HomeMy WebLinkAbout20052078.tiff ___ _---- ---____ ... - 1
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wgy5.Rev. 76 COLORADO DIVISION OF WATER RESOURCES 1 L.-H-1
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.618 Centennial Bldg., 1313 Sherman St.,Denver,Colorado 80203 RECEIVED h a_p
PERMIT APPLICATION FORM SEP 1 01981
Application must - } YAM RESOURCES
be complete where (X I A PERMIT TO USE GROUND WATER
applicable. Type or IX 1 A PERMIT TO CONSTRUCT A WELL fA1E ENGINEER
print in BLACK FOR: (X) A PERMIT TO INSTALL A PUMP M10.
INK.Nooverstrikes .
or erasures unless (X) REPLACEMENT FOR NO. Unregistered doLtestt'C & stock
initialed. ( I OTHER
WATER COURT CASE NO. W-2433 '
(1) APPLICANT- mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN
v9G,n
Roulof Eltine ! y„
NAME Jack C. Wheeler Receipt No. J 9 O b / ' o`;-
or
STREET 5909 NF County 1 (na Roar! Basin Dist.
CITY Erie, CO 80516
(State) (Zip) CONDITIONS OF APPROVAL
TELEPHONE NO. 652-2729 This well shall be used in such a way as to cause
no material injury to existing water rights. The
(2) LOCATION OF PROPOSED WELL 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
County Weld right from seeking relief in a civil court action.
SW '4 of the NW %.Section 6 APPROVED AS A REPLACEMENT FOR WELL PERMIT
110. 1222114 . THE EXISTING WELL MUST BE PLUGGED
Twp. 1 ,ZL, Rng. 6A ._ _Y,L. Grin P.M. AND ABANDONED ACCORDING TO THE REVISED AND
m,s1 )E.w) AMENDED RULES AND REGULATIONS. FOR WATER WELL AND
^ (3) WATER USE AND WELL DATA PUMP INSTALLATION CONTRACTORS. THE ENCLOSED
AFFIDAVIT MUST BE SUBMITTED,WITHIN SIXTY (60)
. Proposed maximum pumping rate Wpm) 15 DAYS AFTER THE CONSTRUCTION:OF THE NEW WELL.
2) THE MUNICIPAL OR COUNTY `GOVERNMENT SHALL BE
• Average annual amount of ground water CONSULTED WHEN LOCATING THIS WELL AND THEIR
to be appropriated )acre-feet): 29 REGULATIONS SHALL BE COMPLIED WITH.
• Number of acres to be irrigated: 1 3) THE WELL MUST BE CONSTRUCTED ACCORDING TO
THE RULES AND REGULATIONS TO SEAL OFF ALL WATER-
Proposed total depth (feet): 600 BEARING ZONES KNOWN OR SUSPECTED TO CONTAIN
WATER THAT DOES NOT MEET MINIMUM DRINKING WATER •
Aquifer ground water is to be obtained from: STANDARDS.
Foxhi] 1 sandstone 4) INSTALL PLAIN (NON-PERFORATED) CASINGS FROM
GROUND SURFACE DOWN TO A MINIMUM DEPTH OF 210
Owner's well designation None FEET AND PROPERLY SEALED TO PREVENT THE PUMPING
GROUND WATER TO BE USED FOR: OR APPROPRIATION OF TRIBUTARY WATERS..
1 1 HOUSEHOLD USE ONLY- no irrigation (0) p O 1
(X I DOMESTIC(11 ( I INDUSTRIAL(51 / n._ e l T/g/ k
/�(
(X1 LIVESTOCK (21 ( I IRRIGATION (6) lJ �x�q•
1 1 COMMERCIAL (41 ( ) MUNICIPAL (8) l/J___1JJ/' W.
