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Home My WebLink About20220600.tiffForm No. OFFICE OF THE STATE ENGINEER 'WS -25 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (rniti RRF RriR1 APPLICANT DAVE WOLFE % DREILING DRILLING CO INC BOX 638 FT MORGAN, CO 80701 - 1207 WELL PERMIT NUMBER 225968 - DIV. 1 WD 3 DES. BASIN MD J APPROVED WELL LOCATION WELD COUNTY SE 114 SW 1/4 Section 31 Township 9 N Range 67 W Sixth P.M. DISTANCES FROM SECTION LINES 900 Ft. from South Section Line (800) 894-7160 1800 Ft. from West Section Line 'ERMIT TO USE AN EXISTING WELL 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)(b)(I I)(A), for a change of legal description on permit no. 136380, as the only well on a tract of land of 40.00 acres described as the E 1/2 of SW 1/4 of SW 1/4 and the W 1/2 of SE 1/4 of SW 114 of Section 31, Twp. 9 N, Rng. 67 W, Sixth P.M., Weld County. 4) The use of ground water from this well is limited to fire protection, ordinary household purposes inside not more than three (3) single family dwellings, the watering of poultry, domestic animals and livestock on a farm or ranch and the irrigation of not more than one (1) acre of home gardens and lawns. 5) The maximum pumping rate of this well shall not exceed 15 GPM. 6) The issuance of this permit hereby cancels permit no. 136380. 7) 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. 8) This well shall be constructed not more than 200 feet from the location specified on this permit. 9) This permit has been approved for a well to be located on a tract consisting of the E 1/2 of SW 1/4 of SW 1/4 and the W 1/2 of SE 1/4 of SW 1/4 of Section 31, modifying Item 5 on the well permit application form. You are hereby notified that you have the right to appeal the issuance of this permit, by filing a written request with this office within sixty (60) days of the date of issuance, pursuant to the State Administrative Procedures Act. (See Section 24-4-104 through 106, C.R.S.)�yS�jF�oa APPROVED JSG State Engineer By No. 0459205 DATE ISSUED MAY 3 0 2000 1 MAY 302002 COLORADO DIVISION OF WATER RESOURCES • DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., RM. 818, DENVER CO 80203 phone - info: (303) 866-3587 main: (303) 866-3581 RESIDENTIAL* � ., �.y also teee rtswrr to •vp+s- ur..r a+r ...ewiep) Water Well RECEIVED MAY 0 5 2000 1. APPLICANT INFORMATION 6. USE OF WELL (check apxovnate entry or entries) ^erm.or.go" v _ See instructions to dstatltine uses) for which you may qualify — DAVE WOLFE' 0 A. Ordinary household use in one single-family dwelling C/O DREILING DRILLING CO., INC. Mrino�.relow B. Ordinary household use in 1 to 3 single-family dwellings` P.O. BOX 638 Number of dwellings: cr'r - a° °°d° 0 Home garden/lawn irrigation, not to exceed 1 acre: FORT MORGAN CO 80701 area irrigated ❑ sq. ft. 0 acre tomMinDw n °`�`'°° `°'�� ❑ Domestic animal watering 1 onn OflA 74 fl — (non-commercial) 2. TYPE OF APPUCATION ❑ Construct new well ❑ Replace existing well 0 Change (sowce) aquifer 0I Other: AMEND 40 ACRE 3. REFER TO (if appiicabie)0 Water coact case N/A verbs! $ J Weil nameory {7 Use existing well 0 Change I Increase Use ❑ AeappIi tion(.wir.d p�rrniq TRACT LOCATION 1363801 Monitoring hole ackno1 ado "ant s MH- 4. LOCATION OF WELL County ICuater)gu°►ter Quarter WELD LIWIEST 112 SE 1/4 AST 117 Sou 11d GW Section Tonsvhip Nor S Range E or W 31 9 6 © 67„ o Dices,. of minx +nosh s.eeon line. 900 ft. from m0NS �I S 1800 ft. trom_13 E M W Wrl t.e Um Wdnw. it d fftm t from _peace WWe 9l s ool+aebltl NIA r:or reptwwe.m wdb coy - distar°e ind dinru°n fmm tie wail m rw wdl NA feet direction 5. TRACT ON WHICH WELL WILL BE LOCATES} A. You must ehscik no* of the tonowing - nee iewouc5arts 12 Subdivision: Name Lot no. Block no. FlingNntt 0 County exemption (ettech copy of county approval & survey) Name/no. Tract no. ❑ Mining Claim (attach copy of deed or surveil Nametno. O meter [attach legal description to application) S. STATE PARCEL 1D#0 C. taws+ in trs.t D. Ara youths owner of feria property? 