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Home My WebLink About20222204.tiffMEMORANDUM TO: Chris Gathman, Planning Services FROM: Melissa J King, PE, Development Review DATE: May 9, 2022 SUBJECT: USR22-0014 Roll The proposal has been reviewed on behalf of the Weld County Department of Public Works and the Department of Planning and Zoning. 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 GENERAL PROJECT INFORMATION/LOCATION Project description: A Site -Specific Development Plan and Use by Special Review Permit for a Kennel (dog boarding kennel, dog daycare and dog training facility for up to 25 dogs) in the A (Agricultural) Zone District. This project is south of CR 6 and is east of and adjacent to CR 47. Parcel number: 147325000040. Access is from CR 47 (AP14-00057 {2 access points} — Residential). ACCESS Development Review has reviewed the application materials related to access. The parcel has proposed accessing onto CR 47 at the two existing permitted access points (AP14-00057). The permitted access point on the north would be for the proposed land use and the permitted access point on the south would remain residential. The applicant shall submit an access permit application to upgrade the northern access to reflect the proposed land use. 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 Development Review 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 RIGHTS -OF -WAY This portion of CR 47 is a gravel road and is designated on the Weld County Functional Classification Map (Code Ordnance 2017-01) as a local road, which requires 60 feet of right-of-way. The applicant shall delineate and label on the site map or 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 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, Sec. 8-13-30.B, 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.weldgcv.com/departments/publicworks/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 No recent traffic information is available for this portion of CR 47. The traffic information submitted with the application materials indicates that during operation that the maximum site traffic would be 25 passenger vehicle round trip daily and 2 tandem truck round trips daily. 75% of the traffic will travel north and 25% of the traffic will travel to the south on CR 47. No additional traffic information is needed. TRACKING CONTROL Tracking control is required to prevent tracking from the site onto public roadways. For access to paved roads, tracking control devices can be double cattle guards with 100 ft. of asphalt or 300 ft of asphalt. For access to gravel roads, tracking control devices must be either double cattle guards with 100 ft. of road base, or road base on all driving surfaces. Temporary Tracking Control shall be used during construction unless permanent tracking control is installed ahead of construction activities. Recycled concrete is not allowed in County right-of-way. Tracking control for unmaintained public right-of-way is required just prior to entering publicly mantained roadways. A variance request for alternatives to the tracking control requirement can be submitted to Development Review for review and consideration. This site requires double cattle guards and 100 ft. of road base or road base on all driving surfaces. DRAINAGE REQUIREMENTS This area IS within a Non -Urbanizing Drainage Area Non -Urbanizing Drainage Areas typically require detention of runoff from the 1 -hour, 100 -year, storm falling on the developed site and release of the detained water at the historic runoff rate of the 1 -hour, 10 -year storm falling on the undeveloped site for NON - URBANIZING areas. The applicant shall submit a simple drainage narrative. It appears as if the site meets the following drainage exception 8. Development of sites where the change of use does not increase the imperviousness of the site. Located in Sec. 8-11-40. Drainage Policy. Historic Flows The applicants will be required to maintain the historic drainage flows and run-off amounts that exist from the property. CONDITIONS OF APPROVAL A. A Final Drainage Narrative is required. (Development Review) B. The plan shall be amended to delineate the following: 1. CR 47 is a gravel road and is designated on the Weld County Functional Classification Map as an local road which requires 60 feet of right-of-way at full buildout. The applicant shall delineate and label on the site map or 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. All setbacks shall be measured from the edge of right-of-way. This road is mantained by Weld County. (Development Review) 2. Show and label the approved access locations, approved access widths, and the appropriate turning radii on the site plan. The applicant must obtain an upgraded access permit in the approved location prior to construction. (Development Review) 3. Show and label the entrance gate if applicable. An access approach that is gated shall be designed so that the longest vehicle (including trailers) using the access can completely clear the traveled way when the gate is closed. In no event, shall the distance from the gate to the edge of the traveled surface be less than 35 feet. (Development Review) 4. Show and label the approved tracking control on the site plan. (Development Review) 5. Show and label the drainage flow arrows. (Development Review) 6. Show and label the parking and traffic circulation flow arrows showing how the traffic moves around the property. (Development Review) Pror to Construction A. The approved access point shall be permitted, and the tracking control shall be constructed prior to any on -site construction. (Development Review) B. If more than one (1) acre is to be disturbed, a Weld County Grading Permit will be required. (Development Review) DEVELOPMENT STANDARDS (NOTES ON THE SITE PLAN) 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. The access to the site shall be maintained to mitigate any impacts to the public road, including damages and/or off -site tracking. (Development Review) 3. There shall be no parking or staging of vehicles on public roads. On -site parking shall be utilized. (Development Review) 4. Pror to the release of building permits, the applicant shall be required to submit a complete access application for the "preliminarily approved" access location as shown on this plan. (Development Review) 5. The historical flow patterns and runoff amounts on the site will be maintained. (Development Review) cauN`rY =, Weld County Department of Public Health and Environment Memorandum To: Chris Gathman From: Lauren Light, Environmental Health Services Date: May 9, 2022 Re: USR22-0014 Applicant: Steven & Kelly Roll, do K9cation, LLC Environmental Health Services has reviewed this Site -Specific Development Plan and Use by Special Review Permit for a Kennel (dog boarding kennel, dog daycare and dog training facility for up to 25 dogs) in the A (Agricultural) Zone District. The 1995 residence is served by an individual domestic well which is permitted for three single family dwellings (185934) and an