C ' 6
1 1 OTHER (9) APPLICATION APPROVED f
DETAIL THE USE ON BACK IN (111 '12�244
(4) DRILLER PERMIT NUMBER
GG11LL QQp -A
DATE ISSUED
SEP 23 �""1�4��yt
Name Norris & Sons Drilling CO. EX ON DATE v P 2 v 993
street 4599 No. Broadway t> ,l'
City Boulder, CO 80302 As S R1'. (ST EEN E n
(State) (Zip) 44_.10—,-,
Telephone No, 442-4083 Lic,No, 716 BY
LD. / - No COUNTY ,-
1 2005-2078
1
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(5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW
— which the water will be used must be indicated on the diagram below. by distances from section lines.
Use the CENTER SECTION 11 section, 640 acres)for the well location. -
+ — t _ —4._ _ + — k_ + _ + _ + __ + 2000 ft.from North 9K.line
(north or south)
•44----1 MILE,5280 FEET--► i 125 ft.from West see line
,L + I+ (east or west)
1 + +. + ± +
±
I ._ .LOT -- BLOCK -- FILING * --
— �_ — NORTH SECTION LINE. —
t — SUBDIVISION
(7) TRACT ON WHICH WELL WILL BE
-hi � LOCATED Owner: Same
— + — — + —D -t-
Z No.of acres 240 , Will this be
J N
I
I I m I the only well on this tract? Yes
I
co I
i — + (8) PROPOSED CASING PROGRAM
I vi .. r I Plain Casing
I ( ;_ _ -� _ -- + _ _m + + 6 5/8 in. from -1 k 0 20 ft.
I I
• I 4 1/2 in.from 15 ft.to 200 ft
+ — SOUTH SECTION LINE
— -4_ — 1 Perforated casing
�I
I 4 1/2 tt._in. from 200 to 600 ft,
+ I 1 + - 4 4- -I- in.from . ft. toI
i II I (9) FOR REPLACEMENT WELLS givedistance
— _f- - - T - + - + - -{- — a- - .+ and direction from old well and plans for plugging
it:
The scale of the diagram is 2 inches= 1 mile - New well will be 25 ' West of
Each small square represents 40 acres.
old well. Old well will be
WATER EQUIVALENTS TABLE (Rounded Figures)
• An acre-foot covers 1 acre of land 1 foot deep - plhgged & _abandoned a cording
1 cubic foot par second Icfsl .. .449 gallons per minute(gem)
A family of 5 will require approximately 1 acre-foot of water per year. to "Rules & Reas"
'.C. 1 acre-foot. ,.43,560 cubic feet. ..375,900 gallons.
I
;.' 1` - 1,000.gom pumped continuously for one day produces 4.42 acre-feel
:t` 410) LAND ON WHICH GROUND WATER WILL BE USED:
owner(sl: Roulof Eltine & Jack C. Wheeler No of acres-- 240
Legal description: SW3 of NWT. Sec. 6 . T 1N. R 68W
(11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic welts must indicate type of disposal
system to be used. -
1
Domestic and stock use only -- septic tank with absorption bed
(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.
Type or right Used for(purpose) Description of land on which used
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
UE TO THE BEST OF HIS KNOWLEDGE.
•
x 0�.1- 9--may-t •
S1 A URE OF APPLICANTIS) .
r n
Use additional sheets of paper if more space is required.
iea ..uK.taw u. xm, 'c ,..
Jason Krill 303 652 0653 p. 2
To: Chris Gathman
Weld County Planning Dept.
From: Jason Krill
Chris,
This letter is stating that the water tap owned by Jason and Amy Krill from left hand
water is going to be used for a new house being built on lot A of RE: 3926. The current
house on lot B is under consideration for a USR for a home business/detached apartment
and use's and will continued to use a domestic well on the lot.
Regards,
Ja n Krill /
...1 .co- -
t.