40 'ES © NO of no - see instructions, E. Will this be the only well on this tract? Q IYE5 0 NO (it other wells are on this tract- see instructional M C. Livestock watering ion tarn/rancwrangelpesture! 7. WELL DATA i mua puaprhq rNe Mneel wnwAn w be wlagleem 15 gpm 1.5 - acre-feet TIM depeh AWhrr 300 feet SANDSTONE 8. TYPE OF RESIDENTIAL SEWAGE SYSTEM 11 Septic tank I absorption leach field 0 Central system District name: 13 Vault Location sewage to be hauled to: 9. PROPOSED WELL DRILLER loptionall Meru Ubow. wrtrr A.GREGORY DREILING 1207 10. SIGNATURE of appicarlt(s) or authorized agent The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 7 mis- demeanor pursuant to C.R.S. 244-104(13)(a). I have read the statements herein, know the contents thereof and state that they are true to my knowledge. Lk.t ae mgwW rpn.ur. Titre wee INC. 05-04-00 Uses m.p runs OWR map r o. Srsteoe Mv. ffice Use Only t1se- eor3wArc rJ.1t.k< RECT. NO, 45920$ 20.00 DIV tae-Plal�t Co peoF(e c( c .L.°�PEt3b3°) wo 3 o&t /L;V S+a'IY7 Sa15u) W}a_SF lYti (ifB0 -- 9:50:51 AEI BA Cashier ID: 02 $ go-go USE MD Check Purchase- 111 GWS-44 (11195) NORTH CUSTOMER NAME: c �� yO / C E 7 P'/C7 /UtsJO/'I 1/41/4 OF SECTION: 3 z 5'e,el P7'70 uS TWP: 91J RNG: OF THE 6TH P.M. RECEIVED APR 14 2008 WATER p $D[JRCE5 S TA �NQINEER NW 114 SW 114 NORTH SECTION LINE NE ?14 NW 1/4 SE 114 ::# -SW 1/4 WEST .. 4 ME 14 NW 11,4 SE 41 SE 14.. - SWI/4 /4 SOUTH SECTION LINE I SECTION =1 MILE =5280' 1/2 SECTION = 1/2 MILE =2640' 114 SECTION = 1/4 MILE =1320' NE 114 _SE .114 -NE-114 t-14 .. SE114 SEC. -LINE FORM NO. STATE OF COLORADO cws42 OFFICE OF THE STATE ENGINEER 0 193 818 Centennial Bldg.. 1313 Sherman SL, Denver, Colorado 80203 (303) 868-3581 PRIOR TO COMPLETING FORM, SEE INSTRUCTIONS ON REVERSE SIDE 1. APPLICATION FOR WELL LOCATION AMENDMENT WELL PERMIT NUMBER /3(..3................................ . 2 WELL OWNER NAME(S) %Y��.....th1.................................... Mailing Address ...........>.&.... .c ../.....Ll/ . Q... Cif :....f o�...... y.y............................. City, SL Zip...................1!V u f �J 3.....ev............A Q? y ............................... Phone (.2 7G ) 89].-......../5.................... 3. ACTUAL WELL LOCATION: COUNTY .......G.d.w............................ OWNER'S WELL ......................................................................................................................................... (Address at well location) (City) For Office Use only RECEfWED (State)...... (ap) ................ a<.......... !14 of the .... ......X14, Sec. ...` /...... r ......... ...... ...... ange �.T ...... .1 �..................__... P.M. (North or South) (East or west) Distances from Section Lines 0.... Ft. from©qM .... Section Line, Ft. from (E Section Une. (North or South) (East or west) Subdivision Lod/ Block Filing (Unit) 4. The location of the existing well needs to be amended for a following reason(s): (Attach appropriate documentation as necess� �/t E Q5C12 �fJ......o GiE..... y� . c E ..:.. r�e, ......rhAr.. r.',v......._... s.......Us:-.oE..........z. sT I2.....Q...fhE-S'I Ate°T%... a. 5. I (we), the above listed owne s) own the well described herein. I (we) have read the statements made herein, know the contents thereof,id state that they are true to my (our) knowledge. fPursuant to Section 24-4-104 (13)(a) C.R.S., the making of false state ants herein constitutes perjury in the second d fee and Is punishable as a class i misdemeanor.] Name�Ti le (Please ty or print) . Signature Date l,.in /1A11, /1.1AJFi2 fl'. i, /,.,,- FOR OFFICE USE 5e 1� l � s/mil ...........I......_.I......................1......_...........I._................_........................................................................ State Engineer By Court Case No......................................Div. Div. ....(..... Co. .4._.Z.... WD...,..