on -site wastewater treatment system sized for 3 bedrooms (G19950076). The 2014 residence is served by the domestic well and an on -site wastewater treatment system for 3 bedrooms (SP -1300279). . A portable toilet will be provided for employees and patrons of the facility in accordance with EH policy. A commercial on -site wastewater treatment system was installed in 2019 for a shop wash station for animals (SP -1900090). However, the permit has not received final approval and cannot be used with the current well. As the well is not currently permitted for commercial use, water will be hauled and stored in a holding tank for use in the dog kennel. A dust abatement plan was submitted which states, in part: "Artificial turf has been placed in high activity locations to control dust, mitigate noise, reduce mud and long term erosion. The driveway of the property is covered in recycled asphalt to reduce dust and mud." A waste handling plan was submitted which states, in part: "All waste will be picked up daily and placed into trash bags and then sealed shut. All waste is then placed into a commercial dumpster that is picked up on a weekly basis." Noise is restricted to the residential limit. The applicants submitted their own noise study which indicates the residential limit can be adhered to at the low reading points in the study. The study indicates: "The proposed kennel and training facility will be staffed with dog 1555 N. 17th Avenue Greeley, CO 80631 Phone: (970) 304-6410 weldhealth.org Public Health cauNTY =, j/AVV-14---i}‘\ Weld County Department of Public Health and Environment trainer's not just handlers. This staff will be very cognitive of excessive barking dogs and will immediately address this excessive barking with positive training and as necessary removal from the situation to keep barking at a minimum. Our goal is to have a respectful environment for all. ]I A Pet Animal Care Facilities Act (PACFA) license is required. We recommend that the following requirement be met prior to allowing the plat to be recorded: 1. The On -Site Wastewater Treatment system permitted as SP -1900090 shall receive final approval in accordance with the Weld County On -Site Wastewater Treatment System (OWTS) Regulations. We recommend the following requirements are incorporated into the permit as development standards: 1. All liquid and solid wastes (as defined in the Solid Wastes Disposal Sites and Facilities Act, 30-20-100.5, C.R.S.) shall be stored and removed for final disposal in a manner that protects against surface and groundwater contamination. 2. No permanent disposal of wastes shall be permitted at this site. This is not meant to include those wastes specifically excluded from the definition of a solid waste in the Solid Wastes Disposal Sites and Facilities Act, 30-20-100.5, C.R.S. 3. Waste materials shall be handled, stored, and disposed in a manner that controls fugitive dust, fugitive particulate emissions, blowing debris, and other potential nuisance conditions. The applicant shall operate in accordance with Chapter 14, Article 1 of the Weld County Code. The accepted waste handling plan shall be adhered to. 4. Fugitive dust should attempt to be confined on the property. Uses on the property should comply with the Colorado Air Quality Commission's air quality regulations. The accepted dust abatement plan shall be adhered to. 5. The facility shall adhere to the maximum permissible noise levels allowed in the Residential Zone as delineated in 25-12-103 C.R.S. 1555 N. 17th Avenue Greeley, CO 80631 Phone: (970) 304-6410 weldhealth.org Public Health cauNTY =, ji:47/VV-1-:A}."\ Weld County Department of Public Health and Environment 6. Any On -site Wastewater Treatment Systems located on the property must comply with all provisions of the Weld County Code, pertaining to On -site Wastewater Treatment Systems. The On -Site Wastewater Treatment system permitted as SP -1900090 cannot be used for business use unless the well permitted as 185934 is repermitted for commercial use or water is hauled to the facility for kennel use. 7. A permanent, adequate water supply shall be provided for drinking and sanitary purposes as applicable. The well permitted as 185934 cannot be used unless it is repermitted for commercial use. 8. For employees or patrons on site for less than 2 consecutive hours a day, and 2 or less full-time employees on site, portable toilets and bottled water are acceptable. Records of maintenance and proper disposal for portable toilets shall be retained on a quarterly basis and available for review by the Weld County Department of Public Health and Environment. Portable toilets shall be serviced by a cleaner licensed in Weld County, contain hand sanitizers and be screened from existing adjacent residential properties and public rights -of -way. 9. Animal and feed wastes, bedding, debris, and other organic wastes shall be disposed of so that vermin infestation, odors, disease hazards, and nuisances are minimized. 10.The applicant shall comply with the Colorado Department of Agriculture (CDA), Division of Animal Industry regulations. 11.The operation shall comply with all applicable rules and regulations of State and Federal agencies and the Weld County Code. 1555 N. 17th Avenue Greeley, CO 80631 Phone: (970) 304-6410 weldhealth.org Public Health MEMORANDUM To: Chris Gathman, Planner May 2, 2022 From: Bethany Pascoe, Zoning Compliance Officer II Subject: USR22-0014 Referral Upon review of my case files and computer, an active Zoning Violation (ZCV22-00048) was noted. This violation was initiated due to the operation of a dog training, grooming, boarding and kennel operation without first obtaining the required 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 without there being a safety component to the complaint. If this application is approved, and once the applicant completes all Conditions of Approval and submission a final and approved map for recording, the Zoning Violation (ZCV22-00048) would be closed. If this application is denied, the Zoning Violation (ZCV22-00048) case would proceed accordingly through the County Court process. SERVICE, TEAMWORK, INTEGRITY, QUALITY Submit by Email Weld County Referral May 2, 2022 The Weld County Department of Planning Services has received the following item for review: Applicant: Steven & Kelly Roll, c/o K9cation, LLC Case Number: USR22-0014 Please Reply By: May 30, 2022 Planner: Chris Gathman Project: A Site Specific Development Plan and Use by Special Review Permit for a Kennel (dog boarding kennel, dog daycare and dog training facility for up to 25 dogs) in the A (Agricultural) Zone District. Parcel Number: 147325000040-R0125295 Legal: PART NW4 SECTION 25, T1 N, R65W of the 6th P.M., Weld County, Colorado. Location: East of and adjacent to CR 47; 0.5 miles north of CR 4. The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. Please note that new information may be added to applications under review during the review process. If you desire to examine or obtain this additional information, please