HomeMy WebLinkAbout20053275.tiff Form No. OFFICE OF THE STATE ENGINEER
GWS-25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg.,1313 Sherman St,Denver,Colorado 80203
(303)868-3581
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WELL PERMIT NUMBER 234OS& 1
APPLICANT DIV. 1 WD 1 DES.BASIN MD
Lot 27 Bloat 24 fling: Subdiv:CAMFIELD TOWNSITE
APPROVED WELL LOCATION
WELD COUNTY
NE 1/4 SE 1/4 Section 18
SCOTT&BRENDA DICK Township 7 N Range 64 W Sixth P.M.
C/O JULIANA COALSON •
DISTANCES FROM SECTION LINES
46480 WCR#29 3031 Ft.from North Section Line
NUNN,CO 80648-
65 Ft.from East Section Line
(970)834-1977 UTM COORDINATES
PERMIT TO CONSTRUCT A WELL Northing: Easting:
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 assure the applicant 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) 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 37-92-602(3)(bxll)(A)as the only well on a residential site of 0.58 acres)described as lots
27-33,block 24,Camfleld Townsite,Weld County.
4) The use of ground water from this well is limited to ordinary household purposes inside one single family dwelling. The
ground water shall not be used for irrigation or other purposes.
5) The maximum pumping rate of this well shall not exceed 15 GPM.
6) The return flow from the use of this well must be through an individual waste water disposal system of the
non-evaporative type where the water is returned to the same stream system in which the well is located.
7) This well shall be constructed not more than 200 feet from the location specified on this permit 1) Z 6/$/O/
PROVED
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Receipt No.0475470 Stale Engineer DATE ISSUED JUN 15 2001 By
EXPIRATION DATEJUN"
2005-3275
COUNTY Dt,PARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 NORTH 17TH AVENUE
GREELEY, CO 80631
PHONE (970) 304-6415 FAX (970) 304-6411 Fina!ed
Permit#: SP-0100247 Sec/Twn/Rng: 1807 64 Status: ISSUED
Owner: I & BRENDA Applied: 05/23/2001
Applicant: tOALSON JULIANA Issued: 05/29/2001
Permit Type: RNEW C=Commercial,R=Residential+NEW,REPair,VauLT Finaled: p ,I b,O
Parcel#: 0711-18-0-17-008 0
Location: 39491 CR 51 L27-33 B24 CAMFIELD
Legal DescriptionCoajcsj_y)
Installer:
Description: MODULAR
Commercial: N Residential:Y Acres: 0
#of Persons: 2 Basement Plumbing: N
#of Bedrooms: 3 Bathrooms - Full: 2 3/4: 0 1/2: 0
Water Public: N Water Source:
Water Private: Y Cistern: N Well: Y Well Permit#:
Percolation Rate: 20 Limiting Zone: 8 ft 0 in Description
c7o Ground Slope: 1 Dir: E Soil Suitable: (Y/N) Y
Engineer Design Required: (Y/N) N In 100 Year Flood Plain: (Y/N) N
Minimum Installation Chambers
Septic Tank: 1000 gallons Absorption Trench: 651 square feet
or Absorption Bed: 879 square feet
Actual Installation
Septic Tank: 5k) gallons Absorption Trench: (051 square feet a(
� Absorption Bed: square feet
Design Type: 4 11fZZlyC-*
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 establishing final approval of installed system for issuance of a local
occupancy permit persuant to CRS 1973 25-10-111 (2).
This permit is not transferable, The Weld County Department of Public Health and Environment reserves the right to impose
additional terms and conditions required to meet our regulations on a con ' is. Final permit arroval was contingent upon the
final inspection of the completed system by the Weld County Department lic th v'
8-13
Environmental ealth Specialist Date
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