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Home My WebLink About20222915.tiffCOLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST, RM 821, DENVER, CO 80203 Main: (303) 866-3581 dwrpermitsonline@state.caus 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 o` applicant usaro LLC Mailing address 1021 Nightingale Drive City ort Collins Telephone # (area code & number) 2O-841-7275 State Zip code CO 80525 E-mail (online filing required) michael. d.enter a)kw. corn Office Use Only Form GWS-45 (01/2020) 6. Use Of Well (check applicable boxes) Attach a detailed description of uses applied for. I] Industrial J] Municipal ] Irrigation 0] Commercial [O Dewatering System P] Geothermal (production or reinjection p] Other (describe): 2. Type Of Application (check applicable boxes) Construct new well P1 Replace existing well cl] Change source (aquifer) COGCC Well [O1 Use existing well p] Change or increase use Po] Reapplication (expired permit) Off] Other 7. Well Data (proposed) Maximum pumping rate 150 Total depth TBD Annual amount to be withdrawn gpm Maximum -Allowed Aqui'er feet Laramie -Fox Hills acre-feet 3. Refer To (if applicable) Well permit Designated Basin Determination # Water Court case # Well name ar# 4. Location Of Proposed Well County Weld NW Section Township 1 Distance of well from section lines (section lines are typically not property lines; 1)4 of the SE 1i4 N er S Range E or W Principal Meridian OI Q] 67 O] 0] 6th _170 Ft from° NOS 1,335 Ft'ram®EQ�W Far replacement wells only— distance and direction 'rom old well to new well feet direction Well location address (Include City_ State Zip; Check well address is same as in tem 1 Optional: GPS well location information in UTM format You must check GPS unit for required settings as follows: Format must be UTM OZone 12 org Zone lb Units must be Meters Datum must be NAD83 Unit must be set to true north Was GPS unit checked 'or above? IQ YES Easting 512502 Northing 4436492 Remember to set Datum to NAD83 8. Land On Which Ground Water Will Be Used Legal Description of Land (may be provided as an attachment;-. PT N2SE4 2-1-67 PT LOT B REC EXEMPT RE -85 LYING E OF NEW BRANTER DITCH (6RID) (If used for crop irrigation, attach a scaled map that shows irrigated area.) A. # Acres B. Dvsner 58.59 Fusaro LLC C. List any other wells crwater rights used on this land 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 names} of person(s) submitting application Donald Fetters `signing print name and title Donald Fetters Owner Date Immiddiyyyy} 04/04/2022 5. Parcel On Which Well Will Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) A. Legal Description (may be provided as an attachment) PT N2SE4 2-1-67 PT LOT B REC EXEMPT RE -85 LYING E OF NEW BRANTER DITCH (GRID) B. # o' acres in parcel 58.59 C. Dvsner Fusaro LLC D. Will this be the only well on this parcel? 0]YESIO NC(i`nolist other wells) E. State Parcel ID# (optional) Office Use Only USGS map name AGUAh1AP WE WR CWC B TDPD MYLAR SB5 DWR map no Surface elev. Receipt area only D IV __-- WD —_-- BA __-- MD 146902000002 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@stateco.usForfurtherinformation pleasevisitdwr.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 '/4 of the %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 1081b Meridian (longitude). West of the 108'" 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.qov for general information, additional forms, and access to state rules or statutes. etA DNR COLORADO Division of Water Resources Department of Natural Resources WELL PERMIT NUMBER 87088-F RECEIPT NUMBER 10020593 ORIGINAL PERMIT APPLICANT(S) FUSARO LLC PERMIT TO CONSTRUCT A NEW WELL APPROVED WELL LOCATION Water Division: 1 Water District: 2 Designated Basin: N/A Management District: N/A County: WELD Parcel Name: N/A Physical Address: N/A NW 1/4 SE 1/4 Section 2 Township 1.0 N Range 67.0 W Sixth P.M. UTM COORDINATES (Meters, Zone:13, NAD83) 3) Easting: 512487.2 Northing: 4436487.2 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 37-90-137(4) and the findings of the State Engineer dated June 14, 2022. 4) The use of groundwater from this welt is limited to industrial, irrigation and commercial. 5) Production from this well is limited to the Laramie -Fox Hilts aquifer which is located approximately 435 feet below ground surface and extends to a depth of approximately 735 feet. In accordance with Rule 10.4.8 of the Water Well Construction Rules, plain steel casing must be installed and grouted from the top of the permitted production zone up to at least ten feet above the base of the surface casing, or to the depth required by Rule 10.5.2.1, if no surface casing is installed. (NOTE: If coals and/or carbonaceous shales are encountered in the borehole, plain casing and grout should be installed through these intervals to exclude poor quality water from entering the welt.) 6) The pumping rate of this welt shall not exceed 150 GPM. 7) The average annual amount of groundwater to be withdrawn shall not exceed 13.2 acre-feet and the total volume of groundwater to be withdrawn shall not exceed 1,320 acre-feet. 8) The entire length of the hole shall be geophysically logged as required by Rule 9 of the Statewide Nontributary Ground Water Rules prior to installing casing. 