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Home My WebLink About20091657.tiff Form No. OFFICE OF MISSTATE ENGINEER Gws-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver,Colorado 80203 (303)866-3581 LR WELL PERMIT NUMBER 276601 _ •PPLICANT DIV. 1 WD2 DES. BASIN MD APPROVED WELL LOCATION WELD COUNTY NE 1/4 NE 1/4 Section 30 MANUEL &ANITA BALDERAS Township 2 N Range 66 W Sixth P.M. 7853 HWY 85 DISTANCES FROM SECTION LINES FORT LUPTON, CO 80621- 802 Ft. from North Section Line 173 Ft. from East Section Line (303) 857-9770 UTM COORDINATES (Meters,Zone:13,NAD83) REGISTRATION OF EXISTING WELL Easting: 516085 Northing: 4440452 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 ensure 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) Construction details for this existing well have not been provided to this office;therefore, it is not known if the construction of this well is in compliance with the Water Well Construction Rules, 2 CCR 402-2. The issuance of this permit does not relieve the well owner of responsibility or liability in the event contamination of the groundwater source results from the construction or use of this well, nor does the State Engineer assume any responsibility or liability should contamination occur. • This well is recorded and permit approved in accordance with CRS 37-92-602(5)for historical use as indicated herein and described in CRS 37-92-602(1)(b), being a well producing 15 GPM and used for ordinary household purposes inside one single family dwelling,fire protection,the watering of domestic animals and poultry, and the irrigation of not more than 1 acre of home gardens and lawns. 4) The date of first beneficial use, as claimed by the applicant, is December 31, 1928.2.D t.1, 09/tipper EXHIBIT 9 PROVED BDH State Engineer gy 1 Receipt No. 3625046 DATE ISSUED 02-05-2008 XPIRATIO DA7 2009-1657 COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT 1 Water District 2 Purpose of Inspection:Late Reg. !( Replacement e of Inspection: I / I5r /0f5 Other: Applicant:kit}Ca --ea tc ere5 Person contacted if not applicant: Address: 1B53 I-►V`I 7 CO5 WC Name and phone#: ROBERT STAHL/SMERA SUMERFORD turd- Lup+on C 303-857-0742/970-381-0828 Phone: 303 •R51 ,c11,1 0 r EXISTING WELL LOCATION: NE 1/4, NE 1/4,Sec 30 ,Twp. 2N Rng. (O(O Val, 6th P.M. Distance: ?I-2from N$/ 'section line, I,3 fronCE)W section line;County Weld (if replacement give distance and direction to new well site n I C1 ) CIRCLE type of existing well:.& > HAND DUG,SPRING WELL, GALLERY WELL, GRAVEL PIT Any other wells on this parcel? 140 (if yes) how many ;permit#, case#, use? EST.DATE WELL CONSTRUCTED I gib DATE OF FIRST USE I G24) EST.PUMPING RATE 15 gpm. r Total#of acres in this parcel 3.5 Address of property(if different than applicant address) ii'itional subdivision/parcel info: q #of acres irrigated(non-exempt/crop irrigatedlJ I Name of augmentation plan: nICI Use o Well: Household Use in(indicate how many I single family dwelling(s) )( Watering of poultry and/or domestic animals("domestic animals"would include aim cows,horses,etc.) Watering of livestock on alarm or ranch-approx. how many head? Is this a feed lot? ;how many head? Imp sped estimated historic lawn/garden irrigation)Irrigates_sq.feet/acre of lawn and/or garden )( Fire Protection Commercial-drinking and sanitary only?(write details in comments section) Other(Write details in comments section) WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972,yes or no? e3 NOTE:If any change in the historic use of this well has occurred since may 8,1972,please in ' ate the date(s) the use changed, and discuss this change/and/orAe�xp form. pansion of the current/or proposed use in the comments section of this ,�71Y x SIGNED: Date: I / 15 / OS Additional comments and/or information: used cio rne5t t c a n 11'nct 15 i t Q 1A)fl `# .N5 5ito0c35/4440452 carded , c►- i1houtc C4 1 NtmeIlinc) es- 1 Icy--OP) i-3-.o3- tj3 (unsure 64 exac+ itieli dep+h 1 so n kterri f rl lin -`4 .1 Form No. OFFICE OF T)WSTATE ENGINEER • GWS-25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg..1313 Sherman St.,Denver,Colorado 80203 (303)866-3581 LIC WELL PERMIT NUMBER 67171 -F _ •APPLICANT DIV. 1 WD2 DES. BASIN MD Lot: A Block: Filing: Subdiv: 1309-30-1-RE 2012 APPROVED WELL LOCATION WELD COUNTY NE 1/4 NE 1/4 Section 30 MANUEL&ANITA BALDERAS Township 2 N Range 66 W Sixth P.M. 7853 HWY 85 DISTANCES FROM SECTION LINES FORT LUPTON, CO 80621- 743 Ft. from North Section Line 259 Ft. from East Section Line (303)857-9770 UTM COORDINATES(Meters,Zone:13,NAD83) PERMIT TO CONSTRUCT A WELL Easting: 516059 Northing: 4440470 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 ensure that no injury MN occur to another vested water right or preclude another owner of a vested water right from seeing 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 37-90.137(4)and the findings of the State Engineer dated June 2,2008. 