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Home My WebLink About20252581.tiffCOLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST, RM 821, DENVER, CO 80203 Main: (303) 866-3581 Fax: (303) 866-2223 dwrpermitsonline@state.co.us GENERAL PURPOSE Water Well Permit Application Review instructions on reverse side prior to completing form. The form must be computer generated, typed or in black or blue ink. 1. Applicant Information Name of applicant Office Use Only Form GWS-45 (01/2020) Troy Kyne 6. Use Of Well (check applicable boxes) Mailing address 920 E Collins St City Eaton State CO Zip code 80615 Attach a detailed description of uses applied for. ❑ Industrial ❑ Municipal ❑ Irrigation ■❑ Commercial ❑ Dewatering System ❑ Geothermal (production or reinjection ❑ Other (describe): Telephone # (area code & number) 970-405-4974 E-mail (online filing required) jkyne1463@msn.com 7. Well Data (proposed) 2. Type Of Application (check applicable boxes) ❑ Construct new well ❑ Replace existing well ❑ Change source (aquifer) ❑ COGCC Well ❑ Use existing well • Change or increase use ❑ Reapplication (expired permit) ❑ Other: Maximum pumping rate 30 gpm Annual amount to be withdrawn 1/2 acre-feet Total depth 60 feet Aquifer Alluvium 8. Land On Which Ground Water Will Be Used 3. Refer To (if applicable) Well permit # 333164-A Water Court case # Designated Basin Determination # Well name or # 4. Location Of Proposed Well County Weld SE 1/4 of the SE 1/4 Legal Description of Land (may be provided as an attachment): (If used for crop irrigation, attach a scaled map that shows irrigated area.) A. # Acres Section 14 Township 6 Nor S IXIfl Range E or W 65 i Ei Principal Meridian 6th B. Owner Distance of well from section lines (section lines are typically not property lines) Ft. from n NI— S Ft. fromnE ❑W C. List any other wells or water rights used on this land: For replacement wells only— distance and direction from old well to new well feet direction 9. Proposed Well Driller License #(optional): 10. Sign or Entered Name Of Applicant(s) Or Authorized Agent The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S. 24-4-104 (13)(a). I have read the statements herein, know the contents thereof and state that they are true to my knowledge. Sign or enter name(s) of person(s) submitting application Well location address (Include City, State, Zip) ❑ Check if well address is same as in Item 1. 22795 HIGHWAY 392 GREELEY, CO 80631 Optional: GPS well location information in UTM format You must check GPS unit for required settings as follows: Format must be UTM rl Zone 12 orEl Zone 13 Units must be Meters Datum must be NAD83 Unit must be set to true north Was GPS unit checked for above? ❑ YES Easting 531791 Northing 4481021 Remember to set Datum to NAD83 Date (mm/dd/yyyy) If signing print name and title Troy Kyne, Owner Office Use Only 5. Parcel On Which Well Will Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) USGS map name DWR map no. Surface elev. A. Legal Description (may be provided as an attachment): B. # of acres in parcel 35.07 C. Owner Troy and Jean Kyne D. Will this be the only well on this parcel? YESE NO (if no list other wells) 333163-A E. State Parcel ID# (optional): AQUAMAP WE WR CWCB TOPO MYLAR SB5 Receipt area only DIV WD BA MD COLORADO DIVISION OF WATER RESOURCES GWS-45 GENINST (01/2020) DEPARTMENT OF NATURAL RESOURCES GENERAL PURPOSE WELL PERMIT APPLICATION INSTRUCTIONS Applications must be computer generated on-line, typewritten or printed in BLACK or BLUE INK. ALL ITEMS in the application must be completed. Incomplete applications may be returned to the applicant for more information. Applications are evaluated in chronological order. Please allow approximately six weeks for processing. This form may be reproduced by photocopying or computer generation. Reproductions must retain margins and print quality of the original form. If filing online see online filing instructions! You may also save, print, scan and email the completed form to: dwrpermitsonline@state.co.us Forfurther information please visit dwr.colorado.gov FEES: This application requires a nonrefundable $100.00 filling fee. Please visit DWR's Online Form Submittal web page for acceptable payment information or contact DWR at (303) 866-3581. USES: This form (GWS-45) is to be used to apply for commercial, industrial, municipal, irrigation, feed