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Home My WebLink About20223026.tiffForm No. . OFFICE OF THE STATE ENGINEER GVVS-25 . . COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 LR APPLICANT LOWELL GROVES 1320 14TH ST FT LUPTON CO 80621- (303)857-4588 REGISTRATION OF EXISTING WELL WELL PERMIT NUMBER 1S7713 ` DIV. 1 CNTY. 62 WD 2 DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION WELD COUNTY NE 1/4 SW 1/4 Section 32 Twp 2 N RANGE 66 W 6th P.M. DISTANCES FROM SECTION LINES 2550 Ft. from South Section Line 2125 Ft. from West Section Line 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 the permit does not assure the applicant that rio 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) This well is recorded, and permit approved, in accordance with CRS 37-92.602(5) for historic use as indicated herein and described In CRS 37-92-602(1)(b), being a well producing 15 GPM and used far ordinary household purposes inside 1 single family dwelling(s), fire protection, the watering of domestic animals and poultry, and the irrigation of not more than 1/4 acre of home gardens and lawns. 4) The average annual amount of ground water to be appropriated shall not exceed 1 acre-foot.,, . APPROVED RAN ,ild z State Engineer Receipt No. 0385415A DATE ISSUED J U N.1 9 1995 ey EXPIRATION DATE / ' COLORADO DMSION OF WATER RESOURCES EMERGENCY VERBAL FIELD INSPECTION REPORT Please complete this form in INK app,. receipt no(s). DN. / WD 2 DATE OF INSPECTION: 3 PURPOSE OF INSPECTION: LATE REG.OTHER f APPUCAwf L/'u e /( ( ro y F T person contacted if not applicant ADDRESS: phone: 7n /47`,4 S, Fe_7( up co $S2 - 4-S-15? W.C name& phone #: r3r b s A I EXISTING WELL LOCATION: ,A71:71/4, S 1/4, Sec. 72 , TwP. 2 N , Rng. 615-(4,./ , P.M. DIST 2 Sco from N / - .line, 2 / 2S from E County (If rept, give dist. & dir. to new well site —'(] circle type of existing well: HAND DUG, SPRING WELL, GALLERY WELL, GRAVEL PIT, OTHER any other wells are located on this parcel? (yes) how /fib , (no) p c of ae? EST. DATE WELL CONSTRUCTED / 9 4.2 DATE OF FIRST USE /Q 42. TOTAL # OF ACRES IN THIS TRACT/PARCEL 7% ACRES address of property (if different than applicant address): add. subdlparcel infix: EST PUMPING RATE /S gpm # acres irrigated (non-exempticrop irr:) NAME OF AUG. PLAN? USE pF WELL household use in (indicate how many) _ 1 single family dwelling(s) watering of poultry and/or domestic animals (domestic animals* would include a flew cows, horses, etc.) watering of livestock on a farm or ranch — approx. how many head? is this a feed lot? ; how manyhead? 1 (it is important to specify estimated historic lawn/garden fir) irr. ./1 square feet/acre of lawn and/or garden fire protection commercial — drinking & sat. only? (write details In 'comments' section) other (write details in 'comments' section) 9ino WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? NOTE: IF ANY CHANGE IN THE HISTORIC USE OF THIS WELL HAS OCCURRED SINCE MAY 8, 1972, please indicate the date(s) the use changed, and discuss this change[and/or expansion of the current/or proposed use in the 'comments' section of this bra report taken by M L. ;dated: 3 / 6 1 by: go h S% G $ / called in additional comments and/or information: COLOTLAD0 SEPTIC LOAN APPROVAL CLOSING DATE: 10/31/00 NEW LOAN TO WHOM IT MAY CONCERN: Review and inspection disposal system for an existing dwelling:, report • REQUEST .NO:: 00-069 DATE•. RECEIVED:'• -'10120100 FEE $90.00: ].0/201001 regarding water and the sewage MAIL TO: xadel Realty P.O. Box 614 1 F rt u o1a d 8 3 FAX TO: ZadQ. Realty-Attn: Betty Close INFORMATION: Legal: PT:' Subdivision: Property, Owner: Tank Pumped on: FAX NO..: 303--833-3054 RNALTOR•NO:' 303-833.3012 OWNER, NO: 3O3-857-2547" OWNER NO.: 303-833-303.2 Address: 1370 34m Street. Fart Lueton, Co Age ofSeptic: 1968 PT: . SEC32 TWN: 02 N • ' RNG: 66 W lI: I LOT: ' ,B41-5.:.: T.e,. •.4FLG:I Anderson. Sharon 'Origi'nal Owner; Chavei. Manuel ' 10/19/2000 By: Art'slSlaniteition Service ' ;Licensed: Yes • -I ,. I PERMIT ON RECORD: Name: Chavez. Manuel Permit No. G19681007 S.O.E.:'No 7 Bathrooms,:- Bedrooms: 3 Total Acres: T.