Hudson,
Colorado 80642.
F:XFLUAMISOMMOSER AMENDMENT THIRD.wpd
i 11111 11111 MIMED Mr M1111 III! IIII
3157641 02/27/2004 04:28P Weld County, CO
2 of 2 R 11.00 D 0.00 Steve Moreno Clerk& Recorder
5. Annual payments for the lease of the wells shall be due on the 1St day of
February of each year during the term of this Lease with one-half (%) of the annual
payment to be made to B&M and one-half(1/2)payable to Moser with both payments mailed
to the address of Lessor as indicated hereinabove at Paragraph 3.
4. This Third Amendment binds the parties hereto including their heirs, personal
representatives, lessees, successors and assigns and the provisions of this Third
Amendment shall constitute covenants running with the title to the lands described in the
original Lease and Amendments as follows: Well No. 20370-RR located in the North Half
(NY2) of Section Nine (9), Township Two (2) North, Range Sixty-five (65) West of the 6th
P.M., Weld County, Colorado; Well No. 2117-RF located in the Southeast Quarter of the
Southwest One Quarter(SE%SWY,)of Section Four(4), Township Two (2) North, Range
Sixty-five (65) West of the 6th P.M., Weld County, Colorado; and Section Five (5),
Township Two (2) North, Range Sixty-five (65) West of the 6th P.M., Weld County,
Colorado, which is the property upon which the water from the above described wells is
used upon.
TIRE MOUNTAIN, INC. B&M LAND COMPANY
By: k,e
I ll�.�a�� By: . k 7 �p
„ Rick G. Moser, Agent
-gad 7-114-2-et
Rick Moser, individually and as agent
for Gale Moser and Bruce Moser
F:\KFLUAMISOMMOSER AMENDMENT THIRD.wpd
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WELL WATER SOURCE
\-- FOU FURL FDGU_hUNG
e 1
• S., t b. • APPLICATION^?El INDIVIIDUAL SEWAGE ISIS.'SAL SYSTEM No.a9?alq'
WELD COUNTY HEALTH DEPARTMENT Now L/
•-
ENVIRONMENTAL HEALTH SERVICES
1516 Hospital Road, Greeley, CO 80831 Repair
p n 353.0540 EXT. 270 ii ,q J RR )
OWNER_Tarret L7 4. Sam ' ADDRESS e24, eree`M J tital.elPHONE c9.-37—024"
ADDRESS OF PROPOSED SYSTEM .�sg L i.„22dA. L j_J.I G .a`- - S733-,2.J,
LEGAL DESCRIPTION OF SITE: PTT!f' .'�6 _.-a,T__. , R n*a`
SUBDIVISION LOT , BLOCK , FILING
USE TYPE: RESIDENTIAL era0 -1lg.. J7rPH�!_ INSTITUTION,
COMMERCIAL �7 —. OTHER
SERVICES; PERSONS..[—. BATHROOMS rR LOT SIZE 'GerC, Gl ref Br.
BEDROOMS S „ BASEMENT PLUMING /Zit J WATER SUPP If _
TYPE OF SEWAGE DISPOSAL REQUESTED: ^^,c S"° r Qc —Ai.yj4 't- /2 _
Applicant acknowledges that the completeness Of this a pilcetlon is conditional upon further mandatory and additional testa
and reports as may be required by the Weld County Health Department to be made and furnished by the applicant or by the
Wgid County, Health Department for purposes of the evaluation of the application; and the lequange of thepermit la subject_
—fa
t.uahterms and conditions as deemed necer,§ary'to Insure compliance with rules and regulations adopted under Article 10,
Title 25, CRS 1973, es amended. The applicant certifies that the proposed system will not be located within 400 feet of a com-
munity sewage system.The undersigned hereby certifies that all etatemonte made, Information end reports submitted hero. -
with and required to be submitted by the applicant are, or wilt be, represented to be true and correct to the host of my knowl-
edge and belief, and are designed to be relied onby the Weld County Health Department in evaluating the same for purposes
of issuing the permit applied for herein. I further understand that any falnlfloatlon or misrepresentation may result in the denial
of the application oorr avocatttiiioon ofany permit.granted based up said appiicatio n legal action for perjury as provided by law.