9) The owner shall mark the well in a conspicuous location 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. 10) 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. 11) This well shall be constructed more than 600 feet from any existing well, completed in the same aquifer, that is not owned by the applicant. 12) This well shall be constructed not more than 200 feet from the location specified on this permit. 13) Pursuant to CRS 37-90-137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary groundwater 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. 14) This well is subject to administration by the Division Engineer in accordance with applicable decrees, statutes, rules, and regulations. Printed 06-14-2022 For questions about this permit call 303.866.3581 or go to https://clwrecolorado.gov Page 1 of 2 IWELL PERMIT NUMBER 87088-F RECEIPT NUMBER 10020593 15) ADVANCE NOTICE REQUIRED - Pursuant to Construction Rule 6.2.2.1 (2 CCR 402-2), licensed or private drillers and pump installers must provide advance notification (by 11:59 pm the day before) to the State Engineer prior to each of the following for this well: the start of well construction, the initial installation of the first permanent pump, and the initial installation of a cistern connected to the water well supply system. Any change in the date of constructionfinstallation must be re -noticed prior to the activity (by 11:59 pm the day before). Information regarding the notification process and a link to the electronic notification form can be found on the Division of Water Resources website at dwr.colorado.gov NOTE: This well is withdrawing water from a non-renewable aquifer. White the withdrawals from this aquifer are administered based on a 100 year aquifer life, water level declines may prevent this well from diverting the permitted amounts for that 100 years. NOTE: To ensure a maximum productive life of this well, perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above. NOTE: This permit will expire on the expiration date unless the well is constructed and a pump is installed by that date. A Well Construction and Yield Estimate Report (GWS-31) and Pump Installation and Production Equipment Test Report (GWS-32) must be submitted to the Division of Water Resources to verify the well has been constructed and the pump has been installed. A one-time 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 NOTE: A hydrogeologic aquifer evaluation has been completed for this permit and the details of the evaluation can be viewed in the hydrogeologic aquifer evaluation imaged document and the original permit file. Issued By AI LIS THYNE Date Issued: 6/14/2022 Expiration Date: 6/14/2023 Printed 06-14-2022 For questions about this permit call 303.866.3581 or go to https://clwrecolorado.gov Page 2 of 2 FINDINGS OF THE STATE ENGINEER IN THE MATTER OF AN APPLICATION FOR A PERMIT TO CONSTRUCT A WELL IN WATER DIVISION NO. 1, WELD COUNTY, COLORADO APPLICANT: FUSARO, LLC AQUIFER: LARAMIE-FOX HILLS PERMIT NO.: 87088-F In compliance with C.R.S. 37-90-137(1) and the Statewide Nontributary Ground Water Rules, Fusaro, LLC, (hereinafter "applicant") submitted an application for a permit to construct a well. Based on information provided by the applicant and records of the Division of Water Resources, the State Engineer finds as follows: 1. The application was received complete by the State Engineer on April 20, 2022. 2. The applicant proposes to construct the welt in the NW1 /4 of the SE1 l4 of Section 2, Township 1 North, Range 67 West, 6th Principal Meridian. 3. The proposed well is located outside the boundaries of a designated ground water basin. 4. The applicant proposes to apply the water withdrawn from the well to the following beneficial uses: industrial, irrigation and commercial. 5. The proposed maximum pumping rate of the well is 150 gallons per minute, and the requested average annual amount of ground water to be withdrawn is the maximum amount determined to be available. 6. The applicant is the owner of the land on which the well will be constructed. 7. The proposed well would withdraw ground water from the Laramie -Fox Hills Aquifer (hereinafter "aquifer'), which, based on site specific information, is located approximately 435 feet to 735 feet below land surface. 8. The location of the proposed well is more than 600 feet from any existing well completed in the aquifer. 