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Home My WebLink About20221425.tiffMEMORANDUM TO: Maxwell Nader, Planning Services FROM: Melissa J King, PE, DRE DATE: February 8, 2022 SUBJECT: COZ22-0004 International Farms LLC The proposal has been reviewed for the Weld County Department of Public Works requirements. Staff comments made during this phase of the application process may not be all-inclusive, as other issues may arise during the remaining application process. COMMENTS: Parcel: 146925000011. The project proposes to: Change of Zone from the A (Agricultural) Zone District to the C-3 (Business Commercial) Zone District. ACCESS: Weld County Development Review has reviewed the application materials related to access. The parcel has existing permitted access onto CR 6 (AP18-00113). No other access is requested. Per Sec. 8-14-30, an Access Permit is required for access to Weld County maintained roadways. We strongly encourage you to discuss your access location with Public Works prior to laying out your site plan. All "preliminarily approved" accesses are subject to change during the access permitting process. Per Sec. 24-8-40, when feasible, there shall be no net increase in the number of accesses to a public road. Minimum access spacing widths are shown in Weld County Code Sec. 8-14-30. Please refer to Chapter 8 of the Weld County Code for more information regarding access. ROADS AND RIGHT-OF-WAY: County Road 6 is a paved road and is designated on the Weld County Functional Classification Map (Code Ordinance 2017-01) as an arterial road, which requires 140 feet of right-of-way. The applicant shall delineate on the plat the future and existing right-of-way and the physical location of the road. If the right- of-way cannot be verified it shall be dedicated. Pursuant to the definition of setback in the Weld County Code Sec. 23-1-90, the required setback is measured from the future right-of-way line. Be aware that physical roadways may not be centered in the right-of-way. This road is maintained by Weld County. Per Chapter 8, Article 13, Section 8-13-30, a Weld County Right -of -Way Use Permit is required for any project that will be occupying, constructing or excavating facilities within, and or encroaching upon, any County rights -of -way or easement. Right -of -Way Use Permit instructions and application can be found at https://www.weldoov.com/departments/public works/permits/. Weld County will not replace overlapping easements located within existing right-of-way or pay to relocate existing utilities within the County right-of-way. TRAFFIC A Traffic Narrative was submitted with the application. No additional traffic information is needed by Development Review at this time. CONDITIONS OF APPROVAL: The plat shall be amended to delineate the following 1. County Road 6 is a paved road and is designated on the Weld County Functional Classification Map (Code Ordinance 2017-01) as an arterial road, which requires 140 feet of right-of-way at full buildout. The applicant shall delineate and label on the plat the future and existing right-of-way (along with the documents creating the existing right-of-way) and the physical location of the road. If the existing right-of-way cannot be verified it shall be dedicated. The applicant shall also delineate the physical location of the roadway. Pursuant to the definition of setback in the Weld County Code Sec. 23-1-90, the required setback is measured from the future right-of-way line. This road is maintained by Weld County. (Development Review) 2. Show and label the existing permitted access point and the usage types (e.g. Agriculture, Residential, Commercial/Industrial, or Oil and Gas). Public Works will review access locations as a part of the plat submittal. (Development Review) DEVELOPMENT STANDARDS (NOTES ON THE PLAT) 1. The property owner or operator shall be responsible for controlling noxious weeds on the site, pursuant to Chapter 15, Article I and II, of the Weld County Code. (Development Review) 2. Weld County will not replace overlapping easements located within existing right-of-way or pay to relocate existing utilities within the existing County right-of-way. (Development Review) 3. Access on the site shall be maintained to mitigate any impacts to the public road including damages and/or offsite tracking. (Development Review) 4. Any work that may occupy and or encroach upon any County rights -of -way or easement shall acquire an approved Right -of -Way Use Permit prior to commencement. (Development Review) 5. The historical flow patterns and runoff amounts will be maintained on the site. (Development Review) WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www,weldhealth,org Memorandum To: Max Nader From: Lauren Light, Environmental Health Services Date: February 16, 2022 Re: COZ22-0004 Applicant: International Farms, LLC Environmental Health Services has reviewed this proposal for a Change of Zone from the A (Agricultural) Zone District to the C-3 (Business Commercial) Zone District. The existing building is served by an indoor use only commercial well (307777) and an unpermitted on -site wastewater treatment system (SE -1900021). A registered engineer reviewed the OWTS and determined the system was adequate for 31 employees. We recommend the following appear as notes on the plat: 1. Water service may be obtained from an appropriately permitted well. 2. The parcel is currently not served by a municipal sanitary sewer system. Sewage disposal may be by an on -site wastewater treatment system designed in accordance with the regulations of the Colorado Department of Public Health and Environment, Water Quality Control Division, and the Weld County Code in effect at the time of construction, repair, replacement, or modification of the system. 