C
Application ea., •
^ tS/ ..
teed
Redd by Gc Dat OwnerAg t 'Ignature Date
k • • t t A N A * k • ♦ ♦ ♦ • ♦ i
FOR DEPT. PERCOLATION'RATE:• •;d.1 I/KJ- WATER TABLE DEPTH To
USE ONLY SOIL TYPE---di r41-• . �-� ''—1 o'•"^-- PERCENT GROUND SLOPE O
_
REQUIRES ENGJNEE,R;;DE, ON ( )YES,4 No
• * e a ♦ • t r y * A t • * t ♦ *,.t t •.• * * * * * * * * t e t A • • • ♦ • • * C h e e k • * * ♦ ♦ ♦ t
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
From the application information supplied'and the`.,on•site soil percolation data, the following minimum installation specifi-
cations are required: ') 6
SEPTIC TANK G'GALLONS, ABSORPTION TRENCH J" ,,_SO. FT.
er
ABSORPTION BED�_•aI716 SQ. FT.
In addition, this Permit Is subject to the following additional terms and conditions:
This Permit is granted temporarily to allow.constructlon to commence.This Permit may be revoked or suspended by the Weld
County Health Department for reasons Set forth in the Weld County Individual Sewage Disposal System Regulations, Including
failure to meet any term or condition Imposed thereon during temporary or final approval. The lssuence of this Permit does not
constitute assumption by rite Department or its employees of it Q
the failure or inadequacy of the sewage disposal system.
. .. . • t 1'�' Environmental Specialist D to /
This Permit Is not transferrable and shall beeoirfe.vbidif system construction has not commenced within one year of its issuance.
Before issuing final approval of this Perrnitahe?We.Jd County Health Department reserves the right to impose additional termo
and eondltiona required to meet our regulations on a continuing basis. Final Permit approval is contingent upon the final in-
spection of the completed ayotem by the Weld County Health Department.
SYSTEM CONTRACTOR FINAL INSPECT' �'3I—� qSYSTEM ENGINEER — - APPROVAL d
nvironmental Specialist Date
The Issuance of this Permit does not imply compliance with other state,county or Incas regulatory or building requirements,
nor shall it act to certify that the subject system will operate in compliance with applicable stale,county and local regulations
adopted pursuant to Article 10, Title 26, CRS 1,973, as amended, except for the purposes of establishing final approval or an
installed system for issuance of atonal occupancy permit pursuant to CRS 1073 25-10-111 (2).
Original-Applicant;CopyWCI-(D — . . .. WCHD—EHS February, 1981
.
it'— 71
' a_.__... , . -.
-
IS 4
•
e2`II
--gip
7z -,
[ 7
i6� 65
, -, aottart4it—'ari.'
1.5
60 z( '
5 9 21
o �s�
L(Fe •
VV\__....---- ---....-----...
0 w QD
"�
DER ..? ic:....::.:.) ( ....... -1----5-\\*C
49
�, lipz-c, ,8l•i��,..‘,........ ci
• % and vo o
• el an
1004 a50441....
Ern c, -7-AQK O)ii-NI \
rlestrilONI 630x- L %�, .5.03 O .a C)
S. M SITE
qO
O rA
,
O ^ toROAD Z6. ) I
VICINITY MAP
SCALE . P cLoot0
DESIGN DATA:
DISTRIBUTION BOX: ALL SURFACE ABSORBTION SYSTEMS SHALL BE EQUIPPED
WITH A DISTRIBUTION BOX WHICH SHALL BE INSTALLED LEVEL ON
UNDISTURBED SOIL. COMPACTED SOIL. OR ON A CONCRETE SLAB POURED IN
PLACE TO PROVIDE EQUAL DISTRIBUTION OF SEPTIC TANK EFFLUENT TO EACH
LINE. FOR TESTING PURPOSES. AN ADEQUATE AMOUNT OF WATER SHALL BE
PROVIDEDI . DISTRIBUTION KBOXES SHALL THE LEVEL OHAVE F EREMOVEABLE INLET AND OUTLET LINES.
COVERS
2. EACH LATERAL SHALL BE CONNECTED SEPERATELY TO THE
DISTRIBUTION BOX.
