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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
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20081473.tiff
11/20/2007 22:24 3038576. ELLERMAN • PAGE 01 Nov 21 07 11 : 10a Stahia Homes Inc. 303 659 4008 - p•3 Form No. OFFICE OF THE STATE ENGINEER GWS-25 CO lea,3QIV anst..ION OF WcveA' 0203 RESOURCES (05)8aa-root LIC 4,1fifELl PERMIT NUMBER 275993 APPLICANT D ll IV. 1 WD 1 DES.BASIN MD APPROVED WELL LOCATION WELD COUNTY SE 114 SE 1/4 Section 14 STAHLA HOMES INC Township 2 N Range 64 W Sixth P.M. PO BOX 307 DISTANCES FROM SEC11ON LINES BRIGHTON,C0 50601- 200 Ft from South Section Line 200 Ft.from Eaet Section Line (303)669.4008 (JIM COORDINATES(Melara.Zane:13.NADS91 PERMIT TO CONSTRUCT A WELL 8. 9: Northing: , ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT COMMONS OPAPPROVAL 1) This well shag be used in such a wry as to came no,atedel injury to Satiny water rights. The isaanea of INs permit does not ensure led no tnhwy will.Dour to another veiled wale right or proceed*another mow of a vested water eight from seeking relief in a civil nowt argon. 24 The combustion of Iis vie0 shag in with the water amble:don Roles 2 CCR 402-2,unless approval pf Ye valiant has been gamed by the S��of 13tansreni of Wall Well Pimp Installs nn • Coniston'tore in accordance Mai Rule 15. 3) Approved pursuant to CRS 32412-602(3)(b)(0 aid policy of the Stab Engineer under the follovitg conditions.fora 10•acm parcel known as me SE 1/4 of the SE 1/4 of iS SE 1N,Sac.14,Two.2 North,Rag. 6single o the 4 Innis West. Weld County. 4) The use of ground water from this well is Ignited to ordin ry household purposes watering of the use's own non-commercial demwstc animals'and the Irrigation of not more Mani acre of home gardfM and hems. ox Mils aquifer.vrtich corimponds b me krlarvel between feet 5) and 855 f from thisthe g o tnd surface. e.the incasing shag be installed grouted to prevent production from other zones and feet below ground eufsoe. Plum casing S) The depth to tromp of Me Lnanrie•Fax Ms aquifer is ap radmate- To ensure the aohralon of poor quality water from zones immwdmtab above the aquifer.brim rasing and grad shag extend through the lowermost coal andla ranbonme0US shale the wales Ms Leremfe sand portion of the aquifer_ 7) The paean0 rata of this well shall not exceed 150PMl 8) The ermwl withdrawal l of ground~from Mla wal shell not exceed 2.2 acre-feet of the type so Vest not s) The Mum Ye pow from the use of e v mum be through an btgviduel Waste water disposal sIMM less than 2%dew toted amour*of water wfpdrwm is reamed to the same stream system in atith the well a boated. 10) This waft shell be constructed not more than 200 fed from the location specified on fire perm!. NOTE:The silty of die well to withdraw is authorized amount of water from this nofwene weble equtr mey be less than 0wl®yaws upon which Is amount of we in Ow aquifer is abcded,due te rebated were lava!ranee- NOTE To aware a manimum pmS dl a It of this weft.Perforated aeMe should to eat through Yw entire producing Interval of the approved zone or aquifer Indicated above. NOTE:Expired permit no.201348 vies prevbusty xaued for Use km. i1•h 6'07 • b:36n017 For State I DA 1-162009 ,)GATE ISSUED 1-18 2007 W 2007-11-21 10:32:17 GMT-06:00 I (970)454-8740 1 39371 2008-1473 mom COLORADO DIVISION OF WATER RESOURCES Office Use Only Form GWS-45(06/2006) DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST,RM 818, DENVER,CO 80203 phone—info:(303)866-3587 main:(303)866-3581 fax:(303)866-3589 http://www.water.state.co.us SENERAL PURPOSE Water Well Permit Application Review instructions on reverse side prior to completing form. The form must be completed in black or blue ink or typed. 1.Applicant Information _ 6. Use Of Well (check applicable boxes) Name of applicant Stahla Homes, Inc. Attach a detailed description of uses applied for. ❑Industrial Ed Other(describe): Commercial Exempt Mailing address 0 Municipal P.O. Box 307 ❑Irrigation City Brighton sCO 80'°601 0 Commercial TelelNroneb IE-mail(Optional) '- 7.Well Data (proposed) 303 659-4008 n/a Maximum pumping rate Annual amount to be withdrawn ( ) 15 9Pm 2.Type Of Application (check applicable boxes) 1 acre-feet Total depth Aquifer ❑ Construct new well ❑Use existing well Lorimer Fox Hills ❑Replace existing well 0 Change or increase use 600 feet ❑Change source(aquifer) ❑Reapplication(expired permit) 8. Land On Which Ground Water Will Be Used [8 Other: Commercial Exempt Legal Description(may be provided as an attachment): 3. Refer To (if applicable) PT