call the Department of Planning Services. We have reviewed the request and find that it does / does not comply with our Comprehensive Plan because: We have reviewed the request and find no conflicts with our interests. See attached letter. Signature Jennifer B Teeters Date 05/20/2022 Weld Co. Oil and Gas Energy Dept. Agency Weld County Planning Dept. 1555 N. 17th Ave, Greeley, CO 80631 (970)-400-6100 (970)-304-6498 fax Weld County Oil & Gas Energy Department Referral Comments Referring Agency: Weld County Department of Planning Services Reference Number: USR22-0014 Associated Parcel: 147325000040-R0125295 OGED Reviewer: Jennifer Teeters Review Date: May 20, 2022 The Staff of the Weld County Oil and Gas Energy Department (OGED) appreciates the opportunity to comment on the captioned planning case. Staff has completed review of the proposal and have no conflicts with the proposed activity. We have included additional comments below: 1. There are no active or proposed 1041 WOGLA Permits on the associated parcel. There are several oil and gas well sites in the area surrounding the parcel, none directly on the associated parcel. 2. The USR lands may include additional oil and gas related infrastructure, such as off -location flowlines or pipeline which are a use by right and not regulated by Weld County. OGED requests that the applicant reviews flowline data available from the COGCC map viewer and utilize Colorado 811 prior to any excavation activities. This determination is based upon the review of the application materials submitted by the applicant and other relevant information available on the E -Permit site. A)rm No. 4 t—"ird i5/60 u/S -F . COLORADO WATER CONSERVATION BOARD LOG AND HISTORY Location: See.,....25.... T. .. R 651-1 P,M. 4 ;, see NW. or Street Address City. Owned by Tenant Drilled by Bolden nold•im jam...Q,, Uettaman Address Address Address • County �Jo1d Hudson, Oo1o'nio Hudson, Co1ornda Water Well Driller's License No 1_.,_...Name or No. of Well.._ .5 / A Type of Well: Domestic a Municipal D. Stock ❑, Irrigation ❑. Industrial ❑, Drainage ❑, Other Cased: ....O..... ft. to 51 ft. Type...attMl size...='..........Wt. of Casing: Lbs.,'Ft.,....Q QQ Cased ...............ft. toft, Type Size,........W. of Casing: Lbs./Ft. Cased,....... ft. to ..................ft. Type Size.._...,...............Wt, of Casing: Lbs./Ft Perforated or Screened: Ft 31 to Ft...... .......... ; Ft 4o Fri Type of Screen or Perforation rtat#X..PW !Y1 Date Started ........Jitly...21.r 1954_ _ Date Completed 1tay._. , __.19 ' Static Water Level........,a Ft. or Shut. in Pressure .....lbs. -sq. in. Date Pumping Water Level 25._ Ft. at..._. 114G F' M yield. How Tested: balladLength of Test 1. .Hours, Put Fnrrnation Log on Reverse Side REMARKS: (Gravel Packing, Cementing, Packers, Type of Shut-off. Depth of Shut-off, Method Drilling, etc.) 9" hole gravel packed rotary tc,r:.. TO BE MADE IN TRIPLICATE: White copy to owner, Blue copy to Colorado Water Conservation Board, and other copy to driller, LOG OF WELL DESCRIPTION OF MATERIAL DRILLED METHOD OF DRILLING Feet sand & gravel 11 .to ......35 ...... .... �K. to 3.. to... Er.fvel ...........to . 4? 112. to 4,5 45 l9 4.9 5Z NMI clay SPEWS]. clay COLORADO WATER CONSERVATION BOARD NOTIFICATION OF INTENTION TO DRILL '3.., REDRILL ❑, RECASE D. OR DEEPEN ❑ A WATER WELL (1) District No.. .. ... .. (2) Name or Number of Well 1/ ` /A. (3) Name of Driller. . Holden 3: -; oldtin (4) Phone No. f ~."'" (5) Address. (6) Well Driller's License No. T. .(7) Approximate Date Start of Work July 21, (8) Land Owner's Name. ... John C. .Getty:an . (9) Address... ... (10) Estimated Depth of Well 5.0... ..Ft. (11) Location of Well (12) Diameter of Well _9._ ...In. Section No..'.County Weld (13) Diameter of Casing ........,.In. • Twp.. ` .Runge. P.M... . (14) Weight of Casing Lbs.IFt. (15) Please mark well location to nearest 4u acres (small square) be.iow. N (16) Type of Well: Domestic Irrigation Municipal Stock Other (17J Method to be used ir. drilling:.rotar.'y.... ('8) If above location is unknown, complete the following: County.. (19 1 Estimated Depth of Bottom and Top of Shutoff .. . City, Town or Subdivision (20) Type of Shutoff. StH'et Address of .►'ell Location.'....' ..; TO t3E MADE IN TAIMICATE: Original White Copy to Colori': iu Water Conservation Board pin.., Duplicate to Driller. The 1I-1h-uilryLyli>1 29490 County Road 14 Ke enesbnrg, CO 80643 3t)3-536-4702 DAVID E. BELL SECRETARY/MANAGER JOE. AMEN DIRECTOR, DIVISION I BOARD PRESIDENT HOLSINGER LAW, LLC TREVOR SCHREIBVOGEL GENERAL COUNSEL DIRECTOR, DIVISION II KENNETH KNOX WATER RESOURCE ENGINEER April, 11th, 2022 To whom it may concern: RYAN RUFFLE DIRECTOR, DIVISION III The Henrylyn Irrigation District is willing to accept any additional water runoff that results from the 3600sq. ft. building located at 1644 Co. Rd. 47, Hudson, Co. 80642. Respectfully yours, The Henrylyn Irrigation District David E. Bell, Secretary/General Manager go May 5, 2022 COLORADO Division of Water Resources Department of Natural Resources Chris Gathman, Planner Weld County Department of Planning Services Transmission via email: cgathman@weldgov.com Re: USR22-0014 Site Specific Development Plan and Use by Special Review Permit Applicant: K9cation LLC (Steven and Kelly Roll) Part of the S %2 NW 1/4 of Sec. 25, Twp. 1 N, Rng. 65 W, 6th P.M. Water Division 1, Water District 2 Dear Chris Gathman: We have received the May 2, 2022 referral concerning K9cations LLC application for a Site Specific Development Plan and Use by Special Review Permit for a dog boarding kennel, daycare and training facility for up to 25 dogs. The business will include staff and customers as part of the training classes to be offered. The property subject of this application is an approximately 43 -acre parcel located in the S %2 NW '/a of Sec. 25, Twp. 1 N, Rng. 65 W, 6th P.M. at 1644 County Road 47. The land is currently used for residential use in two homes, livestock, and for growing alfalfa hay. 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. Bottled water and portable toilets will be provided for staff and customer usage. Water for the dogs will be hauled to the site. Any water hauled to the site must be obtained from a legal source. The proposed water supply for the current residential uses is well permit no. 185934. Permit no. 185934 was issued on April 5, 1995 pursuant to section 37-92-602(3)(b)(II)(A), C.R.S. for use in up to three single-family dwellings; fire protection; the watering of poultry, domestic animals, and livestock on farms and ranches; and the irrigation of not over one acre of home gardens and lawns. The well cannot be used for irrigation of alfalfa or any other uses not permitted by the well permit. Since ownership of the property has changed, the applicants should file a change in owner name form (GWS-11) to update the contact information for this well permit, which is available for download here: https://dwr.state.co.us/eforrns. 