4) The use of ground water from this well is limited to commercial use. 5) The pumping rate of this well shall not exceed 15 GPM. 6) The average annual amount of ground water to be appropriated shall not exceed 0.74 acre-feet. 7) Production is limited to the Laramie Fox-Hills aquifer which is located 400 feet below land surface and extends to a depth of 650 feet. Plain casing must be installed and grouted to prevent the withdrawal of ground water from other aquifers and the movement of ground water • between aquifers. 8) The depth to the top of the Laramie-Fox Hills aquifer is approximate. To ensure the exclusion of poor quality water from zones immediately above the aquifer,plain casing and grout shall extend through the lowermost coal and/or carbonaceous shale that overlies the Laramie sand portion of the aquifer. 9) The entire length of the hole shall be geophysicaily logged as required by Rule 9 of the Statewide Nontributary Ground Water Rules prior to installing casing. 10) The owner shall mark the well in a conspicuous place with well permit number(s),name of the aquifer,and court case number(s)as appropriate. The owner shall take necessary means and precautions to preserve these markings. 11) A totalizing flow meter must be installed on this well and maintained In good 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. 12) This well shall be constructed at least 600 feet from any existing well,completed in the same aquifer,that is not owned by the applicant except for the well constructed under permit number 93439-A for which the owner was notified pursuant to 37-90.137(2)(b)(ll)(A)and no response was received. 13) This well shall be constructed not more than 200 feet from the location specified on this permit. 14) Pursuant to CRS 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 well owner shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98%of the water withdrawn will be consumed. 15) This well Is subject to administration by the Division Engineer In accordance with applicable decrees,statutes,rules,and regulations. NOTE:The ability of this well to withdraw its authorized amount of water horn this non-renewable aquifer may be less than the 100 years upon which the amount of water in the aquifer is allocated,due to anticipated water level declines. NOTE:To ensure a maximum productive life gjthis well,perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above. B. N.OfNoti1or APPROVED /� BDH UI�A • „Receipt No.3624965 state Engineer DATE ISSUED 05-22-2008 EXPI TION DATE//// 05-22-2009 S • • PLSS LbCATOR. ENU _O X AQUAMAP PLSS <=> UTM Zone Conversions Lat-Long g IGATION Colorado Division of Water Resources Section Township Range Meridian 711 Map created by bdh 2/5/2008 3011/ 2 ♦J N I♦ 66 [V W ♦ Sixth V C[ Q 160 Q 40 Dist.(ft)-(N/S) Dist.(ft)-(ENV) ON® NE ♦ FNE �♦ 1190 ^I'N ♦ 1190 HIE IV] ED' Click to create PDF f Copy From Map Zoom to Map UTM X, 3 516 UTM YX,ZoneZone 13:1 :44414375! Long: -104°48''11.9" Ilir(/(/ ' UTM X(m) UTM Y(m) Lat: 40°7'22.9" �516079.28� 4440638.46 a UTM and Geographic(LL coordinates in NAD 83 _ DATA DISPLAY 0 Background 0 Counties 0 Well Permits )— l 2005 Aerials v 0 PLSS 0 DWR Parcels \ V ❑ HighwaysiRoads 1 0 Low High ❑ H dro rah r More Data j Y 9 P Y n(p�L0 k Transparency 0 County Parcels 1' 0 .f-r - �' LOCATION .4/1 Section Township Range Meridian /7 \� O I301•1 2 ♦ I R� 166 I♦ [w Tv 1 {Sixth;♦1 \\\ , - ( fit' G' ' , PLSS Locator Quick Zoom c k PRINTING \\ Output Scale Page Size User A \ 12,000 I♦ 8.5x11 I♦ !bdh • .