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Home My WebLink About20211206.tiffCOLORADO Division of Water Resources Department of Natural Resources 1313 SHERMAN ST, STE 821 DENVER, CO. 80203 Date: 1/20/2021 9:41:43 AM Order Number: 5473 Transaction Number: 7451 WESTERN ENGINEERING CONSULTANTS INC., LLC Harley Troyer 10910 COUNTY ROAD 28 FORT LUPTON, CO. 80621-9647 RECEIPT Cashier: 75220 Application/Receipt Quantity Description Price Extended Price 10008903 1 Non -Exempt Well (Legacy Code: 11) Permit Application - Outside DesB $100.00 $100.00 Subtotal: $100.00 Service Fee: $3.02 Total: $103.02 (Credit Card) Tendered: [*8580] Change: $103.02 $0.00 Non -Exempt Well Permit Application - Outside DesB (Legacy Code: 11) Please allow 4-6 weeks for the processing of your application. Check the status of your application using the Application/Receipt number (not order number) at: https://dwr.state.co.us/tools/WellPermits 1313 Sherman Street, Room 821, Denver, CO 80203 P 303.866.3581 www.colorada.govlwater Jared S. Polls, Governor I Dan Gibbs, Executive Director I Kevin G. Rein, State Engineer/Director COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST, RM 821, DENVER, CO 80203 Main: (303) 666-3581 dwrpermitsonlineAstate.co.us .state.co.us GENERAL PURPOSE Water Well Permit Application Review instructions on reverse side prior to completing form. The form must be computer generated) typed or in black or blue ink. I. Applicant Information Name at applicant Harley D. and Patricia &,Troyer Mailing address 10910 Gouty Road 28 City Fort Lupton Telephone U area c Lie & number) 970-396-2099 Slate app rude CO 80621 _ -rnaii ( niiir�� filir required) troyerauctioneers@msn.com Office Use Only Form 0 5 (01/2020) 6. Use Of Well (check applicable boxes) Attach adetaileddescription of uses applied for. ■ Industrial Municipal Irrigation Commercial • • Dewatering System Geothermal (production or reinjection Other (describe): See atta ch ement 2. Type Of Application (check applicable boxes) II Construct new well Replace existing well change source (aquifer) COGCC Well • • Use existing well Change or increase use Reapplication (expired permit) Other: 7. Well Data (proposed) Maximum pumping rate 50 Total depth TBD cgpm feet Annual amount to be withdrawn 0.25 Aquifer acre-feet 3. Refer To (if applicable) Well permit # Designated Sastn Ueterrnmafan # Water Court case # Well name or # 8. Land On Which Ground Water Will Be Used 4. Location Of Proposed Well County Weld Section 7 2 Township Nor S ia'i 71 Range 66 EJ 6th Di stance of well from section lines (section lines are typically not property lines) Ft from Pri N J S Ft fronrE 1/4 of the sE 1/4 E or W Principal Meridian N w For replacement weds only — distance and direction from old wail to new well feet (Request Rule 6.2.3 Ilirection Well location address (Include City, Stale, Ziig) I--1 Check if well address is sane es in item 1 Highway 85 Southbound and County Road 22 1/2 intersection Optional: GPS well location information in UTM format You must check OPS unit for required settings as follows: Legal Description of Land (may be provided as an attachment): See attached Legal description f If used for crop irrigation, attach a scaled map that shows irrigated area ) A. # Acres B. Owner 17,52 Harley D and Patricia S Troyer O. List any other wells or water rights used on this land: N/A Format must be UTM n I Zone 12 aril Zone 13 Units must be Meters Datum must be NAD83 Unit must be set to true north Was GP'S unit checked for above? JIVES Easting 9. Proposed Well Driller License #(optional): 10. Sign or Entered Name Of Applicant(s) Or Authorized Agent The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 1 misdemeanor pursuant to O.R.S. 244.1 (13)(a). l have read the statements herein, know the contents thereof and state that they are true to my knowledge. Sign or enter name(s) of person(s) submitting application Date (mmldd?ywyyy) Harley D. and Patricia S Troyer 041/1912021 If signing print name arid title Ownersi4,44/ 41. -ii , raft it r Northing Office Use Only _ USES map name Remember to set Datum to NADB3 6, Parcel On Which Well Will Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) A. Legal Description may be provided as an attachment): See Attached Title Binder B. *of acres in parcel 17.52 C. Owner Harley D. and Patricia S. Troyer D. WI1 this be the oryyr well on this parcel? 