9. According to a sworn statement, the applicant owns, or has consent to withdraw ground water underlying 58.59 acres of land as further described in said statement, which is attached hereto as Exhibit A. 10. Withdrawal of ground water from the aquifer underlying the land claimed by the applicant will not, within one hundred years of continuous withdrawal, deplete the flow of a natural stream at an annual rate greater than one -tenth of one percent of the annual rate of withdrawal and therefore the ground water is nontributary ground water as defined in C.R.S. 37-90-103(10.5). 11. In considering whether the requested permit shall be approved the provisions of C.R.S. 37-90-137(4) and the Denver Basin Rules shall apply. Withdrawals shall be allowed on the basis of an aquifer's life of 100 years, C.R.S. 37-90-137(4)(b)(I). Applicant: Fusaro, LLC Aquifer: Laramie -Fox Hills Permit No.: 87088-F Page 2 12. The quantity of water in the aquifer, exclusive of artificial recharge, underlying the 58.59 acres of land described in Exhibit A is 1,320 acre-feet. This determination was based on the following as specified in the Denver Basin Rules and site specific information: a. The average specific yield of the saturated aquifer materials underlying the land under consideration is 15 percent. b. The average thickness of the saturated aquifer materials underlying the land under consideration is 150 feet. 13. A review of the records in the State Engineer's Office has not disclosed that there are any existing wells or other water rights claiming or diverting ground water from the aquifer underlying the land claimed by the applicant. Based on the above, the State Engineer finds that there is water available for withdrawal by the proposed well and no material injury to vested water rights would result from the issuance of the requested permit subject to the following conditions: a. The allowed average annual amount of water to be withdrawn from the aquifer by the well shall not exceed 13.2 acre-feet (the quantity of water which is considered available divided by the 100 year aquifer life). b. The total volume of water that may be withdrawn from the aquifer by the well shall not exceed 1,320 acre-feet. c. The well shall be constructed no more than 200 feet from the location specified on the permit application. d. The applicant shall submit geophysical and lithologic logs after the construction of the well. The geophysical logs shall be obtained from the hole before the casings are installed. e. The maximum pumping rate of the well shall not exceed 150 gallons per minute. f. A totalizing flow meter must be installed on the 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. g. Production is limited to the Laramie -Fox Hills Aquifer. The well must be constructed with plain, non -perforated casing properly grouted so as to prevent intermingling of water between aquifers. h. Pursuant to C.R.S. 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 applicant shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. i. The owner shall mark the well in a conspicuous place with appropriate well permit numbers, name of the aquifer, and court case numbers. He shall take necessary means and precautions to preserve these markings. Applicant: Fusaro, LLC Aquifer: Laramie -Fox Hilts Permit No.: 87088-F Dated this 14th day of June, 2022. By: Prepared by: aat Page 3 ��n Kevin G. Rein, P.E. Director/State Engineer Allis Thyne Water Resources Engineer Exhibit A Permit No. 87088-F Form no. DIVISION OF WATER RESOURCES Page I of al GWS-1 DEPARTMENT OF NATURAL RESOURCES (1/2020) 1313 Sherman St, Room 821, Denver, CO 80203 (303) 866-3581, www.colorado.govlwater, dwrpermitsonline@state.co.us NONTRIBUTARY GROUNDWATER LANDOWNERSHIP STATEMENT Received Jun 13. 2022 DWR This form is to be submitted with applications for the following, when the applicant is the owner of the overlying land. 1) A well permit to withdraw groundwater from the Dawson, Denver, Arapahoe or Laramie -Fox Hills aquifers, or other aquifer the applicant claims contains nontributary groundwater, outside of a Designated Groundwater Basin subject to section 37-90-137(4), C.R.B., except when the right to withdraw the groundwater has been determined by a valid decree; OR 2) A determination of water right in the Dawson, Denver, Arapahoe or Laramie -Fox Hills aquifers, or a well permit to withdraw groundwater from those aquifers that are subject to Designated Basin Rule 5.4, within a Designated Groundwater Basin. NOTE: Form submittal instructions can be found on our website Colorado.govlwater. See instructions on the reverse of this form. Type or print in black or blue ink. 1. APPLICANT INFORMATION Name of Applicant Fusaro, LLC Mailing Address 1021 Nightingale Drive City Fort Collins State CO Zip Code 80525 Telephone Number (include area code) 720-841-7275 Email michael .dente@kw.com 2. AQUIFER Laramie -Fox Hills 3. CLAIM OF OWNERSHIP — I hereby claim that I am the owner of the following described property, as evidenced by the attached copy of a deed recorded in the county in which the property is located. Number of acres: 58.5► in the county of: Weld described as follows (insert legal description). PT N2SE4 2-1-67 PT LOT B REC EXEMPT RE -85 LYING E OF NEW BRANTER DITCH (6R1 - I further claim that the right to withdraw the groundwater in the aquifer underlying the above described property has not been reserved by another, nor has consent been given to another for the right to its withdrawal. 