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 USR22-0014 K9cation LLC Special Use Page 2 of 2 May 5, 2022 A review of our records shows well permit no. 229-WCB may be located on the property. This well was first put to beneficial use July 21, 1954 for domestic use. The use of this well is limited to its historic domestic uses that existed as of May 8, 1972 which have continued since that time [provided such uses are no greater than those uses allowed for a well permit pursuant to section 37-92-602(1), C.R.S., which are: fire protection, ordinary household purposes inside not more than three single- family dwellings, the watering of poultry and domestic animals and the irrigation of not more than one acre of home gardens and lawns]. Uses that expand the historical use of the well are not permitted. A review of our records also shows irrigation well permit nos. 4360 -F -R and 4361-F located on the property which are covered by the Central Colorado Water Conservancy District Ground Water Management Subdistrict augmentation plan, case no. 02CW335; and well no. 4360 -F -R is also covered by the Boxelder Creek Property's augmentation plan, case no. 07CW1254. Well permit no. 4360 -F -R was issued March 31, 1975 on the condition that the old well, permit no. 4360-F, be plugged and abandoned. A Well Abandonment Report was not received for well no. 4360-F, therefore it is unknown if the well was plugged. To ensure well no. 4360-F was plugged and abandoned in compliance with permit no. 4360 -F -R, the well owner must submit a Well Abandonment Report (Form GWS-09) available for download at: https://dwr.state.co.us/eforms. If you or the applicant have any questions, please contact Wenli Dickinson at 303-866-3581 x8206 or Wenli.Dickinson@state.co.us. Sincerely, Joanna Williams, P.E. Water Resources Engineer Ec: Referral no. 29188 Water well permit file no. 185934 Applicant (ksroll409@gmail.com) i V V Driller EQI.deja. ec Holden l'IOwner_siDtua.-G.., Gettr,a i STATE OF COLORADO DIVISION OF WATER RESOURCES OFFICE;;,OF THE STATE ENGINEER GROUND WATER SECTION LOG AND HISTORY OP WELL PERMIT NO._A I Lic. No. 1 '4 Street Si -Mr ,$..o,i,1• `City_ IIucis c ri Tenant a1 1S3th U tt rian Aug 9f Water_, g at ion - On or by Z9a°n? (description of site or Date Started March 14 land) No. Acres 100 Yield r.5Q GPM or WELL DESCRIPTION: Depth to Water 36 Hole Diameter TEST DATA: ft. Total `Depth (measured from ground su from ❑ ft. to '7 ft., from ft. to ft., from ft. to ft„ How Tested X Pump or _ Bailed Date Tested Marcia , 19_5_f2 Length a. hrs. Rate_5-- _-.- GPM Drawn Down -6-R fl, ✓ ft. PUMP DATA: Berekley Pump TypeTurbinn Outlet Size Driven by_ Elcotn .ei ,.....,. HP 15 CASING RECORD: Plain Cawing bl. Size. 1J3 i n _, KinclahaLt_from L? 6te in. ft. to 42 ft. Size . , Kind from ft, to__... Size , Kind from ft. to ft Perforated Casing Size.. 18 in., Kind l<PT om..- 4? ft. to Size_.. ... , Kind.- _.._from ft. to ft. ft. i JUN 241963 MOM ORR i,tab W WELL LOCATION Bile ld County _. ..�/ of_ J_: 1/r of Sect. 25 Twp. 1 N , Rge. 65 W , North West I l e l 1 r e e ill e e l l � r l t r i � l i 501,11% Rant ABOVE DIAGRAM REPRESENTS ONE FULL SEC- TION. LOCATE WELL ACCURATELY IN SMALL SQUARE REPRESENTING 40 ACRES, or If the above is not applicable fill in: No. Street City or Town or Lot_.- , Block Subdivision (include filing or number) TO BE MADE OUT IN QUADRUPLICATE: Original Blue and Duplicate Green Copy must be filed with the State Engineer within 30 days after well is completed. White copy is for the Owner and. Yellow copy for the Driller. WELL LOG. Ground Elevation__ (if known) FROM TO FEET FEET How Drilled Reverse Rotary REMARKS (such e Cementing, Packing, SwtoJ. TYPE OF MATERIAL .-Sandy Clay Sand 012y Send Gravel Clay Ci voi 1 ..c ft. 42ft 72, "" Sh1e 7 _rem c krequired use .additional WELL DRILLER' STATEMENT This well was drilled under my supervision and the above information is true and correct to the best my knowledge and belief. STATE OF COLORADO , `or"fin Rev. APPLICATION FOR: Applicant ---1;hs4 ges !l f4 H. P. O. Address, Quantity applie or 60 l0 A PERMIT TO USE GROUND WATERNEMER A PERMIT TO CONSTRUCT A WELL JUN N 2 11963 TION OF WE�Q�01?TER CountyWI; --- - f FNG d f. A CT u of WV of Sect. .,, , Twp. I N gpm or AF Storage Used for..1 1.9, a17r kt Purposes r- Pico (leg description of land site) a a acreage irrigated and .ot er rts. ESTIMATED DATA OF WELL Hole size : 4$b in. to ft. in. to ft. Casing Plain' in. from Q _ to I- ft. in. from to ft. Open or Perlin. from sj.to '7 ft. in. from to ft. PUMPrefe cutlet +� DATA: Type h / . HP .Size Use initiation date fl4'cb / 19 . (Use Supplemental pages for a ditional ta) THIS APPLICATION APPROVED PERMIT NO. � F ISSUED; DATE JON 2 11963^19 P. M. OR Street Address or Lot & Block No. Town or Subdivision N I _r_' __ I I J ___ -- f t I S $25.00 fee required for uses other than Domestic or Livestock. Locate well in 40 acre (small) square as near as possible. Large square is one section. Applicant Agent or Driller Address NOTE — SATISFACTORY COMPLETION REQUIRED FOR APPROVAL OF APPLICATION FORM NO. "; 7/G3 0Tl93 "STATE OF COLORADO OFFICE OF THE STATE ENGINEER 818 Centennial Bldg., 1313 Sherman St., Denver, ColOredo 80203 ( 885-3581 For Office Use only RECEIVEO tS a" `'#+�" spiptiao COMPLEIING,FOrkM,iINSTACTION4allifirtenittADE CHANGE IN OWNERSHIP/ADDRESS I LOCATION WELL PERMIT, LIVESTOCK TANK OR EROSION CONTROL DAM 1. NEW OWNER .. NAME(S) ..GetaS..,...,,,,,.. im ........... zx--eiNek-xze--iz Mailing Address ..."ral S- k . „ .-......................... .............. C St. Zip C t B 4-C Phone (k), `) —6:74....................„ 2. THIS CHANGE IS FOR ONE OF THE FOLLOWING • O WELL PERMIT NUMBER --/,P4919 LIVESTOCK WATER TANK NUMBER .................................................... EROSION CONTROL DAM NUMBER , • WELL, LOCATION; COUNT! adelifai !NI/NEWS WELL DEstONATi 1 , -------. ..-. - r.... Address) 'SW1/4 or the.. /V") 1/4, Sec, .S..... Two..... /., Distances from S on .......................... Ft. from Subdivision........................................................................................... ❑ ® N. N. or Lot Of ❑ ......,......., ❑ S. (may) (Stale) S., Range ...T. ❑ E. or El W. .............. Line. ........................... Ft. from ❑ E. or „ . Block ...................... Filing (Unit)....................... ❑ (21p) P.M. W. Line. 4. LIVESTOCK TANK OR E- SION CONTROL LAM LOCATION: COUNTY 1/4, Sec. Tw} , ❑ N. or ❑ S., Range ❑ E. or ❑ W. P.M. 5. The above listed owners) say(s) that he (they) The existing record Is being amended for the IX] Change in name of owner. following F own the structure described herein. reason(s): Change In mailing address. M Correction of location, 6. I (we) have read the Statements made herein, know the 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_sacond degreesand ist ini-.qhghIaas_a clash misdemeenor,?- _ pi _i.. afla (Please type or rint Sig re pat0-4 FOR OFFICE USE LY ACCEPTED AS A CHANO2 IN OWNERSHIP AND/OR MAILING /MUSS - di 4 • 1.41"' APR1? 