3. Activity or use on the surface of the ground over any part of the OWTS must be restricted to that which shall allow the system to function as designed and which shall not contribute to compaction of the soil or to structural loading detrimental to the structural integrity or capability of the component to function as designed. Health Administration Vital Records laic: 9/0 304 6410 Fax: 9/0-301-64 1'2 Public Health 8 Clinical Services cic: 9/0 304 6420 Fax: 9/0-304-64i 6 Environmental Health Services Tele:970-304-6415 Fax: 970-304-6411 Communication, Education 8 Planning Tele: 970-.304-6470 Fax: 970-304-6452 Emergency Preparedness 8 Response Te le: 970-304-6470 Fax: 970 304-6462 Public Health MEMORANDUM To: Maxwell Nader, Planner February 7, 2022 From: Bethany Pascoe, Zoning Compliance Officer II Subject: COZ22-0004 and SPR22-0002 Referral Upon review of my case files and computer, an active Zoning Violation (ZCV21-00330) was noted. This violation was initiated due to the operation of a trucking business without first obtaining the appropriate land use permits. This case HAS been forwarded to the County Attorney's Office; therefore, an investigation fee IS required. Due to records release laws, staff no longer tracks complainant information, but please be aware it is staff's policy to no longer accept staff -initiated complaints. If this application is approved, and once the applicant completes all Conditions of Approval and submission of both final and approved maps for recording, the Zoning Violation (ZCV21-00330) would be closed as compliant. If this application is denied, the associated court case would proceed accordingly. At this time a court date has not yet been assigned; however, staff is anticipating a court date in May or June of 2022. SERVICE, TEAMWORK, INTEGRITY, QUALITY MEMORANDUM TO: Max Nader DATE: February 16, 2022 FROM: Diana Aungst, CFM SUBJECT: COZ22-0004, International Farms, LLC PROJECT: Change of Zone from the A (Agricultural) Zone District to the C-3 (Business Commercial) Zone District. PARCEL: 146925000011 COMMENTS: No Floodplain Development Permit has been issued for this property. DELINEATE ON THE PLAT: 1. Show the floodplain and floodway (if applicable) boundaries on the map. Label the floodplain boundaries with the FEMA Flood Zone and FEMA Map Panel Number or appropriate study. (Department of Planning Services — Floodplain) PLAT NOTES: 1. A Flood Hazard Development Permit is required for all construction or development occurring in the floodplain or floodway as delineated on Federal Emergency Management Agency (FEMA) FIRM Community Panel Map # 08123C -2115F dated September 17, 2020 (South Platte River Floodplain). Any development shall comply with all applicable Weld County requirements, Colorado Water Conservation Board requirements as described in Rules and Regulations for Regulatory Floodplains in Colorado, and FEMA regulations and requirements as described in 44 CFR parts 59, 60, and 65. The FEMA definition of development is any man-made change to improved or unimproved real estate, including by not limited to buildings or other structures, mining, dredging, filling, grading, paving, excavation, drilling operations, or storage of equipment and materials. (Department of Planning Services — Floodplain) 2. FEMA's floodplain boundaries may be updated at any time by FEMA. Prior to the start of any development activities, the owner should contact Weld County to determine if the floodplain boundaries have been modified. (Department of Planning Services — Floodplain) go February 9, 2022 COLORADO Division of Water Resources Department of Natural Resources Maxwell Nader, Planner Weld County Department of Planning Services Transmission via email: mnader@weldgov.com Re: International Farms, LLC Site Plan Review and Change of Zone Case Nos. SPR22-0002 a COZ22-0004 Part of the NE 1/4 NW 1/4 of Sec. 25, Twp. 1 N, Rng. 67 W, 6th P.M. Water Division 1, Water District 2 Dear Maxwell Nader, We have received the February 4, 2022 referral concerning International Farms, LLC (Applicant) application for a site plan review and change of zone (from agricultural to business commercial) on approximately 16.33 acres known as Lot B of Recorded Exemption RE 373 located in the NE 1/4 NW '/a of Sec. 25, Twp. 1 N, Rng. 67 W, 6th P.M. The purpose of these applications is to allow the Applicant's commercial business to grow, sell, and transport alfalfa hay. The business will employ 10-15 employees. Trucks will be parked on the property and there is a commercial building on the property used for this business. This referral does not appear to qualify as a "subdivision" as defined in section 30-28-101(10)(a), C.R.S. Therefore, pursuant to the State Engineer's March 4, 2005 and March 11, 2011 memorandums to county planning directors, this office will only perform a cursory review