3. THE INVERTS OF OUTLETS SHALL BE AT THE SAME ELEVATIONS AND
THE INLET INVERT SHALL BE AT LEAST ONE INVERTS. THE OUTLET INVERTS SHALL BE AT(LEAST THREE11 INCH E THE
(3) INCHES
ABOVE THE BOTTOM OP THE DISTRIBUTION BOX.
4. THE DISTRIBUTION BOX SHALL BE WATER-TIGHT AND ALL PIPES SHAL1.
BE GROUTED OR CEMENTED. THE BOX SHALL BE LOCATED A MINIMUM OF FIVE
(5) FEET FROM THE SEPTIC TANK.
5. OUTLET LINES FROM THE OF SOLID WALL PIPE FOR DISTRIBUTION
A MINIMUM OFFIVE ()X O FEET.THE LATERALS SHALL BE
USING WELD COUNTY ISDS DESIGN GUIDELINES:
6 SHOWERS ! 14.7 GPPD - 88 GPD
8 PLANT WORKERS 4 35 GPPD -280 GPD
4 OFFICE WORKERS 4 15 GPPD - 60 GPD
TOTAL • 428 GPD x 1.5 PEAKING FACTOR - 642 GPD LOADING.
_____..., ecrorntitrnH RATE AS TESTED_BY THIS FIRM OP 23 MINUTES
PER INCH: ABS0WSTIoN I71:U Nina, A • tw: VI /4.0
- 642 Vn73.5
879 SQUARE PEET AREA
x1.3 BED (VS. TRENCH) DESIGN FACTOR
1 . 144 SQUARE PEET ABSORBTION BED
REQUIRED
THE DESIGN SHOWN OH OUR PLANS FOR THIS SITE. FILE 32-3N5-08 INDICATE
AN EXISTING ABSORBTION FIELD OF 12 FEET BY 42 FEET
OR 504 SQUARE FEET. TOGETHER WITH AN EXISTING 1250 GALLON
SEPTIC TANK AS INDICATED. THIS ISDS SYSTEM IS BEING INCREASED
IN SIZE BY 642 SQUARE FEET WITH AN ADDITIONAL BED SIZE OF
16 FEET BY 42 FEET TO MEET THE BED SIZE REQUIRED.
ALL CONSTRUCTION IS TO BE ACCORDANCE WITH WELD COUNTY. COLORADO.
HEALTH DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS.
CERTIFICATION:
I HEREBY CERTIFY THAT THE SEPTIC- SYSTEM DESIGN SHOWN ON THIS PLAN
WAS DONE BY ME OR UNDER MY DIRECT SUPERVISION AND IS ACCURATE TO
THE BEST OF MY KNOWLEDGE AND BELIEF.
st `ric. r*6v tJ ExPtJJslokl FoR; COtO.
N�,,,,."......••• . iNG11JEeATlON 56 vIc 5 ;IT 12311 hl C R 41/
, . WUPSotJ , WELD CDur1TN(t cot-0CP,co.
i 3 •
iALPHA ENGINEERING
N;g_ZO- 517 514 STREET-P.O. 501 392 • von LuPTON, COLORADO 63521
9 ' METRO 1303)573.5e. • FORT U,TOM 1303)057-230•
,%ytt.•F. 4L : •
to; ..... REVISIONS 9Y DATE PREPARED FOR 2iC14 VITO
,„, cot
._
DRAWN 51'K S OCALE b� OTED
teen It. Crowe, P.E. *OOH DATE 8 - '9- 9/
12330 _ _ PAGE PILE NO. 31J5 -O$
B t O:.. MEE
. •
g' t• DEPARTMENT OF HEAITI-
s
,57a plasma_ROM.
63
GREELEY.COLORADO 00
re-
• ADMNI$TRATION[303)353.0581
■ Y HEALTH PROTECTION 130J)353- cu:
t{ COMMUNITY HEALTH poi)353.06:r
Willie
COLORADO STAFF APPROVAL OF ENGINEER DESIGNED SYSTEM
The engineer—decignod Individual Sevaso Disposal System proposed for the
property located ac /2 3 (( GI C R. 9/ •
and designed by A/n4_ £nf,„ce ,c. . is hereby
approved subject to the following conditions:
172 Id Co.•SIRnice( Reit_ in .netiC. •Des,1,, ,
To A ketc *0 141/ co.,r1-7 o- Ste f 1 G „S. ))..5. iteg4/A#,on$. ,
•
..0---
If LRR•Ta L.l}.n,Son . applicant for T.S.D..S. Permit No.G• 9/19165
-
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 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 chat I proceed ac my own risk and chat I
nay be required by the Board to remove any or all of the system installed
priorto Doard of Health consideration of my application.