4. THE APPLICANT MUST PROVIDE — a Verification of Notice of Application (form no. WS -43) (see instructions for exceptions). 5. SIGNATURE — Sign or enter name(s) 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. Signature: ', gird Print name and title: Kenneth Mitchell Authorized Representative Date: 04/11/2022 COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST, RM 821, DENVER, CO 80203 Main: (303) 866-3581 dwr•ermitsonline • 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. Applicant Information Name of applicant Fusaro LLC Mailing address 1021 Nightingale Drive City Fort Collins state O Zip code 80525 Telephone # (area code & number) 720-841-7275 E-mail (online filing required) michae 1. dentekw. com 2. Type Of Application (check applicable boxes) Construct new well PI Replace existing well Change source (aquifer) COGCC Well P1 L] Use existing well P1 Change or increase use Reapplication (expired permit) IQ 1 Other: PI 3. Refer To (if applicable) Well permit # Water Court case # Designated Basin Determination # Well name or # 4. Location Of Proposed Well County Weld NW 114 of the SE 1/4 Section Township N or°I Range 67 For W 0101 Principal Meridian 6th Distance of well from section lines (section lines are typically not property lines) 170 Ft. from° N O S 1, 335 Ft. fro 01w For replacement wells only — distance and direction from old well to new well feet Office Use Only RCVD DWR 04/20/2022 Form GWS-45 (01/2020) 6. Use Of Well check a' s licable boxes 8. Land On Which Ground Water Will Be Used Legal Description of Land (may be provided as an attachment): PT N2SE4 2-1-67 PT LOT B REC EXEMPT RE -85 LYING E OF NEW BRANTER DITCH (6R1D) (If used for crop irrigation, attach a scaled map that shows irrigated area.) A. # AcresIF B. Owner 58.59sar0 LLC List any other wells or water rights used on this land: 9. Proposed Well Driller License #(optional): direction 10. Sign or Entered Name Of Applicant(s) Or Authorized Agent Well location address (Include City, State, Zip) Check if well address is same as in Item 1 Optional: GPS well location information in UTM format You must check GPS unit for required settings as follows: Format must be UTM O I Zone 12 orl® l Zone 13 Units must be Meters Datum must be NAD83 Unit must be set to true north Was GPS unit checked for above? Imo-' I YES Easting 512502 Northing 4436492 Remember to set Datum to NAD83 5. Parcel On Which Well Will Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) A. Legal Description (may be provided as an attachment): PT N2SE4 2-1-67 PT LOT B REC EXEMPT RE -85 LYING E OF NEW BRANTER DITCH (6R1D) B. # of acres in parcel 58.59 C. Owner Fusaro LLC D. Will this be the only welt on this parcel? 01 YESIOI NO (if no list other wells) E. State Parcel ID# (optional): 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 It onald Fetters Date (mmlddfyyyy) 04/04/2022 If signing print name and title It onald Fetters Owner Office Use Only USGS map name DWR map no_ I Surface elev. Receipt area only 10020593 600 ft - check 13.2 AF/yr, 150 gpm AQUAMAP WE WR CWCB TOPO MYLAR SBb DIV WD BA MD 146902000002 Form no. DIVISION OF WATER RESOURCES GWS-43 DEPARTMENT OF NATURAL RESOURCES (1/2020) 1313 Sherman St, Room 821, Denver, CO 80203 (303) 866-3581, www.colorado.govlwater, dwrpermitsonline@state.co.us VERIFICATION OF NOTICE OF APPLICATION Received Jun 3. 2022 DWR This form is to be submitted with applications for the following. 1) A well permit to withdraw groundwater from the Dawson, Denver, Arapahoe or Laramie -Fox Hills aquifers, or other aquifer the applicant claims contains nontributary groundwater, outside of a Designated Groundwater Basin subject to section 37-90-137(4), C.R.B., except when the right to withdraw the groundwater has been determined by a valid decree; OR 2) A determination of water right in the Dawson, Denver, Arapahoe or Laramie -Fox Hills aquifers, or a well permit to withdraw groundwater from those aquifers that are subject to Designated Basin Rule 5.4, within a Designated Groundwater Basin NOTE: Form submittal instructions can be found on our website Calorado.govlwater. See instructions on the reverse of this form for exceptions to the above list. Type or print in black or blue ink. 1. APPLICANT INFORMATION Name of Applicant Fusaro, LLC Mailing Address City State Zip Code 1021 Nightingale Drive Fort Collins CO 80525 Telephone Number (include area code) 720-841-7275 Email michael.dente@kw.com 2. AQUIFER Laramie -Fox Hills 3. NOTICE Designated of to overlying The water every names OF right record land N/A APPLICATION Basin Rule by registered owner recorded of the persons 5.3.2.2, of in the the that — I hereby