1995 State Engineer BY Court Case No. Div, Co_ WD Basin Date MD Use INSTRUCTIONS CHANGE OWNERSHIP -ADDRESS LOCATION CORRECTION FORM JULY 1'93 NO FEE IS REQUIRED The form must be typewritten or printed in BLACK INK Initial and date any changes you make on the form. THIS FORM MAY BE REPRODUCED BY PHOTOCOPYING OR WORD PROCESSING MEANS. INCOMPLETE FORMS WILL BE RETURNED. ATTACH ADDITIONAL SHEETS IF MORE SPACE IS NEEDED. 1. Print the new owner's name and include the mailing address and phone number. 2. Indicate if the change in ownership/address is for a well permit, livestock water tank.or erosion control dam. Be sure to include the prer permit. tank or darn number. 3. Complete the well location information. If the address of the well location is different than the mailing address of the owner, include the address where the well is located. If the owner has more than one well, provide well name or number as designated by the owner; i.e. North Well. The actual well location must include 1/4, 1, Section, Township and Range. Check the appropriate boxes for North or South and East or West directions. Complete the Subdivision, Lot, Block and Filing information, if applicable. 4. Complete the location information for the livestock water tank or erosion control dam. The actual location must include 1/4, Section, Township, Range and P.M. Check the appropriate boxes for North or South and East or West directions. 5. Check the reason(s) for submitting the form, whether it is a change In ownership/address and/or location correction. 6. The owner of the structure must sign, Print or type your name in the first block if it is different from item No. 1. If signing as a representative of a company who owns the structure, then your title must also be included in the first block. Sign the second block and date the last block. USE THIS FORM TO CORRECT THE LOCATION OF YOUR WELL IF: A. Your well was permitted, registered, or first used prior to May 8, 1972 for ordinary household purposes in up to three single-family dwellings, fire protection, the watering of poultry, domestic animals, and livestock on farms and ranches and the irrigation of not over one acre of home gardens and lawns. B, Your well is not of the type described in A above, but was permitted or registered prior to May 17, 1965. inside the Designated Ground Water Basins, other procedures and publication may be required. C. Your well was decreed by the Water Court for the correct location. IN ALL OTHER CASES USE FORM GWS-42 M other types of changes concerning Livestock Water Tanks and Erosion Control Dams should be submitted on the standard Permit Application form and be accompanied by a $15.00 filing fee. If you have questions, contact the Denver or the Division Office where your welt is located. DIVISION 1 800 8th Ave Rm 321 Greeley CO 80631 (303) 352-8712 DIVISION 5 Box 396 50633 US Hwy. 6. $r 24 Clnwd Spgs CO 81601 (303) 945-5665 DIVISION 2 Box 5728 219W5th Rm223 Pueblo CO 81003 (719) 542-3368 DIVISION 6 Box 773450 52,5 So. Lincoln Ave Stmbt Spgs CO 80477 (803) 879-0272 DMSION 3 Box 269. 422 4th St Alamosa CO 81101 (719) 589-6683 DIVISION 7 Box 1880 1474 Main St Durango CO 81302 (303) 247-1845 ,,;.DIVISION 4, Bcx.45B 1540 E Niagara . . Montrose CO 81402 (303) 249-6622 DENVER OFFICE Ism 821 1313 Sherman St Denver CO 80203 (303) 866-3581 WfiJ•5.72 a Apilication must bic&mplete where applicable. Type or %print in BLACK INK. No overstrikes unless or erasures initialed: COLORADO DIVISION OF WATER RESOURCES 101 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203 PERMIT APPLICATION FORM ( ) A PERMIT TO USE GROUND WATER ( ) A PERMIT TO CONSTRUCT A WELL FOR: ( } A PERMIT TO INSTALL A PUMP / (} REPLACEMENT FOR NO. 11434 DF ( )OTHER RECEIVED' top 03'75 WATER It1R STATE ESPIANEF P GOLD a P (1) APPLICANT - mailing address r FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN ---.. NAME N 1+rr fi L v. rt DaitiokiitiJ- Ce ti STREET,� `/'V4- aM..+ 13.4 704 CITY 7YfA..CSo e o (St ate) 1,44 TELEPHONE NO.. JL — 1 41 / (2) LOCATION OF PROPOSED WELL County &1e id 1 Y. of the N 14, Section Twp. .. Rng. 46- 4,1_, L i P,M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) Average annual amount of ground water to be appropriated (acre•feet): Number of acres to be irrigated: Proposed total depth (feet); /aO e Aquifer ground water is to be obtained from: Surface Owner's well designation 0HOUND WATER TO BE USED FOR: 1 HOUSEHOLD USE ONLY - no irrigation (0) ) DOMESTIC (1) ( ) INDUSTRIAL (5) LIVESTOCK (2) ().) IRRIGATION (6) 1 COMMERCIAL (4) ( ) MUNICIPAL (8) OTHER (9) (4) DJ3ILLER Name P Street Box 18P City Hudson, Colo. R0642 (State) (2Ip) Telephone No, 3 -Y-F3 7 Lic. No. 1 Receipt No, Basin Dist. QQADITIONS 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. APPROVED AS A REPLACEMENT OE WELD NO. .O THE EXISTING WELL MUST BE PLUGGED AND A; ANDON ACCORDING TO THE REVISED AND AMENDED RULES AND REGULATIONS FOR WATER WELL AN: i PUMP INSTALLATION CONTRACTORS. THE ENCLOSED AFFIDAVIT MUST BE SUBMITTED WITHIN SIXTY (60) DAYS AFTER THE CONSTRUCTION OF THE NEW WELL, AFFIRMING THAT WELL NO. 413 DF WAS PLUGGED AND ABANDONED. THIS PERMIT IS ISSUED SUB_ICT TO TIlE TERMS a A COURT DECREE ISSUED IN . CASE NO. W -222O BY THE DIVISION I WATER COURT. P S APPLICATION APPROVED PERMIT NUMBER DATE ISSUED EXPIRATION DATE BY I 11360 -!RE MAR 31 1975 MAR 31 197 COUNTY 6' (5) THE LOCATION OF THE PROPOSED WELL and the area on which the water will be used must be indicated on the diagram below. Use the CENTER SECTION (1 section, 640 acres) for the well location. NORTH f MILE, 5280 FEET - -.--V. NORTH $E TION LINE SOUTH SECTION LINE + 4 The scale of the diagram is 2 inches = 1 mile Each smalisquare represents 40 acres. ry (6) THE WELL MUST BE LOCATED BELQyV by distances from section lines. i * 2 a 4,.._T— ft. from /YeieiJ sec. line (north or south) - ti / ft. from C S > secne A - LOT BLOCK (east or west) FILING # SUBDIVISION (7) TRACT QN WHICH WELL WILL BE LOCATED No. of acres f.4 . Will this be the only well on this tract? !J'# (8) PROPOSED CASINO PROGRAM Plain Casing 1 8 in. from 0 . ft. to )� ft. in. from ft. to . ft. Perforated casing 1. P in. froml . ft. to 54 . ft, in. from ft. to ft. WATER EQUIVALENTS TABLE (Rounded'Figures) An etre-foot Lovers 1 acre'bf fend 1 foot deep t cubio}foot per second (cfe),.. , 449 gallons per minute igpm.l.,.,. A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot . , . 43,550 cubic feet . 325,900 gallons; 1,000 gpm pumped continuously for one.day. produces 4.42 acre-feet. (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging it: L) -'I. Weld seal on to of old we1.1.. (10) LAND ON -WHICH GROUND WATER WILL BE USED: ❑wner(. Her. rteth V. ita i y .5- Gc 1 v A Lege i'-scrlpt of No. of acres; Ilk . n• (11) DETAILED DESCRIPTION of the use of ground water: -1Nig ix (12) OTHER WATER RIGHTS used on this land, including wells. Type or right Used for (purpose) / 00 S t r s- !'f fikp1114` / , ; •. r Ik �lL; �rw. i k (13) THE APPLICANT(S) STATE(S) THAT THE T ` U TO T; E BEST OF ,1rIIS KNOWLEDGE. SIG A r, RE OF APPLICAN Description of land on which used ca.d t7 gaiL 4 &. d NFORMATION SET FORTH HEREON IS Use additional sheets of paper if more space is required. • FORM N?. GUS -32 11/90 PUMP INSTALLATION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 1. WELL PERMIT NUMBER 18 5 9 3 4 2. 