of the referral information and provide informal comments. The comments do not address the adequacy of the water supply plan for this project or the ability of the water supply plan to satisfy any County regulations or requirements. In addition, the comments provided herein cannot be used to guarantee a viable water supply plan or infrastructure, the issuance of a well permit, or physical availability of water. Proposed water uses and estimated water demand were not provided in the referral materials. The proposed water supply source is an existing well, permit no. 307777. Permit no. 307777 was issued on December 5, 2017 pursuant to section 37-92-602(3)(b)(I), C.R.S. and the policy of the State Engineer dated April 23, 1986 for the change in use of an existing well constructed under permit no. 13320 -F -R, which has been canceled. The water from this well under permit no. 307777 is permitted drinking and sanitary facility use in a commercial business. The well cannot be used for irrigation of alfalfa or any other uses not permitted by the well permit. Additionally, according to the submitted material, there is a retention pond located on the site. The applicant should be aware that unless the structure(s) meet the requirements of a "storm water 1313 Sherman Street, Room 821, Denver, CO 80203 P 303.866.3581 www.colorado.gov/water Jared S. Polls, Governor I Dan Gibbs, Executive Director I Kevin G. Rein, State Engineer/Director International Farms, LLC Case Nos. SPR22-0002 Et COZ22-0004 Page 2 of 2 February 9, 2022 detention and infiltration facility" as defined in section 37-92-602(8), C.R.S, the structure may be subject to administration by this office. The applicant should review DWR's Administrative Statement Regarding the Management of Storm Water Detention Facilities and Post-Wildland Fire Facilities in Colorado, to ensure that the notification, construction and operation of the proposed structure(s) meet statutory and administrative requirements. The applicant is encouraged to use Colorado Stormwater Detention and Infiltration Facility Notification Portal to meet the notification requirements. If you or the applicant have any questions, please contact Wenli Dickinson at 303-866-3581 x8206 or Wenli.Dickinson@state.co.us. Sincerely, 1 Joanna Williams, P.E. Water Resources Engineer Ec: Referral no. 29080 Well permit file no. 307777 Applicant (jorge@roadtruckingco.com) ORIGINAL PERMIT APPLICANT(S) DANIEL C SHEPHERD APPROVED WELL LOCATION Water Division: 1 Water District: 2 Designated Basin: N/A Management District: N/A County: WELD Parcel Name: RECORDED EXEMPTION NO 1469-25-2- RE373 Lot: B Block: Filing: Physical Address: N/A NE 1/4 NW 1/4 Section 25 Township 1.0 N Range 67.0 W Sixth P.M. UTM COORDINATES (Meters, Zone:13, NAD83) Easting; 513716.0 Northing: 4430928.0 PERMIT TO CHANGE OR INCREASE USE ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights, The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(b)(I) and the policy of the State Engineer dated 4/23/86 under the following conditions, for the change in use of an existing well constructed under permit no. 13320 -F -R. Well permit no. 13320 -F -R was canceled by Order of the State Engineer upon issuance of this permit. 4) Approved as the only well on a tract of land of 16.7 acres described as lot B, Recorded Exemption No. 1469-25.2-RE373, Weld County. 5) The use of ground water from this well is limited to drinking and sanitary facilities as described in CRS 37-92-602(1)(c), for a commercial business. Water from this well shall not be used for lawn/landscape/greenhouse irrigation, domestic animal/tivestock watering, or for any other purpose outside the business building structure(s). 6) Production from this well is restricted to the alluvium. 7) The pumping rate of this well shall not exceed 15 GPM. 8) The annual amount of ground water to be withdrawn shall not exceed 0.33 acre•foot (108,600 gallons). 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) 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. The maximum consumptive use of ground water shall not exceed 10 percent, 11) This well shall be constructed not more than 200 feet from the location specified on this permit. NOTICE: This permit has been approved subject to the following changes: The UTM coordinate values were calculated from the distances from section lines provided with the permit application, the annual amount of ground water to be withdrawn shall not exceed 0.33 acre-foot pursuant to CRS 37-92 602(3)(b)(I ) and the policy of the State Engineer dated 4/23/86. 