claim or Designated Basin or certified mail, return receipt overlying land and to county in which the were given notice that overlying are I Rule every listed have given notice 5.4.2.2, as applicable, requested, no less person who land is located. below: pursuant of than ten has a lien to section application days or mortgage prior for 37-90-137(4)(b.5), a well permit or to the making of the upon, or deed determination of trust C.R.S., application, to, the or 4. SIGNATURE perjury the Signature: Print name statements egged in the and Nada title: - Sign or enter second degree, herein, know Kenneth Mitchell the name(s) which contents Authorized of applicant(s) is punishable thereof, and Representative or as a class state authorized agent. The 1 misdemeanor that they are true to making pursuant my knowledge. of false statements to C.R.S. 24-4-104(13)(a). Date: 05/28/2022 herein constitutes I have read COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., STE 821, DENVER, CO 80203 main: (303) 866-3581 dwr.colorado.gov Form GINS -57 (10/2013) Application Receipt No. Applicant's Name: 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: Elevated Excavating (Excavation Company) 4 _ 2. Is this application for a new well? Yes No If no, is this application for a change of use for an existing well? • Yes Permit Number of well (if applicable) • No For wells used for drinking and sanitary purposes prior to May 8, 1972, a field inspection of the well to verify historical uses may be required. See form GWS-12 Registration of Existing Well and form GNS-12A Statement of Historical Use for further information. 3. Is the parcel the well is located on (or will be located on) within the boundaries of a water service area (water district, municipality, water company, etc.) or is water available from another source (such as a well)? O Yes If yes, indicate what this other source is ® No (name of water district/supplier, or well permit number) 4. Proposed type of disposal system to be used: CR Septic tank / absorption leach field O Central System (district name:) Cl Vault (location sewage hauled to:) O Other (attach copy of engineering design) 5. Water Demand Calculations (for average factors for water demand see below) Employees Number of Employees X Number of Gallons per Employee per Day X Number of Days Employee Works per Year = Gallons per Year 20 X 15 X 350 = 105,000 Customers Number of Customers per Day X Number of Gallons per Customer X Number of Days Business is Open per Year = Gallons per Year 5 X 1 X 350 1= 1,750 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 Mist X 5 X 350 = 1,750 Total amount of water required: = Gallons per Year (A+B+C) 108,500 = A B C For wells used for commercial drinking and sanitary purposes on or after May 8, 1972, the total water demand cannot exceed 108,600 gallons (1/3 of an acre-foot) per year. For wells used for commercial drinking and sanitary purposes prior to May 8, 1972, the total water demand cannot exceed 325,900 gallons (1 acre-foot) per year. General Guidelines for Water Demand in Gallons per 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) — 80 gallons/person/day Additional water demand figures may be obtained from a private water consultant or from a technical reference on this subject. K&, • <14% OP" xiTkle ;fit{ti, N:( Ctee" ?4 O � Received f 4 1,. . �,� .r 05/24/2019 02:1271R T t I$ es: 2 Rec Fee: c$,1 Doc Fee: $65.00 Jun 3. 2022 5?rfy Koppes - Clerk and:- eccrder, Weld Count }- O . 4 Special Warranty Dee State Documentary F Date: May 23, 2019 $65.09 (Pursuant to 38-30-115 C.1cR ±3 /FP/ 9 THIS DEED, made on May 3r -2619 by THRESA F. SPEAK AND STEVEN A. SPEAK AND CLAUDI4 S'. --SPEAK Grantor(s), of ck*. County of Weld and State of o for the consideration of ( 1� O) Six Hundred Fifty Thou 'acrd 00/1 00' dollars in and paid, hereby sells and conveys. o FUSAFtO, LLC, A COLORA[ ` � MITED LIABILITY COMPANY 0 ntte(s), whose street address is P.O. BOX 192, Fort Luptgr Co:80621, County of Weld, and Seto' Colorado, the following real petty in the County of Weld, and --RE-85, RECORDED OCTOSE r 1973 IN ROOK 701 AT RECE State of Colorado, to wit: A PORTION OF LOT ECORDED EXEMPTION NO. # NO. 1623319 DE MED AS FOLLOWS: ALL THATF 'ART OF THE N 1/2 OF THE SE 114'OF SECTION 2, TOWNSHIP al NOS RANGE 67 WEST OF THE 6TH -QM., ., COUNTY OF W,4715;: MATE OF COLORADO, LYI _AST OF THE EAST EDGE OF 'SW BRANTNER DITCH, EXCEPTING THEREFROM, THAT PORTItN CONVEYED TO THE STATE DEPARTMENT OF HIGHWAYS, STATEOF COLORADO BY KkE'ED RECORDED SEPTEMBER 4`'958 IN BOOK 1513 AT PAGE ; : \ also known by street and n ber as: TBD HIGHWAY 52, FORT PTON, CO 80621 with all its appurtenances and warrants the title to the sari!, least all persons claiming under attached Exhibitr ich, by reference, is incorporates in. THRESA F. SPEAK TEVEN CL St",1/4. unty of s_ snAk ..ecC The foregoing instrument wa*hov+ edged before me AND CLAUDIA S. SPEAK', :,< Witness my hand anti ficial seal l �Y` My