j
Etleed/47,61 ca Q
Director, Health Protection Applicant
$ —as— 9i
Date Date
HSr•106P APPLIL.- ION FOR INDIVIDUAL SEWAGE DISC AL SYSTEM NO. G-PAp1s:
I
WELD COUNTY HEALTH DEPARTMENT REPAIR APPLICATI0:
ENVIRONMENTAL HEALTH SERVICES
1517 1ATH AVENUE Cr11IRT, GREELEY, CO 80/,31
353-0635 EXT.2225
OWNER JAMISON, JARRALD ADDRESS 15721 WCR 10 PH (303) 857-219
• f T LU('YON CO 00642
ADDRESS OF PROPOSED SYSTEM 1231i WCR 41
HUDSON CO 80642
LEGAL DESCRIPTION OF SITE: NE4 $64 SEC 22 TWP 3 RNG 65
SUBDIVISION: LUT 0 BLOCK 0 FILING V
USE TYPE: COMMERCIAL MAIN DLDG -- PERMIT 0G--070003
SERVICES: PERSONS 12 RATHROOMF. 7 .00 If1T SIZE 3.90 ACRES
BEDROOMS 0 BASEMENT PLUMBING NO WATER SUPPLY PWELL
APPLICANT ACKNUWLEDI,ES THAI IHE CUMNLEJLNL•XS OF THIS APPLICATION IS CONDITIONAL
UPON runnier( MANDATORY AND ADDITIONAL TESTS AND REPORTS AS HAY BE REQUIRED BY THE
WELD COUNTY HEALTH DEPARTMENT TO BE MADE AND FURNISHED BY THE APPLICANT OR BY THE
WELD COUNTY HEALTH DEPARTMENT FOR PURPOSES OF THE EVALUATION OF THE APPLICATION)
AND THE ISSUANCE OF THE PERMIT IS SUBJECT TO SUCH TERMS AND CONDITIONS AS DEEMED
NECESSARY TO INSURE COMPITANCF WITH RULES AND REGULATIONS ADOPTED IINDFR ARTICLE
10, TITLE 25, CRS 1973, AS AMENDED. THE APPLICANT CERTIFIES THAT THE PROPOSED
SYSTEM WILL NOT BE LOCATED WITHIN 400 FEET OF A COMMUNITY SEWAGE SYSTEM. THE
UNDERSIGNED HEREBY CERIIFILY IHAf ALL SfAfEMLNIS MADE, INFORMATION AND REPORTS
SUBMITTED HEREWITH AND REQUIRED TO BE SUBMITTED BY THE APPLICANT ARE, OR WILL BE .
REPRESENTED TO BE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND
ARE DESIGNED 'TO BE RELIED ON BY THE WELD COUNTY HEALTH DEPARTMENT IN EVALUATING
THE SAME FOR PURPOSES OF ISSUING, THE PERMIT APPLIED FOR HEREIN. I FURTHER UNDER
SIAND IHAI ANY FALSIFICATION OR MISREPRESENTATION MAY RESULT IN THE DENIAI OF THE
APPLICATION OR REVOCATION OF ANY PERMIT GRANTED BASED UPON SAID APPLICATION AND
IN : EGA!. ACTION FOR PERJURY AS PROVIDED BY LAW.