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. ) Printed 12-05-2017 For questions about this permit call 303.866.3581 or go to www.water.state.co.us Page 1 of 2 WELL PERMIT NUMBER 307777 - RECEIPT NUMBER 3683452 • Issued By AILI5 THYNE Date Issued: 12/5/2017 Expiration Date: N/A Printed 12-052017 For questions about this permit call 303.866.3581 or go to www.water,state,co.us Page 2 of 2 COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST, RM 821. DENVER, CO 80203 Main (303) 866-3581 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 Marne of applicant Daniel C Shepherd Maicrri adcress 1931 Leona Ave Ft Lupton Rcieeh Xx klarge code 8 rtl;rtpar; (303)324-3113 Stele CO 80621 .)",nail Icrtltne etr,: -e,;udcd. Idan@shepherdltd corn 2. Type Of Application (check applicable boxes) ❑ Construct new well [] R• eplace existing well ❑ C• hange source (aquifer) ❑ COGCC Well Office Use Only Form GVVS-45 r07/2013) 6. Use Of Well (check applicable boxes) Attach a detailed description of uses applied for. ❑ Industrial ❑ Municipal ❑ Irrigation Commetual ❑ Dewatering System ❑ Geothermal (production er reinfection ❑ Other (describe) ❑ Use existing well © Change or increase use ❑ Reapplication (expired permit) ❑ Other. _ -- 7. Well Data (proposed) Maxmtrn purimerg tale Annual anniue. IV De w,llraavr, qpm 15 7oiiil Oise) 49 feet 1 Aqu,hx PLATTE RIVER ALLUVIAUM acre-feet 3. Refer To (if applicable) VYdI pemvf tl 13320-F Depgniee Sas ' Dalerrrvnabnn a Water Crrur::.a4, p Wall nat"e or 4. Location Of Proposed Well y OJntr WELD San. nn 25 Township Nut r 1 A I lia ;:l tie NW 114 Range E or YV Pnnapal lrlendien 67 jk 1), lan„e of vrr:ll fmin sec4on Imes tsecaon lines are try rrcaler not prvpeiy tins;, 325 if from fx N S 2575 rl fro,rnE 0x1vV ror raFyarernent unly cWancc and direction from slit vafl IR r+.>w writ feel detention 'lr`dl locale at address flnaude C: y, Sale Zip; X Cneek if wire Bdare3S 's satr.e ae in eon t Optional: Cps well location Information. in (STY fpmlat ''nu must check is PS unit for required settngs as follows - r orma: rrx,sl be ITEM - -, Zone 12 orl N Zone t. Uinta rags, I>s Melers Datum must tie NADE3 lJni; -a,,s: be Set to Slue nOr4, Vvas C P -S un:t rliecked for .irk: v e , ❑'i tr.); Fasting r Northing r ; Remember to set datum to NAD83 8. Land On Which Ground Water Will Be Used Legal Descnption of Land ui.e'r [ye ploy usfd e, rift eraafr .entt Lot B RECORDED EXEMPTION 373 WELD COUNTY COLORADO (It used for crop irrigation, attach a scaled map that shows irrigated area ) A. a h-;re.5 16.7 ,DANIEL C. SHEPHERD wyfEr used pr-: ryas lar+tl 8400 - F 9. Proposed Well Driller License #(optional) 10. Sign or Entered Name Cf Applicant(s) Or Authorized Agent The making of false statements herein constitutes perjury in the second degree, which is punishable as a loss 1 misdemeanor pursuant to C.R.S- 24-4-104 (13}(a) I have read the statements herem. know the contents thereof and stale that they are true to my knowledge Sfge Y ante, carnets, of persoel s) sueinin g a: p:icaaer. Uale mrJd6ryyry: DANIEL C. SHEPHERD .11/06/2017 .. s)oenD prrrtt nary and bee 5. Parcel On Which Well Will Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) A. Legal Descriptton tntny save pric a:vt as an attriatlnenl} Lot B RECORDED EXEMPTION 373 WELD COUNTY COLORADO a. A Pf S;}r•5 ,r. pat CYl 4. i.Nrriet 18.7 DANIEL C. SHEPHERD �) Will tnts tr3 are urny weiL Ui Il s pw(ko? O J Ycs i+i Now 6400 - F E State 5,arcf.' ICA tnesonar Office Use Only l;5';h reap Darn odwr2 rr�o ,,,, Receipt area only 07-4ks P Few, . r : r s't1G th'r 4h'L, Cwr,n MYI �t12 SEs'. Surle,fe elegy 77 7U rr DIV A. -- WD �- BA MD ---- Best Copy Available f WJP•26i7' * Z klitim MUST BE SUBMITTED WITHIN 60 DAYS OF COMPLETION or THE WORK DESCRIBED HERE. ON. TYPE OR PRINT IN BLACK INK. w COLORADO DIVISION OF WATER RESOURCES 1313 Sherman Street - Room 818 RECEIVED Denver, Colorado 80203 ��fff WELL COMPLETION AND PUMP INSTALLATION REPORT OCT i 6 iNg PERMIT NUMBER 1 o.. RE-- 3 077 7 7 . IISaulCw WS PAM WELL OWNER Joiixt DiTirro, Jr, N); x of the NW u no. .25 ADDRESS R �,i_&nx 6. Ft._Lt80621 T. J. N R 67 W 6 P.M. July 12 19 79 `; DATE COMPLETED WELL LOG From 0 3 rib To Type and Color of Material 3 Top soil 4$ Sand gravel S. rock 55 Shale N9 TOTAL DEPTH ail ft. Water Loc. a X HOLE DIAMETER B in. from Q to 49 in. from to ft rn_ from to ft. DRILLING METHODAQ14=]L CASING RECORD: Plain Casing Size .!7" & kind plastic from + 1 to 2.8 ft Size & kind from to ft. Size & kind from to ft. Perforated Casing Size V' & kind p1as_ti_G from 28 to 49 ft. Size & kind from to ft. Size & kind from to ft, GROUTING RECORD Material Intervals Placement Method GRAVEL PACK: Size pea gravel Interval O-49 + TEST DATA Date Tested Static Water Level Prior to Test Type,.of Test PuJnp Be j bad k�lgth Df Test 2r hours tUszaii5led.Yi d (Mefieied) SO gpt>L Use additional pages necessary to complete loft. Wktet.j.tevel July 12 , 1979 12 ft. Best Copy Available PUMP INSTALLATION REPORT r, Pump Make Type 11Mig NL kefkoi'V' Powered by PlpstrIc metty HP 5_ Pump Serial No. A Alotor Serial No. Date Installea 7/12.1?9_ Pump Intake Depth 41 ft. Remarks WELL TEST DATA WITH PERMANENT f'OO Date Tested Not to.sted by R & R Static Water Level Prior to Test Length of Test Hours Sustained yield (Metered) GPM Pumping Water Level Remarks TOTAL DEPT x •X " WATER TABLE CONTRACTORS STATEMENT The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content thereof, and that the same is true of his own knowledge. CONE or DEPRESSION Signature R & Ft Well 8 Pump Inc, by, � � 1 License No. 513 (a -a Qa Q �o State of Colorado, County of Weld Subscribed and sworn to bis re.,'ne-tt.is�• day of My Commission expire �h jl L�or»glasipr� expins ay 5t y9 • fT Notary Public Y 5S , 19 7/9 FORM TO BE MADE OUT IN OU7 SLIZATF' 1(ZiFFIHZ. FORM moat be an original copy on both fides and signed. WHITE AND GREEN copies must be tiled +:41,sh`fhe T,X� E i;eaineer. PINK COPY is 1pr the Owner end YELLOW COPY is for the °ruler, i Form No. GWS-68A August 2017 COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 Sherman