lot, geothermal (see Geothermal Rules for fee requirements), recovery wells, and other uses not otherwise noted in the following list: RESIDENTIAL use wells — Use of form GWS-44 is required LIVESTOCK watering on a farm, ranch, range or pasture (not feedlots) — Use form GWS-44 MONITORING/OBSERVATION wells — Use form GWS-46 GRAVEL PITS — Use form GWS-27 REGISTRATION of an existing well — Use form GWS-12 (must have been in use prior to May 8, 1972) GEOEXCHANGE SYSTEM LOOP FIELDS — Use form GWS-72 REPLACEMENTS OF WELLS FOR THE ABOVE USES ITEM INSTRUCTIONS: (numbers correspond with those on the front of this form) 1. The applicant is the entity for whom the permit is to be issued. Provide the applicant name and the mailing address where all correspondence will be sent. 2. Check all boxes that apply. 3. Complete all boxes that apply. If the permit is to be issued pursuant to a water court decree or a Designated Basin determination of water right, the case number or determination number must be indicated. If applying to replace or change the use of an existing well, the permit number of the existing well must be indicated. 4. The county, 1/4 of the 1/4 section designation, section #, township, range, principal meridian, and distances from section lines for the proposed well must be provided. (An option to providing distances from section lines and the 14 of the 1/4 section designation is to provide an accurate GPS location in UTM format. The required GPS unit settings must be as indicated on this form.) Colorado contains two (2) UTM zones. Zone 13 covers most of Colorado. The boundary between Zone 12 and Zone 13 is the 108th Meridian (longitude). West of the 108th Meridian is UTM Zone 12 and east of the 108th Meridian is UTM Zone 13. The 108th Meridian is approximately 57 miles east of the Colorado -Utah state line. On most GPS units, the UTM zone is given as part of the Easting measurement, e.g. 12T0123456. Check the appropriate box for the zone. Provide the property address of the well location if one exists. If it is the same as the mailing address, check the box next to the well location address. 5. Please attach a current deed for the subject parcel. Complete all boxes and provide a complete legal description of the parcel of land on which the well will be located. If filing online please see online filing instructions for how to submit deed and or legal description attachments. 6. Check all boxes that apply and attach a detailed description of the uses applied for. 7. Complete all boxes. 8. Complete all boxes and provide a legal description of the land areas on which ground water from the proposed well will be used. If agricultural irrigation is a proposed use, provide a map of the land area with proposed irrigated areas accurately drawn, including section numbers and section lines. A list of all other wells or water rights used on the described land must be provided. 9. The well must be constructed by a Colorado licensed well driller, an authorized individual in accordance with the Water Well Construction Rules, 2 CCR 402-2, or under the "private driller" provision as defined in CRS 37-91-102(12). A listing of licensed well drillers/pump installers is available here. 10. The individual signing the application or entering their name and title must be the applicant or an officer of the corporation/company/agency identified as the applicant or their attorney. An authorized agent may also sign the application, if a letter signed by the applicant or their attorney is submitted with the application authorizing that agent to sign or enter their name on the applicant's behalf. If you filled the form out on-line you may save or print, sign, scan and email the form to the Division of Water Resources. Payment must be received via phone, fax or mail prior to processing the application. IF YOU HAVE ANY QUESTIONS regarding any item on the application form, please call the Division of Water Resources Ground Water Information Desk (303- 866-3587), or the nearest Division of Water Resources Field Office located in Greeley (970-352-8712), Pueblo (719-542-3368), Alamosa (719-589-6683), Montrose (970-249-6622), Glenwood Springs (970-945-5665), Steamboat Springs (970-879-0272), or Durango (970-247-1845), or refer to our web site at dwr.colorado.gov for general information, additional forms, and access to state rules or statutes. COLORADO DEPARTMENT 1313 Main: Website: Email DIVISION OF WATER RESOURCES OF NATURAL RESOURCES SHERMAN ST., STE 821, DENVER, (303) 866-3581 dwr.colorado.gov CO 80203 Form GWS-57 (12/2023) Application Applicant's Receipt No. Name: to: dwrpermitsonline(c�state.co.us COMMERCIAL DRINKING AND SANITARY WELL WORKSHEET Review instructions on reverse side prior to completing form. The form must be completed in black or blue ink or typed. 