3. OWNER NAME(S) Gerald W. & Marilyn F. Springer Mailing Address 4895 Easley Rd. City, St. Zip Golden, Co. 80403 Phone (303 ) 278-1047 For Office Use only RECEIVED 2 6 '95:. PATER Flasct1.4E STATE Eictlazal WELL LOCATION AS DRILLED: sw_ 1/4 mw 1/4, Sec. , Twp. 1 N , Range 65 W DISTANCES FROM SEC. LINES: 1760 ft. from 'North Sec. line. and 325 ft. from WEst Sec. line. (north or south) (east or west) SUBDIVISION: LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: 4. PUMP DATA: Type Pump Manufacturer Design GPM 15 Pump Intake Depth Submersible Installation Completed 6 -2n -g5 Jacuzzi Pump Model No. 1S41810B-52 81 0B-52 at RPM 3 6 0 0 , HP 1 , Volts 230 , Full Load Amps 3_6 65 Feet, Drop/Column Pipe Size 1 1/4 Inches, Kind PVC Sch 80 ADDITIONAL INFORMATION FOR PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: ❑ Electric ❑ Engine ❑ Other Design Head feet, Number of Stages , Shaft size inches. 5. OTHER EQUIPMENT: Airline Installed ❑ Yes ❑x No, Orifice Depth ft. . Monitor Tube Installed ❑ Yes 0 No, Depth ft. Flow Meter Mfg. Meter Serial No. Meter Readout ❑ Gallons, ❑ Thousand Gallons, ❑ Acre feet, ❑ Beginning Reading 6. TEST DATA: Total Well Depth Static Level Date Measured ❑ Check box if Test data is submitted on Supplemental Form. Date 6-20-99 75 Time 1: 0 0 PM 25 Rate (GPM) 15 6-16-95 Pumping Lvl. �g 7. DISINFECTION: Type HTH Amt. Used 1# 8. Water Quality analysis available, ❑ Yes Q No 9. Remarks 10. I have read the statements made herein and know the contents thereof, and that they are true to my 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.] CONTRACTOR R & R Well & pUmp Inc. Phone (970) 353-3118 Lic. No. 857 Mailing Address P.O. box 577 Greeley, Co. 80632 Name/Fitle (Please type or print) OWNER Glenn A. Clement Date --6-30-95 INSTRUCTIONS FOR PUMP INSTALLATION REPORT The report must be typed or printed in BLACK INK All changes on the form must be initialed and dated. Attach additional sheets if more space is required. Each additional sheet must be identified at the top by the well owner's name, the permit number, form name/number and a sequential page number. Report depths in feet below ground surface. This form may be reproduced by photocopy methods, or by computer generation with prior approval by the State Engineer. The original and one copy of this form must be submitted to the State Engineer's Office within 60 days after completing the well or 7 days after the permit expiration date, whichever is earlier. Another copy of the form must be provided to the well owner. If this form is submitted in conjunction with the Well Completion and Test Report, form number GWS-31, ONLY THE PERMIT NUMBER AND OWNER NAME NEED TO BE COMPLETED in items 1 and 2. 1. Complete the Permit Number in full. 2. Fill in Name and Mailing Address of Well Owner where correspondence should be sent. 3. Complete the blocks for the actual location of the well. For wells located in subdivisions the lot, block and subdivision information must also be provided. 4. Indicate the type of pump installed and complete the requested information. When installing pumps greater than 50 gpm, complete the additional information in this area. 5. Provide the information on other equipment which may be installed in the well. 6. Report test data as required by Rule 13.9. Spaces are provided to report all measurements made during the test. The report should show that the test complied with the provisions of the rules. If a test was not performed explain when it will be done. If available, report clock time when measurements were taken. 7. Record the type and the amount of disinfection used, how placed and the length of time left in the hole. 6. Indicate if a water quality analysis was performed and submit a copy of the report if available. 9. Use the remarks area to note any additional information including additional equipment installed, water supply construction problems. 10. Fill in Company Name and Address of Contractor who constructed the well. The report must be signed by the licensed contractor responsible for the installation of pumping equipment. I FORM G 3� °' 10/94 WELL CONSTRUCTION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENGINEER For Office Use only 2 j ` iR'1c,. �, a �747*E k 1. 3 CO`o 1. WELL PERMIT NUMBER 185934 2 OWNER Mailing City, Phone NAME(S) Gerald W. & Marilyn F. Springer Address 4895 Easley Rd. St. Zip Golden, Co. 80403 (303 ) 278-1047 3. WELL LOCATION AS DRILLED: Sw 1/4 NW 1/4, Sec. 25 Twp. 1 N , Range 65 W DISTANCES FROM SEC. LINES: 1760 ft. from Sec. line. and 325 ft. from r,�P f- Sec. line. h OR FILING(UNIT) SUBDIVISION: STREET (No n ouitl a t dr west) ] LOT BLOCK ADDRESS AT WELL LOCATION: 4. GROUND DATE SURFACE ELEVATION ft. DRILLING METHOD Rotary . COMPLETED 6-16-95 . TOTAL DEPTH 75 ft. DEPTH COMPLETED 75 ft. 5. GEOLOGIC LOG: Depth Description of Material (Type, Size, Color, Water Location) 0-9 Top soil 6. HOLE DIAM. (in.) From (ft) To (ft) 8 7/8 0 75 9-17 Clay w/gravel & sand 17-48 Gravel w/sand T. PLAIN CASING OD (in) Kind Wall Size From(ft) To(ft) 6 5/8 Steel .250 +1 20 48-50 Blk. gravel w/sand 50-56 Clay w/sand 56-71 Hd. clay w/gray sand 71--75 Shale 5 PVC .277 20 55 PERF. CASING: Screen Slot 5 PVC .277 Size: .035 55 75 8. FILTER PACK: Material Gravel 9. PACKER Type Depth PLACEMENT: Size 3/8 _ Interval 20-75 10. GROUTING RECORD: Material Amount Density Interval Placement Cement 2 Bq. 1.86 0-20 POured REMARKS: 11. DISINFECTION: Type HTH Amt. Used 1- r,4 12. WELL TEST DATA: ❑ Check box if Test Data is submitted on Form No. GWS 39 Supplemental • Well Test. 1 5 gpm. TESTING Static Pumping Remarks METHOD Ra; 1 ed Level 25 ft. Date/Time measured 6-1 6-9 5 , Production Rate level 30 ft. Date/Time measured 6-1 6-95 , Test length (hrs.) Poured 13. I have C.R.S., CONTRACTOR Mailing read the statements made herein and know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 24-4-104 (13)(a) the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] R & R Well & Pump Inc. Phone ( 970 ) 353-3118 Lib. No. 857 Address P.O. box 577 Greeley_, Co. 80632 Name/Title (Please type or print) WNER Glenn A. Clement Signature i Date 6-30-95 INSTRUCTIONS FOR WELL CONSTRUCTION AND TEST REPORT Rev., Oct. 94 The report must be typed or printed in BLACK INK All changes on the form must be initialed and dated. Attach additional sheets if more space is required. Each additional sheet must be identified at the top by the well owner's name, the permit number, form name/number and a sequential page number. Report depths in feet below ground surface. This form may be reproduced by photocopy methods, or by computer generation with prior approval by the State Engineer. Photocopy reproductions must retain margins and print quality of the original form. The original form must be submitted to the State Engineer's Office within 60 days after completing the well or 7 days after the permit expiration date, whichever is earlier. A copy of the form must be provided to the well owner. 