Commission expires: 4 +. When recorded return to: m 1041 edslswd_ %1©\> r )ss. //r� SARA], LLC, A COLORADO LiI TED LIABILITY COMPANY P.O. BOX 192, Fort Lupton, ii0621 ubject to the mailers shown in ` ESMER AMADOR NOTARY PUBLIC TATS OF COLOMPO. NOTARY ID 19924017OP }, Corn mission Expires September 19, 2020 25164859 gs> o9314) TEVEN A. SPEAK iw Mi 1q3 • K&, • • <'\'\\) cc-\\;, 4491 � 05/24/2019 02:12 P . e of 2 �O 1. GENERAW;;ItES FOR THE YEAR OF CLOSI.NGr 2. DISTRIBUTION UTILITY EASEMENT NCLUDING CABLE TV) r4 , r \ = ., r. `t. Y i(c-s),._ `` ` IOSE SPECIFICALLY DESCRIBE;D'RIGHTS OF THIRD PARTIES N SHI S -OWN BY THE PUBLIC RECOO *F WHICH ' 4 GRANTEE HAS ACTUAL KNOWLEDGE AND WHICH WERE ACCEPTED BY GRANTEE IN ACCORDANC ._WITH § 8.3 (OFF- RECORD TITLE) AND § 9 (NEEWILO OR NEW SURVEY) OF THabaNTRACT TO BUY AND SELL REAL ESTATE RELATING TO Et KORS INS WERE NOT INSTALLED A `HE DATE T OF GRANTEE'S ELL REAL ESTATE RELATINTHE REAL PROPERTY CONVEYED -BY OR AFTER CLOSING. THE REAL PROPERTY COlsiVEYED BY THIS DEED. 4. INCLUSION OF TJ N OPERTY WITHIN ANY SPEgik,OXING DISTRICT. 5. ANY SPECIALASS ESSMENT IF THE IMPROVEM SIGNATUfk To THE CONTRACT TO BUY A `) THIS/ EE3 , WHETHER ASSESSED PRIOR T N 6.,, -REQUEST FOR NOTIFICATION OF-{RFACE DEVELOPMENT AS EV : �NCED BY INSTRUMENT HER D.OCT OCTOBER �,O 30, ®-2000 UNDER RECEPTION NO. 28270.`' '217, REQUEST FOR NOTIFICATLL t`OF SURFACE DEVELOPME 2007 UNDER RECEPTI.NO. 3495293. { 8. REQUEST FOR NOTIFICATION OF SURFACE DEVE PMENT AS EVIDENCED BY INSTI 2007 UNDERFigGEPTION NO. 3525268. .,,\. „/ ,@5 \-- - ---, 9. TERMS, DITIONS AND PROVISIONS OF -UP COVENANT AND NON-EXCLUSIVE EASEMENT IN GROSS ,cs\ \-7:- . RECORDED MA 7, 2010 AT RECEPTION NO. 309197. 10.M 5, CONDITIONS AND PROVISIONS OF MEMORANDUM O UM OF AGRIIEIVT RECORDED FEBRUARY 17 AT . CEPTION NO, 4280274. 111. TERMS, CONDITIONS AN - OVISIONS OF NON -E CLU I SV RECEPTION NO. 43594&" `@v Q >. /?>1% ...\1\ 12. RIGHT OF WAY EA EASEMENT AS GRANTED TO KERR-MdGEE GATHERING LLC IN INS FI NT RECORDED FEBRUARY AC1/4W /A ,,,Ce\ 13. RIGHT ON ,WAY EASEMENT AS GRANTED TO_'JNITED POWER INC IN INSTRUMENT RECORDED JUNE 11, 2018., UNIbER REQ !TION NO. 4106295. r ' -= ,cms 1i ,---,<±), 4 NO E_ THE FOLLOWING NOTICE.ST I° SUANT TO CRS 9-1.5-103 COIN ERNIN UNDERGROUND � G U FACILITIES HAVE BEEN ILED WITH THE CLERK AND RECORDER. THESE STATEMENTS ARE GENERAL AND DO NOT NECES' 'RILY GIVE NOTICE OF UNDERGROUND FACILITIESWITHIN THE SUBJECT PROP,EP, : (A) MOUNTAIN BELL TELEPHONE COMPANY, RECORDED OCTOBER 10./ti: AT RECEPTION NO. 1870705aSY ESTERN SLOPE GAS COMPA*, RECORDED MARCH 9, 1983 AT RECEPTION N -919757. (C) ASSOCIATED NATURAt GAS, INC. RECORDED JUL X\20:1984 AT RECEPTION NO. 1974810 AND RECORDED OCTOBER 1, 1984 AT RECErlON NO. 1983584 AND RECORD ARCH 3, 1988 AT RECEPTIQ NO. 2132709 ANDkCORDED APRIL 10, 1989 AT I PTION NO. 2175917. (D) PANH *pit EASTERN PIPE LINE COMPANY, ORDER OCTOBER 1, 1981 AT ROEPTION NO. 1870756 AND RECORbEO JUNE 26, 1986 AT RECEPTI0I 1 . 2058722.,(>..OOLORADO INTERSTATE GAS COMPANY, RECORDED AUGUST 30984 AT RECEPTION NO. 19797844)-\ UNION RURAL ELECTRIC ASSOCJATION,.,INC.-, RECORDED OCTOBER 5, 19$c1 AT RECEPTION NO. 1871004. (G). NESTERN G% c1PPLY COMPANY, RECORDED/APRIL 2, 1985 AT RECEPTION NO., -24300. (H) PUBLIC SERVICE COMPANY OF _ LORADO, RECORDED NOVEMBER", 1981 AT RECEPTION NO. 1874 (I) UNITED POWER, INC., RE RUED JANUARY @, 1991 AT RECEPTION NO. 2239 , r> 'EVIDENCED BY INSTRUME . "i8RDED AUGUST 95, NT RECORDED DECEMBER 2018, UNDER E PTION NO. 4373623. \' 4 1041 closing/deeds/swd m1 �o . C SS EASEMENT RECORDED,,. ,ECEMBER 12, 2017 AT 4 <fs ok O 25164859 (459314) May 4, 2022 Hydrogeology Sectign ConsuLtation Date Evaluator: Allis Thyne Receipt No: 10020593 Permit: Applicant: Fusaro, Location: NW ' SE lA Section 2 ••, Township 1 N 1 Range &W 6th PM Easting: 512502 Northing: 4'43M92 Elevation: 4,970 guifers Requested: Laramie -Fox Hills interval and saturated sands thickness Research: 145 vs OP FI LGtn/wor7 ions` eifne- is 916O To i 315 - Dale Lf a 64 O Recommended Permit Conditions and Notes: Lareten:e, Fix tllsaj„h 93S- 7 3S Pred /D. Y 8 £m4 L5To Fuf Hydrogeotogist Signature: KC1 Date: as Applicant: Location: Basin Designation: COLORADO Division of Water Resources Department of Natural Resources Bedrock Aquifer Evaluation Determination Tool Denver Basin Aquifer - Specific Location Determination Tool FUSARO LLC NW 114 of SE 1/4 of Sec. 2, TAN, R.67W. (2073 SSL, 1370 ESL) Location is within the UNKNOWN Designated Groundwater Basin Ground Surface Elevation: 4969.43 Number of Acres: 58.59 Receipt Number: 10020593 Evaluated By: N/A Warning! The depth intervals estimated in this area may vary from actual conditions due to lack of data and/or structural complexity. Elevation (ft) Depth (ft) Aquifer Bottom Top Net Sand Bottom Top Annual Approp. (AF) Status Upper Dawson — — — — — -- -- Lower Dawson — — — — — -- -- Denver — — — — — -- -- Upper Arapahoe — — — — — -- — Lower Arapahoe 4922 4981 24.6 47 -12 