•0 I Date of Final.Inspection: 10/7/68 Water Supply: Private Well Well Permit No.: I'• Tank Capacity:'1.000 gallons . FielSize :J 9OO Square feet I INSPECTION FINDINGS: Date of Inspection: 101.3/00 Soil Conditions: Dry XX Residence: ,Occupied XX Sewage Disposal System: Satisfactory XX Bacteriological Water Test: Acceptable XX COMMENTS: 1 DATE: P ?loop SIGNATURE: bwJ •• I Environmental' Protection ,Specialist Neither the County of Weld, nor any of its agents or employees undertake jor 'assume any liability.to the owner of the above property, to any Purchaser of the''above,property or to any lending agency making a loan on the -above property in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health -hazards observable at the time of inspection, and, does not constitute,a warranty that the,system is. without flaw or that it will continue to function in the future. ''Inepectione.raquested during periods of snow cover and high soil saturation may be of .questionable value to potential buyers due to adverse conditions. 'Water sample reports'reflect'the 1. bacteriological,quality of the water supply at the time the sample was taken. Evaluations based on Statements of Existing (S.O.E.) relies on information -the property,ownerf provides, under oath, indicating current status of the system and representing to ,the best of his/her knowledge the System is not failing to function properly.._ I • if& I" WiCYG .COLORADO SEPTIC LOAN APPROVAL CLOSING DATE: 10/31/00 NEW LOAN TO WHOM IT MAX CONCERN: Review and inspection disposal system•for'an existing dwelling: MAIL TO: Zadel Realty P.O. Box 614. Fort Lupton. Colorado 80631 FAX TO: Zadel Realty-Attn; Betty Close report REQUEST NO: 00-069 DATE•RECEIVED:'10/20/00 FEE $90.00: 1r01201Q0 regarding water and .the sewage f FAX NO'.:' 303-833-3 54 REALTORNO: 303-833-3012 OWNER.N6'. OWNER NO::" 303-833-3012 I INFORMATION: Address: 1370 14_" Street, Fort Lupton, Co Legal: PT: PT: !SEC's 32 TWN: Subdivision: Property Owners Anderson, Tank Pumped on: 10/19/2000 Age of Septic: 1968 I 02 N - RNG: $6 W LOT: :HLK:4 ,FLG:l Sharon Original Owner: Chavez, Manuel ' ' ' By: Art's' Sanitation Service i.icer:sed: _ yes I I' 10/7/68 PERMIT ON RECORD: Name: Chavez. Manuel Permit No. G19681007, S.O.E.: No Bathrooms: 1 Bedrooms: 3 Total Acres: 7.A f Date of Final Inspection: Water Supply: Private Well Tank Capacity: 1000 gallons Well Permit No.: Field Size :i 900 Square 'feetI. - INSPECTION FINDINGS: Date of Inspection: SoillConditions:. Dry XX Residence:i'Occupied XX Sewage Disposal System: Satisfactory XX Bacteriological Water Test: Acceptable ]OC 10/•23'/0❑ COMMENTS: DATE: SIGNATURE : Environmental-Protectionspecialist Neither the County of Weld, nor any of its agents or employees undertake onassume any liability to the owner of the above property, tiro any purchaser of the'above property or to any lending agency making a loan on the above property in connection with either its examination; of the property or in the report. This inspection was conducted solely for the purpo'so of detecting health hazards I observable at the time of inspection, and does not Constitute•a-warranty that the system is without flawor that it will continue to function in the future. Inspections requested during"periods of snow.cover and high soil saturation may be of questionab1e,value•to potential buyers due to adverse conditions. Water sample reports reflect the bacteriological quality of the water supply at the time the sample was taken. Evaluations based on. Statements of Existing (S.O.E.) relies on information the property'owner provides, under:oath, indicating•current status of the system and' representing to -the best of his/her knowledge the system is• not failing to function properly.