—....... Invoice 8 459285 4/14/88 -- 2:14:26 PM Cashier ID: 81 $ 28.88 Check Purchase- 1417214 Basin ............... MD ... Date DREILING DRILLING COMPANY, INC. AUTHORIZATION TO APPLY FOR PERMIT AECE VED DATE: APR 14 2000 I,\ "� ( i (}� WATER RESOURCES U V I.1! STATE ENGINEER • (STATE FULL NAME) REPRESENTING: Dj u (NAME ON PERMIT APPLICATION) - -- - GIVE DREILING DRILLING COMPANY, INC AUTHORIZATION TO APPLY FOR A PERMIT, AS DESCRIBED APPLICANT NAME: AREA CODE & TELEPHONE # 2/ V,JIJL 436)-f& STREET ADDRESS: (33C/ ti, 0 - I' 9� TOWN, STATE, ZIP: c �� COUNTY: Lck LI) �,c. LL i n b TD x), (WHERE WELL IS LOCATED) LEGAL DESCRIPTION OF PROPOSED WELL SITE: SE 1/4 OF THE __1/4, IN SECTION 1 , TOWNSHIP 9ti RANGE �yGJ OF THE 6TH P.M. DISTANCES FROM THE CLOSEST SECTION LINES: COQc)FROM THE S° - \ SECTION LINE (NUA HR OFFE'&'tJ (NORTH OR SOUTH) l ` (NUMBER OFFSET) FROM THE SECTION LINE (EAST OR TOTAL ACRES IN TRACT THAT PROPOSED WELL WILL BE LOCATED: 40 WELL REPLACEMENT INFORMATION: N/f} EXISTING WELL PERMIT: DESRIPTION OF WELL USE: USE ONLY NUMBER OF ACRES IRRIGATED: ) 1I, NUMBER OF ACRE FEET: l.s LOCATION OF IRRIGATED LAND: (,�, 3T Yu SO( RNo &r t2 S'o. V c' & S/J'/ij _ i& 3) 2P fAJ e! NEW WELL WILL BE WHAT DIRECTION AND HOW MANY FEET FROM THE OLD WELL? PLEASE LIST ANY OTHER WATER RIGHTS ThAT PERTAIN TO THIS WELL AND/OR IF THERE ARE OTHER WELLS - LOCATED ON THE SAME TRACT? N /Pr - PLEASE READ -I'I-IIS DOCUMENT CAREFULLY, THIS DOCUMENT REPRESENTS YOUR PERMISSION FOR A REPRESENTATIVE OF DREIL- ING DRILLING COMPANY, INC. TO APPLY FOR A WATER WELL PERMIT TO DRILL A WELL. BY SIGNING THIS DOCUMENT YOU HAVE ENTRUSTED DREILING DRILLING COMPANY, INC. TO APPLY FOR THE TYPE OF WATER WELL PERMIT THAT HAS BEEN DISCUSSED. IN THE EVENT THAT ANOTHER DOCUMENT IS REQUIRED TO SUPPORT YOUR APPLICATION AND OR A CHANGE IS REQUIRED ON YOUR APPLICATION YOU ALSO DIRECT AND ENDORSE DREILING DRILLING COMPANY, INC. TO PROVIDE THIS INFORMATION AND MAKE ALL CHANGES THAT ARE NECESSARY. IT IS I'�fPER4TIYE THAT THE I\,'FOKAL4TION YOU SUPPLY ON TI -ITS DOCUMENT TO BE TRITE, ACCU .4TEAND COMPLETE. THE APPLICANT AND OR REPRESENTATIVE AGREES TO INDEMNIFY AND HOLD HARMLESS A. GREGORY DREILING, D.B.A. DREILING DRILLING COM- PANY, INC. AND ITS OFFICERS AND ITS EMPLOYEES, FROM AND AGAINST ALL LIABILITY, CLAIMS, DEMANDS, AND EXPENSES, IN- CLUDING COURT COSTS AND ATTORNEY FEES. THIS FORM DOES NOT GUARANTEE A PERMIT CAN BE OBTAINED, NOR DOES THIS IM- PLY THAT YOU ARE GUARANTEED TO FIND WATER. 7 ) % CAROLINE F. DREILING (APPLICANT'S SIGNA(JRE) % (DATE) D.B.A. DREILING DRILLING COMPANY_ C. NORTH CUSTOMER NAME: 'I )w Vr l f`� Deses'i ptioio cf 90, 4c2� Cr 114 114 OF SECTION: .� I RECEIVED TWP: £ W RNG: OF THE 6TH P.M. pPR �. 4 200 STATE ENL3�N�FA CaLO- NORTH SECTION LINE WEST SEC:: LINE NW114 NE114 -NW .114 NE1!4 114. _NE 114 SW 114 SE 114 SW114 ... .SE 114 .. � NE 114 111W 114 . NE I/4 . - -"SW114 .SE V4 #� i3tc3 i 1 14 SW 114 "- SE 444' SOUTH SECTION -LINE I SECTION =1 MILE =5280' 112 SECTION = 1/2 MILE =2640' 1/4 SECTION = 1/4 MILE =1320' SEC. --LINE Ti'kth fl4� 4/ LAND EX ' IBiT MAP E NC THE SCUTH'h'EST JUAR..TER OF CECT!( r, NORTH, r='AP CE 67 vVE3T c - RECEIVED CUFI; F NE!_J STATE CF ,y.LijP I APR 14 2009 WATER RESOURCES STATE ENGINEER OO1O. A portion of the Southwest Quart r of Section 31, Township 9 north, Range 67 West of the 6th P.Y., aunty of Weld, State of Co1or.ito, being more particularly desorib des follows: Considering the West line of the Southwest Quarter of said Sce-9,o„ 31 as bearing North 01'58'l' Ea t and with all bearings contained herein relative thereto; Beginning at the Southwest Corne Section 31; thence along said W North 0158'56" East 2665.92'fsi Corner of said Southwest Qu#brte said Southwest Quarter South- 8f!', POINT Of BEGINNING; thence-cont: B8'oo'50" East 2019.11 feet',- mor of said Southwest Quarter: the Southwest Quarter South 00i6'54! to the Southeast Corner of laic the South line of said Southwi' 610.30 feet; thence departing s 1329.80 feet, more or less, toJ North Half of said Southwest Qua! of thq North Half North 880J departing said South line of thi 1331.88 feet, more or less, to Southwest Quarter, and the TRUE r of the Southwest Quarter of S.isd ≥st line of the Southwest Quarter t, more or less, to the Northwest thence along the North litre of 0'50" East 589.20 feet to the TRUE Ruing along said North line South a or less, to the Northeast Corner ice along the East line of said West 2657.43 