\\\ — �/ �e' vT , COLORADO DNISION OF - at '-' r WATER RESOURCES • : ' 7,118 ft M 1iti6 DEPARTMENT OF NATURAL RESOD RC ES Map Author Leonard Rice Engineers,2006 Address location by Yahoo Maps n Based on work developed at http://www.carto.net Aquar lap Version 2.0.2 Dec 17.2007 • • c(1 DEPARTMENT OF HEALTH 1517 16TH AVENUE COURT IGREELEY, CO 80631 C ADMINISTRATION (970) 353-0586 HEALTH PROTECTION (970) 353-0635 COLORADO COMMUNITY HEALTH (970) 353-0639 FAX (970) 356-4966 July 1, 1997 Formby Inc. , 13015 Weld County Road 16 • Fort Lupton, Colorado 80621 RE: Individual Sewage Disposal System Permit No. : SP-9700069 Location: 7853 Highway 85, Fort Lupton, Colorado Dear Mr. Formby: • This is to inform you that your Engineer Designed Septic System has been reviewed by the Weld County Board of Health and approved. A copy of the Weld County Board of Health I.S.D.S. Review Form and your I.S.D.S. Permit are enclosed. PLEASE NOTE THAT THE SYSTEM MUST BE INSPECTED BY A REPRESENTATIVE OF THIS DEPARTMENT BEFORE THE SYSTEM CAN BE APPROVED FOR OPERATION. Should you have any questions regarding your septic system, please contact this office at your earliest convenience at 353-0635. Sincerely, Clark Pam Smith _..1 Environmental Protection Specialist PS/jh-2395 cc: Cecil R. Crowe, Alpha Engineering CO. • �r� HEALTH DEP [a31J11. LOE o c) y -��/IG�� O /, v 16thNAve PROTECT SERVICES / � I C / 017 16th Avenue Court I I Greeley, Colorado 80631 5715 I �'� a (303)353-0635 Weld Co m i Health Department PERMIT p • STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL 0UT IN BLACK INK ONLY) �i OWNER OF RECORD: 1/?/77? V yrr /v/� PHONE:C..43> z�-7 — a 7 O p 2 MAILLNG ADDRESS: /.3 0/7 (O/Oi: A, FT-C-(3,2)--(KY State de/o ' ZC', �' , Z> p SITE ADDRESS: 713--13 3 /JWy (/J y-7-- lC y iTD 11/L/ State/ U _ , ‘z7 ty LEGAL DESCRIPTION: PT:L` 2.- PT: hl..--1 SECTION: 30 TOHNSHIP:JZ (/RANGE: 6v‘C SUBDIVISION: /I-�/-d- LOT: N1/4- BLOCK: -41/4 FILING: ti 7,11 NUMBER OF�EOPLE: BATHROOMS: �, LOT SIZE: 3, / BEDROOMS: . SI,_gE pgNTIAL_ /or COMMERCIAL BASEMENT PLLi1BING: /� /No/ WATER SUPPLY: K__, ' SYSTEM /� / , S 6 (/ gallons capacity SIZE: Tank is constructed of C ��3Ci'(' hl/ and has (material) FIELD: Bed 7 07 sq. ft. or Trench sq. ft. DATE SYSTEM INSTALLED: on the reverse side of s form• blackr inkonly and indicate liocation, length, wiagram of the iddth and distance from the dwelling. The The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel of ground identife by the and er es that ood workinglorder and too the lbest ofs his/her nknowledge his not tfailing oefunction system i s in r properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in legal action for perjury as provided by law. / i — 3 — 1;2-- Sr?(-) i, ( ri4z7-72 fil,44, Date Owner v Subscribed and sworn to before me this .7:),_ day of //1"-7( 1 19)7 Witness my nd nd official sWi. MY iss ex ices: Q ha Date / Notary Public 4 • STATEMENT OF EXISTING REVIEWED BY: -2,1A k 211'1,"' C Environmental Protection Specialist ( I J ,D r rn I r I , iz+ � [)OUf�� - `- .jQ \ • � � ' )(Y'I. r b+- sov iA,* 9 ✓H - GaI -- . • 7°r ------1 --_� I C i 1 it • • WELD COUNTY HEALTH DEPARTMENT • 1517 16TH AVENUE COURT REELEY, CO 80631 (970) 353 - 0635 EXT 2225 AX (970) 356-4966 Ftre A6)DV Permit # : SP-9700069 Sec/Twn/Rng: Status: .BGH HGLD !Permit Type : RREP C=commercial, R=residential + NEW, REpair, VauLT Applied: 03/05/1997 Parcel No : 1309 30 ssued: 4. Finaled: � 3}� 4J Location: 7853 HWY 85 FT LUPTON 30-2-66 Legal Desc : APPLICANT MINTLE DENNY OWNER FORMBY INC Phone : 303 . 857 . 2787 13015 WCR 16, FT LUPTON, CO 80621 SEPT-INSTL GREIN CONSTRUCTION INC Phone : (303) 659-3969 PO BOX 381, BRIGHTON CO 80601 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres : 3 .49 Number of Persons : Basement Plumbing (Y/N) : N Number of Bedrooms : 4 Bathrooms-> Full : 2 3/4 : 1/2: Water Public (Y/N) : Utility Name : • Water Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No : Percolation Rate : < 5 . 0 Limiting Zone : 00 ft 00 in Desc : SANDY GRAVEL Ground Slope : Dir: Soil Suitable (Y/N) : N • gineer Design Req' d (Y/N) : Y In 100 Yr Flood Plain (Y/N) : Minimum Installation Septic Tank: 1250 gal Absorption Trench: sq. ft . Absorption Bed: 860 sq. ft . Actual Installation Septic Tank : gal Absorption Trench: sq. ft . Absorption Bed: sq. ft . 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 estab lis^,rg final approval of installed system for issuance of a local occupancy permit persuant co CRS 19c3 25-10-111 (2) . This permit is 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 was contingent upon the final inspection of the completed system by the Weld County Health Department. 9 • • Environmental Specialist D to • tic(r (494 / fg' CedLUSIN Q Q , (a' • Hello