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DNR
COLORADO
Division of Water Resources
Department of Natural Resources
WELL PERMIT NUMBER 328688 -
RECEIPT NUMBER 10020037
ORIGINAL PERMIT APPLICANT(S)
MARTY MATCHETT
PERMIT TO CONSTRUCT A NEW WELL
APPROVED WELL LOCATION
Water Division: 1 Water District: 3
Designated Basin: N/A
Management District: N/A
County: WELD
Parcel Name: RE -4193
Lot: B Block: Filing:
Physical Address: N/A
SW 1/4 NW 1/4 Section 30 Township 6.0 N Range 66.0 W Sixth P.M.
Well to be constructed on specified tract of land
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) 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)(b)(I) and the policy of the State Engineer dated April 9, 1985 for appropriation of
groundwater tributary to the South Platte River system.
4) The pumping rate of this well shall not exceed 15 GPM.
5) The use of groundwater from this well is limited to drinking and sanitary facilities as described in CRS 37-92-602(1)(c), for a
commercial business and for fire -fighting purposes as described in CRS 37-92-602(1)(d). Water from this well shall not be used
for lawn/landscape/greenhouse irrigation, domestic animal/livestock watering, or for any other purpose outside the business
building structure(s).
6) The annual amount of groundwater to be withdrawn by this well for drinking and sanitary use must not exceed 1/3 acre-foot
(108,600 gallons).
7) Approved as the only well on a tract of land of 13.13 acres described as Lot B, Recorded Exemption No. 0805-30-2 RE -4193,
Weld County.
8) The return flow from the use of this well for drinking and sanitary purposes 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.
9) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all diversions
for drinking and sanitary use must be maintained by the well owner (recorded at least annually) and submitted to the Division
Engineer upon request.
10) An outlet may be installed between the well head and the totalizing flow meter for the fire -fighting use. The use of water from
this outlet is limited to fire -fighting purposes only, and must be capped and locked and available for use only in fighting fires.
The outlet may be used to fill an enclosed storage tank provided the tank outlet is capped and locked and available for use only
in fighting fires.
11) Pursuant to Rule 6.2.3 of the Water Well Construction Rules, the well construction contractor shall submit the as -built well
location on work reports required by Rule 17.1 within 60 days of completion of the well. The measured location must be
accurate to 200 feet of the actual location. The location information must include a GPS location (UTM coordinates) pursuant to
the Division of Water Resources' guidelines.
NOTE: This permit will expire on the expiration date unless the well is constructed by that date. A Well Construction and Yield
Estimate Report (GWS-31) must be submitted to the Division of Water Resources to verify the well has been constructed. An
extension of the expiration date may be available. Contact the DWR for additional information or refer to the extension request
form (GWS-64) available at: dwr.colorado.gov
Printed 09-28-2022 For questions about this permit call 303.866.3581 or go to https://dwr.colorado.gov
Page 1 of 2
WELL PERMIT NUMBER 328688 -
RECEIPT NUMBER 10020037
6,97!",_
Issued By SARAH BRUCKER
Date Issued: 9/28/2022
Expiration Date: 9/28/2024
Printed 09-28-2022
For questions about this permit call 303.866.3581 or go to https://dwr.colorado.gov Page 2 of 2
NORTH WELD COUNTY WATER DISTRICT
32825 CR 39 • LUCERNE, CO 80646
P.O. BOX 56 • BUS: 970-356-3020 • FAX: 970-395-0997
WWW.NWCWD.ORG • EMAIL: WATER@NWCWD.ORG
March 11, 2022
Colorado Division of Water Resources
Office of the State Engineer
818 Centennial Building
1313 Sherman Street
Denver, CO 80203
RE: Well Permit Application of Marty R. Matchett
Lot B of Recorded Exemption No. 0805 -30 -2 -RE -4193, recorded November 14, 2005, at
Reception No. 3339683 of the Weld County records, being a part of the SE1/4 of the
NW1/4 of Section 30, Township 6 North, Range 66 West of the 6th P.M., Weld County,
Colorado.
Weld County Parcel # 080530200009
Ladies and Gentlemen:
Please be advised that North Weld County Water District is a Special District providing water
service within portions of Weld County and Larimer County, Colorado. The District is currently
under a Tap Sale Moratorium and therefore is unable to serve the above -mentioned parcel at this
time. Accordingly, we have no objection to the above -referenced applicant obtaining a well
permit within the boundaries of the North Weld County Water District.
The District requests that a signature approval block for North Weld County Water District be
provided on all final plats for any Subdivision, including but not limited to a Recorded
Exemption (RE), Subdivision Exemption (SE), Use by Special Review (USR), Planned Unit
Development (PUD), Minor Subdivision or any Off -Site Construction Plans within Weld or
Larimer Counties.
North Weld County Water District
&I,i,C/ Zwk e nti,n e,
By:
Eric Reckentine, District Manager
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