Street, Room 821, Denver CO 80203 (303) 8bb-3581, http://water.state.co.us STATEMENT OF PUMP INSTALLATION Used for late filing of evidence of pump installation for well permits issued pursuant to Section 37- 90-137, C.R.S. This form should only be used if a pump installation report is not available from the pump installer or other evidence of pump installation, such as a dated invoice from a pump installer, cannot be provided. On i( jc7 / . r r , the Colorado State Engineer issued well permit number (Insert date the permit was issued) On or prior to the expiration date of the above referenced water well permit, a permanent pump was installed. I claim and say] am the owner of the well referenced above and hereby request the State Engineer to accept the above statement as evidence of pump installation in accordance with applicable Colorado Revised Statutes. Further, l say that l have read the statements made herein, know the contents thereof, and state that they are true to my knowledge. Please print the Signer's Name and Title Signature Date It is the responsibility of the owner of this well permit to complete and sign this form. If an agent is signing or entering information, please see instructions on the reverse side of this form. Acceptance of this form for filing is not verification that the installation of the pump is in accordance with the RULE'S AND REGULATIONS FOR WATER WELL CONSTRUCTION, PUMP INSTALLATION, CISTERN INSTALLATION, AND MONITORING AND OBSERVATION WELL/HOLE CONSTRUCTION (CONSTRUCTION RULES) 2 CCR 402-2 COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 5HERMAN ST., STE 821, DENVER, CO 80203 main: (303) 866-3581 Form GW5-57 (1012013) Application Applicant's Receipt No. Name: /?,41-x) -5<4-c--/W t-7-L's'7 COMMERCIAL DRINKING AND SANITARY WELL WORKSHEET Review instructions on rovorse side prior to completing form. The form must be completed in black or blue ink or typed. 1. Name and Type of Business: Daniel C Shepherd 1 Bose Holdings Inc. 2. Is this application for a new well? for a change of wetl (if applicable) for drinking and uses may be t . of use for an existing well? 13320-F ■ Yeas ® No If no, is this application C Yes Permit Number ■ No For wells used sanitary purposes Oar to May 8, 1972, a field inspection of the well to required See form -. _ . and for further information verify historical form _ 3. Is the parcel the well Is located on (or will be located municipality, water company, etc.) or is water ❑ Yes €f yes, indicate what this other source is 0 No on) within the boundaries of a water service area (water district, available from another source (such as a well)? (name rrf water distrtcVsupplier, or well permit number) 4, Proposed type of disposal system to be used: A Septic tank r absorption leach ❑ Central System (district name:] ❑ Vault (location sewage hauled ❑ Other (attach copy of engineering field to:) design) 5. Water Demand Calculations (for Employees average X factors Number of per Employee for water demand see below) A B C Number of Employees Gallons per Day X Number of Days Employee Works per Year r= Gallons per Year 19 X 15 X 365 - /01./C%A� - - Customers Number of Customers per Day X Number of Gallons per Customer X Number of Days Business I is Open per Year - Gallons per Year N/A X N/A X 1 NIA - Other Uses (Note- No uses outside of the budding would be perm tted for this type of well ) Type of Use 1 X Gallons per Use per Day X per Year = Gallons per Year NJA X N/A LDays X i N/A = Total amount of water required; = Gallons per Year (A+B+C) _ 104025 For wells used for commercial drinking and sanitary purposes 108,600 gallons (1/3 of an acre-foot) per year. For wells used for commercial drinking and sanitary purposes gallons (1 acre-foot) per year. General Guidelines for Water Demand in Gallons on or after May 8, '1972, the total water demand cannot exceed 1972, the total water demand cannot exceed 325.900 — 80 gallons/personfday or from a technical reference on this subject. prior to May 8, Breakfast) consultant 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 8r Additional water demand figures may be obtained from a private water AFFIDAVIT TO PERMANENTLY ABANDON NON-EXEMPT WA'T'ER RIGHTS AND REQUEST TC) CANCEL WELL PERMIT 1, _ j li . (print nante) do swear and depose as follows: 1. I am the owner of a well located in the '!.4 -of the � �. _1/2 of Section - Township _ _ S b,(c ircicr one), Range _ } 1 1 i Ccircle one), well permit no. __' �. _ , Wl. D no. ?. The well has been used or is proposed to be used as the water supply for the following exempt type uses listed in w 37-92-602(1) or Policy 93-2 (check either a, h, r,r- c and fill in as applicah141: _ a. Ordinary household uses in _ (number, < 3) single-family dwelling(s): the irrigation of _ (area, < / acre) of home gardens and lawns: the watering of domestic animals }eyr1f7: the watering of livestock on fauns or ranches _ }�5 f _ no; fire protection _ yes no. t1'' b. Drinking and sanitary facilities inside an individuail commercial business ( 1.*. twin). — c. Feedlot or dairy operation meeting Policy 93-2 I,_ 50 gpm, 5 acre -Feet per vearl € understand that if I limit the tlSe of the well to only one of these use groups (a, h or e) and an exempt permit is issued for that use, then a plan of aut;nlentation or substitute water supply plan would not be required. 