•` ' LOAN APPROVAL Weld CpuntyHealth Department SPECIALIST INSTRUCTIONS: NEED: CLOSING DATE: 10g REQUEST NO: 9 [p -1.1 Z/la / FAX MAIL ICK-UP) DATE RECEIVED: MI.14M b FAX FEE ($2.00): kA/A RECEIVED BY: W LOA' RE -FINANCE FEE $90.00 5. qr9qD tQ TO WHOM IT MAY CONCERN: Review and inspection report regarding water and the sewage disposal system for an existing dwelling: &Jig Close SEND TO: REALTOR NO. :)( s -6Q 9? OWNER NO.: (H) OWNER NO.: (W) FAX NO.: PICK-UP:r_i FAX TO: INFORMATION: Address: 1,'S"lr) ILi c , r+ 1 Age of Septic: EQt0 Legal: PT: F PT: SE 1] SEC: 2, 'WN: 2 N RNG:(p tl Subdivision.{ r1J) LOT: BLK: FLG: Property 0ianer: One / (5 top j� $ Original Owner: �p� f/la. r. � � Tank Pumped on: e�By: %? n ��{ � ' Licensed ,N PERMIT ON RECORD: Name: t [}emu 4ai10 Permit No.: (DX I C,O `7 S . 0 . E .: Y N Bathrooms: I Bedrooms: 3 Total 1AcreageDate of Final Inspection:b/?9j%ne Water Supply: — [ j, -)A A a Well Permit No.: a 7-7 ,3, . Tank Capacity: gallons Field Size: 41(90 square feet 7� 00 f 2 9 INSPECTION FINDINGS: Date of %inspection: Soil Conditions:-'• Dory �v/f Saturated Snow-covered Residence: Occupied V Vacant Sewage Disposal System: Satisfactory Other Bacteriological Water Test: Acceptable Other COMMENTS: AN) (,i9 D W eaTI I. 4mAN. ✓�'L- . YJ C �"� ►�- - ct] [ "ice t ms - DATE: i 9/Z-1 /4G SIGNATURE: L Envvronmental:Protection Specialist Neither the County of Weld, nor any of its agents or employees undertake or assume any liability to the owner of the above property, to any purchaser of the above property or to any lending agency making a loan on the above property in connection with either its examination of the property or in the report. This inspection was conducted solely for the purpose of detecting health hazards observable at the time of inspection, and does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Water sample reports reflect the bacteriological quality of the water supply at the time the sample was taken. Evaluations based on Statements of Existing (S.O.E.) relies on information the property owner provides, under oath, indicating current status of the system and representing to the best of his/her knowledge the system is not failing to function properly. WELD COUNTY HEALTH DEPARTMENT I. 15th Street and 17th Avenue P. 0. Box 1227 Greeley, Colorado Application for Permit to Install, Construct, Alter or Repair Individual Sewage Disposal Owner or Sponsor Address Mn-pp 4 / r ,,(z Address of Site 4 £ • st ,1.+`M'r' . 7 F ro r 7 /mptgh Mailing Address pr $0-1( K "`/2 cf Li t 64_ General Information 1. Living Units / 2. No. of Bedrooms 3. No. of Baths I 4. Basement Drain 5. Automatic Dishwasher _ 6. Garbage Disposal 7. Automatic Laundry — 8. Size of Lot l41e. 9. Type of Soil 10. Percolation Test / Vi 11. Water Supply if1r 1 A i ; C Rai up 12. Lot Grade 6 13. Water Table Depth 14. Other Ivis`I t(IS c4vaili FT I.Kif No. 4 P/C9C7 System. Phone Septic Tank 1. Liquid Capacity �d 1'% Gallons 2. Dimensions W L. D 3. Material 4. Type Inlet Type Outlet 2,0137 Secondary Treatment ' l - Field !