APPLICATION FEE 0110.00 RICHARD^^ .1.G�VIITO
REC'D BY HORRISON,LORRAINE a' A V✓ ' 08/22/91
DATE 09/22/91 OWNER/AGENT SIGNATURE DATE
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"l':If; N'A!.-F,r•r'I-ICANT, CorY UC!ID WCIID C!!S HAY . ? 'r
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HSF'106I, :I:NDIVIDUAI... SEWAGE DISPO;.AI... SYSTEM PERMIT MIT NO G-87000
WFr:I...D COUNTY HEAI...T'I-I DEPARTMENT NEW PERMIT
ENVIRONMENTAL. HEALTH SERVICES
1516 c5 HOSPITAL ROAD, GREELEY, CO 80631
353-0635 EX T.2225
.2.225
OWNER JAM]:SON, JAi RALD ADDRESS 15721 WCR 10 PH (303) 857— ,
FT I...ul:: rON CO 80621
ADDRESS OF PROPOSED SYSTEM 12311 WCR 41
HUDSON CO 80642
LEGAL DESCRIPTION OF SITE : NE4 5E4 SEC 32 TWP 3 FANG 65
SUBDIVISION :
LOT 0 BLOCK 0 FILING 0
USE TYPE : COMMERCIAL MOBIL.. HOME & OFFICE
SERVICES :: PERSONS 4 BATHROOMS 4.0 ) LOT SIZE 40. x)0 ACRES
BEDROOMS 2 BASEMENT PLUMBING NO WATER SUPPLY F'WE:L.L
APPLICATION FEE $150.00
REC ' I) BY DOREEN SCOTT SIGNED BY ..JARRALD JAMIS(:)N
DATE 01 /06/87 DATE
PERCOLATION RATE 0 MIN PER INCH LIMITING ZONE 8 FEET
`t':):I:L. TYPE SUJI'I'A;<.+I... : PERCENT GROUND SLOPE 0% DIRECTION
REQUIRES ENGINEER n:. IGN VIES a
FROM THE APPLICATION INFORMATION SUPPLIED AND THE:. ON—SITE .i0:I:1... PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED :
- - —SEPT7iC 'T'ANK-• -I2`0 'GALLONS, ABSORPTION TRENCH ..Q. FT ,`i• _ OR
'1 k :-,,. ABSORPTION BED 493 SQ. FT.ADDITION,_- •THJ.S' F'Lf M]:T :ES ..S'UB„JU~CT...T.Q THE FOLLOWING ADDITIONAL TERMS AND
CO ..._..... _'...___..__..___f; _. ti_.._......_._..... ..__...._..._.._..___._.__.__._____...__..................__........_..____�....__._...._...._____
:S F'E::RM•1:ET IS _GRANTED TE:M ;ORARII...Y TO ALI...OW CONSTRUCTION TO COMMENCE:. THIS F'ERM:I:.
MAY BE Iv'i=VOK I`ID'�t31 '`'.S .lSp DI. BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET
FORTH ITS THE WELD COUNTY .END.I:V:I:'DUAL, SWAGE DISPOSAL.. SYSTEM REGULATION:: INCLUDING
IF"AJ:LURE f TO MEET ANY TERM (JR CONDITION. 4MPOSI: D THEREON DURING TEMPORARY OR FINAL.
APPROVAL.'. THE ISSUANCE OF'j THIS PERIII... DOES NOT CONSTITUTE ASSUMPTION BY THE
DEI-ARTM OR ITS' EMPLOYEES OF LIAI:t:EL_:I:fY FOR THE FAILURE OR INADEQUACY OF THE
SEWAGE DIT'SPOSAL SYSTEM. {
-rd, 5-4$7 i e `` ' SCOTT PERKINS 03/24/87
ConyS-S`g7 s I i�t;:.� `I NVIRONMENTAL. SPECIALIST DATE
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THIS PE RAIT IS NOT TRANSFERABLE •ANIZ:..SH{ §. BECOMh VOID IF SSYSTE; } CONSTRUCTION HAS
NOT CC7HMENCE:I) WITHIN ONE YEAR OF ilT ISSOAN( k: WORE: :I:S, :NG--Fl 1AL_ APPROVAL.. OF
THIS I EAti4:r ._7:HE- WEL:.D COUNTY HF' C.'rH1 I)E:F'ART,m1 r F44E 'vE:,S tHE frITittrWp ]IMPOSE ADDI—
TIONAL TERMS AND CONI)ITIONS'1 CYE'::`4l.JjRED TO MEET4UR J' I• GUi A `:ti 1 .Cl !bfibONT:ENU:ENG BA-
SIS, FINAL PERMIT APPROVAL_ .g, CONTINGENT NT UIQI`!,J1 FINAL IN; f_'ECTJbN OF THE COM
I''L..ETEI) SYSTEM BY THE WELD COUNTY HEALTH DEPAR'T'hiT�F`r. -- --� _
SYSTEM INSTALLER ... -110N. _....._............................._..F :I:NAL fINS'P `T"1. ' DcAT'E M1 I?