1. Complete the Well Permit Number in full. 2. Fill in Name and Mailing Address of Well Owner where correspondence should be sent. 3. Complete the blocks for the actual location of the well where drilled. If the owner has more than one well serving this property, provide the identification (Owner's Designation) -for this well. DO NOT USE THE OWNER SUPPLIED LOCATION unless a survey has been provided. For wells located in subdivisions the lot, block and subdivision information must also be provided. 4. Report the ground surface elevation in feet above sea level if available. This value may be obtained from a topographic map. Describe the drilling method used to construct the well and the date completed. Indicate the total depth drilled and the actual completed depth of the well. 5. Fully describe the materials encountered in drilling. Do not use formation names unless, they are in conjunction with a description of materials, Examples of descriptive terms include: Grain size -Boulders, gravel, sand, silt, clay. Hardness --Loose, soft, tight, hard, very hard. Color --All materials. Most critical in sedimentary rock. Depth when water is encountered (if it can be determined). 6. Provide the diameters of the drilled bore hole. 7. The outside diameter, kind, wall thickness and interval of casing lengths must be indicated. 8. Indicate the type and size of filter (gravel) pack and the interval where placed. 9. indicate the type and setting depth for any packers installed. 10. The density of the grout slurry must be reported and may be indicated as pounds per gallon, gallons of water per sack, total gallons of water and number of sacks used, etc. Specify the grout placement method, i.e.--tremie pipe or positive displacement. The percentage of additives mixed with the grout should be reported under remarks. 11. . Record the type and the amount of disinfection used, how placed and the length of time left in the hole. 12. Report well test data as required by Rule 10.7. Spaces are provided to report all measurements made during the test. The report should show that the test complied with the provisions of the rules. If a test was not performed explain when it will be done. If available, report clock time when measurements were taken. 13. Fill in Company Name and Address of Contractor who constructed the well. The report must be signed by the licensed contractor responsible for the construction of the well. Form No. GWS-25 OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES APPLICANT 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 LIC WELL. PERMIT NUMBER jR5934 DIV. 1 CNTY, 62 WD 1 DES. BASIN MD Lot: Block: Filing: Subdiv: GERALD W & MARILYN F SPRINGER 4895 EASLEY RD GOLDEN CO 80403 ( 303)278-1047 PERMIT TO CONSTRUCT A WELL APPROVED WELL LOCATION WELD COUNTY SW 1/4 NW 1/4 Section 25 Twp 1 N RANGE 65 W 6th P.M. DISTANCES FROM SECTION LINES 1760 Ft. from North Section Line 325 Ft. from West Section Line ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDMONS 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 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 and Pump Installation 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 17. 3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A) as the only well on a tract of land of 44 acres described as part of the NW1/4 Section 25, Township 1 N, Range 65 West of the 6th P.M., more particularly described on the attached exhibit A. 4) The use of ground water from this well is limited to ordinary household purposes inside three single family dwellings, fire protection, the watering of poultry, domestic animals, and livestock on farms and ranches, and the irrigation of not over one (1) acre of home gardens and lawns. 5) The total depth of the well shall not exceed 75 feet or the first shale layer, whichever comes first, which corresponds to the base of the alluvial aquifer. 6) The maximum pumping rate shall not exceed 15 GPM. 7) The • return flow from the use of the 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. 4_445 -- Note: To insure a maximum productive life of this well, perforated casing should be set through the entire producing interval of the approved zone or aquifer indicated above. APPROVED RAN Stata1,Englneer Receipt No. 0381861 L BY DATE ISSUED APR 0 5 1995 EXPIRATION DATE APR 0 5 1997 �' WRJ•5•I ev. 76 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 Application must be complete where applicable. Type or print in BLACK INK. No overstrikes or erasures unless initialed. 7r PERMIT APPLICATION FORM`" ( ) A PERMIT TO USE GROUND WATER MDR 0 1 '95 (x 1A PERMIT TO CONSTRUCT A WELL O33.0. FOR: ( ) A PERMIT TO INSTALL A PUMP WATERRES0UI STATE ( ) REPLACEMENT FOR NO ( )OTHER WATER COURT CASE NO. (1) APPLICANT- mailing address NAME Gerald W. &aMarilyn F. Springer STREET 4895 Easley Road CITY Golden, Colorado {State} (Zip) TELEPHONE NO. 303-278-1047 80403 (2) LOCATION OF PROPOSED WELL County Weld SW Y4 of theNW 'h, Section Twp. 1 N . Rng. 65 IN,S) W (E,W) 25 6th P.M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 15 Average annual amount of ground water 5 to be appropriated (acre-feet): Number of acres to be irrigated: N/A Proposed total depth (feet): 75 Aquifer ground water is to be obtained from: Alluvial Owner's well designation 2 GROUND WATER TO BE USED -FOR: ( ) HOUSEHOLD USE ONLY - (XX) DOMESTIC (1) ( ) LIVESTOCK (2) ( ) COMMERCIAL (4) no irrigation (0) ( ) INDUSTRIAL (5) ( ) IRRIGATION (6) ( ) MUNICIPAL (8) ( ) OTHER (9) - DETAIL THE USE ON BACK IN (11) (4) DRILLER Name Licensed Street City (State) (Zip) FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No.3 8/ $ ' / / Basin Dist. CONDITIONS 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. Z3 O os 1160 --►J 3'1S -vv 114 5°30 APPLICATION APPROVED Ati •r 75-1)�.i4)l PERMIT NUMBER DATE ISSUED EXPIRATION DATE CHECKS TR#38i86I030195 60.bii IlIV OF WATER RESOURCES (STATE ENGINEER) Telephone No. Lic. No. BY 1.D. COUNTY b O (6) THE WELL MUST BE LOCATED1BELOW by distances from section lines. (5) THE LOCATION OF THE PROPOSED WELL and the area on which the water will be used must be indicated on the diagram below. Use the CENTER SECTION (1 section, 640 acres) for the well location. f + — I NORTH+_ T -4- 1 + I !411,---1 MILE, 5280 FEET + + NORTH SECTION LINE I I x I I - - -I- - - I _ I - --I-- - - 1 1 SOUTH SECTION LINE -+-+-+-4-- m -I CO m n O z r z rn The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. H- + 1760 ft. from North sec. line (north or south) 325 ft from West sec. line (east or west) LOT BLOCK FILING * SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner Gerald W. & Marilyn F. 44.011 Springer No. of acres . Will this be the only well on this tract? No (8) PROPOSED CASING PROGRAM Plain Casing Steel 6-5/8" in. from 0 ft. to 20 ft. Plastic 5„ 20 in. from ft. to Perforated casing Plastic 40 ft. 5" in. from 40 ft. to 65 ft. in. from ft. to `t. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfs) ... 