3. I have permanently abandoned the use of the well for all but the aforementioned exempt type, uses and understand that the pumping rate of the well will be limited to the amount specified in the exempt permit, which shall in no circumstances ot.e .ed 15 gpm (Iiir walls in group 2b and wells put to use after May 22, 1971 ) or *0 gpm (for wells in group 2c and wells put to use prior to May 22, 1971). -t. The well has been used for the above listed uses since (check uoe): _ _ before May. 22 1971: between May 22. 1971 and M iy 8, 1972; after May 8. 197? or '' is a proposed future. use. S. 1 hereby attest that it is my unequivocal intention to abandon all welter rights associated with this well except any currently decreed exempt type portion (based on any exempt well permit that either already exists or is issued by the State Engineer's Office) and. further, that 1 hereby hind any and all successors -in -interest to comply with and be subject to my stated intention to abandon the associated water rights. b. l understand the iivision Engineer, pursuant to Section 37-92401( I )(a), will place all but the exempt type portion of the water rights associated with this well on the next decennial abandonment list. 7. This is a formal request to cancel the non-exempt well permit no. - � rl' r,. --. (Wu not applicable) 8. If an exempt permit for this well does not already exist, I hereby apply for an exempt well permit with the State Engineer's Office pursuant to § 37-92-602 C.R.S. Enclosed is an original application tier an existing well and my Si 00.00 tiling fee. Phis affidavit and request to cancel the neon -exempt well pennit is contingent upon the issuance of an exempt permit fife this well. I understand that, as conditions of approval for the permit, I will be required to remove any pumping equipment rated tOr a discharge greater than the allowed llow rate of the exempt penult and. it' not already in place. install a sanitary capfscal on the well. Avatlable Best COO Print flume 1�- Address City, state. Yip i Subscribed and sworn to before me in the County of �� _ Vti�utl f5i��iutlurcl ihis eC day of A_ X(Y 20) j . AMY t-. WEE3STER NOTARY PU3LIC STATE OF COLORADO NOT Ail Y ID q 2015402279Y MI Ci)ry MISSION E)WIRESn6-15-2(320 r f My commission expires: Mail Affidavit to: Division of Water Resources, Attn: Ground Water Commissioner 810 9`I' Street. Suite 200, Greeley, CO 80631 (revised 02109/2012) 43127&0 06/23/2017 10:31 AM Total Pages: 3 Rec Fee: $23.00 Doc Fee: $00.00 Carly Koppes - Clerk and Recorder, Weld County, CO SPECIAL WARRANTY DEED t 7445:93/6711.7 3 TINS SPECLU_ \1, ARR \ T1 1)1 LD, made. this '2nd day ++f. :June_ u -. hettiveon JAMES E. ROBBINS AND SliAl0N L. :OBBINS, ‘kliose address i, 1U7(i4 /dui 1)1.. \ estminster. CO S(:)` y-1 {cx ]`.cc_i • l . "Grantor' ), and DAN EL Cl-ARLES SIlE1311E1-L), whose address is 1771 C R 23, Eirighion, (_ tJ 5llhil € "(;raritee" ): pic _ . ol� emf,. 06 «I NESSIEI IT, that Gr, ntrr, for anal in consit erltion of the sum of SIX ITUNDRE ) THOUSAND AND VI/100 DOLLARS (`;;6t)0 i1Cin 001, the ~e.ccipt and of Mich is hereby acknowledged, has t,,..r,lnted, bargarined_ sold and e.c.+n,eAed, <r -lc by these nrescr.lts does grant, bargain, sell, .'o11Vey and confirm unto (.+ra nteC, its successors and assians t1.ne er, I:}l me real properly; together with impro\-etnents if any, situate, lying ,end bci:l?, i_r1 Weld Co,inty, Sta:t of Colorado, as de.scribed ran the attached 4 (the. "Property"); TOGE'llLER ltl all and s'.ngular the Itcreditarri erns and appurtcllarrc�s therc:to beloniti g. or in Hilt %\;tic appertaining, arai the reversion d'. d :'eversioi:.s, reih;3indcr <=i1tl remainders, rents. Issues anti prol:ts th i'�'c.}1; ,:nit! 1111 the estate, right, t k.% :iatacst, claim a,llil demand v;'h.ats:0c\er of Oranor. Ifni-er ; la.A. or c•cltril}_ ;rr anal to thu :MO e lla ��ai114�1 premises, with the hcredI=a1 ents ;1rCl appur:cnar:ccs: O HAVE AND TO HOLD the said premises aho e har2-ained aria dc:`c:'ibea with ills a 1ppurtCSam..es, unto Grande, 111 tr'e'ss s, and ar6SIllIIS forever. Giaittoi for itself. ±1ti successors and assigns, does co'~enan1 :and a2.ree that. it shall and will WARRANT ,1`€) 1.OR.LG'ER D E E.N1) the abov-batr2ai;led quid. and pe_tei.Ati:_• possession }F Grantee, its successors and assizns, a:gai.nst all and every person or persons claimint2, the whole r�r any part thertUl, by., thretn2,11 or under Cil-a !tor, subject to taxes for the i ncreht year and all easements, restrictions, reservations, encumbrances, covenants, ri llts of way and all other matters of record. IN WITNESS WI_CE:REOF, Craniorhats executed this deed on the slate set f; rli 42447.1 ' ___470-114C44A2---' Sharon L. Roilt7ins Best Copy Available SPECIAL WARRANTY DE -.ED l T G?r'? � -rills SPECIAL WARRANTY DEED. made this 22nd dery or June, 2017. between fA\9E.S F.. R0f3BINS AND SHARON L. ROB1_3INS, whose address is 10764 Zuni Dr.. Westminster. CO `(2.',4 (coilectiv l"Grantor"), and DANIEL CHARLES SHEPHERD. whose address is 1771 CR 23. E3righton. CO 8060.1 ("Grantee"): - WITNESSETII, that Grantor. for and in consideraticm of the 4utr, tit. Si\ IILNDRl ) ` HC.. :SAND AND NO 100 I)OL1-ARS {5(,l)(?.tl0O,00). the receipt and sufficiency of which is hereby acknowledged. has granted,. har�ilaliried. sold