�/Bed 1. No, of distribution lines 2. Trench: Width Length 3. Type Filler Material t ,.0i) •€fiitf t 4. Depth of Filler Material F 5. Gravel Size 6. Type Tile ,7. Depth of Cover 1' I 8. Other The Permit is to remain in full force and effect for six (6) months from date, until revoked for non-compliance. This system will be constructed in accordance with the above specifications and regulations governing non - municipal sewage disposal systems, in accordance with Regulation No. 1 of the Weld County Health De- partment. Date: Applicant: .� The plans and specifications as shown are approved, pending payment de it fee. Sanitarian: Date: (lit."7-eiet? The above system inspected and fg nd to cone with the plan and description. Installed by PERMIT FEE $ Received by Please use reverse side for Plot Pla Sanitarian: or -e separate sheet of paper. Dat Date GREELEY TRIBUNE ucan n. u1YlaluWI ur WA f}JI RESOURCE! Nigel Of 1 Mortal , Mvth Oa, 181A ,7;gy;JI PM COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT Division 1 District 2 DATE OF INSPECTION 3/3/1995 PURPOSE OF INSPECTION: LATE REG. ® REPLACEMENT OTHER: ❑ APPLICANT: LOWELL A. GROVES PERSON CONTACTED: SAME ADDRESS: 1370 14TH ST WATER COMMISSIONER: ROBERT STAHL FORT LUPTON, CO 80621 PHONE # (3031 857-0742 PHONE: 857-4588 EXISTING WELL LOCATION: NE 1/4, SW 1/4, SECTION 32 TOWNSHIP 2N, RANGE 66W, SIXTH P.M. DIST. 2550' FROM S SEC. LINE, 2125' FROM 4/ SEC. LINE' COUNTY- WELD IF REPLACEMENT GIVE DISTANCE AND DIRECTION TO NEW WELL SITE- 50' WEST TYPE OF WELL: DRILLED ANY OTHER WELLS ON THIS PARCEL? NO HOW MANY? N/A PERMIT#, CASE#, USE? N/A EST. DATE WELL CONSTRUCTED 1942 DATE OF FIRST USE 1942 EST. PUMPING RATE 15 GPM TOTAL # OF ACRES IN THIS TRACT/PARCEL 7/8 ACRES ADDRESS OF PROPERTY IF DIFFERENT THAN ABOVE: N/A SUBDIVISION OR OTHER PARCEL INFO: N/A ORES IRRIGATED (non-exempt/crop irr.) N/A NAME OF AUG PLAN: N/A USE OF WELL: ® household use in 1 single family dwelling(s) © watering of poultry and/or domestic animals ❑ watering of livestock on a farm or ranch- how many head? ❑ feed lot- how many head? ® historic lawn and garden irrigation 1/4 acres or sq. ft. ® fire protection ❑ commercial El other (see comments) YES WERE THE USES CLAIMED ABOVE INITIATED PRIOR TO MAY 8, 19721 SIGNED: DATE: 3 / 3 / 95 COMMENTS: EMERGENCY VERBAL PHONED IN TO CRAIG LIS ON 3/6/95 @ 1500 HRS Gy.VS.9 718a J STATE OF COLORADO OFFICE OF THE STATE ENGINEER 818 Centennial Bldg„ 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 TYPE OR PRINT IN BLACK INK WELL ABANDONMENT REPORT ABANDONED WELL NUMBER IF REGISTERED /677/ INDIVIDUAL/COMPANY RESPONSIBLE FOR PLUGGING UveYS A \ lf� 6irt /rc 1r City, St. Zip f) k� 'to►.i eG 23-)(� 2 Phone 1,3_0) IO i-f f 2. ACTUAL WELL LOCATION: COUNTY in![ - PROPERTY ADDRESS 1 3 ?6 1 Lj S (Address) 1. 3. NAME(S) Mailing Address He 1/4 .seJ 1/4, Sec, 3 Twp. oP N. O S., Range G & ❑ E. W. 6 P.M. For Office Use only RECEIVED JUN 2 9 '95 WILIER REsc,.. McS STATE ENGINEER COW 1.d.VELL ea/65 (City) (State) (Zip) ^istancea from Scc:ion Ll; es .2550 rt. from ❑ N. i4 3. Line, Coin -Li a E. or w. tine. I (we), report that an existing well was plugged and abandoned for the following reason(s): 4E The well was plugged and abandoned as required under the conditions of approval of Well Permit No. 475- n The well was/ not in use and was abandoned. ❑ Other (please explain) 4. The well was plugged and abandoned according to the Water Well Construction and Pump Installation Rules on 3f4A' c9 -S1 , 19 5. The well was plugged with the following materials placed at the indicated intervals: AMOUNT AND TYPE,OF MATERIAL ( METHOD OF PLAC MENT INTERVAL _Pa r' L P.