TYPE OF SYSTEM INSTALLED ....... VIR(. TAL. SPECIALIST
THE:: ISSUANCE OF THIS PERMIT DOES NOT INIFI...Y COMPLIANCE WITH OTHER STATE, COUNTY
P --UCAI... REGULATORY OR BUILDING REQUIREMENTS , NOR SHALL IT ACT TO CERTIFY THAT
'I't,,. SUBJECT SYSTEM WII...I_. OPERATE IN COMPLIANCE WITH APPLICABLE STATE , COUNTY AND
I._OC:AL. RI::GUJI...ATION. ADOPTED IFRS(JAN1 TO ARTICLE 10, TITLE 25, CRS' 1973, AS r`iMENDED,
EXCEPT FOR THE PURPOSE: OF ESTABLISHING FINAL AP'P'ROVAL. OF AN INSTALLED I...I_.I:_U SYSTEM I:::iti FOR
IS'SUANL.I::. OF A I...00AL. OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-iii ( .'. ) . ,
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WELD COUNTY HEALTH DEPART! NT ! 7[06i
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1516 `Hospital Road
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Greeley, Colorado PERMIT Na
Ph. 353-0540
Application���- for permit to Install, Construct,tr an Individual Sewage Disposal System.onEi
Owner vl{%if is OA Qty r ra /J A. Address a�9Q , 4nt Phonea7d7Vt62 /,
Direction to site: Hwy Rd. -a-k7S?ndil N mi., E_mi., S_mi., W mi.
12311 UUCP. 41 .asde.Ifi/ da77 e
se
Legal Description: Ptn ,oz , Secx , TAN, KV RSubdiv. Lot Blk
General Information
Dept. Use Only
Aft
No. Bedr �\s ��Af .2 No. Persons •2
No. Bat' / Perc. Rate (Avg. of 3) fit,. �,
tCT Basement Plumbing /1�0
Size of Lo C00 x(.-3 C1 C) Soil Type
H2O Table Depth 78 i
H2O supply (if well give depth) /lf e& - 201par Lot Grade G 3O.7e,
New Home I Mobile Home ✓ Modular_ Add'n
Requires Engineer Design_Yes..No
Type of sewage disposal requested: -
If yes — reason
Septic tank &e..-Privy Other
Comments:
4 tn1'o rectima- — 3. TcrrtiusC 3.29.96 t . oW
Installation Instructions: (Minimum Requirements)
p .1 /6m C z�
Septic Tank / \ Gals. Absorption Trenches � '$q• Ft.
Other //CVO or
Seepage bed g
Special Instructions Will *kit YOWL Chile 61cL9 eel 4 Ft. 617
\h tits s.�skwi .—Pte` #ttar. 1
am O 6
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 same time as the building permit, or, if no building permit is iss ed, the p rmit
shall expire 120 days after its issuance, if construction has not bee commence •
Date: l'.71 /F -/97 Owner: K. A'4Q ALI /.rnta;0 .. nr< ruts:
r Uy Applicant:
The plans and specifications as shown ore approved pending payment of permit fee.
Date: I2(.. 17 y
Sanitarian Cf,j2kNck -
The above system inspected and found to comply with plan and description.
Systems Contractor: 3yr,.4.". O✓ n�OA..- Date: Li i>014,
x Ii R
Sanitarian: 1\, . (tQ�.y\
Engineer Review:
77 (Date) (Signature)
Permit Fee: $02.3 ...!o-O
r5u- � �J
Received by: 4,-- ;���Ce -•• Date:
• • f 40., r1
!-•!SF' i 06P ]:iw:l: DUAL SEWAGE DISPOSAL sYSTr PERMIT NO. (; 91 roi C:
WELD COUNTY HEALTH .1)EEPARTMENT REPAIR PERMIT
-
ENVIRONMENTAL HEALTH SERVICES I::.c
1517 16TH AVENUE: COURT, GREELEY ; CO 60631
353-0635 EXT.2225
OWNER ..JAMI SON, JAF;RAI...D ADDRESS 15721 WCR 10 PH (303) ;:3`>7-{:
FT L.UF'TON CO 80642
ADDRESS OF PROPOSED S'YST'EM 12311 WCR 41
HUDSON CO 80642
LEGAL DESCRIPTION OF SITE : NEE SEE4 SEC 32 TWP 3 RNG 65
SUBDIVISION : LOT 0 BLOCK 0 FILING 0
USE TYPE : COMMERCIAL.. MAIN Bi..DG •-- PERMIT 0G-870003
SERVICES :: PERSON PERSONE 12 BATHROOM: 2.0(;} LOT SIZE 3. 90 ACRES
BEDROOMS 0 BASEMENT PLUMBING NO WATER SUPPLY F.Wi:::L..L.