and conveyed, :LID] these pre.;ents does �rara. bargain, ;ell, convey and contlrm unto Orantee, its successors and assigns for-e\,t•r. all the real property, touetlicr with improvements Il any. situate, lyin�� arkl being in Weld County. State of Colorado, as legally described on the attached Exhibit A (the "Property"): TOGETHER with ail and singular the hereditaments and appurtenances thereto belonging, or in anywise appertaining. and the reversion and retier:ions. remainder and remainders, rents, issues and profits thereof; -and all the estate, right, title. interest, claim. and demand whatsoever of Granter, either in law or equity. of, to and to the above hargained premises. with the hereditaments and appurtenances; T() IIA.VE AND "['O I-IOLD tl.c said premises above bargained and described with the appurtenances, unto {.3rantee, his successors. and assign` ibrCN.cr. Grantor for itself. its successors and assigns. does covenant and agree that it `hall and will 14'A1212iNN ! ANL) R)REVER DI FI ND the ariao e -bar air_rcl premises its the quiet and pea:cablc. posscssioii o Grantee, its LILreeeSSOFS and assigns, gns, a2at'.nst Gill and ever,, person or persons claiming the whole or any part thereof-, Izv. through or uncle. Grantor. subject to taxes for the current year and all easements, restrictions, reservations, cncumbranccs, covenants, rnlarts of 1VllL an(' all other matters of record. IN WITNESS WHEREOF,. Grantor has executed this deed on the elate set ti rth above. GRANTOR: ' J x _- GL -C_ -lam �� , crZr- ) a r11cti I Robbins Shilrc�m 1.-. Robbins { rnryo q.railabte Piwe l S l A l F. OF COLORADO c o u N ) or [..: ertt-,' ,r The foregoing instrument was ac.knowlcci�eci b firrc me.. this 22nd duly c,f June. 201.7, by Jams E. Robbins and Sharon L. Robbins. 1S t'f-NL•SS N.11' I lIND AND OFFICIAL SEAL. My commission expircs:_ \t7tan. Public EXI1[BI`1' A Lot 13 Reconleci Exemption No. 1-166.)_ .5- 2-1th.): Fehrunry 14, 1979, in Book $60 ill Reception No. 17S1S56. hein�, a portion or the 1-? \\V 1;4. Section ?5. township 1 Kurth. Range 67 \Vest of the 6tit I'.\-1 . TOGE 1 1 [1:R 1'4:'1'113 that portion of Leona Avenue. vacated br, 1R.csolutioic recorded September S. 2016 at Reception No. 42;-1790. County of\ eld, State o ( .oloratio also kno\- n by as 1931 Leona Avenue. Dort Lupton. CU 1 0621 . Rest C, �n'V iva lable 11/28/2017 State.co.us Executive Branch Mail - FW: Well Receipt Gm $ FW: Well Receipt 1 message Thyne - DNR, Allis <aills.thyne@state.co.us> dan shepherd <dan@shepherdltd.com> Wed, Nov 22, 2017 at 3:02 PM To: "Thyne - DNR, Ailis" <ailis.thyne@state.co.us> Her you go I also need to reference the well is question as 13320 -F -R Thank You Dan Shepherd From: Cindy shepherd ltd Sent: Wednesday. November 22, 2017 2:56 PM To: dan shepherd <dang;shephereItd.aorn> Subject: Well Receipt Cindy Peterson Accounts Receivable Shepherd Enterprises 303-659-0644 C, -.O1 Well Receipt.pdf 822K https:llmail.google_corn/mail/u/01?ui=2&ik=6155c18885&jsver=CS87NgUoRx4.en.&view=pt&search=inbex&th=15fe5c131 efea838&siml=15fe5c131efe... 1/1 ;COLORADO . Division of Water Resources MEMORANDUM Date: November 28, 2017 To: Matt Sares, Kevin Donegan Fz Andy Flor From: Allis Thyne Re: Application Receipt No. 3683452 John W. Hickenlooper G vernor RoLlert Rand. -ill E; c•ct,tive Director kevir. Reir, P.E. Oiled-oi shale Ens; meet rj � eiLa 0140 The permit application with receipt no. 3683452, for the change/expansion of use of an existing well constructed under permit no. 13320 -F -R, has been referred to a Geologist for review of the underlying aquifer(s). According to the application, the location of the well is: NE % of the NW %, Section 25, Township 1N, Range 67W, 6th P.M., Weld County 325' from North section line r, „4„.„„ zAle c£,, CD_i443 2575' from West section line r~,Rsti‹.n The applicant is requesting to change/expansion of use of an existing well constructed under permit no. 13320 -F -R in the alluvium. The attached output from the Bedrock Aquifer Evaluation Determination Tool warns that the subject area may have a lack of data and/or structural complexity. Please identify the interval for the alluvium at this location. f-rig-i 2 Z(,o .1K 0 ZS`11490 O 259"19 L ��ya Ik,-10,"A 'o L � 2 V-, S t-i 4 ;n 2�►� ESL t3r1s� AL +� Lic3'ciz Li$1 I 0900 LlgoS 41O2 110-5 `..>PD;S D(,`�, ""FMkt-f- (TIa) C. -As.) STor-I C- Tli SOIL C[. GlAnSTtm-'e- F. g=.p. .•-t z Office of the State Engineer 1313 Shern1a 1 St r.` ', Rooi•} 821. Denver, CO 30203 P 303.866.3581 clegS -4400 Fccr) ,r s:n,,.f .f Report Date: 11/28/2017 Bedrock Aquifer Evaluation Determination Tool Denver Basin Aquifer - Specific Location Determination Tool Applicant: Reciept No: Evaluated By: Location: Basin Designation: Ground Surface Elevation: Sheperd 3683452 aat NE 1/4 of NW 1/4 of Sec. 25, T.1 N, R.67W. ( 325 NSL, 2575 WSL) Location is within the UNKNOWN Designated Ground Water Basin. 4944 Feet Number of Acres: 16.7 Warning! The depth intervais estimated in this area may vary from actual conditions due to lack of data and/or structural cornplexily. Aquifer Elevation (ft) Sot Top Net Sand DEPTH (ft) Bot Top ANNUAL APRPROP. (A -F) STATUS Upper Dawson Lower Dawson Denver -- -- Upper Arapahoe Lower Arapahoe 4723 4980 106,6 217 -40 3.03 NNT Laramie -Fox Hills 4059 4323 156.0 881 617 3.91 NT NOTE: 'E' indicates a location is at an aquifer boundary and the values may be more approximate. 