1. Name and Type of Business: Pro Pallet, Pallet Construction and Delivery Business 2. Is this application for a new well? for a change of well (if applicable) for drinking and may be required. of use for an existing well? 333164-A • Yes X1 No If no, is this application • Yes Permit Number • No For wells used sanitary purposes prior to May 8, 1972, a field inspection See form GWS-12 Registration of Existing Well of the well to verify for further information. historical uses 3. Is the parcel the well is located municipality, water company, etc.) on (or will be located or is water other source is on) within the boundaries of a water service area (water district, available from another source (such as a well)? well permit #333163 A Yes If yes, indicate what this • No (name of water district/supplier, or well permit number) 4. Proposed type of disposal system to be used: tank / absorption leach System (district name:) (location sewage hauled (attach copy of engineering field © Septic • Central • Vault to:) • Other design) 5. Water Demand Calculations (for average factors for water demand see below) Employees A B C Number of Employees X Number of Gallons per Employee per Day X Number of Days Employee Works per Year = Gallons per Year 27 X 15 X 260 = 105300 Customers Number of Customers per Day X Number of Gallons per Customer X Number of Days Business is Open per Year = Gallons per Year 0 X X = Other Uses (Note: No uses outside of the building would be permitted for this type of well.) Type of Use X Gallons per Use per Day X Days per Year = Gallons per Year X X = Total amount of water required: = Gallons per Year (A + B + C) = 105300 For wells used for commercial drinking and sanitary purposes 108,600 gallons (1/3 of an acre-foot) per year. For wells used for commercial drinking and sanitary purposes gallons (1 acre-foot) per year. General Guidelines for Water Demand in Gallons per on or after May 8, 1972, the total water demand cannot exceed 1972, the total water demand cannot exceed 325,900 — 80 gallons/person/day or from a technical reference on this subject. prior to May 8, consultant 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 On -Site Proprietor of Overnight Lodging (i.e. on -site owner of a Bed & Breakfast) Additional water demand figures may be obtained from a private water COLORADO DIVISION OF WATER RESOURCES GWS-57 (12/2023) DEPARTMENT OF NATURAL RESOURCES INSTRUCTIONS FOR EXEMPT COMMERCIAL DRINKING AND SANITARY WELLS OUTSIDE A DESIGNATED GROUNDWATER BASIN This form is to be completed when applying for an exempt well permit for commercial drinking and sanitary uses as described in section 37-92-602(1)(c), C.R.S. For all commercial drinking and sanitary wells: • The use of the water diverted is limited to inside drinking and sanitary facilities in an individual commercial business. No uses outside of the building are permitted. • The pumping rate shall not exceed 15 gallons per minute. In addition: For a well permit to construct a new well, or for a well permit to use an existing well for commercial drinking and sanitary purposes where the well was not put to such beneficial use prior to May 8, 1972, refer to State Engineer Policy 1985-1 for further qualifying requirements. When completing this form, it is important to note the following: • The amount of groundwater diverted shall not exceed 1/3 acre-foot annually (108,600 gallons). The applicant must support the well permit application with evidence that the proposed use will not create a demand greater than 1/3 acre-foot/year. • A totalizing flow meter must be installed on the well. Permanent annual diversion records must be maintained by the well owner and submitted to the Division of Water Resources annually or upon request. • This form is to be submitted in conjunction with a General Purpose Application form GWS-45. For a well permit for an existing