HomeMy WebLinkAbout20080875.tiff Form No.. OFFICE OF THE STATE ENGINEER
GWS-z4 COLORADO DIVISION OF WATER RESOURCES
• 818 Glarnrdai Blde.,1519 Sherman SL,Dear,Deiortlo I0PA8
SOSSIal
403
WELL PERM NUMBER 1.78537 -
APPLICANT DN. 1 CN1Y. 02 WD 2 DES.BASIN MO
Lot M PSI: FIONE: Suede:LINTON MEADOWS
APPROVED WELL LOCATION
WELD COUNTY
JAY ELU%RMAN SW 1/4 SW 1/4 Section 12
9543 WCR 23 -Ave 2N RANGE 67 W 6th P.M.
FT LUPTON CO 00621
DISTANCES FROM SECTION LINES
(303)5574810 984 Ft.Iran South Section Line
PERMIT TD CONSTRUCT A WELL 300 FL from West Section Use
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF&PRQVAL
1) This wed shall be used In such a way at to cans no swede"levy to existing water lights. The issuance of the
permit dose not assure the eppihxs*tlwt no;duty alit,occur to another vested water right or preclude another
owner of a vested water Tight from seeking noel in a OW court action.
2) The esnatruction at this well that be In compliance with the Water Well Construction and Pump Installation Rules
2 CCR 402-2, unless approval d a vadartes has been granted by the State Board of Examiners of Water Wall
Construction and Pump Installation Contractors in accordance with Rule 17.
• a) Approved pursuant to CRS 37-824 (3)(b)gn(A) as the only well on a tract of land of 35.92 acres described as
part of the SW 1M of Section 12,Township 2 North,Range 67 West at the 6th Pd.. more particularly described
In the attached exhibit A
••
4) The use of wound water from this wed Is Oinked to ordklary household purposes inside three single Iarndy
i dweldnge,We protection,the watering of poultry,domestic animals,and livestock on Tarots end ranches,and the
litigation of not over one acre of home gardens end lams.
5) Production from this well Is restricted to the Larartde-Fox HNts away which corresponds to the Interval between
205 feet and 515 feet below ground surface. Plain casing shall be Installed and Sealed to prevent production from
other zones.
6) The manure pumping rate shad not exceed IS GPM.
7) The Mum lbw from the use of the well must be through an Individual waste water disposal system of the
non-evaporative type where the water Is returned to the seine strewn system In which the well is located.
5) This well shed be constructed na more than 200 feet from the location specified on this permite a 19
Note: To Insure a maximum productive a this well,perforated casing should be set through the entire
producing Interval of the approved zone or aquifer indicated above.
APPROVED 4, T hi"�U . y
• Receipt Na 0368106 DATE ISSUED JUN 0 3 1994 TION DATE JUN (996
2008-0875
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HSPy.Ocb{r' INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. Gu'{? 0320
• WELL) COUNTY HEALTH DEPARTMENT NEW PERMIT
ENVIRONMENTAL HEALTH SERVICES
1517 16TH AVENUE COURT, GREELEY, CO S0631
. 222L
OWNER EI._LERPI? N" JAY ADDRESS loipe WCR 23 PH. (303)(303) 8;:`,7-42],C
FT L.UF'TON CO S0621
ADDRESS OF PROl"'th3EI) SYSTEM :10189 WCR 23
FT L.UPTON CO 90621
LEGAL DESCRIPTION OF SITE: S2 SEC 12 TWF 2 RNO 67
SUBDIVISION: L.UPTON MEADOWS LAND CO LOT 6 BLOCK 0 FILING <)
USE TYPE: RESIDENTIAL HOUSE
SERVICES: PERSONS 4 BATHROOMS 2.00 LOT SIZE: 35.00 ACRES
BEDROOMS 3 BASEMENT PLUMBING NO WATER SUPPLY PWELL.
APPLICATION FEE $1.50.00
REC'D BY CHAD YOUNG SIGNED BY LEROY OvER1=ELT
DATE 06/23/94 DATE 06/23/94
F'ERCoI_POTION RATE 18.0 MIN PER INCH . LIMITING ZONE 8 FEET
SOIL TYPE. SUITABLE PERCENT GROUND SLOP-'>i 6% DIRECTION E
REQUIRES ENGINEER DESIGN NO IN 100 YEAR FLOOD PLAIN ZONE NO
FROM THIS APPLICATION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA
THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED:
SEPTIC TANK 1250 GALLONS, ABSORPTION TRENCH SIB. FT. .
OR
ABSORPTION BED 131,4 SQ., FT.
� ADDITION, THIS„ PERMIT IS SUEOEC µTOJ jHk FOLI�IWING ADDITIONAL TE MS AND
NDXTx s% _.A- , i, . ���._ X2%x �•_-..�e_
use. z. e rtVo/ ✓Gff -// ""t "'.e .Jfs C,,,1 .fys Deq,,
THIS PIZi MIT IS GRANTED TEMIw"`ORARILY TO ALLOW CONSTRUCTION TO COMMENCE, THIS PERMIT
MAY BE REVOKED OP SUSPENDED BY THE WELL) 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 ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE
DEPARTMENT DR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADECIL'ACY OF THE
SEWAGE DISPOSAL SYSTEM.
ALLEN S OF>'IE 06/3.0/94
7-.sy-9 J ENVIRONMENTAL SPECIALIST DATE
THIS PERMIT XS NOT TRANSFERABLE ANT) SHA1.J. BECOME VOID IT SYSTEM CONSTRUCTION HAS
NOT COMMENCED WITHIN ONE YEAR .OF ITS ISSUANCE, BEFORE ISSUING FINAL APPROVAL OF
THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THI'= RIGHT TO IMPOSE ADDI-
TIONAL TERMS AND CONDITIONS REQUIRED 'CO MEET OUR REGULATIONS ON A. CONTINUING BA-
SIS. F=I1`IPd., PERMIT Ar'r'ROVAL. Is CONTINGENT UpE]N THE FINAL. INSPECTION OF THE COM-
PLETED SYSTEM BY THE WEL.DCOUNTY HEALTH DEPARTMENT. ��
SYSTEM INSTALLER _leek _ FINAL FNEFECTIO,�v�®® -+Ti- ..?�° .� /`�.1
SYSTEM ENGINEER ..._ 1oe__ �,�Pek.. APPROVAL _ __1 ,. ___
TYPE or SYSTEM INSTALLED _:T,t �t &.d ENVIRONMENTAL SPECIALIST
THE ISSUANCE Or= THIS PEFMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY
OR LOCAL REGULATORY OR VtUTS_.DING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT
THE SUBOECT SYSTEM WILL OPERATE 7:N COMPLIANCE WITH APPLICABLE STATE, COUNTY AND
litOCi L REGULATIONS ADOPTED rdE:RSU NT TO ARTICLE 10, TITLE 25, CRS 19'7.5, AS AIiENDI=D,
CE1 T FOR THE PURPOSE OF ESTABLISHING FINAL. APPROVAL. OF AN INSTALLED SYSTEM FOR
a5l_Jwl`ILE OF Fl LOCAL OCCUPANCY PERMIT T PURSUANT TO CRS 1973 2:',-10-111 (2) -
l-ii 'Tr;•rkIAI -cT ri •I'rANTE nfpY--WrL-IT) WC_HD-EHS MAY, 1994
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