1of1 11/13/2017 5tate.co.us Executive Branch Mail - Fwd: Well permits STATE OF COLORADO Fwd: Well permits 1 message DWRPermitsOnline, DNR <dnr_dwrpermitsonline@state.co.us> Bieri - DNR, Justin <justin.bieri@state.co.us> To: dwrpermitsonline@state.co.us Cc: Joanna Williams - DNR <joanna.williams@state.co_us> Please see the attached from a well owner applying for a downgrade. Justin Bicri Groundwater Commissioner Water Division 1 COLORADO DIVisi rl of Watur ReseurLus P 7.7.2Y,712 If`��(!'i9?1.?1;i 813 9th, St, Suite 100. Greciey, CO 6063, i15'I'l.ljlc'CI;25:n I� �_ �_tr wwW.,,wat 'r.st'r ioxo,l�S Forwarded message From: dan shepherd <cian((ishepherclltd.com> Date: Mon, Nov 6, 2017 at 2:27 PM Subject: Well permits To: "juslin bieriAstate co.l.ls" <justin.bierir� state.coms> Good Afternoon Justin finally got the permit change paperwork done Please let me know if there is anything I missed or filled out incorrectly Thank You Dan Shepherd Forwarded message From: Cindy shepherd ltd <cirlciO-i+ hepherdltd.ce,m> To: dan shepherd <dania_>shepherdild.coni> Cc: Bcc: Date: Mon, 6 Nov 2017 21:11:10 +0000 Subject: Water Well Signature Page Cindy Peterson Accounts Receivable Shepherd Enterprises Mon, Nov 13, 2017 at 9:15 AM https://mail.google.comlmaillu/Anu+=2&ik=7cc5577e72&jsver=M-xhRWn01p0.en.&view=pt&search=mbox&type=15fb2443d6390f51 &th=15fb62a9362ef... 1/4 11/13/2017 State.co.us Executive Branch Mail - Fwd: Well permits 6 attachments . Water Well Signature page.pdf 464K . Water Well Signature page.pdf 464K noname.eml 722K Water Well.pdf 4105K r.I Water Well.pdf 4105K noname.eml 5704K https:llmail.googie.cornimaillu141?ui=2&i k•=7cc5577e72&jsver=M-xhRW n01p0.ers.&view=pt&search=inbox&type=15fb2443d6390f518th=15fb62a9362ef... 414 FORM No. GWS-68 10/2016 POST -CONSTRUCTION WELL INSPECTION REPORT State Of Colorado, Office Of The State Engineer 1313 Sherman St., Room 821, Deriver, CO 80203 343.866.3581 and .•, 1. Well Permit Number: 13320-F Receipt Number: 9061544A 2. Well Owner Information: Name Of Well Owner: Daniel C Shepherd Mailing Address: 1931 Leona Ave City: Ft Lu ton Phone: ( 303 1324 3113 Emait: dan@shepherdlld.com State: co Zip Code: 80621 3, Well Location Street Address: 1931 Leona Ave Ft Lupton CO 80621 4. GPS Well Location: Zone 12 WIZone 13 Easting: Northing: For Office Use Only County: WELD 5. Legal Well Location: N 1/4, NW 1/4, Distances from Section Lines: 325 Subdivision: Sec. 25, Twp. 1 N or S Q , Range 67 ❑ E or W ft. from Q N or 0 S section line and 2575 ft. from QE or l] W section line. Lot Block Filing / Unit b. Well Information: Ground Surfate Elevation 4940 feet Type of Existing Well Submersible Who Constructed Well R€tR Well a Pump InC. Approximate Date Completed 08/31/1979 Who installed Pump R_EtR Well Et Pump lr1C. Approximate Date Pump installed _07/3_1 / 1979 Total Depth 49 feet Estimated flaw rate 120 gpm Other welts located on this parcel 6400-F Distance to nearest septic tank / sewer tine N/A feet Distance to nearest teach field 800 feet 7. yes yes yes yes no Yes yes yes For the section below, if stating no for any reason please explain. Is the well in a clean and sanitary location? Is the well maintained in a clean and sanitary condition? Is the ground at the surface sloped away from the well for proper drainage? Is the surface surrounding the well firm and stable? Is the well situated in a well house or vault? If so, is the well house or vault in good repair and condition? is the well equipped with a sanitary well seatfcap? is the well constructed with steel casing at the surface? Does the casing extend at least one (1 ) foot above the surface? S, Any Concerns about this well? Recommendations? Specific repairs required? (please number your comments) Please Include Photos 9. Photos available? ❑ Y or 0 N If emailing, attach photos: if submitting hardcopy, include printed photos. 10. Disclaimer: By undertaking this well inspection, and completing this report, the undersigned licensed contractor or authorized individual does not certify, and this farm should not be interpreted to certify, that this wet( was properly constructed or that water from this well is safe to use. This report concerns the condition of the well regarding only those aspects of the welt that can be discerned by a noninvasive inspection. including the location of the well, the condition of the surface completion and surrounding area, and any other observations that can be noted on this form regarding the construction of the well and its condition. Given that no post -construction inspection of the well can affirmatively determine the subsurface condition of the well, the undersigned individual cannot certify that this well is constructed to meet the standards of the Rules and Regulations for water Well Construction, Pump Installation, Cistern Installation, and Monitoring and Observation Note! Well Construction (Construction Rules, 2 CCR 402-2), and no liability should be assigned to the contractor inspecting this well regarding the well's construction or the safety of water produced from it. 11. Name: Dan C Shepherd Licensedtontrrtor or Authorized Individual Only Signature: _ �.' 1' f . Email: Dan@shepherdltd.com Date of Inspection: License No: ; OR ❑ P.G.: ❑ P.E. Hello