feet, more or less, Southwest Quarters thence along et Quarter North 8813'12" West ld South line North 00'1654" East a point on the South line of the 'ter; thence along said South line '07" West 1447.72 feet; thence i North Half North 01'58'56" East I point on the North line of said POINT OF BEGINNING. Said parcel contains 30.s38 ecre.i, more or less, and is subject to all existing easements and\or rights of way of record. A portion of the Southwest Quartiar'of Section 31, Township 9 North, Range 67 West of the 6th P.n.,'�aunty of weld, Stara of Colorado, being more particularly describ,d as follows: Considering the West line of th+ Southwest Quarter of said Section 31 as hearing North 0158'16" E at and with all bearings contained herein relative thereto; BEGINNING at the southwest Corn Section 31; thence along said North 0158'56" East.2665.92 f< Corner of said Southwest Quart said Southwest Quarter South f departing said North line Scutt or less, to a point on the Sot So„thwest_ Quartar.....theitds- d1cr. Cast 1447.72 feet; thence depdr+ West 1329.80 feet, more -or lee said Southwest Quarter; then Southwest Quarter North -98.13'I to the Southwest Corne= bf the 31, and the paint of 8sginninq. Said parcel contain 9 Bt3,88�aCrl all existing easements a`nd\or t NOTE: The client forli�s``prc boundary survey for -this` La Descriptions on which'it.19 be Property Descriptions -on 4hich between the two (2) properties field survey; t it of the Southwest Quarter of said rest line of the Southwest Quarter et, more or less, to the Northwest !r; thence along the North line of 8.00'50" East 589.20 feet: thence 0158'56" West 1331.88 feet, more thline of the North Half of said I• -:said South line South 8807'07" inq'said South line South 0026154" to a point an the South line of e -along said South lane of the t" Nest Z076.36 feet, more or Less, Southwest Quarter of said Section 9,more or Tess, and is subject to fights of way of record. jest did not request a monumentrad id Exhibit Map and the Property Iod. This Land Exhibit Map and the Lt La based is for transfer of title for estate purposes only and does oundery or land survey by intermill RECEIVED APR 14 2000 WATER RESOURCES STATE ENG;NEER COLO. s _ 4 ;. S w ryttw NOI'58'56 E �e 1331 88' y OU a f o - 3.. r S Fly L ₹ rryye� 1: W .n CD I • NOO'16'54"E 1328.80' t 5' w co -.'-- pp -a • •:-•-•. L . SOC'16'5a w • ._ X2657.43' PermitAyplication Chan e Form To be used when issuing well permits based upon information other than as received. Please file with final Permit Receipt No. Srao� Name of Applicant J0 /4 Summary of change(s): lJ %a- o 4- 5i 'I a P- SrJM, ,4 Sec s1 3 / ,t ,_ .GC o G CS .,,� _ - �� Ii Date_________________ Signed Print Name JO A n C-7crlb er COLORADO DIVISION OF WATER RESOURCES Office Use Only I Form GWS-45 (01/2020) DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST, RM 821, DENVER, CO 80203 Main: (303) 866-3581 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 6. Use Of Well (check applicable boxes) Name of applicant Attach a detailed description of uses applied for. David Wolfe ❑ Industrial ❑ Dewatering System ❑ Municipal ❑ Geothermal (production or reinjection ❑ Irrigation ❑ Other (describe): • Commercial Mailing address 6339 WCR 98 City Wellington State CO Zip code 80549 Telephone # (area code & number) E-mail (online filing required) 7. Well Data (proposed) 970 231 8950 daversnc@hotmail.com Maximum pumpingrate Annualamounttobewithdrawn 10 gpm 1128 acre-feet 2. Type Of Application (check applicable boxes) ❑ Construct new well ❑ Use existing well Total depth Aquifer ❑ Replace existing well 91 Change or increase use 200 feet ❑ Change source (aquifer) ❑ Reapplication (expired permit) ❑ COGCC Well ❑ Other: 8. Land On Which Ground Water Will Be Used Legal Description of Land (may be provided as an attachment): sw1/4 sec 31 T9N R67W 3. Refer To (if applicable) Well permit# Water Court case# 225968 (If used for crop irrigation, attach a scaled map that shows irrigated area.) Designated Basin Determination # Well name or # 4. Location Of Proposed Well County A. # Acres I B. Owner Weld 114 of the 114 Section 31 Township N or S 9 ' r Range E or W 67 r] El I Principal Meridian sw 1/4 C. List any other wells or water rights used on this land: Distance of well from section lines (section lines are typically not property lines) 1320 Ft. from r N r S 1320 Ft. fromr E M W 9. Proposed Well Driller License #(optional): For replacement wells only -distance and direction from old well to new well 10. Sign or Entered Name Of Applicant(s) Or Authorized Agent feet direction Well location address (include City, State, Zip) ■❑ Check if well address is same as in item 1. 