SE4 14-2-64, Lot A, AMRE-2363 Well permit a Water Court case a 275993 Designated Basin Detenninatan it Well name or fl 4. Location Of Proposed Well (If used for crop irrigation.attach a scaled map that shows irrigated area.) County Weld 1/4 ofthe 1/4 A. 4Acres B. Owner 9.11 Stahla Homes, Inc. Section Township N or$ Range E or W Pnncipal Meridian 14 2 © 0 64 ❑; 6th C. List any other wells or water rights used on this land: Lance of wet from section lines(section lines are typically not property lines) 200 Ft.from❑N al S 200 Ft.from l]E❑W 9. Proposed Well Driller License#(optional): For replacement wells only-distance and direction from old well to new well 10. Signature Of Applicant(s)Or Authorized Agent feet direction The making of false statements herein constitutes perjury in the second Weil locaton address(Include City,State.Zip) O Crick t well address is same as in Item f. degree,which is punishable as a class 1 misdemeanor pursuant to C.R.S. 28981 CR 20 24-4-104(13)(a). I have read the statements herein,know the contents thereof and state that they are true to my knowledge. Weld County Sign here Must be original signature) to Optional: GPS well location information in UTM format You must check GPS unit for required settings as follows: LH / /2 rl''y�ag n ame 8/titleFonnat /s( O Zone l2orust UTM g R R. �cs� ❑lane 12 or0Zone 13 Easlin Re )bb must be Meters Datum must be NAMI Northing Office Use Only Unit must be set to true north USGS map name I DWR map no. '' Surface elev. Was GPS unit checked for above? ❑YES Remember to set Datum to NAD83 5. Parcel On Which Well Will Be Located Receipt area only (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) A. Legal Description(may be provided as en attachment). PT SE4 14-2-64, Lot A, AMRE-2363 B. a of acres in parcel I C. Owner WE 9.11 Stehle Homes, Inc. , is D. `Mil this be the only well on this parcel?EYES 0 N(if no-list other wells) CWCB TOPO . State Parcel ICU(optional). MYLAR 130514400017 505 DIV_ WD BA MD Colorado Division of Water Resources Application Receipt No. 1313 Sherman St. Rm.818 Denver,CO 80203 Applicant's Name: (3031 866-3581 http://water.state.co.usidefault.htm • COMMERCIAL DRINKING AND SANITARY WELL WORKSHEET Name and Type of Business U ,F-eck �oRrwn crl V1 S COc9 — TroW.n& &A-tit-r- t.1. Is this application for a new well? i Yes X No If no, is this application for a change of use for an existing well? )( Yes Permit Number of well (if applicable) 2 5-91 3 _No For wells used for drinking and sanitary purposes prior to May 8, 1972, a field inspection of the well to verify historic uses is required. See form GWS-12 Registration of Existing Well for further information. 2. Is another source of water available to the property? (i.e. water district or another well) Yes If yes, indicate what this other source is (name of water district or well permit number) ..Sc ND 3. Type of disposal system: )G Septic tank/absorption each field Central System (district named Vault (location sewage hauled to: I Other (attach copy of engineering design) 4. Water Demand Calculations (for average factors for water demand see below) Employees I Number of X Number of Gallons X Number of Days Gallons per Year Employees , per Employee per Day Employee Works_per Year Z X I S X 30(0 9)80 A Customers Number of X Number of Gallons X Number of Days Business = Gallons per Year Customers per Day per Customer is Open per Year S X 10 X 300 = [.5,000 B Other Uses (Note: No uses outside of the building would be permitted for these types of wells) Type of Use X Gallons per Use per X Days per Year = Gallons per Year Day X X - = C Total amount of water required: = Gallons per Year (A+B+C) = 2`1, 180 For wells used for commercial drinking and sanitary purposes on and after May 8, 1972, the total water demand cannot exceed 108,600 gallons(1/3 of an acre-foot) per year. For wells used for commercial drinking and sanitary purposes prior to May 8, 1972, the total water demand cannot exceed 325,900 gallons(1 acre-foot) per year. General Guidelines for Water Demand in Gallons per Day Day Workers at Offices-15 gallons/person/day Food Service Establishments(with toilet and kitchen wastes) -10 gallons/patron/day Churches(does not include food service) -5 gallons/seat/day Overnight Lodging-50 gallons/customer/day n-Site Proprietor of Overnight Lodging(i.e.on-site owner of a Bed&Breakfast)-80 gallons/person/day dditional water demand figures may be obtained from a private water consultant or from a technical reference on this subject. GWS-57 11/99
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