-WELD COUNTY DEP_ART?',C?iT OF PUBLiC HEAL"I H .\-.8lD ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY,COLORADO 80631
PHONE (970) 304-6415 FAX (970) 304-6411
STATEMENT OF EXISTING SEPTIC PERMIT
Permit#: SE-0400016 Sec/Tw'tvkng: 06 01 68 PERMIT
Owner: KRILL JASON A& AMY E Applied: 02/13/2004
Applicant: KRILL JASON&AMY
Parcel #: 1467-06-0-00-013
Location: 5610 CR 1 ERIE
Legal Desc: 24788B PT S2NW4 6 1 68 BEG .AT PT 30'E &
2060'S-OFNW COR SEC
Description: GARAGE
Commercial: N Residential: Y Acres: 5.1
#of Persons: 0 Basement Plumbing: N
#of Bedrooms: 2 Bathrooms - (Full): 1 (3/4): 0 (1/2): 0
Water Public: N Water Source:
Water Private: Y Cistern: N W l: Y Well Permit Number: 122244A
Septic Tank: 1200 Tank Material: CONCRETE
Absorption Trench: 0 sq. ft.
Absorption Bed: 3000 sq. ft. Year Installed: UNKN
NOTICE
The property owner/agent has certified by Notary Seal that the above described septic system is in fact ina slled as described,and
exists at this t me on the parcel identified above by the parcel number and/or legal description,and firrtherstates that the system
IS/IS NOT m good working order and to the best of his/her knowledge IS/IS NOT failing to function properly.
The property owner/agent further understands that any falsification or misrepresentation may result in the revocation of any permit
granted based upon this information hereby submitted and in legal action for perjury as pre%ided by law.
The Statement of Existing Record relies on information the property owner or his,'her repreentativq,provides,under oath, indicating
current statu.snfthe system and representing to the best of his/her knowledge that the system
IS/LS rte w saa to function on properly.
Issuance of the Statement of Existing Permit for any system does not constitute assumption-4w was evaluated or inspected
any phase of construction by this ...-- ,:rent :2 meet regulationsyl -
Environmental cic;.i Specialist Date
•
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r
` G ^' DCOUNTY Dt :RTMENT OF PUBLIC NE iii AND ENVIRON LINT
1555 NORTH 17TH AV E.\:'LE
GREELEY, COLORADO ‘.,i)3 I
PHONE (970) 304-6415 ' FAX (9'70) 304-6411
STATEMENT OF EXISTING SEPTIC PERMIT
hermit #: SE-040f34IA .
~----Sec/Tvim rig: 06 01 68-- -PERMIT ------7"
Owner: MULL JASON A & AMY.E Applied: 02/13/2004
Applicant: KRILL JASON & AMY
Parcel #: 1467-06-0-004)13
Location: 5610 CR 1 ERIE
Legal Desc: 24788B PT S2NW4 6 1 68 BEG AT PT 30'E &
2060'S OFNW COR SEC
Description: HOUSE
Commercial: N Residential: Y Acres: 5.2
#of Persons: 3 Basement Plumbing: N •
# of Bedrooms: 2 Bathrooms = (Full): 1 (3/4): 0 (1/2): 0
Water Public: N Water Source: -
Water Private: Y Cistern: N Well: Y Well Permit Number: 12244A
Septic Tank: 500 Tank Material: CONCRETE
Absorption Trench: 0 sq. ft.
Absorption Bed: 2000 ' ' sq. ft. Year Installed: Uh7KN a
NOTICE
The property owner/agent lias certified by Notary Seal that the above described septic system is in fact installed as described,and 2.
exists of this time on the parcel identified above by the parcel number and/or legal description,and further states that the system IS/IS NOT in—good working order and to the best of his/her knowledge IS/IS NOT failing to function properly.
The property owner/agent further understands that any falsification or misrepresentation may result in the revocation of any permit
granted based upon this information hereby submitted and in legal action for perjury as provided by law.
The Statement of Existing Record relies on information the property owner or his/her representative provides,under oath, ind -:iL.cturent status of the system and representing to the best of his/her knowledge that the system IS/IS NOT failing to function properly. .'
issuance of the Statement of Existing Permit for any system does not constitute assymptioii t�a� bite was evaluated or ins `during any phase of construction by this Depanment to meet regulations gulations ,
nvironment:._ .-.ealth Specialist Date
Pom,.5-6;f; r �, - - - t
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