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 m knowledge. Optional: GPS well location information in UTM format You must check GPS unit for Sign or enter name(s) of persons) submitting application Date (mmlddlyyyy) required settings as follows: David Wolfe Format must be UTM rl Zone 12 or[[] Zone 13 Units must be Meters Easting If signing print name and title David Wolfe Owner Datum must be NAD83 Northing Office Use Only Unit must be set to true north Was GPS unit checked for above? YES ❑ Remember to set Datum to NAD83 USGS map name DWR map no. Surface elev. 5. Parcel On Which Well Will Be Located Receipt area only (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) A. Legal Description (may be provided as an attachment): AQUAMAP B. # of acres in parce I C. Owner 80 David and Mandy Wolfe WE WR CWCB D. Will this be the only well on this parcel? Jj YESfl NO (if no list other wells) TOPO MYLAR E. State Parcel ID# (optional): 5B5 DIV WD BA MD COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES GWS-45 GENINST (01/2020) 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 For further 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, '/4 of the Y4 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 1/4 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 c2) UTM zones. Zone 13 covers most of Colorado. The boundary between Zone 12 and Zone 13 is the 108th Meridian (longitude). West of the 108h 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 DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., STE 821, DENVER, CO 80203 Application Receipt No. main: (303) 866-3581 dwr.colorado.gov Applicant's Name: Form GWS-57 (10/2013) 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 1. Name and Type of Business: Wolfe Arena Horse event arena 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) 225968 ❑ 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 GWS-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)? ❑ 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: ❑ Septic tank 1 absorption leach field ❑ Central System (district name:) ❑ Vault (location sewage hauled to:) These are frost free hydrants ❑■ 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 2 X 30 X 52 = 1560 Customers Number of Customers per Day X Number of Gallons per Customer X Number of Days Business is Open per Year = Gallons per Year 12 X 80 X 52 = 4160 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 livestock hydrant X 50 X 365 = 18250 Total amount of water required: = Gallons per Year (A + B + C) = 23,970 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 A B C Additional water demand figures may be obtained from a private water consultant or from a technical reference on this subject. COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES GWS-57 (1012013) INSTRUCTIONS FOR COMMERCIAL DRINKING AND SANITARY WELLS OUTSIDE A DESIGNATED GROUNDWATER BASIN For all commercial drinking and sanitary wells: 1. 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. 2. The pumping rate shall not exceed 15 gallons per minute. 