commercial well put to beneficial use for drinking and sanitary purposes prior to May 8, 1972, refer to State Engineer Policy 1990-1 for further qualifying requirements. When completing this form, it is important to note the following: • The amount of ground water diverted shall not exceed one (1) acre-foot annually (325,900 gallons). The applicant must support the well permit application with evidence that the proposed use will not create a demand greater than one (1) acre-foot/year. • A totalizing flow meter must be installed on the well. Permanent annual diversion records must be maintained by the well owner and submitted to the Division of Water Resources annually or upon request. • This form is to be submitted in conjunction with a Registration of Existing Well form GWS-12. CONDITIONS VARY STATEWIDE MEETING THE ABOVE CONDITIONS DOES NOT GUARANTEE THE ISSUANCE OF A PERMIT If you have questions, contact the Denver Office or the Division Office where the well is located or submit a question at: AskDWR - Exempt Commercial for assistance. Contact information is available from our website at: https://dwr.colorado.gov/about-us/contact-us. From: Lauren Light To: Eric Wernsman; Maxwell Nader Subject: RE: PRE25-0025 - Completeness Review Date: Friday, May 2, 2025 11:01:29 AM Attachments: image001.pnq image002.pnq image003.pnq EH and Planning agree the well permit is required. It doesn't mean you have to drill the well, just have a permit. Lauren Light, M.B.S. Environmental Planner Environmental Health Services Environmental Health: (970) 400-6415 Desk: 970-400-2211 Teleworking on Mondays and Fridays 1555 N. 17th Ave., Greeley, CO 80631 IMPORTANT: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Eric Wernsman <ejwerns25@gmail.com> Sent: Friday, May 2, 2025 7:11 AM To: Maxwell Nader <mnader@weld.gov> Cc: Lauren Light <Ilight@weld.gov> Subject: Re: PRE25-0025 - Completeness Review This Message Is From an External Sender This email was sent by someone outside Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Hi Lauren since this application has some risk to being denied can we move comment #2 to a condition of development? We don't want to have the well permitting messed up if this Change of Zone gets denied is why I ask. Here is the septic permit and the well permit for the latest work done on the property. On Fri, May 2, 2025 at 7:01 AM Maxwell Nader <mnader@weld.gov>wrote: Eric, Apologize, this one slipped through the cracks. I should have this out to you a couple weeks ago. Please see comments/requirements below. Let me know if you have any questions. Planning: No comments, other than you already know that Planning will be most likely recommending denial of this request. Environmental Health: 1. Provide a copy of the existing well permit and septic permit. 2. Provide an application to the division of water resources to change the well to commercial and which would allow for continued use of the residence. Development Review: Development Review has no requirements for the Completeness Review submittal. See below. 1. However, the applicant has the burden of proof to show that the unpaved road (CR 47) providing access to the subject parcel has a minimum 26 -foot -wide travel surface with a minimum 4 -inch depth of aggregate surface course (gravel) and a minimum right- of-way width of sixty (60) feet. Otherwise, the rezoning shall only be approved on the condition that the applicant enters into an Improvements Agreement prior to recording the Change of Zone plat. 2. The Improvements Agreement shall provide for the road to be improved to a minimum of 26 -foot -wide travel surface with a minimum 4 -inch depth of aggregate surface course (gravel) and a minimum right-of-way width of sixty (60) feet prior to the recording of any land use permit map or issuance of any building permit, access permit, or grading permit, whichever comes first, and shall be re-evaluated for compliance with any additional improvements upon submittal of an application for a land use permit, building permit, access permit, or grading permit. Best, ifi Maxwell Nader Planning Manager Dept. of Planning Services Desk: 970-400-3527 1402 N 17th Ave. Greeley, CO 80632 ifi ifi IMPORTANT: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. Eric Wernsman P.E. Wernsman Engineering and Land Development LLC Cell 970-539-2656 Hello