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): Gerald W. & Marilyn F. Springer No. of acres: 44.011 Legal description: See Attached (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal system to be used. Domestic well. 1 single family home ('3 bpriroom, 2 bath, 1 ilr) Sri_ Pt _ ) 20 domestic animals (horses). 1 acre of home garden & Lawn. Disposal system is septic with leach field - (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose). Well Permit #162004361F Irrigation 3/14/55 Description of land on which used Farm Land Same Description as above. (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. SIGNATURE OF APPLICANT1SI Gerald W. Springer Marilyn F. Springer Use additional sheets of paper if more space is required. EXEMPT WELL DATA SHEET - DENVER BASIN, COLORADO APPLICANT: SPRINGER RECEIPT NO. 381861 LOCATION: SW1/4 OF NW1/4 OF SEC. 25, T.1N., R.65W. (1760 NSL, 325 WSL) PROPOSED AQUIFER: UPPER DAWSON SURFACE ELEVATION: 5030 NUMBER OF ACRES IN TRACT: 44 IS PROPERTY WITHIN SERVICE BOUNDARIES OF MUNICIPALITY S.B.5 CONSENT MAPS? NO_ YES IF SUBDIVISION IS UNDER AUGMENTATION PLAN, CASE NO. IS , DIV. IF SUBDIVISION WAS RECOMMENDED FOR APPROVAL BY THE WATER MANAGEMENT BRANCH, DATE OF LETTER IS INFORMATION ON SUBDIVISION OR TRACT OF LAND/SPECIAL RESTRICTIONS: evaluated by RAN on APRIL 3, 1995 AQUIFER ELEVATION DEPTH TO ANNUAL NET APPROP STATUS BOT. TOP SAND BOT. TOP A -F *UPPER DAWSON LOWER DAWSON DENVER ---- - - ---- UPPER ARAPAHOE 4827 4972 56 203 58 4.189 NNT LOWER ARAPAHOE 4471 4752 85 559 278 6.358 NT LARAMIE-FOX HILLS 3867 4105 143 1163 925 9.438 NT note: E indicates location is at aquifer boundary and values may be more approximate. * indicates the proposed aquifer. All values are interpolated from the S.B.5 data base assembled in November of 1986. AR2IQ512511 WARRANTY DEED THIS DEED, Made this 3rd day of February, 1995 between Kenneth V. Gettman and Dorothy J. Gettman of the County of Weld and State of Colorado, grantor, and Gerald W. Springer and Marilyn F. Springer (� �flS �aS/P }GVia, C iJG whose legal address is aL'��C ga!�arl� jOei0� of the County of Weld and State of Colorado, grantees: MEMO 01 '96 WATLIN STATE COLD. WITNESS that the grantor for and in consideration of the sum of ONE HUNDRED FIVE THOUSAND AND 00/100, ($105,000.00) Dollars, the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm unto the grantees, their heirs and assigns forever, not in tenancy in common but iu JOINT TENANCY, all real property, together with improvements, if any, situate, lying and being in the County of Weld rr and State of Colorado, described as follows: 1L �i SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF also known by street and number as Vacant Land, Hudson, Colorado TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise appertaining and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantees, their heirs and assigns forever. And the grantor, for himself, his heirs and personal representatives, does covenant, grant, bargain, and agree to and with the grantees, their heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seised of the premises above conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, an fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, except general taxes for 1995 and subsequent years; except easements, restrictions, covenants, conditions, reservations and rights of way of record, if any; 2425654 B-1478 P-882 02/06/95 03:29P PG 1 OF 2 REC DOC Weld County CO Clerk & Recorder 10.00 10.50 The grantor shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the grantees, their heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF the grantor has executed this deed on the date set forth above. STATE OF COLORADO County of Weld } } ss. The foregoing instrument was acknowledged before me } this 3rd day of February, 1995 by Kenneth V. orothy J. Gettman KIRK .# GOBLE 1 icz •��0 No. 921A. Rev. 3-85 Witness my han.2and o My ommissi• expire NOTARY PUBLIC 1113 Tenth Avenue Greeley, COLORADO 80631 over` 4— " ��LiL Ui £6Z EXHIBIT 7SCROW NO.: 8035490 DATE February 02 1995 "EXHIBIT A" LEGAL DESCRIPTION 2425654 8-1478 P-882 02/06/95 03:29P PG 2 OF 2 That part of NW1/4 of Section 25, Township 1 North, Range 65 West of the 6th P.M., County of Weld, State of Colorado, being more particularly described as follows: Beginning at the North Quarter corner of said Section 25; Thence South 00 degrees 28 minutes 15 seconds West on an assumed bearing along the East line of said NW1/4 of Section 25 a distance of 2013.60 feet to a point on the Northerly line of a strip of land, 50 feet wide, conveyed to The Henrylyn Irrigation District, for The Box Elder Lateral by Deed recorded November 23, 1926 in Book 814 at Page 154; thence Westerly along the Northerly line of said Box Elder lateral, the following 18 courses: ( 1) South 72 degrees 32 minutes 05 seconds West, 49.19 feet; ( 2) South 85 degrees 59 minutes 59 seconds West, 95.43 feet; ( 3) North 67 degrees 58 minutes 58 seconds West, 108.48 feet; ( 4) North 55 degrees 15 minutes 41 seconds West, 189.30 feet; ( 5) North 73 degrees 41 minutes 42 seconds West, 50.72 feet; ( 6) North 86 degrees 30 minutes 20 seconds West, 726.25 feet; ( 7) North 77 degrees 23 minutes 53 seconds West, 82.98 feet; ( 8) North 85 degrees 23 minutes 36 seconds West, 72.52 feet; ( 9) South 72 degrees 24 minutes 52 seconds West, 136.15 feet; (10) South 52 degrees 55 minutes 16 seconds West, 97.96 feet; (11) South 41 degrees 30 minutes 08 seconds West, 167.45 feet; (12) South 65 degrees 01 minutes 26 seconds West, 79.90 feet; (13) North 70 degrees 55 minutes 08 seconds West, 97.87 feet; (14) North 53 degrees 44 minutes 21 seconds West, 417.15 feet; (15) North 64 degrees 23 minutes 47 seconds West, 59.47 feet; (16) North 79 degrees 36 minutes 29 seconds West, 85.93 feet; (17) North 85 degrees 01 minutes 08 seconds West, 200.35 feet; (18) North 69 degrees 31 minutes 15 seconds West, 30.02 feet to the East line of that parcel conveyed by Deed recorded February 7, 1949 in Book 1241 at Page 515; thence South 00 degrees 03 minutes 28 seconds East along said East line of said parcel conveyed by Deed recorded February 7, 1949 in Book 1241 at Page 515 a distance of 929.09 feet to the South line of said NW1/4 of Section 25; thence North 90 degrees 00 minutes 00 seconds East along said South line of the NW1/4 of Section 25 a distance of 2505.02 feet to the Southeast corner of said NW1/4 of Section 25; thence North 00 degrees 28 minutes 15 seconds East along said East line of the NW1/4 of Section 25 a distance of 631.07 feet to the Point of Beginning. TOGETHER WITH one irrigation well permit No. 162004361F, Adjudicated 3/14/55. NAME AND ADDRESS OF PERSON CREATING NEWLY CREATED LEGAL DESCRIPTION (38-35-106.5, C.R.S.) Alpha Engineering 617 5th Street Ft. Lupton, CO 80621 MAR 01 °95 589•52'55'E 2649.42 201.97 con' EEEETALCS, 2-1-95 NW 1/4 SEC . 28, 2-2-95 pp is mres 200 35 u 1 161.005 acres N85°30'20'w 726.25 N co 0 O 0 O EA PARCEL ACE, 13.915 acres 0 D T cPARCEL, 2-2-95 SOUTH PARCEL ACRES. 2-2-95 D.6Aaacres 44.011 acres m m S90 VED-ti00"6 Je • TIE T 0.0 144 .00 25423E6.02 02 Hello