3. The return flow from the use of the water must be discharged to the same stream system in a location so as to not injure any vested water right. In addition: For commercial wells put to beneficial use for drinking and sanitary purposes on or after May 8, 1972 (See State Engineer Policy dated April 9, 1985 for additional information): 4. The proposed well must be the only source of water for the property. No other water supply source or system can be available to serve the property. An affidavit or statement by the applicant affirming this situation must accompany the well permit application. In addition, for property located within the boundaries of a water service area (water district, municipality, water company, etc.), an affidavit or statement from the supplier affirming that the property cannot be or will not be supplied water by that entity, must also be submitted with the well permit application. 5. The well must be the only well on the parcel. 6. The parcel on which the well would be located, must be: a) Thirty-five (35) acres or more in size. A legal description, in the form of a metes and bounds description or a surveyor's map of the parcel must accompany the well permit application. b) If less than 35 acres, the parcel must have been established prior to June 1, 1972 or must be exempt from the definition of a subdivision pursuant to Section 30-28-101 (10)(c) and (d), C.R.S. A copy of a deed describing the parcel and dated before June 1, 1972, or a copy of the signed county resolution exempting the parcel, must accompany the well permit application. For lots in subdivisions approved on and after June 1, 1972, the recommendations made by this office in the water supply review process will be honored. 7. The amount of ground water 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. 8. The consumptive use of the water shall not exceed 10% of the volume of ground water diverted. An approved septic tank and non -evaporative leach field is an acceptable discharge method. Other types of disposal systems must be evaluated to determine the amount and location of the return flow. 9. 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. 10. Submit this form in conjunction with a general purpose application (form GWS-45). For existing commercial wells put to beneficial use for drinking and sanitary purposes prior to May 8, 1972 (See State Engineer Policy 90-1, dated January 18, 1990 for additional information): 4. The well must be the only commercial well serving the business. 5. 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-footlyear. 6. A written field inspection report prepared by personnel from the Division of Water Resources may be required to support the claimed date of first use and type of use. See form GWS-12, Registration of Existing Well, and form GWS-12A, Statement of Historical Use, for further information. 7. 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. 8. Submit this form in conjunction with a registration of existing well (form GWS-12 [may also require GWS-12A]). CONDITIONS VARY STATEWIDE MEETING THE ABOVE CONDITIONS DOES NOT GUARANTEE THE ISSUANCE OF A PERMIT I Scanning Cover Sheet for Septic Permits Permit # G19940187 Permit Type: Health / EHS History / EHS Conversion History Situs Street Address 6339 CR 98 Situs City, State, Zip Sec/TownlRange: 31 -09N -67W Application Status: Finaled Application Date: 03/11/1996 Parcel # (12 digits) Owner Full Name: Owner Address: Contact Name: Contact Address: 045331300023-R7177697 WOLFE DAVE 6339 WCR 98 WELLINGTON,CO 80549 Owner Phone #: 303 8972621 Contact Phone# Information above has been Verified in Accela by employee noted below August 27, 2008 Proce Report ID: EHS00024v003 Page 1 of 1 Print Date -Time: 8/27/2008 10:13:31AM ii. HSP1O6F' INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO, G--940187 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE U'RT.. GEJELEY, CO 8061 53--0635 EXT.2225 OWNER WOLFE. DAVE ADDRESS &9 WCR 98 PH (.3U=,l 097--2621 WELLINGTON CO 80549 ADDRESS OF PROPOSED SYSTEM 63-19 WCR 98 WELLINGTON CO 80547 LEGAL DESCRIPTION OF SITE: SW4 SEC 3.1 TWP 9 RNG 67 SUBDIVISION; LOT 0 BLOCK 0 FILING 0 USE TYPE: COMMERCIAL ROPING ARENA/VAULT SERVICES° PERSONS 2 BATHROOMS 1.00 LOT SIZE 160.i rs:r ACRES ^ BEDROOMS 0 BASEMENT PLUMBING NO WATER SUF'F'L—Y APPLICATION FEE %70.00 RECD BY CINDY SALAZAR DATE 04/27/94 SIGNED BY DAVE WOLFE DATE 04/27/94 PERCOLATION RATE 0.0 MIN PER INCH LIMITING ZONE {> FEET SOIL TYPE SU:[TABL..E PERCENT GROUND SLOPE 01 DIRECTION REQUIRES ENGINEER DESIGN NO IN 100 YEAR FLOOD