-4/ a Ce-r", 'T' k.,\, kid U it from feet l [� _� to � ( feet 3 )3a s wP C y ef0NYC-c from _ ] ►l'N from frr&I cjCafori TdF0c CA,5l►•. I INTERVALS OF CASING REMOVED/RIPPED IN FE 6. Y� from _ from from feet to feet to feet to feet to feet to feet feet feet feet feet ! (we) have read the statements made herein and know the contents thereof, and that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R,S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] Name/Title (Please type or print) a ry OltL./4-ri 6-40V" c Date FaB'-qs-- --INFORMATION— It is the responsibility of the well owner to have the well properly plugged and abandoned. The well construction contractor is responsible for notifying the well owner of the plugging and abandonment requirement. This form may be reproduced by photocopy or word processing means. Form No. . OFFICE OF THE STATE ENGINEER GINS -25. . COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St„ Denver, Colorado 80203 (303) 8663581 LR APPLICANT LOWELL GROVES 1320 14TH ST FT LUPTON CO 80621- (303)857-4588 REGISTRATION OF EXISTING WELL WELL PERMIT NUMBER 187713 '13 DIV. 1 CNTY. 62 WD 2 DES. BASIN MD Lot: Block: Filing: Subdiv: APPROVED WELL LOCATION WELD COUNTY NE 1/4 SW 1/4 Section 32 Twp 2 N RANGE 66 W 6th P.M. DISTANCES FROM SECTION LINES 2550 Ft. from South Section Line 2125 Ft. from West Section Line ) CONDmONS OF APPROVAL This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the 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. 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. This well is recorded, and permit approved, in accordance with CRS 37-92-602(5) for historic use as indicated herein and described in CRS 37-92-602(1)(b), being a well producing 15 GPM and used for ordinary household purposes inside 1 single family dwelling(s), fire protection, the watering of domestic animals and poultry, and the irrigation of not more than 1/4 acre of home gardens and lawns. 4) The average annual amount of ground water to be appropriated shall not exceed 1 acre-foot.,, .. APPROVED RAN• State Engineer Receipt No. 0385415A e PA er DATE ISSUED ,{UN=,1 9 1995 EXPIRATION DATE /1/74R i _ GYMS -l2 10/89 S i tit r -.,OF COLORADO • OFFICE OF THE STATE ENGINEER 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 FOR INSTRUCTIONS SEE REVERSE SIDE REGISTRATION OF EXISTING WELL, 1. WELL OWNER NAIVIE(S) L o vi f irk 0},Q u- e 5' Mailing Address ) 1 ?U i y "t h s City, St. Zip At jv ,,i,ia CoA0 Phone (3'o3 ) - g' a b '?r / WELL LOCATION: COUNTY 3 d / Y -A 577`, - v Av-is.-, o So 0,7 1 (Address) (City) (State) (Zip) _..N. _1/4 of the $W 1/4, Sec. 32 Twp. O N. or D S., Range 4. O E. or a W. [o P.M. Distances from Section Lines SSA Ft. from D N. or © S. Line, r-/� 5" Ft. from D E. or El W. Line. e l^. c1 For Office Use only / PkRMCT NUMBER /27,2 e 11 'OPEasmajae, Receipt No. 5 SsL4 / - , OWNER'S WELL DESIGNATION £ 4,c S Yr 3. The well has historically been used for the following purpose(s): )2O, 54 Aa,e,( e�Yi`c -4- n iAtsfkS X Al kr y ,r J , 4/ 4. Water from the well was first used beneficially by the original owner for the above described purpose(s) on 19 1057 5. The total depth o this well is l3' feet. 6. The pumping rate is ' 5 gallons per minute. 7. 8. The average annual amount of water diverted is -ZA/ acre feet. The land area of home lawn and garden irrigated from this well is: Jado O Acre or 0 Square feet, (Number) described as: ryF Sw �• 5-r. c .344 ton) A/_, je,z�,� �, 4 or as Subdivision Lot(s) Block Filing/Unit I (we) have read the ' statements made herein, know me contents thereof, and state that they are true to my (our) knowledge- (Pursuant to Section 24-4-104 (13) (a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a Class 1 misdemeanor.] Name/Title (Plea§e type or print) ave11 - C52/-1 cs t r GU c r. 5 b > :L