2A5 NNT Laramie -Fox Hils 4212 4472 149.8 497 13.17 NT 757 Report Date: 5/4/2022 0 1,000 2,000 Feet 4 DNR COLORADO Division of Water Resources Department of Natural Resources 10020593 Laramie -Fox Hills Mylar Presumption - Laramie -Fox Hil Decreed - Laramie -Fox Hills (k Exempt Well - Laramie -Fox Hil Pre -213 Cylinder - Laramie-Fo Non Exempt Well - Laramie-Fc Deemed Consent - Laramie -R Ij • nurr ST Co Ali ukADU 2,000 1: 12,000 This product is for informational purposes and may not have been prepared for, or be suitable for legal, engineering, or surveying purposes. Users of this information should review or consult the primary data and information sources to ascertain the usability of the information. Date Prepared: 6/14/2022 10:46:03 AM COLORADO Division of Water Resources Department of Natural Resources 10020593 Laramie -Fox Hills Map Cabinet 0 1,000 2,000 Feet Presumption - Laramie -Fox Hil Decreed - Laramie -Fox Hills (k Exempt Well - Laramie -Fox Hil Pre -213 Cylinder - Laramie-Fo Non Exempt Well - Laramie-Fc Deemed Consent - Laramie -R .5 CA ukADU • nurr Ij 2,000 1: 12,000 This product is for informational purposes and may not have been prepared for, or be suitable for legal, engineering, or surveying purposes. Users of this information should review or consult the primary data and information sources to ascertain the usability of the information. Date Prepared: 6/14/2022 10:44:14 AM ts 4 DNR COLORADO Division of Water Resources Department of Natural Resources 10020593 Laramie -Fox Hills Map Cabinet 2 0 1,000 2}000 Feet Presumption - Laramie -Fox Hil Decreed - Laramie -Fox Hills (k Exempt Well - Laramie -Fox Hil Pre -213 Cylinder - Laramie-Fo Non Exempt Well - Laramie-Fc Deemed Consent - Laramie -R '•;4 • 17414 4")17: .5 CA u ADO •M'+'rr Ij 2,000 1: 12,000 This product is for informational purposes and may not have been prepared for, or be suitable for legal, engineering, or surveying purposes. Users of this information should review or consult the primary data and information sources to ascertain the usability of the information. Date Prepared: 6/14/2022 10:44:56 AM 0 1 2 Miles a 4 DNR COLORADO Division of Water Resources Department of Natural Resources 10020593 Laramie -Fox Hills Atlas Non Exempt Well , Laramie -Ft Zone Type NON TRIBUTARY NNT 4% NNT ACTUAL N p..;;IC entier l_4I,. '0 P. LIT -I 1: 63,360 This product is for informational purposes and may not have been prepared for, or be suitable for legal, engineering, or surveying purposes. Users of this information should review or consult the primary data and information sources to ascertain the usability of the information. Date Prepared: 6/14/2022 10:47:44 AM 6/13/22, 2:44 PM State.co.us Executive Branch Mail - Water Well Permit Application, Receipt No. 10020593 STATE OF COLORADO Thyne - DNR, Allis <ailis.thyne@state.co.us> Water Well Permit Application, Receipt No. 10020593 Michael Dente <michael.dente@kw.com> To: "Thyne - DNR, Ailis" <ailis.thyne@state.co.us> Cc: bob demaere <bob.demaree@kw.com> Allis, Apologies, I meant to send the updated GWS-1 form in my last email. Mon, Jun 13, 2022 at 2:41 PM On Mon, Jun 13, 2022 at 2:36 PM Thyne - DNR, Allis <ailis.thyne@state.co.us> wrote: Dear Fusaro LLC, Thank you for the additional information. Based on the deed, it appears Fusaro, LLC is the owner of the property, not Donald Fetters. The attached GWS-1 submitted states Donald Fetters as the owner of the property. Please update the GWS-1 for the applicant to be the same as the deed holder. If someone signs the forms as an authorized representative, a letter from the property owner stating the person as an authorized representative is needed. Please let me know if you have any questions. Regards, Allis Thyne, P.E. Water Resource Engineer COLORADO Division of Water Resources Department of Natural Resources P 303.866.3581 x 8216 1313 Sherman Street, Room 818, Denver, CO 80203 ailis.thyne@state.co.us I www.colorado.goviwater On Fri, Jun 3, 2022 at 3:58 PM Michael Dente <michael.dente@kw.com> wrote: Allis, Attached below is the requested G -43 form and special warranty deed. Apologies for the delay. Let me know if there is anything else needed. All the best, On Wed, May 4, 2022 at 3:26 PM Thyne - DNR, Allis <ailis.thyne@state.co.us> wrote: Dear Fusaro, LLC, After preliminary review, the water well permit application, receipt no. 10020593, cannot be further evaluated for the following reasons. . Please complete and submit the attached Verification of Notice of Application (GWS-43) form. • Please provide a copy of the deed proving ownership of the property. Please note that the Name of Applicant on the GWS-1 and GWS-43 forms should match the name of the owner on the deed. If you want this office to process the application, please submit the necessary supplemental information via email or to this office to my attention. If you have questions, please contact me at this office at 303-866-3581 ext. 8216 or email to ailis.thyne@state.co.us. https://rnail.google.com/mail/u101?ik=6155c18885&view=pt&search=all&permmsgid=msg-f%3A1735553589462117821 &dsgt=l &simpl=msg-f%3A1735... 