PLAIN ZONE NO FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON -SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED- SEPTIC TANK 1000 GALLONS, ABSORPTION TRENCH SQ. FT. OR ABSORPTION BED 50. FT. IN FADDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND CONDITIONS - THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONS TR!.DCTION TO COMMENCE:=., THIS PERMIT MAY BE REVOKED OR SUSPENDED BY THE. WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET FORTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULAT]:ONS 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 OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE SEWAGE I(SPOSA}_ SYSTEM. F S' » ,�`1� Y� PAM SMITH H 04/27 f94 6 r�ql� ENVIRONMENTAL. SPECIALIST DATE LJ_ ti THIS PERMIT IS NO_!.. TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS NOT COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF THIS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI- TIONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA- SIS. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM- FLETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. SYS 1E=M IlIS ! HLLEmF' Jfi� FINAL INSPE'.4 TON DAB ;-C SYSTE3"! ENGINEER _ __ APPROVAL - _ _ _ _ - TYF'E OF SYSTEM INSTALLED V14i _l [� EN'. F-,f.i:\'' NT ' ;.3F•ECIALIS] THE ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY OR LOCAL REGULATORY OR BUILDING REQUIRErMENTS, NOR SHALL IT ACT TO CERTIFY THAT THE SUBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND PT PERSUANT ARTICLE a- TITLE 25 R3 7T 1•,r LOCAL REGULATIONS ADOPTED TO F�3�;TI E .qtr, F .�'�'LE _v.. C., v 19�, •-. AS AMENDED EXCEPT FOR THE PURPOSE OF ESTABLISHING FINAL AF'F'ROVAL OF AN INSTALLED SYSTEM FOR ISSUANCE OF A LOCAL. OCCUPANCY PERMIT PURSUANT TO CRS 1973 2'5—V)—'.11 (2). OE~:ICiia!AiL F`FLICG N'1 COPY- WORD CH -E S MAY 1984 ' I '::sE::!,Ji'•1c• : i):1:PERMIT I'•I(:1.. f)-...=f::.i';:�:l. 4�JF::i...i: i..l;:iL fl"1 :: :FPFt-fl''il:.:!:l..s. ;CIE:: W PERMIT' i r•..t:i:i€:::(-r;... T"! i .:s=:::!"'•.,l:I: :i. :L2' 16TH €='F'•,rE:::I�IE.JF:: COURT, (::OWW:Jl'-11I tFJO1...1"E;; Isi'€'�rl::. (I)IC c:?;`.:) !�J(:;!:�; 'r?:J I J.1"I(.t I r f ,�J€::.!...1...:1-Ic:F c:1J s:'..i 3iFr A I)I)F?E:.:: S {:JI::- F''F {:II-'f:l::i's::x) 1.7..F -?.5.; .;; J(• i a,"i.?`•y !�: F�•. 8 F...i:::fat"•i€... t�F.::::i(::F;:1 P T :l: [: N CH:: :!: T E : II •'::iW4 ,;,1...1.. .:.:.I ..f.!€J1 r s:tl.4l:{I?:1:'•.+:I: :3 :1. rt :(:} :fi: Y (a:€:l`II).( V UU I... (_ i f f) :f:; €... (: i{:; I;: () Fs;.., I:;{:F`:€:I II:i itf€:I'•Et, / J / 2 BA.. .. {, :L.. l...c:( �:1:::z €::. .!.1at.},.<)Y) F--`,(-;l.r:} l.) I',31:loll:!Ii NO WWJ,'; T I:::F::tF::'F='1._ YI ;.}a.T•IL::A.} .!.`Y DAVE u c:,1...F: . 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I.31:::I E:::l:i-^E „ :E: 1:= IJ#:;-F II:::II.'IFJ'E::a::,.... { Tr'dIJ1 T'E..EAT ANY l::-l�I...f:S:I:F':I:(;::r'-'TI:III '•I (:JE; MISREPRESENTATION €Ylr'1-'rI:SIi-•J1...1' :Ill T€!I::: 1`I:::I�I:E:iii ... !:.JE:: IIIE:: ('Fl I F I I F I :1:(::!1=1 (:11 F 1(:J(::rf't..1 :1:(:11'+1 (l:' r'tI•NY I:''E::EII :'t: T GR'.I'`IFit •i::::i} C:{i"s;:S!:::1( 1.1I HI ^# `r;SA I r'`s!::'i!...:1:(:r=^r-.(':I:(:JI'I r'rI I) F F I...E::(:ir'=r€.., AC T ION FOR E::'E::l, I.JkY i' S I::'I:';(:OVV,1:i:)1 I ttf' I...r-=rLJ ,. t^rEL..:E:(:;AT.I.(::!N E:E 'I::r0. 0 1)t"•o'J!::: Wt:1l..-E=1:: ' NJ.} •I T:}1".i! r.`t .AI•' 04/27/9q C)r i TI::. O4 c 7 `90 (:JL . ... ;f`6'tGE: N T #'::E:(:!'•Ii TI.11:R.1:E .(::'r TE:: (:11:=;:I:i::r:€:h.l�`s!l::'l::'I...:Lc: :Lc: -FIT e (::(:JE:•',:'....II'(:;E•IJ) LJ(::I-•IT)....E::1-!.'::S Ii(( :I.`•;: i.t'" COLORADO UDivision of Water Respuic es rp4�artmenr :�f Na.1.1a1 r 8: .I•ii. ORIGINAL PERMIT APPLICANTS) DAVID WOLFE PERMIT TO USE Al EXISTING WELL WELL PERMIT NUMBER 324601 - RECEIPT NUMBER 1O016724 APPROVED WELL LOCATION Water Division: 1 Water District: 3 Designate J Basin: N/A Manncernent District: N/A County: WELD Parcel Nome: N. A Phy8icnl Address: 6339 COUNTY ROAD 98 WELLINGTON, CO 8U49 SE 1.4 SW 1.4 Section 31 Township 9.0 N Rnqe 87.0W Sixth P.'1. UTM COORDINATES (Meters, Zone: 13 N. AD83) EastiFig: 505321,3 Northing; 4505341 A ISSUA NCE OF TH IS PERMIT DOES NOT CONFER A WAT ER RIGHT CONDITIONS OF APPROVAL 1This 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 Smote Board of Exar liners of Water Well Construction and Rump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3j(b j(I I)(A. for the change of parcel description loran existing well with permit no. 2259#8. The issuance of this permit hereby cancels permit no. 225968. 