L;N 4, State Engineer Court Case No. Div. e d1 - OFFICE USE ONLY ate 5-r`F�S" CHRIS TRD u£4i5 !'5i595 Lily OF WATER RE?UURES D51595 By Co WD Basin Date Use COLORADO DMSION OF WATER RESOURCES EMERGENCY VERBAL FIELD INSPECTION REPORT Please complete this form in INK DN. WD app/. receipt no(s). / DATE OF INSPECTION: 3 / 3 95 PURPOSE OF INSPECTION: LATE REG. /, OTHER P.9Ol APPLICANT: ‘../v e /1 6'c y Pf person contacted if not applicant ADDRESS: / ' 70 X44 SJ W.C. name & phone #: 13(.0 r0 b c"] /l / F2( IL )/ ro 8.5-7 67 42 phone: cgs -2 - 4.37118 EXISTING WELL LOCATION: �/_ 1/4, S Lc// 1/4, Sec. 3 2 , Twp. 2 Al , Rng. ‘6.-(4 , . l _ P.M. DIST. 2 .s -co from N /3 - .line, 2 / 2Sfrom E V cline; County tiv 1d (►f rep/., give dist & dir. to new well site — S� lAcr;f circle type of existing well: ! : _ ►, HAND DUG, SPRING WELL, GALLERY WELL, GRAVEL PIT, OTHER any other wells are located on this parcel? (yes) howmany A1O , (no) p #,cam#use? EST. DATE WELL CONSTRUCTED / 2 DATE OFFIRST USE /Q 42 EST. PUMPING RATE IS gpm TOTAL # OF ACRES IN THIS TRACT/PARCEL 7% ACRES address of property (if different than applicant address): add. subd/percel info.: # acres irrigated (non-exempt/crop itr.) NAME OF AUG. PLAN? USE OF WELL household use in (indicate how many) / single family dwelling(s) watering of poultry and/or domestic animals {`domestic animals' would include a few cows, horses, etc.) watering of livestock on a farm or ranch — approx. how many head? is this a feed lot? ; how many head? (it is important to specify estimated historic lawn/garden in'.) in: 4 / fire protection commercial — drinking & san. only? (write details in 'comments' section) other (write details in 'comments' section) yOs/ no square feet/acre of lawn and/or garden WERE THE USES CHECKED ABOVE INITIATED PRIOR TO MAY 8, 1972? NOTE: IF ANY CHANGE IN THE HISTORIC USE OF THIS WELL HAS OCCURRED SINCE MAY 8, 1972, please indicate the date(s) the use changed. and discuss this change/and/or expansion of the current/or proposed use in the 'comments' section of this form report taken by: by. TO h �� h / /14 L.r L. ; dared: �_i 6 l�� ; called in Iowa) additional comments and/or information: v an a. uivialun vi- %AMP(REJCVRCEB reg.1 Or MOIIOb, Much O/, 18116 J;06;J8 PM COLORADO DIVISION OF WATER RESOURCES FIELD INSPECTION REPORT Division 1 District 2 DATE OF INSPECTION 313/1995 PURPOSE OF INSPECTION: LATE REG. ® REPLACEMENT El OTHER: ❑ APPLICANT: LOWELL A. GROVES ADDRESS: 1370 14TH ST FORT LUPTON, CO 8O621 PHONE: 857-4688 PERSON CONTACTED: SAME WATER COMMISSIONER: ROBERT STAHL PHONE # (3O3) 857-0742 EXISTING WELL LOCATION: NE 1/4, SW 1/4, SECTION 32 TOWNSHIP 2N, RANGE 66W. SIXTH P.M. DIST, 2550' FROM $ SEC. LINE, 2125' FROM W SEC. LINE, COUNTY- WELD IF REPLACEMENT, GIVE DISTANCE AND DIRECTION TO NEW WELL SITE- 50' WEST TYPE OF WELL: DRILLED ANY OTHER WELLS ON THIS PARCEL? NO HOW MANY? N/A PERMIT#, CASE#, USE? N/A EST. DATE WELL CONSTRUCTED 1942 DATE OF FIRST USE 1942 EST. PUMPING RATE 15 GPM TOTAL It OF ACRES IN THIS TRACT/PARCEL 7/8 ACRES ADDRESS OF PROPERTY IF DIFFERENT THAN ABOVE: N/A SUBDIVISION OR OTHER PARCEL INFO: NIA ,e ORES IRRIGATED (non-exempt/crop irr.) N/A NAME OF AUG PLAN: N/A USE OF WELL: ® household use in 1 single family dwelling(s) © watering of poultry and/or domestic animals ❑ watering of livestock on a farm or ranch- how many head? ❑ feed lot- how many head? 1 historic lawn and garden irrigation 1/4 acres or sq. ft. ® fire protection O commercial ❑ other (see comments) YES WERE THE USES CLAIMED ABOVE INITIATED PRIOR TO MAY 8, 1972? SIGNED: w r i ruv .srra Ii i DATE: 3/ 3 196 COMMENTS; EMERGENCY VERBAL PHONED IN TO CRAIG LIS ON 3/6/95 @ 1500 HRS Hello