131 YES IN NO (if no list other wells) E. State Parcel lU# (optional): Parcel No. 130907400033 AQUAMAP WE WR cwcB ropo MYLAR 585 DWR map no Receipt area only Mt OD j Surface elev DIV WD BA MD COLORADO Division of Water Resources Department of Natur& Resources July 1, 2020 TROYER, HARLEY 10910 WELD COUNTY ROAD 28 FT LUPTON, CO 80621 Subject: 2020 LIST OF ABANDONED WATER RIGHTS The Division Engineer, in accordance with S37.92.401, Colorado Revised Statutes (2019), has compiled the list of absolute water rights that he or she "has determined to have been abandoned in whole or in part and which previously have not been adjudged to have been abandoned." You are receiving this letter, as an owner, operator or a potentially interested party for the water rights on the attached list, to provide you Notice that the water rights shown have been determined by the Division Engineer to have been abandoned. A complete list of the water rights that have been abandoned, in the opinion of the Division Engineer, may be found on the Division of Water Resources (DWR) website https: f lwwyrr.colorado. Rovtrvater. You may also inspect the list at the offices of the State Engineer or the Division Engineer during regular office hours. If you wish to object to the inclusion of any water right on the Division Engineer's abandonment list, you must file a written statement of abjection with the Division Engineer by July 1, 2021. We request that objections be submitted using DWRIs Abandonment Oki ection Form, which can be obtained on the DWR website (search keyword "Abandonment 2020") or from any DWR office. the Abandonment List, with any revisions made as a result of written statements of objection, will be filed with the Water Court by December 31, 2021. Once the list is adjudged by the entry, of a decree by the Water Court, such decree will be conclusive as to the abandonment of the water right. If you are not the owner, operator or potentially interested party of the water rights shown on the attached list or if you have questions about the abandonment list, please contact the Division Office or submit an inquiry through the AskDWR page on DWR's website with the topic "Water Rights Abandonment 2020". f i w ,mss rf 1 Corey T. DeAngelis Division Engineer cc: 2020 Division Abandonment File B10 9th Street, Suite 2001 Greeley, co X531 P 970.352.8712 www.cotorada.goviwater Jared S. Falls, Governor i Dan Gibbs, Executive Director I Kevin G. Rein, State Engineer/Director .ea Form No. 'a'd's -11 03/02 STATE OF COLORADO ' OFFICE OF THE STATE ENGINEER 818 Centennial Bldg., 1313 Sherman St., Denver, CO 80203 (303) 8664581 Fax ( '3) 8864589 CHANGE IN OWNERSH1P/ADDRESS CORRECTION OF THE WELL LOCATION Insert the Well Permit Number • gme address and NAME(S) Mailing Address City, Si. Zip 6cl ht-i- /7t it , (1O 5064)." f one of the person cIairnin ownership of the wet 4- /14- Oct waverl- eitedie 0749 wct9 te Phone ( 57701 For Office Use Only APR 1 2 2004 ;4 nt a,;- cai.a. • re, 14- Mv In, If your well has an absolute water right, decreed by the court and the well is not registered with the State Engineer, enter the Water Court Case Number / Civil Action Number and well number asdecal titairk�--_-S- vlif a , - ID This form is filed by the named i r .diMidualientity claiming that they are the owner of the well permitted as referenced above, This filing is made pursuant to C.Q.S. 3740443. WELL LOCATION: : County b27q' Lo4o(n frill cry, ltd as, s (Address) e'1ellai1 /4 of theSPhJ4, Sec. '7' , Twp• J14( N. or u 8.t Range a El E. or r D Owner's Well Designation le4 'U". (City ) (State) o S_ (Zip) Distance from Section Lines Ft. From N. or 111 S., Ft From El E. or O W. Line. Subdivision Name n Lot , Block , FilingiUnit The above listed er(s) say(.51 Matte., she (-they) own The well described herein. The existing record is behig following reasons:NEl arr��en�ded for tl�+e roll Mr�g�harr�e in r��r�e cif ��ner : Change in mailing address ECorrection of location for exempt wells permitted prior to May 8t 1972 and non-exempt wells permitted before May 17,1965. Please see the reverse side for further information regarding correction of the well location. (we) laim and say that I (we) (are) the owner(s) of the well described above and that the commencement of extraction of ground water from this well, lawfully made under the well permit, occurred on the date Indicated, and that the statements made herein are true to my (our) kowledge. Please print the Signer's Name & Title 048eft‘lics. erriTys r Signature(s) of Int new owner, cescri ca._ Date It is the responsibility of the new owner of this well to complete and sign, the fortn„ Signatures of agents are acceptable if an original letter of agency signed by the owner Is attached to the form upon Its receipt. s Stite Engineer By For Office Use Only A E aE AS A CdANc3r IN OWNERSHIP AND/OR IvIAIL1NO ADDRESS: wady, y Date Hello