APPLICATION FEE $110 .00
RI (:: ' I) BY MORRI VON, I._ORRA:[NE:
SIGNED BY RICHARD J. VI'T•O
DATE 08/22/91 DATE 08/22/91
PERCOLATION RATE 23. 0 MIN PER :I:NC1••I LIMITING ZONE 6 FEET
:%0]:I_. TYPE SUITABLE PERCENT GROUND SLOPE 0/„ DIRECTION
REQUIRES U:I.REE:J ENGINEER I DESIGN YES
FROM THE Al ! L:iCATION INFORMATION SUPPLIED AND TillTHE ON-SITE SO:I:I... PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED :
SEPTIC TANK 1250 GALLONS, ABSORPTION TRENCH SQ. FT.
OR •
ABSORPTION' BED 1144 SQ. FT,
IN ADDITION, THIS PERMIT IS SUBJECT TO.:THEE FOLLOWING ADD1:IIONAI... TERMS AND
C'4D]:TIONS :
THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE:. THIS P'ERMI:MAY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT .FOR F'OR REASONS SET FORTH IN THE' WELD COUNTY INDIVIDUAL.. SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING
FAILURE TO MEET ANY TERM OR CONDITION :IMPOSED THEREON DURING TEMPORARY OR FINAL
APPROVAL. THE ISSUANCE: OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE
DriART•HEENT . OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE
SEWAGE DISPOSAL SYSTEM,T C K oky, /d- 1'9- 910-) JUDY SCHMIDT 09/23/91
•".OL ,''r I ENVIRONMENTAL SPECIALIST DATE
THIS PERMIT IS NOT TRANSFERABLE AND SHALL. BECOME VOID IF SYSTEM.. CONSTRUCTION HAS
i'1UI COMMENCED WI1111:N ONE: YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL_ AP'P'ROVAL_ OF..
THIS F=':ERMI'T- THE WII...D COUNTY I-II..:AL..TI"! DEPARTMENT RESERVES THE:: RIGHT '10 IMPOSE ADI)I -
I i ui',tAl.... TI:ERM5' AND CONDITIONS REQUIRED TO MEET OUR RI GUI...A I I.UNS' ON A CONTINUING BA-
SIS. FINAL. PERMIT APPFOVAL, 1:5 CONTINGENT UPON THE FINA1_. INSPECTION OF THE COM-
PLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT.
SYSTEM INSTALLER FINAL.. INS ' .T•]: :iT DATE:
SYSTEM ENGINEER 1_42,7B:21 a.......8n __....._..._ . ...._..._._.....__AP'P'ROVAL_
TYPE OF SYSTEM rNKr L_E:I) _-...__._ .. ._.___________..__..___-__
FA,
•t • ENVIRONMENTAL SPECIALIST
v ,1�,L _THE ISSUANCE Or. THIN F'r-::F M] `NOT :LMPI...Y• c -MF'I...•.ANC.:F: wl1:1 H OTHER sTA�Ti::, COUNTY
h
OR LOCAL REGULATORY OR BUILDING REQUIREMENTS, NUR SHALL IT ACT TO CERTIFY THAT
TILL. SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE -WITH APPLICABLE STATE, COUNTY AND
I. )I... REGULATIONS ADOPTED PE:RSUANT 10 ARTICLE 10, TITLE 2'•'."> . (::RS 1973,
AS
I:::/:t.;I:EI I FOB' THE.: I OR!0 SI..: UI ESTABLISHING FINAL API::APPROVAL OF AN INSTALLED SYSTEM.AMEE�FOR
ISSUANCE: OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-111 (2) .
ORIGINAL-APPLICANT; COPY•- WCHD
WC:I•fI)....E:I-iK MAY, 1984
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