4) Approved as the only well on a tract of land of 45.00 acres described as that portion of the S 112 of the SW 114 of Sec. 31, Twp. 9 N, Rng. 67 W, S P.M. Weld County, mare particularly described on Exhibit A in the well permit file as the legal description for the "House Well". 5) The use of ground water from this well is limited to fire protection, ordinary household purposes inside not mare than three (5) single family dwellings, the watering of poultry, domestic animals and Livestock on a farm or ranch and the irrigation of not mare than one 11) acre of home gardens and lawns. 6) The pumping rate of this well shall not exceed 15 C PM. 71 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 sauce stream system in which the well is located, 8) This wive I I shall to located not more than 200 feet from the location spec if ied (in this permit. t�•r �� Date Issued: 11/19/2021 Expiration Date; NIA Issued By JAVIER VARGAS-JOHNSON Printed 11-19-2021 For questions about this permit call 3(F3.1.351 or ga to https=rfdwr.colorado.gov Rage 1 of 1 COLORADO UDivision of Water Respuic es rpr�artmenr :�f N.-i 1.1ai r 8: .I•ii. ORIGINAL PERMIT APPLICANTS) DAVID WOLFE PERMIT TO USE Al EXISTING WELL WELL PERMIT NUMBER 3246O0 - RECEIPT NUMBER 1O015641 APPROVED WELL LOCATION Water Division: 1 Water District: 3 Designate J Basin: N/A Manncernent District: N/A County: WELD Parcel Name: NA Phy8icnl Address: 6339 COUNTY ROAD 98 WELLINGTON, CO 8049 SE 14 SW 1.4 Section.31 Township 9.0 N Rnqe 87.0W Sixth P- . UTM COORDINATES (Meters, Zone: 13 N. AD83) Eas ting: 505360.9 Northing; 450544 3.2 ISSUA NCE OF TH IS PERMIT DOES NOT CONFER A WAT ER RIGHT CONDITIONS OF APPROVAL 1This well shall be used in such a way as to cause no rr terial injury to existing water rights. The issuance of this permit does not ensure that no inj ury 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 4lJ -2, unless approval of a variance has been granted by the Smote Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-6C2(3j(bj(I) and the policy of the State Engineer dated April 9, 1985 for appropriation of groundwater tributary to the South Platte River system. 4) Approved for the change of use of an existing well with permit no. 215966. The issuance of this permit hereby cancels permit no. 225966. 5) The Llse of .riLindwwater from th:s w t?II :s 1:nr:terJ to dr�nk-n ai1rj SGn:tary fae:Ut:es u5 jes�r�berd -.i1 CR5 37 -9Z -r 2�1k�c r for a ton,iverr'al bus'ne5S_ Water from tIi :s well shall not be used for lawn landscnpeJ rel?nI1ause rr:gat•on, doorest an•mul l ve�toek wwater:ng, or for any other pLirpose oiits:rje the bLI Riess [DLI:1 :114 strLK ure'S)_ 6) The pumping rate of this well shall not exceed 15 (PM.. 7f The annual amount of groundwater to be withdrawn by this well shall not exceed 1 3 acre-foot {1O8,600 gallons). 8. Approved as the only well on a tract of land of 35.4 acres described as that portion of the SW 1.14 of Sec. 31, Twp. 9 H, Rng. 67 W, S P.M,, Weld County, more particularly described on Exhibit A in the well permit file as the legal description for the 'Commercial Well". 9) 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. 10) This well shall be located not more than 200 feet from the location spec ified on this permit. 11.1 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; or a -vault system where the waste water is hauled to and treated by a waste water treatment plant and returned to the Barrie stream system in which the well is located. Issued By JAVIER VAR S -JOHNSON Date Issued ; Expiration Date; 11/192021 NIA Printed 11-19-2021 For questions about this permit call 3(F3.1.351 or ga to https_-iAwr.colorado.gov Rage 1 of 1 Hello