1/2 6/13/22, 2:44 PM State.co.us Executive Branch Mail - Water Well Permit Application, Receipt No. 10020593 Sincerely, Allis Thyne, P.E. Water Resource Engineer COLORADO Division of Water Resources Department of Natural Resources P 303.866.3581 x 8216 1313 Sherman Street, Room 818, Denver, CO 80203 ailis.thyne@state.co.us I www.colorado.govlwater Michael Dente KW Commercial I Advisory & Transaction Services Industrial & Logistics 606 Mountain View Avenue I Longmont, CO 80501 C: 720-841-7275 Michael.dente@kw.com Michael Dente KW Commercial I Advisory & Transaction Services Industrial & Logistics 606 Mountain View Avenue I Longmont, CO 80501 C: 720-841-7275 Michael.dente@kw.com GWS-01 Nontributary Ground Water Landownership Statement (1) (3) updated.pdf 398K https://rnail.google.com/mail/u101?ik=6155c18885&view=pt&search=all&permmsgid=msg-f%3A1735553589462117821 &dsgt=l &simpl=msg-f%3A1735... 2/2 STATE OF COLORADO DWR - DNR, Permitsonline <dnr dwrpermitsonline@state.co.us> Well Permit Application Michael Dente <michael.dente@kw.com> Wed, Apr 13, 2022 at 4:03 PM To: "DWR - DNR, Permitsonline" <dnr dwrpermitsonline@state.co.us> Erica, I appreciate the quick response. Attached below are the applications with section 2 filled out. Let me know if there is anything else I need to modify or fill out. All the best, [Quoted text hidden] 3 attachments GWS-57 Commercial Drinking And Sanitary Well (2).pdf 118K GWS-45 General Purpose Water Well Permit Application (3).pdf 324K GWS-01 Nontributary Ground Water Landownership Statement (1).pdf 425K L, Sep - er 20, 1973 1 Alex H. �v �n Em't atm Via. RE�RDED EXEMPTION No. 14 and N 9j A . M _ler LEGAL DESCR.T.P7N That portio 67 West of described the North Half o 6th Principal M follows. Begin V . at the Northeast Cen - '. Inc of said Secti tl e along the North less to the TRUE 1 the Southwest Go; South 89°56 said East 1 recorded in said Parcel North 89°52 of said North Ha (O) le Southeast Quart Ian, County of W rner of said Scut: L ortll 89°52'37" We th Centerline of OF BEGINNING. TI*A-ce continuing Sout thence along the G._._.__•_.G CIC}ter;. 411101 cJZ OCT 1 9 1973 Ann SX1orne" t;Y i 2-4-RE8 . 'I-vClvrl` E C aRI be? 1 C11 ,fiIC e r "• t V/c/N/fl' SAP 3.N) SCALE /�i �OOO1 LNE?) f Section 2, Town ) 1 North, Rango State of Colorz :+s ; more par, Cleo] an I t Quarter; thence ,6L7.98 feet to Section South 0° )ng the East-West center of said Se n; 2" East 60.00 fee , r e 04'32" East 1,262(129 feet N th line of said NoEiT Half Yr6\ (j '19" E .• 2,623.38 feet to pN East line of saidr, theas t Quarter; t .i_ n e N h 0°18'36" West 1,2^,i0.16 feet to t h e S o c`t;i e a s t Corner of t_ h a e r Bo c 1513, Page 480, r. ec r. ds or said County; thence along the Sou f ierly Na. -- a 89°52'37" West . feet; thence Nor 144°51' 37" West 70., @N>feet; West 2,544.73 fe lore or less to th .. UE POINT OF BEGIN Mt?: above. U. - ser il7ed Parcel is s t 1 Page 4°' records of said C The j kbve described I'ca rc: ' k. en4r c -1~ S ec4c0 rt 2 1'2 Pp y• e a.1.ong7 r Lain l� r 1w 4. line of thence ect to that cer ai 15.00 foot easem recorded in Book : ontains Sec ,2,o n a gross 'age o f 75.85 r_ Ace .s t're or less. „46) cNINNYt o Jam., R•47•hV rf� (590 567' /9" C /r rre or Me At MMe 5: E. 7 Sec V c€'1) f/) 9`59" {, r `- ? 98 2544)73' 774' Rk /5/3 eeoea.36' 1cj . a eras * Sec+. 2,T- I o {'I' e`4. Corner Sod j gs4 Qoar+ete 61/4 tir 0 fggl ,.J o c +te 5C4L R9 ~ I 400 S+ nee, • 7• tdkit r a BOOK 701.Ce9 .Sept r 20, 1973 (S) ©1 HEREBY CEE IFY UNDER MY SUPERV CORRECT TO TWEST tealtted EdgarBerlier E.S855 • Co) cs's) (o) E THIS PLAT WAS F' . ' RED N AND THAT THE SAgt IS OF MY KNOWLEDGE\ AND BELIEF. 16233 I469-44--RE85 tee; We, Alex H. an ina A. Miller, owners in fe do hereby s attached snap. Ale iller • a a A. Miller the above descr. i vide the same as (9) The forego ertif cation was before me thilb 26th day of Sep 1973, A. My co I ssior► expires., 1O f..76 Willoyess my hand and se _freAests1K:9(5) C^ �.J c1 J (9) ' c CORDER. DEPUTY IO1 ©% hei : the sole property, w n on t h e 42C3 ho w i ed ed er a' a.r ti';u1alac THE ACCOMPANYIN ' IS ACCEPTED ! FOR FILING. Chairma$ c ' the Board of Cr ;t a ATIC:„Ifiz COUNTY 2SERK • DATED 4 cS,EATE OF COLORADO COUNTY OF WELD I HEREBY CERTMY WAS FILED FOR R /i C.Cci 9'P ROVED minis einers 4-' . r (r THIS INsTRYmcevn L'V MY OFFICE A71 @;I<> 0CT 1;) 1973 it '''MISDIM ' 'CORDED N BOOK iCika ifY Ana <> 7)- ♦_ sw andelenet 1 May 4, 2022 Hydrogeotogy Section Consultation Date Evaluator: Allis Thyne Receipt No: 10020593 Permit: Applicant: Fusaro, LLC Location:NW ' E '4 Section 2 Easting: 512502 Northing: 4436492 Township 1 Range 67 Elevation: 4,970 Aquifer(s) Requested: Laramie -Fox Hills interval and saturated sands thickness 6th PM Research: Recommended Permit Conditions and Notes: Hyd rogeologi st Signature: Date: Hello